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https://www.readbyqxmd.com/read/29779807/acceptance-of-texture-modified-in-between-meals-among-old-adults-with-dysphagia
#1
S L Okkels, M Saxosen, S Bügel, A Olsen, T W Klausen, A M Beck
BACKGROUND AND AIMS: Old adults suffering from dysphagia have difficulties swallowing, chewing and/or eating, and are therefore at high risk of undernutrition. In-between-meals that are texture modified are of particular importance for people suffering from dysphagia. To meet their adequate daily amount of food intake they are recommended to eat 3-5 in-between-meals daily. The aim of the current pilot study was to identify the most liked in-between-meals for old adults based on flavour and describe the basic sensory properties of these in-between-meals...
June 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29774369/-effectiveness-of-active-health-promotion-in-old-age-results-regarding-compression-of-morbidity-by-target-groups-in-13-8-years-of-observation-in-lucas
#2
REVIEW
Ulrike Dapp, Christoph Minder, Lilli Neumann, Stefan Golgert, Björn Klugmann, Wolfgang von Renteln-Kruse
BACKGROUND AND OBJECTIVE: Healthy ageing as defined by the World Health Organization (WHO) is the development and maintenance of functional competence. Unfavourable ageing is described by the term frailty and is characterised by a decline in functional reserves. The frailty process can be influenced in a positive way. Previous interventions concerned mostly hospital patients and residents of nursing homes. In this study we examined the maintenance of functional competence in an urban community setting...
May 17, 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29770560/how-nurses-restore-and-maintain-mobility-in-hospitalised-older-people-an-integrative-literature-review
#3
Stephanie Constantin, Sherry Dahlke
AIM: The aim of this integrative review of the literature was to evaluate and summarise current research about how nurses maintain and improve hospitalised older peoples' mobility levels. BACKGROUND: Older persons make up the majority of healthcare recipients, and they are at risk to experience significant decline in their mobility once hospitalised. This can result in longer hospitalisations or nursing home admissions. Currently, it is not well understood how nurses maintain and restore mobility of hospitalised older persons...
May 17, 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29770474/improving-medication-safety-for-home-nursing-clients-a-prospective-observational-study-of-a-novel-clinical-pharmacy-service-the-visiting-pharmacist-vip-study
#4
C Y Lee, C Beanland, D Goeman, N Petrie, B Petrie, F Vise, J Gray, R A Elliott
WHAT IS KNOWN AND OBJECTIVE: Polypharmacy, medication errors and adverse events are common in older people receiving home nursing medication management support. Access to clinical pharmacists is limited. In Australia, few home nursing clients receive a general practitioner (GP)-initiated pharmacist-led Home Medicines Review, despite their eligibility and community nurses' (CN) efforts to facilitate this. An integrated home nursing clinical pharmacy service, in which CNs directly referred clients to a pharmacist, was therefore developed and piloted...
May 16, 2018: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/29767481/supporting-care-home-staff-to-manage-residents-care-safely-and-avoid-admissions
#5
Susan Wills, Dena Ross
The community matron care homes team (CHT) was set up in Sandwell, West Midlands in 2011 to support care home staff to manage residents' care safely and reduce unplanned and/or avoidable use of acute health services. The service was reviewed in 2015 and attention focused on care homes with the highest levels of hospital use and emergency 999 services. Working with these care home staff and health professionals, a training and education opportunity to aid staff to manage residents in crisis was sourced, organised and implemented...
May 16, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29760582/registered-nurses-and-older-people-s-experiences-of-participation-in-nutritional-care-in-nursing-homes-a-descriptive-qualitative-study
#6
Katarina Sjögren Forss, Jane Nilsson, Gunilla Borglin
Background: The evaluation and treatment of older people's nutritional care is generally viewed as a low priority by nurses. However, given that eating and drinking are fundamental human activities, the support and enhancement of an optimal nutritional status should be regarded as a vital part of nursing. Registered nurses must therefore be viewed as having an important role in assessing and evaluating the nutritional needs of older people as well as the ability to intervene in cases of malnutrition...
2018: BMC Nursing
https://www.readbyqxmd.com/read/29760123/diabetes-attributable-nursing-home-costs-for-each-u-s-state
#7
Simon J Neuwahl, Amanda A Honeycutt, Diana C Poehler, Sundar S Shrestha, Ping Zhang, Thomas J Hoerger
OBJECTIVE: To estimate the diabetes-attributable nursing home costs for each state. RESEARCH DESIGN AND METHODS: We used a diabetes-attributable fraction (AF) approach to estimate nursing home costs attributable to diabetes (in 2013 $) in aggregate and per person with diabetes in each state. We calculated the AFs as the difference in diabetes prevalence between nursing homes and the community. We used the Centers for Medicare and Medicaid's 2013-2015 Minimum Data Set to estimate the prevalence of diabetes in nursing homes and to adjust for the intensity of care among people with diabetes in nursing homes...
