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Geriatric Nursing

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https://www.readbyqxmd.com/read/28633954/resident-challenges-with-daily-life-in-chinese-long-term-care-facilities-a-qualitative-pilot-study
#1
Yuting Song, Kezia Scales, Ruth A Anderson, Bei Wu, Kirsten N Corazzini
As traditional family-based care in China declines, the demand for residential care increases. Knowledge of residents' experiences with long-term care (LTC) facilities is essential to improving quality of care. This pilot study aimed to describe residents' experiences in LTC facilities, particularly as it related to physical function. Semi-structured open-ended interviews were conducted in two facilities with residents stratified by three functional levels (n = 5). Directed content analysis was guided by the Adaptive Leadership Framework...
June 17, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28624129/testing-the-reliability-and-validity-of-a-transition-map-for-older-adults-in-long-term-care-settings
#2
Steven M Savvas, Stephen J Gibson, Paki Rizakis, Marie P Vaughan, Samuel C Scherer
Mapping individual patterns of decline in older adults may aid coordinating long term aged care. This study developed a new scale (Transition Maps) to summarise the overall care pathway for long term aged care residents, in a simplified manner incorporating mapping concepts. Transition Maps were developed using mixed methods in two phases, and based on expert opinion, literature review, and input from aged care health professionals. Four professions (primary physician, nurse, allied health, lifestyle services) generated 147 Transition Maps for 38 residents living in a long term care...
June 14, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28624128/facilitating-aging-in-place-a-qualitative-study-of-practical-problems-preventing-people-with-dementia-from-living-at-home
#3
Theresa Thoma-Lürken, Michel H C Bleijlevens, Monique A S Lexis, Luc P de Witte, Jan P H Hamers
Although the majority of people with dementia wish to age in place, they are particularly susceptible to nursing home admission. Nurses can play an important role in detecting practical problems people with dementia and their informal caregivers are facing and in advising them on various ways to manage these problems at home. Six focus group interviews (n = 43) with formal and informal caregivers and experts in the field of assistive technology were conducted to gain insight into the most important practical problems preventing people with dementia from living at home...
June 14, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28619675/a-pilot-exploration-of-the-effect-of-designated-function-focused-care-on-mobility-functional-dependence-and-falls-frequency-in-dutch-nursing-home-residents
#4
Eva S van der Ploeg, Marleen L Leermakers
In recent years, there has been a gradual change in nursing home care from care providers doing as many things as possible for residents to a philosophy where patients are encouraged to become more involved in their care and activities of daily living. Function Focused Care (FFC) is a methodology to stimulate the involvement of residents on a daily basis that has shown to be safe and effective in improving ADL-functioning. We implemented FFC in four nursing homes with 53 residents. This first pilot project in Dutch nursing homes has replicated the finding that FFC inspires functional independence, but also revealed a reduction in the number of falls among fallers...
June 12, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28600081/a-daily-skincare-regimen-with-a-unique-ceramide-and-filaggrin-formulation-rapidly-improves-chronic-xerosis-pruritus-and-quality-of-life-in-older-adults
#5
Anne Lynn S Chang, Suephy C Chen, Lars Osterberg, Staci Brandt, Erika C von Grote, Matthew H Meckfessel
A skin care regimen which significantly improved atopic dermatitis and pruritus was evaluated for its efficacy and acceptability in senior subjects diagnosed with xerosis who also suffer from pruritus. This was an open-label, single-center study, designed to evaluate the daily use of a skin care regimen for 15 days. Assessments were made at baseline, day 8 and day 15 for visual skin dryness, transepidermal water loss (TEWL), hydration, desquamation, subject-perceived itch and quality of life (QoL). Twenty-five subjects, ages 60-73 years, had significantly improved skin visual dryness, hydration, desquamation, itch and QoL at days 8 and 15, relative to baseline (P < ...
