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gerontological nurse

Hong Cai, Guichen Li, Shengqian Jiang, Huiru Yin, Peng Liu, Li Chen
The aim of the current study was to investigate the effect of low-intensity, Kinect™-based Kaimai-style Qigong exercise among older adults with type 2 diabetes mellitus (T2DM). A non-randomized controlled trial was conducted in a community center in Changchun, China, from July to September 2017. Participants (N = 55) were assigned to the Qigong group or control group. Participants in the Qigong group received 30-minute Kinect-based Kaimai-style Qigong sessions three times per week for 12 weeks. Participants in the control group were waitlisted...
February 1, 2019: Journal of Gerontological Nursing
Kia Skrine Jeffers, Mary Cadogan, MarySue V Heilemann, Linda R Phillips
Some researchers attribute the excess rates of diabetes complications among African American older adults compared to other racial/ethnic subgroups to low diabetes knowledge. Diabetes knowledge measures have a biomedical orientation, including knowledge of glycemic control and using diet and exercise to control blood sugar. Measures do not assess informal knowledge that patients obtain outside of the clinical environment. The distinction between formal and informal knowledge is meaningful for cultural groups such as African American individuals who have historically transferred knowledge about maintaining their health "through the grapevine...
February 1, 2019: Journal of Gerontological Nursing
Olivia M Koller, Nikki L Hill, Jacqueline Mogle, Iris Bhang
This systematic review examined the relationships between personality traits and subjective cognitive impairment (SCI) in older adults without dementia. A comprehensive literature search conducted according to PRISMA guidelines identified empirical investigations of SCI and at least one of the big five personality traits among adults age 60 or older. All articles were critically appraised using the weight of evidence framework and findings were compared, contrasted, and synthesized across studies. Sixteen of the 797 studies initially identified met eligibility criteria...
February 1, 2019: Journal of Gerontological Nursing
Diane K Newman
Urinary incontinence (UI) is one of the most common conditions among residents of post-acute and long-term care facilities. UI is seen in at least 55% of nursing home residents and is the second leading cause of institutionalization of older adults. UI has been shown to be an independent risk factor for unplanned hospitalization of home care individuals. Prompted voiding (PV) is a toileting program that combines scheduled voiding with "prompting" from a caregiver and is appropriate for older adults with all types of UI and in individuals who may have impaired cognitive function...
February 1, 2019: Journal of Gerontological Nursing
Liza L Behrens, Gwen McGhan, Katherine M Abbott, Donna M Fick, Ann Marie Kolanowski, Yin Liu, Harleah G Buck, Martina Roes, Allison R Heid, Abby Spector, Kimberly Van Haitsma
Person-centered care (PCC) has a wide range of definitions, most based on expert opinion rather than empirical analysis. The current study used an empirical concept mapping approach to identify core components of PCC used in long-term services and supports (LTSS). The aim is to help providers and researchers develop a unified set of domains that can be used to assess and improve the quality of PCC in real-world settings. Results yielded six domains describing essential elements of PCC in LTSS: Enacting Humanistic Values, Direct Care Worker Values, Engagement Facilitators, Living Environment, Communication, and Supportive Systems; and two underlying dimensions: Intrapersonal Activities and Extrapersonal Services and Social and Physical Environment...
February 1, 2019: Journal of Gerontological Nursing
Joel Olayiwola Faronbi, Howard K Butcher, Adenike Ayobola Olaogun
Family members play key roles in the care of older adults with chronic illness. However, little is known about the negative consequences of caregiving in Sub-Sahara Africa. The current study examined the influence of caregivers' burden and coping ability on the health-related quality of life of caregivers of older adults with chronic illness. An exploratory sequential mixed methods study was conducted among 16 family members. Findings showed that caregivers experienced severe burden, coped moderately with the burden, and had poor quality of life...
