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 flu. (...
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 departments a...
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 colleague...
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
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Source: Geriatric Nursing - September 1, 2018 Category: Nursing Source Type: research
Editorial Board
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Source: Geriatric Nursing - September 1, 2018 Category: Nursing Source Type: research
Information for Readers
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Source: Geriatric Nursing - September 1, 2018 Category: Nursing Source Type: research
Information for Authors
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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 options ...
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
