MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Gerontological Nursing' source. Tue, 16 Mar 2010 16:00:57 +0100 http://www.medworm.com/index.php?rid=3314895&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20180494%26dopt%3DAbstract Authors: Mezey M, Lach HW PMID: 20180494 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3314895 Thu, 25 Feb 2010 00:00:00 +0100 3314895 http://www.medworm.com/index.php?rid=3314894&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20180495%26dopt%3DAbstract Authors: Tanner DC The purpose of this article is to review the management of swallowing disorders in nursing home patients. The goal is to provide readers with five areas of contentious dysphagia management issues that have surfaced in several malpractice litigation cases. A detailed examination of what went wrong in the management of these patients' dysphagia from the perspective of the plaintiffs' dysphagia expert witness, as well as a discussion of what nursing home staff could have done to prevent these tragedies, is presented. PMID: 20180495 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3314894 Thu, 25 Feb 2010 00:00:00 +0100 3314894 http://www.medworm.com/index.php?rid=3314893&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20180496%26dopt%3DAbstract Authors: McCracken AL Nursing is well positioned to be a major force in informing and influencing health policy. Gerontological nurses, as essential stakeholders in health care policy, must be sensitive to policy windows, seek out resources, design systematic approaches, and take action that will shape more effective and efficient care for the older people they serve. PMID: 20180496 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3314893 Thu, 25 Feb 2010 00:00:00 +0100 3314893 http://www.medworm.com/index.php?rid=3314892&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20180497%26dopt%3DAbstract Authors: Smith JM Depression is a serious mental health problem in older adults. Some of the symptoms of depression include depressed mood, significant change in weight or appetite, changes in sleep patterns, a decrease in concentration and energy, and possible suicide. However, depression is a treatable illness, especially with the newer class of antidepressant agents, the selective serotonin reuptake inhibitors (SSRIs). One side effect of SSRI use includes hyponatremia, which is becoming an increasingly serious complication that may have harmful clinical ramifications. Older adults are especially at risk for hyponatremia and could experience serious consequences if left untreated. The purpose of this article is to use an individual example to demonstrate the clinical importance of de... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3314892 Thu, 25 Feb 2010 00:00:00 +0100 3314892 http://www.medworm.com/index.php?rid=3314891&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20180498%26dopt%3DAbstract Authors: Otsuka S, Hamahata A, Komatsu M, Suishu C, Osuka K To date, no elder care facilities in Japan have formally introduced the Eden Alternative((R)) philosophy of care. The purpose of this cross-sectional descriptive study was to identify the perceptions of care workers and nurses regarding the lives of older adults in care facilities to consider the prospects for introducing the Eden Alternative to Japan. The participants included 139 care workers and 41 nurses who responded to a survey questionnaire based on Eden Alternative principles developed by the researchers for this study. More than half of the participants indicated that they sometimes thought the older adults experienced feelings of helplessness, loneliness, and boredom and hoped for changes in the manner of care to imp... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3314891 Thu, 25 Feb 2010 00:00:00 +0100 3314891 http://www.medworm.com/index.php?rid=3314890&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20180499%26dopt%3DAbstract Authors: Planton J, Edlund BJ Persistent or chronic pain is frequently reported by older adults and has the potential to dramatically influence quality of life. Estimates indicate that 25% to 50% of community-dwelling older adults experience this kind of pain. This rate is even higher in long-term care facilities, where 50% to 75% of residents have chronic pain syndromes that are untreated or undertreated. To promote optimal pain management and enumerate the responsibilities of skilled nursing facilities to effectively treat and prevent pain, the Centers for Medicare & Medicaid Services released a new pain management surveyor guidance, F-Tag 309, which endorses the presence of an interdisciplinary team approach to pain management that involves the resident. The guidance delineates ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3314890 Thu, 25 Feb 2010 00:00:00 +0100 3314890 http://www.medworm.com/index.php?rid=3314889&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20180500%26dopt%3DAbstract Authors: Sok SR The purpose of this study was to identify the factors influencing life satisfaction of Korean older adults living with family. Participants included 267 adults age 65 and older who met eligibility criteria. Analyses showed that the prediction model of the life satisfaction of older adults who are living with their family was significant (F = 24.429, p < 0.001). The value of the adjusted R(2) was 0.306, which corresponds to the explanatory power of 30.6%. The factor found to have the greatest influence on these adults' life satisfaction was depression (beta = 0.329), followed by perceived health status (beta = 0.206), self-esteem (beta = 0.090), monthly pocket money (beta = 0.060), and age (beta = 0.040). It is possible that older adults' life satisfaction increases w... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3314889 Thu, 25 Feb 2010 00:00:00 +0100 3314889 http://www.medworm.com/index.php?rid=3273384&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20151625%26dopt%3DAbstract Authors: Bond SM PMID: 20151625 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3273384 Mon, 01 Feb 2010 00:00:00 +0100 3273384 http://www.medworm.com/index.php?rid=3273383&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20151626%26dopt%3DAbstract Authors: PMID: 20151626 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3273383 Mon, 01 Feb 2010 00:00:00 +0100 3273383 http://www.medworm.com/index.php?rid=3273382&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20151627%26dopt%3DAbstract Authors: Futrell M, Melillo KD, Remington R, Schoenfelder DP PMID: 20151627 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3273382 Mon, 01 Feb 2010 00:00:00 +0100 3273382 http://www.medworm.com/index.php?rid=3273381&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20151628%26dopt%3DAbstract Authors: PMID: 20151628 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3273381 Mon, 01 Feb 2010 00:00:00 +0100 3273381 http://www.medworm.com/index.php?rid=3247555&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20128524%26dopt%3DAbstract This article will review current literature and some older seminal works on nature and nature-based stimuli for people with dementia, especially those living in nursing homes. PMID: 20128524 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3247555 Thu, 28 Jan 2010 00:00:00 +0100 3247555 http://www.medworm.com/index.php?rid=3247554&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20128525%26dopt%3DAbstract Authors: Lee JA, Zierler BK Venous thromboembolism (VTE) is one of the most common preventable disorders among hospital inpatients. Advancing age is a major risk factor for VTE. The purpose of this study was to describe and compare prevention practices and clinical outcomes in older (age 65 and older) versus younger (ages 18 to 64) hospitalized patients at risk for or diagnosed with VTE. Medical charts of 210 older and 450 younger inpatients undergoing diagnostic tests to rule out VTE were reviewed at an academic medical center. Acute VTE was diagnosed in 17.1% of older and 22.7% of younger inpatients. Pharmacological prophylaxis was used in 70% of eligible older and 57% of eligible younger inpatients. Nearly one quarter of eligible older inpatients did not receive any VTE prevention m... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3247554 Thu, 28 Jan 2010 00:00:00 +0100 3247554 http://www.medworm.com/index.php?rid=3247553&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20128526%26dopt%3DAbstract This article describes a project to identify clinically useful pain-behavioral assessment tools that have undergone sufficient psychometric testing. Phase 1 of the project included a comprehensive review and critique of currently available tools. In Phase 2, the National Nursing Home Pain Collaborative developed criteria to evaluate an updated list of tools and then rated 14 tools using these criteria. As a result, two tools were recommended as most representative of current state of the science, most clinically relevant, and practically applicable to integrate into everyday practice and support adherence to regulatory guidelines. Such recommendations for selection of best-available pain assessment tools are a cornerstone for clinicians in regard to managing pain of nursing home residents ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3247553 Thu, 28 Jan 2010 00:00:00 +0100 3247553 http://www.medworm.com/index.php?rid=3247552&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20128527%26dopt%3DAbstract Authors: Plawecki LH, Amrhein DW, Zortman T The geriatric patient presents many challenges to the professional nurse. As the body ages, its protective outer covering and largest organ, the skin, also changes. With an older adult's decreased mobility and amount of subcutaneous fat comes lessened protection from surfaces or bony prominences. As such, older adults' skin becomes weaker and more prone to breakdown and presents myriad challenges to the patient's well-being. One of the most hazardous challenges are pressure ulcers. Educating geriatric nurses in how to identify those at risk, accurately identify and categorize pressure ulcers, and limit or, ideally, eliminate their professional liability is essential to the effective care and treatment of this at-risk population. PMID: 201... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3247552 Thu, 28 Jan 2010 00:00:00 +0100 3247552 http://www.medworm.com/index.php?rid=3247551&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20128528%26dopt%3DAbstract Authors: Spoelstra S, Given B, Von Eye A, Given C The aim of this predictive study was to test a structural model to establish predictors of fall risk in elderly cancer survivors. An aging and nursing model of care was synthesized and used to examine the Minimum Data Set for 6,912 low-income older adult participants in a community setting in the midwestern United States. Data analysis established relationships among fall risk and age, race/ethnicity, history of a previous fall, depression, pain, activities of daily living, instrumental activities of daily living, incontinence, vision, and cognitive status. Factors leading to fall risk can direct nursing activities that have the potential to prevent falls, thus improving older adults' quality of life. PMID: 20128528 [PubMed - as sup... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3247551 Thu, 28 Jan 2010 00:00:00 +0100 3247551 http://www.medworm.com/index.php?rid=3217011&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20102143%26dopt%3DAbstract Authors: Harvath TA PMID: 20102143 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3217011 Fri, 01 Jan 2010 00:00:00 +0100 3217011 http://www.medworm.com/index.php?rid=3217010&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20102144%26dopt%3DAbstract Authors: PMID: 20102144 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3217010 Fri, 01 Jan 2010 00:00:00 +0100 3217010 http://www.medworm.com/index.php?rid=3217009&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20102145%26dopt%3DAbstract Authors: PMID: 20102145 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3217009 Fri, 01 Jan 2010 00:00:00 +0100 3217009 http://www.medworm.com/index.php?rid=3217008&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20102146%26dopt%3DAbstract Authors: PMID: 20102146 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3217008 Fri, 01 Jan 2010 00:00:00 +0100 3217008 http://www.medworm.com/index.php?rid=3143468&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20047243%26dopt%3DAbstract Authors: Hammer MJ, Motzer SA, Voss JG, Berry DL Adults age 55 and older with hematological malignancies who require hematopoietic cell transplantation (HCT) for survival are at risk for a number of nonmalignancy-related, potentially life-threatening outcomes, often due to suboptimal immune function. Evidence is emerging regarding how abnormal glycemic levels-newly termed malglycemia-impair cells of the immune system. Further, older adult HCT recipients appear highly susceptible to malglycemic states, particularly hyperglycemia, due to treatment regimens, nutritional imbalances, states of immobility, and stress, all coupled with the natural aging process. Patients with preexisting diabetes may be at further risk for malglycemic states. The growing number of older adults receiving HCT w... