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Adult Nurs*

Nguyet Thi Nguyen, Clint Douglas, Ann Bonner
AIMS: To examine the effectiveness of a self-management intervention compared with usual care in adults with chronic kidney disease on self-management, knowledge, self-efficacy, health-related quality of life and blood pressure. DESIGN: A parallel group randomized controlled trial. METHODS: Patients aged ≥ 18 years with chronic kidney disease stages 3-5 were recruited between November 2015 - June 2016. Participants were randomly allocated into either the intervention (N = 68) or control group (N = 67)...
December 10, 2018: Journal of Advanced Nursing
Ilknur Dolu, Nursen O Nahcivan
BACKGROUND: Sleep problems are much more prevalent in nursing home residents than in their community-dwelling counterparts. Cognitive behavioural therapy is likely to improve sleep quality in older adults. However, these interventions have a narrow scope to generalise to nursing home practice, and there are minimal data on the effectiveness of the integration of cognitive behavioural therapy and motivational interviewing in nursing home settings. AIM: The purpose of this study was to investigate the impact of a nurse-led sleep programme on the sleep quality and depressive symptomatology in cognitively intact nursing home residents...
December 7, 2018: International Journal of Older People Nursing
Pauline Joyce, Zena Eh Moore, Janice Christie
BACKGROUND: Pressure ulcers, which are a localised injury to the skin, or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful, expensive to manage and have a negative impact on quality of life. While individual patient safety and quality care stem largely from direct healthcare practitioner-patient interactions, each practitioner-patient wound-care contact may be constrained or enhanced by healthcare organisation of services...
December 9, 2018: Cochrane Database of Systematic Reviews
Johanna E Bellon, Andrew Bilderback, Namita S Ahuja-Yende, Cindy Wilson, Stefanie C Altieri Dunn, Deborah Brodine, Michael L Boninger
OBJECTIVES: To compare rates of 30- and 90-day hospital readmissions and observation or emergency department (ED) returns of older adults using the University of Pittsburgh Medical Center (UPMC) Health Plan Home Transitions (HT) with those of Medicare fee-for-service (FFS) controls without HT. DESIGN: Retrospective cohort study. SETTING: Analysis of home health and hospital records from 8 UPMC hospitals in Allegheny County, Pennsylvania, from July 1, 2015, to April 30, 2017...
December 8, 2018: Journal of the American Geriatrics Society
Cynthia L Holle, Mary A Turnquist, James L Rudolph
Natural disasters impact people of every age in the communities where they occur, with older adults being a vulnerable subset of the population. Most disaster shelter volunteer nurses are experienced in addressing common health needs of older adult clients such as diabetes, hypertension, and pulmonary disease. These nurses also have the requisite training to respond to more acute medical events, including the symptoms of a heart attack or stroke. They provide care and comfort to those suffering from the distress, anxiety, and fear caused by disasters...
December 9, 2018: Nursing Forum
Savanna M Tierney, Steven Paul Woods, David Sheppard, Ronald J Ellis
Age and HIV disease have additive effects on neural systems that support motor functioning. The current study examined the combined impact of aging and HIV on extrapyramidal motor functions, which were hypothesized to influence on activities of daily living (ADLs) and quality of life (QoL). Participants included 336 adults classified by HIV serostatus and age. A research nurse administered the Unified Parkinson's Disease Rating Scale (UPDRS) and participants completed the modified Lawton & Brody ADL and the Short Form Survey Instrument (SF-36) questionnaires as part of a larger neuropsychological research battery...
December 10, 2018: Journal of Neurovirology
Fay M Mitchell-Brown, Tiernan Veisze
Although minimal change disease (MCD) is a major cause of nephrotic syndrome in children, it's less common in adults. It develops from damage to the glomeruli with a loss of large amount of protein in the urine. Early recognition and treatment is the key to a good outcome. This article describes the diagnosis, treatment, and nursing care of an adult with MCD.
December 10, 2018: Nursing
Suzanne S Sullivan, Sharon Hewner, Varun Chandola, Bonnie L Westra
BACKGROUND: Newer analytic approaches for developing predictive models provides a method of creating decision support to translate findings into practice. OBJECTIVES: To develop and validate a clinically interpretable predictive model for 12-month mortality risk among community-dwelling older adults. This is done by using routinely collected nursing assessment data to aide homecare nurses in identifying older adults who are at risk for decline, providing an opportunity to develop care plans that support patient and family goals for care...
December 6, 2018: Nursing Research
Lisa Marie Knowlton, Alex H S Harris, Lakshika Tennakoon, Mary T Hawn, David A Spain, Kristan L Staudenmayer
BACKGROUND: Hospital costs are partly a function of length of stay (LOS), which can be impacted by the local availability of post-acute care (PAC) resources (inpatient rehabilitation and skilled nursing facilities), particularly for injured patients. We hypothesized that LOS for trauma patients destined for PAC would be variable based on insurance type and hospitals from which they are discharged. METHODS: We used the 2014-2015 National Inpatient Sample from the Healthcare Cost and Utilization Project (HCUP)...
December 5, 2018: Journal of Trauma and Acute Care Surgery
Nahed Alquwez, Jonas Preposi Cruz, Joseph U Almazan, Majed Sulaiman Alamri, Jennifer J Mesde
BACKGROUND: With the steadily increasing size of its elderly popu.lation, Saudi Arabia is currently trying to meet the demands for com.petent care for older people. However, the lack of a valid and reliable measurement instrument in the Arab Peninsula hinders related studies among nursing students in this part of the globe. Given the importance of nursing students' attitudes toward working with older people, a specialized tool that can provide an accurate assessment of students' attitudes toward older adults is necessary...
