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https://www.readbyqxmd.com/read/28077203/clostridium-difficile-infection-in-older-adults-systematic-review-of-efforts-to-reduce-occurrence-and-improve-outcomes
#1
Leisa L Marshall, Samuel Peasah, Gregg A Stevens
OBJECTIVE: Provide a systematic review of the primary literature on efforts to reduce Clostridium difficile infection (CDI) occurrence and improve outcomes in older adults. DATA SOURCES, STUDY SELECTION, DATA EXTRACTION: PubMed and CINAHL databases were searched for research studies using search terms CDI, CDI prevention, reduction, control, management, geriatric, elderly, adults 65 years of age and older. The MeSH categories Aged and Aged, 80 and older, were used...
January 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/28074672/a-power-assisted-exercise-intervention-in-people-with-profound-intellectual-and-multiple-disabilities-living-in-a-residential-facility-a-pilot-randomised-controlled-trial
#2
Leontien Wm Bossink, Annette Aj van der Putten, Aly Waninge, Carla Vlaskamp
OBJECTIVE: To assess the feasibility of conducting a randomised controlled trial to determine the effectiveness of a twenty-week power-assisted exercise intervention in people with profound intellectual and multiple disabilities and to evaluate the potential beneficial effects of this intervention. DESIGN: Pilot randomised controlled trial. SETTING: A large-scale twenty-four-hour residential facility in the Netherlands. SUBJECTS: Thirty-seven persons with profound intellectual and multiple disabilities...
January 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28063685/dental-care-practices-and-oral-health-training-for-professional-caregivers-in-long-term-care-facilities-an-interdisciplinary-approach-to-address-oral-health-disparities
#3
Richie Kohli, Sandra Nelson, Samantha Ulrich, Tony Finch, Karen Hall, Eli Schwarz
The objectives of this study were to: 1) Assess and analyze the knowledge and attitudes of caregivers towards dental care for older adults in long-term care facilities; and 2) Train administrators, medical staff, and caregivers in the oral health competencies necessary to provide daily oral health care for residents of Assisted Living Communities in Oregon. Our results indicate that although the majority of caregivers felt comfortable with regard to their oral health background and daily activities, they expressed a need for additional training in several areas...
January 4, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28048175/su-f-p-04-implementation-of-dose-monitoring-software-successes-and-pitfalls
#4
J Och
PURPOSE: to successfully install a dose monitoring software (DMS) application to assist in CT protocol and dose management. METHODS: Upon selecting the DMS, we began our implementation of the application. A working group composed of Medical Physics, Radiology Administration, Information Technology, and CT technologists was formed. On-site training in the application was supplied by the vendor. The decision was made to apply the process for all the CT protocols on all platforms at all facilities...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046816/su-f-p-24-radiological-disperse-device
#5
R Alam
PURPOSE: We are now living in a society of constant fear of terrorism. This topic is pertaining to give a general knowledge of what is a radiological dispersion device or RDD and in case of its detonation, what are the options open to public for a safe action in terms of reducing the exposure and knowing the proper steps. These RDD are also called dirty bombs. METHODS: Compared to nuclear weapons, dirty bombs are easy to make. In order for a terrorist organization to construct and detonate a dirty bomb, it must acquire radioactive material by stealing it or buying it through legal or illegal channels...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28031300/referral-systems-to-integrate-health-and-economic-strengthening-services-for-people-with-hiv-a-qualitative-assessment-in-malawi
#6
Clinton Sears, Zach Andersson, Meredith Cann
BACKGROUND: Supporting the diverse needs of people living with HIV (PLHIV) can help reduce the individual and structural barriers they face in adhering to antiretroviral treatment (ART). The Livelihoods and Food Security Technical Assistance II (LIFT) project sought to improve adherence in Malawi by establishing 2 referral systems linking community-based economic strengthening and livelihoods services to clinical health facilities. One referral system in Balaka district, started in October 2013, connected clients to more than 20 types of services while the other simplified approach in Kasungu and Lilongwe districts, started in July 2014, connected PLHIV attending HIV and nutrition support facilities directly to community savings groups...
December 23, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28009676/effectiveness-of-meaningful-occupation-interventions-for-people-living-with-dementia-in-residential-aged-care-a-systematic-review
#7
Catherine Travers, Deborah Brooks, Sonia Hines, Maria O'Reilly, Mitchell McMaster, Wei He, Margaret MacAndrew, Elaine Fielding, Lina Karlsson, Elizabeth Beattie
BACKGROUND: The ability to participate in valued activities, whether for work, leisure or family, is an important aspect of personal identity. In dementia, progressive memory loss means that abilities developed over a lifetime begin to be lost as well, contributing to the loss of self and identity. Some studies have reported that activities or interventions tailored to be meaningful to the person with dementia (defined as any activity important to the individual) are more effective in addressing behavioral and psychological symptoms of dementia (BPSD) and improving quality of life (QoL) than those that are not so tailored...
