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Journal of Gerontological Nursing

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https://www.readbyqxmd.com/read/29437185/certified-nursing-assistants-understanding-of-nursing-home-residents-pain
#1
Elizabeth Halifax, Christine Miaskowski, Margaret Wallhagen
Pain is a significant problem for nursing home residents, yet its assessment is complex. Certified nursing assistants (CNAs) spend significant time with residents, but their role in understanding residents' pain is largely unexplored. The current qualitative grounded theory study analyzed interviews with 16 CNAs who described their experiences caring for residents in pain. Findings revealed how CNAs understood, recognized, interpreted, and responded to residents' pain. CNAs were found to differentiate between pain that they considered normal (everyday pain) and new pain judged significant enough to report to licensed nurses...
February 13, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29437184/real-time-observation-of-apathy-in-long-term-care-residents-with-dementia-reliability-of-the-person-environment-apathy-rating-scale
#2
Ying-Ling Jao, Jacqueline Mogle, Kristine Williams, Caroline McDermott, Liza Behrens
Apathy is prevalent in individuals with dementia. Lack of responsiveness to environmental stimulation is a key characteristic of apathy. The Person-Environment Apathy Rating (PEAR) scale consists of environment and apathy subscales, which allow for examination of environmental impact on apathy. The interrater reliability of the PEAR scale was examined via real-time observation. The current study included 45 observations of 15 long-term care residents with dementia. Each participant was observed at three time points for 10 minutes each...
February 13, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29437183/ask-the-right-questions-what-do-non-caregiving-adult-children-need-from-health-care-providers
#3
Munira Wells, Connie Kartoz
Extended healthy life spans are a relatively recent phenomenon that increase the amount of time families spend with older adults in non-caregiving roles. As the emphasis of health care moves to population health and health prevention, nurses caring for older adults must be knowledgeable about this family life stage. To learn more about the lived experience of non-caregiving adult children, 16 non-caregiving adult children were interviewed. The purpose of the current article is to share what needs non-caregiving adult children have from the health care system as they obtain care for themselves and accompany their parent for health care visits...
February 13, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29437182/videoconferencing-for-management-of-heart-failure-an-integrative-review
#4
Karen Bauce, Deborah B Fahs, Janene Batten, Robin Whittemore
Heart failure (HF) is a chronic disease associated with poor prognosis, poor quality of life (QOL), and high medical costs among older adults. Monitoring symptoms, interpreting symptoms, and decision making are self-care skills required for effective HF management. Telemonitoring (TM) is increasingly used to reduce incidence of symptom exacerbation leading to rehospitalization. An integrative review was performed to describe the efficacy of TM interventions that include videoconferencing (VC) on the HF outcomes of hospital service s use, self-care, and QOL...
February 13, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355879/influence-of-teamwork-on-health-care-workers-perceptions-about-care-delivery-and-job-satisfaction
#5
Sherry Dahlke, Sarah Stahlke, Robin Coatsworth-Puspoky
The aim of the current study was to examine the nature of teamwork in care facilities and its impact on the effectiveness of care delivery to older adults and job satisfaction among health care workers. A focused ethnography was conducted at two care facilities where older adults reside. Analysis of interviews with 22 participants revealed perceptions of teamwork and understandings about facilitators of and barriers to effective teamwork. Participants indicated that team relationships impacted care provided and job satisfaction...
January 16, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355878/negotiating-risky-preferences-in-nursing-homes-a-case-study-of-the-rothschild-person-centered-care-planning-approach
#6
Liza Behrens, Kimberly Van Haitsma, Jennifer Brush, Marie Boltz, Donna Volpe, Ann Marie Kolanowksi
Delivering person-centered care (PCC) is no longer an option for nursing homes (NH) that receive funding from the Centers for Medicare & Medicaid Services. NH staff need evidence-based protocols to guide efforts in honoring preferred choices of residents, especially those that are perceived to be risky. The Rothschild Care Planning Process for Resident Choice was created to honor such choices. The current article provides a case exemplar to demonstrate the use of the Rothschild Care Planning Process for Resident Choice with one NH resident who was perceived by staff to be making a risky choice...
January 16, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355877/emergency-department-use-by-community-dwelling-individuals-with-dementia-in-the-united-states-an-integrative-review
#7
Lauren J Hunt, Lorinda A Coombs, Caroline E Stephens
As part of the National Plan to Address Alzheimer's Disease, reducing potentially avoidable emergency department (ED) use by individuals with dementia has been identified as a component of enhancing the quality and efficiency of care for this population. To help inform the development of interventions to achieve this goal, an integrative review was conducted to: (a) compare rates and reasons for ED visits by community-dwelling individuals with and without dementia, considering also the effect of dementia subtype and severity; and (b) identify other risk factors for increased ED use among community-dwelling individuals with dementia...
