Not Everything That Counts Can Be Counted: Fostering Healthy and Vibrant Communities.
PMID: 31355894 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - July 31, 2019 Category: Nursing Authors: Warner C Tags: J Gerontol Nurs Source Type: research

Exploring Patterns in Preferences for Daily Care and Activities Among Nursing Home Residents.
Abstract Nursing homes have shifted from task-focused to person-centered care (PCC) environments. Understanding resident preferences for daily care and activities is fundamental to PCC. Examining resident similarities based on preferences may be useful for group or community-wide PCC planning. The aims of the current study were to group residents according to similarities in preferences and determine the factors that predict membership in these groups. A latent class analysis of resident preferences using data from the Minimum Data Set (N = 244,718) was conducted. Resident function, depression, cognitive impairmen...
Source: Journal of Gerontological Nursing - July 31, 2019 Category: Nursing Authors: Roberts TJ, Saliba D Tags: J Gerontol Nurs Source Type: research

Nursing Home Facility-Initiated Involuntary Discharge.
Abstract Involuntary discharge of nursing home (NH) residents is a prominent reason for NH complaints in the United States, but little is known about facility-initiated involuntary discharge (FID). A literature review was conducted to improve understanding of FID. The findings distinguish between six types of FID, identify populations at risk of FID, and differentiate between legal and unlawful FID practices and processes. The findings also characterize common FID destinations; show how policy, regulatory, and financial factors impact FID; and indicate that FID outcomes are commonly detrimental to the health and w...
Source: Journal of Gerontological Nursing - July 31, 2019 Category: Nursing Authors: Lepore MJ, Yuen PK, Zepeda S Tags: J Gerontol Nurs Source Type: research

Resident and Staff Mealtime Actions and Energy Intake of Long-Term Care Residents With Cognitive Impairment: Analysis of the Making the Most of Mealtimes Study.
Abstract Long-term care (LTC) residents with cognitive impairment (CI) are at increased risk of malnutrition, often explained by mealtime actions (e.g., resident eating challenges, staff actions with eating assistance). The purpose of the current study was to examine the association between mealtime actions and energy intake of LTC residents with CI. Participants with CI (N = 353) from 32 LTC in four provinces were included. Mealtime actions were assessed using the Relational Behavioural Scale, Edinburgh Feeding Evaluation in Dementia (Ed-FED), nine additional eating challenges, and the Mealtime Relational Care Ch...
Source: Journal of Gerontological Nursing - July 31, 2019 Category: Nursing Authors: Mann K, Lengyel CO, Slaughter SE, Carrier N, Keller H Tags: J Gerontol Nurs Source Type: research

Effect of Self-Acupoint Massage on Blood Glucose Level and Quality of Life in Older Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial.
Abstract The current study aimed to explore the effect of self-acupoint massage (SEAM) on blood glucose level and quality of life in community-dwelling older adults with type 2 diabetes mellitus (T2DM). Sixty-six older adults with T2DM were enrolled and randomly divided into observation and control groups. Participants in the control group received routine nursing interventions, whereas participants in the observation group received a SEAM intervention in addition to routine nursing interventions. After 12 weeks of SEAM, glycosylated hemoglobin (HbA1c) levels in the observation group decreased from 8.35% (SD = 1.8...
Source: Journal of Gerontological Nursing - July 31, 2019 Category: Nursing Authors: Lyu WB, Gao Y, Cheng KY, Wu R, Zhou WQ Tags: J Gerontol Nurs Source Type: research

Improving End-of-Life Care for Hospitalized Older Adults: What Can Nurses and Health Care Systems Do?
PMID: 31237657 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - June 27, 2019 Category: Nursing Authors: Foley LM Tags: J Gerontol Nurs Source Type: research

Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Setting.
The objectives were to determine which medication information source provided the least number of discrepancies and describe the different types of discrepancies among sources. Of all orders, 30% contained a discrepancy. The average number of discrepancies per medication source per patient included: 5.6 for the hospital discharge summary, 7.6 for the EHR, and 9.6 for the home medication list/interview. The most frequent types of discrepancies included: omission of medication orders between lists (42.7%), additional medications not included on the initial POS (24.6%), and discrepancies in frequency (11.8%). The hospital dis...
Source: Journal of Gerontological Nursing - June 27, 2019 Category: Nursing Authors: Cook H, Parson J, Brandt N Tags: J Gerontol Nurs Source Type: research

