Formal Caregiver Burden in Nursing Homes: A Concept Analysis.
Abstract Caregiver burden is a phrase often used interchangeably with the concepts of stress, strain, and burnout. Distinct differences may be relevant in formal caregiver burden; however, previous concept analyses have not addressed formal caregiver burden in nursing homes, which would be useful as a foundation for theory development and empirical testing. In the current study, based on Walker and Avant's concept analysis guidelines, articles were reviewed to identify the attributes, antecedents, and consequences of formal caregiver burden. Formal caregiver burden was defined as the demands of caring for dependen...
Source: Journal of Gerontological Nursing - July 8, 2020 Category: Nursing Authors: Kunkle R, Chaperon C, Hanna KM Tags: J Gerontol Nurs Source Type: research

Prevalence and Associated Factors of Physical Activity Among Older Adults Living in Nursing Homes: A Cross-Sectional Study.
Abstract In many countries, the physical activity level of nursing home residents is low, and the amount of time spent on such behavior has not been quantified in China. In the current study, pedometers were used to measure the physical activity levels of 349 nursing home residents. Daily steps for residents ranged from 5 to 16,773 steps per day, with a median of 1,608 steps per day. Three hundred (85.96%) residents were sedentary, 16 (4.6%) were low active, and 33 (9.5%) were physically active. Factors such as the living conditions of the nursing home, younger age, lower body mass index, higher educational level,...
Source: Journal of Gerontological Nursing - July 8, 2020 Category: Nursing Authors: Liu L, Liu H, Xiang M, Guo H, Sun Z, Wu T Tags: J Gerontol Nurs Source Type: research

Nursing Home Staff's Perceptions of Noise Compared to Measured Noise Levels: A Descriptive Study.
Abstract A noisy environment may cause annoyance to nursing home staff and affect their ability to provide quality care to residents. The current descriptive study examined differences between staff's perceived noise levels and measured noise levels in four nursing home facilities in Ohio. Most participants (N = 90) were White females. Consistent with measured noise levels, participants described all facilities as being moderately noisy. The loudest perceived noise sources included door/patient alarms and floor cleaners, which were confirmed by measured noise levels. Inconsistent with measured noise levels, most p...
Source: Journal of Gerontological Nursing - July 8, 2020 Category: Nursing Authors: Steiner V, Ames A, Milz SA, Dubin S Tags: J Gerontol Nurs Source Type: research

Leveraging Technology to Improve Care of Older Adults.
PMID: 32597994 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Powell KR, Wakefield BJ, Alexander GL Tags: J Gerontol Nurs Source Type: research

Optimizing Medication Management During the COVID-19 Pandemic: It Takes a Village.
Abstract Coronavirus disease 2019 (COVID-19) is an unprecedented pandemic that has particularly affected nursing homes and long-term care facilities. To support frontline health care professionals caring for older adults, the current article provides guidance on strategies to optimize medication management within nursing homes and long-term care facilities. In addition, the article reviews two medications that have been granted U.S. Food and Drug Administration emergency use authorization for treatment of COVID-19: hydroxychloroquine and remdesivir. Finally, this article highlights resources and strategies for imp...
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Brandt N, Chou J Tags: J Gerontol Nurs Source Type: research

ENVISION: A Tool to Improve Communication in Hospice Interdisciplinary Team Meetings.
Abstract Hospice interdisciplinary teams (IDTs) are required to meet regularly to update care plans for terminally ill patients and their family caregivers. Although providers see value in these meetings, they also experience frustration over meeting inefficiencies and communication challenges. The current article presents ENVISION, a tool designed to improve communication in hospice IDT meetings by providing attendees with access to up-to-date patient and family data to inform clinical decision making. In the current qualitative descriptive study, researchers explored the perspectives of hospice providers (n = 21...
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Washington KT, Demiris G, Oliver DP, Backonja U, Norfleet M, Han CJ, Popescu M Tags: J Gerontol Nurs Source Type: research

