De-implementation of care practices and interventions
Increasingly there is a focus on the study of how to best disseminate and implement innovative approaches to care in real world clinical settings. Less emphasis has been placed, however, on de-implementation or the elimination of entrenched and often costly or potentially hazardous approaches to care. What has been done has been mostly in the area of medical interventions such as aggressive screening for older adults (e.g., elimination of mammography and PAP tests for older women). There are, however, many interventions we do routinely in nursing that should be de-implemented based on nursing research or clinical experienc...
Source: Geriatric Nursing - July 11, 2018 Category: Nursing Authors: Barbara Resnick Tags: From the Editor Source Type: research

Strategies to predict and manage the risk of post-operative delirium in the elderly surgical patient
As the U.S. population has aged over the past several decades, the number of older adults undergoing surgical procedures has significantly increased. Recent estimates suggest that more than 30% of all surgical procedures are performed on patients over the age of 65, and this percentage is likely to increase as specialty care focuses more attention on this growing population.1,2 This population presents with characteristics unique to aging and disease. The assessment of these patients' cognitive baselines and comorbidity profiles need to be addressed throughout the perioperative continuum. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 11, 2018 Category: Nursing Authors: Brett Morgan, Victoria Goode Source Type: research

Vitamin B12 deficiency – detection and treatment considerations
Vitamin B12 (B12) plays many important roles in our bodies. It works with folic acid in the syntheses of DNA and red blood cells and is vitally important in maintaining the health of the myelin sheath insulating nerve cells. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 11, 2018 Category: Nursing Authors: William Simonson Source Type: research

Recap of the 2018 Nurses Improving Care for Healthsystem Elders conference
In April we welcomed more than 550 nurse leaders from 200 Nurses Improving Care for Healthsystem Elders (NICHE) member organizations to our annual conference held in Atlanta, Georgia. Participants had the opportunity to hear from national experts, reflect on their goals to advance the scale and scope of the NICHE program in their organizations, and to learn more about cutting-edge clinical innovations to propel the advancement of age-friendly healthcare. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 10, 2018 Category: Nursing Authors: Mattia J. Gilmartin Source Type: research

Knowledge and perceptions about aging and frailty: An integrative review of the literature
A growing body of evidence indicates that biological aging or frailty is a determinant of health-related outcomes, however, frailty is likely poorly understood and under-recognized by the public-at-large. Using Whittemore and Knafl's methodology, we aimed to conduct an integrative review of research on public knowledge and perceptions of aging and frailty, and to create a conceptual model of our findings. Twenty-three studies are presented. The conceptual model suggests that culture, knowledge of aging, and stereotypes influence adults' beliefs and perceptions. (Source: Geriatric Nursing)
Source: Geriatric Nursing - June 14, 2018 Category: Nursing Authors: Abby Parish, Jennifer Kim, Kanah May Lewallen, Sally Miller, Janet Myers, Robbie Panepinto, Cathy A. Maxwell Source Type: research

A review on healthy ageing interventions addressing physical, mental and social health of independent community-dwelling older adults
This study reviewed the intervention characteristics, intervention content and effectiveness of multi-dimensional healthy ageing interventions (MHAIs) addressing physical, mental and social health among independent community-dwelling older adults. A search was conducted in PubMed, CINAHL, Embase, Scopus, and PsycINFO for studies published from Jan 2007 to October 2016. 18 publications were included, accounting for 15 studies. (Source: Geriatric Nursing)
Source: Geriatric Nursing - June 13, 2018 Category: Nursing Authors: Betsy Seah, Yanika Kowitlawakul, Ying Jiang, Emily Ang, Srinivasan Chokkanathan, Wenru Wang Source Type: research

Feasibility of testing a coaching training intervention for CNAs in nursing homes
The study aim was to describe the feasibility of conducting a coaching training intervention on use of level of assistance strategies for Certified Nursing Assistants (CNAs) in nursing homes. CNAs received either traditional or coaching training. Feasibility of coaching training was evaluated by determining: acceptability, through use of a Post-Intervention Evaluation Form; fidelity, by adherence to protocol; recruitment and retention, by ease of obtaining the sample and retention rates; and ability to randomize within each home without contamination. (Source: Geriatric Nursing)
Source: Geriatric Nursing - June 13, 2018 Category: Nursing Authors: Kerry J. Jordan, Pao-Feng Tsai, Seongkum Heo, Shasha Bai, Deborah Dailey, Cornelia Beck, Lindsey Butler Source Type: research

