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Geriatric Nursing

Yeji Hwang, Gwi-Ryung Son Hong
Subjective age, or felt age, is highly related to one's actual health and survival. This study was conducted to explore subjective age in community-dwelling older adults in Korea, and to identify predictors of subjective age. Participants were 616 Korean older adults who were living in the community. A multiple regression analysis with a stepwise method was conducted to analyse subjective age. On average, the participants felt 7.8 per cent younger than their actual age. A multiple regression analysis revealed that less severe depression, having better perceived health, having no visual impairment, having higher handgrip strength, and living in a metropolitan area were associated with younger subjective age...
December 13, 2018: Geriatric Nursing
Rebecka Maria Norman, Hilde Hestad Iversen, Ingeborg Strømseng Sjetne
Care workers' work environment is known to be associated with patient and nurse outcomes. To our knowledge no questionnaire is available for assessing this environment for all care workers in the Norwegian nursing-home setting. This paper describes the development, adaptation and assessment of such a questionnaire: the extended Norwegian version of the Brisbane Practice Environment Measure for Nursing Homes (B-PEM-NH). This version was developed and assessed using semistructured interviews, a reference group meeting, translation, adaptation, and pretesting, and psychometric assessment including exploratory and confirmatory factor analyses, and retest...
December 12, 2018: Geriatric Nursing
Son Chae Kim, Brigette Berry, Lori Young
This prospective cohort study was conducted to validate the usefulness of the Aggressive Behaviour Risk Assessment Tool for Long-Term Care (ABRAT-L) in predicting aggressive events. A total of 615 newly admitted residents at 22 long-term care homes in Canada were included. The risk of aggression was assessed using the six-item ABRAT-L within 24 hours of admission, and incident reports of aggressive events occurring within 30 days of admission were collected. Forty-seven residents out of 615 had one or more aggressive events (7...
December 10, 2018: Geriatric Nursing
Juh Hyun Shin, In-Soo Shin
Despite cumulative and integrative evidence of registered nurse (RN) staffing on nursing home residents' outcomes worldwide, few studies integrate the effects of residents' case mix, healthcare markets, and nurse staffing on psychotropic-medication use and weight loss in Korea. This article examined the relationship between nurse staffing and residents' quality-of-care outcomes, controlling for long-term healthcare market characteristics in Korea. Using a multilevel cross-sectional design, a disproportionate stratified random sampling was used...
December 7, 2018: Geriatric Nursing
Nurit Gur-Yaish, Orly Tonkikh, Efrat Shadmi, Anna Zisberg
Processes related to daily care of older adults during hospitalization, such as mobility and nutrition, have long-term consequences for their health and functioning. Although instrumental support provided by family members during hospitalization is highly prevalent, its relationship to older adults' actual walking and eating is unknown. Data on walking level (walking outside vs. inside the room) and nutritional intake were collected from 493 independent older adults admitted to internal medicine wards through up to three daily interviews using validated questionnaires...
December 5, 2018: Geriatric Nursing
Ruth A Anderson, Jing Wang, Brenda L Plassman, Kathleen Nye, Melanie Bunn, Patricia A Poole, Connor Drake, Hanzhang Xu, Zhao Ni, Bei Wu
We pilot tested a carepartner-assisted intervention to improve oral hygiene in persons with cognitive impairment (participants) and help carepartners become leaders who can adapt approaches that foster participants' ability to develop new skills for oral hygiene care. Following the intervention, we conducted interviews with participants and carepartners to understand their challenges in working together to learn new oral hygiene skills. Participants reported challenges such as frustration using the electric toothbrush correctly, lack of desire to change, uncertainty about correctness of technique, and difficulty sustaining two minutes of toothbrushing...
December 3, 2018: Geriatric Nursing
Ling-Na Kong, Ping Hu, Yu Yao, Qing-Hua Zhao
The older adults with chronic disease usually show poor mental health and experience low quality of life (QOL). This study aimed to examine the mediating role of social support in the relationship between depression and QOL in community-dwelling older adults with chronic disease. A total of 387 Chinese older adults aged 60 or above with chronic disease were included in this cross-sectional study. Social support was negatively associated with depression and positively associated with physical component scale (PCS) and mental component scale (MCS)...
November 29, 2018: Geriatric Nursing
Erin Sarzynski, Mark Ensberg, Amy Parkinson, Laurie Fitzpatrick, Laura Houdeshell, Charles Given, Kevin Brooks
Despite patient safety initiatives to improve care transitions, prior research largely neglects to elicit feedback from home health nurses regarding health information exchange. The goal of this quality improvement study was to identify opportunities to facilitate information transfer during hospital-to-home-health-care transitions for older adults with heart failure. We conducted focus groups with 19 nurses employed by a single healthcare system using two commercially available electronic health record (EHR) vendors...
November 28, 2018: Geriatric Nursing
Marie Truglio-Londrigan, Jason T Slyer
Despite the rising prevalence of Alzheimer's disease (AD), there is limited systematic evidence about disease specific decisions. The aim of this qualitative descriptive study was to identify decisions across the AD trajectory using focus groups of past and present caregivers. Qualitative content analysis revealed three main categories with corresponding categories and sub-categories. Main Category One-Decisions pertaining to self-yielded two categories: decision pertaining to the offering of self and care for the caregiver...
