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https://www.readbyqxmd.com/read/30314560/reducing-emergency-presentations-from-long-term-care-a-before-and-after-study-of-a-multidisciplinary-team-intervention
#1
M J Connolly, J B Broad, T Bish, X Zhang, D Bramley, N Kerse, K Bloomfield, M Boyd
INTRODUCTION: The complexity of care required by many older people living in long-term care (LTC) facilities poses challenges that can lead to potentially avoidable referrals to a hospital emergency department (ED). The Aged Residential Care Intervention Project (ARCHIP) ran an implementation study to evaluate a multidisciplinary team (MDT) intervention supporting LTC facility staff to decrease potentially avoidable ED presentations by residents. METHODS: ARCHIP (conducted in 21 facilities [1,296 beds] with previously noted high ED referral rates) comprised clinical coaching for LTC facility staff by a gerontology nurse specialist (GNS) and an MDT (facility senior nurse, resident's general practitioner, GNS, geriatrician, pharmacist) review of selected high-risk residents' care-plans...
November 2018: Maturitas
https://www.readbyqxmd.com/read/30304194/a-physical-resilience-conceptual-model-contributions-to-gerontological-nursing
#2
Rafael Bernardes, Cristina Lavareda Baixinho
OBJECTIVES: To analyze and reflect on the potential applicability of the contribution of the physical resilience conceptual model of Whitson et al. in the care for older adults. METHOD: The present article of reflection was structured based on the consultation of articles and definition of inherent concepts, with analysis and reason of the potentialities of its application in geriatric nursing care. RESULTS: Physical resilience is influenced by diverse stimuli...
September 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/30304174/polypharmacy-and-potentially-inappropriate-medications-for-elder-people-in-gerontological-nursing
#3
Gabrielle Ferreira Melo Marques, Danielle Mayara Rodrigues Palhão de Rezende, Iara Pereira da Silva, Priscila Carolina de Souza, Suzi Rosa Miziara Barbosa, Ramon Moraes Penha, Camila Guimarães Polisel
OBJECTIVE: To identify polypharmacy and potentially inappropriate medications (PIM) for elder people with chronic health situations and its implications for gerontological nursing. METHOD: Descriptive and transversal study, conducted from March to September 2016 by pharmaceutical residents in the clinic of Endocrinology of a hospital in Mid-West region of Brazil. RESULTS: 44 elder people with an average age of 69.5 (± 6.79) years old had their assessed prescriptions...
September 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/30257023/a-comprehensive-assessment-of-risk-factors-for-falls-in-community-dwelling-older-adults
#4
Yunchuan Lucy Zhao, Jenny Alderden, Bonnie K Lind, Heejung Kim
Falls in community-dwelling older adults are a complicated phenomenon that are attributed to sociodemographic characteristics, health conditions, functional problems, and environmental factors. The current cross-sectional and correlational study aimed to explore comprehensive risk factors for falls in community-dwelling older adults using a nationally representative data file (N = 5,930). Descriptive statistics were used and multiple logistic regression analyses were performed. Study findings showed that homebound or semi-homebound older adults were 50% more likely to experience a fall than non-homebound individuals...
October 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30257022/moderating-effects-of-resilience-on-the-relationship-between-emotional-labor-and-burnout-in-care-workers
#5
Yumi Moon, So Young Shin
The aim of the current study was to investigate the moderating effects of resilience on the relationship between emotional labor and burnout among care workers in long-term care (LTC) hospitals. Participants were 126 care workers from five different LTC hospitals in Busan, South Korea. A set of self-reported questionnaires was administered to assess general characteristics, emotional labor, resilience, and burnout of participants. Data were analyzed using descriptive statistics, t tests, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression...
October 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30257021/the-relationship-between-physical-activity-and-dementia-a-systematic-review-and-meta-analysis-of-prospective-cohort-studies
#6
Junga Lee
Physical activity may decrease the risk of dementia; however, conflicting findings exist. The purpose of the current meta-analysis was to investigate the relationship between physical activity and dementia risk based on physical activity type, amount, and intensity, and to propose an effective minimal physical activity amount for older adults. Forty-four studies were selected for the meta-analysis. Participation in high (a total of >2 hours of activity over the course of three sessions per week) and moderate (a total of >1 hour of activity over the course of two sessions per week) amounts of physical activity showed decreased dementia risks compared to physical inactivity...
