Reflections of a Nursing Leader During an Extraordinary Time of Aged Care in New Zealand.
PMID: 33232491 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - November 26, 2020 Category: Nursing Authors: Hughes FA Tags: J Gerontol Nurs Source Type: research

Age-Friendly Cities During a Global Pandemic.
Abstract Age-friendly cities optimize opportunities for health, participation, and security to enhance quality of life as people age. The Age-Friendly Cities framework evaluates eight evidence-based domains, including: outdoor spaces and buildings; transportation; housing; social participation; respect and social inclusion; civic participation and employment; communication and information; and community support and health services. The COVID-19 pandemic has impacted each of these domains, necessitating reconsideration of opportunities to promote safety, wellness, and empowerment for older adults and persons with d...
Source: Journal of Gerontological Nursing - November 26, 2020 Category: Nursing Authors: DeLange Martinez P, Nakayama C, Young HM Tags: J Gerontol Nurs Source Type: research

Validity of a Single Activity Question for Clinical Assessment of Older Women.
Abstract Physical activity is an important part of clinical assessment. However, objective measurement can be expensive and burdensome. The current study validated a single activity question for use in clinical assessment. Ninety-seven older women (mean age = 73.7 years, SE = 0.7) completed an activity questionnaire and measurement of anthropometrics, body composition, and strength. Activity level was reported as not active, somewhat active, active, and very active. Activity level was significantly related to hours of light, moderate, and vigorous activity; body mass index (BMI); waist circumference; percent fat a...
Source: Journal of Gerontological Nursing - November 26, 2020 Category: Nursing Authors: Benton MJ, Graham HL, Schlairet MC, Silva-Smith AL Tags: J Gerontol Nurs Source Type: research

Long-Term Care Nurses and Their Experiences With Patients' and Families' End-of-Life Preferences: A Focus Group Study.
Abstract Long-term care (LTC) nurses are a critical nexus for patient communication and vital to advance care planning due to their professional role and breadth of patient relationships. The current study's aim was to explore the communication strategies Midwestern LTC nurses use to clarify patients' end-of-life (EOL) care preferences. Two focus groups used a phenomenological framework to elucidate the experiences of 14 RNs. Data analysis revealed two themes grounded in time: (a) nurses use time to assess patients' EOL situation and assist patients to discern care options; and (b) nurses educate patients about EO...
Source: Journal of Gerontological Nursing - November 26, 2020 Category: Nursing Authors: O'Conner-Von S, Bennett F Tags: J Gerontol Nurs Source Type: research

Informal Caregiving, Poor Mental Health, and Subjective Cognitive Decline: Results From a Population-Based Sample.
Abstract The current study examined potential gender differences in the associations between informal caregiving, poor mental health, and subjective cognitive decline (SCD). Data were obtained from the U.S. Behavioral Risk Factor Surveillance System (N = 16,042; 9,410 women, 6,632 men). Multivariate linear and logistic regression models were used to obtain adjusted βs and odds ratios (ORs), and 95% confidence intervals (CIs) depicting the association between informal caregiving, poor mental health, and SCD overall and by gender. Caregiving was positively associated with poor mental health among men (adjusted ...
Source: Journal of Gerontological Nursing - November 26, 2020 Category: Nursing Authors: Brown MJ, Cohen SA Tags: J Gerontol Nurs Source Type: research

Lucidity in the Context of Advanced Neurodegenerative Disorders: A Concept Analysis.
Abstract Individuals with advanced dementias resulting from neurodegenerative disorders (NDs) occasionally surprise caregivers with episodes of clarity and cognitive function that are not usually present. Lucid episodes-aptly named paradoxical lucidity in the literature-seem to involve a return of the "old self" during advanced neurodegenerative changes. Lucid episodes pose a problem for theories of neurological degeneration, which position dementias as progressive, incurable, and irreversible. In addition, lucid episodes raise ethical questions about whether information gleaned during lucid episodes is ...
Source: Journal of Gerontological Nursing - November 26, 2020 Category: Nursing Authors: Morris P, Bulman D Tags: J Gerontol Nurs Source Type: research

