Aggressive behaviour risk assessment tool for long-term care (ABRAT-L): Validation study
Verbal and physical aggression arising from residents in long-term care homes poses a serious threat to other residents and staff. Aggressive behaviors are of concern because of high prevalence and serious consequences, including fatalities. A summary of 105 fatal incidents identified through an internet search indicated that “push-fall” or head/face “beating” incidents resulting in hip fractures or head/face and brain injuries were the most common events.1 Almost all (90%) of the exhibitors apparently had dementias. (Source: Geriatric Nursing)
Source: Geriatric Nursing - December 10, 2018 Category: Nursing Authors: Son Chae Kim, Brigette Berry, Lori Young Source Type: research

The effect of registered nurses on nursing home residents ’ outcomes, controlling for organizational and health care market factors
This article examined the relationship between nurse staffing and residents’ quality-of-care outcomes, controlling for long-term healthcare market characteristics in Korea. Using a multilevel cross-sectional design, a disproportionate stratified random sampling was used. (Source: Geriatric Nursing)
Source: Geriatric Nursing - December 7, 2018 Category: Nursing Authors: Juh Hyun Shin, In-Soo Shin Source Type: research

Informal support for older adults is negatively associated with walking and eating during hospitalization
Processes related to daily care of older adults during hospitalization, such as mobility and nutrition, have long-term consequences for their health and functioning. Although instrumental support provided by family members during hospitalization is highly prevalent, its relationship to older adults ’ actual walking and eating is unknown.Data on walking level (walking outside vs. inside the room) and nutritional intake were collected from 493 independent older adults admitted to internal medicine wards through up to three daily interviews using validated questionnaires. (Source: Geriatric Nursing)
Source: Geriatric Nursing - December 6, 2018 Category: Nursing Authors: Nurit Gur-Yaish, Orly Tonkikh, Efrat Shadmi, Anna Zisberg Source Type: research

Working together to learn new oral hygiene techniques: Pilot of a carepartner-assisted intervention for persons with cognitive impairment
We pilot tested a carepartner-assisted intervention to improve oral hygiene in persons with cognitive impairment (participants) and help carepartners become leaders who can adapt approaches that foster participants ’ ability to develop new skills for oral hygiene care. Following the intervention, we conducted interviews with participants and carepartners to understand their challenges in working together to learn new oral hygiene skills. Participants reported challenges such as frustration using the electric toothbrush correctly, lack of desire to change, uncertainty about correctness of technique, and difficulty sus...
Source: Geriatric Nursing - December 3, 2018 Category: Nursing Authors: Ruth A. Anderson, Jing Wang, Brenda L. Plassman, Kathleen Nye, Melanie Bunn, Patricia A. Poole, Connor Drake, Hanzhang Xu, Zhao Ni, Bei Wu Source Type: research

Eliciting nurses ’ perspectives to improve health information exchange between hospital and home health care
Despite patient safety initiatives to improve care transitions, prior research largely neglects to elicit feedback from home health nurses regarding health information exchange. The goal of this quality improvement study was to identify opportunities to facilitate information transfer during hospital-to-home-health-care transitions for older adults with heart failure. We conducted focus groups with 19 nurses employed by a single healthcare system using two commercially available electronic health record (EHR) vendors. (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 29, 2018 Category: Nursing Authors: Erin Sarzynski, Mark Ensberg, Amy Parkinson, Laurie Fitzpatrick, Laura Houdeshell, Charles Given, Kevin Brooks Source Type: research

Social support as a mediator between depression and quality of life in Chinese community-dwelling older adults with chronic disease
According to the United Nations report, the world population of older people is growing with an annual rate of 2.6%, more than twice the growth rate of the whole population.1 A consequence of the increasing percentage of older people is a surge in the incidence and prevalence of age-related diseases.2 Chronic disease not only produces a heavy economic burden on the individual, family, and society, but also seriously influences the individual's quality of life (QOL).3 (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 29, 2018 Category: Nursing Authors: Ling-Na Kong, Ping Hu, Yu Yao, Qing-Hua Zhao Source Type: research

