Talking about end-of-life care: Perspectives of nursing home residents
The purpose of the paper is to describe how residents express preferences for end-of-life (EOL) care. For this qualitative study, we conducted semi-structured interviews and completed conventional content analysis to describe how residents ’ expressed their preferences for care at the end of life. Sixteen residents from four nursing homes (NH) in southeastern Pennsylvania participated in this study. Residents were on average 88 years old, primarily non White, and widowed. Three key domains emerged from the analyses: Preferences for Today, Anticipating the End of My Life, and Preferences for Final Days. (Source: Geriatric Nursing)
Source: Geriatric Nursing - August 1, 2017 Category: Nursing Authors: Gail L. Towsley, Karen B. Hirschman Tags: Feature Article Source Type: research
The association of nurses' assessment and certainty to pain management and outcomes for nursing home residents in Jordan
This study found high percentage of variances accounted for by nurses' level of certainty due to potential unexpected confounding variables. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 22, 2017 Category: Nursing Authors: Mohammad Rababa Tags: Feature Article Source Type: research
APRN gerontology certification
Given the increasing number of older Americans who will require health care in the coming years, the role of the gerontological advanced practice registered nurse (APRN) is more crucial than ever before. In response, the Gerontological Advanced Practice Nurses Association (GAPNA), an organization dedicated to promoting professional development and providing top quality education for advanced practice nurses, is developing a new APRN gerontology certification. “The purpose of the certification is to better identify APRNs who are most qualified and experienced in managing patient care,” according to GAPNA President Kathe...
Source: Geriatric Nursing - July 12, 2017 Category: Nursing Authors: Valerie K. Sabol Tags: GAPNA Section Source Type: research
Cranberry products for urinary tract infections
With the advent of the Antibiotic Stewardship Program, signed into law by President Barak Obama in 2014, antibiotic use will fall under increasing scrutiny. The interdisciplinary health care team will increasingly collaborate to reduce, and ideally eliminate, irrational and unnecessary use of antibiotics. This includes incorrectly using antibiotics to treat viral infections, unnecessarily long courses of antibiotic therapy and use of potentially dangerous antibiotics when safer agents are available. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 8, 2017 Category: Nursing Authors: William Simonson Tags: Pharmacy Column Source Type: research
Because timing is everything, assisting in “Timely” care
Often when older adults find themselves with an acute medical problem they dial 911, ending up in an emergency room with a likely admission. This path is costly both from a clinical and financial standpoint. Of course the ideal situation is developing and implementing a care plan that prevents acute problems from arising but sometimes this is not preventable. With an objective of improving clinical and financial outcomes, assisting patients to “timely” care is of tremendous value especially as we shift to a value based reimbursement system. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 7, 2017 Category: Nursing Authors: Richard G. Stefanacci, Albert Riddle Tags: Assisted Living Column Source Type: research
Redoubling our efforts-a recap from the annual NICHE conference
The 2017 Annual NICHE Conference was held in Austin this past April, celebrating the 25th year of the NICHE program. It's hard to imagine that the NICHE program has been engaging nurses to improve care for older adults in hospitals, and now health systems and long term care environments for this long! Nearly 800 healthcare professions from over 300 NICHE member organizations joined us this year at the conference. The NICHE conference is often an annual highlight for many nurses serving as geriatric resource nurses and coordinators in their organizations. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 5, 2017 Category: Nursing Authors: Mattia J. Gilmartin, Judy Santamaria, Abraham A. Brody Tags: NICHE Section Source Type: research
Health care and nursing policy: Impact of the Campaign for action to increase consumer access to care
Healthcare in the United States is changing rapidly. Our population is aging and a growing number of Americans have health conditions that require significant amounts of complex care.13 The supply of providers has not kept pace with the rising demand for health care: 68 million Americans live in areas with a shortage of primary care providers.6 (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 5, 2017 Category: Nursing Authors: Winifred V. Quinn, Andrea Brassard, Madeline O'Brien, Peter Reinecke Tags: GAPNA Section Source Type: research
Corrigendum to “Exemplars in advanced practice gerontological nursing: A GAPNA series GAPNA consensus statement proficiency 9” [Geriatr Nurs 38 (2) (2017) 165–167]
The authors regret an error in Table 1 that talks about risk factors for negative outcomes associated with care transitions. Rather than saying “with home care services,” it should instead say “without home care services.” (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 4, 2017 Category: Nursing Authors: Elizabeth Galik, Barbara Resnick Tags: Corrigendum Source Type: research
New CMS medicare coverage decision memorandum supervised exercise therapy for symptomatic PAD
The Centers for Medicare and Medicaid Services (CMS) has issued, on May 25, 2017, a new coverage decision memorandum, CAG-00449N, determining that there is sufficient evidence to provide Medicare coverage for Supervised Exercise Therapy for Symptomatic Peripheral Artery Disease (SET Program) under certain circumstances. Medicare will cover up to 36 SET Program sessions over a 12 week period so long as the following are requirements are met. However, after receiving a second, additional physician referral as detailed below, a Medicare Administrative Contractor has the discretion to cover additional SET Program services up t...