Factors Affecting Nursing Home Quality of Life in Residents With Dementia.
PMID: 33232497 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - November 26, 2020 Category: Nursing Authors: Williams CM, Chaturvedi R Tags: J Gerontol Nurs Source Type: research

Who Cares? An Existential Perspective of Caregiving for Individuals With a Left Ventricular Assist Device.
PMID: 33095886 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - October 24, 2020 Category: Nursing Authors: Zheng T Tags: J Gerontol Nurs Source Type: research

Importance of Flow for Lonely Nursing Home Residents During the COVID-19 Pandemic.
PMID: 33095887 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - October 24, 2020 Category: Nursing Authors: Huang FH, Chang LC Tags: J Gerontol Nurs Source Type: research

Optimizing Effective Communication While Wearing a Mask During the COVID-19 Pandemic.
Abstract Mandated face mask use for health care providers, secondary to COVID-19, creates an additional communication barrier for older adults with cognitive, communication, and/or hearing challenges. Face masks can soften a speaker's voice, conceal vocal tone, and hide facial expressions that relay essential non-verbal information. An inability to understand health care information or words of support can lead to frustration, anxiety, and decreased quality of life. Therefore, the purpose of this article is to review the current research, provide clinical examples, and highlight communication strategies, supports ...
Source: Journal of Gerontological Nursing - October 24, 2020 Category: Nursing Authors: Knollman-Porter K, Burshnic VL Tags: J Gerontol Nurs Source Type: research

Person-Centered Care Plans for Nursing Home Residents With Behavioral and Psychological Symptoms of Dementia.
Abstract Little literature exists examining the development and implementation of person-centered care (PCC) plans focused on behavioral and psychological symptoms of dementia (BPSD). The current study aimed to describe BPSD documented in nursing home (NH) residents' care plans, the types of approaches staff document in addressing those symptoms, and whether resident and/or facility characteristics are associated with documentation of PCC approaches. The sample included 553 residents from 55 NHs in two East Coast states. Resistiveness to care (44.9%), agitation (42.2%), and aggression (42%) were most frequently do...
Source: Journal of Gerontological Nursing - October 24, 2020 Category: Nursing Authors: Sefcik JS, Madrigal C, Heid AR, Molony SL, Van Haitsma K, Best I, Resnick B, Galik E, Boltz M, Kolanowski A Tags: J Gerontol Nurs Source Type: research

Insomnia and Daily Function in Older Adults With Asthma.
Abstract The current study examined the prevalence of insomnia and its relationship with daily function in older adults with asthma. Data on 278 older adults with asthma (aged ≥60 years) from the 2005-2008 National Health and Nutrition Examination Survey were analyzed. Insomnia was present in 40% of the study sample and was associated with a greater number of activities of daily living (ADL) and instrumental ADL (IADL) limitations. In multivariate analyses accounting for covariates including depressive symptoms, insomnia was not associated with having at least two ADL/IADL limitations. However, those with co-oc...
Source: Journal of Gerontological Nursing - October 24, 2020 Category: Nursing Authors: Luyster FS, Shi X, Baniak LM, Morris JL, Yang K, Chasens ER Tags: J Gerontol Nurs Source Type: research

Training Program for Care Professionals in Nursing Homes: Effectiveness and Feasibility.
Abstract The aim of the current study was to analyze the effectiveness and feasibility of a training program for care professionals at two nursing homes, investigating the impact on their beliefs, attitudes, and knowledge regarding aging. Twenty-three formal caregivers at a private nursing home and 10 formal caregivers at a philanthropic nursing home participated in the training program, which consisted of five weekly meetings, each lasting 1.5 hours. Characterization of the sample was performed and effectiveness and feasibility of the intervention were analyzed. The training program improved participants' knowled...
Source: Journal of Gerontological Nursing - October 24, 2020 Category: Nursing Authors: Assis LO, de Castro PMA, Rodrigues EAA, Santos LC, Sampaio RF, Assis MG Tags: J Gerontol Nurs Source Type: research

Recognizing Delirium: The Value of Having Geriatric Training as an Advanced Practice Clinician and Using a Framework of Age-Friendly Care.
PMID: 33095892 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - October 24, 2020 Category: Nursing Authors: Kugler X Tags: J Gerontol Nurs Source Type: research