Validation of the advanced activities of daily living scale
The objective was to evaluate the metric properties of the List of Advanced Activities of the Daily Living. A study quantitative was conducted. The sample comprised 200 older adults from the city of Pouso Alegre, Brazil. The following instruments were employed: 1- Questionnaire sociodemographic and health; 2- Vitor Quality of Life Scale for the Elderly (VITOR QLSE); and 3 - List of Advanced Activities in Daily Life – AAVDs. It was verified through the exploratory factorial analysis that the list possesses three denominated domains of Activities of Leisure, Social Activities and Productive Activities. (Source: Geriatric Nursing)
Source: Geriatric Nursing - June 13, 2018 Category: Nursing Authors: Ewerton Naves Dias, Jos é Vitor da Silva, José Luís Pais-Ribeiro, Teresa Martins Source Type: research

A comparative study of social capital and hospital readmission in older adults
Numerous factors contribute to hospital readmissions of older adults. The role social capital may play in preventing hospital readmissions is unknown. The aim of this descriptive, cross-sectional study was to determine if levels of personal social capital differ in two groups of patients aged 65 and older, those readmitted to the hospital within 30 days of discharge and those not readmitted. Participants in this study (N  = 106) were community-dwelling older adults discharged from 11 hospitals in the Midwestern United States. (Source: Geriatric Nursing)
Source: Geriatric Nursing - June 13, 2018 Category: Nursing Authors: Sheryl A. Emmerling, Kim Schafer Astroth, Myoung Jin Kim, Wendy M. Woith, Mary J. Dyck Source Type: research

Prevalence and characteristics associated with high dose opioid users among older adults
Our primary objective was to determine the prevalence and characteristics of high dose opioid users among older adults. Study populations included adults ≥65 years with: 1) 12-month continuous medical plan enrollment; and 2) at least 2 opioid prescriptions with a cumulative day supply ≥15 days. Opioid users were categorized as high dose>120 milligram morphine equivalents (MME) per day or lower dose ≤120 MMEs per day. Among eligible insureds, 3% (N = 7616) were identified as high dose opioid users. (Source: Geriatric Nursing)
Source: Geriatric Nursing - June 11, 2018 Category: Nursing Authors: Shirley Musich, Shaohung S. Wang, Luke Slindee, Sandra Kraemer, Charlotte S. Yeh Source Type: research

Obesity and intensive staffing needs of nursing home residents
The objective of this study is to examine how increasing body mass index (BMI) among nursing home residents affects the amount of staffing assistance needed for activities of daily living (ADL). We analyzed 1,627,141 US nursing home residents reported in the 2013 Minimum Data Set in seven BMI categories, from underweight (BMI   (Source: Geriatric Nursing)
Source: Geriatric Nursing - June 5, 2018 Category: Nursing Authors: John Alexander Harris, John Engberg, Nicholas George Castle Source Type: research

The association among knowledge of and confidence in home health care services, acculturation, and family caregivers' relationships to older adults of Mexican descent
The purposes of this study were to examine the relationships among knowledge of and confidence in health care services (HHCS), acculturation, characteristics of family caregivers of Mexican descent, and differences by caregivers' relationship (spouse or adult child). A sample of Mexican-descent older adults and their caregivers was recruited (n  = 74 dyads) in Arizona. Each participant completed questionnaires on knowledge, confidence, and acculturation. There were moderate but significant associations among higher Anglo Orientation with Knowledge and with Confidence. (Source: Geriatric Nursing)
Source: Geriatric Nursing - June 4, 2018 Category: Nursing Authors: Janice D. Crist, Mary Lee Montgomery, Alice Pasvogel, Linda R. Phillips, Evangeline M. Ortiz-Dowling Source Type: research

The impact of old versus new antiepileptic drugs on costs and patient reported outcomes among older adults
Epilepsy, defined as the recurrence of at least two unprovoked seizures that involve an alteration in patient's level of motor and sensory consciousness and are not due to any identifiable cause,1 is one of the most severe neurological disorders in the elderly population.2 –4 Elderly people are more likely to develop epilepsy than the younger people.5,6 The incidence of seizures in patients aged 40–59 years is 0.5–0.6 per 1,000 people, which increases to 1.36 per 1,000 people in those older than 65 years of age. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 30, 2018 Category: Nursing Authors: Haya M. Almalag, Huda Alzahrani, Fawaz Al-hussain, Abdulaziz Alsemari, Edward B. De Vol, Manal Rashed Almarzouqi, Yazed S. AlRuthia Source Type: research