Nursing Management of Hearing Impairment in Nursing Facility Residents.
Abstract Hearing impairment (also known as hearing loss) is highly prevalent in residents of nursing facilities and its impacts are far-reaching. Hearing impairment has negative consequences for an individual's quality of life, psychosocial health, physical health, and mortality; these impacts are also exacerbated when hearing impairment cooccurs with other conditions, such as visual or cognitive impairment. These guidelines summarize the extensive evidence about the impacts of hearing impairment, the factors that are associated with increased risk of hearing impairment, assessment criteria for measuring impairmen...
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Meyer C, Hickson L Tags: J Gerontol Nurs Source Type: research

Home Telehealth Technologies for Heart Failure: An Examination of Adherence Among Veterans.
Abstract The current retrospective cohort study uses Department of Veterans Affairs (VA) clinical and facility data of Veterans with heart failure enrolled in the VA Home Tele-health (HT) Program. General estimating equations with facility as a covariate were used to model percent average adherence at 1, 3, 6, and 12 months post-enrollment. Most HT patients were White, male, and of older age (mean = 71 years). Average adherence increased the longer patients remained in the HT program. Number of weekly reports of HT use, not having depression, and being of older age were all associated with higher adherence. Compar...
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Guzman-Clark J, Yefimova M, Farmer MM, Wakefield BJ, Viernes B, Lee ML, Hahn TJ Tags: J Gerontol Nurs Source Type: research

Technology for Healthy Independent Living: Creating a Tailored In-Home Sensor System for Older Adults and Family Caregivers.
Abstract Sensing technologies hold enormous potential for early detection of health changes that can dramatically affect the aging experience. In previous work, we developed a health alert system that captures and analyzes in-home sensor data. The purpose of this research was to collect input from older adults and family members on how the health information generated can best be adapted, such that older adults and family members can better self-manage their health. Five 90-minute focus groups were conducted with 23 older adults (mean age = 80 years; 87% female) and five family members (mean age = 64; 100% female)...
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Robinson EL, Park G, Lane K, Skubic M, Rantz M Tags: J Gerontol Nurs Source Type: research

Using Sensor Signals in the Early Detection of Heart Failure: A Case Study.
Abstract Early detection of heart failure in older adults will be a significant issue for the foreseeable future. The current article presents a case study to describe how monitoring ballistocardiogram (BCG) waveforms captured non-invasively using sensors placed under a bed mattress can detect early heart failure changes. Heart and respiratory rates obtained from the bed sensor of a female older adult who was hospitalized with acute mixed congestive heart failure, clinic notes, and data from computer simulations reflecting increasing diastolic dysfunction were analyzed. Mean heart and respiratory rate trends obtai...
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Despins LA, Guidoboni G, Skubic M, Sala L, Enayati M, Popescu M, Deroche CB Tags: J Gerontol Nurs Source Type: research

Qualitative Validation of the Nursing Home IT Maturity Staging Model.
Abstract The goal of the current study was to qualitatively explore issues of validity, specificity, and sensitivity regarding the nursing home (NH) information technology (IT) maturity survey and staging model. Participants who completed the NH IT maturity survey were recruited during pilot testing of the survey and staging model. Cognitive interviewing was used to collect qualitative data. Findings indicate the NH IT maturity survey and staging model is a straightforward and acceptable instrument. Every participant in our study agreed with the IT maturity stage assigned to their facility, based on their total sc...
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Powell KR, Alexander GL Tags: J Gerontol Nurs Source Type: research

AGS COVID-19 Policy Brief Offers Roadmap to Government Action for a Critical Group During Pandemics: Older Adults in Nursing Homes.
PMID: 32598002 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - July 1, 2020 Category: Nursing Authors: Medina-Walpole A Tags: J Gerontol Nurs Source Type: research

Lay Caregivers' Experiences With Caring for Persons With Dementia: A Phenomenological Study.
Abstract Today, biomedical advancements allow older adults, including those with dementia, to live longer, with most living at home with a lay caregiver. Recent research details the stressful role of caregiving to persons with dementia (PWD). The current qualitative phenomenological study describes the lived experience of caregivers caring for PWD, including their experience with palliative care. A community sample of lay caregivers (N = 11) underwent recorded individual interviews. Interviews were analyzed following van Manen's approach to isolate thematic statements. Most caregivers were older (mean age = 71, SD...
Source: Journal of Gerontological Nursing - June 2, 2020 Category: Nursing Authors: Mayo AM, Siegle K, Savell E, Bullock B, Preston GJ, Peavy GM Tags: J Gerontol Nurs Source Type: research

