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Nursing Older People

journal
https://www.readbyqxmd.com/read/29767481/supporting-care-home-staff-to-manage-residents-care-safely-and-avoid-admissions
#1
Susan Wills, Dena Ross
The community matron care homes team (CHT) was set up in Sandwell, West Midlands in 2011 to support care home staff to manage residents' care safely and reduce unplanned and/or avoidable use of acute health services. The service was reviewed in 2015 and attention focused on care homes with the highest levels of hospital use and emergency 999 services. Working with these care home staff and health professionals, a training and education opportunity to aid staff to manage residents in crisis was sourced, organised and implemented...
May 16, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29737673/prevention-of-contractures-in-older-people-living-in-long-term-care-settings
#2
Marietjie du Toit
Joint contractures, or limitations in the full range of movement of joints, are common in older people living in long-term care settings. They result in physical discomfort, social isolation, loss of independence and increased staffing demands. Studies conclude that the prevention of contractures should be the first line of treatment. This article aims to raise awareness of contractures in older people living in nursing homes and individualised preventive strategies that can be used by nursing staff such as maintaining functional ability, risk identification, stretching and correct bed and seating position...
May 8, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29717845/assessment-and-management-of-older-patients-with-delirium-in-acute-settings
#3
Martha Dixon
This article aims to assist nurses and nursing students to consider the presentation of delirium in older patients and the resulting assessment and nursing interventions required. It considers the three types of delirium: hyperactive, hypoactive and mixed. It also discusses potential causes of delirium. Older patients are at increased risk of delirium due to factors such as cognitive impairment, co-morbidities and acute illness. Nurses should be confident in the use of the 4AT score to assess patients with delirium...
May 2, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29569863/infection-prevention-and-control-challenges-of-using-a-therapeutic-robot
#4
Penny Dodds, Katharine Martyn, Mary Brown
This work was part of a National Institute for Health Research participatory action research and practice development study, which focused on the use of a therapeutic, robotic baby seal (PARO, for personal assistive robot) in everyday practice in a single-site dementia unit in Sussex. From the beginning of January 2017 until the end of September 2017, the cleaning and cleanliness of PARO was monitored through a service audit process that focused on the cleaning, amount of use and testing of contamination of PARO being used in everyday clinical practice with individuals and in group sessions...
March 23, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29569862/recognising-and-managing-age-related-dermatoporosis-and-skin-tears
#5
Valentina Vanzi, Elena Toma
Dermatoporosis is a chronic skin fragility syndrome, caused by age and environmental factors. People with dermatoporosis have skin whose protective mechanical function is reduced and which has a decreased tolerance for friction and shearing forces. Skin tears are another clinical consequence of age-associated skin vulnerability and people with dermatoporosis are at increased risk of skin tears. Dermatoporosis may also delay the healing of skin tears, making it vital that healthcare professionals are aware of this condition...
March 23, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29569861/nutritional-strategies-to-reduce-falls-risk-in-older-people
#6
Louise Nash, Nick Bergin
A literature review found an association between increased falls risk and malnutrition, sarcopenia, vitamin D deficiency and dehydration. Strategies to identify, prevent and treat these conditions can help to reduce falls risk in at-risk groups such as frail, older people. Nurses can reduce falls risk in older people by raising awareness of risk factors and embedding nutritional strategies in local falls reduction strategies.
March 23, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29480658/recognition-and-clinical-management-of-sepsis-in-frail-older-people
#7
Sheryll Lat, Wendy Mashlan, Susan Heffey, Bridie Jones
Sepsis is a common condition caused by the body's immune and coagulation systems being 'switched on' by the presence of infection, either through bacteria or viruses in the blood. If untreated, sepsis can be life-threatening and is a leading cause of death in hospital patients worldwide. However, awareness of sepsis is low. This article provides an overview of the important role played by nurses in acute hospital settings in the early identification and treatment of suspected sepsis in frail older patients, and in escalating the care and management of deteriorating patients...