Source: Geriatric Nursing - July 4, 2017 Category: Nursing Authors: Howard L. Sollins Tags: Legal Column Source Type: research
Pre-travel health in the older adult
The number of tourists traveling internationally exceeded 1.2 billion persons in 2015,1 and are projected to increase to almost 2 billion by 2030.2 Older adults represent a substantial proportion of international travelers, with about 30% being aged 60 years or older.3 Premiums of travel health insurance for the older traveler (60 years or older) are often higher than those for younger travelers due to an increased proportion of claims, expensive air medical evacuations, and higher death rates abroad. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 4, 2017 Category: Nursing Authors: Cynthia Gerstenlauer Tags: GAPNA Section Source Type: research
Impact of Alzheimer disease patients' sleep disturbances on their caregivers
Sleep disturbance symptoms are common in persons living with Alzheimer disease (AD). However little is known about the impact of sleep disturbance symptoms in patients living with AD on caregiver burden and quality of life (QOL). The aims of this study were to determine the prevalence of symptoms of disturbed sleep in patients with AD, identify the care-recipient sleep disturbance symptoms that predict caregiver burden and QoL, and determine how care-recipient sleep disturbance symptoms compare to other caregiver and patient characteristics when predicting caregiver QoL. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 3, 2017 Category: Nursing Authors: Philip Gehrman, Nalaka S. Gooneratne, Glenna S. Brewster, Kathy C. Richards, Jason Karlawish Tags: Feature Article Source Type: research
Pain management: The combined patient and provider perspective
I recently had the opportunity to experience acute post-surgical pain from the perspective of both the patient and being a provider and prescriber. Through this experience I was reminded of three major tidbits that I wanted to share. My pain was following an esophagectomy and involved the placement of multiple chest tubes as well as a thoracotomy and abdominal incision. While one can't really remember pain once it has resolved, I know that the pain was acute, persistent and impacted movement such that treatment was needed. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 1, 2017 Category: Nursing Authors: Barbara Resnick Tags: Editorial Source Type: research
Intrinsic capacity in older hospitalized adults: Implications for nursing practice
My husband's parents and aunt recently moved in with us. I lovingly refer to them as The White Hairs. It's an adventure and joy living with them. They are all older than 65 years and yet have such different levels of function. They are a perfect illustration for intrinsic capacity and how we vary in our aging trajectories. Consider Wilbur, a 69-year-old gentleman who has never let life slow him down. With an 8th grade education, he is a slow reader but has a mind for engineering and is always tinkering with machines, tools, and various projects. (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 1, 2017 Category: Nursing Authors: Jinjiao Wang, Leanne Boehm, Lorraine C. Mion Tags: Department Source Type: research
Language matters
“All my life I've looked at words as though I were seeing them for the first time.”1Ernest Hemingway, 1945 (Source: Geriatric Nursing)
Source: Geriatric Nursing - July 1, 2017 Category: Nursing Authors: Debra Saliba Tags: Department Source Type: research
Table of Contents
(Source: Geriatric Nursing)
Source: Geriatric Nursing - July 1, 2017 Category: Nursing Source Type: research
