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Nursing, geriatrics, pain

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https://www.readbyqxmd.com/read/27790616/a-comprehensive-comparison-of-the-efficacy-and-tolerability-of-racecadotril-with-other-treatments-of-acute-diarrhea-in-adults
#1
REVIEW
Wolfgang Fischbach, Viola Andresen, Marion Eberlin, Tobias Mueck, Peter Layer
Racecadotril is a guideline-recommended treatment to alleviate symptoms of acute diarrhea. A systematic review of randomized studies was performed comparing efficacy and safety of treatment with racecadotril to that with placebo or active treatments in adults. In five double-blind studies, racecadotril and placebo had comparable tolerability, but racecadotril was more effective. This was consistent across multiple efficacy parameters including duration of diarrhea, number of diarrheic stools, abdominal pain, and meteorism; it was also consistent across countries in Africa, Asia, and Europe...
2016: Frontiers in Medicine
https://www.readbyqxmd.com/read/27633827/palliative-care-needs-and-symptoms-of-nursing-home-residents-with-and-without-dementia-a-cross-sectional-study
#2
Kirsten Hermans, Joachim Cohen, Nele Spruytte, Chantal Van Audenhove, Anja Declercq
AIM: The aims of the present study were: (i) to describe palliative care needs and symptoms of older adults anticipated to be in the last year of their life in Flemish nursing homes (Belgium); and (ii) to evaluate whether these needs differ between residents with and without dementia. METHODS: A cross-sectional study was carried out in 2014. Nurses and nursing assistants in 15 Flemish nursing homes (Belgium) completed the Palliative care Outcome Scale for 109 residents with palliative care needs...
September 16, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27614077/comprehensive-geriatric-assessment-recognition-of-identified-geriatric-conditions-by-community-dwelling-older-persons
#3
Marjon van Rijn, Jacqueline J Suijker, Wietske Bol, Eva Hoff, Gerben Ter Riet, Sophia E de Rooij, Eric P Moll van Charante, Bianca M Buurman
OBJECTIVES: to study (i) the prevalence of geriatric conditions in community-dwelling older persons at increased risk of functional decline and (ii) the extent to which older persons recognise comprehensive geriatric assessment (CGA)-identified conditions as relevant problems. METHODS: trained registered nurses conducted a CGA in 934 out of 1209 older persons at increased risk of functional decline participating in the intervention arm of a randomised trial in the Netherlands...
November 2016: Age and Ageing
https://www.readbyqxmd.com/read/27590032/stability-of-geriatric-syndromes-in-hospitalized-medicare-beneficiaries-discharged-to-skilled-nursing-facilities
#4
Sandra F Simmons, Susan Bell, Avantika A Saraf, Chris S Coelho, Emily A Long, J M L Jacobsen, John F Schnelle, Eduard E Vasilevskis
OBJECTIVES: To assess multiple geriatric syndromes in a sample of older hospitalized adults discharged to skilled nursing facilities (SNFs) and subsequently to home to determine the prevalence and stability of each geriatric syndrome at the point of these care transitions. DESIGN: Descriptive, prospective study. SETTING: One large university-affiliated hospital and four area SNFs. PARTICIPANTS: Fifty-eight hospitalized Medicare beneficiaries discharged to SNFs (N = 58)...
October 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27355296/frailty-and-quality-of-life-in-elderly-primary-health-care-users
#5
Maria Helena Lenardt, Nathalia Hammerschmidt Kolb Carneiro, Maria Angélica Binotto, Mariluci Hautsch Willig, Tânia Maria Lourenço, Jéssica Albino
OBJECTIVE: to investigate the association between physical frailty and quality of life in elderly users of primary health care in the capital of the state of Paraná. METHOD: a cross-sectional, quantitative study with 203 elders. Data collected included: physical activity questionnaires, weight loss, fatigue/exhaustion, quality of life, performance of gait speed tests, and handgrip strength. RESULTS: of the 203 older adults, 115 were pre-frail, 49 were non-frail, and 39 were frail, with a significant association with functional capacity and quality of life in all groups...