Fatigue in Family Caregivers of Individuals With Dementia: Associations of Sleep, Depression, and Care Recipients' Functionality.
Abstract The current study examined factors related to fatigue in family caregivers of individuals with dementia using a cross-sectional design to collect subjective and objective data. Findings indicated that caregivers' sleep quality, difficulty falling asleep, and depression, as well as care-recipients' functionality, were associated with family caregivers' fatigue. Regression analysis indicated that only sleep quality significantly predicted caregivers' fatigue. Study findings suggest fatigue is common among family caregivers of individuals with dementia and may be related to sleep quality. The level of fatigu...
Source: Journal of Gerontological Nursing - June 2, 2020 Category: Nursing Authors: Chang YP, Lorenz RA, Phillips M, Peng HL, Szigeti K Tags: J Gerontol Nurs Source Type: research

Evaluating the Effectiveness of an Educational Intervention for Care of Anemic Patients in a Long-Term Care Geropsychiatric Unit: A Pilot Study.
Abstract Anemia is one of the most common age-related health conditions. When concurrently present with psychiatric conditions, the problem is confounded. The primary objective of the current research was to evaluate the effectiveness of an educational intervention for geropsychiatric nurses about nutritional deficiency anemia, anemia of chronic disease, and unexplained anemia in older adults. Fifty nurses employed by an inpatient psychiatric facility participated in the pilot study. A 10-item knowledge evaluation questionnaire was administered prior to and following a 45-minute educational intervention. Analysis ...
Source: Journal of Gerontological Nursing - June 2, 2020 Category: Nursing Authors: Olalekan Y, Moore-Hebron AC Tags: J Gerontol Nurs Source Type: research

Senior Oral Health: A Community-Based, Interprofessional Educational Experience for Nursing and Dental Students.
Abstract The current article highlights an interprofessional, older adult oral health community program, created through an Accelerating Interprofessional Community-Based Education and Practice grant from the National Center for Interprofessional Practice and Education, designed to address the gap between older adult health education and care delivery. This project developed an advanced practice, nurse-led partnership among The Hartford Institute for Geriatric Nursing and the Oral Health Nursing Education and Practice Program (both located at New York University Rory Meyers College of Nursing), New York University...
Source: Journal of Gerontological Nursing - June 2, 2020 Category: Nursing Authors: Greenberg SA, Hartnett E, Berkowitz GS, Schenkel AB, Chong C, Cipollina J, Haber J, Cortes TA Tags: J Gerontol Nurs Source Type: research

Critical Infection Control Adaptations to Survive COVID-19 in Retirement Communities.
PMID: 32453432 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - May 27, 2020 Category: Nursing Authors: Munanga A Tags: J Gerontol Nurs Source Type: research

Don't Forget About Us: Perspectives on Social Distancing in Assisted Living and Long-Term Care Facilities From Rural Nurse Practitioners.
PMID: 32453433 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - May 27, 2020 Category: Nursing Authors: Crumb L, Williams T, Griffith K Tags: J Gerontol Nurs Source Type: research

Managed Long-Term Services and Supports for Medicaid Only and Dually Eligible Individuals.
Abstract More and more states are addressing the long-term services and supports needs of Medicaid only and dually eligible persons by developing Managed Long-Term Services and Supports (MLTSS) programs. States are moving away from fee-for-service plans and coordinating care through these capitated programs. The goals of these programs include greater efficiency while maintaining quality and better coordination of care. For dually eligible persons, the expansion of MLTSS has been made possible through the creation of the Medicare-Medicaid Coordination Office at the Centers for Medicare & Medicaid Services by t...
Source: Journal of Gerontological Nursing - May 27, 2020 Category: Nursing Authors: Cacchione PZ Tags: J Gerontol Nurs Source Type: research

