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Geriatric Nursing

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https://www.readbyqxmd.com/read/28533062/predicting-inpatient-delirium-the-awol-delirium-risk-stratification-score-in-clinical-practice
#1
Ethan G Brown, S Andrew Josephson, Noriko Anderson, Mary Reid, Melissa Lee, Vanja C Douglas
Inpatient delirium improves with multicomponent interventions by hospital staff, though the resources needed are often limited. Risk-stratification to predict delirium is a useful first step to help triage resources, but the performance of risk-stratification as part of a functioning multicomponent pathway has not been assessed. We retrospectively studied the performance of a validated delirium prediction rule, the AWOL score, as a part of a multicomponent delirium care pathway in practice on a university hospital ward...
May 19, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28527526/the-responsive-leadership-intervention-improving-leadership-and-individualized-care-in-long-term-care
#2
Sienna Caspar, Anne Le, Katherine S McGilton
The Responsive Leadership Intervention (RLI) is a multi-faceted intervention. We evaluated the influence of the RLI on i) responsive leadership practices by team leaders; ii) health care aides' (HCAs) self-determination; iii) HCAs' perceived ability to provide individualized care. A quasi-experimental repeated measures non-equivalent control group design was used to assess participant outcomes in four long-term care facilities (two control, two intervention) across four time periods. Change from baseline to 1-month post-intervention was greater in the intervention group than control group for Individualized Care (IC) (p = 0...
May 17, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28479082/pilot-testing-a-digital-pet-avatar-for-older-adults
#3
Nai-Ching Chi, Olivia Sparks, Shih-Yin Lin, Amanda Lazar, Hilaire J Thompson, George Demiris
Social isolation in older adults is a major public health concern. An embodied conversational agent (ECA) has the potential to enhance older adults' social interaction. However, little is known about older adults' experience with an ECA. In this paper, we conducted a pilot study to examine the perceived acceptance and utility of a tablet-based conversational agent in the form of an avatar (termed "digital pet") for older adults. We performed secondary analysis of data collected from a study that employed the use of a digital pet in ten older adults' homes for three months...
May 4, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28479081/identifying-distinct-risk-profiles-to-predict-adverse-events-among-community-dwelling-older-adults
#4
Melissa O'Connor, Alexandra Hanlon, Elizabeth Mauer, Salimah Meghani, Ruth Masterson-Creber, Sherry Marcantonio, Ken Coburn, Janet Van Cleave, Joan Davitt, Barbara Riegel, Kathryn H Bowles, Susan Keim, Sherry A Greenberg, Justine S Sefcik, Maxim Topaz, Dexia Kong, Mary Naylor
Preventing adverse events among chronically ill older adults living in the community is a national health priority. The purpose of this study was to generate distinct risk profiles and compare these profiles in time to: hospitalization, emergency department (ED) visit or death in 371 community-dwelling older adults enrolled in a Medicare demonstration project. Guided by the Behavioral Model of Health Service Use, a secondary analysis was conducted using Latent Class Analysis to generate the risk profiles with Kaplan Meier methodology and log rank statistics to compare risk profiles...
May 4, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28457493/nursing-home-care-trajectories-for-older-adults-following-in-hospital-palliative-care-consultation
#5
Joan G Carpenter, Patricia H Berry, Mary Ersek
Palliative care consultation (PCC) during hospitalization is increasingly common for older adults with life-limiting illness discharged to nursing homes. The objective of this qualitative descriptive study was to describe the care trajectories and experiences of older adults admitted to a nursing home following a PCC during hospitalization. Twelve English-speaking adults, mean age 80 years, who received a hospital PCC and discharge to a nursing home without hospice. Data were collected from medical records at five time points from hospital discharge to 100 days after nursing home admission and care trajectories were mapped...
April 27, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28449944/factors-affecting-nursing-staff-use-of-a-communication-tool-to-reduce-potentially-preventable-acute-care-transfers-in-long-term-care
#6
Stephanie A Ballard, Matteo Peretti, Ovidiu Lungu, Philippe Voyer, Fruan Tabamo, Linda Alfonso, Deniz Cetin-Sahin, Sarasa M A Johnson, Machelle Wilchesky
Although specialized communication tools can effectively reduce acute care transfers, few studies have assessed the factors that may influence the use of such tools by nursing staff at the individual level. We evaluated the associations between years of experience, tool-related training, nursing attitudes, and intensity of use of a communication tool developed to reduce transfers in a long-term care facility. We employed a mixed methods design using data from medical charts, electronic records, and semi-structured interviews...