November 2018: Annals of Saudi Medicine
Francine Bono-Neri, Cara Romano, Anne Isedeh
Cystic fibrosis (CF) is an autosomal recessive genetic disorder resulting from a mutation in the gene which encodes a cellular transmembrane protein channel known as the CF transmembrane conductance regulator. Located systemically on the surface of numerous cells, these altered channels yield multisystem dysfunction. Typical manifestations seen are chronic, progressive, obstructive lung disease, pancreatic insufficiency, CF-related diabetes mellitus, malabsorption and malnutrition, liver disease, and infertility...
October 24, 2018: Journal of Pediatric Health Care
Ann M Schreier, Lee Ann Johnson, Nasreen A Vohra, Mahvish Muzaffar, Brandon Kyle
BACKGROUND: In part because of improvements in early detection and treatment, the number of breast cancer survivors is increasing. After treatment, however, breast cancer survivors often experience distressing symptoms, including pain, sleep disturbance, anxiety, and fatigue; at the same time, they have less frequent contact with health care providers. Pain commonly co-occurs with other symptoms and the combination of symptoms contribute to the amount of distress experienced by survivors...
December 6, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Franc Louie M De Guzman, Louise Nathalie Ngalee Moukoulou, Linda D Scott, Julie J Zerwic
Lesbian, gay, bisexual, and transgender (LGBT) people make up 4% of the adult population in the United States; however, it is unclear if there is sufficient material in nursing textbooks for students to learn how to provide care for sexual minority populations. A content analysis of two commonly used health assessment textbooks was completed to identify material that prepared nurses for LGBT patient interactions. Topics such as gender neutrality, same-sex partners, and other terms referring to LGBT persons were considered LGBT content...
November 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Ana Montoya, Richard Schildhouse, Anupama Goyal, Jason D Mann, Ashley Snyder, Vineet Chopra, Lona Mody
BACKGROUND: Hands of health care personnel (HCP) can transmit multidrug-resistant organisms (MDROs), resulting in infections. Our aim was to determine MDRO prevalence on HCP hands in adult acute care and nursing facility settings. METHODS: A systematic search of PubMed/MEDLINE, Web of Science, CINAHL, Embase, and Cochrane CENTRAL was performed. Studies were included if they reported microbiologic culture results following HCP hands sampling; included prevalent MDROs, such as methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus, Clostridium difficile, Acinetobacter baumannii, or Pseudomonas aeruginosa, and were conducted in acute care or nursing facility settings...
December 5, 2018: American Journal of Infection Control
Claudia Rutherford, Julia M Brown, Isabelle Smith, Elizabeth McGinnis, Lyn Wilson, Rachael Gilberts, Sarah Brown, Susanne Coleman, Howard Collier, Jane Nixon
INTRODUCTION: Pressure ulcer-specific patient-reported outcome (PRO) instruments should be used to inform patient care and provide a strong evidence base for interventions aimed at preventing pressure ulcers. The aim was to carry out a comprehensive evaluation of the psychometric properties of a PRO instrument designed to assess symptoms and functional outcomes in patients at high-risk of developing pressure ulcers, the PU-QOL-P instrument. METHODS: We modified the original PU-QOL instrument to be suitable for patients at high risk of pressure ulcer development based on feedback from patients, specialist nurses and PRO methodologists...
December 10, 2018: Health and Quality of Life Outcomes
Roman Kostner, Hanna Mairvongrasspeinten, Andrea De Martin Polo, Fabio Vittadello, Dietmar Ausserhofer, Franco Mantovan
Types and frequencies of complications associated with midline catheters and PICCs in a South Tyrolean district hospital: a retrospective cohort study Abstract. BACKGROUND: Specialized registered nurses play a key role in the insertion and management of peripherally inserted central catheters (PICCs) and midline catheters in Anglo-Saxon countries. From the German-speaking area no data on the use of PICCs and midline catheters are available. AIM: The aim of this study was to describe the types and frequencies of complications of PICCs and midline catheters which were inserted by specialized registered nurses in a South Tyrolean district hospital...
December 7, 2018: Pflege
Katy Skarparis, Claire Ford
Katy Skarparis, Lecturer, Adult Nursing, Northumbria University ( ) and Claire Ford, Lecturer, Adult Nursing, Northumbria University describe how to select a suitable site and take a blood sample using vacuum collection tubes.
December 13, 2018: British Journal of Nursing: BJN
Lynn Craig, Emma Senior
Lynn Craig, Subject Lead, Adult Nursing, and Senior Lecturer ( ) and Emma Senior, Senior Lecturer/Programme Lead, Adult Nursing, Northumbria University, Newcastle upon Tyne, discuss the nurse's role in public health interventions using the Making Every Contact Count approach.
December 13, 2018: British Journal of Nursing: BJN
Michelle Mitchell, Barry Hill
Michelle Mitchell, Graduate Tutor for Adult Nursing, Northumbria University, and Barry Hill, Senior Lecturer in Adult Nursing, Northumbria University, describe the different catheterisation needs of men and women and the procedures to follow.
December 13, 2018: British Journal of Nursing: BJN
Alexandra Carlin
Wound care in older adults is complex. A logical, structured approach should be taken, using a nursing process such as assessing, planning, implementing and evaluating. This clinical focus paper outlines the nursing process to support wound care in this patient group. It recommends considering dressing selection as a cost-effective, prescribing decision because of the risks and comorbidities associated with these patients.
December 1, 2018: British Journal of Community Nursing
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