Assessing Health Literacy Knowledge and Practice for a PACE Program.
Abstract The complexity of health care systems requires coordination among multiple health care providers to adopt strategies that are congruent with patients' levels of health literacy. In the current study, 12 interdisciplinary members of a Program of All-Inclusive Care of the Elderly (PACE) completed the Assessment Questionnaire from the Agency for Healthcare Research and Quality (AHRQ) Health Literacy Universal Precautions Toolkit. Once the questionnaire was complete, organizational priorities were identified and the AHRQ Toolkit was used to develop next steps. Of the five subsets included in the Toolkit, the ...
Source: Journal of Gerontological Nursing - May 27, 2020 Category: Nursing Authors: Isibel D Tags: J Gerontol Nurs Source Type: research

COVID-19 Pandemic Spurs Policy Changes Benefiting Older Adults.
This article reviews recent federal and state policy changes in response to the COVID-19 pandemic that affect health care and quality of life for older adults. Specific regulations and guidelines issued at the state and federal level have increased access and provided additional funding for essential services and supports. Many of these changes are temporary and have the potential to improve care beyond the immediate crisis. This period of greater flexibility offers the opportunity to accrue evidence on quality and access to influence sustained change. [Journal of Gerontological Nursing, 46(6), 19-23.]. PMID: 32453436...
Source: Journal of Gerontological Nursing - May 27, 2020 Category: Nursing Authors: Young HM, Quinn W, Brassard A, Gualtieri C, Reinhard S Tags: J Gerontol Nurs Source Type: research

Relationship Between Caregiver Burden and Family Functioning in Family Caregivers of Older Adults With Heart Failure.
Abstract Caregivers of individuals with heart failure are at high risk for diminished quality of life because of the energy involved in providing necessary care. Caring for someone with chronic heart failure can affect caregivers' physical, psychological, and social health, collectively referred to as the burden of care, and may also affect family functioning. The current cross-sectional study aimed to investigate the relationship between caregiver burden and family functioning in caregivers of older adults with heart failure in southeastern Iran using the Zarit Burden Inventory and the Family Assessment Device ba...
Source: Journal of Gerontological Nursing - May 27, 2020 Category: Nursing Authors: Ghasemi M, Arab M, Mangolian Shahrbabaki P Tags: J Gerontol Nurs Source Type: research

Hearing Loss and Communication Among Hospitalized Older Adults: Prevalence and Recognition.
Abstract The current quality improvement study aimed to determine hearing loss (HL) prevalence in older adult patients in a large urban hospital, and the success of current processes to identify its presence during routine admission procedures. Predictors of HL were also evaluated, with the goal of identifying risk factors that might help staff anticipate patient communication challenges. A sample of 162 newly admitted patients, age 70 and older, participated in a hearing/communication assessment that included audiometry and an informal self-report measure about hearing difficulty. Chart review was conducted to as...
Source: Journal of Gerontological Nursing - May 27, 2020 Category: Nursing Authors: Mormer E, Bubb KJ, Alrawashdeh M, Cipkala-Gaffin JA Tags: J Gerontol Nurs Source Type: research

Delirium Among Hospitalized Older Adults in Thailand: An Integrative Review.
Abstract The current integrative review explored the prevalence of delirium among Thai older adults and the role of nurses and physicians in detecting delirium. Several academic databases were searched for relevant studies using a set of predetermined search terms and limits. Study quality was assessed using the National Health and Medical Research Council's Principles of Peer Review. Thirteen studies were reviewed, and three themes were identified: (a) Epidemiology (n = 9), (b) Detection (n = 5), and (c) Role of Nurses and Physicians (n = 4). Higher priority cases were treated for immediate problems by physicians...
Source: Journal of Gerontological Nursing - May 27, 2020 Category: Nursing Authors: Chang HCR, Neal K, Traynor V, Ho MH, Kankom W Tags: J Gerontol Nurs Source Type: research

