bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nurses' and Family Members' PERCEPTIONS OF NURSING HOME RESIDENTS' NEEDS
Authors: Lindgren Carolyn L , Murphy Anne Marie 
Published: May 2014

ABSTRACT
The purpose of this study was to determine the degree of agreement between nursing home staff and families in assessing the needs of cognitively impaired nursing home residents. A convenience sample of 36 family members of nursing home residents with cognitive impairment and the nurses assigned to those patients was recruited from three nursing homes. The Nurse and Resident Perceptions Questionnaire, adapted from Lindgren and Linton (1991), was used to assess functioning in activities of daily living, physiologic, and psychosocial areas. Significant differences were found for eight items of physiologic and psychosocial functioning: difficulties with chewing, swelling of feet, orthopnea, weakness, easy bruising, recognition of people, lack of privacy, and boredom. Nurses rated all these areas less problematic than did the family members. Collaborative efforts of family members and nurses are needed to develop effective plans of care for these problems of nursing home residents with cognitive impairment.
Perceptions of a Senior Citizens' Wellness Center: The Community's Voice
Authors: Hawranik Pamela , Pangman Verna 
Published: May 2014

ABSTRACT
Health promotion encompasses an important role in the nursing care of all individuals across the life span. The literature indicates senior citizens tend to be the age group most actively involved in health promotion activities. Not only do senior citizens, as an age group, participate more frequently in health promotion activities, but also they tend to seek out health promotion opportunities. A center for community residing senior citizens, funded by the provincial health department for 4 years, was initiated to promote health and wellness among the senior citizens and to delay the onset of disability. To evaluate the outcomes of the Wellness Center, the qualitative methodology of this study used the focus group approach. The participants in the focus groups comprised health professionals and community groups with some involvement with the Wellness Center. In their discussions, participants identified the Center as providing health promotion services different from those currently existing in the health care system. The participants agreed the Center was essential to promote healthy lifestyles for senior citizens.
DEHYDRATION IN TERMINALLY ILL PATIENTS: Perceptions of Long-Term Care Nurses
Authors: Critchlow Jennifer , Bauer-Wu Susan M 
Published: May 2014

ABSTRACT
Dehydration m terminally ill patients has been found to be beneficial and to improve the quality of an individual's last few days of life. As the population continues to age, more individuals are cared for in long-term care (LTC) facilities, where they tend to spend their final days. Previous studies have examined the perceptions and attitudes of hospice nurses, acute care nurses, physicians, and caregivers; however, no such studies have evaluated LTC nurses. It is necessary to know LTC nurses' perceptions and attitudes so they can be offered the eäucation needed to provide the best quality care for terminally ill patients. The purpose of this study was to describe how nurses working with elderly individuals in LTC perceived terminal dehydration (TD). Long-term care nurses (N = 64) were surveyed using a modified version of an established 10-item instrument. Significant findings included a positive correlation between age and positive perception of TD - as nurse age increased, a more positive view of TD was expressed. Also, the number of deaths witnessed was positively associated with the belief that TD was beneficial. In general, responses to the individual survey items were quite varied, representing inconsistencies in attitudes and care of dying LTC patients. The results of this descriptive study indicate the debate concerning the benefits of TD continues and remains an important topic for the LTC nurse.
Friends and Social Support in Dementia Caregiving: ASSESSMENT AND INTERVENTION
Authors: Lilly Mary LuAnne , Richards Beverly S , Buckwalter Kathleen Coen 
Published: May 2014

ABSTRACT
The purpose of this article is to explore the topic of friends as a spontaneously occurring response in open-ended interviews with dementia caregivers and to propose guidelines for assessment and intervention based on current knowledge. The sample includes 176 open-ended baseline interviews with dementia caregivers from the National Caregivers Training Study, a 4-year multi-site, randomized, community-based, psycho-educational intervention study. References to friends were present in 60 of the 176 baseline transcripts. More than 50% of the references were positive, 63 % referred to the present, 80% of the content scores were greater than 1, and 66% were categorized as emotional support or social integration for caregivers. Meaningful categories exist and can be helpful in structuring the assessment of support from friends. Data support prior research suggesting that friends are providers and facilitators of emotional support and social integration. Although further research is needed on the concept of social support in general and social network providers in particular (e.g., friends), current knowledge allows for preliminary recommendations for assessment and intervention of friends and social support.
Training Family Caregivers of Patients with Dementia: A STRUCTURED WORKSHOP APPROACH
Authors: Ostwald Sharon K , Hepburn Kenneth W , Burns Theresa 
Published: May 2014