April 24, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28449943/hearing-loss-education-for-older-adults-in-primary-care-clinics-benefits-of-a-concise-educational-brochure
#7
Margaret I Wallhagen, William J Strawbridge
Hearing loss, common in older adults, is associated with negative health outcomes but screening rates in primary care clinics are low and individuals screened or referred often do not follow-through. To address these problems, we worked with 2 primary care clinics to design a simple screening and education protocol for integration into a standard office visit. To assess the effectiveness on the education brochure that was developed, we assessed its impact on individuals age 60 or older who screened positive for possible hearing loss...
April 24, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28442175/reframing-continence-care-in-care-dependence
#8
Joan Ostaszkiewicz
International guidelines promote active investigation and treatment of incontinence; however, these guidelines do not fully accommodate the psychosocial aspects associated with providing continence care i.e. the caregiving dynamics. The author developed a new framework that aims to support nurses and care workers in their efforts to identify and meet the continence care needs of individuals with complex health conditions who are dependent on another person for assistance to manage incontinence or to maintain continence...
April 23, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28366231/feasibility-of-the-translating-innovations-into-practice-toolbox-tip-toolbox-a-mixed-methods-study-for-implementing-activity-innovations-in-nursing-homes
#9
Nienke O Kuk, Gerrie J J W Bours, Jan P H Hamers, Gertrudis I J M Kempen, G A Rixt Zijlstra
This mixed-methods study evaluated the feasibility of the Translating Innovations into Practice (TIP)-toolbox. This toolbox guided nursing staff in 6 practical steps in developing a structured and tailored implementation plan to sustainably implement an innovation. For 9 weeks, 12 registered nurses (RNs) at 3 nursing homes in the Netherlands used the TIP-toolbox to develop an implementation plan related to promoting functional activity among nursing home residents. Data were collected by questionnaires, telephone interviews, participant observations, and focus group interviews...
March 30, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28366230/pilot-study-on-benefits-of-applying-a-hot-towel-for-10-s-to-the-skin-of-elderly-nursing-home-residents-during-bed-baths-towards-safe-and-comfortable-bed-baths
#10
Inaho Shishido, Rika Yano
This study examined the effects of applying a hot towel to the skin of elderly people for 10 s (AHT10s) during a bed bath. We hypothesized from our previous studies that AHT10s would increase the stratum corneum water content and improve the skin barrier function of the elderly and invited residents (n = 21) of long-term care facilities to participate in this crossover study. Each participant received a bed bath with AHT10s and also a bed bath without hot towel application. The stratum corneum water content and transepidermal water loss (TEWL) were measured during bed bathing sessions and the experience was subjectively evaluated by participants...
March 30, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28359615/from-capstone-dissertation-to-publication-let-s-try-this-again
#11
EDITORIAL
Barbara Resnick
No abstract text is available yet for this article.
March 27, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28359614/effectiveness-of-a-balance-focused-exercise-program-for-enhancing-functional-fitness-of-older-adults-at-risk-of-falling-a-randomised-controlled-trial
#12
Yanan Zhao, Pak-Kwong Chung, Tom K Tong
This study examined the effectivenss of a balance-focused training program (i.e., Exercise for Balance Improvement Program, ExBP) in improving functional fitness of older nonfallers at risk of falling. Sixty-one participants were randomly assigned to receive 16 weeks of ExBP or Tai Chi (TC) training, or no treatment (CON) with an 8-week follow-up. The Senior Fitness Test battery was applied to assess functional fitness. After the intervention, results revealed significant improvements in all fitness components in the ExBP group...