Person-Centered Care in Nursing Homes: Many Stakeholders, Many Perspectives.
Abstract Nursing home culture change moves facilities toward person-centered care. The current study examined how people in different roles experienced choice and autonomy in four areas addressed by culture change: consistent assignment, food choice, waking/bedtime routines, and bathing. This descriptive qualitative study included 32 participants from one continuing care retirement community: 10 residents, eight family members, nine direct care workers, and five managers. Interviews were audiotaped, transcribed verbatim, and coded. Codes were grouped around the practice areas and cross-cutting themes. All groups r...
Source: Journal of Gerontological Nursing - April 24, 2020 Category: Nursing Authors: Kusmaul N, Tucker GG Tags: J Gerontol Nurs Source Type: research

Factors Associated With Health Service Use Among Older Adults in a Mobile Veterans Program.
Abstract The current retrospective, longitudinal study applied Andersen's Behavioral Model of Health Services Use to examine how demographic characteristics (age), available resources (e.g., a caregiver, the Mobile Veterans Program [MVP]) and health needs (e.g., cognitive and physical functioning, depressive symptoms) affect hospitalization and institutionalization outcomes among older adults using the MVP. Fifty-four Veterans (age 55 to 95) participating in the MVP for up to 2 years were examined using hierarchical linear modeling (HLM) and growth curve model. In the final HLM model, each 1-point increase in depr...
Source: Journal of Gerontological Nursing - April 24, 2020 Category: Nursing Authors: Bowen ME, Gaynor B, Phillips LJ, Orsega-Smith E, Lavery A, Mitchell AB, Basehore HK Tags: J Gerontol Nurs Source Type: research

Use of Direct In-Person Observation in the Care of Hospitalized Older Adults with Cognitive Impairment: A Systematic Review.
Abstract Hospitalized older adults with cognitive impairment (CI) due to dementia and/or delirium may require individualized care strategies such as direct observation to mitigate safety concerns and manage behavioral symptoms. Despite common use of direct observation as a strategy, little is known about its practice and outcomes. A systematic review was conducted to identify, appraise, and synthesize literature on direct observation among hospitalized older adults with CI. The search yielded 16 eligible studies, with four describing current practices, nine reporting quality improvement efforts to broaden direct o...
Source: Journal of Gerontological Nursing - April 24, 2020 Category: Nursing Authors: Gilmore-Bykovskyi AL, Fuhr H, Jin Y, Benson C Tags: J Gerontol Nurs Source Type: research

Implementation of an Evidence-Based Oral Care Protocol to Improve the Delivery of Mouth Care in Nursing Home Residents.
Abstract The current project assessed the oral health of residents in a long-term care (LTC) facility, implemented a new evidence-based oral care protocol, and trained nursing staff about oral hygiene for older adults. A pre-/post-intervention design was used to measure knowledge, skills, and attitudes among 29 staff members. The oral health outcomes of 10 LTC residents without dysphagia were assessed after 14 days of protocol use. Knowledge improved from a mean total pre-test score of 88.8 to a mean total post-test score of 97.7 (Z = -2.308, p = 0.021). The Oral Health Assessment Tool measured oral health outcome...
Source: Journal of Gerontological Nursing - April 24, 2020 Category: Nursing Authors: Red A, O'Neal PV Tags: J Gerontol Nurs Source Type: research

Evaluation of the Montessori-Inspired Lifestyle ® as the Foundation of Care in Assisted Living Memory Care.
Evaluation of the Montessori-Inspired Lifestyle® as the Foundation of Care in Assisted Living Memory Care. J Gerontol Nurs. 2020 May 01;46(5):40-46 Authors: Gaspar PM, Westberg K Abstract The Montessori-Inspired Lifestyle® (MIL) was implemented as the foundation of care in several assisted living memory care (ALMC) neighborhoods to enhance meaningful social roles, engagement, and focus on residents' remaining capabilities. The purpose of this quality improvement project was to evaluate the outcomes regarding resident levels of engagement and prescribed antipsychotic medications before and afte...
Source: Journal of Gerontological Nursing - April 24, 2020 Category: Nursing Authors: Gaspar PM, Westberg K Tags: J Gerontol Nurs Source Type: research

Remnants.
PMID: 32324895 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - April 24, 2020 Category: Nursing Authors: Petriceks AH Tags: J Gerontol Nurs Source Type: research