October 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30257020/chronic-obstructive-pulmonary-disease-in-older-adults-part-ii-considerations-for-inhaler-selection
#7
Tamara Bystrak, Christine Eisenhower
Inhaler administration for patients with chronic obstructive pulmonary disease (COPD) can be challenging, as it requires correct recall and execution of multiple steps. Older adults may have a higher risk of incorrectly administering inhalers versus the general population due to age-related visual, cognitive, and functional impairments. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2018 report states that in addition to advanced age, use of multiple inhalers and lack of previous inhaler education can negatively impact technique...
October 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30248241/emotional-competence-a-core-competence-in-gerontological-nursing-in-iran
#8
Masoud Bahrami, Zahra Purfarzad, Mahrokh Keshvari, Mohammad Rafiei, Nina Sivertsen
AIM AND OBJECTIVES: Defining the components of emotional competence in caring for older people in Iranian hospitals. BACKGROUND: People of older age are the largest recipients of healthcare services in hospitals. Thus, it is essential to establish what characteristics of emotional competence are required for nursing older people. DESIGN: This qualitative descriptive-exploratory study was conducted in Iran from September 2015 to April 2016...
September 24, 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/30230516/progress-and-changes-in-gerontological-nursing-research-in-the-midwest-a-review
#9
Helen W Lach, Phyllis Gaspar
Gerontological nursing has a rich research history. The current article reports trends in gerontological nursing research found through review of abstracts of presentations at the Midwest Nursing Research Society annual conference at 10-year increments over the 40-year existence of the organization. Researchers studied a wide range of topics, from quality of life to use of technology, with a variety of older adult populations represented. Designs, theoretical frameworks, and other methods mirrored trends in nursing research from 1977 to 2017...
September 1, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/30230515/research-in-gerontological-nursing-how-are-we-doing
#10
EDITORIAL
Christine R Kovach
No abstract text is available yet for this article.
September 1, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/30148531/outcomes-of-patients-with-delirium-in-long-term-care-facilities-a-prospective-cohort-study
#11
Kyoung Ja Moon, Heeok Park
A 6-month prospective cohort study was performed in patients with or without dementia admitted to two Korean long-term care (LTC) facilities. Participants were categorized into four groups: (a) no delirium or dementia, (b) dementia only, (c) delirium only, and (d) delirium superimposed on dementia (DSD). Delirium incidence, mortality, readmission, discharge placement, length of stay, and other associated factors were evaluated. The incidence of delirium was 48%. The largest number of patients belonged to the DSD group; outcomes associated with delirium were analyzed as covariates...
September 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30148530/evaluating-the-usability-and-acceptability-of-communication-tools-among-older-adults
#12
Marci Lee Nilsen, Allison Morrison, Jennifer H Lingler, Brad Myers, Jonas T Johnson, Mary Beth Happ, Susan M Sereika, Annette DeVito Dabbs
Acutely ill patients may have trouble communicating their symptoms and needs verbally. The current study evaluated the usability and acceptability of six commercially available communication tools with older adults in a non-clinical, controlled setting. Participants evaluated various communication boards and communication applications (apps) by using the tools to communicate needs and symptoms in various scenarios. Participants completed a modified technology acceptance questionnaire and selected the tool they perceived as most useful and easy to use...
September 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30148529/fall-prevention-among-community-dwelling-older-adults-current-guidelines-and-older-adult-responses
#13
Helen W Lach, Wanida Noimontree
Older adults are vulnerable to falls that result in injury and disability, making fall prevention a national priority. The purpose of the current study was to evaluate community-dwelling older adults' perceptions about falls and fall prevention activities to guide interventions. Participants had high awareness of falls and believed that they could reduce their risk of falling. Approximately three fourths of participants reported taking actions to reduce risk of falling; however, participation in community fall prevention programs was low...
