geriatric nursing

..This article highlights some of these evolving models of nursing practice in assisted living, home care, hospitals, and nursing homes...

..With increased communication awareness, staff can learn to modify conversational topics to better meet older adults' psychosocial needs...

..This study demonstrates the feasibility and potential value of using life histories with residents who demonstrate aggressive behavior...

..This type of protocol should include regular collaboration with dental professionals and provide a program of continuous training for nursing staff on oral health issues...

..Use of restraint amongst institutionalised elderly with dementia and problem behaviour not only remains widespread, but also appears to be accepted as inevitable...

..The main finding was that the nurses where striving for the best outcome for the residents, and used strategies including negotiation and raising awareness to empower residents and each other...

..Nurses can take action by making sure supplies are in place, promoting oral care to all direct care staff and administrators, and making evidence-based recommendations during resident care conferences...

..The emergent role of the older people's specialist nurse as key to managing the interface between the nursing homes and primary care is highlighted as a key benefit of this unique role...

..This paper reports a study exploring nurses' awareness of, access to and use of policies within long-term care environments for older people in Scotland...

In 2003, The John A. Hartford Foundation Institute for Geriatric Nursing, New York University Division of Nursing, convened an expert panel to explore the potential for developing recommendations for the caseloads of advanced practice ..

..The aim of this project was to assess whether outreach visits would improve the implementation of evidence based clinical practice in the area of falls reduction and stroke prevention in a residential care setting...

..Routine walking schedules, activities to prevent sensory deprivation, and timely hospital discharge are among the interventions that can help prevent functional decline...

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..This article details these processes as well as the strategies staff use to deal with aggressive behaviors and makes specific recommendations for handling aggression toward staff...

..Although no significant within-group differences were noted in socialization, loneliness, or ADLs, the 5-week program was more effective in increasing socialization and physical functioning...

..The 'Whafedale model' allows suitably trained nurses to assess, diagnose and deliver care to older people hospitalised with a range of conditions. This article describes the model's development and the challenges encountered...

..Further work is required to establish the tool's psychometric properties, but it should then be useful for both research and clinical assessment purposes...

..Urban and rural differences were noted across the focus groups. Research is needed to further refine pain assessment techniques specifically for nursing home settings...

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..PRACTICE IMPLICATIONS: Clarification of nursing diagnoses serves to direct students and nurses to choosing appropriate interventions...

..The education intervention effectively reduced the rate of pressure ulcers for all residents and eliminated the racial disparity noted during the baseline period...

..The model we created here can serve as a reference for future application in institutional care...

..Research supports this change in philosophy and practice, whereby bathing is not a task to be performed but rather a human interaction. Inexpensive, practical, and evidence-based alternatives are discussed...

..Patients discharged home differed from patients who were unable to return home in mood state, physical function score, and admission serum albumin. Suggestions for practice and further research are offered...

..Case study application is used to depict the interplay of the model with the provision of resident care and outcomes...

..It suggests that if research is to be meaningful to both older people and those caring for them, there is an urgent need for gerontological nursing research to become much more person-centred and practice/action oriented...

..Staff described situations in which incontinence was improved for specific residents, but there was little evidence of formal programs to maintain continence or improve incontinence...

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..Finally, a very simple recommendation is proposed for determining and managing the (competent) aged-care resident's informational disclosure preferences: ask them...

..In part I of this two-part article, we review and critically analyse the primary external factors identified in the literature -- characteristics of the residents -- as they impact on the ability of care homes to deliver palliative care...

..Some of the key concepts discussed include intersubjectivity, transpersonal caring, spirituality, and caring moments. Watson's framework of caring-healing is shown to inform practice, education, and research...

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..This study provided insight into the value that is placed on residential respite care by identifying reasons and expectations for use so that nursing care and service provision can be continually directed at meeting these needs...

..The results show that the scores of the Care Dependency Scale correlate to the scores of the two classifications. In general, the German version of the scale can be recommended for use in nursing homes and on geriatric wards...

..A focused examination of these three essentials could prove instructive to any facility working to improve its fall management process...

..Nevertheless, the outcome of the project formed a solid foundation for future collaborative efforts between the College of Nursing and local nursing homes...

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..Moreover, little research has been undertaken to determine how nurses may best help older adults improve spiritual health...

..Additional time spent in staff care was significantly related to decreased affective disorder. The findings related to Vigil are generally mixed. The question remains as to whether the improvement in affect was due to Vigil or vigilance...

..To contextualise this subject, a brief overview of the relevant demographics of this client group is offered to help set the scene of the care environments in which the students were to be be placed...

..As part of the funded nursing care agenda, the NHS now has responsibility to provide a continence service free of charge for residents of nursing homes. This article explains how such a service was implemented in one PCT...