Public Health and Ethics Intersect at New Levels With Gerontological Nursing in COVID-19 Pandemic.
PMID: 32266947 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - April 7, 2020 Category: Nursing Authors: Young HM, Fick DM Tags: J Gerontol Nurs Source Type: research

Are Antipsychotics Helpful for Preventing or Treating Delirium?
PMID: 32219451 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - March 30, 2020 Category: Nursing Authors: Singu S, Koneru M, Robinson KA, Neufeld KJ, Oh ES, Wilson LM, Needham DM, Balagani A, Aldabain L, Nikooie R, Fick DM Tags: J Gerontol Nurs Source Type: research

Update on Type 2 Diabetes Mellitus and Older Adults.
Abstract In 2020, the American Diabetes Association released an update to their standards of care guideline, which included special considerations for older adults. Care of older adults with type 2 diabetes mellitus needs to be individualized and incorporate patient preferences. Guideline updates provide specific goals for older adults based on their ability to perform activities of daily living, comorbidities, and health prognosis. The current article aims to illustrate updates through an older adult case and key medication-related considerations. [Journal of Gerontological Nursing, 46(4), 7-12.]. PMID: 3221...
Source: Journal of Gerontological Nursing - March 30, 2020 Category: Nursing Authors: Kaminsky T, Ozalas SM, Brandt NJ Tags: J Gerontol Nurs Source Type: research

Exploring Resident Care Information Technology Use and Nursing Home Quality.
Abstract A wide array of sophisticated information technology (IT) systems are being used in nursing home (NH) resident care to improve quality. The purpose of the current study was to explore differences in NH IT sophistication, a comprehensive measure of adoption, used in resident care processes based on facility characteristics over 4 consecutive years and to examine the impact on select long-stay NH quality measures. Results indicate IT systems used in resident care are becoming increasingly sophisticated. NH bed size, type of ownership, and location were significant predictors of IT score in areas related to ...
Source: Journal of Gerontological Nursing - March 30, 2020 Category: Nursing Authors: Powell KR, Deroche CB, Carnahan EJ, Alexander GL Tags: J Gerontol Nurs Source Type: research

Predictors of Nursing Home Nurses' Willingness to Report Medication Near-Misses.
Abstract Medication near-misses occur at higher rates than medication errors and are usually underreported. Reporting a medication near-miss is crucial, as it highlights areas of human and system failures. Identifying these incidents is particularly important in nursing home (NH) settings to help managers plan and initiate proactive measures to contain the errors. However, scarce evidence exists about predictors of nurses' willingness to report near-misses. Therefore, the purpose of this study was to test a proposed model for NH nurses' willingness to report medication near-misses. Data for this cross-sectional st...
Source: Journal of Gerontological Nursing - March 30, 2020 Category: Nursing Authors: Farag A, Vogelsmeier A, Knox K, Perkhounkova Y, Burant C Tags: J Gerontol Nurs Source Type: research

Considering the Impact of Aging When Caring For and Treating Adults With HIV.
Abstract The current study investigates how age impacts factors associated with successfully managing HIV. One hundred thirty adults with HIV were recruited for the study. Participants were divided into two groups, those age ≥50 and those age
Source: Journal of Gerontological Nursing - March 30, 2020 Category: Nursing Authors: Frain J Tags: J Gerontol Nurs Source Type: research

Assessing Fall Risk Appraisal Through Combined Physiological and Perceived Fall Risk Measures Using Innovative Technology.
Abstract The current study aimed to categorize fall risk appraisal and quantify discrepancies between perceived fall risk measured subjectively using the short Fall Efficacy Scale-International and physiological fall risk measured objectively using the portable BTrackS™ Assess Balance System. One hundred two community-dwelling older adults were evaluated in this cross-sectional study. Approximately 40% of participants had maladaptive fall risk appraisals, which were either irrational (high perceived risk despite low physiological fall risk) or incongruent (low perceived risk but high physiological fall risk)...
Source: Journal of Gerontological Nursing - March 30, 2020 Category: Nursing Authors: Thiamwong L, Sole ML, Ng BP, Welch GF, Huang HJ, Stout JR Tags: J Gerontol Nurs Source Type: research