Nonpharmacological Strategies Used By Family Caregivers of Persons With Alzheimer's Disease and Related Dementias as Presented in Blogs.
Abstract Individuals with Alzheimer's disease and related dementias (ADRD) may exhibit behavioral and psychological symptoms of dementia that can increase the strain experienced by their family caregivers. This strain correlates with increased stress and reduced quality of life for the family caregiver and individual with ADRD. More information is needed regarding the ways in which caregivers manage the caregiving experience in their efforts to reduce strain and maintain or improve quality of life. Many individuals, including dementia caregivers, use web blogs as online journals to share their lived experiences. T...
Source: Journal of Gerontological Nursing - June 27, 2019 Category: Nursing Authors: Anderson JG, Hundt E, Rose KM Tags: J Gerontol Nurs Source Type: research

Evaluation of a Companion Robot for Individuals With Dementia: Quantitative Findings of the MARIO Project in an Irish Residential Care Setting.
y D Abstract The current study focuses on the short-term effect of MARIO, a social robot, on quality of life, depression, and perceived social support in persons with dementia (PWD) and evaluates their acceptability of MARIO. Ten PWD in one nursing home took part in a 4-week pilot study, where each participant had up to 12 sessions with MARIO. Sessions comprised engagement in music, news, reminiscence, games, and calendar applications. Standardized questionnaires were administered before and after the 4-week period. Participants had a sustained interest in MARIO during their interactions and an acceptance of MARIO...
Source: Journal of Gerontological Nursing - June 27, 2019 Category: Nursing Authors: Barrett E, Burke M, Whelan S, Santorelli A, Oliveira BL, Cavallo F, Dröes RM, Hopper L, Fawcett-Henesy A, Meiland FJM, Mountain G, Moyle W, Raciti M, Pegman G, Teare A, Sancarlo D, Riccardi F, D'Onofrio G, Giuliani F, Russo A, Bleaden A, Greco A, Casey D Tags: J Gerontol Nurs Source Type: research

The Relationship Between Pain and Physical Function: Mediating Role of Sleep Quality, Depression, and Fatigue.
Abstract The current study investigated whether osteoarthritis pain was associated with physical function and aimed to identify possible multistep indirect pathways of the association between pain and physical function through sleep quality, depression, and fatigue. Using the survey method, data were collected from 222 adults age ≥65 years diagnosed with osteoarthritis at a senior welfare center in Daejeon, Korea. Data were statistically analyzed using serial multiple mediation analysis. Study findings showed that the relationship between pain and limitation of physical function was partially mediated by sleep ...
Source: Journal of Gerontological Nursing - June 27, 2019 Category: Nursing Authors: Lee MK, Oh JH Tags: J Gerontol Nurs Source Type: research

Report from AGS-NIA Conference Looks to Biological "Pillars of Aging" for Better Grasp of Health.
Report from AGS-NIA Conference Looks to Biological "Pillars of Aging" for Better Grasp of Health. J Gerontol Nurs. 2019 Jul 01;45(7):55-56 Authors: Linnebur S PMID: 31237662 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - June 27, 2019 Category: Nursing Authors: Linnebur S Tags: J Gerontol Nurs Source Type: research

Differences in Transitional Care Provided to Patients With and Without Dementia.
Abstract Older adults with dementia experience more care transitions than those without dementia yet are routinely excluded from transitional care studies. The purpose of the current study was to understand the transitional care delivered to older adults with dementia compared to those without dementia. The medical charts of 210 patients (126 with dementia, 84 without dementia) 70 years and older hospitalized at a single hospital were reviewed for evidence of transitional care, including discharge planning, patient education, and follow-up appointments. Patients with dementia were significantly less likely to rece...
Source: Journal of Gerontological Nursing - June 14, 2019 Category: Nursing Authors: Prusaczyk B, Olsen MA, Carpenter CR, Proctor E Tags: J Gerontol Nurs Source Type: research

