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Nursing home AND dementia

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https://www.readbyqxmd.com/read/28544768/examining-practical-nursing-experiences-to-discover-ways-in-which-to-retain-and-invigorate-the-remaining-functions-of-the-elderly-with-a-demented-and-complex-disability-in-nursing-homes
#1
Min-Sun Park, Sun-Young Lim, Eun-Young Kim, Su-Jung Lee, Sung-Ok Chang
AIM: The bedridden elderly with moderate-to-severe dementia account for a large proportion of the residents in nursing homes and form a specialized group requiring customized care in order to encourage their remaining functions, which determine the quality of their residual life. The purpose of this study was to search for ways to invigorate and foster the remaining functions of this complex-disability group, based on practical nursing strategies in nursing homes. METHODS: The qualitative thematic analysis was done by conducting in-depth interviews with 29 nurses working at 11 different nursing homes in South Korea...
May 23, 2017: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/28542742/exercise-or-social-intervention-for-nursing-home-residents-with-dementia-a-pilot-randomized-controlled-trial
#2
Philipe de Souto Barreto, Matteo Cesari, Philippe Denormandie, Didier Armaingaud, Bruno Vellas, Yves Rolland
OBJECTIVES: To compare the effects of exercise with those of a structured nonphysical intervention on ability to perform activities of daily living (ADLs) and physical and cognitive function of persons with dementia (PWDs) living in nursing homes (NH). DESIGN: Cluster-randomized pilot-controlled trial. SETTING: Seven French NHs. PARTICIPANTS: PWDs living in NHs. MEASUREMENTS: NHs were randomized to an exercise group (4 NHs, n = 47) or structured social activity group (3 NHs, n = 50) for a 24-week intervention performed twice per week for 60 minutes per session...
May 19, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28542120/deaths-from-alzheimer-s-disease-united-states-1999-2014
#3
Christopher A Taylor, Sujay F Greenlund, Lisa C McGuire, Hua Lu, Janet B Croft
Alzheimer's disease (Alzheimer's), an ultimately fatal form of dementia, is the sixth leading cause of death in the United States, accounting for 3.6% of all deaths in 2014 (1,2). Alzheimer's deaths can be an indicator of paid and unpaid caregiver burden because nearly everyone in the final stages of Alzheimer's needs constant care, regardless of the setting, as the result of functional and cognitive declines (2). To examine deaths with Alzheimer's as the underlying cause, state-level and county-level death certificate data from the National Vital Statistics System for the period 1999-2014 were analyzed...
May 26, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28539088/prescription-patterns-and-disease-control-in-type-2-diabetes-mellitus-patients-in-nursing-home-and-home-care-settings-a-retrospective-analysis-in-germany
#4
Karel Kostev, Timo Rockel, Louis Jacob
AIM: The aim of this study was to analyze prescription patterns and disease control in patients with type 2 diabetes mellitus (T2DM) in nursing home and home care settings in Germany. METHODS: The present study is based on data from the Disease Analyzer database (QuintilesIMS). Patients with an initial diagnosis of T2DM and documented HbA1c values between January 2011 and December 2015 were included in the analysis. The index date corresponded to the last documented HbA1c value...
May 1, 2017: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/28532443/resourse-use-and-disease-couse-in-dementia-nursing-home-redic-nh-a-longitudinal-cohort-study-design-and-patient-characteristics-at-admission-to-norwegian-nursing-homes
#5
Irene Røen, Geir Selbæk, Øyvind Kirkevold, Knut Engedal, Ingelin Testad, Sverre Bergh
BACKGROUND: Earlier studies of nursing home patients show a high prevalence of dementia, neuropsychiatric symptoms (NPS), pain, and dependency in activities of daily living. The REDIC-NH cohort was set up to study the disease course and the resources used in patients with dementia in Norway. The aim of this paper was to describe the methods and the data collection, and to present selected data about patients at admission to a nursing home. METHODS: We included 696 patients at admission to a nursing home and followed them with biannual assessments until death...
May 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28532225/pneumonia-in-nursing-home-patients-with-advanced-dementia-decisions-intravenous-rehydration-therapy-and-discomfort
#6
Jenny T van der Steen, Paola Di Giulio, Fabrizio Giunco, Massimo Monti, Simona Gentile, Daniele Villani, Silvia Finetti, Francesca Pettenati, Lorena Charrier, Franco Toscani
BACKGROUND: Comfort may be an appropriate goal in advanced dementia. Longitudinal studies on physician decision-making and discomfort assessed by direct observation are rare, and intravenous rehydration therapy is controversial. METHODS: To assess treatment decisions and discomfort in patients with advanced dementia and pneumonia and to compare by intravenous rehydration therapy, we used data from the observational multicenter Italian End of Life Observatory-Prospective Study On DEmentia patients Care...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28530156/care-arrangements-in-dementia-care-networks
#7
Franziska Laporte Uribe, Karin Wolf-Ostermann, Markus Wübbeler, Bernhard Holle
OBJECTIVE: This study was conducted to describe care arrangements for persons with dementia (PwDs) who are living at home with the support of a dementia care network (DCN). METHOD: Data on the utilization of formal and informal support were collected in face-to-face interviews at baseline and 1-year follow-up with PwDs and caregivers receiving support from 1 of 13 DCNs. RESULTS: Men with dementia were supported by twice as many informal caregivers as women (2 vs...
