• NICHE Vision and Mission

    Nurses Improving Care for Healthsystem Elders (NICHE) is an international program designed to help improve the care of older adults. The vision of NICHE is for all patients 65-and-over to be given sensitive and exemplary care. The mission of NICHE is to provide principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults. NICHE, based at the NYU College of Nursing, has hospitals and healthcare facilities from the U.S., Canada, Bermuda and Singapore in the network.

  • NICHE Implementation

    By the year 2030, 20% of the population is expected to be 65 or older. People are living longer, and with advances in technology and medicine, people are living longer with chronic illnesses and multiple diseases or disorders. Older adults going into the hospital typically have complex health needs. They often develop pressure ulcers, fall problems, inability to perform regular activities and infections during their stay. Physical and mental problems can slow down treatment, leading to increased length of stay.

    NICHE was created in response to the healthcare needs of older adults. The lack of specialized gerontologic training, lack of coordination between healthcare services, high rates of avoidable readmissions and other factors all spurred the creation of NICHE.

    The NICHE Geriatric Resource Nurse (GRN) Model is essential to improving geriatric care. The goal is to improve the geriatric knowledge and expertise of the bedside nurse. GRNs are staff nurses who act as guides for other nurses on geriatric issues.

    NICHE supplies information for staff training and education through:
    • Geriatric Resource Nurse Core Curriculum
    • Introduction to Gerontology
    • Materials to prepare staff to take the ANCC Gerontological Nurse Certification Examination
    • Evidence-Based Geriatric Nursing Protocols for Best Practice book
    • website
    • NICHE website
    • Geriatric Institutional Assessment Profile (GIAP)

  • AgeWise

    For over 25 years, AgeWise Family Services has been the leading provider of Geriatric Care Management Services to older adults and their families in the Philadelphia are. The organization is devoted to the problems of the older adults, which means the group also works hand in hand with the children of aging parents. If you have a problem involving an aging or infirm family member, you don’t have to handle it alone.

    AgeWise programs are available in other geographic areas.

  • Center for Advanced Palliative Care

    Center for Advanced Palliative Care™ (CAPC) is dedicated to improving healthcare for people facing serious illness by increasing access to quality palliative care. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family. As the leading resource for palliative care development and growth, CAPC provides healthcare professionals with training, tools and technical assistance necessary to start and sustain successful palliative care programs in hospitals and other healthcare settings.

  • Hospital Elder Life Program

    The Hospital Elder Life Program (HELP) is a patient care program that is designed to prevent delirium among hospitalized older adults. HELP aims to achieve this goal by familiarizing older adults with their surroundings, meeting their needs for nutrition, fluids and sleep, and keeping them mobile within the limitations of their physical condition.

    The primary goals of HELP are:
    • Maintaining mental and physical performance of high-risk older adults throughout hospitalization
    • Maximizing independence at discharge
    • Assisting with the transition from hospital to home
    • Preventing unplanned hospital readmissions

    HELP uses volunteers to provide personal attention to vulnerable older patients.

    Many NICHE sites use the HELP program


NICHE Links:
Agewise Link:

Agewise Family Services

CAPC Links:
HELP Link:

The Hospital Elder Life Program at the Yale School of Medicine

Note: The NICHE for Patient+Family Encyclopedia provides links to third party web sites, however, NICHE does not recommend and or endorse any products or any of the content on any third party websites.