Rural Dementia Caregivers in Southwest Texas: An Exploratory Study of Advance Directives and End-of-Life Proxy Decision Making.
Abstract For a growing number of persons with dementia (PWDs), advance care planning (ACP) can help families make important end-of-life (EOL) care decisions that reflect PWDs' values and preferences. The current exploratory study aimed to understand advance directive planning and decision making among PWDs and caregivers. A survey was conducted with a convenience sample of 47 ethnically diverse PWD caregivers recruited from rural health care facilities in Southwest Texas. Sixty-eight percent of PWDs and caregivers were Hispanic. The majority of PWDs had completed an advance directive (60%) and preferred equally sh...
Source: Journal of Gerontological Nursing - June 14, 2019 Category: Nursing Authors: Kwak J, Xie B, Champion JD, Fleischmann KR Tags: J Gerontol Nurs Source Type: research

Shifting Focus: From the Opioid Crisis to Quality Pain Management.
PMID: 31135931 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - May 29, 2019 Category: Nursing Authors: Arnstein P, Herr K Tags: J Gerontol Nurs Source Type: research

Addressing Polypharmacy.
PMID: 31135932 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - May 29, 2019 Category: Nursing Authors: Willie A Tags: J Gerontol Nurs Source Type: research

The Expanding Role of Nurse Practitioners in Home-Based Primary Care: Opportunities and Challenges.
Abstract Approximately 93% of Medicare spending is for beneficiaries with multiple chronic conditions. Costs of poorly coordinated or delayed care for this vulnerable population are staggering-not just measured in dollars and cents, but in overall psychosocial burdens of poor health and diminished quality of life. Home-based primary care (HBPC) practices are an effective way to meet needs of frail older adults who find it difficult, if not impossible, to leave home for medical care with an overall cost savings to Medicare. Nurse practitioners (NPs) provide more than 825,000 HBPC visits per year. Their training and...
Source: Journal of Gerontological Nursing - May 29, 2019 Category: Nursing Authors: Wolff-Baker D, Ordona RB Tags: J Gerontol Nurs Source Type: research

The Meaning of Health and Health Care for Rural-Dwelling Adults Age 75 and Older in the Northwestern United States.
Abstract The current study describes the meaning of health and health care from the perspective of rural-dwelling adults age 75 and older (mean age = 79.9). Rural-dwelling older adults are apt to experience health care disparities due to poverty, social isolation, health literacy challenges, and lack of health care resources. Few studies describe the meaning of health and health care from their perspective; thus, efforts to impact disparities may be misguided. Qualitative descriptive methodology was used to gather information from older adults in two frontier counties in the Northwestern United States. Eighteen re...
Source: Journal of Gerontological Nursing - May 29, 2019 Category: Nursing Authors: Mize D, Rose T Tags: J Gerontol Nurs Source Type: research

Female Family Caregivers' Experiences During Nursing Home Admission: A Phenomenological Qualitative Study.
Parás-Bravo P, Velarde-García JF Abstract The experience of nursing home (NH) admission has a significant impact on older adults and their relatives. The aim of the current study is to describe the life experiences of female family caregivers (N = 20) after long-stay NH admission of their relative. A qualitative phenomenological approach was followed with purposeful sampling. Data were collected over 18 months using unstructured interviews, letters, and diaries and were analyzed using systematic text condensation analysis. Three themes emerged: The Value of Experience: Deciding on Admission and Defe...
Source: Journal of Gerontological Nursing - May 29, 2019 Category: Nursing Authors: Palacios-Ceña D, León-Pérez E, Martínez-Piedrola RM, Cachón-Pérez JM, Parás-Bravo P, Velarde-García JF Tags: J Gerontol Nurs Source Type: research

Physical Activity and Positive Psychological Well-Being Attributes Among U.S. Latino Older Adults.
Abstract Lack of physical activity is particularly problematic among U.S. Latino older adults. There is substantial evidence linking physical activity and well-being. However, associations between physical activity and positive psychological well-being among this population have never been studied or measured. Physical activity was compared to five positive psychological well-being measures based on the PERMA model. Secondary data analysis was completed on a sample of 68 Latino American individuals, age 60 and older, compared to 72 non-Hispanic White older adults. Overall, physical activity was positively associat...
Source: Journal of Gerontological Nursing - May 29, 2019 Category: Nursing Authors: Lee B, Howard EP Tags: J Gerontol Nurs Source Type: research

