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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

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

Creating a conceptual model for family caregivers of older adults intervention research: A narrative review of learned resourcefulness, resourcefulness, and the transtheoretical model
Providing and maintaining optimal care is challenging for older family caregivers who are caring for disabled older adults. Learned Resourcefulness can facilitate family caregivers' self-help strategies, and Resourcefulness can facilitate help-seeking from others. However, little is known about how older family caregivers can effectively maintain and adapt self-help and help-seeking strategies over time, especially as the dynamic nature of caregiving for disabled older adults demands change. To this end, the Transtheoretical model (TTM) provides useful constructs that address family caregivers' readiness to change their se...
Source: Geriatric Nursing - March 22, 2018 Category: Nursing Authors: Meng-Chun Chen, Mary H. Palmer, Shu-Yuan Lin 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

Creating a conceptual model for family caregivers of older adults intervention research: A narrative review of learned resourcefulness, resourcefulness, and the transtheoretical model
Providing and maintaining optimal care is challenging for older family caregivers who are caring for disabled older adults. Learned Resourcefulness can facilitate family caregivers' self-help strategies, and Resourcefulness can facilitate help-seeking from others. However, little is known about how older family caregivers can effectively maintain and adapt self-help and help-seeking strategies over time, especially as the dynamic nature of caregiving for disabled older adults demands change. To this end, the Transtheoretical model (TTM) provides useful constructs that address family caregivers' readiness to change their se...
Source: Geriatric Nursing - March 22, 2018 Category: Nursing Authors: Meng-Chun Chen, Mary H. Palmer, Shu-Yuan Lin Source Type: research

Prevalence of sarcopenia and its association with activities of daily living among japanese nursing home residents
Sarcopenia is an important predictor of adverse outcomes in elderly people. Based on a common clinical experience, sarcopenia may be associated with activities of daily living (ADL). To our knowledge, no study has investigated the association between sarcopenia and ADL in nursing home residents requiring long-term care. This cross-sectional study included 250 nursing home residents. Nutritional status, physical function, ADL and cognitive function were assessed using Mini Nutritional Assessment-Short Form (MNA-SF), Short Physical Performance Battery (SPPB), Barthel Index (BI) and Mini-Mental State Examination (MMSE). (Sour...
Source: Geriatric Nursing - March 16, 2018 Category: Nursing Authors: Tomohiko Kamo, Hideaki Ishii, Keisuke Suzuki, Yuusuke Nishida Source Type: research

Effect of music intervention on apathy in nursing home residents with dementia
This study examined the effectiveness of group music intervention in the treatment of nursing home residents with apathy. Apathy can clinically defined with a score of 40 or above on the apathy evaluation scale (AES). Seventy-seven residents were randomly assigned to the intervention or control group. The intervention group was given a music intervention programme, which included listening to traditional music, including nostalgic songs, and playing musical instruments three times a week, for a total of twelve weeks. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 15, 2018 Category: Nursing Authors: Qiubi Tang, Ying Zhou, Shuixian Yang, Wong Kwok Shing Thomas, Graeme D. Smith, Zhi Yang, Lexin Yuan, Joanne Wai-yee Chung Source Type: research

Response to “Why is there no ‘c’ in nursing?”
In this editorial I wanted to share some thoughts from a group of the following doctoral students at the University of North Carolina; I greatly appreciate their perspective and wanted to share it: (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 15, 2018 Category: Nursing Authors: Barbara Resnick Tags: From the Editor Source Type: research

Learning from lumberjacks to reduce calls and improve care
So the story goes that a lumberjack is getting exhausted cutting down a tree when someone taps on his shoulder and asks why don't you take some time to sharpen your axe so you can more effectively cut down that tree – the lumberjack says I'd love to but I don't have time for that. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 15, 2018 Category: Nursing Authors: Richard G. Stefanacci, Albert Riddle Tags: Assisted Living Column Source Type: research

