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Journal of Gerontological Nursing

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https://www.readbyqxmd.com/read/28399320/physical-activity-functional-ability-and-obesity-in-older-adults-a-gender-difference
#1
Kimberlee A Gretebeck, LeAnn M Sabatini, David R Black, Randall J Gretebeck
Disability, institutionalization, and loss of independence may be directly caused or exacerbated by physical inactivity and obesity. The purpose of the current cross-sectional survey was to explore the impact of gender and obesity on functional ability tasks, physical activity, and psychosocial factors in older adults. Participants comprised 964 University retirees (55% female, mean age = 75.3 years, SD = 6.7 years) with a mean body mass index (BMI) of 26.1 kg/m(2) (SD = 4.7 kg/m(2)). Results revealed significant gender and BMI interaction effects...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28399319/factors-associated-with-potentially-inappropriate-medication-use-in-rural-community-dwelling-older-adults
#2
Marcia Y Shade, Ann M Berger, Claudia Chaperon, Gleb Haynatzki, Linda Sobeski, Bernice Yates
Potentially inappropriate medication (PIM) use is a serious public health problem in older adults because it may lead to adverse events. The purpose of the current study was to explore PIM use in rural, community-dwelling older adults. Participants (N = 138) underwent one-on-one medication reviews. Approximately one half (49%) of the sample used prescribed and over-the-counter (OTC) PIM. Prescribed and OTC nonsteroidal anti-inflammatory drugs (33%) and anticholinergic medications (28%) were the most frequently used PIM...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28399318/suicide-ideation-in-older-adults-recovering-from-acute-conditions-in-a-clinical-recovery-facility
#3
Rui C Campos, Sara Santos, Margarida Piteira, Marta Abreu, Sofia Tavares
The aim of the current study was to assess suicide ideation in a sample of older adults recovering from acute conditions in a clinical recovery facility of the Portuguese Red Cross. Four indicators of suicide ideation were used. Clinical, contextual, and psychological variables-namely, previous suicide attempts, death of a family member by suicide, loneliness, and interpersonal needs-were also tested to determine whether they were related to suicide ideation. Findings show suicide ideation is frequent at admission and related to patients' previous suicide attempts...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28399317/patterns-of-new-physical-problems-emerging-in-long-term-care-residents-with-dementia
#4
Christine R Kovach, Julie Ellis, Crystal-Rae Evans
Individuals receiving skilled nursing care have multiple comorbid conditions that impact comfort and resource use. The current study describes variations in the trajectories of new physical problems emerging over 8 weeks and the predictive value for future health and behavior in a sample of 72 residents with dementia. Residents had two to 37 new physical problems occurring over 8 weeks. Sixty-five percent of the sample had five or more new problems and were identified by three unstable trajectories. Common problems, illnesses, and symptoms accounted for 28...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28399316/predicting-health-promotion-and-quality-of-life-with-symptom-clusters-and-social-supports-among-older-adults-with-multiple-sclerosis
#5
Wenhui Zhang, Heather Becker, Alexa K Stuifbergen, Adama Brown
Symptoms common among individuals with multiple sclerosis (MS) may influence health promotion and quality of life, especially among older adults, who often experience multiple chronic conditions. To identify and examine symptom clusters' effect on health promotion and quality of life, data from 215 adults with MS older than 60 (average years with diagnosis = 29) were analyzed. Correlations among symptoms ranged from 0.33 to 0.81. Factor analysis identified two symptom clusters: (a) physical/psychological/cognitive symptoms and (b) pain symptoms...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28399315/feasibility-and-efficacy-of-a-shared-yoga-intervention-for-sleep-disturbance-in-older-adults-with-osteoarthritis
#6
Diana Taibi Buchanan, Michael V Vitiello, Kimberly Bennett