February 26, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29480657/practical-strategies-to-help-develop-dementia-friendly-hospital-wards
#8
Lindsay Fitzpatrick
Hospital stays can have significant negative effects for people with dementia. This article explores methods of improving dementia care in general hospital wards. Taking its starting point as the importance of person-centred care, it explores ways of improving the ward environment, meaningful activities, personal history work, involving carers, and identifying and treating delirium. Practical strategies are suggested in each of these areas. The article acknowledges that implementing change can be challenging in NHS settings where wards are understaffed, and time is precious...
February 26, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29480656/developing-an-integrated-resource-to-promote-oral-health-in-nursing-homes
#9
Aine McAnulla, Bernie Reid, Malgorzata Zieba
Public health is the responsibility of every nurse and nursing practice should adopt a life course approach to the promotion of health and well-being. This approach requires a renewed focus on health promotion interventions aimed at older people, including those resident in nursing homes. The oral health status of older people in nursing homes has been reported as suboptimal, predisposing them to poorer health-related quality of life. Interventions focusing on knowledge and behaviours related to oral health management for nurses, other caregivers and older people have the potential to improve the provision of oral care...
February 26, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29376619/the-effect-of-a-leadership-support-programme-on-care-home-managers
#10
Sarah Penney, Assumpta Ryan
AIM: To explore the effect of the My Home Life 12-month leadership support programme on care home managers' leadership skills and professional development, and their relationships with staff, residents and relatives. METHOD: A qualitative study of 15 care home managers was undertaken, using focus groups to explore the study's aims and objectives. Data were analysed using Colaizzi's phenomenological method. FINDINGS: The leadership support programme enabled managers to develop their leadership skills, which had a positive effect for them and for their relationships with staff, residents and relatives...
January 29, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29376618/a-relationship-centred-approach-to-managing-pain-in-dementia
#11
Sharron Tolman, Karen Harrison Dening
The presence of pain in a person with dementia can often be missed. The diagnosis of dementia can overshadow the pain-inducing symptoms of other co-morbid conditions with distress behaviours being attributed to the behavioural and psychological symptoms of dementia. Such distress behaviours of a person with dementia often have a profound and alarming effect on family carers. This Admiral Nurse case study explores the assessment and management of pain in a person with dementia in partnership with the family carer...
January 29, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29376617/a-collaborative-approach-to-developing-student-placements-in-care-homes
#12
Sue Tiplady, Juliana Thompson, Carole Proud
If high-quality, person-centred care is to be provided for older people with complex needs, it is essential that nurse education should aim to extend students' knowledge and skills in longterm care, and integrated health and social care. Northumbria University, local care homes and NHS organisations have collaborated to develop integrated, cross-sector practice placements that support this learning for nursing students. While there have been challenges in developing these placements, initial feedback is positive, suggesting the placements promote improved interorganisational working and learning for staff as well as students...
January 29, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29188929/reducing-avoidable-emergency-department-attendances-through-bespoke-education
#13
Elizabeth Graham, Sadie Campbell
AIM: To develop an education and partnership programme between the trust and nursing home staff in Northern Ireland. METHODS: Twenty care home nurse champions participated in a bespoke Responsive Education and Collaborative Health programme provided by the trust. The trust's practice development facilitator supported care home staff to develop clinical competencies while observing residents' emergency department (ED) attendance trends. RESULTS: After introduction of the programme, avoidable ED attendances were reduced by 31% ( n =309) compared with the previous year, cost per capita was reduced by £314,340, reliance on community nursing was reduced, and the health and experience of the care home population were improved...
November 30, 2017: Nursing Older People
https://www.readbyqxmd.com/read/29188928/factors-that-influence-older-people-s-engagement-with-digital-health-technology
#14
Katherine Curtis, Kyle Price
Digital health technology (DHT) encompasses a wide range of applications and interventions with the potential to address the health needs of an increasingly ageing population. Older people's engagement with DHT depends on many factors, and this article summarises understanding of the barriers and facilitators to DHT uptake and continued use among older people. Older people's confidence in using digital technology, their perceptions of personal benefit from DHT, its design, and the support they receive from health professionals and carers in using DHT all affect their level of engagement...
