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Journal of Gerontological Nursing

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https://www.readbyqxmd.com/read/28700075/south-korean-family-caregiver-involvement-in-delirium-care-a-qualitative-descriptive-study
#1
Yun Kang, Wendy Moyle, Marie Cooke, Siobhan O'Dwyer
The current study aimed to describe the effect of an educational program on RN-initiated efforts to involve family caregivers in delirium care. A descriptive qualitative study was performed. A purposive sample of 12 RNs who participated in a one group, pre-post evaluation of a delirium educational program, and a nominated sample of six family caregivers of patients who had been cared for by RNs in the program participated in individual, in-depth interviews. The qualitative findings indicated that the inclusion of a delirium brochure in ward orientation on admission, with reinforcement during shift changes, and RN-initiated engagement with family caregivers promoted family caregiver involvement in delirium prevention...
July 12, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28700074/socially-assistive-robots-measuring-older-adults-perceptions
#2
Linda M Beuscher, Jing Fan, Nilanjan Sarkar, Mary S Dietrich, Paul A Newhouse, Karen F Miller, Lorraine C Mion
To address manpower shortages, health care leaders recommend technology, including robots, to facilitate and augment processes for delivery of efficient, safe care. Little is known regarding older adults' perceptions of socially assistive robots (SARs). Using the Unified Theory of Acceptance and Use Technology framework, a survey was developed and tested for capturing older adults' likelihood to use SARs. The Robot Acceptance Survey (RAS) comprises three subscales: Performance Expectancy, Effort Expectancy, and Attitude...
July 12, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28661543/implementing-nurse-facilitated-person-centered-care-approaches-for-patients-with-delirium-superimposed-on-dementia-in-the-acute-care-setting
#3
Andrea Yevchak, Donna M Fick, Ann M Kolanowski, Jane McDowell, Todd Monroe, Anna LeViere, Lorraine Mion
Little is understood about the use of person-centered care (PCC) for individuals with delirium superimposed on dementia (DSD), especially in the acute care setting. As part of a larger clinical trial, the purpose of the current exploratory study was to describe examples and qualitatively derived themes of nurse-facilitated PCC for hospitalized older adults with dementia and delirium. A total of 750 delirium rounds were analyzed across three diverse acute care sites. Qualitative derived themes of PCC included: (a) Knowing the Patient's Baseline; (b) Knowing the Patient's Interests and Values; (c) Enhancing Sensory Abilities to Communicate; (d) Individualizing Cognitive Stimulation; and (e) Enhancing Behavioral Approaches to Comfort and Sleep...
June 26, 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
#4
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...
June 26, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28661541/women-50-and-older-and-hiv-prevention-and-implications-for-health-care-providers
#5
Christopher Lance Coleman
The current article discusses the importance of implementing HIV and AIDS education, prevention, and intervention programs that are tailored to women 50 and older and to determine HIV risk factors for this population. A literature search was performed, resulting in 41 relevant articles. The literature underscored the significance of increasing awareness of HIV/AIDS, particularly among older women. HIV risk behaviors and the effect that these behaviors have on HIV transmission and prevention among women 50 and older are described...
June 26, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28556874/nurses-experience-with-and-perception-of-barriers-to-promoting-mobility-in-hospitalized-older-adults-a-descriptive-study
#6
Gordana Dermody, Christine R Kovach
The purpose of the current study was to examine nurses' barriers, including knowledge, attitude, and external barriers, to promoting physical activity in hospitalized older adults. Differences between the perceptions of barriers based on nurses' experience were also examined. A behavioral framework classifying nurse knowledge, nurse attitude, and external barriers was used for the study. Eighty-five nurses were recruited from two community-based hospitals in the Pacific Northwest. The findings suggest that nurses with varying levels of experience perceive a variety of barriers to promoting mobility in hospitalized older adults...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28556873/nurses-perceptions-and-management-of-urinary-incontinence-in-hospitalized-older-adults-an-integrative-review
#7
Marnie Colborne, Sherry Dahlke
Urinary incontinence (UI) is a geriatric syndrome affecting older adults in long-term and acute hospital care. Most research has focused on nurses' perceptions of UI in long-term care and community settings rather than acute hospital settings. The purpose of the current integrative review was to understand nurses' perceptions and use of continence strategies for hospitalized older adults. Literature published from 1996-2016 was reviewed. Critical appraisal of the articles by two researchers yielded 10 articles that described nine studies...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28556872/medication-adherence-interventions-for-older-adults-with-heart-failure-a-systematic-review
#8
Angela M Andrews, Cynthia L Russell, An-Lin Cheng
Medication adherence is crucial in patients with heart failure; however, the rate of medication nonadherence in the heart failure population is 50%, making it a significant problem. The purpose of the current review was to summarize intervention studies designed to improve medication adherence in older adults with heart failure. A search was conducted to locate randomized controlled trials or quasi-experimental studies that tested interventions to improve medication adherence in patients 45 or older with heart failure...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28556871/nursing-work-in-long-term-care-an-integrative-review
#9
Jed Montayre, Jasmine Montayre
Evidence suggests that delivery of good nursing care in long-term care (LTC) facilities is reflected in nurses' descriptions of the factors and structures that affect their work. Understanding the contemporary nature of nursing work in aged care will influence policies for improving current work structures in this practice setting. The current review aims to present a contemporary perspective of RNs' work in LTC facilities. A comprehensive search and purposeful selection of the literature was conducted using CINAHL, PubMed, Medline, Scopus, and Google Scholar databases...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28556870/person-centered-dementia-care-in-the-community-a-perspective-from-the-united-kingdom