ABSTRACT
The Minnesota Family Workshop consisted of seven weekly 2-hour sessions that provided education, family support, and skills training to primary family caregivers of patients with dementia, and other accompanying family members. The interdisciplinary faculty used a general stress and coping model to design the caregiver education program. To increase family involvement, the Minnesota Family Workshop required at least one other family member accompany the primary caregiver to the sessions. In addition, a concurrent adapted activity group was offered for the patients with dementia. This 14-hour curriculum with specific weekly objectives and activities detailed in this article was successful in reducing burden among caregivers of patients with dementia.
Common Stressors Experienced by the Well Elderly: Clinical Implications
Authors: Stokes Shirlee A , Gordon Susan E 
Published: May 2014

ABSTRACT
ABSTRACT
The purposes of the article are twofold - first, to report on a study that determined the 10 most commonly experienced stressors in individuals 65 years of age and older, and second, to present nursing interventions for each of the top 10 stressors. The research was conducted on a convenience sample of 200 healthy older adults living in the community using the Stokes/ Gordon Stress Scale. The two most commonly experienced stressors were slowing down and concern for world conditions. Others among the top 10 were constant or recurring pain or discomfort, time too short with children or grandchildren, and wishing parts of one's life had been different. Interventions discussed included careful planning of each day's activities, joining discussion groups on world events, participating in a political campaign, using e-mail and other technological communication methods, using reminiscence therapy, and implementing the use of various complementary therapies.
The purposes of the article are twofold - first, to report on a study that determined the 10 most commonly experienced stressors in individuals 65 years of age and older, and second, to present nursing interventions for each of the top 10 stressors. The research was conducted on a convenience sample of 200 healthy older adults living in the community using the Stokes/ Gordon Stress Scale. The two most commonly experienced stressors were slowing down and concern for world conditions. Others among the top 10 were constant or recurring pain or discomfort, time too short with children or grandchildren, and wishing parts of one's life had been different. Interventions discussed included careful planning of each day's activities, joining discussion groups on world events, participating in a political campaign, using e-mail and other technological communication methods, using reminiscence therapy, and implementing the use of various complementary therapies.
Medication Administration by Unlicensed Caregivers: A MODEL PROGRAM
Authors: Spellbring Ann Marie , Ryan Judith W 
Published: May 2014

ABSTRACT
The assisted living housing option for older adults with limitations in activities of daily living presents a problem with medication administration. The purpose of this project was to expand the functions of the unlicensed caregivers in Group Senior Assisted Housing (GSAH) in Maryland. The caregivers and the GSAH providers or managers completed a 16-hour medication administration training program. Additionally, an oversight program using a delegating registered nurse (DRN) was established. The DRN verified the learning of the unlicensed caregivers, delegated medication administration (not including injections), and monitored this new care practice. Completion rate of the training program was 89% (N = 176). A high school education was significant in being successful. The oversight by the DRN was positively received by the caregivers, and it was clear oversight by the DRN was positively received by the caregivers, and it was clear that this was an essential part of the program. The project led to the first statewide that this was an essential part of the program. The project led to the first statewide regulations related to medication administration in assisted living.
Nursing Care of Transgendered Older Adults: Implications from the Literature
Authors: Berreth Margaret E 
Published: May 2014

ABSTRACT
Although there has been considerable medical and psychological research into the phenomenon of transgenderism, little attention has been paid to issues specific to the older transgendered adult. This article seeks to address this gap by exploring issues relevant to the nursing care of the older transgendered adult. The specific topics covered include social support, abuse and neglect, medical concerns, and access to medical care. Resources for the transgendered older adult also are included. Journal articles and texts from nursing, medicine, and psychology are used. This review highlights implications for nursing, offers suggestions for promoting a therapeutic relationship in both the inpatient and outpatient setting, and concludes with areas for future research.
Self-Medication with over-the-counter Drugs Among Elderly Adults
Authors: Amoako Emelia P , Richardson-Campbell Lenora , Kennedy-Malone Laurie 
Published: May 2014

ABSTRACT
Self-medication with over-the-counter (OTC) drugs is an economical choice of treatment for common self-limiting illnesses. As more medications are made available as OTC drugs, and as the population of older adults continues to increase, a need arises to monitor how elderly individuals use these agents. The purpose of this study was to assess the self-medication practices with OTC drugs among older adults. The study took place in a city in North Carolina in apartments managed by the city's Housing Authority and a private physician's office. Participants included 39 adults ages 59 to 91. Respondents lived independently, used OTC drugs, and were responsible for their health care decisions. Conn's Self-Medication Practice Tool was used to assess symptoms the older adults were treating with OTC drugs; therapeutic categories of OTC drugs used; frequency of OTC drugs used; and the use of alcohol, prescription drugs, and caffeine. The respondents reported pain as the symptom most frequently self-treated with OTC drugs. Ninety percent of the respondents used pain medicine, and approximately two thirds (67%) of the respondents used at least one high blood pressure medicine. More than half of the respondents (59%) used caffeine daily, and 10% used alcohol. The researchers concluded that older adults might be unaware of the adverse risks associated with concurrent use of pain medicines, alcohol, high blood pressure drugs, and regular caffeine use. This makes it necessary for all nurses and other clinicians providing health care to older adults to intensify efforts to educate and guard these patients and ensure appropriate use of OTC drugs.
Behaviors of Older Men Living in the Community: CORRELATES PRODUCING ACTIVE COMPOSURE
Authors: Carter Kimberly Ferren 
Published: May 2014