Aging and Disabilities: How to Age Well With Down Syndrome and Leave No One Behind.
PMID: 31026325 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - April 28, 2019 Category: Nursing Authors: Fick DM Tags: J Gerontol Nurs Source Type: research

Heightening Person-Centered Care Processes in the Delivery of Nursing Restorative Care.
The objective of the current study was to investigate the perspectives of nursing home (NH) providers regarding the requirements to achieve reimbursement for nursing restorative care (NRC) services and propose recommendations to state agencies to assist NH providers to conduct NRC programs that are person-centered and able to achieve full reimbursement. Methods included a survey of NH providers in one state and a stakeholder focus group to discuss survey findings and develop recommendations. Key findings are that NH providers perceive value to residents from the provision of NRC; providers do not associate these benefits w...
Source: Journal of Gerontological Nursing - April 28, 2019 Category: Nursing Authors: Abrahamson K, Mueller C, Duan Y, Cooke V Tags: J Gerontol Nurs Source Type: research

Community-Based Older Adults' Acceptance of and Willingness Toward Waist Circumference Measurement.
Abstract Older adults have higher rates of central obesity and greater risk for central obesity-related diseases compared to younger adults. Waist circumference measurement is a reliable indicator of preventable, central obesity-related disease risk. Despite its value, it is rarely measured in primary care settings due to providers' perceived patient discomfort with waist measurement. The current study examined community-based older adults' (N = 99) experience with, acceptance of, and willingness toward waist measurement. Ninety-two percent of participants reported never having waist measurement in primary care se...
Source: Journal of Gerontological Nursing - April 28, 2019 Category: Nursing Authors: Gaynor B, Wright R, Shin JY Tags: J Gerontol Nurs Source Type: research

Aging Individuals With Down Syndrome and Dementia as Teachers: Learnings from Staffin a Developmental Disability Program in Long-Term Care.
Abstract Older adults with Down syndrome (DS) and dementia are an emerging sub-population. With much longer life spans than decades ago, issues have arisen as to where these aging adults will live and how nurses and other staff in facilities can provide effective care to these individuals. The current article presents a research study that examined the learnings of nurses and staff members working within a western Canadian program for older adults with DS and dementia. These learnings include: the importance of learning from each other; importance of collaboration; how individuals with developmental disabilities c...
Source: Journal of Gerontological Nursing - April 28, 2019 Category: Nursing Authors: Lane AM, Reed MB, Hawranik P Tags: J Gerontol Nurs Source Type: research

Improving Education and Communication in an Assisted Living Facility to Reduce Avoidable Emergency Department Transfers: A Quality Improvement Project.
Abstract The purpose of the current project was to determine the effectiveness of training and communication tools used as intervention strategies to reduce unnecessary emergency department transfers of assisted living facility (ALF) residents. Two communication protocols (SBAR and STOP and WATCH) were introduced to standardize clinical communication among licensed practical nurses (LPNs) and clinical providers. Twenty-nine LPNs working in an ALF with 172 units were recruited. LPNs participated in an intervention intended to improve knowledge on geriatric syndromes. Pre- and postintervention testing revealed impro...
Source: Journal of Gerontological Nursing - April 28, 2019 Category: Nursing Authors: Abate B, VanGraafeiland B Tags: J Gerontol Nurs Source Type: research

Predictors of Emergency Department Use Among Community-Dwelling Older Adults.
Abstract A cross-sectional research study was conducted to explore factors associated with and predictors of emergency department (ED) use among community-dwelling older adults. Data were collected using questionnaires regarding demographic characteristics, health literacy, comprehensive assessment instruments, and ED use. Age, fall frequency, number of diseases, number of medications, health literacy, nutritional status, cognitive function, and activities of daily living were associated with ED use. Age (adjusted odds ratio [aOR] = 1.04, 95% confidence interval [CI] [1.00, 1.07]), health literacy (aOR = 0.89, 95%...
Source: Journal of Gerontological Nursing - April 28, 2019 Category: Nursing Authors: Ho MH, Wang CH, Joo JY, Chang HR, Chang CC, Liu MF Tags: J Gerontol Nurs Source Type: research

