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https://www.readbyqxmd.com/read/27890024/end-of-life-experiences-and-deathbed-phenomena-as-reported-by-brazilian-healthcare-professionals-in-different-healthcare-settings
#1
Claudia Soares Dos Santos, Bianca Sakamoto Ribeiro Paiva, Alessandra Lamas Granero Lucchetti, Carlos Eduardo Paiva, Peter Fenwick, Giancarlo Lucchetti
OBJECTIVE: The objectives of the present study were to describe and compare the characteristics and reports of end-of-life experiences (ELEs) by healthcare professionals at different institutions and to investigate the influence of religious beliefs on these reports. METHOD: A multicenter study was carried out in Brazil that included six nursing homes (NHs), a cancer hospital (ONC), and a palliative care (PC) unit. Sociodemographic data, ELE reports (Fenwick's questionnaire), religiosity (the Duke Religion Index), spirituality (the Spirituality Self-Rating Scale), and mental health (the DASS-21 questionnaire) were assessed...
November 28, 2016: Palliative & Supportive Care
https://www.readbyqxmd.com/read/27881697/adult-day-services-outcomes-delphi-review-of-an-integrated-participant-assessment-system
#2
Shannon Jarrott, Aaron M Ogletree
Adult day services (ADS) aim to help elders age in place, but evidence of impact on participants lags behind caregiver research. To play a larger role in the continuum of care, ADS participant outcomes should regularly be documented with standard measures. We conducted a Delphi review of one integrated participant assessment system. Capturing physical, mental, and cognitive health indicators and activity engagement of typical ADS participants (i.e., frail elders eligible for nursing home placement), experts evaluated the system on instrument validity, relevance, and application...
November 22, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27858954/how-often-do-clinically-diagnosed-catheter-associated-urinary-tract-infections-in-nursing-homes-meet-standardized-criteria
#3
Chelsie E Armbruster, Katherine Prenovost, Harry L T Mobley, Lona Mody
OBJECTIVES: To determine the relationship between clinically diagnosed catheter-associated urinary tract infection (CAUTI) and standardized criteria and to assess microorganism-level differences in symptom burden in a cohort of catheterized nursing home (NH) residents. DESIGN: Post hoc analysis of a prospective longitudinal study. SETTING: Twelve NHs in southeast Michigan. PARTICIPANTS: NH residents with indwelling urinary catheters (n = 233; 90% white, 52% male, mean age 73...
November 14, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27809588/the-conduct-and-process-of-mental-capacity-assessments-in-home-health-care-settings
#4
Charlotte Cliff, Caroline McGraw
The assessment of capacity to consent to treatment is key to shared practitioner-patient decision-making. It is the responsibility of the person closest to the decision being made to carry out the assessment. The aim was to examine the factors that influence mental capacity assessments in home health care settings and identify the facilitators and inhibitors to the conduct and process of assessments as perceived and experienced by non-medical health practitioners providing generalist community services. Semi-structured interviews with a purposive sample of community nurses, community physiotherapists and community occupational therapists in one NHS Trust in London...
November 2, 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27799676/assessing-gait-and-balance-impairment-in-elderly-residents-of-nursing-homes
#5
Adrianna Borowicz, Ewa Zasadzka, Agnieszka Gaczkowska, Olga Gawłowska, Mariola Pawlaczyk
[Purpose] The risk of falls in the elderly is an important public health problem. Suitable tests may help detect those at risk of falling. This study determined which balance test for older adults generates the most reliable results in terms of fall risk assessment, based on the number of falls over the last 12 months. [Subjects and Methods] A total of 153 individuals (31 males, 122 females, aged 76.67 ± 8.3 years; median 76.5, range 65-94) were investigated. The subjects were subdivided between fallers (a fall over the last 12 months) and non-fallers (no falls over the last 12 months)...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27755325/effectiveness-of-nursing-discharge-planning-interventions-on-health-related-outcomes-in-discharged-elderly-inpatients-a-systematic-review
#6
Cedric Mabire, Andrew Dwyer, Antoine Garnier, Joanie Pellet
BACKGROUND: Inadequate discharge planning for the growing elderly population poses significant challenges for health services. Effective discharge planning interventions have been examined in several studies, but little information is available on nursing's role or the specific components of these interventions. Despite the research published on the importance of discharge planning, the impact on patient's health outcomes still needs to be proven in practice. OBJECTIVES: To determine the best available evidence on the effectiveness of discharge planning interventions involving at least one nurse on health-related outcomes for elderly inpatients discharged home and to assess the relative impact of individual components of discharge planning interventions...