January 1, 2019: Journal of Gerontological Nursing
Yun-Jung Choi, Hwa-Bok Choi
A qualitative study was conducted to explore nurses' positive experiences in caring for older adults with dementia in South Korea. Researchers collected data through in-depth, face-to-face interviews, and the recorded interviews were analyzed using grounded theory. A total of 33 codes, 12 categories, and 21 sub-categories were derived, and the categories were further analyzed using the paradigm model. A conceptual framework, the Gratified in Caring Model, was developed by integrating and abstracting the core category from nurses' positive experiences, and can be used by nurses to provide effective care and educators to train nurses to care for older adults...
January 1, 2019: Journal of Gerontological Nursing
Clayton J Shuman, Mary Montie, Geoffrey J Hoffman, Katherine E Powers, Stacey Doettl, Christine A Anderson, Marita G Titler
Falls are common adverse events following hospital discharge. However, prevention programs are not tailored for older patients transitioning home. To inform development of transitional fall prevention programs, nine older adults designated as being at risk of falls during hospitalization who were recently discharged home were asked about their perceptions of fall risk and prevention, as well as their knowledge and opinion of materials from the Centers for Disease Control and Prevention Stopping Elderly Accidents, Deaths & Injuries Initiative...
January 1, 2019: Journal of Gerontological Nursing
Bunmi Folarinde, Gregory Lynn Alexander, Colleen Galambos, Bonnie J Wakefield, Amy Vogelsmeier, Richard W Madsen
The current study explored the perceptions of health care providers' use of electronic advance directive (AD) forms in the electronic health record (EHR). The Technology Acceptance Model (TAM) was used to guide the study. Of 165 surveys distributed, 151 participants (92%) responded. A moderately strong positive correlation was noted between perceived usefulness and actual system usage (r = 0.70, p < 0.0001). Perceived ease of use and actual system usage also had a moderately strong positive correlation (r = 0...
January 1, 2019: Journal of Gerontological Nursing
Joshua Chou, Monica Tong, Nicole J Brandt
Polypharmacy, defined as the use of five or more medications, is becoming increasingly prevalent in older adults throughout the United States. Depre-scribing, along with the use of existing tools, such as the American Geriatrics Society Beers Criteria, can help guide health care providers in reducing the risks associated with polypharmacy such as side effects and drug interactions. The framework of deprescribing and the use of existing guidelines and resources are valuable in guiding health care providers in addressing polypharmacy...
January 1, 2019: Journal of Gerontological Nursing
Kosuke Okada, Yumiko Yamaguchi, Nanao Kamada, Kazuhiro Abe, Masakuni Wagou, Shigeko Katoh, Hidemi Sasaki, Masahiro Okada, Naoshi Saheki
AIM: In Geriatrics Gerontology International we previously reported the efficacy of reducing diuretics to prevent falls and fractures in older adults. We have since noticed another important problem, regarding the diuretic therapy for older adults with decreased muscle and water volumes. We performed a study on renal insufficiency and diuretic therapy in an attempt to confirm the need for case control study between standard diuretic therapy administered, according to guidelines and "NY-mode" diuretic therapy, which involves the administration of the mineral-corticoid receptor inhibitor spironolactone at 12...
2018: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
Marianne Wallis, Elizabeth Marsden, Andrea Taylor, Alison Craswell, Marc Broadbent, Adrian Barnett, Kim-Huong Nguyen, Colleen Johnston, Amanda Glenwright, Julia Crilly
BACKGROUND: To evaluate a Geriatric Emergency Department Intervention (GEDI) model of service delivery for adults aged 70 years and older. METHODS: A pragmatic trial of the GEDI model using a pre-post design. GEDI is a nurse-led, physician-championed, Emergency Department (ED) intervention; developed to improve the care of frail older adults in the ED. The nurses had gerontology experience and education and provided targeted geriatric assessment and streamlining of care...
December 3, 2018: BMC Geriatrics
Nathanial Schreiner, Stacie Schreiner, Barbara Daly
The purpose of the current study was to determine the relationship between chronic condition symptoms and treatment burden in older adults transitioning from skilled nursing facilities to home. Treatment burden is defined as the burden associated with adhering to a prescribed chronic condition self-management regimen. Analysis of correlations between chronic condition symptoms and treatment burden revealed that symptoms and treatment burden are positively correlated (p < 0.05). Multivariate analysis (adjusted R2 = 0...