Effects of an Interdisciplinary Care Team on the Management of Alzheimer's Disease in China.
Abstract The current study aimed to evaluate the multidimensional effects of an interdisciplinary care team in patients with Alzheimer's disease (AD). A total of 129 patients with AD were randomly assigned to an interdisciplinary care group (n = 69) or usual care group (n = 60). Behavioral and psychological symptoms of patients with AD were measured during a 6-month treatment period. No differences were found in the baseline characteristics between the interdisciplinary care and usual care groups. Compared to usual care, interdisciplinary care greatly increased patients' activities of daily living (ADL) scores whe...
Source: Journal of Gerontological Nursing - April 28, 2019 Category: Nursing Authors: Chen C, Huang Y, Liu C, Xu Y, Zheng L, Li J Tags: J Gerontol Nurs Source Type: research

For Older Adults, Medications are Common: An Updated AGS Beers Criteria ® Aims to Ensure They Are Appropriate, Too.
For Older Adults, Medications are Common: An Updated AGS Beers Criteria® Aims to Ensure They Are Appropriate, Too. J Gerontol Nurs. 2019 May 01;45(5):47-48 Authors: Jacobs LG PMID: 31026332 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - April 28, 2019 Category: Nursing Authors: Jacobs LG Tags: J Gerontol Nurs Source Type: research

Evidence-Based Practice Guideline: Assessing Heart Failure in Long-Term Care Facilities.
Abstract Evidence suggests the most crucial elements to successful heart failure (HF) management in long-term care (LTC) include improving staffs' HF knowledge to recognize and intervene in early symptom exacerbations, embedding an effective and integrated interprofessional communication system into daily care processes, risk stratification, and anticipatory advanced care planning. Despite a large body of evidence describing best practices, quality HF management remains elusive in LTC facilities. Studies have shown that care quality and outcomes improve when the entire team, including direct caregivers, have an ac...
Source: Journal of Gerontological Nursing - April 12, 2019 Category: Nursing Authors: Harrington CC Tags: J Gerontol Nurs Source Type: research

Intentional Rounding With Certified Nursing Assistants in Long-Term Care: A Pilot Project.
Abstract Intentional rounding (IR) is a strategy used by predominately acute care nursing staff to proactively address patients' needs at regular and consistent intervals. The current project piloted the use of IR with certified nursing assistants (CNAs) on a 60-bed unit of a 120-bed skilled nursing facility (SNF). Using a pre/post intervention design and the Plan-Do-Study-Act (PDSA) framework, the authors measured knowledge of IR's "4Ps" (potty, position, possessions, and pain) and the incidence of falls and lost possessions. Uptake of IR over 10 weeks of implementation and CNAs' perceptions of interven...
Source: Journal of Gerontological Nursing - April 12, 2019 Category: Nursing Authors: Jenko M, Panjwani Y, Buck HG Tags: J Gerontol Nurs Source Type: research

Usability Testing of a Mobile Clinical Decision Support App for Urinary Tract Infection Diagnosis in Nursing Homes.
Abstract The aim of the current study was to conduct usability testing of a mobile clinical decision support (CDS) prototype designed for urinary tract infection (UTI) assessment by nurses in nursing homes (NHs). Usability of the UTIDecide smartphone application (app) was evaluated using cognitive walk-through and think-aloud protocol sessions with nurses (n = 6) at two NH sites. This evaluation was followed by unsupervised field tests lasting ≥1 week with nurses at one site (n = 4) and posttest interviews and administration of the System Usability Scale (SUS). Cognitive walk-through/think-aloud sessions yielde...
Source: Journal of Gerontological Nursing - April 12, 2019 Category: Nursing Authors: Reeder B, Drake C, Ozkaynak M, Wald HL Tags: J Gerontol Nurs Source Type: research

Engaging With Aging Through Reflection and Action.
PMID: 30917199 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - March 29, 2019 Category: Nursing Authors: Primomo J, Belza B Tags: J Gerontol Nurs Source Type: research

Beneficiary, Caregiver, and Case Manager Perspectives on the Medication Therapy Management Program Standardized Format.
Abstract Plan sponsors of Medicare Part D must provide beneficiaries who receive a comprehensive medication review (CMR) with a written summary using the Medicare Part D Medication Therapy Management Standardized Format (SF). The SF is a means to advance consistency in the CMR program by providing a template of expected content. However, barriers remain with beneficiary use and integration into existing electronic health records. The current study assessed Medicare beneficiary, caregiver, and case manager perceptions of the SF through five focus group interviews with a total of 23 participants. Qualitative analysi...
Source: Journal of Gerontological Nursing - March 29, 2019 Category: Nursing Authors: Sharma K, Cooke CE, Howard AK, Chater R, Brandt NJ Tags: J Gerontol Nurs Source Type: research