Caregiver decisions along the Alzheimer's disease trajectory
Despite the rising prevalence of Alzheimer's disease (AD), there is limited systematic evidence about disease specific decisions. The aim of this qualitative descriptive study was to identify decisions across the AD trajectory using focus groups of past and present caregivers. Qualitative content analysis revealed three main categories with corresponding categories and sub-categories. Main Category One —Decisions pertaining to self—yielded two categories: decision pertaining to the offering of self and care for the caregiver. (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 29, 2018 Category: Nursing Authors: Marie Truglio-Londrigan, Jason T. Slyer Source Type: research

Improving practice – Reconciliation of medications
St. John Hospital& Medical Center (SJH&MC) is a 772-bed urban regional-referral teaching hospital and is located in Detroit, MI. The nurses are required to document and reconcile medications brought from and taken at home to ensure medication safety. Given time constraints and general workflow of the unit, staff had a compliance rate of 46% which was considerably short of the target goal of 90%. The Geriatric Team consisting of a Geriatric Clinical Nurse Specialist (GCNS), Unit Manager, and Informaticist met with Acute Care of the Elderly (ACE) staff to identify and resolve barriers. (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 15, 2018 Category: Nursing Authors: Margie Romanoski Source Type: research

Person-centered care: The struggle persists
A reader, Penny Shaw, and nursing home resident herself, expressed her thoughts and concerns about a recent article in the May/June 2018 issue of Geriatric Nursing - Resident Choice: A Nursing Home Staff Perspective on Tensions and Resolutions by Palmer et al.1 She noted: (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 13, 2018 Category: Nursing Authors: Barbara Resnick Tags: From the editor Source Type: research

New report on assessing mobility has us moving toward consensus on the care we need as we age
For years, our nurses, doctors, physician assistants, pharmacists, social workers, and so many other interprofessional colleagues have led the way identifying risks, gaps, and opportunities in the care of older people. That work has led to tremendous movement for the science and art of geriatrics —for what our core principles are and for how they take shape in the clinic and the classroom. But with so much attention on Movement with a capital “M,” it can be challenging to pause and appreciate the incremental steps and successes that contribute to our broader progress. (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 13, 2018 Category: Nursing Authors: Laurie G. Jacobs Source Type: research

Assisted Living and the Flu – It Ain′t Over Till it′s Over
By now the current influenza season is well defined and taking hold in many of our assisted living communities. How much do you really know about the flu? I thought I knew a lot about the flu until I attended a meeting of The Gerontological Society of America (GSA) in May of this year. As a representative of the National Board of Directors of AALNA I was asked to present to a room full of amazing, brilliant professionals from all over the US who know their flu inside out and upside down. What they did not know was about how we do things in AL when it comes to immunizations in general and particularly flu vaccinations. (Sou...
Source: Geriatric Nursing - November 13, 2018 Category: Nursing Authors: R.N. Margo B. Kunze Source Type: research

Family caregivers experiences of the pre-diagnostic stage in frontotemporal dementia
Frontotemporal dementia (FTD) is a neurodegenerative disease with symptoms that differs from other dementias. Commonly early symptoms in FTD are changes in personality and behavior, which can be interpreted as psychiatric disease. The delay in FTD diagnosis contributes to the burden of family caregivers. Therefore, it is important to have more knowledge about the pre-diagnostic stage. In this qualitative interview study, we explored fourteen family caregiver's experiences of the pre-diagnostic stage of frontotemporal dementia (FTD). (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 10, 2018 Category: Nursing Authors: Hege Rasmussen, Ove Hellzen, Eystein Stordal, Ingela Enmarker Source Type: research

Challenges of a frontotemporal dementia patient
Families of patients with frontotemporal dementia living in the community face many challenges. Access to quality care, effective treatment modalities, and short or long-term placements are several of the challenges. Early recognition, family education, and appropriate specialist referral can lessen the burden for families as they navigate the health system during this progressive disease. (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 10, 2018 Category: Nursing Authors: Rebecca Bryant, Charman Miller Source Type: research

