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Geriatric Nursing

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https://www.readbyqxmd.com/read/30322735/quality-of-care-to-nursing-home-residents-with-incontinence
#1
Tracie Harrison, Shelley Blozis, Amelia Manning, Michelle Dionne-Vahalik, Sharilyn Mead
Quality of care for residents with urinary incontinence (UI) living in nursing facilities was analyzed using data collected from 815 facilities for the Nursing Facility Quality Review in Texas. Overall, of the 1,560 residents, 48.4% (n = 755) experienced UI. The risk of developing UI over a ten-year-period in a nursing facility was 6%. Only 54% of residents with UI had a care plan for their incontinence. For those with a UI plan in their chart, 143 (35%) had a person entered UI plan developed based on that resident's voiding pattern and needs...
October 13, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30318178/a-systematic-evaluation-of-advance-care-planning-patient-educational-resources
#2
Priscilla K Gazarian, Julie Cronin, Jodi L Dalto, Kayla M Baker, Barbara J Friel, Winona Bruce-Baiden, Lesley Y Rodriguez
BACKGROUND: Advance care planning (ACP) conversations help individuals exercise autonomy and make informed decisions about their care. There are many ACP resources available to support the process of advance care planning, yet available resources not universally accepted and under-utilized in clinical practice. OBJECTIVE: This study aims to systematically evaluate commonly available general ACP patient educational resources using a comprehensive approach to assess elements ranging from resource inclusion to health literacy...
October 11, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30316566/slow-progress-towards-prevention-and-treatment-of-alzheimer-s-disease
#3
William Simonson
No abstract text is available yet for this article.
October 10, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30292528/effect-of-nurse-staffing-on-rehospitalizations-and-emergency-department-visits-among-short-stay-nursing-home-residents-a-cross-sectional-study-using-the-us-nursing-home-compare-database
#4
Ari Min, Hye Chong Hong
The aim of this study was to examine the effect of nurse staffing on both rehospitalizations and emergency department emergency department visits among short-stay nursing home residents in the United States. Data for 11,132 US nursing homes were drawn from the 2016 Nursing Home Compare. We found that the Five-Star Quality Rating System's staffing rating is a significant predictor for the rates of rehospitalization and emergency department visit among short-stay nursing home residents. The results also showed the importance of registered nurse staffing in nursing home caring for short-stay residents...
October 3, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30274818/immunizations-2018-don-t-ask%C3%A2-just-tell
#5
EDITORIAL
Barbara Resnick
No abstract text is available yet for this article.
September 28, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30270138/assisting-keeping-older-adults-out-of-the-emergency-room
#6
Richard G Stefanacci, Albert Riddle
No abstract text is available yet for this article.
September 27, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30268390/could-links-between-our-senses-cognitive-health-explain-parts-of-how-we-age-experts-like-the-sound-sight-of-that-according-to-new-ags-report
#7
Laurie G Jacobs
No abstract text is available yet for this article.
September 26, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30268389/when-respect-for-our-elders-is-ageism
#8
Sarah H Kagan
No abstract text is available yet for this article.
September 26, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30197206/how-older-adults-with-multimorbidity-manage-their-own-care-within-a-formal-care-coordination-program
#9
Jean Scholz Mellum, Donna S Martsolf, Greer Glazer, Barbara Tobias, Grant Martsolf
As the number of older adults with multimorbidity increases, care coordination programs are being designed to streamline the complex care older adults receive from multiple providers by improving health and reducing unnecessary costs. Well-coordinated care requires actions by both patients and providers. Yet little attention is paid to the what older adults do to manage their own care alongside a formal Care Coordination Program (CCP). This paper presents a qualitative descriptive study that explored what actions older adults took on their own to manage their care...
September 6, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30173939/tai-chi-with-music-improves-quality-of-life-among-community-dwelling-older-persons-with-mild-to-moderate-depressive-symptoms-a-cluster-randomized-controlled-trial
#10
S J Liao, M C Chong, M P Tan, Y P Chua
Depression leads to a poorer quality of life (QOL) which is a determinant of healthy ageing. Cost-effective solutions for enhancing QOL in the older population are much needed in China, with its rapidly ageing population. We conducted a randomized controlled trial involving 112 community-dwelling older participants with mild to moderate depression, to evaluate the effect of Tai Chi with music on QOL (57 in intervention group, 55 in control group). WHO Quality of Life-BREF was used to measure QOL at baseline and at every month for three months...
August 30, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30173938/transitional-care-and-empowerment-of-the-older-adult
#11
Nancy A Lenaghan
Older adults with complex comorbidities are at risk for challenges that compromise their post-discharge safety at home. A growing body of evidence suggests that post-hospitalization outcomes for vulnerable elders can be improved by interventions that encourage patient empowerment. The purpose of this pilot project was to determine if an individualized transition intervention would improve patient empowerment 30 days after home discharge following an acute illness. Through individualized interaction with an advanced practice nurse, a sample of 25 elder patients was encouraged to acquire the knowledge and confidence to advocate for their needs after discharge from a subacute facility...
August 30, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30122404/facilitators-and-barriers-to-optimal-preventive-service-use-among-providers-and-older-patients
#12
Caitlin Cross-Barnet, Erin Murphy Colligan, Jessica McNeely, Larisa M Strawbridge, Jennifer T Lloyd
Preventive service use remains low among Medicare beneficiaries despite the Affordable Care Act's waiver of coinsurance. This study sought to understand barriers and facilitators to preventive service provision, access, and uptake. We used a mixed methods approach synthesizing quantitative survey and qualitative focus group data. Self-reported utilization of and factors related to preventive services were explored using quantitative data from the 2012 Medicare Current Beneficiary Survey. Qualitative data from 16 focus groups conducted in 2016 with a range of providers, health advocates, and Medicare beneficiaries explored perspectives on preventive service use...