The purpose of the current study was to test the feasibility and efficacy of a shared yoga (SY) program for sleep disturbance in older adults with osteoarthritis (OA). Participants (ages 50 to 72) with insomnia related to OA were randomized to 12 weeks of SY (n = 9) or individual yoga (IY; n = 7). The sample was 53% male and 41% self-identified as a race other than White/Caucasian. The groups did not significantly differ in class attendance, home practice, or change scores on efficacy outcomes. Pre-post comparisons in all participants showed statistically significant improvements on the Insomnia Severity Index and Patient-Reported Outcomes Measurement System sleep disturbance scale...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28399314/portuguese-older-adults-presenting-at-the-emergency-department-predictive-validity-of-the-identification-of-seniors-at-risk-isar-tool
#7
João Paulo de Almeida Tavares, Pedro Sa-Couto, Marie Boltz, Elizabeth Capezuti
Following an emergency department (ED) visit, older adults are more likely to experience poorer outcomes than younger adults. It is crucial to identify older patients using a validated tool. One of the most studied tools is the Identification of Seniors at Risk (ISAR), which is used to identify older adults at risk of adverse outcomes after ED admission. The purpose of the current study was to examine the sensitivity, specificity, and interrater reliability of the Portuguese version of the ISAR when considering early (30 days) and late (180 days) outcomes...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28399313/definition-determinants-and-outcomes-of-social-connectedness-for-older-adults-a-scoping-review
#8
Hannah M O'Rourke, Souraya Sidani
Social connectedness is critical to older adults' well-being, but is defined inconsistently and its determinants and outcomes have not been comprehensively described. The current scoping review mapped the definitions, determinants, and outcomes of social connectedness for older adults. By identifying the conceptual features described in most articles, social connectedness was defined as: the opposite of loneliness, a subjective evaluation of the extent to which one has meaningful, close, and constructive relationships with others (i...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28253411/socioeconomic-and-demographic-disparities-in-caregiving-intensity-and-quality-of-life-in-informal-caregivers-a-first-look-at-the-national-study-of-caregiving
#9
Steven A Cohen, Sarah K Cook, Trisha A Sando, Monique J Brown, Daniel R Longo
Informal caregiving is an integral component of the health care system, saving the national economy more than $522 billion annually. The current study examined how the association between caregiving intensity and caregiver quality of life varies by sociodemographic factors through a secondary analysis of the National Study of Caregiving. Generalized linear models assessed the associations among four aspects of caregiving intensity, three aspects of caregiver quality of life, and key sociodemographic factors...
March 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28253410/activity-monitoring-and-heart-rate-variability-as-indicators-of-fall-risk-proof-of-concept-for-application-of-wearable-sensors-in-the-acute-care-setting
#10
Javad Razjouyan, Gurtej Singh Grewal, Cindy Rishel, Sairam Parthasarathy, Jane Mohler, Bijan Najafi
Growing concern for falls in acute care settings could be addressed with objective evaluation of fall risk. The current proof-of-concept study evaluated the feasibility of using a chest-worn sensor during hospitalization to determine fall risk. Physical activity and heart rate variability (HRV) of 31 volunteers admitted to a 29-bed adult inpatient unit were recorded using a single chest-worn sensor. Sensor data during the first 24-hour recording were analyzed. Participants were stratified using the Hendrich II fall risk assessment into high and low fall risk groups...
March 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28253409/enhancing-care-for-hospitalized-patients-with-parkinson-s-disease-development-of-a-formal-educational-program-for-nursing-staff
#11
Mary C DiBartolo
Although not generally a primary admission diagnosis, Parkinson's disease (PD) can be a significant comorbidity during hospitalization. Hospitalized individuals with PD can experience a variety of complications, such as confusion, pneumonia, and urinary infections. More than 20% of patients experience deterioration in symptoms and hospital stays are extended by an average of 4 days. Late, omitted, or inappropriate medications are frequent culprits leading to serious consequences, including falls and aspiration...