Older patients ’ motives of whether or not to perform self-management during a hospital stay and influencing factors✰
Semi-structured in-depth interviews (n  = 12) were held to explore older patients’ motives of whether or not to perform self-management while hospitalized and to identify factors influencing self-management during hospitalization. These interviews were analyzed using the Quacol method. Self-management during hospitalization is oper ationalized as: collaboration with the nursing staff, having a proactive role, and having control over personal care. Three main themes, i.e., patients’ abilities, expectations and opinions, as well as their perceived behavior of nurses were identified along with eight influencin...
Source: Geriatric Nursing - November 9, 2018 Category: Nursing Authors: Caroline E.M. Otter, Jita G. Hoogerduijn, Joost C. Keers, Ellen I. Hagedoorn, Janneke M. de Man-van Ginkel, Marieke J. Schuurmans Source Type: research

Geriatric models revisited as age friendly health care
In 2009, we wrote an editorial for this column asking why geriatric models of care were not coordinating their efforts toward a comprehensive, intra-professional, multi-component strategy to support high quality geriatric acute care.1 These models, including the Geriatric/Palliative care consultation service (on-site or virtual), the ACE (acute care for the elderly) unit or mobile version, the NICHE (nurses improving care for health systems) initiative, the GRN (Geriatric Resource Nurse) model, the HELP (Hospital Elder Life Program), the Advanced Practice Nurse Transitional Care model, and the Care Transition Intervention ...
Source: Geriatric Nursing - November 8, 2018 Category: Nursing Authors: Elizabeth Capezuti, Barbara L. Brush Source Type: research

Mobilizing older adults: A multi-site, exploratory and observational study on patients enrolled in the Hospital Elder Life Program (HELP)
The aim of this study was to explore and describe the characteristics of the Hospital Elder Life Program (HELP) sites and how they mobilize patients with volunteers in the United States and other countries. The purpose was to describe: the number of enrollments, modalities, fall and injury rates, and to identify barriers to mobilization. A survey was distributed to 228 international sites. The responding sites enrolled an average of 53.9 (SD 35.3) patients per month. The majority (76%) reported that mobilization included ‘active range of motion exercises’ and ‘ambulation’. (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 6, 2018 Category: Nursing Authors: Rhonda L. Babine, Kristiina E. Hyrk äs, Caitlin G. Mckenzie, Heidi R. Wierman Source Type: research

Beyond the medical —Assisting with social determinants of health in the drive to value-based care
Value-based care means keeping our patients healthy that often times require activities far outside of the traditional healthcare role. These opportunities are identified in the Community Health Needs Assessment (CHNA). Many of these gaps identified are for elements outside of traditional healthcare services such as transportation and food, yet are critical in achieving health and reducing costs. Historically it has not been possible for organizations or payers to cover these elements, but this is changing. (Source: Geriatric Nursing)
Source: Geriatric Nursing - November 6, 2018 Category: Nursing Authors: Richard G. Stefanacci, Albert Riddle Tags: Assisted Living Column Source Type: research

Characteristics associated with transition from opioid initiation to chronic opioid use among opioid-na ïve older adults
Our primary objective was to determine the prevalence and characteristics of opioid-na ïve older adults who initiated opioids and transitioned to chronic use. Study populations included older adults ≥ 65 years with continuous medical and drug plan enrollment one-year prior to opioid initiation (pre-period) through one-year after initiation (post-period). Characteristics were de termined using multivariate logistic regression. Among eligible insureds (N = 180,498), 70% used only the initial opioid prescription; 30% continued to use opioids requiring ≥ 2 prescriptions with ≥ 15 days’ suppl...
Source: Geriatric Nursing - November 3, 2018 Category: Nursing Authors: Shirley Musich, Shaohung S. Wang, Luke Slindee, Sandra Kraemer, Charlotte S. Yeh Source Type: research

Table of Contents
(Source: Geriatric Nursing)
Source: Geriatric Nursing - November 1, 2018 Category: Nursing Source Type: research

Editorial Board
(Source: Geriatric Nursing)
Source: Geriatric Nursing - November 1, 2018 Category: Nursing Source Type: research

Information for Readers
(Source: Geriatric Nursing)
Source: Geriatric Nursing - November 1, 2018 Category: Nursing Source Type: research