May 14, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29751660/striking-a-balance-a-qualitative-study-of-next-of-kin-participation-in-the-care-of-older-persons-in-nursing-homes-in-sweden
#8
Birgitta Wallerstedt, Lina Behm, Åsa Alftberg, Anna Sandgren, Eva Benzein, Per Nilsen, Gerd Ahlström
Most of the care in nursing homes is palliative in nature, as it is the oldest and the frailest people who live in nursing homes. The aim of this study was to explore next of kin's experiences of participating in the care of older persons at nursing homes. A qualitative design was used, based on semi-structured interviews with 40 next of kin, and analyzed using qualitative content analysis. An overarching theme emerged, a balancing act consisting of three categories: (1) visiting the nursing home; (2) building and maintaining relationships; and (3) gathering and conveying information...
May 11, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29734887/patient-autonomy-in-home-care-nurses-relational-practices-of-responsibility
#9
Gaby Jacobs
BACKGROUND: Over the last decade, new healthcare policies are transforming healthcare practices towards independent living and self-care of older people and people with a chronic disease or disability within the community. For professional caregivers in home care, such as nurses, this requires a shift from a caring attitude towards the promotion of patient autonomy. AIM: To explore how nurses in home care deal with the transformation towards fostering patient autonomy and self-care...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29730332/the-relationship-between-selected-body-fatness-indices-and-the-level-of-blood-interleukin-6-in-female-nursing-home-residents-aged-80-years-without-inflammation-a-pilot-study
#10
Ryszard Zarzeczny, Agnieszka Nawrat-Szołtysik, Anna Polak, Ahmed Manasar, Jakub Maliszewski, Adam Kiełtyka, Beata Matyja, Magdalena Dudek, Joanna Zborowska, Adam Wajdman
BACKGROUND: Interleukin-6 (IL-6) production facilitates a shift from acute to chronic inflammation that may induce the development of some diseases and aging. Several studies have suggested that adiposity is closely related to serum IL-6 level, but their authors examined relatively young older adults (aged 60-80 years), so it is not clear whether this association would also occur in people at a more advanced age. OBJECTIVE: to assess whether in elderly women without inflammation the widely used anthropometric obesity indices are associated with serum IL-6 level and, if so, to determine the best anthropometric predictor of this inflammatory biomarker...
May 3, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29729501/the-impact-of-nurse-and-care-staff-education-on-the-functional-ability-and-quality-of-life-of-people-living-with-dementia-in-aged-care-a-systematic-review
#11
Michael Bauer, Deirdre Fetherstonhaugh, Emily Haesler, Elizabeth Beattie, Keith D Hill, Christopher J Poulos
OBJECTIVES: Educational initiatives can improve care delivery and the experience of living in residential aged care for people with dementia. This review aimed to determine the impact of nurse and care staff education on measures of functional ability and quality of life for older people with dementia living in care homes. DESIGN: Systematic review. DATA SOURCES: Search of on-line databases in English between January 2000 and January 2017...
April 23, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29720165/perspectives-of-nursing-professionals-and-older-adults-differ-on-aspects-of-care-for-older-people-after-a-nationwide-improvement-program
#12
Lisanne Marlieke Verweij, Rik Wehrens, Lieke Oldenhof, Roland Bal, Anneke L Francke
BACKGROUND: The perspectives of nursing professionals might differ from those of older adults when it comes to care for older people. This cross-sectional study compares the views of older adults with the views of nursing professionals on the quality of care after a nationwide improvement program for care for older people was implemented (2008-2016) in the Netherlands. METHODS: Questionnaire data were used from 385 nursing professionals (response rate 51%) that were part of the Nursing Staff Panel, a nationwide representative group of nursing staff, and working in home care, hospitals or general practices...
May 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29720099/skill-mix-change-between-general-practitioners-nurse-practitioners-physician-assistants-and-nurses-in-primary-healthcare-for-older-people-a-qualitative-study
#13
Marleen H Lovink, Anneke J A H van Vught, Anke Persoon, Lisette Schoonhoven, Raymond T C M Koopmans, Miranda G H Laurant
BACKGROUND: More and more older adults desire to and are enabled to grow old in their own home, regardless of their physical and mental capabilities. This change, together with the growing number of older adults, increases the demand for general practitioners (GPs). However, care for older people lacks prestige among medical students and few medical students are interested in a career in care for older people. Innovative solutions are needed to reduce the demand for GPs, to guarantee quality of healthcare and to contain costs...
