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Adult Nurs*

S Buyle-Bodin, A Amad, F Medjkane, S Bourion-Bedes, P Thomas, T Fovet
BACKGROUND: In France, on the first of January 2018, 772 underage persons were in jail or about 1.1 % of the incarcerated population. The prevalence of psychiatric disorders among those inmates is high. As a result psychiatric care (and particularly full-time hospitalization) is essential for this population. The unités hospitalières spécialement aménagées (UHSA) are full-time inpatient hospitalization units for inmates in France. Adults but also underage inmates can be admitted to UHSA for voluntary or involuntary hospitalization...
October 16, 2018: L'Encéphale
Kristien Scheepmans, Koen Milisen, Koen Vanbrabant, Louis Paquay, Hendrik Van Gansbeke, Bernadette Dierckx de Casterlé
BACKGROUND: Although there is evidence that use of restraints in home care is increasing, research into the factors associated with restraints in this setting is scarce. OBJECTIVE: To gain insight into the factors associated with restraints in older adults receiving home care. DESIGN: A secondary analysis of a cross-sectional survey about restraint use in home care. SETTINGS: Older adults receiving home care in Belgium...
August 23, 2018: International Journal of Nursing Studies
Maria Hjorth, Daniel Sjöberg, Anncarin Svanberg, Elenor Kaminsky, Sophie Langenskiöld, Fredrik Rorsman
INTRODUCTION: Liver cirrhosis affects health-related quality of life (HRQoL) even in its early stages. Morbidity is especially high when the disease decompensates and self-care actions become essential. Nurse involvement in secondary prevention in other chronic diseases has contributed to better symptom control, less need of inpatient care and improved HRQoL. In order to evaluate the impact of nurse involvement in the follow-up of patients with liver cirrhosis, we decided to compare structured nurse-led clinics, inspired by Dorothea Orem's nursing theory and motivational strategies, with a group of patients receiving standard care...
October 17, 2018: BMJ Open
Joseph R Linzey, Elyne N Kahn, Maksim A Shlykov, Kyle T Johnson, Katie Sullivan, Aditya S Pandey
BACKGROUND: In an era of growing healthcare costs, there is increased pressure on medical care providers to discharge patients once they are medically fit. However, it is not uncommon for patients to stay beyond medical readiness (BMR). OBJECTIVE: To analyze the frequency with which patients remain in the hospital BMR. METHODS: A prospective cohort analysis utilizing a database maintained between 2014 and 2015 included 718 adults admitted to the neurosurgical service...
October 17, 2018: Neurosurgery
Ning Wang, Zhihui Yang, Jingxia Miao, Xue Mi, Suting Liu, Cindy Stern, Kylie Porritt, Lili Zhang
OBJECTIVES: This project aimed to identify and promote evidence-based practice in the management of cancer related fatigue (CRF) in the oncology unit of Nanfang Hospital, affiliated with the Southern Medical University in People's Republic of China. INTRODUCTION: Cancer-related fatigue is one of the most common symptoms in patients with cancer and significantly affects their functioning and quality of life. However, it is often inadequately addressed and evidence-based practices are not always followed...
October 2018: JBI Database of Systematic Reviews and Implementation Reports
Li Hui Tay, Andrew Kok Wah Ong, Dora Siew Ping Lang
INTRODUCTION: Counseling is a brief psycho-educational intervention that is useful in facilitating personal growth and adaptive resolution of life stresses. With increased recognition on the psycho-emotional needs of patients with cancer, it is prudent to consider the possibility of expanding the role of nurses in the provision of counseling. OBJECTIVE: This qualitative systematic review aimed to establish the best available evidence on the experiences of adult cancer patients receiving counseling provided by nurses...
October 2018: JBI Database of Systematic Reviews and Implementation Reports
Isis Marques Severo, Ricardo Kuchenbecker, Débora Feijó Villas Boas Vieira, Luciana Ramos Correa Pinto, Michele Elisa Weschenfelder Hervé, Amália de Fátima Lucena, Miriam de Abreu Almeida
AIM: To develop and validate a predictive model for falls in hospitalized adult clinical and surgical patients, assessing intrinsic (i.e. patient-related) and extrinsic factors (i.e. care process-related). BACKGROUND: To identify factors predictive of falls and enable appropriate management of fall risk it is necessary to understand patient and environmental factors, along with care delivery processes. DESIGN: A matched case-control study...
