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 to take shap...
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