Caregiving demands, job demands, and health outcomes for employed family caregivers of older adults with dementia: Structural equation modeling
Dementia is a complex disorder, which affects not only the person with dementia, but also their caregivers. Family and friends play a pivotal role as primary caregivers for persons with dementia not only in Taiwan, but also worldwide.1,2 In the USA, southeast Asia, China, and Latin America most family caregivers of persons with dementia are spouses or children, and most are female; in the UK most family caregivers are male.3 Globally, these family caregivers of persons with dementia report high levels of caregiver burden or role strain due to the incremental loss of the care-receivers' cognitive functions and increased phy...
Source: Geriatric Nursing - May 30, 2018 Category: Nursing Authors: Yu-Nu Wang, Wen-Chuin Hsu, Pei-Shan Yang, Grace Yao, Yi-Chen Chiu, Sien-Tsong Chen, Tzu-Hsin Huang, Yea-Ing Lotus Shyu Source Type: research

Knowledge, facilitators and barriers to the practice of person-centred care in aged care workers: a qualitative study
The current study describes aged care workers' interpretation of the concept of person-centred care; and identifies the barriers that exist to impede its practice, and the facilitators that encourage person-centred care practice. Data were collected from interviews with aged care workers from two residential aged care facilities providing both high and low care for residents with and without physical and psychological issues based in Australia. Data were analysed to identify and explore categories of meaning for barriers and facilitators. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 30, 2018 Category: Nursing Authors: Michelle L. Oppert, Valerie J. O'Keeffe, David Duong Source Type: research

Evaluation of a decision support app for nurses and case managers to facilitate aging in place of people with dementia. A randomized controlled laboratory experiment
Detecting practical problems of persons with dementia (PwD) experience at home, and advising them on solutions to facilitate aging in place are complex and challenging tasks for nurses and case managers. In this two group randomized, controlled laboratory experiment, the efficacy of a decision support application aiming to increase nurses' and case managers' confidence in clinical judgment and decision-making was tested. The participants (N  = 67) assessed a case of a PwD within the problem domains: self-reliance, safety and informal care, and provided suggestions for possible solutions. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 29, 2018 Category: Nursing Authors: Theresa Thoma-L ürken, Michel H.C. Bleijlevens, Monique A.S. Lexis, Jan P.H. Hamers Source Type: research

Examining spiritual support among African American and Caucasian Alzheimer's caregivers: A risk and resilience study
Research shows African Americans at greater risk of developing Alzheimer's disease (AD) compared to the Caucasian population, suggesting African American AD caregivers are rising in numbers at a greater rate than Caucasian counterparts. Over a decade ago, an article in Geriatric Nursing revealed spiritual well-being differences among these caregiver groups. The purpose of this study was a quasi-follow-up, utilizing a larger caregiver sample to test spiritual support as a moderator via a risk-and-resilience framework. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 25, 2018 Category: Nursing Authors: Scott E. Wilks, Wanda R. Spurlock, Sandra C. Brown, Bettina C. Teegen, Jennifer R. Geiger Source Type: research

Challenges to aging in place for African American older adults living with dementia and their families
A culturally informed community health assessment was conducted to explore the community context of care for older adults in African American urban neighborhoods. The purpose of this study is to explore the challenges to aging in place for African American older adults living with dementia and their family members. Data collection and analysis were conducted as concurrent iterative procedures between photographs, media clippings, semi-structured interviews (N  = 24), observation notes, and journaling. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 24, 2018 Category: Nursing Authors: Fayron Epps, Gretchen Weeks, Evan Graham, DeMicha Luster Source Type: research

Using telehealth to optimize healthy independent living for older adults: A feasibility study
The purpose of this study was to test feasibility of the Telehealth Community Health Assistance Team (T-CHAT), a nurse-led intervention delivered through a telepresence robot designed to promote healthy independent living among older adults. Using a quasi-experimental design, 21 older adults were divided into a T-CHAT group (n  = 11) or a waitlist control group (n = 10). The T-CHAT group received 3 weekly health coaching sessions from a nurse practitioner student through the telepresence robot. Data trends were analyzed using two-way repeated measures analysis of covariance (ANCOVA) with baselin...
Source: Geriatric Nursing - May 24, 2018 Category: Nursing Authors: Tamilyn Bakas, Debi Sampsel, Jahmeel Israel, Ameya Chamnikar, Barbara Bodnarik, John Greer Clark, Megan Gresham Ulrich, Dieter Vanderelst Source Type: research