..Results of this study support the emerging consensus that diffusion of innovation is an effective model for making changes in performance of healthcare organizations...

..Results revealed that comfort touch significantly improved the perceptions of all elements. This article offers recommendations for practice, research, and education...

..This secondary analysis examines the influence of the NICHE program on nurse perceptions of the geriatric nursing practice environment and quality of geriatric care, as well as geriatric nursing knowledge in a sample ..

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..An evidence-based model to target services for caregivers...

..Findings suggest that an APN consultation model can effectively be implemented through comprehensive, individualized assessment without incurring substantial costs to the nursing home...

..As the world population continues to age rapidly, nurse educators need to consider the advantages of clinical experiences for students in long-term care facilities...

..The findings of the study highlight what it is like to experience pain and how this impacts on everyday lives of elderly people. The paper concludes with some suggestions for health professional for improving care in this area...

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..The means by which knowledge is transferred to guide the practice should be carefully considered. Also forms should be developed to meet the special requirements for recording nursing care in long-term care settings...

..This paper describes the findings of a descriptive study about what nurses do at mealtimes in relation to monitoring/assisting the eating practices of older patients in an acute care facility...

..The aim of this paper is to explore whether nurses working in elderly medicine and in acute medical settings promote urinary continence in older people or in reality use containment strategies...

..Comparison of findings showed that the assessment tool was a means of improving the quality of assessments...

..The aim of the study was to obtain a deeper understanding of the experiences of the discharge process among different professionals...

..These initiatives were sustainable during a 2-year period after their introduction, despite the gradual withdrawal of the clinical leader...

..Barriers prevent osteoporosis care in nursing homes. Successful interventions designed to circumvent these barriers benefit from target recipient input during development...

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..The purpose of this qualitative study was to consider the current beliefs of nursing assistants and directors of nursing about management of urinary incontinence (UI) among the residents in nursing homes...

..This study suggests there is a need for more assessment and critical thinking when addressing behavior change in individuals with dementia...

..The following criteria are then applied: logical congruence, the generation of the theory, the credibility of the model, and the contribution of the model to the discipline of nursing...

To assess attitudes and perceptions towards oral hygiene tasks among geriatric nursing home staff, before and after a dental hygiene education.

..To evaluate the evidence for interventions designed to improve outcomes for elders discharged from the emergency department (ED)...

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..This paper will also address the underlying pathogenesis of cachexia (specifically, the role of cytokines) along with the use of MA, its mechanism of action and its side effects...

..Total costs of treatment were assessed for a subset of geriatric patients receiving either lithium carbonate or divalproex sodium for agitation...

..and procedures; filing clinical data or clinical histories; surgical nursing care, pediatric nursing and geriatric nursing; pharmacology calculating and administration of drugs and fluid therapy; reference values for diagnostic ..

..Additional studies are needed to increase awareness and understanding about the scope of this problem and to develop targeted approaches to prevention and care...

..The objective of this study was to determine the relationship between the use of > or = 9 different scheduled medications and the occurrence of ADRs in geriatric nursing home residents.

..These students were oriented to use a digitalized geriatric nursing assessment tool embedded into their PDA in a variety of geriatric clinical agencies...

..The author also presents some ideas in order to experience the feeling of being a foreigner, which can be need as a basis for the development of an institutional culture...

..nursing specialties in Spain include family and community health nursing, midwifery, mental health nursing, geriatric nursing, health work nursing, medical care nursing and pediatric nursing...

..4-4.5 falls per person annually among nursing home residents. Furthermore, recurrent falls are one of the main reasons for their residence in the geriatric nursing home.

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..This study aims to assess the prevalence, determinants and prognosis of elderly patients with PVS admitted to a long-term geriatric facility...

..As one of 10 recipients of the John A. Hartford Foundation/AACN awards for Enhancing Gerontological and Geriatric Nursing Education for Advanced Practice Nursing Programs, we successfully integrated gerontological/ geriatric ..

..Our aim was to compare the efficacy and tolerability of loperamide and racecadotril in elderly patients with acute diarrhea...

..There is a lack of studies concerning improvement of medication use in palliative care patients in nursing homes...

..Therefore, reduction in the use of physical restraints in psycho-geriatric nursing home residents is very important...

..Unless faculty members foster positive attitudes toward aging, expand their geriatric nursing knowledge base, and are able to integrate geriatric content into the curricula, progress cannot be made...

..The extent of medical and financial problems of polypharmacy in the elderly is disturbing, particularly in nursing homes and nursing departments...

..Determine if there is any relationship between different management models (public, private, mixed and English) and the quality of professional life (QPL) of the nursing staff...

Music therapy (MT) has been used in geriatric nursing hospitals, but there has been no extensive research into whether it actually has beneficial effects on elderly patients with cerebrovascular disease (CVD) and dementia...