Impact of a SystemCHANGE ™ Intervention on Medication Adherence in Older Adults With Heart Failure: A Feasibility Study.
Impact of a SystemCHANGE™ Intervention on Medication Adherence in Older Adults With Heart Failure: A Feasibility Study. J Gerontol Nurs. 2019 Apr 01;45(4):15-19 Authors: Andrews AM, Russell CL Abstract The purpose of the current study was to examine the feasibility and acceptability of a SystemCHANGE™ intervention in improving medication adherence in older adults with heart failure (HF). Adults age ≥50 years with HF who self-administered diuretics were screened for 2 months using electronic monitoring to determine baseline adherence scores. Participants were randomized into the SystemCH...
Source: Journal of Gerontological Nursing - March 29, 2019 Category: Nursing Authors: Andrews AM, Russell CL Tags: J Gerontol Nurs Source Type: research

Hydration Status of Assisted Living Memory Care Residents.
Abstract Water intake and hydration status of assisted living memory care (ALMC) residents were evaluated. Thirty-two residents (eight men; mean age 86.5 years; Global Deterioration Scale [GDS] 3 to 7) from four ALMC units participated. Ingested food and fluid amount, type, and time, and ingestion behaviors were observed from 7:00 a.m. to 7:00 p.m. Related factors were obtained from chart review/participant survey. Mean fluid intake was 1,160.16 mL; mean water intake from food and fluid was 56.55% (SD = 23.4%) of recommended water intake (RWI). Only one participant met 100% RWI. Using osmolality laboratory results...
Source: Journal of Gerontological Nursing - March 29, 2019 Category: Nursing Authors: Gaspar PM, Scherb CA, Rivera-Mariani F Tags: J Gerontol Nurs Source Type: research

Women's Perceptions of Retirement.
Abstract A record number of women are going through the major life transition of retirement. The purpose of the current study was to explore women's perceptions of retirement with the goals of better understanding important patterns of response regarding retirement transitioning and to inform nurses on how to assist clients who are anticipating or engaging in the retirement transition. A sample population of 170 retired women was recruited using convenience sampling from community settings within six southeastern U.S. states. Participants expressed their perceptions of retirement through written responses to open-...
Source: Journal of Gerontological Nursing - March 29, 2019 Category: Nursing Authors: Sheppard FH, Stanford D Tags: J Gerontol Nurs Source Type: research

Relationships Among Social Support, Coping Strategy, and Depressive Symptoms in Older Adults With Diabetes.
Abstract The current study aimed to examine the relationships among social support, coping strategy, and depressive symptoms in older adults with diabetes, and the mediating role of coping strategy in the relationship between social support and depressive symptoms. Participants were 152 older adults with diabetes from two community health service centers in Chongqing, China. Self-reported questionnaires were used to assess social support, coping strategy, and depressive symptoms. Data were analyzed using descriptive statistics, hierarchical multiple regression, and mediation analysis. Subjective support, support u...
Source: Journal of Gerontological Nursing - March 29, 2019 Category: Nursing Authors: Kong LN, Zhu WF, He S, Yao Y, Yang L Tags: J Gerontol Nurs Source Type: research

I Can See the Hope in Her Eyes.
PMID: 30917205 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - March 29, 2019 Category: Nursing Authors: Galloway CS Tags: J Gerontol Nurs Source Type: research

Using Wisely: A Reminder on How to Properly Use the American Geriatrics Society Beers Criteria ®.
Using Wisely: A Reminder on How to Properly Use the American Geriatrics Society Beers Criteria®. J Gerontol Nurs. 2019 Mar 01;45(3):3-6 Authors: Steinman MA, Fick DM PMID: 30789983 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - February 23, 2019 Category: Nursing Authors: Steinman MA, Fick DM Tags: J Gerontol Nurs Source Type: research

