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https://www.readbyqxmd.com/read/30509204/the-geriatric-emergency-department-intervention-model-of-care-a-pragmatic-trial
#1
Marianne Wallis, Elizabeth Marsden, Andrea Taylor, Alison Craswell, Marc Broadbent, Adrian Barnett, Kim-Huong Nguyen, Colleen Johnston, Amanda Glenwright, Julia Crilly
BACKGROUND: To evaluate a Geriatric Emergency Department Intervention (GEDI) model of service delivery for adults aged 70 years and older. METHODS: A pragmatic trial of the GEDI model using a pre-post design. GEDI is a nurse-led, physician-championed, Emergency Department (ED) intervention; developed to improve the care of frail older adults in the ED. The nurses had gerontology experience and education and provided targeted geriatric assessment and streamlining of care...
December 3, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30484847/the-association-between-chronic-condition-symptoms-and-treatment-burden-in-a-skilled-nursing-population
#2
Nathanial Schreiner, Stacie Schreiner, Barbara Daly
The purpose of the current study was to determine the relationship between chronic condition symptoms and treatment burden in older adults transitioning from skilled nursing facilities to home. Treatment burden is defined as the burden associated with adhering to a prescribed chronic condition self-management regimen. Analysis of correlations between chronic condition symptoms and treatment burden revealed that symptoms and treatment burden are positively correlated (p < 0.05). Multivariate analysis (adjusted R2 = 0...
December 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30484846/nurses-recognition-of-hospitalized-older-patients-with-delirium-and-cognitive-impairment-using-the-delirium-observation-screening-scale-a-prospective-comparison-study
#3
Wolfgang Hasemann, Debbie Tolson, Jon Godwin, Rebecca Spirig, Irena Anna Frei, Reto W Kressig
The aim of the current study was to report findings about delirium detection when ward nurses screened for delirium in patients with cognitive impairment using the Delirium Observation Screening Scale (DOSS) in comparison to the Confusion Assessment Method (CAM). A secondary analysis was performed of research data collected in 2010 at a Swiss tertiary university hospital. During the first 5 days after admission, patients 70 and older with cognitive impairment were screened for delirium using the DOSS. Throughout patients' hospital stay, research assistants also completed the CAM on a daily basis...
December 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30484845/development-of-a-comprehensive-geriatric-assessment-led-by-geriatric-nurse-consultants-a-feasibility-study
#4
Rebecca L Trotta, Aditi D Rao, Robin M Hermann, Marie P Boltz
Hospitalized older adults are at high risk for complications, leading to negative outcomes such as longer lengths of stay, hospital readmissions, and functional and cognitive decline. Comprehensive Geriatric Assessment (CGA) models are effective in mitigating these syndromes but are not widespread. Nurses with expertise in gerontology who can provide consultation and care coordination can improve care processes and clinical outcomes. This pilot study capitalized on the role of the geriatric nurse consultant (GNC) to develop, implement, and test the feasibility, acceptability, and utility of a GNC-led CGA...
December 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30484844/older-smokers-beliefs-about-e-cigarettes-and-intent-to-quit-conventional-cigarettes
#5
Rachel L Goldberg, Cheryl Dankiewicz, Janine K Cataldo
To explore associations between older smokers' attitudes and beliefs about electronic cigarettes (e-cigarettes) and tobacco use behavior, descriptive and correlational analysis of a cross-sectional survey of a random national sample of current smokers (age ≥45 years [considered "older" herein]) was performed. Of 498 older smokers, 75% wanted to quit smoking cigarettes and 60% had tried e-cigarettes. The 108 current e-cigarette users believed e-cigarettes help quit cigarettes (p < 0.001), are safer than cigarettes (p = 0...
December 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30484843/care-plan-standardization-for-older-adults-opportunities-for-nursing-leadership
#6
Lynn F Reinke, Meghan Hendricksen, Joanne Lynn
Care plans guide and document achievement of short- and long-term goals. However, most care plans are discipline oriented, document medical problems, and lack person-centered information such as care preferences. The current authors' goal was to explore the status of comprehensive care plans and the future application of sharing data among health care providers and settings. Semi-structured interviews were conducted among a variety of professionals in six geographically diverse settings to learn the status and performance of care plans...
December 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30468003/now-is-the-time-for-evidence-generating-practice-in-gerontological-nursing
#7
EDITORIAL
Sarah H Kagan
No abstract text is available yet for this article.