Sleep disruption and quality of life in persons with dementia: A state-of-the-art review
Sleep disruption in persons with dementia is pervasive and contributes to negative health outcomes and decreased quality of life. Using Lawton's framework for quality of life in persons with dementia, the aim of this state-of-the-art review was to synthesize current knowledge on the association between sleep disruption and quality of life in persons with dementia in four domains: physical, social/behavioral, emotional well-being, and cognitive. Based on the final sample of six studies, sleep disruption was negatively associated with all four quality of life domains in persons with dementia. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 23, 2018 Category: Nursing Authors: Darina V. Petrovsky, Miranda Varrasse McPhillips, Junxin Li, Ariana Brody, Laurel Caffe é, Nancy A. Hodgson Source Type: research

Assessment and management of pain in persons with dementia
World-wide 46.8 million individuals were living with dementia in 2015 representing $818 billion in costs.1 The number of people diagnosed with dementia is projected to reach 131.5 million by 2050.1 Since the risk of developing a painful condition increases in the older adult population,1 the numbers of people with both pain and dementia will increase,2 presenting a significant public health and economic concern.1 Pain in persons with dementia can be challenging to adequately measure,3 particularly as verbal and behavioral expressions of chronic pain may be diminished or absent despite the presence of pain. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 17, 2018 Category: Nursing Authors: Alison R. Anderson, Abby Luck Parish, Todd Monroe Source Type: research

Care of older adults of color: Bridging the gap and building relationships
Care and management of the elderly continues to be an area of national concern in nursing. As healthcare providers, it is our role to anticipate and prepare for the needs of this increasingly aging population. By 2030 the CDC estimates that the population of older adults will rise to over 20% of the total population which translates to about 72 million individuals.1 Furthermore this population will become significantly more diverse. In 2010, 80% of the populations included non hispanic white older adults. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 15, 2018 Category: Nursing Authors: Sandy N. Cayo Source Type: research

Update on statin drugs for lipid disorders
Statin drugs are one of the most commonly used classes of medications, and one of the most controversial. The first statin, lovastatin, was approved by the US Food and Drug Administration (FDA) in 1987. Additional statins received FDA approval, mostly in the 1990's. Statins now available as single agent products include atorvastatin (Lipitor), fluvastatin (Lescol, Lescol XL), lovastatin (Mevacor, Altoprev), pravastatin (Pravachol), rosuvastatin (Crestor), simvastatin (Zocor, FloLipid) and pitavastatin (Livalo) and some statins are available in combination products. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 15, 2018 Category: Nursing Authors: William Simonson Source Type: research

Dancing in the golden age: a study on physical function, quality of life, and social engagement
The aim of this study was to determine the effects of dancing activity based on different dance styles, in groups as well as with a partner, on mobility performance, quality of life and social engagement in a sample of older adults. One hundred and sixty-three older adults (mean age, 70 years; SD  = 4 years) participated in a supervised dancing activity programme for 16 weeks. The dancing activity included different dance routines and was progressive in terms of motor complexity. Data on mobility, health-related quality of life and social engagement were collected before and after a 16-w eek training period. ...
Source: Geriatric Nursing - May 14, 2018 Category: Nursing Authors: Paolo Riccardo Brustio, Monica Emma Liubicich, Marcello Chiabrero, Emanuela Rabaglietti Source Type: research

Implementation of a clinical nursing pathway for percutaneous coronary intervention: A prospective study
This study is to evaluate the effect of a clinical nursing pathway (CNP) on the clinical outcomes of the transradial approach for emergency percutaneous coronary intervention (PCI). A total of 118 subjects diagnosed with acute myocardial infarction (AMI) were enrolled in the study. They were randomly divided into a control group receiving conventional nursing and a clinical nursing pathway group. The differences in door-to-balloon time, length of hospital stay, hospitalization cost, postoperative complications, and patient satisfaction with nursing care between the two groups were determined and analyzed statistically. (So...
Source: Geriatric Nursing - May 11, 2018 Category: Nursing Authors: Meng Li, Huimin Liu Source Type: research

