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’ supply. (Source: Geriatric Nursing)
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
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Source: Geriatric Nursing - November 1, 2018 Category: Nursing Source Type: research
Editorial Board
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Source: Geriatric Nursing - November 1, 2018 Category: Nursing Source Type: research
Information for Readers
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Source: Geriatric Nursing - November 1, 2018 Category: Nursing Source Type: research
Information for Authors
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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