September 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27580167/association-of-posttraumatic-growth-and-illness-related-burden-with-psychosocial-factors-of-patient-family-and-provider-in-pediatric-cancer-survivors
#7
J Zachary Wilson, Donna Marin, Katherine Maxwell, Joseph Cumming, Ryan Berger, Shermini Saini, William Ferguson, John T Chibnall
Research has indicated that childhood cancer may lead to posttraumatic growth (PTG), given cancer's association with posttraumatic stress. PTG may be associated with family/home and health care dynamics, as well as parental resilience, distress, and coping. This cross-sectional study investigated the associations of psychosocial factors of the patient, family, and health care team with PTG and illness-related burden (IRB) in childhood cancer survivors. The sample comprised 61 children and adolescents (7-18 years of age), their parents, and their nurses...
October 2016: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/27571722/health-related-quality-of-life-rehabilitation-and-mortality-in-a-nursing-home-population
#8
L C Hartog, G W D Landman, M Cimzar-Sweelssen, A Knipscheer, K H Groenier, N Kleefstra, H J G Bilo, K J J van Hateren
BACKGROUND: Health-related quality of life (HRQOL) in nursing home residents is generally low. The purpose of this study was to investigate the associations between HRQOL and two clinically relevant outcome measures, all-cause mortality and successful rehabilitation, in a nursing home population. METHODS: In an observational prospective cohort study in a nursing home population, HRQOL was assessed with the RAND-36. A total of 184 patients were included, 159 (86%) completed the RAND-36 and were included in the study...
July 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27570449/factors-related-to-gait-and-balance-deficits-in-older-adults
#9
Murad Al-Momani, Fidaa Al-Momani, Ahmad H Alghadir, Sami Alharethy, Sami A Gabr
PURPOSE: The aim of this study was to investigate the effects of physical, mental, and cognitive disabilities on gait and balance deficits among nursing home residents with different diseases in Jordan and also to find the risk of fall associated with or without these diseases. METHODS: A sample of 221 nursing home residents aged 18-100 years in Jordan was recruited for this study. All participants were assessed using the Arabic versions of the Tinetti assessment battery (TAB) for gait and balance, mini-mental state examination, and disability of arm, shoulder, and hand assessment test...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27548992/-consequences-of-falls-in-a-geriatric-nursing-center-for-valid-descriptive-study
#10
Begoña Pellicer García, David Delgado Sevilla, Raúl Juárez Vela, Loreto María García Moyano, Ramon Arbués Enrique, Sandra Guerrero Portillo
OBJECTIVE: To address the immediate consequences produced in the falls suffered by valid institutionalized elderly population' in the last twelve months. METHOD: A cross sectional study, by personal interview. Simple random sampling was performed. The study area corresponded to a private nursing home. The measuring instruments used in the study were the Mini Mental State Examination Lobo (MEC-35, 1979) to initially assess the level of cognitive development elderly study participants, and the WHO questionnaire for the study of falls in the elder 1989...
June 2016: Revista de Enfermería
https://www.readbyqxmd.com/read/27532211/effects-of-intradialytic-exercise-on-the-physical-function-depression-and-quality-of-life-for-hemodialysis-patients-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#11
Yu-Chu Chung, Mei-Ling Yeh, Yueh-Min Liu
AIMS AND OBJECTIVES: To determine the efficacy and safety of intradialytic exercises for hemodialysis (HD) patients, this study conducted a systematic review and meta-analysis of randomized controlled trials (RCTs). BACKGROUND: Patients receiving HD have poor physical function, psychological status and quality of life than the general population. Exercise training may improve these parameters for HD patients. DESIGN: Systemic review and a meta-analysis was conducted...
August 17, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27529826/non-pharmacological-interventions-for-cognitive-impairment-due-to-systemic-cancer-treatment
#12
REVIEW
Charlene J Treanor, Una C McMenamin, Roisin F O'Neill, Chris R Cardwell, Mike J Clarke, Marie Cantwell, Michael Donnelly
BACKGROUND: It is estimated that up to 75% of cancer survivors may experience cognitive impairment as a result of cancer treatment and given the increasing size of the cancer survivor population, the number of affected people is set to rise considerably in coming years. There is a need, therefore, to identify effective, non-pharmacological interventions for maintaining cognitive function or ameliorating cognitive impairment among people with a previous cancer diagnosis. OBJECTIVES: To evaluate the cognitive effects, non-cognitive effects, duration and safety of non-pharmacological interventions among cancer patients targeted at maintaining cognitive function or ameliorating cognitive impairment as a result of cancer or receipt of systemic cancer treatment (i...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27488474/improving-children-s-health-and-development-in-british-columbia-through-nurse-home-visiting-a-randomized-controlled-trial-protocol
#13
Nicole L A Catherine, Andrea Gonzalez, Michael Boyle, Debbie Sheehan, Susan M Jack, Kaitlyn A Hougham, Lawrence McCandless, Harriet L MacMillan, Charlotte Waddell
BACKGROUND: Nurse-Family Partnership is a nurse home visitation program that aims to improve the lives of young mothers and their children. The program focuses on women who are parenting for the first time and experiencing socioeconomic disadvantage. Nurse visits start as early in pregnancy as possible and continue until the child reaches age two years. The program has proven effective in the United States - improving children's mental health and development and maternal wellbeing, and showing long-term cost-effectiveness...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27399836/ultrasound-assisted-prompted-voiding-for-management-of-urinary-incontinence-of-nursing-home-residents-efficacy-and-feasibility
#14
Motofumi Suzuki, Yasuhiro Iguchi, Yasuhiko Igawa, Mikako Yoshida, Hiromi Sanada, Hideyo Miyazaki, Yukio Homma
OBJECTIVES: To assess the efficacy and feasibility of ultrasound-assisted prompted voiding for the management of urinary incontinence in nursing homes. METHODS: Nursing home residents who had received prompted voiding care for urinary incontinence were enrolled. The voided urinary volume and residual urinary volume were initially measured for a few days. The sum of the mean values of these volumes was considered as the optimal intravesical urinary volume for voiding...
