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Geriatric Nursing

Marta Bassi, Cecilia Rassiga, Natalia Fumagalli, Giulio Senes
Horticulture was shown to represent a well-being source for older adults, encompassing the physical, mental and social domains. Aim of this pilot study was to contribute to extant literature through the investigation of the quality of experience associated with horticultural versus occupational activities. A group of 11 older residents of a nursing home were involved in a crossover study with a baseline measure. Participants attended weekly horticultural and occupational sessions for two six-week cycles. Experience Sampling Method was administered before the program and after each session, to assess participants' levels of happiness, concentration, sociability, involvement, challenges and stakes, and self-satisfaction...
February 12, 2018: Geriatric Nursing
Hyeyoung Hwang, Sook Ja Yang, Sarah Yeun-Sim Jeong
This descriptive cross-sectional survey aimed to investigate the preferences of older inpatients and their family caregivers for life-sustaining treatments (LSTs) and their influential factors. Inpatients aged 60 and older and their family caregivers in three acute hospitals in Seoul, South Korea, were invited to participate in the study. A total of 180 surveys were returned from 90 pairs of patients and family caregivers with a response rate of 95%. Older inpatients expressed a significantly high desire for "not wanting to have cardiopulmonary resuscitation" (χ2 = 10...
February 2, 2018: Geriatric Nursing
Ching-Kuei Chiang, Yueh-Juen Hwu
Dysphagia is a distressing symptom for residents in long-term care facilities, and nursing aides play an important role in feeding the residents with dysphagia. This study evaluated the perceptions of nursing aides about their feeding experiences for residents with dysphagia. This qualitative descriptive study used convenience sampling and recruited 16 nursing aides from six long-term care facilities in Central Taiwan. Data were collected through face-to-face interviews from November 2016 to March 2017. Participants were recruited until the findings reached saturation, and data were analyzed using qualitative content analysis...
February 2, 2018: Geriatric Nursing
Naushira Pandya, Nancy Losben, Jane Moore
Management of diabetes for residents in long-term care settings is particularly challenging, due to the wide range of physical and mental limitations that bear on efficacy of their medications, as well as practical issues associated with the optimal administration of these medications. Foremost among the practical issues for residents requiring insulin injections, is the need to ensure that it is consistently delivered to the circulation at the target rate and dosage, thereby avoiding life-threatening episodes of hypoglycemia...
January 25, 2018: Geriatric Nursing
Lindsay A Gerolimatos, Kyle S Page, Phyllis Balestracci, Kate L M Hinrichs
This pilot study investigates the usefulness of a dementia care training program developed by an interdisciplinary team to address problem behaviors associated with dementia. Staff members of a VA Community Living Center completed an 8-hour workshop covering fundamental knowledge about dementia and instruction in skills to use with patients through video, lecture, and role-plays. Measures on dementia knowledge and perceived self-efficacy were completed by staff members before and after the workshop. Results revealed increases in self-efficacy and knowledge, with particular gains in general knowledge of dementia and communicating with patients...
January 11, 2018: Geriatric Nursing
Debra Saliba
No abstract text is available yet for this article.
January 11, 2018: Geriatric Nursing
Barbara Resnick
No abstract text is available yet for this article.
January 11, 2018: Geriatric Nursing
William Simonson
No abstract text is available yet for this article.
January 11, 2018: Geriatric Nursing
Richard G Stefanacci, Albert Riddle
No abstract text is available yet for this article.
January 8, 2018: Geriatric Nursing
Sarah H Kagan
No abstract text is available yet for this article.
January 8, 2018: Geriatric Nursing
Hale Turhan Damar, Ozlem Bilik, Ozgul Karayurt, Figen Erol Ursavas
The aim of this study was to determine fear of falling in the first mobilization and affecting factors in older patients. The study had a descriptive and cross-sectional design. Data were collected in Izmir, Turkey between February 2014 and March 2016. The sample included 204 older patients undergoing joint replacement surgery. Fifty-seven-point four percent and 42.6% of the patients had total hip and knee replacement respectively. 42.2% of the patients had a severe fear of falling when they were first mobilized...
January 8, 2018: Geriatric Nursing
Ashwini M Namasivayam-MacDonald, Susan E Slaughter, Jill Morrison, Catriona M Steele, Natalie Carrier, Christina Lengyel, Heather H Keller
Dehydration is estimated to be present in half of long term care residents, as many do not consume the recommended levels of fluid intake. This study aims to describe fluid intake in long term care residents and identify the factors associated with fluid intake. Data were collected from 622 long term care residents, with a mean age of 86.8 ± 7.8. Total fluid intake was estimated over three non-consecutive days. Potential resident and unit-level variables risk factors for low fluid intake were collected, such as dementia status, activities of daily living, and eating challenges...