Predicting patterns of disaster-related resiliency among older adult Typhoon Haiyan survivors
The number of natural disasters around the world has steadily risen in recent decades, thereby rendering these disasters a global concern. Disasters have included Hurricane Maria in the Dominican Republic,1 the Haitian earthquake,2 the Mexican earthquake,3 flooding in Bangladesh,4 flooding and landslides in Sierra Leone5 and Hurricane Harvey in the United States.6 These disasters have caused loss of lives, environmental damage and disruption to essential functions.7 For some individuals, natural disasters can cause trauma so great that it exceeds their innate ability to cope effectively. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 11, 2018 Category: Nursing Authors: Joseph U. Almazan, Jonas Preposi Cruz, Majed Sulaiman Alamri, Jazi Shaydied Monahi Alotaibi, Abdulrhman Saad B. Albougami, Rotacio Gravoso, Ferdinand Abocejo, Kelly Allen, Ghose Bishwajit Source Type: research

What will you put in your shadow/memory box?
I recently spent a few days living in a New England based Continuing Care Retirement Community while visiting my mother. While doing my morning run in the hallways (the exercise room was closed because of construction!) I spent a lot of time looking at the personalized, outside of the room decorations and shadow or memory boxes in the hallways. They were generally themed and well thought out. These personalized areas made me think about the difficult decision of what to put outside one's room or in one's “shadow box” or “memory box” to help us identify that room as our own and to best reflect who we...
Source: Geriatric Nursing - May 11, 2018 Category: Nursing Authors: Barbara Resnick Tags: From the Editor Source Type: research

Move it before it's too late: helping older adults accept less residential burden and more assistance
Independence is a valuable commodity for all of us regardless of age. Unfortunately, aging brings with it a gradual, or in some cases abrupt, change in the ability to manage the routine tasks required to be independent. The basic activities that we are most concerned with include grooming, bathing, dressing, eating, toileting, walking, and transferring commonly require assistance with advancing age. There are also other tasks that must be taken care of such as cleaning the house, pain the bills, doing the laundry, and shopping for food and other essentials all of which would benefit from assistance. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 11, 2018 Category: Nursing Authors: Richard G. Stefanacci, Albert Riddle Source Type: research

Integration of post-acute care and hospice care in adult day services
Community-based day programs for frail older adults and their family caregivers, such as Adult Day Services (ADS), play a growing role in post-acute and hospice care transitions. ADS options, however, are often overlooked in hospital and emergency department discharge planning as well as in hospice and palliative care referrals.1,2 Lack of knowledge about and connectivity with ADS programs and the range of services that individual centers provide can impede comprehensive discharge planning and limit post-acute or palliative/hospice care options for frail older adults and their family caregivers. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 11, 2018 Category: Nursing Authors: Mary Beth Happ, Holly Dabelko-Schoeny, Jiwon Shin Source Type: research

The changing landscape of assisted living
We are all in this together and whether we work in skilled nursing, assisted living, home care, or are care partnering with a loved one in our own home, we have to get this right. For a long time there has been a false notion that the only origin for a culture change journey was a skilled nursing home –not so. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 10, 2018 Category: Nursing Authors: Juliet Holt Klinger Source Type: research

Award-winning research at #AGS18 links value-based care to interprofessional collaboration, social supports for older adults
With support from Humana Inc., the American Geriatrics Society (AGS) this year launched one of our newest awards celebrating innovation in value-based care as we age. And importantly, the inaugural recipients of the Humana Value-Based Care Research Awards – Austin J. Hilt, MPH, a medical student at Northeast Ohio Medical University, and Morteza Komeylian, MD, a Clinician Fellow at the University of Texas Medical Branch at Galveston – are exemplars of our work to recognize not only geriatrics expertise writ large but also the importance of remaini ng committed to interprofessional collaboration, a staple of our ...
Source: Geriatric Nursing - May 9, 2018 Category: Nursing Authors: Laurie G. Jacobs Source Type: research

The association of pain, race and slow gait speed in older adults
Gait speed is an important indicator of mobility and quality of life in older adults. Pain is related to gait speed; however, it is unknown if this relationship varies by race in a population based national sample. The aim of this study was to examine if the association between slow gait speed and pain differed between 7,025 older African Americans and non Hispanic Whites in the National Health and Aging Trends Study. Those with pain in the last month had higher odds of slow gait speed (odds ratio  = 1.38, 95% confidence interval = 1.10 - 1.73) than those without pain. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 8, 2018 Category: Nursing Authors: Janiece L. Taylor, Lauren J. Parker, Sarah L. Szanton, Roland J. Thorpe Source Type: research