#10
Murna Downs, Kathryn Lord
Dementia is a global concern. Although effort is being put toward finding a cure, many advances have been made in ensuring excellence in dementia care. In the United Kingdom, the concept of person-centered dementia care has transformed what is expected for individuals with dementia. Now embraced in national policy in the United Kingdom, it was pioneered by Thomas Kitwood and Kathleen Bredin and driven by a concern for the quality of care for individuals with dementia in care homes. The purpose of the current article is to describe key concepts of Kitwood's pioneering work in person-centered dementia care and to use them to inform current community-based supports and services for individuals with dementia in their own homes, whether alone or with family carers...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28556869/what-do-family-members-really-want-when-older-adults-transition-to-a-nursing-home
#11
Annette M Lane, Sandra P Hirst, Pamela Hawranik, Marlette B Reed, Alina Rokhman
The purpose of the current study was to explore family members' perceptions of supports received during the transition experience of their older adult family member into a nursing home. In this exploratory, descriptive, qualitative study, interviews were conducted with six family members during the initial 6-month period following admission of the older adult family members. One overarching theme was found: importance of recognizing and supporting the personhood of older adult family members. Implications for how older adults' personhood can be supported are described...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28556868/peripheral-inflammatory-biomarkers-and-cognitive-decline-in-older-adults-with-and-without-alzheimer-s-disease-a-systematic-review
#12
Danni Li, Fang Yu
Peripheral inflammatory biomarkers may play an important role in the cognitive decline of aging and incidence of Alzheimer's disease (AD); however, data from epidemiological studies present conflicting findings. The purpose of the current review was to systematically determine the current state of the science on the association between peripheral inflammatory biomarkers and cognitive decline. Articles published from January 1, 2006 to October 28, 2016 were searched using the Medline and Embase databases. Nine studies met inclusion criteria (two examined participants with AD dementia and seven examined participants without dementia)...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28556867/voicing-ageism-in-nursing-home-dementia-care
#13
Kristine Williams, Clarissa Shaw, Alexandria Lee, Sohyun Kim, Emma Dinneen, Margaret Turk, Ying-Ling Jao, Wen Liu
Elderspeak (i.e., infantilizing communication) is a common form of ageism that has been linked to resistiveness to care in nursing home residents with dementia. Nursing home staff use elderspeak by modifying speech with older residents based on negative stereotypes, which results in patronizing communication that provides a message of incompetence. The purpose of the current secondary analysis was to describe communication practices used by nursing home staff that reflect ageism. Transcripts of 80 video recordings of staff-resident communication collected during nursing home care activities were re-analyzed to identify specific elderspeak patterns, including diminutives, collective pronouns, tag questions, and reflectives...
May 30, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28651033/ags-and-nhtsa-partner-to-plot-course-toward-safe-driving-for-older-adults-and-caregivers
#14
Debra Saliba
No abstract text is available yet for this article.
July 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28651032/evidence-based-practice-guideline-persistent-pain-management-in-older-adults
#15
Paul Arnstein, Keela A Herr, Howard K Butcher
More individuals develop and endure constant or recurring pain in older adulthood. Although 40% of these individuals receive no treatment, many evidence-based treatments are available. Accurate assessment of pain, its impact on functioning, and preventing treatment-related harms lay the foundation of safe, effective pain control. Analgesic agents are often necessary, but require a delicate balance to prevent under-treatment, the unnecessary abandonment of therapy, or exposure to potentially serious adverse effects...
July 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28651031/assessment-of-fall-characteristics-from-depth-sensor-videos
#16
Jennifer J O'Connor, Lorraine J Phillips, Bunmi Folarinde, Gregory L Alexander, Marilyn Rantz
Falls are a major source of death and disability in older adults; little data, however, are available about the etiology of falls in community-dwelling older adults. Sensor systems installed in independent and assisted living residences of 105 older adults participating in an ongoing technology study were programmed to record live videos of probable fall events. Sixty-four fall video segments from 19 individuals were viewed and rated using the Falls Video Assessment Questionnaire. Raters identified that 56% (n = 36) of falls were due to an incorrect shift of body weight and 27% (n = 17) from losing support of an external object, such as an unlocked wheelchair or rolling walker...
July 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28651030/clinical-alerts-to-decrease-high-risk-medication-use-in-older-adults
#17
Wilhelmina Lord-Adem, Nicole J Brandt
High-risk medications (HRMs) account for 14.6% to 54.6% of all medications used in older adults, and have been linked to >50% of adverse drug events (ADEs). HRM-related ADEs lead to increased morbidity and mortality, increased hospital length of stay, and financial costs for patients and health care systems. It has been well documented that incorporating information technology in patient care in the form of clinical alert systems can effectively decrease HRM use and improve patient safety. The current article seeks to identify and discuss clinical alert systems focusing on HRMs, their impact on prescribing for older adults, and challenges to the implementation of electronic decision systems...
July 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28651027/dementia-education-does-it-change-nursing-practice
#18
EDITORIAL
Sandra P Hirst
No abstract text is available yet for this article.
July 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28399313/definition-determinants-and-outcomes-of-social-connectedness-for-older-adults-a-scoping-review
#19
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...
July 1, 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
#20
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...
July 1, 2017: Journal of Gerontological Nursing
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