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https://www.readbyqxmd.com/read/29677380/end-of-life-education-and-discussions-with-assisted-living-certified-nursing-assistants
#1
Wendy L Mohlman, Kara Dassel, Katherine P Supiano, Michael Caserta
In previous work, the current researchers examined attitudes and experiences of certified nursing assistants (CNAs) providing end-of-life (EOL) care in an assisted living facility (ALF). Results showed that 70% of participating CNAs felt unprepared to provide EOL care, largely due to not having received prior EOL care education within their schools or workplaces. Therefore, the goal of the current study was to implement and evaluate EOL and postmortem education to ALF CNAs. A focus group of 14 CNAs within an ALF was provided EOL education pertaining to the physiological and psychological changes observed in patients nearing EOL and postmortem care...
April 19, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29668307/barriers-and-facilitators-for-clinical-care-engagement-among-hiv-positive-african-american-and-latino-men-who-have-sex-with-men
#2
James W Carey, Neal Carnes, Alisú Schoua-Glusberg, Katherine Kenward, Deborah Gelaude, Damian Denson, Elizabeth Gall, Laura A Randall, Paula M Frew
Achieving optimal health among people living with HIV (PLWH) requires linkage to clinical care upon diagnosis, followed by ongoing engagement in HIV clinical care. A disproportionate number of black/African American and Hispanic/Latino men who have sex with men (MSM) living with HIV do not, however, achieve ongoing care. We conducted semistructured interviews in 2014 with 84 urban black/African American and Hispanic/Latino MSM living with HIV to understand their barriers and facilitators to engagement. We classified men as care-engaged or not at the time of the interview, and conducted content analysis of the interview transcripts to identify barriers and facilitators to engagement...
April 18, 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29652611/an-assisted-living-interprofessional-education-and-practice-geriatric-screening-clinic-ipep-gsc-a-description-and-evaluation
#3
Jeannie Lee, Hannah Cioltan, Patty Goldsmith, Beverly Heasley, Marlene Dermody, Mindy Fain, Jane Mohler
As the U.S. population ages and lives longer, we need to assure that future providers are prepared to work in highly functioning interprofessional teams to deliver person-centered care for older adults with complex chronic conditions. Assisted living facilities are ideal venues in which to train interprofessional health sciences students in providing such care. After monthly clinics involving interprofessional students (from the colleges of medicine, nursing, pharmacy, public health, and school of social work) providing team-based care to older adults, students' post-clinic evaluations indicated perceived improvements in knowledge, attitudes, and perceptions about aging and care of older adults...
April 13, 2018: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/29623525/what-are-the-caregivers-needs-on-dementia-care-an-integrated-qualitative-and-quantitative-assessment
#4
Ilaria Cova, N Travi, L Maggiore, V Cucumo, C Mariani, S Pomati
Dementia is one of the main causes of disability later in life. Interventions in support of patients with dementia aim at granting the highest level of independence in activities of daily living and at delivering the required facilities; formal and informal caregivers represent the interface between patients and health services. The aims of our study were to assess caregivers' perceived needs and to relate them to their own socio-cultural features and to patients' clinical characteristics. During three consecutive months, 50 caregivers of patients with dementia were interviewed about their needs in the assistance of subjects with dementia by means of three structured questionnaires (Caregiver Needs Assessment [CNA], Zarit Burden Inventory [ZBI], Neuropsychiatric Inventory-Questionnaire [NPI-Q]) and of two open-ended questions...
April 5, 2018: Neurological Sciences
https://www.readbyqxmd.com/read/29613878/wandering-behaviors-and-activities-of-daily-living-among-older-adults-with-cognitive-impairment
#5
Mary Elizabeth Bowen, Meredeth Rowe
PURPOSE: The aim of the study was to examine the characteristics of wandering associated with preserved versus worsened activities of daily living (ADL) function. DESIGN: Longitudinal prospective design. Twenty-two cognitively impaired residents of an assisted living facility with over 450 observations were followed up to 8 months. METHODS: Hierarchical linear modeling techniques examine how wandering activity (episodes, distance traveled, gait speed), measured by a real-time locating system, may affect ADL (the Barthel index, the Functional Independence Measure [FIM])...
April 3, 2018: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/29576000/uterine-autotransplantation-in-the-nonhuman-primate-with-preservation-of-the-uterine-and-ovarian-vascular-pedicles
#6
Michelle N Han, Hugo Ramirez, Luis Ruvalcaba, Juan Luis Contreras, Atunga Nyachieo, Edwin Ramirez
PURPOSE: To evaluate the technical feasibility of performing a uterine autotransplantation in the nonhuman primate while preserving the uterine and ovarian vascular pedicles. METHODS: Eight (n = 8) female baboons at a primate research facility underwent a uterine autotransplant procedure with preservation of the vascular pedicles. The uterine arteries were separated from their amorphous tissue and skeletonized toward the internal iliac arteries bilaterally. A segment of the internal iliac artery was removed bilaterally along with both uterine arteries...