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

A pilot study examining activity monitor use in older adults with heart failure during and after hospitalization
Our study examined feasibility and acceptability of continuous objective activity monitoring during hospitalization and after discharge in older adults with heart failure. Recruitment rate was 49.2% of eligible patients with a 93.1% retention rate. Twenty-seven older patients admitted with heart failure (78  ± 9.8 years; 51.8% female) wore two inclinometric accelerometers to record posture in-hospital and an ankle accelerometer to record ambulatory activity in-hospital and 30-days after discharge. (Source: Geriatric Nursing)
Source: Geriatric Nursing - October 31, 2018 Category: Nursing Authors: Theresa A. Floegel, Kelli D. Allen, Matthew P. Buman Source Type: research

Experiences of caregivers by care recipient's health condition: A study of caregivers for Alzheimer's disease and related dementias versus other chronic conditions
This study described experiences of caregivers of persons with Alzheimer's disease and other dementias (ADRD) and caregivers of persons with other chronic conditions on self-reported health, type of assistance they provide, perceptions of how caregiving interferes with their lives, and perceived level of support. A secondary analysis was conducted of the 2013 Porter Novelli SummerStyles survey data. Of the 4033 respondents, 650 adults self-identified as caregivers with 11.6% caring for people with ADRD. (Source: Geriatric Nursing)
Source: Geriatric Nursing - October 24, 2018 Category: Nursing Authors: Weizhou Tang, Daniela B. Friedman, Kristie Kannaley, Rachel E. Davis, Sara Wilcox, Sue E. Levkoff, Rebecca H. Hunter, Andrea Gibson, Rebecca G. Logsdon, Cheryl Irmiter, Basia Belza Source Type: research

Dentistry and nursing working together to improve oral health care in a long-term care facility
This study assessed oral care knowledge of, and challenges experienced by, nurses and allied nursing staff (ANS) in a LTC facility in Canada. Dentists and nursing staff used the findings to implement strategies for improved care. Using a sequential mixed method design, data on oral care knowledge and practices were collected using self-administered questionnaires (n  = 114) and focused groups (n = 39). (Source: Geriatric Nursing)
Source: Geriatric Nursing - October 24, 2018 Category: Nursing Authors: Mark Keboa, Anne Beaudin, Julie Cyr, Janick Decoste, Frances Power, Richard Hovey, Lorraine LaFrance, Denise Ouellet, Michael Wiseman, Mary Ellen Macdonald Source Type: research

Targeted therapy use in adults with cancer ≥85 years of age
Assess patient- and clinical-related variables associated with targeted cancer treatments (TTs) for adults ≥85 years of age. (Source: Geriatric Nursing)
Source: Geriatric Nursing - October 13, 2018 Category: Nursing Authors: Karen E. Wickersham, Molly Crothers, Danielle Puth, Miriam N. Weiss, Kendall Powell, Barbara Resnick Source Type: research

Quality of care to nursing home residents with incontinence
Quality of care for residents with urinary incontinence (UI) living in nursing facilities was analyzed using data collected from 815 facilities for the Nursing Facility Quality Review in Texas. Overall, of the 1,560 residents, 48.4% (n  = 755) experienced UI. The risk of developing UI over a ten-year-period in a nursing facility was 6%. Only 54% of residents with UI had a care plan for their incontinence. For those with a UI plan in their chart, 143 (35%) had a person entered UI plan developed based on that resident's voiding pa ttern and needs. (Source: Geriatric Nursing)
Source: Geriatric Nursing - October 13, 2018 Category: Nursing Authors: Tracie Harrison, Shelley Blozis, Amelia Manning, Michelle Dionne-Vahalik, Sharilyn Mead Source Type: research

A systematic evaluation of advance care planning patient educational resources
Advance care planning (ACP) conversations are used in health care to guide individuals to identify their preferences for future care. These conversations help individuals exercise autonomy and make informed decisions about their care.1 ACP discussions are associated with patient autonomy, better alignment between patient preferences for future care and actual treatment, improved family member/care partner coping and lower medical costs.2 –5 Minimally, ACP is the completion of an advance directive where an individual appoints a medical decision maker, also known as a health care proxy. (Source: Geriatric Nursing)
Source: Geriatric Nursing - October 11, 2018 Category: Nursing Authors: Priscilla K. Gazarian, Julie Cronin, Jodi L. Dalto, Kayla M. Baker, Barbara J. Friel, Winona Bruce-Baiden, Lesley Y. Rodriguez Source Type: research