October 18, 2018: Journal of Advanced Nursing
Midori Ohta, Takayuki Ueda, Kaoru Sakurai
The deterioration in masticatory function often seen in older adults rules out the consumption of hard foods, while a common decline in autonomic nervous response often observed in older adults may result in maladjustment to environmental stresses. The purpose of this study was to investigate whether autonomic nervous activity in older adults increased during the mastication of soft foods compared to at rest. The participants comprised 9 volunteer nursing home residents aged 78 to 100 years. All consumed soft rice as a grain dish and coarsely chopped food as side dishes...
October 18, 2018: Bulletin of Tokyo Dental College
Xiao Bin Lai, Frances Kam Yuet Wong, Shirley Siu Yin Ching
BACKGROUND: More patients are dying in non-palliative care settings than in palliative care settings. How health care providers care for adult patients at the end-of-life stage in non-palliative care settings has not been adequately explored. The aim of this study was to explore the experiences of health care providers in caring for patients at the end-of-life stage in non-palliative care settings. METHODS: This is a qualitative study. Twenty-six health care providers from eight health care institutions which are based in Shanghai were interviewed individually between August 2016 and February 2017...
October 17, 2018: BMC Palliative Care
William V Padula, Joyce M Black
Compliance with international best practice guidelines can effectively prevent most hospital-acquired pressure injuries (HAPIs).(Black 2011, National Pressure Ulcer Advisory Panel 2010, Padula et al. 2016) These guidelines include several nursing interventions that first were introduced in 1992 by the U.S. Agency for Healthcare Research & Quality (AHRQ), and have since been updated by the National Pressure Ulcer Advisory Panel (NPUAP) every 3-5 years.(NPUAP 2014, Panel on the Prediction and Prevention of Pressure Ulcers in Adults 1992...
October 17, 2018: Journal of Clinical Nursing
G Cetrano, L Salvador-Carulla, F Tedeschi, L Rabbi, M R Gutiérrez-Colosía, J L Gonzalez-Caballero, A-L Park, D McDaid, R Sfetcu, J Kalseth, B Kalseth, Ø Hope, M Brunn, K Chevreul, C Straßmayr, G Hagmair, K Wahlbeck, F Amaddeo
AimsAlthough many mental health care systems provide care interventions that are not related to direct health care, little is known about the interfaces between the latter and core health care. 'Core health care' refers to services whose explicit aim is direct clinical treatment which is usually provided by health professionals, i.e., physicians, nurses, psychologists. 'Other care' is typically provided by other staff and includes accommodation, training, promotion of independence, employment support and social skills...
October 17, 2018: Epidemiology and Psychiatric Sciences
Els Devriendt, Pieter Heeren, Steffen Fieuws, Nathalie I H Wellens, Mieke Deschodt, Johan Flamaing, Marc Sabbe, Koen Milisen
BACKGROUND: International guidelines recommend adapting the classic emergency department (ED) management model to the needs of older adults in order to ameliorate post-ED outcomes among this vulnerable group. To improve the care for older ED patients and especially prevent unplanned ED readmissions, the URGENT care model was developed. METHODS: The URGENT care model is a nurse-led, comprehensive geriatric assessment based care model in the ED with geriatric follow-up after ED discharge...
October 16, 2018: BMC Geriatrics
Claire Sunyach, Barbara Antonelli, Sophie Tardieu, Michele Marcot, Jeanne Perrin, Florence Bretelle
The exposure of adults of reproductive age as well as pregnant women and children to environmental contaminants is of particular concern, as it can impact fertility, in utero development, pregnancy outcomes and child health. Consequently, the World Health Organisation (WHO) and international societies advocate including Environmental Health (EH) in perinatal care, yet perinatal health professionals (HPs) hardly put these recommendations into practice. In 2017, a cross-sectional study was performed in a large panel of perinatal HPs in south-eastern France with the aim of painting a picture of their current attitudes, representation, knowledge, and training expectations...