March 27, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28347559/characteristics-of-the-chinese-rural-elderly-living-in-nursing-homes-who-have-suicidal-ideation-a-multiple-regression-model
#13
Dan Zhang, Yang Yang, Yaoyao Sun, Menglian Wu, Hui Xie, Kefang Wang, Jie Zhang, Jihui Jia, Yonggang Su
BACKGROUND: Chinese rural elderly are at higher risk of committing suicide. However, little is known about the suicidal ideation (SI) of institutional elderly residents in rural China. METHODS: 250 participants aged 60 or above living in Chinese rural nursing homes were recruited. Data were collected on subjects' SI, social-demographic characters, physical illness and psychological factors. Univariate comparisons and path analysis were conducted then. RESULTS: 19...
March 24, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28347558/nursing-home-acquired-pneumonia-dysphagia-and-associated-diseases-in-nursing-home-residents-a-retrospective-cross-sectional-study
#14
Vanessa R Y Hollaar, Gert-Jan van der Putten, Claar D van der Maarel-Wierink, Ewald M Bronkhorst, Bert J M de Swart, Cees de Baat, Nico H J Creugers
BACKGROUND: Nursing home-acquired pneumonia (NHAP) is a common infection among nursing home residents. There is also a high prevalence of dysphagia in nursing home residents and they suffer more often from comorbidity and multimorbidity. This puts nursing home residents at higher risk of (mortality from) NHAP. Therefore it is important to gain more insight into the incidence of NHAP and the associated medical conditions in nursing home residents with dysphagia. OBJECTIVE: To investigate possible associations between NHAP and dysphagia in nursing home residents and to search for a medical risk profile for NHAP...
March 24, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28342653/antibiotic-stewardship-revisiting-quinolone-antibiotics
#15
William Simonson
No abstract text is available yet for this article.
March 22, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28341064/a-qualitative-study-to-examine-older-adults-perceptions-of-health-keys-to-aging-successfully
#16
Rifky Tkatch, Shirley Musich, Stephanie MacLeod, Sandra Kraemer, Kevin Hawkins, Ellen R Wicker, Douglas G Armstrong
Older adult health is often defined in clinical terms. Research has demonstrated that many older adults self-report aging successfully regardless of clinical health status. This qualitative study used claims data to identify older adults on three levels of health status: healthy and active, managing diseases, or very sick, to better understand how health is defined and maintained. In total, 32 participants from two cities were interviewed. Interviews were audio- and video-recorded and then transcribed. Thematic analysis identified five themes: disconnectedness between objective and subjective health; health defined to include psychological and social components; resilience and coping mechanisms indicative of successful aging; social support systems integral to health; and the goal of maintaining functioning...
March 22, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28341063/the-personnel-s-experiences-with-the-implementation-of-an-activity-program-for-men-in-municipal-health-services
#17
Vigdis Abrahamsen Grøndahl, Eli-Anne Skaug, Marit Skaflestad Hornnes, Ann Karin Helgesen
The aim of this study was to explore the personnel's experiences with the implementation of an activity program for male residents in municipal care services. The design was inspired by a grounded theory approach. The data were collected by means of two focus group interviews with 11 participants in total. The findings showed that the personnel experienced that continuity was a prerequisite to being and remaining motivated when taking part in the activity program. Therefore, a lack of continuity was an obstacle...
March 22, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28325616/knowing-when-to-just-say-no-because-we-should-know-better
#18
Richard G Stefanacci, Albert Riddle
No abstract text is available yet for this article.
March 18, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28325615/association-among-type-d-personality-non-motor-symptoms-and-quality-of-life-in-parkinson-s-disease-a-cross-sectional-study
#19
Sung Reul Kim, Ji Young Kim, Hyun Kyung Kim, Kyeung Eun Lim, Mi Sun Kim, Sun Ju Chung
Patients with type D personality are vulnerable to stress, show poor prognosis in disease, and experience low quality of life. The aims of this study were to identify the associations among type D personality, non-motor symptoms, and quality of life in patients with Parkinson's disease (PD). Data were collected between May 28 and August 6, 2015 from a convenience sample of 196 PD patients. About 20% of participants were classified into the type D personality group. This group experienced statistically significantly higher non-motor symptoms and lower quality of life compared to the non-type D personality group...
March 18, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28318783/balancing-the-problem-list-with-an-advantage-inventory
#20
Sarah H Kagan
No abstract text is available yet for this article.
March 15, 2017: Geriatric Nursing
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