May 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29717764/status-of-geriatrics-in-22-countries
#14
K H Pitkälä, F C Martin, S Maggi, S K Jyväkorpi, T E Strandberg
OBJECTIVES: The aim of this article is to describe the current status of geriatrics and position of geriatricians in 22 countries of three continents, and to portray their attitudes towards and resources allocated to geriatrics. METHODS: An electronic survey was delivered to a convenience sample of 22 geriatricians in leading positions of their countries. RESULTS: The time required in post graduation specialist training to become a geriatrician varied from one year (subspecialty in the USA) to six years (independent specialty in Belgium)...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29708791/dietary-management-of-older-people-with-diabetes
#15
Jane McClinchy
Diabetes UK's revised nutrition guidelines for the prevention and management of diabetes, published recently, encourage education in self-management and include additional guidance for older people with diabetes. The incidence of diabetes in older people is increasing. Many older people with diabetes are healthy and mobile, and live in the community, but a number are frail and living in care homes. Those who are frail are at increased risk of malnutrition from a range of causes. Older people with diabetes should be assessed for malnutrition risk and referred to a dietitian if required...
May 2, 2018: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29705888/a-physical-exercise-program-using-music-supported-video-based-training-in-older-adults-in-nursing-homes-suffering-from-dementia-a-feasibility-study
#16
Joke Spildooren, Ite Speetjens, Johan Abrahams, Peter Feys, Annick Timmermans
BACKGROUND: Motivation towards an exercise program is higher in a small group setting in comparison to individual therapy. Due to attentional problems, group exercises are difficult for people with Alzheimer disease (AD). This study evaluates the feasibility of a music-supported video-based group exercise program in older adults suffering from AD. METHODS: Five participants with moderate AD were recruited from a nursing home. A progressive physical exercise program using a video-based training with musical accompaniment was performed and digitally recorded to investigate the adherence and performed accuracy of the exercises...
April 28, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29691956/dementia-care-mapping-to-support-staff-in-the-care-of-people-with-intellectual-disability-and-dementia-a-feasibility-study
#17
Feija D Schaap, Andrea S Fokkens, Geke J Dijkstra, Sijmen A Reijneveld, Evelyn J Finnema
BACKGROUND: The number of people with intellectual disability and dementia increases; this combination causes behavioural changes. Dementia Care Mapping (DCM) supports staff in dementia care in nursing homes and may be useful in intellectual disability-care. This qualitative study examines the feasibility of DCM for older people with intellectual disability and dementia. METHODS: The present authors obtained data in focus groups and interviews with professional users and analysed using a framework for feasibility studies...
April 24, 2018: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/29679459/exploring-the-meaning-of-home-and-its-implications-for-the-care-of-older-people
#18
Michele Board, Brendan McCormack
AIMS AND OBJECTIVES: To explore the meaning of home for six baby boomers and consider how this insight can be used when caring for older people in hospital or residential settings. BACKGROUND: Feeling at home is important to help retain a sense of autonomy, security and well-being, but home is a complex concept to understand. The baby boomers are a large cohort entering later life and understanding their sense of home is not only an example of anticipatory gerontology but it could also provide the tools to explore home with the current older population, who may be in a variety of care settings...
April 20, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29626702/risk-factors-associated-with-dehydration-in-older-people-living-in-nursing-homes-scoping-review
#19
REVIEW
Olga Masot, Ana Lavedán, Carmen Nuin, Miguel A Escobar-Bravo, Jèssica Miranda, Teresa Botigué
BACKGROUND: Dehydration in the older people is a prevalent problem that is often associated with physiological changes, physical limitations and environmental conditions. OBJECTIVES: The scoping review was carried out to identify risk factors associated with dehydration in older people living in nursing homes. DESIGN: The revised scoping methodology framework of Arksey and O'Malley (2005) was applied. Study selection was carried out in accordance with Davis et al...
March 27, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29605970/withdrawal-versus-continuation-of-long-term-antipsychotic-drug-use-for-behavioural-and-psychological-symptoms-in-older-people-with-dementia
#20
REVIEW
Ellen Van Leeuwen, Mirko Petrovic, Mieke L van Driel, An Im De Sutter, Robert Vander Stichele, Tom Declercq, Thierry Christiaens
BACKGROUND: Antipsychotic agents are often used to treat neuropsychiatric symptoms (NPS) in people with dementia although there is uncertainty about the effectiveness of their long-term use for this indication and concern that they may cause harm, including higher mortality. When behavioural strategies have failed and treatment with antipsychotic drugs is instituted, regular attempts to withdraw them have been recommended in guidelines. Physicians, nurses and families of older people with dementia may be reluctant to stop antipsychotics, fearing deterioration of NPS...
March 30, 2018: Cochrane Database of Systematic Reviews
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