What Will My Life Be Like at Age 70? Perspectives of Undergraduate Students in an Aging Course.
Abstract The affective domain of learning is an essential component in the professional development of nursing students. Teaching strategies stimulating an emotional response can impact students' attitudes, values, and beliefs. This qualitative study examined the use of a reflective journaling assignment in eliciting perspectives from 142 students about aging. Most students identified the assignment to be a real "eye opener" and perceived older adults in a different light. Students consulted with a grandparent or another older adult while writing the essay, which led to a mutually satisfying connection. ...
Source: Journal of Gerontological Nursing - March 30, 2020 Category: Nursing Authors: Lowey SE Tags: J Gerontol Nurs Source Type: research

Precision Health in Aging and Nursing Practice.
PMID: 32083695 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - February 24, 2020 Category: Nursing Authors: Martha SR, Auld JP, Hash JB, Hong H Tags: J Gerontol Nurs Source Type: research

The 2019 Doris Schwartz Gerontological Nursing Research Award: Keela Herr, PhD, RN, AGSF, FGSA, FAAN-Challenges & Triumphs on the Journey to Improve Pain Care for Older Adults.
The 2019 Doris Schwartz Gerontological Nursing Research Award: Keela Herr, PhD, RN, AGSF, FGSA, FAAN-Challenges & Triumphs on the Journey to Improve Pain Care for Older Adults. J Gerontol Nurs. 2020 Mar 01;46(3):7-8 Authors: Butcher HK PMID: 32083696 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - February 24, 2020 Category: Nursing Authors: Butcher HK Tags: J Gerontol Nurs Source Type: research

The Effects of Health Care Policies: LGBTQ Aging Adults.
Abstract Projected estimates for lesbian, gay, bisexual, transgender, queer (LGBTQ) populations in the United States reach 4 to 8 million older adults by 2030. Healthy People 2020 created goals to improve the health, safety, and well-being of these individuals. However, not all political agendas point to resolutions favorable for this population. Provisions under the Affordable Care Act once considered status quo protections for the LGBTQ community are now threatened as law makers are rolling back health care mandates, exposing members of the LGBTQ community to potential exacerbations of prejudice, discrimination,...
Source: Journal of Gerontological Nursing - February 24, 2020 Category: Nursing Authors: Zanetos JM, Skipper AW Tags: J Gerontol Nurs Source Type: research

Preference Consistency: Veteran and Non-Veteran Nursing Home Resident Self-Reported Preferences for Everyday Living.
Abstract Understanding patient preferences is core to person-centered care. The consistency of everyday preference reporting was assessed comparing responses of Veteran (VA) and non-VA nursing home (NH) residents on the Preferences for Everyday Living Inventory (PELI) at baseline and 5 to 7 days later. Non-VA NH residents demonstrated higher perfect agreement than VA residents (66% vs. 56%, respectively) and higher acceptable agreement (95% vs. 88%, respectively). Multiple regression analyses examined significant predictors of reliability using demographics, cognitive functional variables, and interviewer ratings....
Source: Journal of Gerontological Nursing - February 24, 2020 Category: Nursing Authors: Curyto K, Dockler LM, Van Haitsma KS Tags: J Gerontol Nurs Source Type: research

Effectiveness of Electronic Medication Packaging Devices on Medication Adherence: A Scoping Review.
ll PN Abstract Poor adherence to complex medication regimens is a global problem that affects the treatment of chronic diseases, which involves polypharmacy and requires long-term administration of medications. The most significant barrier to medication adherence in older adults is patient-related factors. The purpose of this study was to find evidence from the current literature to evaluate the effectiveness of electronic medication packaging (EMP) devices on improving medication adherence in older patients. MEDLINE and EMBASE databases were searched based on inclusion/exclusion criteria, focusing on medication a...
Source: Journal of Gerontological Nursing - February 24, 2020 Category: Nursing Authors: Kurup R, Martínez JPD, Doucet M, Tyrrell PN Tags: J Gerontol Nurs Source Type: research