June 2016: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27351557/-well-being-and-psychosocial-activities-in-nursing-homes-survey-of-residents
#6
R Cramer-Ebner, C Dorn, A Feilcke, I Hach
BACKGROUND: Assessment and self-assessment frequently differ, e. g. in psychosomatic disorders and complaints. At the same time the prevalence of corresponding disorders in old age is high. OBJECTIVE: This study investigated psychosocial factors from the perspective of nursing home residents and compared this self-assessment with data collected in other scientific studies with assessments by nursing home staff. The aim was to develop specific recommendations for the nursing home sector...
June 28, 2016: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/27351262/improving-rural-geriatric-care-through-education-a-scalable-collaborative-project
#7
Harleah G Buck, Ann Kolanowski, Donna Fick, Lawrence Baronner
HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo...
July 1, 2016: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/27245979/acute-hospital-dementia-care-results-from-a-national-audit
#8
Suzanne Timmons, Emma O'Shea, Desmond O'Neill, Paul Gallagher, Anna de Siún, Denise McArdle, Patricia Gibbons, Sean Kennelly
BACKGROUND: Admission to an acute hospital can be distressing and disorientating for a person with dementia, and is associated with decline in cognitive and functional ability. The objective of this audit was to assess the quality of dementia care in acute hospitals in the Republic of Ireland. METHODS: Across all 35 acute public hospitals, data was collected on care from admission through discharge using a retrospective chart review (n = 660), hospital organisation interview with senior management (n = 35), and ward level organisation interview with ward managers (n = 76)...
2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27162807/pain-monitoring-and-medication-assessment-in-elderly-nursing-home-residents-with-dementia
#9
Mette Marie Tang, Morten Gill Wollsen, Lise Aagaard
OBJECTIVE: To monitor pain intensity, pain symptoms, and medication use in elderly with dementia. METHODS: Nursing home residents above 65 years of age, diagnosed with dementia, and showing pain symptoms were included in the study. The patients' mental status was monitored through a mini-mental state examination score and observations of pain symptoms using Part 1 of the Mobilization-Observation-Behaviour-Intensity-Dementia-2 (MOBID-2) pain scale. Community pharmacists reviewed the patients' medication use, and the prescriptions were compared with guidelines for treatment of geriatric patients...
April 2016: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/27110220/expanding-access-to-pain-care-for-frail-older-people-in-primary-care-a-cross-sectional-study
#10
M E Muntinga, A P D Jansen, F G Schellevis, G Nijpels
BACKGROUND: Although untreated pain has a negative impact on quality of life and health outcomes, research has shown that older people do not always have access to adequate pain care. Practice nurse-led, comprehensive geriatric assessments (CGAs) may increase access to tailored pain care for frail, older people who live at home. To explore this, we investigated whether new pain cases were identified by practice nurses during CGAs administered as part of an intervention with the Geriatric Care Model, a comprehensive care model based on the Chronic Care Model, and whether the intervention led to tailored pain action plans in care plans of frail, older people...
2016: BMC Nursing
https://www.readbyqxmd.com/read/27059831/geriatric-syndromes-in-hospitalized-older-adults-discharged-to-skilled-nursing-facilities
#11
MULTICENTER STUDY
Susan P Bell, Eduard E Vasilevskis, Avantika A Saraf, J M L Jacobsen, Sunil Kripalani, Amanda S Mixon, John F Schnelle, Sandra F Simmons
OBJECTIVES: To determine the prevalence, recognition, co-occurrence, and recent onset of geriatric syndromes in individuals transferred from the hospital to a skilled nursing facility (SNF). DESIGN: Quality improvement project. SETTING: Acute care academic medical center and 23 regional partner SNFs. PARTICIPANTS: Medicare beneficiaries hospitalized between January 2013 and April 2014 and referred to SNFs (N = 686). MEASUREMENTS: Project staff measured nine geriatric syndromes: weight loss, lack of appetite, incontinence, and pain (standardized interview); depression (Geriatric Depression Scale); delirium (Brief Confusion Assessment Method); cognitive impairment (Brief Interview for Mental Status); and falls and pressure ulcers (hospital medical record using hospital-implemented screening tools)...
