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Journal of Gerontological Nursing

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https://www.readbyqxmd.com/read/28556874/nurses-experience-with-and-perception-of-barriers-to-promoting-mobility-in-hospitalized-older-adults-a-descriptive-study
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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/28399320/physical-activity-functional-ability-and-obesity-in-older-adults-a-gender-difference
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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/28448679/who-we-are-what-we-believe-getting-to-geriatrics-with-a-capital-g-at-ags17
#17
Ellen Flaherty
No abstract text is available yet for this article.
May 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28448678/slow-medicine-the-barrier-on-the-bridge
#18
Charles G Kerrigan
No abstract text is available yet for this article.
May 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28448676/-i-m-still-here-personhood-and-the-early-onset-dementia-experience
#19
Mariko L Sakamoto, Sharon L Moore, Steven T Johnson
Early-onset dementia (EOD) occurs before age 65. The current study examined the lived experience from the point of view of four adults younger than 65 with dementia, particularly how they perceive their personhood. Using interpretative phenomenological analysis as the research approach, findings revealed that the EOD experience can be incorporated into six themes: (a) A Personal Journey, (b) Navigating the System, (c) The Stigma of Dementia, (d) Connecting to the World, (e) A Story Worth Telling, and (f) I'm Still Here...
May 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28448673/network-for-investigation-of-delirium-across-the-u-s-nidus-advancing-the-field-of-delirium-with-a-new-interdisciplinary-research-network
#20
EDITORIAL
Donna M Fick, Andrew D Auerbach, Michael S Avidan, Jan Busby-Whitehead, E Wesley Ely, Richard N Jones, Edward R Marcantonio, Dale M Needham, Pratik Pandharipande, Thomas N Robinson, Eva M Schmitt, Thomas G Travison, Sharon K Inouye
No abstract text is available yet for this article.
May 1, 2017: Journal of Gerontological Nursing
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