June 6, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28587725/a-hermeneutic-phenomenological-explorations-of-living-in-old-age
#6
Ma Ángeles De Juan Pardo, María Teresa Russo, María Victoria Roqué Sánchez
Although there have been some studies that explore the meaning of aging and give voice to older people, the impact that the aging experience can have on them justifies continued research in this area. In this study, with a hermeneutic phenomenological design and an interpretation method inspired by the philosophy of Ricoeur, we conducted in-depth interviews with 14 elderly people at a social day center in Rome (Italy). The analysis revealed three central themes associated with the experience of being old: changes and limitations related with being aged, the experience that comes from having lived a long life, and an awareness of death...
June 3, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28579081/adverse-drug-events-reported-by-rural-older-adults
#7
Marcia Y Shade, Ann M Berger, Claudia Chaperon, Gleb Haynatzki, Linda Sobeski
Adverse drug events (ADEs) impact the health and safety of older adults. ADEs may lead to unplanned medical visits that influence health and related costs. The purpose of this study was to explore ADEs reported by rural, community-dwelling older adults. Data were collected on 138 participants' demographics, physical and mental health, sleep, medications, and ADEs. One or more ADEs were reported by 48% of participants, including central nervous symptom disturbances (16%), dry mouth (12%), hoarseness, gastrointestinal irritation, and decreased libido (all 8%)...
May 31, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28579080/using-spontaneous-commentary-of-nursing-home-residents-to-develop-resident-centered-measurement-tools-a-case-study
#8
Lauren R Bangerter, Katherine Abbott, Allison Heid, Karen Eshraghi, Kimberly Van Haitsma
Nursing home (NH) residents routinely complete surveys that assess their health, well-being, preferences, and care needs. Such surveys reveal important information, however, are largely based on the concerns of providers as opposed to the concerns of residents. Thus, researchers must enhance efforts to ensure that these surveys are guided by the priorities, needs, and concerns of residents. We present a case study to demonstrate how spontaneous commentary of NH residents holds particular efficacy for ensuring that measurement tools are guided by the needs, concerns, and priorities of residents...
May 31, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28554497/evaluating-the-older-adult-experience-of-a-web-based-tablet-delivered-heart-failure-self-care-program-using-gerontechnology-principles
#9
Harleah Buck, Anthony Pinter, Erika Poole, John Boehmer, Andrew Foy, Sara Black, Tom Lloyd
The goals of gerontechnology are to develop technology that facilitates goal attainment and improves satisfaction with life for older adults. Few mHealth technology systems have been evaluated using these criteria. The purpose of this paper was to present the qualitative analysis of participant post-intervention interviews from the tablet-delivered Penn State Heart Assistant intervention. Semi-structured interviews (n = 12) were conducted after the completion of a 30 day study protocol. Interviews were transcribed verbatim by a professional transcriptionist, then analyzed using an iterative process of coding, categorization, and thematic development using DeDoose software and a gerontechnology interpretive lens...
May 26, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28554496/update-on-nursing-staffing-challenges-by-state-attorneys-general
#10
Susan A Turner
No abstract text is available yet for this article.
May 26, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28552205/new-drugs-for-parkinson-s-disease
#11
William Simonson
No abstract text is available yet for this article.
May 25, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28552204/accuracy-of-documentation-in-the-nursing-care-plan-in-long-term-institutional-care
#12
Astrid Tuinman, Mathieu H G de Greef, Wim P Krijnen, Wolter Paans, Petrie F Roodbol
Nursing staff working in long-term institutional care attend to residents with an increasing number of severe physical and cognitive limitations. To exchange information about the health status of these residents, accurate nursing documentation is important to ensure the safety of residents. This study examined the accuracy of nursing documentation in 197 care plans of five long-term institutional care facilities. Based on the phases of the nursing process, the D-Catch instrument measures the accuracy of the content and coherence of documentation...
May 25, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28552203/consistency-does-count-rethinking-our-approach-to-nursing-assignments
#13
Lorraine C Mion, Jacalyn Buck
No abstract text is available yet for this article.
May 25, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28551314/what-the-trump-administration-means-for-assisted-living
#14
Richard G Stefanacci, Albert Riddle
No abstract text is available yet for this article.
May 24, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28533062/predicting-inpatient-delirium-the-awol-delirium-risk-stratification-score-in-clinical-practice
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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