Effect of music intervention on apathy in nursing home residents with dementia
This study examined the effectiveness of group music intervention in the treatment of nursing home residents with apathy. Apathy can clinically defined with a score of 40 or above on the apathy evaluation scale (AES). Seventy-seven residents were randomly assigned to the intervention or control group. The intervention group was given a music intervention programme, which included listening to traditional music, including nostalgic songs, and playing musical instruments three times a week, for a total of twelve weeks. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 15, 2018 Category: Nursing Authors: Qiubi Tang, Ying Zhou, Shuixian Yang, Wong Kwok Shing Thomas, Graeme D. Smith, Zhi Yang, Lexin Yuan, Joanne Wai-yee Chung Source Type: research

Response to “Why is there no ‘c’ in nursing?”
In this editorial I wanted to share some thoughts from a group of the following doctoral students at the University of North Carolina; I greatly appreciate their perspective and wanted to share it: (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 15, 2018 Category: Nursing Authors: Barbara Resnick Source Type: research

Learning from lumberjacks to reduce calls and improve care
So the story goes that a lumberjack is getting exhausted cutting down a tree when someone taps on his shoulder and asks why don't you take some time to sharpen your axe so you can more effectively cut down that tree – the lumberjack says I'd love to but I don't have time for that. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 15, 2018 Category: Nursing Authors: Richard G. Stefanacci, Albert Riddle Source Type: research

A new, more effective, vaccine to prevent shingles
Shingles is a very common condition in older adults with an estimated 1 million cases occurring in the U.S. each year. One in three Americans will develop shingles in their lifetime and the risk increases to one in two adults aged 85 and older. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 13, 2018 Category: Nursing Authors: William Simonson Tags: Pharmacy Column Source Type: research

Feasibility of mobile mental wellness training for older adults
This study assessed the feasibility of a mobile mental wellness training application for individual use and for group work from the perspectives of older adults and social care professionals. The older individuals recruited for the study were participants in a Circle of Friends group and family caregivers' peer support group offered by the communal senior services. The qualitative and quantitative results of interviews, questionnaires, observation, and application usage were reported. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 9, 2018 Category: Nursing Authors: Heidi Simil ä, Milla Immonen, Jaana Toska-Tervola, Heidi Enwald, Niina Keränen, Maarit Kangas, Timo Jämsä, Raija Korpelainen Source Type: research

Practical non-pharmacological intervention approaches for sleep problems among older adults
Poor sleep is common among older adults, often caused by multiple underlying factors such as chronic stress. Poor sleep is subsequently associated with negative health outcomes including higher morbidity and mortality. Our primary purpose is to explore practical non-pharmacological intervention approaches integrating stress management to improve sleep quality among older adults. In doing so, we highlight approaches that appear to hold promise in real-world settings with older individuals. We conducted a tailored literature review specifically on approaches to improve sleep quality among older adults, with emphasis on those...
Source: Geriatric Nursing - March 9, 2018 Category: Nursing Authors: Stephanie MacLeod, Shirley Musich, Sandra Kraemer, Ellen Wicker Source Type: research

Feasibility of mobile mental wellness training for older adults
This study assessed the feasibility of a mobile mental wellness training application for individual use and for group work from the perspectives of older adults and social care professionals. The older individuals recruited for the study were participants in a Circle of Friends group and family caregivers' peer support group offered by the communal senior services. The qualitative and quantitative results of interviews, questionnaires, observation, and application usage were reported. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 9, 2018 Category: Nursing Authors: Heidi Simil ä, Milla Immonen, Jaana Toska-Tervola, Heidi Enwald, Niina Keränen, Maarit Kangas, Timo Jämsä, Raija Korpelainen Source Type: research