December 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27999847/tube-feeding-among-elder-in-long-term-care-facilities-a-systematic-review-and-meta-analysis
#8
S-H Lan, L-C Lu, Y-Y Yen, Y-P Hsieh, J-C Chen, W J Wu, S-J Lan, L-Y Lin
OBJECTIVE: The use of tube feeding for elderly patients with poor nutritional intake is a ubiquitous method of feeding. This systematic review and meta-analysis were carried out to compare nutritional benefits of enteral feeding versus oral feeding in long-term care facilities. SETTING: Databases including the Cochrane Library, ProQuest, PubMed, EMBASE, EBSCO, Web of Science and Google Scholar through April 2014 using keywords including enteral feeding, tube feeding or oral feeding combined with long term care facilities or nursing home...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27998752/drug-resistant-tb-uk-multicentre-study-drums-treatment-management-and-outcomes-in-london-and-west-midlands-2008-2014
#9
Amber Arnold, Graham S Cooke, Onn Min Kon, Martin Dedicoat, Marc Lipman, Angela Loyse, Philip D Butcher, Irina Chis Ster, Thomas Stephen Harrison
OBJECTIVES: Detailed information regarding treatment practices and outcomes of MDR-TB treatment in the UK is required as a baseline for care improvements. METHODS: 100 consecutive cases between 2008 and 2014 were reviewed retrospectively at 4 MDR-TB treatment centres in England to obtain information on drug treatment choices, hospital admission duration and outcomes for MDR-TB. RESULTS: Initial hospital admission was long, median 62.5 (IQR 20-106, n = 92) days, and 13% (12/92) of patients lost their home during this period...
December 18, 2016: Journal of Infection
https://www.readbyqxmd.com/read/27982744/factors-that-influence-physical-activity-among-residents-in-assisted-living
#10
Sarah D Holmes, Elizabeth Galik, Barbara Resnick
Physical activity is important for health, well-being, and life satisfaction of older adults. However, little is known about how the environment influences physical activity among residents in assisted living. The purpose of this study was to examine factors that influence physical activity among residents in assisted living. This was a secondary data analysis using baseline data from an intervention study testing the impact of function focused care in assisted living. A total of 171 residents from four assisted living facilities were included...
December 16, 2016: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/27969052/a-comparison-study-between-two-discharge-planning-tools
#11
Jui-Hui Tseng, Huey-Shyan Lin, Shu-Ming Chen, Ching-Huey Chen
OBJECTIVE: The objective was to compare the effectiveness between a systematic assessment tool and a traditional assessment tool for discharge planning. METHODS: This research adopted a two-group comparison study design, and convenience sampling was adopted to recruit patients requiring discharge-planning services at eight wards in a regional teaching hospital in Southern Taiwan. The postdischarge care requirements of two groups of patients were evaluated using a traditional assessment tool and a systematic assessment tool in different implementation periods, respectively...
November 2016: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/27934174/live-templates-of-a-supramolecular-block-copolymer-for-the-synthesis-of-ordered-nanostructured-tio2-films-via-guest-exchange
#12
Wei-Tsung Chuang, Yan-Ming Hsu, En-Li Lin, I-Ming Lin, Ya-Sen Sun, Yeo-Wan Chiang, Chun-Jen Su, Yao-Chang Lee, U-Ser Jeng
In this work, we introduce a facile method based on host-guest chemistry to synthesize a range of nanostructured TiO2 materials using supramolecular templates of a dendron-jacketed block copolymer (DJBCP). The DJBCP is composed of amphiphilic dendrons (4'-(3,4,5-tridodecyloxybenzoyloxy)benzoic acid, TDB) selectively incorporated into a P4VP block of polystyrene-block-poly(4-vinylpyridine) (PS-b-P4VP) via hydrogen bonding. The PS-b-P4VP host acts as a structure-directing template, while the guest molecules (TDB) assist the self-assembly nanostructures and zone-axis alignment, resulting in the nanostructured template of vertically oriented cylinders formed via successive phase transformations from Im3̅m to R3̅m to P6mm upon thermal annealing in the doctor-blade-cast film...
December 7, 2016: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/27917691/impact-a-multifaceted-implementation-for-conversation-partner-training-in-aphasia-in-dutch-rehabilitation-settings
#13
Sandra Wielaert, Mieke W M E van de Sandt-Koenderman, Nina Dammers, Karen Sage
PURPOSE: Exploration of the clinical uptake of a novel conversation partner training (CPT) programme in aphasia in 10 Dutch rehabilitation facilities and identification of its perceived facilitators and barriers in service providers, and the evaluation of the implementation methods used. METHOD: Ten rehabilitation centres took part in a multifaceted implementation of CPT over 13 months. Each centre selected two speech and language therapists to act as knowledge brokers whose role was to raise awareness of CPT in the team and to facilitate getting partners of people with aphasia into the programme...