Slow progress towards prevention and treatment of Alzheimer's disease
Twenty years ago I predicted that there would be a cure for Alzheimer's disease (AD) by the year 2010. Unfortunately, I was wrong. My prediction was based on the fact that countless numbers of researchers from government agencies, academic institutions and biopharmaceutical companies have been researching this terrible disease. I figured with that effort a big discovery would open the door to effective prevention if not a cure! Sadly, since my prediction, many different potential therapeutic interventions have been tested and found to be ineffective. (Source: Geriatric Nursing)
Source: Geriatric Nursing - October 10, 2018 Category: Nursing Authors: William Simonson Source Type: research

Effect of nurse staffing on rehospitalizations and emergency department visits among short-stay nursing home residents: A Cross-sectional study using the US Nursing Home Compare database
The aim of this study was to examine the effect of nurse staffing on both rehospitalizations and emergency department emergency department visits among short-stay nursing home residents in the United States. Data for 11,132 US nursing homes were drawn from the 2016 Nursing Home Compare. We found that the Five-Star Quality Rating System's staffing rating is a significant predictor for the rates of rehospitalization and emergency department visit among short-stay nursing home residents. The results also showed the importance of registered nurse staffing in nursing home caring for short-stay residents. (Source: Geriatric Nursing)
Source: Geriatric Nursing - October 4, 2018 Category: Nursing Authors: Ari Min, Hye Chong Hong Source Type: research

Implementing a visual cueing technology intervention in a nursing home: nursing staff perceptions
The development of a pressure ulcer/injury (PrU) poses a significant health risk for older adults, especially individuals with mobility deficits or cognitive deficits that may limit their ability to move,1 thus placing them at greater risk for PrU development. A PrU, is defined as an area of localized tissue damage that is caused by unrelieved pressure, friction, or shearing force on any part of the body.2,3 PrUs for the most part are preventable healthcare-acquired condition, and older adults receiving care in a nursing home (NH) have almost double the risk of development compared to hospitalized patients,4 with at least ...
Source: Geriatric Nursing - October 3, 2018 Category: Nursing Authors: Ijeoma Anen Ifedili, Susan M. Kennerly, Valerie K. Sabol, Tracey L. Yap Source Type: research

Immunizations 2018: don't ask …just tell
It is that time of year again ….time for annual flu vaccines and hopefully a time to update other vaccines in your patients/residents as well. Just as a reminder, the Centers for Disease Control and Prevention (CDC) estimates that 63% of annual hospitalization and 90% of influenza-related mortality occur in people over the age of 65 years.1 Although decisions around hospitalization vary based on access to care in other settings, family, patient and provider preferences, influenza vaccination can prevent any potential need for hospitalizations and the associated decline in function and morbidity associated with the f...
Source: Geriatric Nursing - September 28, 2018 Category: Nursing Authors: Barbara Resnick Tags: From the Editor Source Type: research

Clinical simulation: an innovative strategy for improving health care for older adults
Preparing, developing and maintaining a workforce that meets the complex needs of the growing population of older adults continues to challenge educators and healthcare systems.1 Nurses prepared for clinical leadership in the care of older adults are essential as the number of Americans over the age of 65 is estimated to double over the next two decades. Geriatric nurses will require continued opportunities to expand their knowledge, skills and abilities in promoting healthy aging for those approximately 72 million older adults, who will by 2030 account for more than 20% of the US population and be disproportionately affec...
Source: Geriatric Nursing - September 28, 2018 Category: Nursing Authors: Beth Latimer Source Type: research

Assisting keeping older adults out of the emergency room
The emergency room and hospital while often times the place for life saving can also have significant costs associated with them both in terms of clinical and financial negative outcomes. Large retrospective studies in different countries have demonstrated that 3% to 50% of patients experience one or more adverse effects (AEs) in the hospital and approximately 50% of these AEs may be preventable.1 –10 So what can be done to assist these older adults from seeking care in the emergency rooms – the Centers for Medicare and Medicaid Services identified three areas of focus to reduce nonurgent use of emergency depar...
Source: Geriatric Nursing - September 27, 2018 Category: Nursing Authors: Richard G. Stefanacci, Albert Riddle Source Type: research