Practical non-pharmacological intervention approaches for sleep problems among older adults
Poor sleep is common among older adults, often caused by multiple underlying factors such as chronic stress. Poor sleep is subsequently associated with negative health outcomes including higher morbidity and mortality. Our primary purpose is to explore practical non-pharmacological intervention approaches integrating stress management to improve sleep quality among older adults. In doing so, we highlight approaches that appear to hold promise in real-world settings with older individuals. We conducted a tailored literature review specifically on approaches to improve sleep quality among older adults, with emphasis on those...
Source: Geriatric Nursing - March 9, 2018 Category: Nursing Authors: Stephanie MacLeod, Shirley Musich, Sandra Kraemer, Ellen Wicker Source Type: research

Implementing the MOLST (medical orders for life-sustaining treatments): Challenges faced by nursing home staff
This study examined how the Medical Orders for Life-sustaining Treatment (MOLST) is implemented in two nursing homes in Massachusetts; one had primarily long-term care residents and high hospice utilization, the other had low hospice utilization and a high proportion of post-acute care residents. Qualitative in-person interviews with 21 staff members who had a role implementing the MOLST explored their experiences using the form in their daily work routines. Staff at both nursing homes described benefits of the MOLST such as providing guidance for staff and family. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 6, 2018 Category: Nursing Authors: Kathrin Boerner, Jason Rodriquez, Emma Quach, Meghan Hendricksen Source Type: research

Implementing the MOLST (medical order for life-sustaining treatments): Challenges faced by nursing home staff
This study examined how the Medical Order for Life-sustaining Treatment (MOLST) is implemented in two nursing homes in Massachusetts; one had primarily long-term care residents and high hospice utilization, the other had low hospice utilization and a high proportion of post-acute care residents. Qualitative in-person interviews with 21 staff members who had a role implementing the MOLST explored their experiences using the form in their daily work routines. Staff at both nursing homes described benefits of the MOLST such as providing guidance for staff and family. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 6, 2018 Category: Nursing Authors: Kathrin Boerner, Jason Rodriquez, Emma Quach, Meghan Hendricksen Source Type: research

Hypodermic clysis: A viable rehydration option?
This article will provide an overview on what hypodermic clysis is, what it can be used for, and outline advantages and limitations of its use. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 1, 2018 Category: Nursing Authors: Samara Russell Tags: GAPNA Section Source Type: research

TeleWound technology enhances patient care
Excited by the successes of NICHE members presenting during the 2017 NICHE conference the NICHE team invited coordinators share their success stories further. This is the second in a series highlighting NICHE successes. NICHE members are using innovative, evidence based actions to improve care to the older adults. Subsequent articles will highlight success with holistic interdisciplinary education, managing medications to improve safety, implementing NICHE internationally, and a personal story on choosing a geriatric specialty. (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 1, 2018 Category: Nursing Authors: Nancy DiRico, Kelly Ryan Tags: NICHE Section Source Type: research

The challenge of multiple complex chronic conditions
Multiple chronic conditions are a serious public health concern affecting approximately 3 in 4 adults 65 years of age and older and their family caregivers.1 –5 Multi-morbidity, has been defined as the coexistence of multiple chronic diseases or conditions, and is the “most common chronic condition experienced by older adults.”6 National estimates of the prevalence of multiple chronic conditions among older adults (over 65 years of age), range from 45–81% depending on the definition used.1–5 (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 1, 2018 Category: Nursing Authors: Mary Beth Happ, Lorraine C. Mion, Sonia Duffy Tags: Acute Care of the Elderly Column Source Type: research

Driving Geriatrics Innovation with a Dose of Disney Curiosity at #AGS18 (May 3-5, 2018)
Sometimes we need to step out of our daily routines to learn and grow. The American Geriatrics Society (AGS) Annual Scientific Meeting is an opportunity to do that – in a large, diverse, and accomplished community dedicated to improving care for older adults. Inspiration, growth, learning, and fellowship will drive #AGS18, the AGS 2018 Annual Scientific Meeting to be held at the Walt Disney World Swan& Dolphin Resort in Orlando, FL, May 3 –5 (pre-conference day May 2). (Source: Geriatric Nursing)
Source: Geriatric Nursing - March 1, 2018 Category: Nursing Authors: Debra Saliba Tags: AGS Section Source Type: research