The changing landscape of assisted living
We are all in this together and whether we work in skilled nursing, assisted living, home care, or are care partnering with a loved one in our own home, we have to get this right. For a long time there has been a false notion that the only origin for a culture change journey was a skilled nursing home –not so. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 10, 2018 Category: Nursing Authors: Juliet Holt Klinger Source Type: research

Award-winning research at #AGS18 links value-based care to interprofessional collaboration, social supports for older adults
With support from Humana Inc., the American Geriatrics Society (AGS) this year launched one of our newest awards celebrating innovation in value-based care as we age. And importantly, the inaugural recipients of the Humana Value-Based Care Research Awards – Austin J. Hilt, MPH, a medical student at Northeast Ohio Medical University, and Morteza Komeylian, MD, a Clinician Fellow at the University of Texas Medical Branch at Galveston – are exemplars of our work to recognize not only geriatrics expertise writ large but also the importance of remaini ng committed to interprofessional collaboration, a staple of our discipli...
Source: Geriatric Nursing - May 9, 2018 Category: Nursing Authors: Laurie G. Jacobs Source Type: research

The association of pain, race and slow gait speed in older adults
Gait speed is an important indicator of mobility and quality of life in older adults. Pain is related to gait speed; however, it is unknown if this relationship varies by race in a population based national sample. The aim of this study was to examine if the association between slow gait speed and pain differed between 7,025 older African Americans and non Hispanic Whites in the National Health and Aging Trends Study. Those with pain in the last month had higher odds of slow gait speed (odds ratio  = 1.38, 95% confidence interval = 1.10 - 1.73) than those without pain. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 8, 2018 Category: Nursing Authors: Janiece L. Taylor, Lauren J. Parker, Sarah L. Szanton, Roland J. Thorpe Source Type: research

Implementation of personalized music listening for assisted living residents with dementia
An estimated 5.4 million Americans carry a diagnosis of Alzheimer's disease or related dementias (ADRD), and the prevalence is projected to increase to 13.8 million by mid-century with the aging of our population.1 Symptoms of ADRD including agitation, anxiety, apathy, and depression reduce a person's quality of life and increase caregiver burden. Specifically in assisted living facilities (ALF), persons with ADRD can create increased workload for staff with mood changes manifesting as resisting necessary care, verbal outbursts, attempts to leave the facility, or physical aggression. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 3, 2018 Category: Nursing Authors: Kelly Murphy, Winston W. Liu, Daniel Goltz, Emma Fixsen, Stephen Kirchner, Janice Hu, Heidi White Source Type: research

Outcomes and provider perspectives on geriatric care by a nurse practitioner-led community paramedicine program
Older individuals tend to have more functional limitations and hospitalizations.1 Adults over the age of 75 have the highest rate of emergency department (ED)1 utilization after infants less than 1 year of age,2 and are more likely to be hospitalized than younger individuals.3 ED visits and hospitalizations can be harmful for older adult populations due to increased rates of delirium, infections, and impaired functional status as a result of being hospitalized.4 These challenges can prevent patients from returning to their prior level of functioning. (Source: Geriatric Nursing)
Source: Geriatric Nursing - May 3, 2018 Category: Nursing Authors: Rebecca E. Kant, Maria Vejar, Bennett Parnes, Joy Mulder, Andrea Daddato, Daniel D. Matlock, Hillary D. Lum Source Type: research

Psychological factors related to nurses' intentions to initiate an antipsychotic or psychosocial intervention with nursing home residents
This study examined the validity of a psychological model for understanding nursing home providers' treatment choices when managing challenging dementia-related behaviors. Ninety-nine nurses from 26 long-term care facilities responded to a case study with their intentions to initiate an antipsychotic or psychosocial intervention and completed self-report measures of their attitudes, descriptive norms, self-efficacy, and outcome expectancies. The multi-level modeling results demonstrated that nurses with more positive outcome expectancies for the effect of an antipsychotic on resident behavior, and those with more positive ...
Source: Geriatric Nursing - May 3, 2018 Category: Nursing Authors: Brian M. Ludwin, Suzanne Meeks Source Type: research

Table of Contents
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Source: Geriatric Nursing - May 1, 2018 Category: Nursing Source Type: research

Editorial Board
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Source: Geriatric Nursing - May 1, 2018 Category: Nursing Source Type: research

Information for Readers
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Source: Geriatric Nursing - May 1, 2018 Category: Nursing Source Type: research

Information for Authors
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Source: Geriatric Nursing - May 1, 2018 Category: Nursing Source Type: research

Transitional care post TAVI: A pilot initiative focused on bridging gaps and improving outcomes
Interventions focused on ensuring safe transitions for patients from hospital to home can assist in providing continuity of care, preventing readmissions, and reducing duplication of services. Patients undergoing a Transcatheter Aortic Valve Implantation (TAVI) procedure are often frail, elderly, and have multiple co-morbidities. A pilot initiative evaluating transitional care strategies through telephone follow up was implemented in a tertiary centre with the aim to identify gaps and intervene, preventing re-admission and improving patient outcomes. (Source: Geriatric Nursing)
Source: Geriatric Nursing - April 11, 2018 Category: Nursing Authors: Sandra Wong, Lorraine Montoya, Bonnie Quinlan Source Type: research

Correlates and influences of taking an afternoon nap on nocturnal sleep in Chinese elderly: A qualitative study
This study aimed to describe napping experience from the perspectives of Chinese elderly, specifically on nap taking correlates and its influences on nocturnal sleep. Data were gathered via individual in-depth interviews with 50 Chinese elderly in Taiwan. The majority of the nappers napped for 1 –2 hours between 12 PM and 1 PM. Nap promoting factors included “belief in afternoon nap taking benefits,” “nothing to do,” “low energy level,” “compensation -for disturbed sleep” and “extreme weather.” Nap taking (>1  hr.) was found to be associated with delay of the onset of sleep, reduction of sleep durat...
Source: Geriatric Nursing - April 10, 2018 Category: Nursing Authors: Jong-Ni Lin Source Type: research

Ensuring safe and optimal medication use in older community residents: collaboration between a nurse and a pharmacist
The purpose of this retrospective review is to describe 1) a nurse-pharmacist collaboration within a home based nurse-occupational therapist-handyman program called CAPABLE and 2) potential medication problems and 3) information communicated to participants and prescribers about those problems. A chart review was performed for each participant that one CAPABLE nurse referred to the pharmacists. We identified recommendations provided by pharmacists, synthesized common questions posed to the pharmacists' and developed exemplar cases of participant encounters. (Source: Geriatric Nursing)
Source: Geriatric Nursing - April 10, 2018 Category: Nursing Authors: Emily Pherson, Jill Roth, Manka Nkimbeng, Cynthia Boyd, Sarah L. Szanton Source Type: research

Correlates and influences of taking an afternoon nap on nocturnal sleep in Chinese elderly: A qualitative study
This study aimed to describe napping experience from the perspectives of Chinese elderly, specifically on nap taking correlates and its influences on nocturnal sleep. Data were gathered via individual in-depth interviews with 50 Chinese elderly in Taiwan. The majority of the nappers napped for 1 –2 hours between 12 PM and 1 PM. Nap promoting factors included “belief in afternoon nap taking benefits,” “nothing to do,” “low energy level,” “compensation -for disturbed sleep” and “extreme weather.” Nap taking (>1  hr.) was found to be associated with delay of the onset of sleep, reduction of sleep durat...
Source: Geriatric Nursing - April 10, 2018 Category: Nursing Authors: Jong-Ni Lin Source Type: research