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Nursing Older People

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
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
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
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
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
Shelagh O'Riordan, Naomi Vasilakis, Labib Hussain, Rowena Schoo, Julie Whitney, Julie Windsor, Khim Horton, Finbarr Martin
Measuring lying and standing blood pressure (BP) is an important clinical observation in older hospital inpatients. This is because a drop in BP on standing, known as orthostatic hypotension (OH) is common in older people and in acute illness and, therefore, in hospital patients. OH increases the risk of a fall in hospital. Simple measures such as changes in medication or rehydration can reduce this drop in BP and reduce the risk of falls. In a recent snapshot audit in England and Wales of 179 acute hospitals and 4,846 patients aged 65 years and over admitted with an acute illness, only 16% had a lying and standing BP recorded within 48 hours...
September 29, 2017: Nursing Older People
Penny Allen
The benefits of arts interventions to improve the health and well-being of older people are well proven, with national guidance highlighting their use in outstanding services.
August 31, 2017: Nursing Older People
Erin Dean
Essential facts Gout is the most common cause of inflammatory arthritis worldwide. Incidence and severity is increasing in the UK, with about 2.5% of the population affected.
August 31, 2017: Nursing Older People
Helen Knight
As clinical and operations director at East Cheshire Hospice I see the complex and sensitive discussions that my staff have with patients and their loved ones every day.
August 31, 2017: Nursing Older People
Elizabeth Champion
The aim of this project was to identify the support required by registered nurses and unregistered healthcare support workers to provide palliative care for people with dementia in an acute hospital in England. A quantitative approach was taken and participants were asked to fill in a questionnaire. Data were collated and analysed to identify support needs and any emerging themes. Respondents were confident in identifying the different stages of dementia. There was less confidence in identifying a patient with dementia for palliative care referral compared with a patient without dementia...
August 31, 2017: Nursing Older People
Layla Haidrani
What is your job? I am nurse consultant for older people in acute care at NHS Fife in Scotland, where I lead on improving care, transitions and experience and service transformation. I am also national clinical lead for older people at Healthcare Improvement Scotland (HIS).
August 31, 2017: Nursing Older People
Matthew Parsons, Hugh Senior, Ngaire Kerse, Mei-Hua Chen, Stephen Jacobs, Craig Anderson
Aim To establish the effectiveness of a restorative home support service on institutional-free survival in frail older people referred for needs assessment. Method A randomised controlled trial of Community Flexible Integrated Responsive Support Team versus usual care in 113 older people at risk of institutionalisation in New Zealand. Primary outcome was death or permanent institutional care evaluated in a Cox proportional hazards model adjusted for baseline prognostic variables. A variety of secondary outcomes including the health of informal caregivers were also evaluated...
August 31, 2017: Nursing Older People
Victoria Elliot
In 2016 the National Institute for Health and Care Excellence (NICE) published a guideline on oral health for adults in care homes in England. The author was a co-opted member of the NICE oral health for adults in care homes public health advisory committee. This article reviews the NICE guideline as it applies to care homes, and relates it to the results of a survey of oral care practice undertaken in a large care home organisation and the available research literature from the past 20 years. The literature and survey results suggest that, if translated into practice, the NICE guideline could do much to improve oral health for adults in care homes...
August 31, 2017: Nursing Older People
(no author information available yet)
Alcohol has historically been regarded as harmless when taken in moderation. However, studies have shown that, in older people, even moderate alcohol consumption is associated with reduced brain total volume, increased ventricle size, and reduced grey matter in the frontal and parietal lobes.
August 31, 2017: Nursing Older People
(no author information available yet)
It is refreshing to find a book that relates nursing practice to adult safeguarding in the way this does. Mainly written for nursing students, it incorporates NMC Standards for pre-registration nursing education and essential skills clusters, which are threaded throughout the book.
August 31, 2017: Nursing Older People
(no author information available yet)
Sleep disorders often precede cognitive impairment by many years. This is partly because some degenerative diseases originate in the hypothalamus and brain stem, which means fragmented sleep, daytime napping and sleep-phase disorders are early signs of these diseases. However, recent research indicates that amyloid proteins are removed from the brain during deep sleep so poor sleep can increase the amyloid plaques seen in Alzheimer's disease. It is also known that sleep-disordered breathing can lead to hypoxia, increasing vascular dementia...
August 31, 2017: Nursing Older People
(no author information available yet)
This is the best book I have read on dementia. It is an intricate and intense read, making it ideal for people who want to understand the complexity of brain failure. The author is funny and interesting in the analogies she uses to convey the science.
August 31, 2017: Nursing Older People
Justin Walford
The ambulance crew tell me you have been admitted to the emergency department with a suspected femoral shaft fracture. I see a scared, frail older person, but I see a sparkle in your eyes that tells me how you made it to 101 years old.
August 31, 2017: Nursing Older People
(no author information available yet)
New report calls for a national strategy to address the healthcare needs of older prisoners.
August 31, 2017: Nursing Older People
(no author information available yet)
Courses, events, grants, and awards to progress your career.
August 31, 2017: Nursing Older People
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