April 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27051281/analgesic-use-among-nursing-homes-residents-with-and-without-dementia-in-poland
#12
Agnieszka Neumann-Podczaska, Tomasz Nowak, Aleksandra Suwalska, Dorota Łojko, Roma Krzymińska-Siemaszko, Elżbieta Kozak-Szkopek, Katarzyna Wieczorowska-Tobis
Many age-associated diseases are accompanied by pain. There is no doubt that pain is underrecognized among elderly nursing home residents and the diagnosing of pain is a real challenge in subjects with dementia. The aim of the study was to characterize analgesic use among nursing home residents and to delineate the putative associations between pain management and cognitive functions of elderly persons. The study involved 392 subjects (males:females - 81:311) with a mean age of 83.6±5.9 years. The residents' medical files in relation to diagnoses and drug consumption were analyzed, and the screening of cognitive functions was performed using the Mini-Mental State Examination (MMSE)...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/26978144/self-reported-mobility-in-older-patients-predicts-early-postoperative-outcomes-after-elective-noncardiac-surgery
#13
Sunghye Kim, Anthony P Marsh, Lauren Rustowicz, Catherine Roach, Xiaoyan I Leng, Stephen B Kritchevsky, W Jack Rejeski, Leanne Groban
BACKGROUND: Specific geriatric assessment tools may complement traditional perioperative risk stratification. The aim of this study was to evaluate whether self-reported mobility is predictive of postoperative outcomes in older patients undergoing elective noncardiac surgery. METHODS: Patients aged 69 yr or older (n = 197) underwent (1) traditional risk assessments (American Society of Anesthesiologists physical status classification and Revised Cardiac Risk Index), (2) five-point frailty evaluation, (3) self-reported mobility assessment using the Mobility Assessment Tool-short form (range, 30...
April 2016: Anesthesiology
https://www.readbyqxmd.com/read/26921934/pilot-study-of-a-preventive-multicomponent-nurse-intervention-to-reduce-the-incidence-and-severity-of-delirium-in-hospitalized-older-adults-mid-nurse-p
#14
Almudena Avendaño-Céspedes, Nuria García-Cantos, María del Mar González-Teruel, Mónica Martínez-García, Elena Villarreal-Bocanegra, José Luis Oliver-Carbonell, Pedro Abizanda
BACKGROUND: Although multicomponent interventions are the gold standard for delirium management, few nurse-led interventions in Acute Geriatric Units (AGU) are described. OBJECTIVES: To analyze if a preventive multicomponent non-pharmacologic nurse-led intervention randomized clinical trial (MID-Nurse Study) is feasible (pilot study), and can reduce the incidence, duration, and severity of delirium in hospitalized older adults in an AGU. DESIGN: Parallel-group double-blind randomized clinical trial (pilot Study)...
April 2016: Maturitas
https://www.readbyqxmd.com/read/26831414/delirium-in-the-elderly-current-problems-with-increasing-geriatric-age
#15
Deepti Kukreja, Ulf Günther, Julius Popp
Delirium is an acute disorder of attention and cognition seen relatively commonly in people aged 65 yr or older. The prevalence is estimated to be between 11 and 42 per cent for elderly patients on medical wards. The prevalence is also high in nursing homes and long term care (LTC) facilities. The consequences of delirium could be significant such as an increase in mortality in the hospital, long-term cognitive decline, loss of autonomy and increased risk to be institutionalized. Despite being a common condition, it remains under-recognised, poorly understood and not adequately managed...
