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

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

Older patients ’ participation in physical activity during hospitalization: A qualitative study of ward nurses’ perceptions in an Asian context
Functional decline, defined as a loss of ability in activities of daily living (ADL), such as grooming, dressing, showering, eating, using the bathroom, is commonly experienced by 28 to 35% of hospitalized older adults.[1,2] The onset of functional decline often precedes hospitalization and potentially worsens through the course of the hospital stay.[3] The prognosis of older adults recovering to premorbid status is only 30% once they are discharged with new disability in ADL.[3] Therefore, it is essential to explore the gaps in functional restoration among Asian older adults, especially when the problem is expected to int...
Source: Geriatric Nursing - August 6, 2018 Category: Nursing Authors: Dr. Ee-Yuee Chan, Ms. Leting Isabella Hong, Ms. Ying-Hua Grace Tan, Wei-Ling Chua Source Type: research

Intervention fidelity in Qigong randomized controlled trials: A method review
Intervention fidelity has important implications for the reliability and validity of a study. Despite the widely reported health benefits of Qigong exercise interventions, the quality of intervention fidelity is less clear. The purpose of this paper is to use a valid intervention fidelity assessment tool to evaluate how intervention fidelity has been addressed in five areas —design, training, delivery, receipt, and enactment—in Qigong randomized controlled studies. A total of 86 articles were drawn from CINAHL, PubMed, AMED, and Scopus, and 32 were selected for the review. (Source: Geriatric Nursing)
Source: Geriatric Nursing - August 6, 2018 Category: Nursing Authors: Pei-Shiun Chang, Ariana M. Chao, Myoungock Jang, Yvonne Y.F. Lu Source Type: research

The impact of self-compassion on mental health, sleep, quality of life and life satisfaction among older adults
This study was performed to examine associations between self-compassion and mental health symptoms, sleep disturbance, life satisfaction, and health-related quality of life (HR-QoL) among older Korean adults. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 24, 2018 Category: Nursing Authors: Chanhee Kim, Hana Ko Source Type: research

Identifying potential long-stay residents in veterans health administration nursing homes
Veterans Affairs nursing homes (Community Living Centers; CLCs) have largely shifted focus to providing short-term rehabilitative care, preferring longer-term care to be provided in contract nursing homes or at home. The goal of this retrospective cohort study is to identify resident characteristics associated with longer length of stay using the CLC Minimum Data Set (n  = 35,114). Length of stay was defined as three groups: short ( (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 24, 2018 Category: Nursing Authors: Whitney L. Mills, Jun Ying, Mark E. Kunik Source Type: research

Truly comprehensive advanced care planning
Proper planning prevents poor performance – when it comes to assisting older adults this means planning for inevitable events that come with aging. In our previous column we addressed the need to plan for the need for assistance in activities of daily living made possible through in home aid or a move to a community with services. This co mes from a situation that develops over time as older adults housing situation becomes one of being over housed and under supported. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 15, 2018 Category: Nursing Authors: Richard G. Stefanacci, Albert Riddle Source Type: research

Orthostatic hypotension: an often overlooked risk factor for falls
Every day we care for older hospitalized adults who are at risk for orthostatic hypotension. Take the case of Mr. Smith. Mr. Smith, is a 83 year-old gentleman who had been admitted to the hospital with congestive heart failure; additionally, he had multiple comorbid diagnoses including diabetes mellitus, hypothyroidism, depression, hyperlipidemia, and hypertension. His medications included furesomide 40  mg twice a day, potassium 20 meq daily, lisinopril 40 mg daily, levothyroxine 100 mcg daily and sertraline 100 mg daily. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 15, 2018 Category: Nursing Authors: Mary Alice Momeyer, Lorraine C. Mion Source Type: research

New geriatrics legislation in Senate highlights bipartisan collaboration aimed at better present, future for us all
The future we are working for at the AGS – a future where all older Americans have access to high-quality, person-centered care – begins by building the interprofessional workforce we all will need to make that future possible, and by ensuring that workforce can connect us to tools and supports to make healthy aging a reality. Many of us see that mission in action every day in our clinics and our classrooms – but what of the equally important but seemingly distant forums on Capital Hill, forums where much of what happens in our clinics and our classrooms ultimately receives the national support necessary ...
Source: Geriatric Nursing - July 15, 2018 Category: Nursing Authors: Laurie G. Jacobs Source Type: research

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

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

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

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

Information for Authors
(Source: Geriatric Nursing)
Source: Geriatric Nursing - July 1, 2018 Category: Nursing 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