December 5, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27901402/frailty-determinants-in-two-long-term-settings-assistant-living-facilities-and-home-and-community-based-programs
#14
Christine Tocchi, Ruth McCorkle, Jane Dixon
There is limited knowledge on differences in frailty among residents in assisted living facilities (ALF) and home and community-based services (HCBS). This study used a retrospective cross-sectional design to compare frailty determinants in two long-term care settings. The HCBS setting had a greater proportion of positive responses to 9 of 14 frailty indicators. The ALF setting had a greater proportion to only 2 or the 14 frailty indicators. The finding that the HCBS setting had a significantly greater proportion of participants with positive frailty indicators as compared to the ALF setting suggests the degree of frailty risk is different by health care setting...
November 30, 2016: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/27897609/a-video-based-intervention-on-and-evaluation-of-nursing-aides-therapeutic-communication-and-residents-agitation-during-mealtime-in-a-dementia-care-unit
#15
Lené Levy-Storms, Lesley M Harris, Xiao Chen
The researchers conducted a communication training intervention for certified nursing assistants (CNAs). The intervention aimed at improving CNAs' therapeutic techniques for relating to agitated residents during care. This study focused on an in-depth evaluation of mealtime interactions using videos. Sixteen CNAs and 16 residents living with dementia from one long-term care facility were videotaped during mealtime interactions before and after a therapeutic communication training program. Mixed-effect Poisson regression revealed no effect of the intervention as a whole on residents' refusals, but the intervention did improve CNAs' communication...
October 2016: Journal of Nutrition in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27895529/assessing-nursing-staff-s-competences-in-mobility-support-in-nursing-home-care-development-and-psychometric-testing-of-the-kinaesthetics-competence-kc-observation-instrument
#16
Heidrun Gattinger, Helena Leino-Kilpi, Virpi Hantikainen, Sascha Köpke, Stefan Ott, Beate Senn
BACKGROUND: Between 75 and 89% of residents living in long-term care facilities have limited mobility. Nurses as well as other licensed and unlicensed personnel directly involved in resident care are in a key position to promote and maintain the mobility of care-dependent persons. This requires a certain level of competence. Kinaesthetics is a training concept used to increase nursing staff's interaction and movement support skills for assisting care-dependent persons in their daily activities...
2016: BMC Nursing
https://www.readbyqxmd.com/read/27883169/association-between-continuous-wearable-activity-monitoring-and-self-reported-functioning-in-assisted-living-facility-and-nursing-home-residents
#17
J Merilahti, I Korhonen
BACKGROUND: Physical functioning is a key factor in independent living, and its preclinical state assessment and monitoring during the subject's normal life would be beneficial. OBJECTIVES: The aim of the study is to analyse associations between ambulatory measured physical activity behaviour and sleep patterns (wrist actigraphy) and self-reported difficulties in performing activities of daily living. Participants, setting and design: 36 residents in assisted living facilities and nursing homes (average age=80...
2016: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/27879293/living-with-the-animals-animal-or-robotic-companions-for-the-elderly-in-smart-homes
#18
Dirk Preuß, Friederike Legal
Although the use of pet robots in senior living facilities and day-care centres, particularly for individuals suffering from dementia, has been intensively researched, the question of introducing pet robots into domestic settings has been relatively neglected. Ambient assisted living (AAL) offers many interface opportunities for integrating motorised companions. There are diverse medical reasons, as well as arguments from animal ethics, that support the use of pet robots in contrast to living with live animals...
November 22, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27860170/variation-across-u-s-assisted-living-facilities-admissions-resident-care-needs-and-staffing
#19
Kihye Han, Alison M Trinkoff, Carla L Storr, Nancy Lerner, Bo Kyum Yang
PURPOSE: Though more people in the United States currently reside in assisted living facilities (ALFs) than nursing homes, little is known about ALF admission policies, resident care needs, and staffing characteristics. We therefore conducted this study using a nationwide sample of ALFs to examine these factors, along with comparison of ALFs by size. DESIGN: Cross-sectional secondary data analysis using data from the 2010 National Survey of Residential Care Facilities...
November 10, 2016: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/27830567/prevalence%C3%A2-of-and-resident-and-facility-characteristics-associated-with-antipsychotic-use-in-assisted-living-vs-long-term-care-facilities-a-cross-sectional-analysis-from-alberta-canada
#20
Kathryn J Stock, Joseph E Amuah, Kate L Lapane, David B Hogan, Colleen J Maxwell
BACKGROUND: Potentially inappropriate antipsychotic use in long-term care (LTC) facilities has been the focus of significant policy and clinical attention over the past 20 years. However, most initiatives aimed at reducing the use of these medications have overlooked assisted living (AL) settings. OBJECTIVE: We sought to compare the prevalence of antipsychotic use (including potentially inappropriate use) among older AL and LTC residents and to explore the resident and facility-level factors associated with use in these two populations...
November 9, 2016: Drugs & Aging
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