December 1, 2018: Journal of Gerontological Nursing
Wolfgang Hasemann, Debbie Tolson, Jon Godwin, Rebecca Spirig, Irena Anna Frei, Reto W Kressig
The aim of the current study was to report findings about delirium detection when ward nurses screened for delirium in patients with cognitive impairment using the Delirium Observation Screening Scale (DOSS) in comparison to the Confusion Assessment Method (CAM). A secondary analysis was performed of research data collected in 2010 at a Swiss tertiary university hospital. During the first 5 days after admission, patients 70 and older with cognitive impairment were screened for delirium using the DOSS. Throughout patients' hospital stay, research assistants also completed the CAM on a daily basis...
December 1, 2018: Journal of Gerontological Nursing
Rebecca L Trotta, Aditi D Rao, Robin M Hermann, Marie P Boltz
Hospitalized older adults are at high risk for complications, leading to negative outcomes such as longer lengths of stay, hospital readmissions, and functional and cognitive decline. Comprehensive Geriatric Assessment (CGA) models are effective in mitigating these syndromes but are not widespread. Nurses with expertise in gerontology who can provide consultation and care coordination can improve care processes and clinical outcomes. This pilot study capitalized on the role of the geriatric nurse consultant (GNC) to develop, implement, and test the feasibility, acceptability, and utility of a GNC-led CGA...
December 1, 2018: Journal of Gerontological Nursing
Rachel L Goldberg, Cheryl Dankiewicz, Janine K Cataldo
To explore associations between older smokers' attitudes and beliefs about electronic cigarettes (e-cigarettes) and tobacco use behavior, descriptive and correlational analysis of a cross-sectional survey of a random national sample of current smokers (age ≥45 years [considered "older" herein]) was performed. Of 498 older smokers, 75% wanted to quit smoking cigarettes and 60% had tried e-cigarettes. The 108 current e-cigarette users believed e-cigarettes help quit cigarettes (p < 0.001), are safer than cigarettes (p = 0...
December 1, 2018: Journal of Gerontological Nursing
Lynn F Reinke, Meghan Hendricksen, Joanne Lynn
Care plans guide and document achievement of short- and long-term goals. However, most care plans are discipline oriented, document medical problems, and lack person-centered information such as care preferences. The current authors' goal was to explore the status of comprehensive care plans and the future application of sharing data among health care providers and settings. Semi-structured interviews were conducted among a variety of professionals in six geographically diverse settings to learn the status and performance of care plans...
December 1, 2018: Journal of Gerontological Nursing
Sarah H Kagan
No abstract text is available yet for this article.
December 2018: International Journal of Older People Nursing
Janice D Crist, Evangeline M Ortiz-Dowling, Kimberly D Shea, Linda R Phillips
INTRODUCTION: Mexican Americans (MAs) are the largest, fastest growing Latino subgroup in the United States, yet their use of hospice is limited. To better understand this disparity, the authors conducted an integrative review focused on MA caregiving families' end-of-life (EOL) care decisions. METHOD: In this literature review, the authors content analyzed results and discussions of 22 research studies focused on EOL decisions, which sampled MA adults at least 50 years old and/or families...
November 22, 2018: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
Kimberly Schoonover, Andrew Herber, Sally Heusinkvelt, Hemang Yadav, M Caroline Burton
BACKGROUND: Little is known about how certain educational interventions may improve informed code status discussions by physician assistant (PA) and nurse practitioner students. METHODS: This is a prospective, prospective, single academic center pilot study utilizing a short case-based PowerPoint that reviewed the differences between code status choices and the likelihood of survival to hospital discharge of attempted resuscitation after a cardiac arrest. Training occurred between September 1, 2017, and May 31, 2018...
November 1, 2018: Journal of Palliative Care
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