March 1, 2017: Journal of Aging and Health
https://www.readbyqxmd.com/read/28522283/-standardised-pain-assessment-in-cognitively-impaired-nursing-home-residents-comparing-the-use-of-assessment-tools-in-dementia-care-units-and-in-integrated-care-units
#8
Rebecca Palm, Erika Sirsch, Bernhard Holle, Sabine Bartholomeyczik
BACKGROUND: A large number of nursing home residents with cognitive impairments (CI) suffer from chronic pain, which is also discussed as a reason for challenging behavior. To assess pain in people with severe CI, the use of an observational pain instrument is recommended; for people without or with mild CI the gold standard is a self-rating instrument. It is unknown whether in German nursing homes pain assessment in residents with severe CI is actually conducted using observational instruments and which instruments are used...
May 15, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28521264/resisting-decay-on-disposal-valuation-and-care-in-a-dementia-nursing-home-in-denmark
#9
Iben M Gjødsbøl, Lene Koch, Mette N Svendsen
This paper approaches institutionalized dementia care as a site of societal disposal, valuation, and care for human life. Drawing upon six weeks of ethnographic fieldwork and ten qualitative interviews carried out in a Danish dementia nursing home in 2014, we analyze how nursing home staff, through everyday care, uphold the value of life for residents in severe mental and physical decline. We argue that life's worth is established when residents gain qualities of personhood and agency through substitution processes carried out by staff...
May 10, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28513876/the-inter-play-between-facilitation-and-context-in-the-promoting-action-on-research-implementation-in-health-services-framework-a-qualitative-exploratory-implementation-study-embedded-in-a-cluster-randomised-controlled-trial-to-reduce-restraint-in-nursing-homes
#10
Tone Elin Mekki, Christine Øye, Bodil Margrete Kristensen, Helen Dahl, Astrid Haaland, Kristin Aas Nordin, Marta R Strandos, Toril Marie Terum, Arnt Egil Ydstebø, Brendan Mccormack
AIM: To explore the inter-play between external facilitation and nursing home contexts relative to intervention outcomes. BACKGROUND: The Promoting Action on Research Implementation in Health Services framework is frequently used to theoretically inform implementation and research in nursing and recent reviews indicate high face validity for health services. However, the inter-play and relationship between framework sub- elements of evidence, context and facilitation and the prospective utility in non-English speaking contexts warrant further illumination...
May 17, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28513238/exercise-and-dementia-in-nursing-homes-views-of-staff-and-family-carers
#11
Lindsey Brett, Victoria Traynor, Paul Stapley, Shahla Meedya
This paper reports the qualitative component of a randomized controlled trial which evaluated the impact and feasibility of a physical exercise intervention on individuals living with dementia in nursing homes. Interviews were conducted with 10 staff and nine family carers about their views and opinions of physical exercise (n=19). Thematic content analysis revealed both benefits and barriers to physical exercise for individuals living with dementia in nursing homes. Another theme was the influences of knowledge and understanding on individuals' views of physical exercise...
May 17, 2017: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/28504894/preventing-burdensome-transitions-of-nursing-home-residents-with-advanced-dementia-it-s-more-than-advance-directives
#12
Ruth Palan Lopez, Susan L Mitchell, Jane L Givens
BACKGROUND: Although a palliative approach to care is recommended for people with advanced dementia, many nursing home (NH) residents with dementia experience burdensome interventions such as hospital transfers at the end of life. OBJECTIVE: The goal of this study was to examine how decisions to transfer NH residents with advanced dementia are made, from the perspective of NH nurses and physicians. METHODS: A qualitative, descriptive method was used...
May 15, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28503675/costs-of-a-staff-communication-intervention-to-reduce-dementia-behaviors-in-nursing-home-care
#13
Kristine N Williams, Padmaja Ayyagari, Yelena Perkhounkova, Marjorie J Bott, Ruth Herman, Ann Bossen
CONTEXT: Persons with Alzheimer's disease and other dementias experience behavioral symptoms that frequently result in nursing home (NH) placement. Managing behavioral symptoms in the NH increases staff time required to complete care, and adds to staff stress and turnover, with estimated cost increases of 30%. The Changing Talk to Reduce Resistivenes to Dementia Care (CHAT) study found that an intervention that improved staff communication by reducing elderspeak led to reduced behavioral symptoms of dementia or resistiveness to care (RTC)...