Are We Ready for the CARE Act?: Family Caregiving Education for Health Care Providers.
Abstract The CARE Act, law in 40 states and territories in the United States, requires hospitals to identify and include family caregivers during admission and in preparation for discharge. Although the number of family caregivers has been steadily increasing, health care providers are ill-prepared to address their needs, and caregiving remains a neglected topic in health care providers' education. A market analysis was performed to explore the availability of and interest in interprofessional courses and programs focused on preparing health professionals to support family caregivers. Although nurses and chief nur...
Source: Journal of Gerontological Nursing - February 23, 2019 Category: Nursing Authors: Badovinac LM, Nicolaysen L, Harvath TA Tags: J Gerontol Nurs Source Type: research

Feasibility of an Integrative Activity Program for Older Adults With Low Education and Mild Dementia.
Abstract The population of older adults is increasing, as is the number of older adults with dementia. However, there is a lack of integrative interventions that include both cognitive training and physical exercise for older adults with dementia. The current study conducted a 12-week integrated program for older adults with low education and mild dementia; the study modified the contents developed by the National Dementia Institute. Effects of the integrated program were examined in 30 participants (16 from the experimental group and 14 from the control group). Analysis showed that the tailored integrated program...
Source: Journal of Gerontological Nursing - February 23, 2019 Category: Nursing Authors: Tak SH, Kim JY, Ko H, Yoo YM Tags: J Gerontol Nurs Source Type: research

Partnership to Enhance Resident Outcomes for Community Living Center Residents With Dementia: Description of the Protocol and Preliminary Findings.
Abstract The goal of this quality improvement project is to improve care planning around preferences for life-sustaining treatments (LST) and daily care to promote quality of life, autonomy, and safety for U.S. Department of Veterans Affairs (VA) Community Living Center (CLC) (i.e., nursing home) residents with dementia. The care planning process occurs through partnerships between staff and family surrogate decision makers. This process is separate from but supports implementation of the LST Decision Initiative-developed by the VA National Center for Ethics in Health Care-which seeks to increase the number, quali...
Source: Journal of Gerontological Nursing - February 23, 2019 Category: Nursing Authors: Carpenter J, Miller SC, Kolanowski AM, Karel MJ, Periyakoil VS, Lowery J, Levy C, Sales AE, Ersek M Tags: J Gerontol Nurs Source Type: research

Hypercholesterolemia Management in Older Adults: A Scoping Review of Recent Evidence.
Abstract Given the high co-occurrence of age and hypercholesterolemia, there is a critical need for age-appropriate evidence for achieving normal cholesterol levels. The purpose of the current review was to map recent evidence (i.e., past 5 years) on hypercholesterolemia management in older adults and identify gaps in the evidence. Electronic searches in PubMed, CINAHL, and Scopus were conducted. Inclusion criteria were age 65 or older and lipid panel outcome. Exclusion criteria were a mixed age sample and familial hypercholesterolemia. An initial pool of 3,176 unique records resulted in 26 articles that met inclu...
Source: Journal of Gerontological Nursing - February 23, 2019 Category: Nursing Authors: Buck HG, Mcghee S, Polo RL, Zambroski C Tags: J Gerontol Nurs Source Type: research

Type 2 Diabetes Self-Management Barriers in Older Adults: An Integrative Review of the Qualitative Literature.
Abstract Type 2 diabetes is a prevalent chronic health condition more frequently affecting adults ages 65 and older. Furthermore, these individuals tend to have more type 2 diabetes-associated complications, compared with younger individuals with diabetes, and face unique challenges throughout the self-management process. Despite many studies and reviews about diabetes self-management, few researchers focus specifically on older adults. Of particular importance is the need to understand self-management challenges through the patient's lens. Therefore, the purpose of the current review is to examine and summarize t...
Source: Journal of Gerontological Nursing - February 23, 2019 Category: Nursing Authors: Saunders T Tags: J Gerontol Nurs Source Type: research

Leadership in the Clinic, Classroom, and on the Hill: AGS Making Public Policy Strides for 2019.
PMID: 30789989 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - February 23, 2019 Category: Nursing Authors: Jacobs LG Tags: J Gerontol Nurs Source Type: research

Cybercrime: A New and Growing Problem for Older Adults.
PMID: 30690648 [PubMed - in process] (Source: Journal of Gerontological Nursing)
Source: Journal of Gerontological Nursing - January 30, 2019 Category: Nursing Authors: Munanga A Tags: J Gerontol Nurs Source Type: research