January 1, 2018: Reproductive Sciences
https://www.readbyqxmd.com/read/29570362/verbal-test-of-practical-judgment-vpj-a-new-test-of-judgment-that-predicts-functional-skills-for-older-adults
#7
William E Mansbach, Melissa A Tanner, Francis Schindler
OBJECTIVES: The clinical assessment of older adults' judgment is important for mitigating safety risks that often precipitate loss of independence. Our national survey of geriatric healthcare providers (N = 496; M years of experience = 17.11 ± 10.60) indicated that formal judgment tests are underutilized in clinical practice. We developed the Verbal Test of Practical Judgment (VPJ) as a new test of judgment for older adults intended to identify difficulty performing instrumental activities of daily living (IADL)...
March 23, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29566692/geographic-assessment-of-access-to-health-care-in-patients-with-cardiovascular-disease-in-south-africa
#8
Thandi Kapwata, Samuel Manda
BACKGROUND: Noncommunicable diseases (NCDs) including cardiovascular diseases (CVDs), diabetes, cancer and chronic lung disease are increasingly emerging as major contributors to morbidity and mortality in developing countries. For example, in South Africa, 195 people died per day between 1997 and 2004 from CVDs related causes. Access to efficient and effective health facility and care is an important contributing factor to overall population health and addressing prognosis, care and management CVD disease burden...
March 22, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29566372/prevalence-recognition-and-treatment-of-dementia-in-assisted-living-facilities
#9
Stanislav Sutovsky, Maria Kralova, Pavol Siarnik, Peter Turcani
BACKGROUND/AIMS: Dementia and psychiatric disorders are common in assisted living facilities (ALFs) and have suboptimal rates of recognition and treatment. Therefore, we aimed to obtain a direct estimate of the prevalence of cognitive impairment and especially dementia among residents of ALFs in western Slovakia and their rates of primary recognition and adequate treatment. METHODS: We conducted two cross-sectional studies. Ten ALFs within the city of Bratislava were chosen for the study in 2004, and again in 2011...
March 22, 2018: Dementia and Geriatric Cognitive Disorders
https://www.readbyqxmd.com/read/29556112/modeling-accessibility-of-screening-and-treatment-facilities-for-older-adults-using-transportation-networks
#10
Qiuyi Zhang, Mary E Northridge, Zhu Jin, Sara S Metcalf
Increased lifespans and population growth have resulted in an older U.S. society that must reckon with the complex oral health needs that arise as adults age. Understanding accessibility to screening and treatment facilities for older adults is necessary in order to provide them with preventive and restorative services. This study uses an agent-based model to examine the accessibility of screening and treatment facilities via transportation networks for older adults living in the neighborhoods of northern Manhattan, New York City...
April 2018: Applied Geography
https://www.readbyqxmd.com/read/29543104/exploring-the-mediating-role-of-social-support-and-fall-efficacy-on-the-association-of-falls-on-physical-activity-a-cross-sectional-study-in-an-assisted-living-population
#11
Nadia Schott, Maike Tietjens
Mobility restriction as a consequence of a fall is a major issue in assisted living facilities. Although many factors are related to falling, little is known about the relationship between falls, social support, falls efficacy, and physical activity. We examined the relationship between falls and the Social-Support-Questionnaire, the Activities-specific Balance Confidence scale, and physical activity simultaneously in 81 older adults (66-94 years) using structural equation modeling (SEM). The SEM model revealed that being older was associated with lower falls efficacy and a higher number of falls...
March 15, 2018: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/29523047/introducing-consumer-directed-care-in-residential-care-settings-for-older-people-in-australia-views-of-a-citizens-jury
#12
Kate Laver, Emmanuel Gnanamanickam, Craig Whitehead, Susan Kurrle, Megan Corlis, Julie Ratcliffe, Wendy Shulver, Maria Crotty
Objectives Health services worldwide are increasingly adopting consumer directed care approaches. Traditionally, consumer directed care models have been implemented in home care services and there is little guidance as to how to implement them in residential care. This study used a citizens' jury to elicit views of members of the public regarding consumer directed care in residential care. Methods A citizens' jury involving 12 members of the public was held over two days in July 2016, exploring the question: For people with dementia living in residential care facilities, how do we enable increased personal decision making to ensure that care is based on their needs and preferences? Jury members were recruited through a market research company and selected to be broadly representative of the general public...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29522366/effects-of-bilateral-swing-away-grab-bars-on-the-biomechanics-of-stand-to-sit-and-sit-to-stand-toilet-transfers
#13
Su Jin Lee, Ricky Mehta-Desai, Kyunggeune Oh, Jon Sanford, Boris I Prilutsky
PURPOSE: Kinetic characteristics of transfers to and from a toilet performed using bilateral grab bars are not fully quantified to inform grab bar design and configuration. The purpose of this study was to (1) determine effects of bilateral swing-away grab bars on peaks of ankle, knee and hip joint moments during grab bar assisted stand-to-sit and sit-to-stand transfers; and (2) determine effects of three different heights and widths of swing-away grab bars on the same kinetic characteristics...