November 28, 2018: Geriatric Nursing
Laurie G Jacobs
No abstract text is available yet for this article.
November 13, 2018: Geriatric Nursing
Barbara Resnick
No abstract text is available yet for this article.
November 12, 2018: Geriatric Nursing
Paolo Riccardo Brustio, Monica Emma Liubicich, Marcello Chiabrero, Emanuela Rabaglietti
The aim of this study was to determine the effects of dancing activity based on different dance styles, in groups as well as with a partner, on mobility performance, quality of life and social engagement in a sample of older adults. One hundred and sixty-three older adults (mean age, 70 years; SD = 4 years) participated in a supervised dancing activity programme for 16 weeks. The dancing activity included different dance routines and was progressive in terms of motor complexity. Data on mobility, health-related quality of life and social engagement were collected before and after a 16-week training period...
November 12, 2018: Geriatric Nursing
Hege Rasmussen, Ove Hellzen, Eystein Stordal, Ingela Enmarker
Frontotemporal dementia (FTD) is a neurodegenerative disease with symptoms that differs from other dementias. Commonly early symptoms in FTD are changes in personality and behavior, which can be interpreted as psychiatric disease. The delay in FTD diagnosis contributes to the burden of family caregivers. Therefore, it is important to have more knowledge about the pre-diagnostic stage. In this qualitative interview study, we explored fourteen family caregiver's experiences of the pre-diagnostic stage of frontotemporal dementia (FTD)...
November 10, 2018: Geriatric Nursing
Caroline E M Otter, Jita G Hoogerduijn, Joost C Keers, Ellen I Hagedoorn, Janneke M de Man-van Ginkel, Marieke J Schuurmans
Semi-structured in-depth interviews (n = 12) were held to explore older patients' motives of whether or not to perform self-management while hospitalized and to identify factors influencing self-management during hospitalization. These interviews were analyzed using the Quacol method. Self-management during hospitalization is operationalized as: collaboration with the nursing staff, having a proactive role, and having control over personal care. Three main themes, i.e., patients' abilities, expectations and opinions, as well as their perceived behavior of nurses were identified along with eight influencing factors...
November 9, 2018: Geriatric Nursing
Elizabeth Capezuti, Barbara L Brush
No abstract text is available yet for this article.
November 8, 2018: Geriatric Nursing
Richard G Stefanacci, Albert Riddle
No abstract text is available yet for this article.
November 6, 2018: Geriatric Nursing
Rhonda L Babine, Kristiina E Hyrkäs, Caitlin G Mckenzie, Heidi R Wierman
The aim of this study was to explore and describe the characteristics of the Hospital Elder Life Program (HELP) sites and how they mobilize patients with volunteers in the United States and other countries. The purpose was to describe: the number of enrollments, modalities, fall and injury rates, and to identify barriers to mobilization. A survey was distributed to 228 international sites. The responding sites enrolled an average of 53.9 (SD 35.3) patients per month. The majority (76%) reported that mobilization included 'active range of motion exercises' and 'ambulation'...
November 6, 2018: Geriatric Nursing
Shirley Musich, Shaohung S Wang, Luke Slindee, Sandra Kraemer, Charlotte S Yeh
Our primary objective was to determine the prevalence and characteristics of opioid-naïve older adults who initiated opioids and transitioned to chronic use. Study populations included older adults ≥ 65 years with continuous medical and drug plan enrollment one-year prior to opioid initiation (pre-period) through one-year after initiation (post-period). Characteristics were determined using multivariate logistic regression. Among eligible insureds (N = 180,498), 70% used only the initial opioid prescription; 30% continued to use opioids requiring ≥ 2 prescriptions with ≥ 15 days' supply...
November 3, 2018: Geriatric Nursing
Theresa A Floegel, Kelli D Allen, Matthew P Buman
Our study examined feasibility and acceptability of continuous objective activity monitoring during hospitalization and after discharge in older adults with heart failure. Recruitment rate was 49.2% of eligible patients with a 93.1% retention rate. Twenty-seven older patients admitted with heart failure (78 ± 9.8 years; 51.8% female) wore two inclinometric accelerometers to record posture in-hospital and an ankle accelerometer to record ambulatory activity in-hospital and 30-days after discharge. During hospitalization, participants had 96...
October 31, 2018: Geriatric Nursing
Mark Keboa, Anne Beaudin, Julie Cyr, Janick Decoste, Frances Power, Richard Hovey, Lorraine LaFrance, Denise Ouellet, Michael Wiseman, Mary Ellen Macdonald
Inadequate oral care in long-term care (LTC) facilities compromises the quality of life of residents. This study assessed oral care knowledge of, and challenges experienced by, nurses and allied nursing staff (ANS) in a LTC facility in Canada. Dentists and nursing staff used the findings to implement strategies for improved care. Using a sequential mixed method design, data on oral care knowledge and practices were collected using self-administered questionnaires (n = 114) and focused groups (n = 39)...
October 24, 2018: Geriatric Nursing
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