..of Nursing's (AACN's) Older Adults: Recommended Baccalaureate Competencies and Curricular Guidelines for Geriatric Nursing Care...

Having established an academic and clinical infrastructure, geriatric nursing is well positioned to play a central role in improving the health of the nation's older adults now and in the future...

..Students are rarely able to appreciate the complexity, challenge, and rewards of geriatric nursing. Few students seek geriatric nursing roles upon graduation, and care facilities report an inability to fill ..

..Advanced practice nurses are positioned to assume leadership roles in geriatric nursing care; however, they must first acquire adequate preparatory education...

..This outbreak demonstrates the importance of infection control policies and hygiene measures in long-stay nursing facilities...

..prepared nurses specialized in gerontology who can contribute and guide the development of gerontological/geriatric nursing care in their own country; 2) developing a core curriculum for basic gerontological nursing education in ..

..The nurses of the psycho-geriatric nursing development unit, Wallsend Aged Care Facility, New South Wales, Australia identified that the management of ..

..of Kentucky, Lexington, Kentucky; Hartford Center for Geriatric Nursing Excellence: U. of Pennsylvania, Philadelphia, Pennsylvania; and U...

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..of Kentucky, Lexington, Kentucky;Hartford Center for Geriatric Nursing Excellence: U. of Pennsylvania, Philadelphia, Pennsylvania;and U...

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..Similarly, we will observe processes of care delivery before, during and after the multilevel intervention to describe the adoption of the care delivery strategies recommended in the intervention. ..

..Similarly, we will observe processes of care delivery before, during and after the multilevel intervention to describe the adoption of the care delivery strategies recommended in the intervention. ..

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..The long-term goal is to provide targeted cognitive training to promote self-care and ultimately to delay NH placement from AL, which could reduce health care costs for frail elders by over 50% per year. ..

..Determination of CHATs effect on resident resistiveness to care will contribute evidence for nursing interventions to manage behavioral symptoms of dementia, to improve dementia care. ..

..Subjects will not use any expensive telehealth equipment or wear any devices. We propose to use this information to detect changes in health status which could indicate an impending acute illness or exacerbation of chronic illness. ..

..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..

..The evidence for CHOICE by Phone's effects on increasing physical activity will be determined by a test of the group by time interaction using a repeated measures analysis of variance. ..

..Story Sharing promises to offer a new caring intervention for NAs as they develop empathic and mutual care relationships that recognize the uniqueness and dignity of each resident. ..

..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..

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..In that way, it presents an exciting prospect for improving the quality of life in demented persons, thereby reducing their caregivers' burden. ..

..The quality of life agitated nursing home residents, residents who are exposed to the agitation, and nursing home caregivers would thereby be improved. ..

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..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..

..The study will evaluate outcomes for nursing homes, elderly residents, and new ways to assist RNs and CNAs use the most current knowledge to care for elders with pain and urinary incontinence. ..

..PHS 398 (Rev. 05/01) Page 2 Principal Investigator/Program Director (Last, first, middle): Cohen-Mansfield, Jiska ..

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..Data obtained from this project will be used to refine the protocol and develop an application for a larger RCT to be submitted during the final year of the proposed three year award period. ..

..Findings have the potential to inform improved care management of these patients and their caregivers, an Institute of Medicine priority for national action. ..

..This information will facilitate the development of educational materials tailored to women of color and should lead to earlier diagnosis and treatment. ..

..Both clinicians and researchers need to know which tests are appropriate, the extent to which the ethnicity of the examiner affects the results and how to interpret the scores obtained on both the newly developed and widely used tests. ..

..We also will explore the correspondence between the MAPMISS screen scores and CHD diagnostic test results. ..

..The ultimate goal is to alter the current philosophy of care in long-term care to focus on function, improve clinical outcomes, and inform policy makers on the effectiveness of restorative care programs. ..

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..Statistical analysis will involve hierarchical generalized linear modeling (HGLM) by outcome groups and planned group comparisons using linear contrasts within the context of the HGLM. ..

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..A better understanding of which coping strategies can mediate the stressful impact of their mothers' breast cancer can lead to the development of health promoting interventions that target these concerns in this vulnerable population. ..

..Findings from this pilot project will inform measurement and data collection efforts, as well as interpretation of results from a multi-component caregiver intervention in Baltimore, Maryland that is expected to begin in July 2006. ..

..Findings have the potential to inform improved care management of these patients and their caregivers, an Institute of Medicine priority for national action. ..

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..Using a standardized videotape-recording protocol, data collection will occur at baseline, treatment, and one-week follow-up. A mixed model ANOVA (time as a repeated factor) will be used to assess changes in agitated behaviors. ..