January 5, 2018: Geriatric Nursing
Kyung Hee Lee, Lorraine Galkowski, Christine Downey, Eleanor S McConnell
This study explored the feasibility of measuring emotional responses to oral care among individuals with dementia living in residential long-term care (LTC). Eleven residents with dementia were recruited from a U.S. Department of Veterans Affairs LTC unit and were observed eight times before, during, and after oral care episodes. Study participants showed a trend toward more positive emotional expressions during and after oral care (mean ± SD: 6.49 ± 1.57 and 6.27 ± 1.20 respectively) than before oral care (6...
January 5, 2018: Geriatric Nursing
G Bravo, C Rodrigue, M Arcand, J Downie, M-F Dubois, S Kaasalaine, C M Hertogh, S Pautex, L Van den Block
We conducted a survey in a random sample of 514 Quebec nurses caring for the elderly to assess their attitudes towards extending medical aid in dying to incompetent patients and to explore associated factors. Attitudes were measured using clinical vignettes featuring a hypothetical patient with Alzheimer disease. Vignettes varied according to the stage of the disease (advanced or terminal) and the presence or absence of a written request. Of the 291 respondents, 83.5% agreed with the current legislation that allows physicians to administer aid in dying to competent patients who are at the end of life and suffer unbearably...
January 3, 2018: Geriatric Nursing
Elizabeth Edmiston, Mary A Dolansky, Melissa Zullo, Daniel E Forman
Octogenarians receiving cardiac valve surgery is increasing and recovery is challenging. Post-acute care (PAC) services assist with recovery, yet services provided in facilities do not provide adequate cardiac-focused care or long-term self-management support. The purpose of the paper was to report post-acute care discharge rates in octogenarians and propose clinical implications to improve PAC services. Using a 2003 Medicare Part A database, we studied post-acute care service use in octogenarians after cardiac valve surgery...
December 21, 2017: Geriatric Nursing
Judith Scott, Ann M Mayo
The Patient Protection and Affordable Care Act requires evaluation for cognitive impairment as part of the Annual Wellness Visit (AWV). Nurses and nurse practitioners in primary care are in a good position to incorporate brief cognitive screens into the AWV. Early recognition of cognitive problems allows clinicians and patients the opportunity to discuss any new or ongoing concerns about cognition, address possible reversible causes, or refer for further evaluation. It should be noted that some patients may prefer not to explore for cognitive impairment...
December 18, 2017: Geriatric Nursing
Daniel Liebzeit, Barbara King, Lisa Bratzke
Older adults often experience decline in functional status during the transition from hospital to home. In order to determine the effectiveness of interventions to prevent functional decline, researchers must have instruments that are reliable and valid for use with older adults. The purpose of this integrative review is to: (1) summarize the research uses and methods of administering functional status instruments when investigating older adults transitioning from hospital to home, (2) examine the development and existing psychometric testing of the instruments, and (3) discuss gaps and implications for future research...
December 14, 2017: Geriatric Nursing
Shiny Mathew, Henry Thukha
Heart failure (HF) is the most common cause of hospitalization and rehospitalization among those 65 years and older. Effective HF self-management is recommended for reducing readmissions. This pilot study, through a one-group, pretest-posttest design, examines the effects of nurse-guided, patient-centered HF education on readmissions among older adults (n = 26) in a post-acute care unit. All selected participants received 3 sessions of tailored patient education. Their knowledge and self-care skills were measured pre- and post-intervention with the Atlanta Heart Failure Knowledge Test (A-HFKT) and the Self-Care of Heart Failure Index (SCHFI)...
December 13, 2017: Geriatric Nursing
Eileen R Chasens, Kyeongra Yang, Lynn M Baniak, JiYeon Choi, Christopher C Imes
A large sample (N = 1139) of adults ≥75 years from the 2011-2014 NHANES cohorts was used to examine predictors of high-level health. Analyses were done with SAS to control for sample weights and allow results to be reported as population parameters. The majority of participants described their health as high-level (73.6%). Logistic regression found a longer sleep duration, minority status, decreased income, multiple medications, low physical activity, and late stage memory impairment were significant predictors of low-level health (p < ...
December 13, 2017: Geriatric Nursing
Louise C Hawkley, Monica Long, Tia Kostas, Stacie Levine, Jason Molony, Katherine Thompson
Geriatrics knowledge and expertise is critical to the care of older adults in skilled nursing facilities. However, opportunities for ongoing geriatrics training for nurses working in skilled nursing facilities are often scarce or nonexistent. This feasibility study describes a mixed-methods analysis of nurses' educational needs and barriers to continuing education in a for-profit skilled nursing facility in an underserved, urban environment. Potential mechanisms to overcome barriers are proposed.
December 8, 2017: Geriatric Nursing
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