Implementation of personalized music listening for assisted living residents with dementia
An estimated 5.4 million Americans carry a diagnosis of Alzheimer's disease or related dementias (ADRD), and the prevalence is projected to increase to 13.8 million by mid-century with the aging of our population.1 Symptoms of ADRD including agitation, anxiety, apathy, and depression reduce a person's quality of life and increase caregiver burden. Specifically in assisted living facilities (ALF), persons with ADRD can create increased workload for staff with mood changes manifesting as resisting necessary care, verbal outbursts, attempts to leave the facility, or physical aggression. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 3, 2018 Category: Nursing Authors: Kelly Murphy, Winston W. Liu, Daniel Goltz, Emma Fixsen, Stephen Kirchner, Janice Hu, Heidi White Source Type: research

Outcomes and provider perspectives on geriatric care by a nurse practitioner-led community paramedicine program
Older individuals tend to have more functional limitations and hospitalizations.1 Adults over the age of 75 have the highest rate of emergency department (ED)1 utilization after infants less than 1 year of age,2 and are more likely to be hospitalized than younger individuals.3 ED visits and hospitalizations can be harmful for older adult populations due to increased rates of delirium, infections, and impaired functional status as a result of being hospitalized.4 These challenges can prevent patients from returning to their prior level of functioning. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 3, 2018 Category: Nursing Authors: Rebecca E. Kant, Maria Vejar, Bennett Parnes, Joy Mulder, Andrea Daddato, Daniel D. Matlock, Hillary D. Lum Source Type: research

Psychological factors related to nurses' intentions to initiate an antipsychotic or psychosocial intervention with nursing home residents
This study examined the validity of a psychological model for understanding nursing home providers' treatment choices when managing challenging dementia-related behaviors. Ninety-nine nurses from 26 long-term care facilities responded to a case study with their intentions to initiate an antipsychotic or psychosocial intervention and completed self-report measures of their attitudes, descriptive norms, self-efficacy, and outcome expectancies. The multi-level modeling results demonstrated that nurses with more positive outcome expectancies for the effect of an antipsychotic on resident behavior, and those with more positive ...
Source: Geriatric Nursing - May 3, 2018 Category: Nursing Authors: Brian M. Ludwin, Suzanne Meeks Source Type: research

Table of Contents
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Source: Geriatric Nursing - May 1, 2018 Category: Nursing Source Type: research

Editorial Board
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Source: Geriatric Nursing - May 1, 2018 Category: Nursing Source Type: research

Information for Readers
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Source: Geriatric Nursing - May 1, 2018 Category: Nursing Source Type: research

Information for Authors
(Source: Geriatric Nursing)
Source: Geriatric Nursing - May 1, 2018 Category: Nursing Source Type: research

Transitional care post TAVI: A pilot initiative focused on bridging gaps and improving outcomes
Interventions focused on ensuring safe transitions for patients from hospital to home can assist in providing continuity of care, preventing readmissions, and reducing duplication of services. Patients undergoing a Transcatheter Aortic Valve Implantation (TAVI) procedure are often frail, elderly, and have multiple co-morbidities. A pilot initiative evaluating transitional care strategies through telephone follow up was implemented in a tertiary centre with the aim to identify gaps and intervene, preventing re-admission and improving patient outcomes. (Source: Geriatric Nursing)
Source: Geriatric Nursing - April 11, 2018 Category: Nursing Authors: Sandra Wong, Lorraine Montoya, Bonnie Quinlan Source Type: research

Correlates and influences of taking an afternoon nap on nocturnal sleep in Chinese elderly: A qualitative study
This study aimed to describe napping experience from the perspectives of Chinese elderly, specifically on nap taking correlates and its influences on nocturnal sleep. Data were gathered via individual in-depth interviews with 50 Chinese elderly in Taiwan. The majority of the nappers napped for 1 –2 hours between 12 PM and 1 PM. Nap promoting factors included “belief in afternoon nap taking benefits,” “nothing to do,” “low energy level,” “compensation -for disturbed sleep” and “extreme weather.” Nap taking (>1  hr.) was found to be associated with d...
Source: Geriatric Nursing - April 10, 2018 Category: Nursing Authors: Jong-Ni Lin Source Type: research