Could links between our senses & cognitive health explain parts of how we age? Experts like the sound ( & sight) of that, according to new AGS report
We work diligently at the American Geriatrics Society (AGS) to advance high-quality, person-centered care for older people across several forums, including many that help us translate research into clinical expertise. Since the early 2000s, one such forum has been our series of bench-to-beside U13 conferences hosted by the AGS with support from the National Institute on Aging and other collaborators from the National Institutes of Health (NIH).1 And experts gathered at one such conference, hosted in October 2017, hope their work – recently reported in the Journal of the American Geriatrics Society – will have c...
Source: Geriatric Nursing - September 26, 2018 Category: Nursing Authors: Laurie G. Jacobs Source Type: research

When respect for our elders is ageism
“Oh, let me help you.” “I'll do that for you.” “Don't worry, I've got it.” “‘It's ok, it’ll be quicker if I do it for you.” “You shouldn't have to do that for yourself – let me help you.” How many of us easily recall the last time a colleague or we said one of these kindly meant phrases as a measure of respect for an older patient? (Source: Geriatric Nursing)
Source: Geriatric Nursing - September 26, 2018 Category: Nursing Authors: Sarah H. Kagan Source Type: research

Reducing falls in assisted living using a comprehensive stepwise approach & clinical model for assessment of older residents who fall
Falls are a widespread public health problem affecting all older adults including the current 2.1 million residents who have moved into the assisted living-long term care community. The Centers for Disease Control estimates there were 29 million falls which caused 7 million injuries in 2014.1 They further note the fall rate is twice as large for our nation's most vulnerable population of residents of long-term care communities as the rate of falls which occurs for older adults living in the community. (Source: Geriatric Nursing)
Source: Geriatric Nursing - September 26, 2018 Category: Nursing Authors: Deanna Gray-Miceli Source Type: research

How older adults with multimorbidity manage their own care within a formal care coordination program?
Over the next decade, health care spending is expected to grow 6.1% per year, due in no small part to the increased numbers of Medicare enrollees.1 Not only is the number of Medicare enrollees increasing, so is the complexity of their care. Over 68% of Medicare beneficiaries have two or more chronic conditions, or multimorbidity; and over 36% had four or more chronic conditions.2 To streamline the care of older adults with multimorbidity, organizations have designed new models to deliver care that improve health and reduce costs associated with their complex care. (Source: Geriatric Nursing)
Source: Geriatric Nursing - September 6, 2018 Category: Nursing Authors: Jean Scholz Mellum, Donna S. Martsolf, Greer Glazer, Barbara Tobias, Grant Martsolf Source Type: research

Table of Contents
(Source: Geriatric Nursing)
Source: Geriatric Nursing - September 1, 2018 Category: Nursing Source Type: research

Editorial Board
(Source: Geriatric Nursing)
Source: Geriatric Nursing - September 1, 2018 Category: Nursing Source Type: research

Information for Readers
(Source: Geriatric Nursing)
Source: Geriatric Nursing - September 1, 2018 Category: Nursing Source Type: research

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

Transitional care and empowerment of the older adult
Older adults with complex comorbidities are at risk for challenges that compromise their post-discharge safety at home. A growing body of evidence suggests that post-hospitalization outcomes for vulnerable elders can be improved by interventions that encourage patient empowerment. The purpose of this pilot project was to determine if an individualized transition intervention would improve patient empowerment 30 days after home discharge following an acute illness. Through individualized interaction with an advanced practice nurse, a sample of 25 elder patients was encouraged to acquire the knowledge and confidence to advoc...
Source: Geriatric Nursing - August 30, 2018 Category: Nursing Authors: Nancy A. Lenaghan Tags: Feature Article Source Type: research

Tai Chi with music improves quality of life among community-dwelling older persons with mild to moderate depressive symptoms: A cluster randomized controlled trial
Depression leads to a poorer quality of life (QOL) which is a determinant of healthy ageing. Cost-effective solutions for enhancing QOL in the older population are much needed in China, with its rapidly ageing population. We conducted a randomized controlled trial involving 112 community-dwelling older participants with mild to moderate depression, to evaluate the effect of Tai Chi with music on QOL (57 in intervention group, 55 in control group). WHO Quality of Life-BREF was used to measure QOL at baseline and at every month for three months. (Source: Geriatric Nursing)
Source: Geriatric Nursing - August 30, 2018 Category: Nursing Authors: SJ Liao, MC Chong, MP Tan, YP Chua Source Type: research