March 9, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29500021/the-impact-of-media-type-on-shared-decision-processes-in-third-age-populations
#14
Iris Reychav, Inam Najami, Daphne Ruth Raban, Roger McHaney, Joseph Azuri
PURPOSE: To examine the relationship between the media, through which medical information was made available (e.g. digital versus printed), and the patients' desire to play an active part in a medical decision in an SDM or an ISDM-based process. The goal of this research was to expand knowledge concerning social and personal factors that affect and explain patients' willingness to participate in the process. METHODS: A questionnaire was distributed in this empirical study of 103 third-age participants...
April 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29463483/the-experience-of-paid-family-care-workers-of-people-with-dementia-in-south-korea
#15
J Kim, A De Bellis, L Xiao
PURPOSE: The South Korean government introduced the universal Long-Term Care Insurance (LTCI) program in 2008 that created a new employment category of 'paid family care worker' to assist the elderly with chronic illnesses including dementia. The aim of this study was to understand the lived experience of paid family care workers of people with dementia in South Korea. METHODS: The study was a qualitative research design underpinned by Interpretive Description principles involving eight paid family care workers...
February 5, 2018: Asian Nursing Research
https://www.readbyqxmd.com/read/29463221/determinants-of-antenatal-depression-and-postnatal-depression-in-australia
#16
Felix Akpojene Ogbo, John Eastwood, Alexandra Hendry, Bin Jalaludin, Kingsley E Agho, Bryanne Barnett, Andrew Page
BACKGROUND: Depression is a leading source of morbidity and health loss in Australian women. This study investigates the determinants of antenatal depressive symptoms and postnatal depressive symptoms in an Australian population, including people from culturally and linguistically diverse (CALD) backgrounds. METHOD: The study used a retrospective cohort of mothers of all live births in public health facilities in 2014 (N = 17,564) within South Western Sydney Local Health District and Sydney Local Health District in New South Wales, Australia...
February 20, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29447613/-who-ll-do-all-these-if-i-m-not-around-bonding-social-capital-and-health-and-well-being-of-inpatients
#17
Padmore Adusei Amoah, Adwoa Owusuaa Koduah, Razak Mohammed Gyasi
PURPOSE: Although social capital influences health-related decisions and behavioural patterns in many developing countries, minimal attention has been paid to the nuances of its effect on healthcare. This paper examines how bonding social capital affects healthcare delivery for inpatients in Ghana. METHODS: Semi-structured in-depth interviews were used and thematic analysis method employed to analyse the data. Interviews were conducted with health professionals and relatives and close friends of inpatients in three public health facilities in Ashanti region...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29447472/viable-cell-culture-banking-for-biodiversity-characterization-and-conservation
#18
Oliver A Ryder, Manabu Onuma
Because living cells can be saved for indefinite periods, unprecedented opportunities for characterizing, cataloging, and conserving biological diversity have emerged as advanced cellular and genetic technologies portend new options for preventing species extinction. Crucial to realizing the potential impacts of stem cells and assisted reproductive technologies on biodiversity conservation is the cryobanking of viable cell cultures from diverse species, especially those identified as vulnerable to extinction in the near future...
February 15, 2018: Annual Review of Animal Biosciences
https://www.readbyqxmd.com/read/29440911/should-frail-older-adults-be-in-long-term-care-facilities
#19
Liv Wergeland Sørbye, Sidsel Sverdrup, Birgit Brunborg Pay
Aim: Home-based nursing care is relatively easy to access in Norway compared to the rest of Europe, and the threshold for applying for assistance is relatively low. The aim of the present study was to analyze factors that enable frail older adults to live in their own homes, with a low level of care burden stress. Methodology: In 2015 and 2016, eight municipalities from different parts of Norway participated in a cross-sectional study. The quantitative part of the project consisted of assessing care of 71 older adults, aged ≥80 years, using a geriatric comprehensive assessment...
2018: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29439693/health-insurance-is-important-in-improving-maternal-health-service-utilization-in-tanzania-analysis-of-the-2011-2012-tanzania-hiv-aids-and-malaria-indicator-survey
#20
Stephen M Kibusi, Bruno Fokas Sunguya, Eunice Kimunai, Courtney S Hines
BACKGROUND: Maternal mortality rates vary significantly from region to region. Interventions such as early and planned antenatal care attendance and facility delivery with skilled health workers can potentially reduce maternal mortality rates. Several factors can be attributed to antenatal care attendance, or lack thereof, including the cost of health care services. The aim of this study was to examine the role of health insurance coverage in utilization of maternal health services in Tanzania...
February 13, 2018: BMC Health Services Research
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