December 2015: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/26585091/the-effect-of-an-impaired-arousal-on-short-and-long-term-mortality-of-elderly-patients-admitted-to-an-acute-geriatric-unit
#16
Giuseppe Bellelli, Andrea Mazzone, Alessandro Morandi, Nicola Latronico, Sabrina Perego, Sara Zazzetta, Paolo Mazzola, Giorgio Annoni
OBJECTIVE: Impaired arousal is associated with negative outcomes in intensive care units, but studies in acute medical wards are scanty. The study aim was to evaluate the association between impaired arousal, as measured using an ultrabrief screen, and risk of both 1- and 6-month mortality and discharge to nursing home (NH) or hospice. DESIGN: Prospective cohort study with 6-month follow-up. SETTING: An acute geriatric unit (AGU) of a university-based hospital in Northern Italy...
March 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/26543069/the-evolution-of-an-inpatient-palliative-care-consultation-service-in-an-urban-teaching-hospital
#17
On Ying Liu, Theodore Malmstrom, Patricia Burhanna, Miriam B Rodin
BACKGROUND: Research on inpatient palliative medicine reports quality-of-life outcomes and selected "hard" outcomes including pain scores, survival, and readmissions. OBJECTIVE: This case study reports the evolution of an inpatient palliative consultation (IPC) team to show how IPC induces culture change in a hospital that previously had no palliative care. DESIGN: Retrospective chart review. SETTING: A Catholic university-affiliated, inner-city hospital...
November 5, 2015: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26345242/population-based-study-of-the-association-of-osteoporosis-and-chronic-musculoskeletal-pain-and-locomotive-syndrome-the-katashina-study
#18
COMPARATIVE STUDY
Yoichi Iizuka, Haku Iizuka, Tokue Mieda, Tsuyoshi Tajika, Atsushi Yamamoto, Kenji Takagishi
BACKGROUND: "Locomotive syndrome", a concept proposed by the Japanese Orthopaedic Association (JOA), refers to risk conditions among the elderly population that may lead to the need for nursing care services. The association between osteoporosis (OP) or chronic musculoskeletal pain (CMSP) and the screening results of locomotive dysfunction identified by the GLFS-25 (a 25-question geriatric locomotive function scale) has not yet been adequately investigated. MATERIALS AND METHODS: Two hundred eighty-seven Japanese subjects were evaluated for locomotive dysfunction using the GLFS-25 and were also evaluated for their bone status by a quantitative ultrasound (QUS) assessment of the bone status (i...
November 2015: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/26243061/indicators-of-oral-nutritional-supplements-prescription-in-nursing-home-residents-a-cross-sectional-study
#19
Charlotte Dupuy, Philipe de Souto Barreto, Anne Ghisolfi, Sophie Guyonnet, Béatrice Dorigny, Bruno Vellas, Yves Rolland
BACKGROUND & AIMS: Identifying factors associated with oral nutritional supplement (ONS) prescription in nursing homes (NH) may help to treat malnutrition in this very old and vulnerable population. OBJECTIVES: The aim of the study was to investigate if resident-related and NH-related characteristics were associated with ONS prescription. DESIGN: Cross-sectional study using medical and demographic data from 6275 NH residents and data on the structure and organization (e...
October 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/26225447/prevalence-geographic-variation-and-trends-in-hospital-services-relevant-to-the-care-of-older-adults-development-of-the-senior-care-services-scale-and-examination-of-measurement-properties
#20
Alicia I Arbaje, Qilu Yu, Karina A Newhall, Bruce Leff
BACKGROUND: The availability of hospital services for older adults nationwide is not well understood. OBJECTIVE: To present the development of the Senior Care Services Scale (SCSS) through: (1) identification of hospital services relevant to the care of older adults; (2) development of a taxonomy classifying these services; and (3) description of prevalence, geographic variation, and trends in service provision in US hospitals over time. DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study of US hospitals in 1999 and 2006 rounds of American Hospital Association Annual Survey of Hospitals (n=4998 and 4831 hospitals, respectively)...
September 2015: Medical Care
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