October 15, 2018: International Journal of Environmental Research and Public Health
Michael K Dougherty, Alison T Brenner, Seth D Crockett, Shivani Gupta, Stephanie B Wheeler, Manny Coker-Schwimmer, Laura Cubillos, Teri Malo, Daniel S Reuland
Importance: Colorectal cancer screening (CRC) is recommended by all major US medical organizations but remains underused. Objective: To identify interventions associated with increasing CRC screening rates and their effect sizes. Data Sources: PubMed, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Library, and were searched from January 1, 1996, to August 31, 2017. Key search terms included colorectal cancer and screening...
October 15, 2018: JAMA Internal Medicine
Yong-Bing Liu, Ling-Ling Xue, Hui-Ping Xue, Ping Hou
It is very important to estimate the prevalence of inadequate health literacy and determine whether or not health literacy level differences predict the physical and mental health status of older adults. A cluster sampling method was selected. A total of 1396 older adults were interviewed. Three instruments were included: the Chinese Citizen Health Literacy Questionnaire, Short Form 36, and Activity of Daily Living (ADL) Scale. The health literacy scores were very low (71.74 ± 28.35). The physical and mental health scores were all moderate...
September 2018: Asia-Pacific Journal of Public Health
Laura Krone Larsen, Vibe G Frøkjaer, Jette Stub Nielsen, Yoanna Skrobik, Yvonne Winkler, Kirsten Møller, Marian Petersen, Ingrid Egerod
BACKGROUND: Delirium is underinvestigated in the neuro-critically ill, although the harmful effect of delirium is well established in patients in medical and surgical intensive care units (ICU).To detect delirium, a valid tool is needed. We hypothesized that delirium screening would be feasible in patients with acute brain injury and we aimed to validate and compare the Confusion Assessment Method for the ICU and the Intensive Care Delirium Screening Checklist against clinical International Classification of Diseases-10 criteria as reference...
October 16, 2018: Acta Anaesthesiologica Scandinavica
Emily O Wakefield, William T Zempsky, Rebecca M Puhl, Mark D Litt
Introduction: Chronic pain in adolescents is a significant medical condition, affecting the physical and psychological well-being of youth and their families. Pain-related stigma is a significant psychosocial factor in adolescents with chronic pain that has been understudied, despite its implications for negative health outcomes, poor quality of life, and increased healthcare utilization. Objectives: To examine pain-related stigma in the literature documenting pediatric and adult health-related stigma and present preliminary findings from a focus group of adolescents with chronic pain...
September 2018: Pain Reports (Baltimore, Md.)
Margaret Dymond, Domhnall O'Dochartaigh, Matthew J Douma
INTRODUCTION: Few practice improvement registries exist that describe opportunities to improve intraosseous (IO) use. The goal of this project was to assess the success rate of the procedure by emergency nurses and identify opportunities to improvement. Secondary goals were to assess success rates based on clinician type, age of patient, and procedural factors. METHODS: Emergency nurses assigned to the resuscitation area of a tertiary care emergency department completed an education module and skill lab on IO placement...
October 12, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Daniel Z Mansour, Joseph G Marek, Rachelle Shelly Spiro, Nicole J Brandt
The Chesapeake Regional Information System for our Patients (CRISP) is a health information exchange in Maryland that is designed to improve communication among members of the health care team including physicians, nurses, and other health professionals. Senior care pharmacists gained access to CRISP through successful collaborative efforts at both the state and national levels. This involved efforts to address medication-related problems that continue to be a concern during transitions of care, especially for older, vulnerable adults...
October 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
Tamilyn Bakas, Debi Sampsel, Jahmeel Israel, Ameya Chamnikar, Angela Ellard, John Greer Clark, Megan Gresham Ulrich, Dieter Vanderelst
BACKGROUND AND PURPOSE: With the growth in the aging population, and shortage of primary care providers, telehealth programs are needed to optimize healthy independent living for older adults. The purpose of this study was to evaluate a nurse-led intervention program delivered through a telepresence robot to promote healthy lifestyles and address chronic illness management among older adults living independently in a retirement community. Telepresence robots provide two-way video-mediated communication with remote in-home navigation...
October 15, 2018: Journal of Nursing Scholarship
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