September 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/27379455/critical-association-between-mental-health-disorders-and-medical-status-depression-intervention-use-indicates-a-two-fold-risk-for-subsequent-medical-events-in-older-american-home-health-care-patients
#15
Jinjiao Wang, Haomiao Jia, Jingjing Shang, Joan A Kearney
The current study examined longitudinal associations between mental disorders and all-cause subsequent medical events in a 5% random sample of records in the 2010 national Outcome and Assessment Information Set. Records of older adults (N = 28,475) receiving home health care (HHC) services were examined with respect to mental disorders and medical events, including acute care hospitalization, emergency department admission, and 30-day rehospitalization. Predominant mental disorders were depression and anxiety identified by formal diagnoses, symptom clusters, and/or prescription of related mental health services...
October 1, 2016: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/27367644/characteristics-of-double-care-demanding-patients-in-a-mental-health-care-setting-and-a-nursing-home-setting-results-from-the-specimen-study
#16
Janine Collet, Marjolein E de Vugt, Frans R J Verhey, Noud J J A Engelen, Jos M G A Schols
BACKGROUND: Older patients suffering from a combination of psychiatric disorders and physical illnesses and/or dementia are called Double Care Demanding patients (DCDs). Special wards for DCDs within Dutch nursing homes (NHs) and mental health care institutions (MHCIs) offer a unique opportunity to obtain insight into the characteristics and needs of this challenging population. METHODS: This observational cross-sectional study collected data from 163 DCDs admitted to either a NH or a MHCI providing specialized care for DCDs...
July 1, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27351557/-well-being-and-psychosocial-activities-in-nursing-homes-survey-of-residents
#17
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/27348029/depression-in-home-based-care-the-role-of-the-home-health-nurse
#18
Carla J Groh, Manuel S Dumlao
Depression is a major health issue among older adults receiving home-based services yet is underdiagnosed and undertreated, which can result in negative health outcomes. Despite the recognized need for improved mental health services, significant gaps and barriers exist that contribute to less than optimal home-based depression management interventions. Home healthcare clinicians are well positioned to drive this effort for improving depression care with enhanced learning. Thus, the purpose of this article is to provide guidelines on improving depression care in homebound older adults based on four clinical functions central to home healthcare: screening, assessment, medication management, and patient/family education...
July 2016: Home Healthcare Now
https://www.readbyqxmd.com/read/27347792/a-quasi-experimental-study-of-a-reminiscence-program-focused-on-autobiographical-memory-in-institutionalized-older-adults-with-cognitive-impairment
#19
Teresa Silveira Lopes, Rosa Marina Lopes Brás Martins Afonso, Óscar Manuel Ribeiro
Working with past memories through reminiscence interventions has been practiced for several decades with successful outcomes on mental health in older adults. Few studies however have focused on autobiographical memory recall in older individuals with cognitive impairment. This study aims to analyze the impact of an individual reminiscence program in a group of older persons with cognitive decline living in nursing homes on the dimensions of cognition, autobiographical memory, mood, behavior and anxiety. A two-group pre-test and post-test design with single blinded assessment was conducted...
September 2016: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27314198/qualitative-analysis-of-the-experience-of-mental-fatigue-of-family-caregivers-of-patients-with-cancer-in-phase-i-trials
#20
Denise M Weiss, Laurel L Northouse, Sonia A Duffy, Berit Ingersoll-Dayton, Maria C Katapodi, Patricia M LoRusso
PURPOSE/OBJECTIVES: To examine family caregivers' experience of mental fatigue, identify strategies they use to manage it, and ascertain the kind of help they would like from healthcare professionals.
. RESEARCH APPROACH: Descriptive, qualitative study that was part of a larger mixed-methods study.
. SETTING: Metropolitan comprehensive cancer center in the midwestern United States.
. PARTICIPANTS: 79 family caregivers of patients with advanced cancer who were participating in phase I clinical trials...
July 1, 2016: Oncology Nursing Forum
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