In the COVID-19 Era, Here's Where We Need Sustained Support.
PMID: 33095893 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - October 24, 2020 Category: Nursing Authors: Medina-Walpole A Tags: J Gerontol Nurs Source Type: research

Let's Build a New Normal: Transitioning in Hope.
PMID: 32976619 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - September 27, 2020 Category: Nursing Authors: Yu SY, Hung HF Tags: J Gerontol Nurs Source Type: research

An Interdisciplinary Approach to Implementing the Age-Friendly Health System 4Ms in an Ambulatory Clinical Pathway With a Focus on Medication Safety.
Abstract MedStar's Center for Successful Aging (CSA) participated in the Age-Friendly Health Systems initiative led by The John A. Hartford Foundation and the Institute for Healthcare Improvement in partnership with the American Hospital Association and the Catholic Health Association of the United States. This initiative focuses on bringing the 4Ms framework-What Matters, Medication, Mentation, and Mobility-to caring for older adults. A quality improvement project was conducted at the CSA to integrate the 4Ms framework into the CSA ambulatory clinical pathway. Our interventions found upward trends in patients rec...
Source: Journal of Gerontological Nursing - September 27, 2020 Category: Nursing Authors: Guth A, Chou J, Courtin SO, Ford C, Hennawi G, Brandt N Tags: J Gerontol Nurs Source Type: research

Developing an Innovative Tablet-Based Walking Program to Improve Arthritis Fatigue.
Abstract Fatigue associated with arthritis is highly prevalent and interferes with patients' daily routines. An interdisciplinary research team developed the Tablet-based Cognitive Behavioral Intervention (Tab-CBI) for older adults with arthritis fatigue. The goal of the Tab-CBI is to alleviate fatigue by promoting a simple walking activity. The Tab-CBI application used off-the-shelf technologies and was implemented on a mini-tablet computer. The four key components of Tab-CBI are: (a) multimedia cognitive-behavioral therapy (CBT)-based educational modules; (b) videoconferencing communication; (c) individualized g...
Source: Journal of Gerontological Nursing - September 27, 2020 Category: Nursing Authors: Cody J, Choi J, Martell CR Tags: J Gerontol Nurs Source Type: research

Healing Hearts: Honoring the Lives of Older Adults.
PMID: 32976622 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - September 27, 2020 Category: Nursing Authors: Therrien K Tags: J Gerontol Nurs Source Type: research

How to Protect Older Adults With Comorbidities During Phase 2 of the COVID-19 Pandemic: Nurses' Contributions.
PMID: 32845342 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - August 29, 2020 Category: Nursing Authors: Rosa D, Villa G, Togni S, Bonetti L, Destrebecq A, Terzoni S Tags: J Gerontol Nurs Source Type: research

Family- and Person-Centered Interdisciplinary Telehealth: Policy and Practice Implications Following Onset of the COVID-19 Pandemic.
Abstract With the onset of the COVID-19 pandemic, telehealth was thrust to the forefront, becoming one of the most predominant forms of care almost overnight. Despite years of research, practice, and policymaking, tenets for providing telehealth in an interdisciplinary, family- and person-centered fashion, and across a wide breadth of settings remain underdeveloped. In addition, although telehealth has the potential to increase equity in care, it can also further exacerbate disparities. The current article discusses the opening created by the pandemic and provides recommendations for how to make permanent changes ...
Source: Journal of Gerontological Nursing - August 29, 2020 Category: Nursing Authors: Brody AA, Sadarangani T, Jones TM, Convery K, Groom L, Bristol AA, David D Tags: J Gerontol Nurs Source Type: research

Overburdened and Underprepared: Medical/Nursing Task Performance Among Informal Caregivers in the United States.
Abstract Informal caregivers are increasingly performing medical/nursing tasks in the home for adult care recipients, often without adequate support. In the current study, using data from the Caregiving in the U.S. 2015 survey (N = 1,248), we examined associations between performing medical/nursing tasks and caregiver well-being (e.g., physical strain, emotional stress, burden of care). Overall, 58% of caregivers performed medical/nursing tasks. Compared to those who did not, those performing tasks had higher risk of emotional stress, physical strain, and high burden of care. Among task performers, difficulty perf...
Source: Journal of Gerontological Nursing - August 29, 2020 Category: Nursing Authors: Keeton VF, Trask J, Whitney R, Bell JF Tags: J Gerontol Nurs Source Type: research