September 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30148528/sociodemographic-disparities-in-adult-child-informal-caregiving-intensity-in-the-united-states-results-from-the-new-national-study-of-caregiving
#14
Sarah K Cook, Steven A Cohen
The objective of the current study was to assess socioeconomic and demographic disparities in caregiving intensity among informal caregivers. Using a randomized, nationally representative sample of 1,014 adult child informal caregivers from Medicare enrollment databases, the associations between informal caregiving intensity and age, race/ethnicity, and income were examined using binary and ordinal logistic regression. Caregiving intensity varied by demographics. Activities of daily living (ADL) caregiving was highest among Black, non-Hispanic caregivers...
September 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30148527/implications-of-hearing-care-policy-for-nurses
#15
Margaret I Wallhagen, Nicholas S Reed
Hearing loss (HL) becomes increasingly common with age and can lead to multiple negative outcomes, including isolation, falls, depression, altered social relationships, and altered cognitive functioning. HL also can affect patient-provider communication and lead to misunderstandings. Despite the negative effects that HL has on multiple domains, less than 20% to 25% of individuals who might benefit from amplification devices and/or hearing aids own them. Barriers to use include stigma, cost, and access. Nurses can play a critical role in promoting appropriate care for individuals with HL and providing access for those who need hearing aids...
September 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30145534/nursing-students-cultural-competence-in-caring-for-older-people-in-a-multicultural-and-developing-region
#16
Yanru Wang, Lily Dongxia Xiao, Ping Yan, Yun Wang, Ayiguli Yasheng
BACKGROUND: Health disparities exist among different cultural groups in a multicultural society. Older people from minority groups usually face greater challenges in accessing and utilizing healthcare services due to language barriers, low levels of health literacy and cognitive impairment. OBJECTIVES: The aims of this study were to measure nursing students' cultural competence in the context of caring for older people from diverse cultural backgrounds and explore associated factors affecting their cultural competence in order to inform curriculum design in Xinjiang, China...
November 2018: Nurse Education Today
https://www.readbyqxmd.com/read/30136290/integrated-memory-care-clinic-design-implementation-and-initial-results
#17
Carolyn K Clevenger, Janet Cellar, Mariya Kovaleva, Laura Medders, Kenneth Hepburn
The Integrated Memory Care Clinic (IMCC) is a patient-centered medical home as defined by the National Committee for Quality Assurance directed by advanced practice registered nurses (APRNs) caring for persons living with dementia (PLWD); physicians provide specialty consultation but do not direct care or care planning. The IMCC incorporates geriatric nursing, social work, and APRNs from neurology, gerontology, palliative care, and geriatric psychiatry. APRNs provide comprehensive, coordinated primary care for dementia, other chronic conditions, and minor acute illnesses...
August 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30133937/working-and-supporting-people-with-dementia-when-you-are-a-student-a-qualitative-research
#18
Oznur Korukcu, Kamile Kukulu, Ismail Tufan
BACKGROUND: Participation of young people in the care of older people will provide important contributions to improving older people's health. METHODS: This qualitative case study was conducted to clarify the possible difficulties and experiences of student interns at the Blue House Alzheimer's Center for Alzheimer's Patients and Families. Data were collected by focus group interview. RESULTS: It was seen that all students who practice at the Blue House Alzheimer's Patient and Patient Relatives Center willingly choose the gerontology profession...
July 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/30133169/world-class-excellence-in-an-international-gerontological-nursing-journal-announcing-our-2017-ijopn-author-and-reviewer-awards
#19
EDITORIAL
G J Melendez-Torres, Sarah H Kagan
No abstract text is available yet for this article.
September 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/30095671/integrating-oral-health-curricula-into-nurse-practitioner-graduate-programs-results-of-a-us-survey
#20
Maria C Dolce, Judith Haber, Judith A Savageau, Erin Hartnett, Christine A Riedy
BACKGROUND AND PURPOSE: Nurse practitioners (NPs) are a significant segment of the US primary care workforce and have a pivotal role in improving access to oral health (OH) care. The purpose of this research was to assess OH curricular integration in primary care NP programs and to examine factors that influence integration and satisfaction with graduates' level of OH competence. METHODS: A cross-sectional, national survey of NP programs (N = 466) was conducted using an electronically distributed 19-item, self-administered questionnaire...
August 6, 2018: Journal of the American Association of Nurse Practitioners
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