January 16, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29378075/evidence-based-practice-guideline-delirium
#8
Patricia Finch Guthrie, Shelley Rayborn, Howard K Butcher
Delirium is a common cause of morbidity and mortality in hospitalized older adults often superimposed on dementia. Older patients with delirium are more likely than other populations to develop hospital-acquired infections, pressure ulcers, and immobility and nutritional issues, as well as to have increased health care costs, longer hospital stays, and long-term care following discharge. Interventions that prevent or mitigate the effects of delirium while promoting recovery are essential for caring for hospitalized older patients...
February 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29378072/person-centered-care-for-lgbt-older-adults
#9
EDITORIAL
Rabbi Erica Steelman
No abstract text is available yet for this article.
February 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355885/as-part-of-a-new-national-emergency-department-collaborative-the-ags-partners-aim-for-better-outcomes-at-lower-costs
#10
Debra Saliba
No abstract text is available yet for this article.
January 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355884/developing-a-serious-game-for-nurse-education
#11
Hege Mari Johnsen, Mariann Fossum, Pirashanthie Vivekananda-Schmidt, Ann Fruhling, Åshild Slettebø
Future nursing education is challenged to develop innovative and effective programs that align with current changes in health care and to educate nurses with a high level of clinical reasoning skills, evidence-based knowledge, and professional autonomy. Serious games (SGs) are computer-based simulations that combine knowledge and skills development with video game-playing aspects to enable active, experiential, situated, and problem-based learning. In a PhD project, a video-based SG was developed to teach nursing students nursing care for patients with chronic obstructive pulmonary disease in home health care and hospital settings...
January 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355883/optimizing-pain-management-through-opioid-deprescribing
#12
Rachel Lumish, Joshana K Goga, Nicole J Brandt
The use of opioid drug therapy in older adults has increased over the past decade. Although use of opioid drugs may be clinically warranted, ongoing use needs to be monitored closely to evaluate risks and benefits, especially with the potential for adverse events and misuse. An opioid drug deprescribing protocol would provide clinicians with a method to assess an individual's need for opioid agents, as well as a systematic process to taper opioid drug therapy when deemed appropriate. Although more than 60 studies have reported methods for deprescribing, there is currently no established guideline for discontinuing opioid medications...
January 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355880/dying-behind-bars
#13
EDITORIAL
Kelsey Hirsch
No abstract text is available yet for this article.
January 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29177522/nurses-role-in-managing-the-fit-of-older-adults-in-skilled-nursing-facilities
#14
Jacqueline Jones, Emily Lawrence, Amy Ladebue, Chelsea Leonard, Roman Ayele, Robert E Burke
Post-acute care for older adults often involves transfer to a skilled nursing facility (SNF) following hospital discharge. This transition is often poorly coordinated and leaves older adults at risk for poor health outcomes, but new payment models offer opportunities to align improved care practices with payments. There is a dearth of evidence regarding the role of nursing and its potential to improve hospital to SNF care transitions. Ninety-nine semi-structured interviews were conducted with clinicians, patients, and caregivers from three hospitals and three SNFs...
December 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29177519/stock-art-concern
#15
LETTER
Basia Belza, Boeun Kim
No abstract text is available yet for this article.
December 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29177517/my-brother-patrick-s-dying-wish
#16
EDITORIAL
Lisa Skemp
No abstract text is available yet for this article.
December 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29065213/hitting-reset-finding-common-ground-and-strengthening-care-delivery-for-older-adults
#17
Debra Saliba
No abstract text is available yet for this article.
November 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29065212/evidence-based-practice-guideline-fall-prevention-for-older-adults
#18
Cheryl Kruschke, Howard K Butcher
Falls are a major cause of injury and death annually for millions of individuals 65 and older. Older adults are at risk for falls for a variety of reasons regardless of where they live. Falls are defined as any sudden drop from one surface to a lower surface. The purpose of this fall prevention evidence-based practice guideline is to describe strategies that can identify individuals at risk for falls. A 10-step protocol including screening for falls, comprehensive fall assessment, gait and balance screening when necessary, and an individualized fall intervention program addressing specific fall risks is presented...
November 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29065210/toward-an-equitable-society-for-every-generation
#19
EDITORIAL
Boeun Kim, Basia Belza
No abstract text is available yet for this article.
November 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28661542/effects-of-uncertainty-on-perceived-and-physiological-stress-in-caregivers-of-stroke-survivors-a-6-week-longitudinal-study
#20
Eeeseung Byun, Barbara Riegel, Marilyn Sommers, Nancy Tkacs, Lois Evans
Caregivers' stress following a family member's stroke is likely accentuated by its associated uncertainty. The purpose of the current study was to examine the effect of uncertainty on caregivers' perceived and physiological stress (i.e., salivary cortisol). A prospective, longitudinal observational study was conducted with a convenience sample of 40 caregivers and stroke survivors recruited from acute care settings. Linear mixed models were used. Greater uncertainty was associated with higher perceived stress (p < 0...
November 1, 2017: Journal of Gerontological Nursing
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