In Virtual Presentations, Top Geriatrics Research Addresses Key Concern for Older Adults-Medication Management.
PMID: 32845345 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - August 29, 2020 Category: Nursing Authors: Medina-Walpole A Tags: J Gerontol Nurs Source Type: research

Prevention of Delirium in Older Adults With Dementia: A Systematic Literature Review.
Abstract Although dementia is the largest independent risk factor for delirium and leads to poor health outcomes, we know little about how to prevent delirium in persons with dementia (PWD). The purpose of the current systematic literature review was to identify interventions designed to prevent delirium in older PWD. Seven studies meeting inclusion criteria were extracted. Five studies were in the acute care setting and two were community settings. One study used a randomized controlled trial design. Five of the seven interventions comprised multiple components addressing delirium risk factors, including educatio...
Source: Journal of Gerontological Nursing - August 25, 2020 Category: Nursing Authors: Schnitker L, Nović A, Arendts G, Carpenter CR, LoGiudice D, Caplan GA, Fick DM, Beattie E Tags: J Gerontol Nurs Source Type: research

Prevalence of Comorbid Spasticity and Urinary Incontinence in Residents of a Long-Term Care Facility.
Abstract The current study evaluated the prevalence of comorbid spasticity and urinary incontinence (UI) in a long-term care facility. Medical history, presence of UI, and activities of daily living (ADL) dependency were obtained from medical records and Minimum Data Set 3.0. Quality of life was assessed with the EuroQoL-5D-5L (EQ-5D). Comorbid spasticity and UI presented in 29% of participants (14 of 49). Participants with spasticity and UI had higher ADL dependency and lower EQ-5D than participants without both conditions (4.9, 95% confidence interval [CI] [1.6, 80.], p = 0.003; -0.17, 95% CI [-0.33, 0.00], p = ...
Source: Journal of Gerontological Nursing - August 25, 2020 Category: Nursing Authors: Hacker ML, Tomaras MC, Sayce L, Ploucher S, Naik A, Turchan M, Harper KA, Hedera P, Charles D Tags: J Gerontol Nurs Source Type: research

Strategies to Increase Pneumococcal Vaccination in Veterans: An Integrative Review.
Abstract The current integrative review aimed to explore the extent to which pneumococcal pneumonia impacts the Veteran population and strategies to increase pneumococcal vaccination in this population. The search strategy began with three electronic databases (CINAHL, PubMed, and Embase). After analysis of 50 studies, considering inclusion and exclusion criteria, nine studies were selected for final analysis. Three primary themes emerged from the literature: (a) decreased 1-year morbidity and mortality in Veterans with comorbid conditions who received pneumococcal vaccination, (b) significant barriers in outpatie...
Source: Journal of Gerontological Nursing - August 25, 2020 Category: Nursing Authors: Zekan M, McIltrot K, Cotter V Tags: J Gerontol Nurs Source Type: research

Voice Assistant Reminders for Pain Self-Management Tasks in Aging Adults.
Abstract Aging adults are impacted by pain. Technology can assist older adults with pain self-management while allowing for independence. The current usability study explored the use of voice assistant reminders for two pain self-management tasks in aging adults. Fifteen community-dwelling older adults with chronic pain and an average age of 65 years used the voice assistant for 4 weeks. Participants had moderate scores for pain severity (mean = 4.6 [SD = 2.3]) and pain interference (mean = 4 [SD = 2.6]). Voice assistant usability was above average (78 of 100). Median time to set up the Google Home Assistant profi...
Source: Journal of Gerontological Nursing - August 25, 2020 Category: Nursing Authors: Shade MY, Rector K, Soumana R, Kupzyk K Tags: J Gerontol Nurs Source Type: research

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 7, 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 7, 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 7, 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 - June 30, 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 - June 30, 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 - June 30, 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 - June 30, 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 - June 30, 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 - June 30, 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 - June 30, 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 - June 30, 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 - June 30, 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 1, 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 1, 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 1, 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 1, 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