Supporting autonomy in long-term care: Lessons from nursing assistants
Maximizing nursing home (NH) resident autonomy is a person-centered care (PCC) best practice. The purpose of this study was to identify and describe specific autonomy-supportive techniques used by nursing assistants (NAs) in three NH neighborhoods at one Veterans Affairs medical center. Thirteen interviews and approximately 80  h of behavioral observation of NAs were conducted across the three NH neighborhoods. Data were analyzed using thematic analysis. Ten autonomy-supportive tactics were identified: assisting, monitoring, encouraging, bargaining, informing, providing instructions, persuading, asking, providing opti...
Source: Geriatric Nursing - August 16, 2018 Category: Nursing Authors: M. Lindsey Jacobs, A. Lynn Snow, Rebecca S. Allen, Christine W. Hartmann, Natalie Dautovich, Patricia A. Parmelee Source Type: research

Facilitators and barriers to optimal preventive service use among providers and older patients
This study sought to understand barriers and facilitators to preventive service provision, access, and uptake. We used a mixed methods approach synthesizing quantitative survey and qualitative focus group data. Self-reported utilization of and factors related to preventive services were explored using quantitative data from the 2012 Medicare Current Beneficiary Survey. Qualitative data from 16 focus groups conducted in 2016 with a range of providers, health advocates, and Medicare beneficiaries explored perspectives on preventive service use. (Source: Geriatric Nursing)
Source: Geriatric Nursing - August 16, 2018 Category: Nursing Authors: Caitlin Cross-Barnet, Erin Murphy Colligan, Jessica McNeely, Larisa M. Strawbridge, Jennifer T. Lloyd Source Type: research

Hearing loss and its impact on residents in long term care facilities: A systematic review of literature
The prevalence of age-related hearing loss is high among older adults. Growing longevity and the older profile of aged care residents is likely to result in an increasing incidence of hearing loss among this cohort. This review reports on the findings of a systematic search of the academic databases CINAHL, Medline, PsychInfo and Scopus undertaken to investigate the hearing experiences of residents of aged care facilities. Twenty-two studies met the inclusion criteria. Our analysis revealed clear barriers and facilitators to optimal hearing experiences and indicated the importance of the physical and social environment for...
Source: Geriatric Nursing - August 16, 2018 Category: Nursing Authors: Ren ée Punch, Louise Horstmanshof Source Type: research

Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for nursing home staff
Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members ’ self-ratings of working in a person-centred manner, the person-centred climate and thriving. Questionnaires were distributed to staff working in 12 nursing homes in Sweden. (Source: Geriatric Nursing)
Source: Geriatric Nursing - August 15, 2018 Category: Nursing Authors: Marit Sil én, Bernice Skytt, Maria Engström Source Type: research

Coping with mental health issues among older Hispanic adults
The growth of the Hispanic population has reached a historical high in the United States (U.S.) when compared to other minority groups. Hispanic older adults will account for a considerably larger portion of the Hispanic population and a significant segment of the general U.S. population. It is projected that by 2050, Hispanics will account for 19.8% of the older population in the U.S. Despite the rapid growth in the Hispanic population and the number of efforts to reduce health care disparities, Hispanic older adults continue to face substantial challenges, even more so under the current political environment. (Source: Geriatric Nursing)
Source: Geriatric Nursing - August 11, 2018 Category: Nursing Authors: Alicia Curtin, Diane C. Martins, Donna Schwartz-Barcott Source Type: research

A caregiver educational program: A video program to promote aging services technologies awareness
This study evaluated the effectiveness of a video-based educational program to increase caregiver AST knowledge among 43 caregivers. Paired sample t-tests showed positive change in AST knowledge, stigma, and intention to engage in AST activities post-program. Caregivers endorsed highly positive AST views pre- and post-program without statistically significant change. (Source: Geriatric Nursing)
Source: Geriatric Nursing - August 7, 2018 Category: Nursing Authors: Joyce W. Tam, Maureen Schmitter-Edgecombe Source Type: research