Mapping Core Concepts of Person-Centered Care in Long-Term Services and Supports.
Abstract Person-centered care (PCC) has a wide range of definitions, most based on expert opinion rather than empirical analysis. The current study used an empirical concept mapping approach to identify core components of PCC used in long-term services and supports (LTSS). The aim is to help providers and researchers develop a unified set of domains that can be used to assess and improve the quality of PCC in real-world settings. Results yielded six domains describing essential elements of PCC in LTSS: Enacting Humanistic Values, Direct Care Worker Values, Engagement Facilitators, Living Environment, Communication...
Source: Journal of Gerontological Nursing - January 30, 2019 Category: Nursing Authors: Behrens LL, McGhan G, Abbott KM, Fick DM, Kolanowski AM, Liu Y, Buck HG, Roes M, Heid AR, Spector A, Van Haitsma K Tags: J Gerontol Nurs Source Type: research

Prompted Voiding for Individuals With Urinary Incontinence.
Abstract Urinary incontinence (UI) is one of the most common conditions among residents of post-acute and long-term care facilities. UI is seen in at least 55% of nursing home residents and is the second leading cause of institutionalization of older adults. UI has been shown to be an independent risk factor for unplanned hospitalization of home care individuals. Prompted voiding (PV) is a toileting program that combines scheduled voiding with "prompting" from a caregiver and is appropriate for older adults with all types of UI and in individuals who may have impaired cognitive function. The current arti...
Source: Journal of Gerontological Nursing - January 30, 2019 Category: Nursing Authors: Newman DK Tags: J Gerontol Nurs Source Type: research

Relationships Between Subjective Cognitive Impairment and Personality Traits: A Systematic Review.
Abstract This systematic review examined the relationships between personality traits and subjective cognitive impairment (SCI) in older adults without dementia. A comprehensive literature search conducted according to PRISMA guidelines identified empirical investigations of SCI and at least one of the big five personality traits among adults age 60 or older. All articles were critically appraised using the weight of evidence framework and findings were compared, contrasted, and synthesized across studies. Sixteen of the 797 studies initially identified met eligibility criteria. A higher level of SCI was associate...
Source: Journal of Gerontological Nursing - January 30, 2019 Category: Nursing Authors: Koller OM, Hill NL, Mogle J, Bhang I Tags: J Gerontol Nurs Source Type: research

Assessing Informal and Formal Diabetes Knowledge in African American Older Adults With Uncontrolled Diabetes.
Abstract Some researchers attribute the excess rates of diabetes complications among African American older adults compared to other racial/ethnic subgroups to low diabetes knowledge. Diabetes knowledge measures have a biomedical orientation, including knowledge of glycemic control and using diet and exercise to control blood sugar. Measures do not assess informal knowledge that patients obtain outside of the clinical environment. The distinction between formal and informal knowledge is meaningful for cultural groups such as African American individuals who have historically transferred knowledge about maintaining...
Source: Journal of Gerontological Nursing - January 30, 2019 Category: Nursing Authors: Skrine Jeffers K, Cadogan M, Heilemann MV, Phillips LR Tags: J Gerontol Nurs Source Type: research

Effect of Low-Intensity, Kinect ™-Based Kaimai-Style Qigong Exercise in Older Adults With Type 2 Diabetes.
Effect of Low-Intensity, Kinect™-Based Kaimai-Style Qigong Exercise in Older Adults With Type 2 Diabetes. J Gerontol Nurs. 2019 Feb 01;45(2):42-52 Authors: Cai H, Li G, Jiang S, Yin H, Liu P, Chen L Abstract The aim of the current study was to investigate the effect of low-intensity, Kinect™-based Kaimai-style Qigong exercise among older adults with type 2 diabetes mellitus (T2DM). A non-randomized controlled trial was conducted in a community center in Changchun, China, from July to September 2017. Participants (N = 55) were assigned to the Qigong group or control group. Participants in t...
Source: Journal of Gerontological Nursing - January 30, 2019 Category: Nursing Authors: Cai H, Li G, Jiang S, Yin H, Liu P, Chen L Tags: J Gerontol Nurs Source Type: research