December 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/30465474/knowledge-gaps-about-end-of-life-decision-making-among-mexican-american-older-adults-and-their-family-caregivers-an-integrative-review
#8
Janice D Crist, Evangeline M Ortiz-Dowling, Kimberly D Shea, Linda R Phillips
INTRODUCTION: Mexican Americans (MAs) are the largest, fastest growing Latino subgroup in the United States, yet their use of hospice is limited. To better understand this disparity, the authors conducted an integrative review focused on MA caregiving families' end-of-life (EOL) care decisions. METHOD: In this literature review, the authors content analyzed results and discussions of 22 research studies focused on EOL decisions, which sampled MA adults at least 50 years old and/or families...
November 22, 2018: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
https://www.readbyqxmd.com/read/30381991/case-based-powerpoint-to-improve-knowledge-and-comfort-of-having-code-status-discussions-by-physician-assistant-and-nurse-practitioner-students
#9
Kimberly Schoonover, Andrew Herber, Sally Heusinkvelt, Hemang Yadav, M Caroline Burton
BACKGROUND: Little is known about how certain educational interventions may improve informed code status discussions by physician assistant (PA) and nurse practitioner students. METHODS: This is a prospective, prospective, single academic center pilot study utilizing a short case-based PowerPoint that reviewed the differences between code status choices and the likelihood of survival to hospital discharge of attempted resuscitation after a cardiac arrest. Training occurred between September 1, 2017, and May 31, 2018...
November 1, 2018: Journal of Palliative Care
https://www.readbyqxmd.com/read/30370688/validation-of-nursing-outcomes-and-interventions-to-older-adults-care-with-risk-or-frail-elderly-syndrome-proposal-of-linkages-among-noc-nic-and-nanda-i-to-clinical-practice
#10
Amália de Fátima Lucena, Carla Argenta, Miriam de Abreu Almeida, Sue Moorhead, Elizabeth Swanson
OBJECTIVE: Select and validate outcomes from Nursing Outcomes Classification and interventions from Nursing Interventions Classification for diagnoses Risk for Frail Elderly Syndrome and Frail Elderly Syndrome/NANDA International. METHODS: A consensus study with 15 gerontological nursing specialists. Data were collected by a Google forms instrument developed by the research team and analyzed using descriptive statistics. RESULTS: For the risk diagnosis, 11 outcomes and seven interventions were validated...
October 28, 2018: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/30358888/influence-of-leisure-activity-participation-between-genders-among-korean-older-adults
#11
Min Kyung Gu, Sohyune R Sok
The current study examined and compared the effect of male and female older adults' participation level in leisure activities on their perceived health status, psychological well-being, levels of depression, levels of loneliness, and successful aging. A cross-sectional descriptive study design was used. Study participants comprised 197 older adults (women: n = 108, men: n = 89) ages 65 and older who were living in Gyeonggi Province, South Korea. Measures were the perceived health status scale, Geriatric Depression Scale Short Form-Korea, psychological well-being scale, loneliness scale, and successful aging scale...
November 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30358887/perceptions-of-mental-health-among-hispanic-older-adults-findings-among-immigrants-from-the-dominican-republic-colombia-and-guatemala
#12
Alicia J Curtin, Diane C Martins, Ada A Genere, Dilennys M Perez, Esthefany Cabrera, Natasha Viveiros, Donna Schwartz-Barcott
Disparities exist in the recognition and treatment of mental health issues among Hispanic community-dwelling older adults. Previous researchers have focused on accessing mental health services, with limited attention to older Hispanic immigrants' perceptions of mental health issues. A qualitative descriptive research design was used to understand older Hispanic immigrants' perceptions of mental health issues, especially those related to stress, anxiety, and depression. Seventeen older adults from the Dominican Republic, Colombia, and Guatemala were interviewed...
November 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30358886/person-centered-incontinence-care-in-residential-care-facilities-for-older-adults-with-cognitive-decline-feasibility-and-preliminary-effects-on-quality-of-life-and-quality-of-care
#13
Helle Wijk, Kirsten Corazzini, Irma Lindström Kjellberg, Anton Kinnander, Eirini Alexiou, Karl Swedberg
The current study operationalized, assessed, and evaluated the feasibility and preliminary effects of implementing a person-centered approach to incontinence care for older adults with cognitive decline in residential care facilities (RCFs) in Sweden. Twenty health care workers were purposively sampled from two intervention RCFs. Process outcome was measured as number of assessments conducted for incontinence management. Impact outcome measures were quality of life, basal assessment of incontinence, incontinence actions taken, and personally chosen incontinence aids...
November 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/30314560/reducing-emergency-presentations-from-long-term-care-a-before-and-after-study-of-a-multidisciplinary-team-intervention
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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