<h4>EXCERPT</h4> <p>Depression and dementia are the two most frequent psychiatric syndromes in the older adult population, yet depression in older adults with and without dementia often goes unrecognized and untreated (Charney et al., 2003; Kales, Chen, Blow, Welsh, &amp; Mellow, 2005). Estimates of the prevalence of depression in older adults with dementia vary widely (Alexopoulos &amp; Abrams, 1991; Wragg &amp; Jeste, 1989), which is attributed to differences in sampling, diagnostic criteria used to identify depression, and the way it is assessed (Alexopoulos &amp; Abrams, 1991; McCabe et al., 2006). In a recent study conducted in a nursing home, 25% of residents screened positive for major depression (Gruber-Baldini et al., 2005). This is close to the prevalence rate of major depression reported for individuals with Alzheimer&rsquo;s disease (15% to 20%, Alexopoulos &amp; Abrams, 1991; 22%, Lyketsos et al., 1997; 10% to 20%, Wragg &amp; Jeste, 1989).</p>

This article has described the key points in the evidence-based practice guideline entitled Nursing Management of Hearing Impairment in Nursing Facility Residents. The guideline outlining the nursing management of nursing facility residents with hearing impairment is supported by 175 articles: 94 research articles (both experimental and descriptive) and 81 nonresearch articles (expert opinion). The full guideline includes the significance of hearing impairment, key definitions, individuals at risk, assessment criteria and tools, description of practice, and steps for evaluation and outcomes. We believe the implementation of this evidence-based practice guideline will improve the quality of life and quality of care of nursing facility residents.