November 30, 2017: Nursing Older People
https://www.readbyqxmd.com/read/29188927/oral-hygiene-and-mouth-care-for-older-people-in-acute-hospitals-part-2
#15
Ben J Steel
Acute hospital admission provides an excellent opportunity to address poor oral health in older people, a group rarely seen by dental professionals and for who oral health activity in hospital is inconsistent and generally suboptimal. This two-part article explores oral hygiene and mouth care provision for older adults in acute hospitals. The first article presented the findings of a literature review exploring oral and dental disease in older adults, the importance of good oral health and mouth care, and the current situation...
November 30, 2017: Nursing Older People
https://www.readbyqxmd.com/read/29124918/approaches-to-acute-pain-management-in-older-people
#16
Angela Telford
Pain is a diverse, individual experience and is associated with distress and suffering. Uncontrolled acute pain has been linked to delayed recovery and prolonged hospital stay. Nurses have a duty of care to their patients and acute pain management is integral to this. However, acute pain in older people can be difficult to manage, often because of under-reporting or difficulties in assessment. Older people have altered physiology often compounded by multiple co-morbidities and polypharmacy, all of which affect the appropriateness of, and available, pharmacological pain management strategies...
October 31, 2017: Nursing Older People
https://www.readbyqxmd.com/read/29124917/oral-hygiene-and-mouth-care-for-older-people-in-acute-hospitals-part-1
#17
Ben J Steel
The oral health of older people in acute hospitals has rarely been studied. Hospital admission provides a prime opportunity for identification and rectification of problems, and oral health promotion. This two-part article explores oral hygiene and mouth care provision for older adults in acute hospitals. The first article presents the findings of a literature review exploring oral and dental disease in older adults, the importance of good oral health and mouth care, and the current situation. Searches of electronic databases and the websites of relevant professional health service bodies in the UK were undertaken to identify articles and guidelines...
October 31, 2017: Nursing Older People
https://www.readbyqxmd.com/read/29124916/how-collaboration-is-improving-acute-hospital-admission-for-people-with-dementia
#18
Nicola Wood, Yvonne Cairns, Barbara Sharp
In November 2015 it became apparent that a person with dementia's journey through the acute hospital was not always as streamlined as it should have been. There was evidence of late and multiple inter-ward transfers for this patient group that could potentially have a detrimental effect on individuals' and carers' well-being. The aim of this project was to examine current processes around patient flow and decision-making, explore any themes arising and identify opportunities for improving transitions of care...
October 31, 2017: Nursing Older People
https://www.readbyqxmd.com/read/29124915/views-on-ageing-in-place-from-relocated-low%C3%A2-income-housing-residents-in-the-us
#19
Kathryn Van Ravenstein, Boyd Davis
BACKGROUND: Ageing in place (AIP) is the ability to live in one's home and community independently, despite age, ability level or income. AIM: To elicit knowledge and feelings about AIP from low-income older adults relocated to low-income housing. METHOD: Nursing students, supervised by nursing faculty trained in research, conducted semi-structured interviews about AIP with volunteer residents living in a low-income apartment complex in the southern US...
September 29, 2017: Nursing Older People
https://www.readbyqxmd.com/read/29124914/experiences-of-using-simulation-in-dementia-education
#20
Vicki Leah, Julie Combes, Madeline McMillan, Lydia Russell, Kirsty McCune
This article describes the development of a simulation training day for multidisciplinary teams (MDTs) working on acute adult wards with the aim of improving their confidence in supporting people with dementia who are distressed. Recommendations are made for those who may be interested in delivering simulation training in their area of practice. Registered nurses, non-registered support workers and occupational therapists experienced in dementia care took part in a one-day simulation training pilot session that included three 'skill stations' with three patient simulation scenarios...
September 29, 2017: Nursing Older People
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