August 16, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30122403/hearing-loss-and-its-impact-on-residents-in-long-term-care-facilities-a-systematic-review-of-literature
#13
Renée Punch, Louise Horstmanshof
The prevalence of age-related hearing loss is high among older adults. Growing longevity and the older profile of aged care residents is likely to result in an increasing incidence of hearing loss among this cohort. This review reports on the findings of a systematic search of the academic databases CINAHL, Medline, PsychInfo and Scopus undertaken to investigate the hearing experiences of residents of aged care facilities. Twenty-two studies met the inclusion criteria. Our analysis revealed clear barriers and facilitators to optimal hearing experiences and indicated the importance of the physical and social environment for effective communication...
August 16, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30122402/supporting-autonomy-in-long-term-care-lessons-from-nursing-assistants
#14
M Lindsey Jacobs, A Lynn Snow, Rebecca S Allen, Christine W Hartmann, Natalie Dautovich, Patricia A Parmelee
Maximizing nursing home (NH) resident autonomy is a person-centered care (PCC) best practice. The purpose of this study was to identify and describe specific autonomy-supportive techniques used by nursing assistants (NAs) in three NH neighborhoods at one Veterans Affairs medical center. Thirteen interviews and approximately 80 h of behavioral observation of NAs were conducted across the three NH neighborhoods. Data were analyzed using thematic analysis. Ten autonomy-supportive tactics were identified: assisting, monitoring, encouraging, bargaining, informing, providing instructions, persuading, asking, providing options, and redirecting...
August 16, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30120010/relationships-between-structural-and-psychological-empowerment-mediated-by-person-centred-processes-and-thriving-for-nursing-home-staff
#15
Marit Silén, Bernice Skytt, Maria Engström
Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members' self-ratings of working in a person-centred manner, the person-centred climate and thriving. Questionnaires were distributed to staff working in 12 nursing homes in Sweden...
August 14, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30107949/coping-with-mental-health-issues-among-older-hispanic-adults
#16
Alicia Curtin, Diane C Martins, Donna Schwartz-Barcott
Access to mental health services for older Hispanic adults is limited and often older Hispanic adults must rely on their own resources in dealing with mental health issues. The aim of this study was to understand how older Hispanic immigrants cope mental health issues (e.g. stress, anxiety, and/or depression). A qualitative, descriptive approach was used to interview 17 older Hispanic immigrants from Guatemala, Dominican Republic and Colombia. Interviews were audio recorded, transcribed and translated verbatim by bilingual research assistants...
August 11, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30097209/a-caregiver-educational-program-a-video-program-to-promote-aging-services-technologies-awareness
#17
Joyce W Tam, Maureen Schmitter-Edgecombe
Research demonstrated that aging services technologies (ASTs) can reduce caregiver burden. However, ASTs are underutilized by caregivers due to poor awareness. This study evaluated the effectiveness of a video-based educational program to increase caregiver AST knowledge among 43 caregivers. Paired sample t-tests showed positive change in AST knowledge, stigma, and intention to engage in AST activities post-program. Caregivers endorsed highly positive AST views pre- and post-program without statistically significant change...
August 7, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30093075/older-patients-participation-in-physical-activity-during-hospitalization-a-qualitative-study-of-ward-nurses-perceptions-in-an-asian-context
#18
Dr Ee-Yuee Chan, Ms Leting Isabella Hong, Ms Ying-Hua Grace Tan, Wei-Ling Chua
Maximizing the functional ability of older patients through participation in physical activities during hospitalization could prevent functional decline. This study describes nurses' perceptions of facilitators and barriers to hospitalized older patients' physical activity participation in an acute Asian setting. An exploratory qualitative study employing thematic analysis was used. Semi-structured, audio recorded, focus group interviews on 30 nurses from a hospital in Singapore, were conducted until data saturation...
August 6, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30093074/intervention-fidelity-in-qigong-randomized-controlled-trials-a-method-review
#19
Pei-Shiun Chang, Ariana M Chao, Myoungock Jang, Yvonne Y F Lu
Intervention fidelity has important implications for the reliability and validity of a study. Despite the widely reported health benefits of Qigong exercise interventions, the quality of intervention fidelity is less clear. The purpose of this paper is to use a valid intervention fidelity assessment tool to evaluate how intervention fidelity has been addressed in five areas-design, training, delivery, receipt, and enactment-in Qigong randomized controlled studies. A total of 86 articles were drawn from CINAHL, PubMed, AMED, and Scopus, and 32 were selected for the review...
August 6, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/30054095/identifying-potential-long-stay-residents-in-veterans-health-administration-nursing-homes
#20
Whitney L Mills, Jun Ying, Mark E Kunik
Veterans Affairs nursing homes (Community Living Centers; CLCs) have largely shifted focus to providing short-term rehabilitative care, preferring longer-term care to be provided in contract nursing homes or at home. The goal of this retrospective cohort study is to identify resident characteristics associated with longer length of stay using the CLC Minimum Data Set (n = 35,114). Length of stay was defined as three groups: short (<90 days), moderate (91-365 days), and long (beyond 365 days). Residents who remained beyond 90 days were more likely to be black and to have a diagnosis of Alzheimer's disease, dementia, or schizophrenia, lived in another facility prior to admission, had a financial power of attorney, and had greater dependence in activities of daily living...
July 24, 2018: Geriatric Nursing
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