The Lived Experience of Older Adults With Type 2 Diabetes Mellitus and Diabetes-Related Distress.
The objective of the current phenomenological study was to describe how diabetes-related distress might be uniquely experienced by older adults (age ≥65) with type 2 diabetes mellitus (T2DM). Interpretive phenomenology guided the research design and analysis. Everyday life experiences of living with T2DM and elevated diabetes distress were investigated with interpretive interviews. The most prevalent lived experiences were strained relationships with health care providers, guilt, fear, loneliness, and forgetfulness. These experiences created challenges in managing diabetes and increased diabetes-related distress. Improv...
Source: Journal of Gerontological Nursing - February 24, 2020 Category: Nursing Authors: Hernandez L, Leutwyler H, Cataldo J, Kanaya A, Swislocki A, Chesla C Tags: J Gerontol Nurs Source Type: research

Family Caregiving During the Hospitalization of an Older Relative.
Abstract The purpose of the current study was to examine the role and activities of family caregivers for older relatives during hospitalization. The Family Care Actions Index was completed by 293 family caregivers of hospitalized older adults. Results indicated that the scope of caregiving activities extended beyond providing care to the patient and included working together with the health care team. Activities requiring interaction with providers, such as care coordination, planning, evaluation, and oversight, were frequently performed by family caregivers. Family caregivers are assuming a greater role during t...
Source: Journal of Gerontological Nursing - February 24, 2020 Category: Nursing Authors: Glose S Tags: J Gerontol Nurs Source Type: research

Bone and Muscle Health Can Make or Break Care as We Age: Geriatrics Experts Hope These New Insights Can Strengthen Science's Response.
PMID: 32083702 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - February 24, 2020 Category: Nursing Authors: Linnebur S Tags: J Gerontol Nurs Source Type: research

Families of Choice and Community Connectedness: A Brief Guide to the Social Strengths of LGBTQ Older Adults.
PMID: 31978234 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - January 25, 2020 Category: Nursing Authors: Wardecker BM, Matsick JL Tags: J Gerontol Nurs Source Type: research

Psychotropic Medication Prescribing Practice Among Residents With Dementia in Nursing Homes: A Person-Centered Care Approach.
Abstract Despite multiple national initiatives to improve quality of life in nursing home (NH) residents with dementia, inefficiencies still exist regarding inappropriate psychotropic medication use to manage communication of distress. The goals of the current article are to: (a) create a person-centered care plan/process for NH community staff to manage challenging dementia behaviors; (b) provide guidelines for geriatric practitioners (GPs) to decrease psychotropic medication use in residents with dementia; (c) discuss organizational culture and its relationship to the management of non-cognitive neuropsychiatric...
Source: Journal of Gerontological Nursing - January 25, 2020 Category: Nursing Authors: Basnet P, Acton GJ, Requeijo P Tags: J Gerontol Nurs Source Type: research

Hydration Management.
Abstract Optimal hydration is essential to health, yet many common health problems of older adults are exacerbated by suboptimal hydration, including falls, adverse medication events, and urinary tract infections to name a few. Understanding dehydration in older adults is difficult, and causes for inadequate intake are multifocal. The current article provides important care guidelines on assessing risk and providing essential interventions to prevent dehydration. [Journal of Gerontological Nursing, 46(2), 19-30.]. PMID: 31978236 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - January 25, 2020 Category: Nursing Authors: Mentes JC, Gaspar PM Tags: J Gerontol Nurs Source Type: research

Testing the Effect of a Home Health Heart Failure Intervention on Hospital Readmissions, Heart Failure Knowledge, Self-Care, and Quality of Life.
Abstract For older adults, heart failure (HF) has the highest 30-day hospital readmission rate of any chronic illness. Despite research into strategies to reduce readmissions, no single program has emerged as sustainable. The purpose of the current study was to test a researcher-developed home health nurse HF intervention (CareNavRN™) on 30-day readmission rates, HF knowledge, self-care, and quality of life (QOL) among 40 older adults transitioning home. Home health nurses received specialized HF training and visited patients once per week at home for 4 weeks. The control group (n = 21) had six readmissions ...
Source: Journal of Gerontological Nursing - January 25, 2020 Category: Nursing Authors: Leavitt MA, Hain DJ, Keller KB, Newman D Tags: J Gerontol Nurs Source Type: research