2017: Journal of Nursing Home Research Sciences
https://www.readbyqxmd.com/read/28503094/the-nature-characteristics-and-associations-of-care-home-staff-stress-and-wellbeing-a-national-survey
#14
Muhammad Saiful Islam, Christine Baker, Peter Huxley, Ian T Russell, Michael S Dennis
BACKGROUND: The majority of residents in care homes in the United Kingdom are living with dementia or significant memory problems. Caring in this setting can be difficult and stressful for care staff who work long hours, have little opportunity for training, are poorly paid and yet subject to high expectation. This may affect their mental and physical wellbeing, cause high rates of staff turnover and absenteeism, and affect the quality of care they provide. The main objective of this survey was to explore the nature, characteristics and associations of stress in care home staff...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28494333/implementing-monitoring-technologies-in-care-homes-for-people-with-dementia-a-qualitative-exploration-using-normalization-process-theory
#15
Alex Hall, Christine Brown Wilson, Emma Stanmore, Chris Todd
BACKGROUND: Ageing societies and a rising prevalence of dementia are associated with increasing demand for care home places. Monitoring technologies (e.g. bed-monitoring systems; wearable location-tracking devices) are appealing to care homes as they may enhance safety, increase resident freedom, and reduce staff burden. However, there are ethical concerns about the use of such technologies, and it is unclear how they might be implemented to deliver their full range of potential benefits...
April 27, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28493090/-impaired-recognition-of-environmental-sounds-in-patients-with-dementia-i%C3%A2-can-hear-but-i%C3%A2-do-not-understand
#16
Birgit Dietz, Sarah Kohl, Johannes Mayer, Christoph Metzger, Hans Förstl, Janine Diehl-Schmid
BACKGROUND: Impairment of central auditory processing is a well-known symptom of neurodegenerative dementia; however, whilst numerous studies have examined verbal processing impairment, to date few have attempted to describe impairments of non-verbal, environmental sound recognition in patients with dementia. As these impairments may have direct implications on patient support and care, such studies are urgently necessary. AIM OF THE STUDY: The aim of the study was to determine whether the recognition of meaningful environmental sounds is impaired in patients with mild or early stage neurodegenerative dementia...
May 10, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28490913/health-related-quality-of-life-among-cognitively-intact-nursing-home-residents-with-and-without-cancer-a-6-year-longitudinal-study
#17
Jorunn Drageset, Geir Egil Eide, Anne Corbett
BACKGROUND: Limited information exists regarding the natural development of health-related quality of life (HRQOL) and its determinants among mentally intact nursing home (NH) residents. We aimed to examine HRQOL over time during a 6-year period among residents of NHs, who are not cognitively impaired, and to examine whether sense of coherence and a diagnosis of cancer influence HRQOL. METHODS: The study was prospective and included baseline assessment and 6-year follow-up...
2017: Patient related Outcome Measures
https://www.readbyqxmd.com/read/28486239/pain-neuropsychiatric-symptoms-and-quality-of-life-of-nursing-home-residents-with-advanced-dementia-in-the-netherlands-a-cross-sectional-study
#18
Janine van Kooten, Johannes C van der Wouden, Sietske A M Sikkes, Martin Smalbrugge, Cees M P M Hertogh, Max L Stek
BACKGROUND: Many studies have investigated factors associated with quality of life (QoL) in nursing home residents with dementia. Both pain and neuropsychiatric symptoms (NPS) are clinically relevant and individually associated with a lower QoL; however, there are no studies that investigated pain and NPS together in relation to QoL. PURPOSE: In this study, we explored the relationship of pain and NPS with QoL in nursing home residents with dementia by investigating the association between pain concurrently with NPS, and QoL...
May 8, 2017: Alzheimer Disease and Associated Disorders
https://www.readbyqxmd.com/read/28483436/individualized-music-program-is-associated-with-improved-outcomes-for-u-s-nursing-home-residents-with-dementia
#19
Kali S Thomas, Rosa Baier, Cyrus Kosar, Jessica Ogarek, Alissa Trepman, Vincent Mor
OBJECTIVES: The objective of this study was to compare resident outcomes before and after implementation of an individualized music program, MUSIC & MEMORY (M&M), designed to address the behavioral and psychological symptoms associated with dementia (BPSD). SETTING: 98 nursing homes trained in the M&M program during 2013 and 98 matched-pair comparisons. PARTICIPANTS: Long-stay residents with Alzheimer's disease and related dementias (ADRD) residing in M&M participating facilities (N = 12,905) and comparison facilities (N = 12,811) during 2012-2013...
April 14, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28464382/they-are-still-the-same-family-members-stories-about-their-relatives-with-dementia-disorders-as-residents-in-a-nursing-home
#20
Berit Seiger Cronfalk, Astrid Norberg, Britt-Marie Ternestedt
In order to better understand the context of suffering from dementia disorders, greater efforts should be made to understand and identify what persons with such disorders experience when living in a nursing home. The aim of this qualitative study was to gain further understanding of how persons with dementia disorders experienced and coped with their changed life situation after being relocated to a nursing home as described by their family members' perceptions. Qualitative data were collected from ten interviews with family members and evaluated using content analysis...
May 2, 2017: Scandinavian Journal of Caring Sciences
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