March 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28253408/functions-and-value-of-reminiscence-for-nursing-home-staff
#12
Alison E Kris, Linda A Henkel, Kaitlyn M Krauss, Sarah C Birney
The purpose of the current study was to understand (a) the extent to which reminiscence is used among nursing home staff (RNs, licensed practical nurses, and certified nursing assistants), (b) the reasons nursing home staff engage in reminiscence activities with nursing home residents, and (c) the value they attribute to these activities. The degree to which engagement in reminiscence activities by nursing staff contributed to knowledge about residents was also explored. The most frequently used functions of reminiscence, as reported by nursing staff, were to calm anxiety, help residents see meaning in life, and reorient confused residents...
March 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28253407/culturally-responsive-pain-management-for-black-older-adults
#13
Sheria G Robinson-Lane, Staja Q Booker
HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS XX contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo...
March 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28152155/bullying-in-senior-living-facilities-perspectives-of-long-term-care-staff
#14
Felicia J Andresen, Jeffrey A Buchanan
HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS XX contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo...
February 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28152154/multi-component-interventions-and-cognitive-health-a-scoping-review
#15
Melissa M Fessel, Maren Mann, Christina E Miyawaki, Dori E Rosenberg
Single-component interventions for modifiable risk factors to improve cognitive function in older adults have limited impacts. Multi-component interventions may be more effective. The current review describes randomized trials of multi-component interventions, and reports the state of the evidence to protect the cognitive health and reduce the risk of cognitive decline among middle-aged and older adults. Two hundred seventy-nine studies were found through electronic databases, 30 full-text reviews were completed, and six studies were identified for final selection...
February 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28152153/aspects-of-self-and-identity-in-narrations-about-recent-events-communication-with-individuals-with-alzheimer-s-disease-enabled-by-a-digital-photograph-diary
#16
Eva Karlsson, Karin Zingmark, Karin Axelsson, Stefan Sävenstedt
HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS XX contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo...
February 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28152152/direct-care-workforce-training-internet-accessibility-and-acceptance
#17
Daniel P Ochylski, Clare C Luz, Xiaoxi Shen
Evidence exists that web-based learning for health care professionals can improve topic-specific knowledge, increase access to training, and lower training costs. However, limited information exists on the value of online education for improving hands-on skills as part of personal care aide (PCA) training. New PCA training programs are emerging that are fully online or hybrid models that blend online with in-person instruction. Such programs require access to a computer and high-speed internet, which could prove difficult for low-income PCAs who are less likely to own a computer...
February 2, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28358972/nurse-patient-and-care-partner-perceptions-of-a-personalized-safety-plan-screensaver
#18
Megan Duckworth, Emily Leung, Theresa Fuller, Jenzel Espares, Brittany Couture, Frank Chang, Alexandra C Businger, Sarah Collins, Anuj Dalal, Anne Fladger, Jeffrey L Schnipper, Kumiko O Schnock, David W Bates, Patricia C Dykes
A patient safety plan dashboard was developed that captures disparate data from the electronic health record that is then displayed as a personalized bedside screensaver. The dashboard aligns all care team members, including patients and families, in the safety plan. The screensaver content includes icons that pertain to common geriatric syndromes. In two phases, interviews were conducted with nurses, nursing assistants, patients, and informal caregivers in a large, tertiary care center. End user perceptions of the content and interface of the personalized safety plan screensavers were identified and strategies to overcome the barriers to use for future iterations were defined...
April 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28358971/nursing-home-medication-reconciliation-a-quality-improvement-initiative
#19
Monica Tong, Hye Young Oh, Jennifer Thomas, Sheila Patel, Jennifer L Hardesty, Nicole J Brandt
The current quality improvement initiative evaluated the medication reconciliation process within select nursing homes in Washington, DC. The identification of common types of medication discrepancies through monthly retrospective chart reviews of newly admitted patients in two different nursing homes were described. The use of high-risk medications, namely antidiabetic, anticoagulant, and opioid agents, was also recorded. A standardized spreadsheet tool based on multiple medication reconciliation implementation tool kits was created to record the information...
April 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28358968/person-centered-technology-for-older-adults
#20
EDITORIAL
Nikki L Hill
No abstract text is available yet for this article.
April 1, 2017: Journal of Gerontological Nursing
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