Ensuring safe and optimal medication use in older community residents: collaboration between a nurse and a pharmacist
The purpose of this retrospective review is to describe 1) a nurse-pharmacist collaboration within a home based nurse-occupational therapist-handyman program called CAPABLE and 2) potential medication problems and 3) information communicated to participants and prescribers about those problems. A chart review was performed for each participant that one CAPABLE nurse referred to the pharmacists. We identified recommendations provided by pharmacists, synthesized common questions posed to the pharmacists' and developed exemplar cases of participant encounters. (Source: Geriatric Nursing)
Source: Geriatric Nursing - April 10, 2018 Category: Nursing Authors: Emily Pherson, Jill Roth, Manka Nkimbeng, Cynthia Boyd, Sarah L. Szanton Source Type: research

Correlates and influences of taking an afternoon nap on nocturnal sleep in Chinese elderly: A qualitative study
This study aimed to describe napping experience from the perspectives of Chinese elderly, specifically on nap taking correlates and its influences on nocturnal sleep. Data were gathered via individual in-depth interviews with 50 Chinese elderly in Taiwan. The majority of the nappers napped for 1 –2 hours between 12 PM and 1 PM. Nap promoting factors included “belief in afternoon nap taking benefits,” “nothing to do,” “low energy level,” “compensation -for disturbed sleep” and “extreme weather.” Nap taking (>1  hr.) was found to be associated with d...
Source: Geriatric Nursing - April 10, 2018 Category: Nursing Authors: Jong-Ni Lin Source Type: research

Ensuring safe and optimal medication use in older community residents: collaboration between a nurse and a pharmacist
The purpose of this retrospective review is to describe 1) a nurse-pharmacist collaboration within a home based nurse-occupational therapist-handyman program called CAPABLE and 2) potential medication problems and 3) information communicated to participants and prescribers about those problems. A chart review was performed for each participant that one CAPABLE nurse referred to the pharmacists. We identified recommendations provided by pharmacists, synthesized common questions posed to the pharmacists' and developed exemplar cases of participant encounters. (Source: Geriatric Nursing)
Source: Geriatric Nursing - April 10, 2018 Category: Nursing Authors: Emily Pherson, Jill Roth, Manka Nkimbeng, Cynthia Boyd, Sarah L. Szanton Source Type: research

Evidence on selection, optimization, and compensation strategies to optimize aging with multiple chronic conditions: a literature review
The self-regulation strategies of selection, optimization, and compensation (SOC) can be effective in optimizing aging with multiple chronic conditions (MCC). Nineteen articles on the use and effects of SOC among older adults with chronic conditions were reviewed. The studies' quality, evaluated by the Mixed Methods Appraisal Tool, ranged from medium to high (Mean  = 0.90, SD = 0.10). SOC were found to improve the symptom experience for older adults, resulting in better health outcomes such as increased daily living activities, subjective well-being, life success, fewer falls/sick days, and use ...
Source: Geriatric Nursing - March 30, 2018 Category: Nursing Authors: Wenhui Zhang, Kavita Radhakrishnan Source Type: research

Older people living with chronic illness
This study aimed to gain a better understanding of what it is like for older people to live with chronic illness. A Phenomenological method was used. A purposive sampling strategy was used to recruit older people with chronic illness from one community in Nakhonratchasima province, Thailand. Semi-structured interview guides were used to explore the participants' experiences and perceptions. Data saturation was reached after 30 interviews were completed. The data was analyzed using thematic analysis. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 26, 2018 Category: Nursing Authors: Chantira Chiaranai, Saranya Chularee, Sujirat Srithongluang Source Type: research

Health care providers' perceptions of family caregivers' involvement in consultations within a geriatric hospital setting
This study explored health professionals' (HPs') experiences of interacting with family care-givers (FCs), and the strategies they employ during these interactions. Qualitative methods involved audio-taped and transcribed in-depth semi-structured interviews with 21 HPs (doctors, nurses) from the geriatric wards of two tertiary hospitals. Framework methods were used to analyze data. Seven main themes emerged: Variation in family behaviours; FCs face many challenges; Psychosocial factors influence FCs' behaviours; Attitudes, competing responsibilities and lack of resources influencing HPs' strategies and behaviours; Strategi...
Source: Geriatric Nursing - March 22, 2018 Category: Nursing Authors: Daniela Koren, Rebekah Laidsaar-Powell, Wendy Tilden, Mark Latt, Phyllis Butow Source Type: research