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 baseline values as co-vari ...
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)
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 are as we downs...
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