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3143468 Fri, 01 Jan 2010 00:00:00 +0100 3143468 http://www.medworm.com/index.php?rid=3143467&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20047244%26dopt%3DAbstract Authors: Postma S, Flikkema ME PMID: 20047244 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3143467 Fri, 01 Jan 2010 00:00:00 +0100 3143467 http://www.medworm.com/index.php?rid=3143466&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20047245%26dopt%3DAbstract Authors: Freysteinson WM A preliminary survey of the mirrors available to residents was conducted in 10 long-term care homes. The framework underlying the study was Lawton's theory that the planned environment functions to maintain, support, and stimulate. The findings were discouraging. Some facilities had no mirrors available for bedbound residents or wheelchair users. In most facilities, a resident could not view his or her lower body in a mirror. The majority of mirrors were obstructed from view. This pilot study suggests a need for future mirror research. Implications for nursing are discussed, and placement of mirrors is described. PMID: 20047245 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3143466 Fri, 01 Jan 2010 00:00:00 +0100 3143466 http://www.medworm.com/index.php?rid=3143465&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20047246%26dopt%3DAbstract Authors: Chang HC, Russell C, Jones MK To date, there is a paucity of research investigating nurses' perceptions of evidence-based practice (EBP) in nursing homes, especially in non-Western countries. This descriptive, quantitative study investigated attitudes toward and perceived barriers and facilitators to research utilization among 89 Taiwanese RNs. The majority of nurses expressed positive attitudes toward research and EBP. The most frequently cited barriers were related to insufficient authority to change practice, difficulty understanding statistical analyses, and a perceived isolation from knowledgeable colleagues with whom to discuss the research. EBP facilitators included improved access to computers and Internet facilities in the workplace, more effective research training, ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3143465 Fri, 01 Jan 2010 00:00:00 +0100 3143465 http://www.medworm.com/index.php?rid=3143464&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20047247%26dopt%3DAbstract Authors: Planton J, Edlund BJ Polypharmacy is a major concern in the care of older adults. Multiple factors contribute to this problem, and recognizing these factors is an initial step in addressing the problem. Further, identifying those individuals at risk for medication problems, as well as implementing specific strategies in practice to reduce the problem, will enable clinicians to develop safe and evidence-based medication regimens that minimize the risk of adverse drug reactions. The key to treating older adults is not necessarily to find a set number of medications and try to stay below it, but to find the right medication at the right dosage and for the shortest possible duration on a case-by-case basis. This individualized approach to treating patients will provide a much safe... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3143464 Fri, 01 Jan 2010 00:00:00 +0100 3143464 http://www.medworm.com/index.php?rid=3143463&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20047248%26dopt%3DAbstract Authors: Rantz MJ, Skubic M, Alexander G, Popescu M, Aud MA, Wakefield BJ, Koopman RJ, Miller SJ As in acute care, use of health information technology in long-term care holds promise for increased efficiency, better accuracy, reduced costs, and improved outcomes. A comprehensive electronic health record (EHR), which encompasses all health care measures that clinicians want to use-both standard health care assessments and those acquired through emerging technology-is the key to improved, efficient clinical decision making. New technologies using sensors to passively monitor older adults at home are being developed and are commercially available. However, integrating the clinical information systems with passive monitoring data so that clinical decision making is enhanced and patient re... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3143463 Fri, 01 Jan 2010 00:00:00 +0100 3143463 http://www.medworm.com/index.php?rid=3143462&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20047249%26dopt%3DAbstract Authors: Kang H, Smith M, Buckwalter KC, Ellingrod V, Schultz SK With the rapid growth of the assisted living (AL) industry, the number of AL residences providing dementia care continues to increase. The purpose of this article is to describe and compare demographic characteristics; frequency and type of psychiatric diagnoses; level of cognition, depression, and anxiety symptoms; and use of psychotropic medication among older adults in dementia-specific assisted living (DSAL) and traditional assisted living (TAL) residences. Secondary analysis of screening data collected during a cross-sectional, descriptive pilot project compared 18 participants from two DSAL facilities and 28 participants from three TAL facilities. DSAL participants with dementia were more cognitively impaired than T... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3143462 Fri, 01 Jan 2010 00:00:00 +0100 3143462 http://www.medworm.com/index.php?rid=3101734&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20000268%26dopt%3DAbstract Authors: Burke M PMID: 20000268 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3101734 Tue, 01 Dec 2009 00:00:00 +0100 3101734 http://www.medworm.com/index.php?rid=3101733&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20000269%26dopt%3DAbstract Authors: PMID: 20000269 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3101733 Tue, 01 Dec 2009 00:00:00 +0100 3101733 http://www.medworm.com/index.php?rid=3101732&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20000270%26dopt%3DAbstract Authors: PMID: 20000270 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3101732 Tue, 01 Dec 2009 00:00:00 +0100 3101732 http://www.medworm.com/index.php?rid=3101731&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20000271%26dopt%3DAbstract Authors: Baldwin D PMID: 20000271 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3101731 Tue, 01 Dec 2009 00:00:00 +0100 3101731 http://www.medworm.com/index.php?rid=3101730&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20000272%26dopt%3DAbstract Authors: PMID: 20000272 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3101730 Tue, 01 Dec 2009 00:00:00 +0100 3101730 http://www.medworm.com/index.php?rid=3030270&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19928707%26dopt%3DAbstract Authors: Van Leuven KA Using an interpretive, descriptive method, this study investigated the beliefs, values, lifestyles, and health status of adults age 75 and older who identified themselves as healthy, as well as the interactions with and observations of health care personnel who work with them. Staff participants were drawn from medical offices, a skilled nursing facility, and an assisted living site. Older adults who self-identified themselves as healthy (n = 14), as well as those who self-identified themselves as being in fair or poor health but were included per staff recommendation (n = 4), were recruited from the sites in which these staff worked. They were interviewed about health, health promotion, health care, and lifestyle. Social engagement appeared to be a strong mediat... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3030270 Thu, 26 Nov 2009 18:24:23 +0100 3030270 http://www.medworm.com/index.php?rid=3030269&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19928708%26dopt%3DAbstract Authors: Song Y, Dowling GA, Wallhagen MI, Lee KA, Strawbridge WJ, Hubbard EM This pilot study examined rest-activity patterns and related factors in institutionalized older adults with dementia in Korea. Twelve individuals, residing in either a nursing home or an assisted living facility, participated in the study. Actigraphic measurements were collected for seven consecutive 24-hour periods to assess rest-activity patterns. The participants' demographic characteristics, cognitive function, problematic behaviors, and light exposure were also assessed. The results indicated the participants experienced sleep disturbances, including multiple awakenings at night and excessive daytime napping. Those in the nursing home had significantly more interdaily stability and less intradaily variab... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3030269 Thu, 26 Nov 2009 18:24:21 +0100 3030269 http://www.medworm.com/index.php?rid=3030268&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19928709%26dopt%3DAbstract This article presents findings from a study that explored the understanding of physical health among older adults with schizophrenia. One goal was to understand factors that influence experienced health care disparities. This grounded theory study used semi-structured interviews and participant observation and was conducted among 28 older adults with schizophrenia living in a variety of settings. Trust evolved as a dynamic process that was built with factors of respect, caring, advocacy, and consistency and eroded through factors of disrespect, not being heard, lack of time and provider inaction, and stigmatization. When trust is given and received between providers, the health care system, and the older adult with schizophrenia, the adult's physical health outcomes may improve and health ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3030268 Thu, 26 Nov 2009 18:24:18 +0100 3030268 http://www.medworm.com/index.php?rid=3030267&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19928710%26dopt%3DAbstract This article examines the impact of physiological aging on treatment decision making and toxicity management in older adults with cancer. PMID: 19928710 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3030267 Thu, 26 Nov 2009 18:24:15 +0100 3030267 http://www.medworm.com/index.php?rid=3030266&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19928711%26dopt%3DAbstract Authors: Houde SC, Melillo KD Due to the aging population in the United States, there will be a need for a larger workforce that is prepared to provide care to an older adult population. The Institute of Medicine has noted challenges related to the preparation of a geriatric workforce due to lack of faculty, inconsistent curricula, and few training opportunities, and has made recommendations to increase the geriatric workforce. In this article, several policy initiatives are discussed that address the shortage of health professionals prepared to care for older adults. Initiatives by professional nursing organizations to improve the gerontological nursing workforce are also reviewed. PMID: 19928711 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3030266 Thu, 26 Nov 2009 18:24:13 +0100 3030266 http://www.medworm.com/index.php?rid=3030265&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19928712%26dopt%3DAbstract Authors: Scott K, Debrew JK The purpose of this article is to describe a storytelling project that was designed to help community-dwelling older adults find meaning and purpose in their lives through reminiscing about the past. The storytelling project was successful not only for the older adults who participated but also for the nursing students, who were given an opportunity to learn about interviewing and communicating with older adults. The value of life review and storytelling as a nursing intervention became evident from this project. When time is taken to listen to the valuable stories and life lessons of the older population, nurses create a better understanding of their patients while their patients recall special memories and feel proud of their lives. PMID: 19928712 [Pub... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3030265 Thu, 26 Nov 2009 18:24:10 +0100 3030265 http://www.medworm.com/index.php?rid=3030264&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19928713%26dopt%3DAbstract Authors: Smyer T, Burbank PM Although older prisoners may seem an unlikely article topic, the reality is that the likelihood of health care providers encountering a prisoner who has been released is high. In addition, men age 50 and older are the fastest growing age cohort in prisons. Older prisoners consume disproportional health care resources of correctional institutions. Long histories of no medical care, alcohol and substance abuse, and poor diet contribute to a 10- to 11.5-year addition to chronological age and contribute to the risk for chronic conditions, which are prevalent, often lead to functional impairments, and require careful and deliberate management strategies. This is, however, not that different from the "free world," where chronic illnesses account for the greatest ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3030264 Thu, 26 Nov 2009 18:24:07 +0100 3030264 http://www.medworm.com/index.php?rid=3030263&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19928714%26dopt%3DAbstract This article examines the kinds of problems for which older adults visit the ED and the assessments that can be performed to help reduce risks. Geriatric-friendly waiting areas, comprehensive discharge planning, and alternatives to ED visits are explored. PMID: 19928714 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=3030263 Thu, 26 Nov 2009 18:24:05 +0100 3030263 http://www.medworm.com/index.php?rid=2989635&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904846%26dopt%3DAbstract Authors: Buckwalter KC PMID: 19904846 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989635 Sun, 01 Nov 2009 00:00:00 +0100 2989635 http://www.medworm.com/index.php?rid=2989634&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904847%26dopt%3DAbstract Authors: PMID: 19904847 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989634 Sun, 01 Nov 2009 00:00:00 +0100 2989634 http://www.medworm.com/index.php?rid=2989633&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904848%26dopt%3DAbstract Authors: PMID: 19904848 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989633 Sun, 01 Nov 2009 00:00:00 +0100 2989633 http://www.medworm.com/index.php?rid=2989632&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904849%26dopt%3DAbstract Authors: PMID: 19904849 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989632 Sun, 01 Nov 2009 00:00:00 +0100 2989632 http://www.medworm.com/index.php?rid=2989631&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904850%26dopt%3DAbstract Authors: Newkirk M PMID: 19904850 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989631 Sun, 01 Nov 2009 00:00:00 +0100 2989631 http://www.medworm.com/index.php?rid=2989630&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904851%26dopt%3DAbstract Authors: Sendelbach S, Guthrie PF, Schoenfelder DP PMID: 19904851 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989630 Sun, 01 Nov 2009 00:00:00 +0100 2989630 http://www.medworm.com/index.php?rid=2989629&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904852%26dopt%3DAbstract This article reviews selected approaches that support personhood, explain behavior management principles, assure meaningful connections for activities of daily living, minimize weight loss, and explain advance directives and medical management best practices in palliative care for advanced dementia. PMID: 19904852 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989629 Sun, 01 Nov 2009 00:00:00 +0100 2989629 http://www.medworm.com/index.php?rid=2989628&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904853%26dopt%3DAbstract This article will review what has been accomplished in this time frame. PMID: 19904853 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989628 Sun, 01 Nov 2009 00:00:00 +0100 2989628 http://www.medworm.com/index.php?rid=2989627&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904854%26dopt%3DAbstract Authors: Brand G, McMurray A Nursing students' exposure to clinical placements with older adults is instrumental in helping them adopt positive attitudes toward care of that population. This qualitative pilot study analyzed perceptions and expectations of a group of first-year students prior to a clinical placement with older adults. A photo-elicitation technique, involving viewing of realistic photographs of older adults being cared for, was used to help students clarify expectations. This was followed by thematic analysis of their perceptions and expectations. Analysis revealed five main themes: Dissecting What It Means to Be a Nurse, Revisioning Therapeutic Relationships in Terms of Dignity, Youthful Reflection on the Differences Between Young and Old, Feeling Challenged and Confron... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989627 Sun, 01 Nov 2009 00:00:00 +0100 2989627 http://www.medworm.com/index.php?rid=2989626&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904855%26dopt%3DAbstract Authors: PMID: 19904855 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989626 Sun, 01 Nov 2009 00:00:00 +0100 2989626 http://www.medworm.com/index.php?rid=2989625&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904856%26dopt%3DAbstract This study found that nursing home residents can reliably report their preferences. Eighteen items from the modified draft-PAT were advanced to the national field trial of the MDS 3.0. Inclusion of the PAT in the MDS revision underscores increased emphasis on including residents' voice in the assessment process. PMID: 19904856 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989625 Sun, 01 Nov 2009 00:00:00 +0100 2989625 http://www.medworm.com/index.php?rid=2989636&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19904845%26dopt%3DAbstract This article describes the unique new realities of helping adult orphans as they relate to health care providers and discusses the problems associated with prolonged and complicated grief. Implications for geriatric caregivers, mental health providers, health educators, and others are proposed. PMID: 19904845 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2989636 Mon, 26 Oct 2009 00:00:00 +0100 2989636 http://www.medworm.com/index.php?rid=2903118&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19831331%26dopt%3DAbstract Authors: Hirst S PMID: 19831331 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2903118 Wed, 30 Sep 2009 23:00:00 +0100 2903118 http://www.medworm.com/index.php?rid=2903117&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19831332%26dopt%3DAbstract Authors: PMID: 19831332 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2903117 Wed, 30 Sep 2009 23:00:00 +0100 2903117 http://www.medworm.com/index.php?rid=2903116&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19831333%26dopt%3DAbstract Authors: PMID: 19831333 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2903116 Wed, 30 Sep 2009 23:00:00 +0100 2903116 http://www.medworm.com/index.php?rid=2903115&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19831334%26dopt%3DAbstract Authors: PMID: 19831334 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2903115 Wed, 30 Sep 2009 23:00:00 +0100 2903115 http://www.medworm.com/index.php?rid=2828043&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772223%26dopt%3DAbstract This study evaluated older renal transplant recipients' perceptions of electronic medication monitoring and the influence of these perceptions on medication adherence. A sample of 73 older adult renal transplant recipients who used the Medication Event Monitoring System (MEMS((R))) TrackCaps for 12 months provided their perceptions of device use. Participants perceived that the MEMS had a neutral effect on their medication-taking routine (65%), believed the MEMS was practical (56%), and could not describe any instances in which using the MEMS was difficult (56%). No significant difference in medication adherence was found between those who perceived the MEMS's influence negatively/neutrally and those who perceived the MEMS positively (p = 0.22). Medication adherence data from older adult r... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2828043 Thu, 24 Sep 2009 18:14:22 +0100 2828043 http://www.medworm.com/index.php?rid=2828042&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772224%26dopt%3DAbstract Authors: Alfonso H Living wills and advance directives are important components of patients' medical records, which all too often do not indicate the appropriate palliative care measures the patient desires. A review of the current literature indicates that approximately 85% to 95% of the population does not have adequate advance directives or palliative care measures written in their medical record. Furthermore, these orders may not follow the patient when he or she is transferred to other facilities for intermittent care. Unwanted tracheal intubations can be both costly to the facility and distressing to the patient and family members. By instituting a change in policy, organizations can ensure that patients' wishes for end-of-life care are met appropriately. In addition, nurses shou... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2828042 Thu, 24 Sep 2009 18:14:20 +0100 2828042 http://www.medworm.com/index.php?rid=2828041&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772225%26dopt%3DAbstract Authors: Penrod J, Loeb SJ PMID: 19772225 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2828041 Thu, 24 Sep 2009 18:14:17 +0100 2828041 http://www.medworm.com/index.php?rid=2828040&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772226%26dopt%3DAbstract This study involved a cross-sectional survey of 362 nursing students in a university in southern Taiwan. Overall, the results showed that nursing students had positive attitudes toward older people. Moreover, the findings suggested that nursing students' intention to work with older people and gender were important factors influencing their attitudes toward older people. The findings of this study indicate that efforts are required to maintain these positive attitudes. In addition, provision of nursing courses related to older people that place greater emphasis on attitudes about aging and that take into account students' working experience and career intention will lead to higher quality of care for older people. PMID: 19772226 [PubMed - as supplied by publisher] (Source: Journal of G... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2828040 Thu, 24 Sep 2009 18:14:15 +0100 2828040 http://www.medworm.com/index.php?rid=2828039&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772227%26dopt%3DAbstract Authors: Bonham PA The presence of infection is a major causative factor for delayed or nonhealing wounds. Indiscriminate and routine wound cultures are not recommended, but after the clinical diagnosis of infection is made, culture is recommended to identify the causative organisms and guide antibiotic therapy. The purpose of this article is to discuss how to identify and confirm wound infection and the use of topical and systemic antibiotic agents to treat wound infection. PMID: 19772227 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2828039 Thu, 24 Sep 2009 18:14:13 +0100 2828039 http://www.medworm.com/index.php?rid=2828038&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772228%26dopt%3DAbstract This study examined a group of younger residents, describing issues identified by residents and facility staff and identifying strategies that might improve their quality of life. In this study, the majority of younger residents were men with significant physical and mental health deficits, who spent most of their time alone or watching television. Residents wanted a greater variety of relevant recreational activities and more meaningful relationships with family, staff, and other residents. Staff believed nursing facilities were not designed for younger residents, resulting in unmet psychosocial and recreational needs. PMID: 19772228 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2828038 Thu, 24 Sep 2009 18:14:07 +0100 2828038 http://www.medworm.com/index.php?rid=2828037&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772229%26dopt%3DAbstract Authors: Kehinde JO Lack of consistency in the literature regarding the use of fall risk assessment in long-term care settings and the uniqueness of the environment demand a critical analysis of fall risk instruments specific to older adults living long-term care facilities. This integrative review of the existing literature on instruments used to measure fall risk in residents living in long-term care facilities revealed a total of 16 fall risk assessment tools from 13 studies. Of the 13 studies, only 8 reported sensitivity, specificity, and interrater reliability values of the tools. Only the Morse Fall Scale and Mobility Fall Chart demonstrated high predictive values in their initial developmental studies. This review can help clinicians make informed choices about tools to predict ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2828037 Thu, 24 Sep 2009 18:14:05 +0100 2828037 http://www.medworm.com/index.php?rid=2808278&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754031%26dopt%3DAbstract Authors: Hujer ME, Neff K PMID: 19754031 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2808278 Mon, 31 Aug 2009 23:00:00 +0100 2808278 http://www.medworm.com/index.php?rid=2808277&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754032%26dopt%3DAbstract Authors: PMID: 19754032 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2808277 Mon, 31 Aug 2009 23:00:00 +0100 2808277 http://www.medworm.com/index.php?rid=2808276&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754033%26dopt%3DAbstract Authors: PMID: 19754033 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2808276 Mon, 31 Aug 2009 23:00:00 +0100 2808276 http://www.medworm.com/index.php?rid=2808275&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754034%26dopt%3DAbstract Authors: Bush J PMID: 19754034 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2808275 Mon, 31 Aug 2009 23:00:00 +0100 2808275 http://www.medworm.com/index.php?rid=2808274&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754035%26dopt%3DAbstract Authors: PMID: 19754035 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2808274 Mon, 31 Aug 2009 23:00:00 +0100 2808274 http://www.medworm.com/index.php?rid=2755435&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19715255%26dopt%3DAbstract This article presents an overview of resources for conducting systematic reviews of the literature and discusses the use of the systematic review as a tool for evidence-based policy. PMID: 19715255 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2755435 Sun, 23 Aug 2009 23:00:00 +0100 2755435 http://www.medworm.com/index.php?rid=2755433&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19715256%26dopt%3DAbstract Authors: Vance DE, Childs G, Moneyham L, McKie-Bell P Adults age 50 and older with HIV represent approximately 20% to 25% of the entire HIV population in the United States. This unique clinical population is expected to grow; therefore, understanding how to facilitate successful aging in this population is needed. Issues that can negatively affect successful aging with HIV have been identified, and include social isolation, suicidal ideation, HIV-related stigma, cognitive decline, sarcopenia, HIV-medication toxicity, osteoporosis, and fatigue. This brief overview provides nurses with specific insights for practice, intervention, and research. PMID: 19715256 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2755433 Sun, 23 Aug 2009 23:00:00 +0100 2755433 http://www.medworm.com/index.php?rid=2755432&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19715257%26dopt%3DAbstract This study makes a recommendation for gerontology specialists to be directly involved in nurse education. Future research is needed with culturally diverse nurse educators in other national and international nursing programs. PMID: 19715257 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2755432 Sun, 23 Aug 2009 23:00:00 +0100 2755432 http://www.medworm.com/index.php?rid=2755421&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19715258%26dopt%3DAbstract This article features an individual example describing the multifactorial interventions of community nursing and a multidisciplinary team as they assess an older man's progressive functional decline, changes in behavior, and loss of previous social habits after being discharged from the hospital for the treatment of community-acquired pneumonia. Such nursing evaluation should include the following aspects: social environment, home environment, neighborhood characteristics, architectural barriers, capacity to perform activities of daily living, walking difficulties, risk of falling, changes in behavior and social habits, cognitive-affective state, pharmacological management, and the existence of nearby social organizations. The different approaches of community nursing and the multidiscipli... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2755421 Sun, 23 Aug 2009 23:00:00 +0100 2755421 http://www.medworm.com/index.php?rid=2755419&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19715259%26dopt%3DAbstract This article describes health beliefs related to older Korean American women's screening behaviors, comparing them to beliefs of younger Korean American women. The 73 women age 65 and older had significantly different health beliefs than the 114 women between ages 40 and 64. Further, older women's perceptions of the seriousness of the disease and benefits of and barriers to taking action to prevent the disease predated their screening behaviors. Interventions to change the health beliefs of older Korean American women are suggested. PMID: 19715259 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2755419 Sun, 23 Aug 2009 23:00:00 +0100 2755419 http://www.medworm.com/index.php?rid=2755415&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19715260%26dopt%3DAbstract Authors: Ibitayo K PMID: 19715260 [PubMed - as supplied by publisher] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2755415 Sun, 23 Aug 2009 23:00:00 +0100 2755415 http://www.medworm.com/index.php?rid=2755414&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19715261%26dopt%3DAbstract Authors: Lindsey PL Psychotropic medications are commonly administered to elderly clients to manage behavior and psychiatric symptoms. These drugs are known to have potentially serious side effects, to which older adults are more vulnerable. Nurses care for older adults in many different practice settings but have varying degrees of knowledge about these kinds of medications. The purposes of this article are to (a) provide information to geriatric nurses in all settings about how the most commonly prescribed psychotropic medications (i.e., anxiolytic, antidepressant, and antipsychotic drugs) differentially affect older adults; (b) examine recent concerns about the use of psychotropic medications with older adults; and (c) discuss nursing implications for those administering psychotropi... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2755414 Sun, 23 Aug 2009 23:00:00 +0100 2755414 http://www.medworm.com/index.php?rid=2709871&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681553%26dopt%3DAbstract Authors: Alford DM PMID: 19681553 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709871 Fri, 31 Jul 2009 23:00:00 +0100 2709871 http://www.medworm.com/index.php?rid=2709870&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681554%26dopt%3DAbstract Authors: PMID: 19681554 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709870 Fri, 31 Jul 2009 23:00:00 +0100 2709870 http://www.medworm.com/index.php?rid=2709869&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681555%26dopt%3DAbstract Authors: PMID: 19681555 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709869 Fri, 31 Jul 2009 23:00:00 +0100 2709869 http://www.medworm.com/index.php?rid=2709868&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681556%26dopt%3DAbstract Authors: PMID: 19681556 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709868 Fri, 31 Jul 2009 23:00:00 +0100 2709868 http://www.medworm.com/index.php?rid=2709867&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681557%26dopt%3DAbstract Authors: Rabig J The small house model of elder care emphasizes deinstitutionalization as a strategy to reduce the negative outcomes associated with nursing home care. The small house changes the philosophy, architecture, and organizational design of the institution and has been associated with higher quality of life and good quality of care. The intended benefits to individuals with cognitive impairment include better staff understanding of dementia care, improved physical environment, and safe, familiar patterns of everyday living. Initial research has been conducted, and additional research is underway to determine whether the outcomes match the intentions. PMID: 19681557 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709867 Fri, 31 Jul 2009 23:00:00 +0100 2709867 http://www.medworm.com/index.php?rid=2709866&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681558%26dopt%3DAbstract Authors: Plawecki LH, Amrhein DW In the complicated health care and legal system of the United States, all patients are endowed with certain rights. The American Hospital Association and the U.S. Supreme Court have each delineated certain rights to which patients who have the competence and mental capacity to make decisions for themselves are entitled. One such right especially important to geriatric patients is the right to refuse treatment. Prior to treatment, nurses are often charged with obtaining the informed consent of the patient. To do so, the nurse must evaluate the patient's competency and mental capacity while explaining the proposed treatment, the benefits and risks involved, and other available treatment options, and then accept either the patient's voluntary assent or ref... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709866 Fri, 31 Jul 2009 23:00:00 +0100 2709866 http://www.medworm.com/index.php?rid=2709865&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681559%26dopt%3DAbstract This article focuses on a review of the literature related to the known prevalence of psychotic events in individuals with Alzheimer's disease and associated aggressive, violent behavior toward family caregivers. It also describes the impact of behavioral disturbances on family caregivers and how use of the Progressively Lowered Stress Threshold model and nonpharmacological interventions cited in the literature can help manage these behaviors. Geriatric nurses armed with this information will be better prepared to provide caregivers with much-needed education to better understand psychotic events, as well as strategies to cope with associated behaviors. PMID: 19681559 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709865 Fri, 31 Jul 2009 23:00:00 +0100 2709865 http://www.medworm.com/index.php?rid=2709864&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681560%26dopt%3DAbstract Authors: PMID: 19681560 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709864 Fri, 31 Jul 2009 23:00:00 +0100 2709864 http://www.medworm.com/index.php?rid=2709863&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681561%26dopt%3DAbstract This article describes an innovative assignment incorporating feature films designed not only to enhance student knowledge of the stages and process of grief and the complexity of human reactions when facing end-of-life situations, but also to engage students in thinking about the importance of quality of life in palliative care. The assignment was given to students enrolled in a second-semester, junior-level advanced adult health nursing course. Faculty and student evaluations of the assignment are discussed, and suggestions for selecting films and structuring such an assignment are proposed. PMID: 19681561 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709863 Fri, 31 Jul 2009 23:00:00 +0100 2709863 http://www.medworm.com/index.php?rid=2709862&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681562%26dopt%3DAbstract Authors: Molzahn AE, Gallagher E, McNulty V The purpose of this study was to describe the quality of life (QOL) of current adult day center (ADC) clients and their family caregivers in one region of Canada. Semi-structured interviews were conducted with 10 ADC clients and 10 caregivers. Data analysis used a modified constant comparative method. The major categories relating to QOL that emerged in the analysis included Physical Health and Well-Being, Social Networks/Relationships, Aging in Place, Safety, Respite, Activation, Respect and Inclusion, and Adequate Health Care Services. These themes are consistent with those of other studies of QOL of older adults. It was evident that ADCs played an important role in maintaining and improving the QOL of both the older adults and caregivers p... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709862 Fri, 31 Jul 2009 23:00:00 +0100 2709862 http://www.medworm.com/index.php?rid=2709861&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19681563%26dopt%3DAbstract Authors: Park H, Pringle Specht JK This pilot study investigated the effect of individualized music on agitation in individuals with dementia who live at home. Fifteen individuals listened to their preferred music for 30 minutes prior to peak agitation time, two times per week for 2 weeks, followed by no music intervention for 2 weeks. The process was repeated once. The findings showed that mean agitation levels were significantly lower while listening to music than before listening to the music. The findings of this pilot study suggest the importance of music intervention for individuals with dementia who live at home. PMID: 19681563 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2709861 Fri, 31 Jul 2009 23:00:00 +0100 2709861 http://www.medworm.com/index.php?rid=2684114&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19658261%26dopt%3DAbstract Authors: Loeb SJ PMID: 19658261 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2684114 Tue, 30 Jun 2009 23:00:00 +0100 2684114 http://www.medworm.com/index.php?rid=2672195&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650615%26dopt%3DAbstract Authors: Buckwalter KC, Melillo KD, Loeb SJ PMID: 19650615 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672195 Tue, 30 Jun 2009 23:00:00 +0100 2672195 http://www.medworm.com/index.php?rid=2672194&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650616%26dopt%3DAbstract Authors: PMID: 19650616 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672194 Tue, 30 Jun 2009 23:00:00 +0100 2672194 http://www.medworm.com/index.php?rid=2672193&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650617%26dopt%3DAbstract Authors: PMID: 19650617 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672193 Tue, 30 Jun 2009 23:00:00 +0100 2672193 http://www.medworm.com/index.php?rid=2672192&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650618%26dopt%3DAbstract Authors: Smith M, Ingram T, Brighton V, Adams S PMID: 19650618 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672192 Tue, 30 Jun 2009 23:00:00 +0100 2672192 http://www.medworm.com/index.php?rid=2672191&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650619%26dopt%3DAbstract This article provides evidence-based and consensus recommendations from the American Diabetes Association and the American Geriatrics Society to guide pharmacological management of type 2 diabetes in newly diagnosed older adults. PMID: 19650619 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672191 Tue, 30 Jun 2009 23:00:00 +0100 2672191 http://www.medworm.com/index.php?rid=2672190&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650620%26dopt%3DAbstract This study explores relationships between current levels of information technology (IT) sophistication and seven reportable quality measures (QMs) in 210 nursing homes in Missouri. Between December 2006 and August 2007, each nursing home completed a survey providing IT sophistication levels measured within nine subscales. During this same time, nationally reported QMs were collected for each nursing home giving permission (n = 95). The QM data were merged with IT sophistication data, and relationships between the QM variables and IT sophistication subscales were examined. Mean IT sophistication scores were higher in resident care management and administrative processes. Significant relationships were found in nearly all IT sophistication subscales and the QM regarding residents' need for a... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672190 Tue, 30 Jun 2009 23:00:00 +0100 2672190 http://www.medworm.com/index.php?rid=2672189&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650621%26dopt%3DAbstract Authors: PMID: 19650621 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672189 Tue, 30 Jun 2009 23:00:00 +0100 2672189 http://www.medworm.com/index.php?rid=2672188&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650622%26dopt%3DAbstract This study examines relational communication control used by hospice interdisciplinary team members in their attempt to share information and contribute to decision making in team meetings. Eighty-one hospice team discussions were coded for message control types. Analysis of the data found that the nurse's role as primary reporter implicitly created a struggle for relational control among other team members within the meeting. This study concluded that a majority of interpersonal communication in the team meetings was aimed at gaining control of the information exchange. Future attention should be given to organizational policy aimed at shaping the structure of team meetings. PMID: 19650622 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672188 Tue, 30 Jun 2009 23:00:00 +0100 2672188 http://www.medworm.com/index.php?rid=2672187&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19650623%26dopt%3DAbstract This article describes the outcomes of an innovative program developed to deliver mobile health and wellness services to older adults residing in rural Idaho. The Senior HealthMobile project had been implemented based on a framework of interprofessional practice, with faculty and students from varied health professions providing wellness care to rural older adults. Students had participated in the community-based experience to improve access to interdisciplinary wellness care and enhance existing services. Outcomes are shared as they relate to the experience of the students over the initial 6-year implementation of the project, with future perspectives and opportunities also presented. PMID: 19650623 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2672187 Tue, 30 Jun 2009 23:00:00 +0100 2672187 http://www.medworm.com/index.php?rid=2536163&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19537296%26dopt%3DAbstract Authors: Jablonski A, Ersek M The purpose of this study was to determine the extent to which nursing home staff adhere to current evidence-based guidelines to assess and manage persistent pain experienced by elderly residents. A retrospective audit was conducted of the medical records of 291 residents of 14 long-term care facilities in western Washington State. Data revealed a gap between actual practice and current best practice. Assessment of persistent pain was limited primarily to intensity and location. Although prescribing practices were more in line with evidence-based guidelines, a significant number of residents did not obtain adequate pain relief. Nonpharmacological pain management methods were rarely implemented. Nursing home staff and administrators must critically examine ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536163 Mon, 15 Jun 2009 23:00:00 +0100 2536163 http://www.medworm.com/index.php?rid=2536170&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19537286%26dopt%3DAbstract Authors: Onega LL PMID: 19537286 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536170 Sun, 31 May 2009 23:00:00 +0100 2536170 http://www.medworm.com/index.php?rid=2536169&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19537289%26dopt%3DAbstract Authors: Watson JC PMID: 19537289 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536169 Sun, 31 May 2009 23:00:00 +0100 2536169 http://www.medworm.com/index.php?rid=2536168&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19537290%26dopt%3DAbstract This article provides some of the basic principles and ways of facilitating successful cognitive aging, such as positive and negative neuroplasticity and cognitive reserve, that can be incorporated into nursing education. Furthermore, this information can be an impetus for nurse researchers to explore evidence-based methods to facilitate successful cognitive aging. PMID: 19537290 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536168 Sun, 31 May 2009 23:00:00 +0100 2536168 http://www.medworm.com/index.php?rid=2536167&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19537291%26dopt%3DAbstract Authors: Sandhaus S, Zalon ML, Valenti D, Harrell F The Ottawa Model of Research Use guided the Hospital Elder Life Program nursing staff at a community hospital in promoting dysphagia assessment and management. The effect of an educational program and educational outreach on nurses' knowledge retention and nurse-initiated speech language pathology (SLP) referrals were assessed. The sample consisted of 122 nurses. Repeated measures analysis of variance demonstrated significant differences among the pretest and posttests immediately after and at 2 and 6 months later (F[3,70] = 10.126, p < 0.001). Nurses were more likely to initiate SLP referrals after the program. Improving practice requires stakeholder engagement and multiple strategies to sustain change. PMID: 19537291 [PubMed ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536167 Sun, 31 May 2009 23:00:00 +0100 2536167 http://www.medworm.com/index.php?rid=2536166&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19537292%26dopt%3DAbstract This study compared the quality of life (QOL) between Korean and Korean American older adults. The participants included 306 older adults (155 Korean, 151 Korean American) age 65 and older who met eligibility criteria and agreed to participate in the study. No significant difference was found in QOL between Korean and Korean American older adults. Differences in the subcategories of QOL between the two groups in cluded higher scores for the Korean older adults in physical functioning, social functioning, and body pain. Scores for the subcategories of role limitations due to physical problems and vitality were higher for the Korean American older adults. Multiple regression analysis revealed that the powerful predictors of QOL for both groups were self-esteem and activities of daily living ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536166 Sun, 31 May 2009 23:00:00 +0100 2536166 http://www.medworm.com/index.php?rid=2536165&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19537293%26dopt%3DAbstract This study examined the incidence and duration of urinary catheters in acute care older adults before and after the implementation of a protocol developed to make clinicians aware of the appropriate use of catheters and the parameters for catheter removal. A total of 187 patients (99 pre-intervention, 88 post-intervention) age 65 and older admitted to a community hospital were assessed for the insertion of an indwelling urinary catheter using retrospective record review. A significant reduction was found in the incidence of indwelling urinary catheters in the post-intervention sample (from 33% to 15.3%, p = 0.006). There was a 20.4% reduction in the mean duration of urinary catheterization (from 4.9 days to 3.9 days). The catheter device-days were significantly reduced (from 136 to 44, p &... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536165 Sun, 31 May 2009 23:00:00 +0100 2536165 http://www.medworm.com/index.php?rid=2536164&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19537294%26dopt%3DAbstract Authors: Heliker D Relationships between staff and residents in long-term care (LTC) are foundational to quality of life and high standards of care. Although nurse aides (NAs) provide more than 80% of personal care to nursing home residents, little research has focused on the NA-resident relationship or how NAs come to know and connect with their residents. This interpretive phenomenological study explored how a Story Sharing intervention initiates and enhances this relationship. Following the Story Sharing intervention, 84 volunteer NAs and 54 residents in six nursing homes were interviewed over a 6-month period. Analysis of these interviews revealed 9 patterns and 25 themes that describe how NAs and residents interact every day, along with innovative NA best practices. One theme, exe... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536164 Sun, 31 May 2009 23:00:00 +0100 2536164 http://www.medworm.com/index.php?rid=2536177&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19476186%26dopt%3DAbstract Authors: Bonnel W PMID: 19476186 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536177 Thu, 30 Apr 2009 23:00:00 +0100 2536177 http://www.medworm.com/index.php?rid=2536176&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19476187%26dopt%3DAbstract Authors: Resnick B, Galik E, Remsburg RE, Pretzer-Aboff I PMID: 19476187 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536176 Thu, 30 Apr 2009 23:00:00 +0100 2536176 http://www.medworm.com/index.php?rid=2536175&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19476188%26dopt%3DAbstract This study examines the role of friends in predicting loneliness among 53 women age 65 and older who live alone. It was hypothesized that friends would be more important in predicting loneliness for those participants who did not have family living in close proximity than for those who had family nearby. However, this was not the case: Self-reported close friends were important for women living alone, regardless of whether they had family living locally. Nurses may want to use these findings to encourage older women to make social connections, even if they live close to their family. PMID: 19476188 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536175 Thu, 30 Apr 2009 23:00:00 +0100 2536175 http://www.medworm.com/index.php?rid=2536174&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19476189%26dopt%3DAbstract Authors: Outzen M Few current standards exist for the identification and management of fever in older adults. Fever is one aspect of a controlled, complex febrile response that involves numerous physiological systems and must be distinguished from hyperthermia. Although most commonly identified with infection, numerous noninfectious etiologies exist. Fever is an adaptive response and is generally beneficial, especially in terms of the immunological response. Adverse consequences of fever are rare in older adults. Despite its metabolic costs, fever seldom requires treatment, except in certain patients who may not tolerate the stress. Controlling fever with antipyretic agents must be considered carefully, as the presence of fever may be helpful in guiding therapy, and antipyretic agents ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536174 Thu, 30 Apr 2009 23:00:00 +0100 2536174 http://www.medworm.com/index.php?rid=2536173&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19476190%26dopt%3DAbstract Authors: Vance DE, Struzick T, Burrage J Several predictors of suicidal ideation found in older adults and adults with HIV are the same; synergistically, those aging with HIV may be at risk for suicidal ideation. Focusing on the concept of hardiness provides insight into mitigating suicidal ideation and accentuating successful aging with HIV. Some individuals may have hardy characteristics that counteract the detrimental effects of aging with HIV; others may require greater guidance to cope with the effects that lead to suicidal ideation. As these connections are examined, the concept of hardiness is examined in relation to aging with HIV. Implications for nursing are posited. PMID: 19476190 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536173 Thu, 30 Apr 2009 23:00:00 +0100 2536173 http://www.medworm.com/index.php?rid=2536172&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19476191%26dopt%3DAbstract Authors: Lee CJ Two decades of research describes the physical and mental stress experienced by caregivers, with little attention given to health promotion issues. The goal of this descriptive study was to identify and compare the health promotion behaviors (HPBs) used by older rural and urban women providing spousal care. Seventy-two women completed the Health Promoting Lifestyle Profile-II (HPLP-II) and a demographic survey. The most frequently reported HPBs related to interpersonal relations, spiritual growth, and stress management, while the least frequent related to physical activity. No significant differences existed on mean scores of the six subscales and overall HPLP-II of the rural and urban sample population. PMID: 19476191 [PubMed - in process] (Source: Journal of Geron... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536172 Thu, 30 Apr 2009 23:00:00 +0100 2536172 http://www.medworm.com/index.php?rid=2536171&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19476192%26dopt%3DAbstract Authors: Riley-Doucet CK The purpose of this pilot study was to explore the feasibility and effectiveness of using multisensory environments (MSE) in the home of people with dementia. A qualitative research design was used, which included semi-structured interviews and self-rated caregiver observation checklists. Field notes and audio recorded interviews were transcribed for data analysis. Data were reduced and coded for theme identification. Positive and negative effects of the use of MSE in the home on the behaviors of the person with dementia, caregiver burden, and family interpersonal relationships were revealed. Overall, MSE was discovered to promote a relaxing and calm environment in the home, which helped the person with dementia attend more to their immediate surroundings, and ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536171 Thu, 30 Apr 2009 23:00:00 +0100 2536171 http://www.medworm.com/index.php?rid=2536184&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452732%26dopt%3DAbstract Authors: Douglas-Kersellius NV, Sandvold I PMID: 19452732 [PubMed - indexed for MEDLINE] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536184 Tue, 31 Mar 2009 23:00:00 +0100 2536184 http://www.medworm.com/index.php?rid=2536183&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452733%26dopt%3DAbstract Authors: Jett KF PMID: 19452733 [PubMed - indexed for MEDLINE] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536183 Tue, 31 Mar 2009 23:00:00 +0100 2536183 http://www.medworm.com/index.php?rid=2536182&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452734%26dopt%3DAbstract This article describes two models of CE programs in gerontological nursing for practicing RNs, both of which use interactive and collaborative teaching strategies to teach best practices in geriatric nursing, as well as changes in nursing practice resulting from education. PMID: 19452734 [PubMed - indexed for MEDLINE] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536182 Tue, 31 Mar 2009 23:00:00 +0100 2536182 http://www.medworm.com/index.php?rid=2536181&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452735%26dopt%3DAbstract Authors: Garton R, Gingold W The authors of this article have been involved in organizing and presenting continuing education (CE) programs for a number of years. In particular, a 48-hour professional CE program in geriatrics for nonphysicians has been taught throughout a Midwestern state for 16 years. In an ongoing effort to determine which topics are of utmost importance, a survey was administered to 146 program participants (composed primarily of frontline practitioners) and 66 geriatrics experts in spring 2008.The two-fold purpose of the study was to compare perceptions among various groups regarding the most relevant training and CE needs for professionals in geriatrics, and to use those perceptions in establishing a core set of topics to meet those needs. The results indicate the... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536181 Tue, 31 Mar 2009 23:00:00 +0100 2536181 http://www.medworm.com/index.php?rid=2536180&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452736%26dopt%3DAbstract Authors: McConnell ES, Lekan D, Bunn M, Egerton E, Corazzini KN, Hendrix CD, Bailey DE Evidence-based practice holds tremendous potential to optimize care outcomes for older adults, yet many nurses are ill prepared to identify, interpret, and apply the best evidence to their practice. The Geriatric Nursing Innovations through Education (GNIE) Institute is a 39-contact-hour, hybrid distance learning continuing education model designed to strengthen RNs'clinical knowledge, leadership skills, and capacity for implementing evidence-based geriatric care. The GNIE Institute combines reflective, learner-centered instructional approaches with a practicum during which evidence-based guidelines are implemented.The experiences of 128 RNs suggest that the GNIE Institute supports the implementation... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536180 Tue, 31 Mar 2009 23:00:00 +0100 2536180 http://www.medworm.com/index.php?rid=2536179&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452737%26dopt%3DAbstract This article describes the process of developing and disseminating a Web-based library of geriatric clinical simulations used in continuing education workshops. Twenty-six peer-reviewed clinical simulations were developed on topics reflecting prevalent acute illnesses, conditions, or sentinel events that, if left undetected or untreated, could cause further comorbidity, hospitalization, or death. Geriatric nursing competencies identified by The John A. Hartford Foundation Institute for Geriatric Nursing were also incorporated. More than 700 workshop attendees and others have used these online clinical simulations. User evaluations of realism, accuracy of the situation or problem portrayed, and relevance to practice were rated as excellent or very good by more than 85% of the users. The Uni... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536179 Tue, 31 Mar 2009 23:00:00 +0100 2536179 http://www.medworm.com/index.php?rid=2536178&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19452738%26dopt%3DAbstract Authors: Clemmens D, Goldstein JM, Clarke K, Moriarty M, Soberman RK, Gardner DS The purpose of the study was to evaluate how participation in the CareLink program influenced the community health knowledge and skill of baccalaureate nursing students regarding the care of community-dwelling older adults. Students were assigned three to four clients each during their 14-week clinical placement with a home care agency, situated in a naturally occurring retirement community or senior center. Students contracted with their clients to set goals and provided standardized health assessments and teaching. Students completed pretest and posttest surveys, and attended focus groups to address their learning. Students' public health nursing and cultural competence improved significantly. The CareLi... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2536178 Tue, 31 Mar 2009 23:00:00 +0100 2536178 http://www.medworm.com/index.php?rid=2312180&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326823%26dopt%3DAbstract Authors: Rose KM PMID: 19326823 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2312180 Sun, 01 Mar 2009 05:00:00 +0100 2312180 http://www.medworm.com/index.php?rid=2312178&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326824%26dopt%3DAbstract Authors: Bossen AL, Specht JK, McKenzie SE The focus of this literature search was on the needs of older adults with Alzheimer's disease (AD). Very little research has been published directly related to the concept of needs, so concepts were identified by implicitly pulling them from the foci of articles. Identified articles were written outside the framework of the person with AD-from the perspective of the providers and caregivers. To get the person's perspective, the search was expanded to find"self-identified" needs of the person with AD and by widening the medical subject heading terms. The collection of work found indicated retained awareness of the person with AD well into the disease process and that this awareness is not recognized by professionals or caregivers. The result is... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2312178 Sun, 01 Mar 2009 05:00:00 +0100 2312178 http://www.medworm.com/index.php?rid=2312175&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326825%26dopt%3DAbstract Authors: Specht JK, Taylor R, Bossen AL Evidence supports the maintenance of self-awareness in individuals with Alzheimer's disease (AD) and the individuals' ability to identify their own needs. The need for individualized, person-centered programming may be met only if the perceptions of the individuals with AD are taken into account and valued. There is strong support for individuals with AD to be involved in developing their plan of care. Plans should include supportive and educational programs, individualized to the person's self-identified needs. Plans must also take into account preserved self-awareness and address preservation of self-esteem, maintenance of abilities, management of behavioral symptoms including depression, and health promotion. Second author Richard Taylor, who ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2312175 Sun, 01 Mar 2009 05:00:00 +0100 2312175 http://www.medworm.com/index.php?rid=2312173&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326826%26dopt%3DAbstract Authors: Yu F, Rose KM, Burgener SC, Cunningham C, Buettner LL, Beattie E, Bossen AL, Buckwalter KC, Fick DM, Fitzsimmons S, Kolanowski A, Janet K, Specht P, Richeson NE, Testad I, McKenzie SE The purpose of this article is to critically review and synthesize the literature on the effects of nonpharmacological cognitive training on dementia symptoms in early-stage Alzheimer's disease (AD) and related dementia. Electronic databases MEDLINE (PubMed), CINAHL, PsycInfo, and the Cochrane Library were searched using the keywords cognition, reality orientation, Alzheimer's disease, psychosocial factors, cognitive therapy, brain plasticity, enriched environments, and memory training. The findings support that cognitive training improves cognition, activities of daily living, and decision makin... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2312173 Sun, 01 Mar 2009 05:00:00 +0100 2312173 http://www.medworm.com/index.php?rid=2312169&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326827%26dopt%3DAbstract Authors: Fick DM, Kolanowski A, Beattie E, McCrow J Delirium is a disorder of acute onset with fluctuating symptoms and is character ized by inattention, disorganized thinking and altered levels of consciousness. The risk for delirium is greatest in individual with dementia, and the incidence of both is increasing worldwide because of the aging of our population. Although s clinical trials have tested interventions f delirium prevention in individuals without dementia, little is known about the m anisms for the prevention of delirium i early-stage Alzheimer's disease (AD). Th purpose of this article is to explore ways o preventing delirium and slowing the ra of cognitive decline in early-stage AD enhancing cognitive reserve. An agenda for future research on interventions to prevent del... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2312169 Sun, 01 Mar 2009 05:00:00 +0100 2312169 http://www.medworm.com/index.php?rid=2312167&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326828%26dopt%3DAbstract Authors: Buettner LL, Fitzsimmons S This project tested a 12-week health promotion course for older adults with early-stage dementia. In a quasi-experimental design, participants were assigned by site to intervention group or control group and evaluated at two time points. Mini-Mental State Examination scores, Geriatric Depression Scale scores, health behaviors, plus several measures of psychological well-being were used in this study. In the independent samples t-test analysis, significant positive change was found from pretest to posttest for the treatment group on cognition and depression. A chi square analysis found several significant positive differences in health behaviors for the treatment group. PMID: 19326828 [PubMed - in process] (Source: Journal of Gerontological Nursin... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2312167 Sun, 01 Mar 2009 05:00:00 +0100 2312167 http://www.medworm.com/index.php?rid=2312163&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326829%26dopt%3DAbstract Authors: Burgener SC, Buettner LL, Beattie E, Rose KM In 2007, a comprehensive review of the extant research on nonpharmacological interventions for persons with early-stage dementia was conducted. More than 150 research reports, centered on six major domains, were included: early-stage support groups, cognitive training and enhancement programs, exercise programs, exemplar programs, health promotion programs, and "other" programs not fitting into previous categories. Theories of neural regeneration and plasticity were most often used to support the tested interventions. Recommendations for practice, research, and health policy are outlined, including evidence-based, nonpharmacological treatment protocols for persons with mild cognitive impairment and early-stage dementia. A tested, co... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2312163 Sun, 01 Mar 2009 05:00:00 +0100 2312163 http://www.medworm.com/index.php?rid=2242799&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263916%26dopt%3DAbstract Authors: Plawecki LH, Plawecki HM PMID: 19263916 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2242799 Sun, 01 Feb 2009 05:00:00 +0100 2242799 http://www.medworm.com/index.php?rid=2242798&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263917%26dopt%3DAbstract Authors: Brown EL, Raue P, Halpert KD, Adams S, Titler MG PMID: 19263917 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2242798 Sun, 01 Feb 2009 05:00:00 +0100 2242798 http://www.medworm.com/index.php?rid=2242797&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263918%26dopt%3DAbstract Authors: Fincher L, Ward C, Dawkins V, Magee V, Willson P Parkinson's disease (PD) primarily affects older adults, who manage their symptoms with complex medicine regimens. This mixed-methods study evaluated the usefulness and usability of follow-up telehealth medication counseling with a sample of community-based PD patients. Patients taking three or more medications for Parkinson's disease were randomly assigned to the teaching modalities of videophone or telephone. A self-care standardized medication educational session lasting 20 to 30 minutes was conducted, and patient and nurse usefulness of the intervention was evaluated by responses to a 15-question Likert scale and elicited comments. Patients' satisfaction with the intervention involved patterns of time, education, and technol... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2242797 Sun, 01 Feb 2009 05:00:00 +0100 2242797 http://www.medworm.com/index.php?rid=2242796&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263919%26dopt%3DAbstract Authors: Flood M, Buckwalter KC Growing numbers of older adults means there will be an increase in the incidence of mental health problems in this population.Therefore, it is essential for nurses, many of whom will provide care for older adults, to be cognizant of current recommended practice related to the most common mental health diagnoses in older adults.These include depression, anxiety, dementia, substance abuse/dependence, and delirium. The purpose of this two-part series is to provide an overview of these diagnoses, as well as recommended assessment strategies and nursing interventions for nurses who provide care to older adults but who may lack specialized training in geropsychiatry. Part 1 covers depression and anxiety; part 2 focuses on dementia, delirium, and substance abus... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2242796 Sun, 01 Feb 2009 05:00:00 +0100 2242796 http://www.medworm.com/index.php?rid=2242795&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263920%26dopt%3DAbstract This article, the second in a two-part series, focuses on key assessment components and suggested interventions for dementia, delirium, and substance abuse/dependence. PMID: 19263920 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2242795 Sun, 01 Feb 2009 05:00:00 +0100 2242795 http://www.medworm.com/index.php?rid=2242794&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19263921%26dopt%3DAbstract Authors: Vance DE, McNees P, Meneses K Many older adults experience cognitive difficulties and declines as a part of normal aging. Nurses and other health care professionals will require assistance in technologies that can help older patients maintain or improve cognition. Cognitive remediation represents a well-established laboratory approach that augments cognitive functioning in older adults. Emerging technologies allow such cognitive remediation to be self-administered through gaming software, making it convenient, fun, and inexpensive to deliver. As such, guiding older patients, as well as some facilities, in this direction may be a way to help. However, certain caveats and suggestions are warranted. PMID: 19263921 [PubMed - in process] (Source: Journal of Gerontological Nursi... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2242794 Sun, 01 Feb 2009 05:00:00 +0100 2242794 http://www.medworm.com/index.php?rid=2205831&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19227097%26dopt%3DAbstract Authors: Hirst SP PMID: 19227097 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2205831 Thu, 01 Jan 2009 05:00:00 +0100 2205831 http://www.medworm.com/index.php?rid=2205830&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19227098%26dopt%3DAbstract Authors: Shin JH, Scherer Y The purpose of this article is to review the advantages and disadvantages of using Minimum Data Set (MDS) data for nursing research, the psychometric characteristics of the MDS 2.0, and threats to the validity of its psychometric characteristics. The defined major advantages of the MDS are: (a) it provides continuous evaluation of residents' health and functional status, and (b) it enables facility evaluation at the nursing home level. The reviewed articles from the literature report that MDS 2.0 has moderate to moderate/high validity and reliability; however, the psychometric properties of MDS 2.0 are still controversial, mainly because the instrument has failed to identify depression in older nursing home residents. PMID: 19227098 [PubMed - in process]... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2205830 Thu, 01 Jan 2009 05:00:00 +0100 2205830 http://www.medworm.com/index.php?rid=2205829&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19227099%26dopt%3DAbstract Authors: Rocchiccioli JT, Sanford JT Geriatric failure to thrive (GFTT) poses a complex clinical issue in gerontological nursing practice. GFTT is not a normal part of aging, nor is it an outcome of chronic illness. Rather, GFTT describes a lack of vitality and diminished capacity for life and outlines a process of functional decline that is often difficult to explain. The purpose of this article is to review GFTT, examine the literature on GFTT, and suggest strategies for the identification, assessment, and creative management of this complex condition that affects millions of older adults. PMID: 19227099 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2205829 Thu, 01 Jan 2009 05:00:00 +0100 2205829 http://www.medworm.com/index.php?rid=2205828&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19227100%26dopt%3DAbstract Authors: Castle NG Data from 3,946 nursing homes (66% response rate) were used to examine the advantages and disadvantages of using agency staff. A conceptual model showing potential reasons for the relationship between agency use and care quality was also developed. Fifty-nine percent of nursing homes used some agency staff (i.e., RNs, licensed practical nurses, nurse aides) in 2006. The conceptual model and empirical analyses show that agency staff likely influence other staff, facility operations, and residents. Administrators listed more disadvantages than advantages of using agency staff. PMID: 19227100 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2205828 Thu, 01 Jan 2009 05:00:00 +0100 2205828 http://www.medworm.com/index.php?rid=2205827&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19227101%26dopt%3DAbstract This study was conducted to determine whether a dedicated restorative nursing program fostered improvement in residents' functional status and quality of life. Restorative nursing assistants were selected, provided with special training, and under RN supervision, were solely responsible for the delivery of restorative care. The dedicated program was provided to 50 residents in a long-term care facility. Data were gathered using the Minimum Data Set, which measures activities of daily living, continence, and mood status in long-term care facilities. The data parameters included functional status and depression. The results indicated that a dedicated restorative program did foster improvement in some areas of functional ability. Dedicated restorative nursing staff were able to complete assig... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2205827 Thu, 01 Jan 2009 05:00:00 +0100 2205827 http://www.medworm.com/index.php?rid=2205826&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19227102%26dopt%3DAbstract Authors: Arnold CM, Faulkner RA This cross-sectional study evaluated the relationship of falls-efficacy to physical performance of functional balance tasks in older adults with hip osteoarthritis (OA). Older adults with hip OA experience several factors associated with fall risk: loss of movement, loss of strength, and increased fear of falls. Seventy-nine men and women age 65 or older were measured for balance, dual task function, and falls-efficacy. Using hierarchical regression, falls-efficacy was a significant predictor of balance when number of medications, age, use of a walking aid, health status, and physical activity level were controlled for. Understanding the role of falls-efficacy in predicting fall risk helps clinicians develop falls screening and prevention programs. P... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2205826 Thu, 01 Jan 2009 05:00:00 +0100 2205826 http://www.medworm.com/index.php?rid=2076759&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19112998%26dopt%3DAbstract Authors: McDaniel GJ, Travis SS PMID: 19112998 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2076759 Mon, 01 Dec 2008 05:00:00 +0100 2076759 http://www.medworm.com/index.php?rid=2076758&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19112999%26dopt%3DAbstract This study used a retrospective review of the medical records of 123 hospice-eligible nursing home residents with advanced dementia to investigate the prevalence of NPS and NPS-targeted pharmacological and non-pharmacological treatments. The most prevalent NPS were agitation or aggression (50.4%), depression (45.5%), and withdrawal/lethargy (43.1%). Of the 105 (85.4%) residents who exhibited one or more NPS, 90.5% were receiving at least one NPS-targeted treatment, yet 41.9% received no documented nonpharmacological NPS-targeted care. The majority of documented nonpharmacological care focused on safety and explanations or instructions given to residents. Given the high prevalence of comorbidities, associated risks for medication interactions or serious side effects, and potential low-risk ... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2076758 Mon, 01 Dec 2008 05:00:00 +0100 2076758 http://www.medworm.com/index.php?rid=2076757&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19113000%26dopt%3DAbstract This study objectively evaluated the degree of comfort in bedridden older adults using an air-cell mattress with an automated turning mechanism. The sample included 10 bedridden women with verbal communication difficulties. The high frequency (HF) components of heart rate variability, which reflect parasympathetic nervous activity, were compared for the manual and automated turning periods. No significant differences in the HF component were observed in 5 of the participants. Significant increases in the HF component associated with automated turning were observed in 3 participants; however, the two participants with the lowest body mass index values exhibited a significant reduction in the HF component during the automated turning period. The results revealed that comfort might not be dis... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2076757 Mon, 01 Dec 2008 05:00:00 +0100 2076757 http://www.medworm.com/index.php?rid=2076756&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19113001%26dopt%3DAbstract This study aims to identify physical and psychosocial correlates of fear of falling among older adults in assisted living facilities. Data were collected from interviews with 208 residents using measures of fear of falling, physical and social functioning, depression, and state and trait anxiety. Results revealed that 48.6% of the participants had moderate to severe concern about falling. Stepwise multiple linear regression analysis revealed that use of a walking device, depression, balance impairment, trait anxiety, female gender, and a previous history of a fall or falls were independent factors associated with fear of falling. It is suggested that improving physical fitness and balance control and increasing one's self-efficacy and sense of control over the environment can decrease thes... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2076756 Mon, 01 Dec 2008 05:00:00 +0100 2076756 http://www.medworm.com/index.php?rid=2076755&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19113002%26dopt%3DAbstract Authors: Thompson GN, Menec VH, Chochinov HM, McClement SE As part of a larger study examining end-of-life care in nursing homes, qualitative focus groups were conducted with bereaved family members to explicate those factors contributing to satisfaction and dissatisfaction with end-of-life care in the nursing home setting. Content analysis of focus group data revealed two overarching themes that influenced family members' satisfaction with care. These included: (a) ability of staff to recognize signs of imminent dying, and (b) communication and information sharing about the resident's status and plan of care. Family members dissatisfied with their relative's end-of-life care expressed feelings of guilt, anger, and frustration, both while the resident was alive and in the bereavement p... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2076755 Mon, 01 Dec 2008 05:00:00 +0100 2076755 http://www.medworm.com/index.php?rid=2076754&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19113003%26dopt%3DAbstract Authors: Perese EF, Simon MR, Ryan E Interest in psychiatric nursing as a practice area is associated with positive undergraduate clinical experiences that include staff acceptance, diverse learning opportunities, direct involvement with patients, and community placements. Essential student preparedness includes attitudes affirmative of patient recovery; assessment, communication, teaching, and medication administration and monitoring skills; and a toolkit of nursing interventions such as group facilitation and reminiscence therapy. In an innovative intervention, students in a geriatric psychiatric community setting developed and facilitated a support group with reminiscence-based activities to reduce social isolation. Patients increased social interactions, and students gained awarene... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=2076754 Mon, 01 Dec 2008 05:00:00 +0100 2076754 http://www.medworm.com/index.php?rid=1993433&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19024424%26dopt%3DAbstract Authors: Walent RJ PMID: 19024424 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=1993433 Sat, 01 Nov 2008 04:00:00 +0100 1993433 http://www.medworm.com/index.php?rid=1993432&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19024425%26dopt%3DAbstract This article has described the key points in the evidence-based practice guideline entitled Nursing Management of Hearing Impairment in Nursing Facility Residents. The guideline outlining the nursing management of nursing facility residents with hearing impairment is supported by 175 articles: 94 research articles (both experimental and descriptive) and 81 nonresearch articles (expert opinion). The full guideline includes the significance of hearing impairment, key definitions, individuals at risk, assessment criteria and tools, description of practice, and steps for evaluation and outcomes. We believe the implementation of this evidence-based practice guideline will improve the quality of life and quality of care of nursing facility residents. PMID: 19024425 [PubMed - in process] (Sou... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=1993432 Sat, 01 Nov 2008 04:00:00 +0100 1993432 http://www.medworm.com/index.php?rid=1993431&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19024426%26dopt%3DAbstract This article reports findings from a larger study related to conditions existing when participants entered the DON position. Antecedent conditions influenced organizational expectations of incoming DONs and shaped participants' leadership experiences. DONs filling long-standing vacancies had to reestablish the influence and authority of the role. Those replacing unsuccessful DONs confronted serious regulatory, care, and morale issues. In contrast, DONs with successful predecessors experienced organizational support and had confidence in their abilities to lead. PMID: 19024426 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=1993431 Sat, 01 Nov 2008 04:00:00 +0100 1993431 http://www.medworm.com/index.php?rid=1993430&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19024427%26dopt%3DAbstract Day-to-day care: the interplay of CNAs' views of residents & nursing home environments. J Gerontol Nurs. 2008 Nov;34(11):26-33 Authors: Fisher LT, Wallhagen MI This qualitative study identified certified nursing assistants' (CNAs') perspectives of nursing home residents and how these perspectives translate into care practices. Data included observations of and interviews with 27 CNAs in three dissimilar nursing homes. All participants were people of color, and all but 3 were immigrants. CNAs constructed three views of residents: as fictive kin, as a commodity, and as an autonomous person. Although individual CNAs held one primary view of residents in general, select residents were viewed from an alternative perspective, resulting in variations in care practices. These findi... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=1993430 Sat, 01 Nov 2008 04:00:00 +0100 1993430 http://www.medworm.com/index.php?rid=1993429&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19024428%26dopt%3DAbstract Authors: Walent RJ, Kayser-Jones J As part of an ethnographic study exploring what it means for nursing home residents to "do well," we examined patterns of advocacy on which they relied to have an effective voice. The purposive sample included 17 older, long-stay residents from a for-profit chain nursing home and a large public skilled nursing facility. Data collection included in-depth interviews, participant observation, and document review. Depending on personal history, health status, and facility context, participants relied on family and friends, trusted staff, fellow residents, or themselves as advocates. Although residents varied in their abilities and willingness to express concerns, a program matching staff advocates with residents at the chain nursing home fostered particip... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=1993429 Sat, 01 Nov 2008 04:00:00 +0100 1993429 http://www.medworm.com/index.php?rid=1993428&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19024429%26dopt%3DAbstract Authors: Wu S, Barker JC This qualitative study describes how Chinese elders in an American nursing home perceived their food and mealtime experiences. Data collection included 20 meal observations and interviews with 7 residents, 9 family members, and 17 staff members. Field notes and interviews were coded and analyzed using an iterative approach similar to grounded theory. All participant groups described institutional food and meals as individualized, nutritious therapy for medical illnesses. Mealtimes lacked sociability and sharing, and although family members provided Chinese food, they did not eat with residents. Residents generally did not consider the institution's effort to provide an "Asian diet" of hot tea and juk (rice porridge) to be Chinese food. These findings suggest th... Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=1993428 Sat, 01 Nov 2008 04:00:00 +0100 1993428 http://www.medworm.com/index.php?rid=1993427&cid=s_37691_27_f&fid=37691&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19024430%26dopt%3DAbstract Authors: Barker JC PMID: 19024430 [PubMed - in process] (Source: Journal of Gerontological Nursing) Journal of Gerontological Nursing journals http://www.medworm.com/rss/comments.php?id=1993427 Sat, 01 Nov 2008 04:00:00 +0100 1993427