ABSTRACT
The correlates of active composure behaviors for older veteran men living in the community were investigated to identify this aspect of the complex domain of health behavior. Cox's (1982) Interaction Model of Client Health Behavior was used to frame this investigation. The independent variables were age, education, race, marital status, children, siblings, income, spiritual well-being, functional status, motivation, health conceptions, and loneliness. The dependent variable was Schwirian's (1992) active composure, conceptualized as activities producing rest, relaxation, and anxiety and stress reduction. The sample was male veterans (N = 184) older than 65 who were not living in an institution. A multiple regression model explained 49% of the variance in active composure. Race, income, religious aspect of spiritual well-being, instrumental activities of daily living, and loneliness were significant predictors. Results suggest that nurses may find these correlates helpful in facilitating the identification of risk status and developing active composure self -care strategies for older men living in the community.
The Significance of Losing Things: FOR NURSING HOME RESIDENTS WITH DEMENTIA AND THEIR FAMILIES
Authors: Powers Bethel Ann 
Published: May 2014

ABSTRACT
This article examines the significance of losing things as part of an individual's whole experience with the material aspects of life. The data on which this report is based were drawn from a broader ethnographic study of everyday ethics affecting nursing home residents with dementia. Combined anthropological methods of participant observation and in-depth interviewing were used to gather information about ordinary daily issues for residents, family members, and nursing home staff. Findings are described as themes related to personal possessions and concerns surrounding them. Discussion comprises an interpretive analysis of meanings drawn from the research and represented as ethical considerations and practice implications - general principles and strategies.
Heart Failure in Older Adults: Providing Nursing Care to Improve Outcomes
Authors: Konick-McMahan Joanne , Bixby Brian , McKenna Catherine 
Published: May 2014

ABSTRACT
Heart failure continues to be a challenge for older patients and their health care providers. This article is based on work by advanced practice nurses in a nursing study funded by the National Institute of Nursing Research of the National Institute of Health. Mary Naylor, RN, PhD at the University of Pennsylvania School of Nursing through grant #1RO1-NR04315 is using a transitional care model to provide advance practice nurse intervention for older adults with heart failure in a randomized controlled trial. Effects of the intervention being addressed include quality of life, functional status, rehospital izations, and costs of care.
Working with the patient in the acute hospital setting and following patients to the home care setting for 3 months, the advance practice nurse develops a visit pattern and intervention plan individual to the patient's needs. Key to a successful intervention plan is the right treatment for systolic versus diastolic failure. Although the patient's symptoms and some physical findings may be similar, the drugs used to treat systolic versus diastolic heart failure are different. Thus the nursing interventions to promote symptom management and avoid rehospital izations have a different approach.
In this article, care of elderly individuals with systolic versus diastolic heart failure is compared and contrasted using physical examination and diagnostic techniques, medication management, and nursing intervention. Case studies of a typical patient with systolic and diastolic heart failure will be used to illustrate the differences in approach to this common group of patients with complex needs.
Planning HIV Education Programs for Older Adults: Cultural Implications
Authors: Rose Molly A 
Published: May 2014

ABSTRACT
In this article the author discusses a needs assessment, through the use of discussion groups of various cultures, exploring the perceptions and attitudes of older adults about human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), and HIV education. Five discussion groups (one with Latino older adults, two with African-American older adults, one with White older adults, and one with Chinese-American older adults) were conducted. Semi-structured guiding questions were used with all groups. The questions centered on three major areas: perceptions of older adults and HIV and AIDS, use of condoms for HIV and AIDS prevention, and HIV prevention programs for older adults. The group sessions were approximately 1 hour, were recorded on tape, and were transcribed. The sessions were conducted in the languages of the target population. Because the project was a needs assessment for program development, the number of participants in each cultural discussion group was small, and the nurse group leaders were not experienced in focus group methodology themes and generalizations cannot be made. However, specific findings from the group sessions and recommendations for HIV prevention are presented for further exploration.
Students and Senior Citizens Learning from Each Other
Authors: Fusner Sally , Staib Sharon 
Published: May 2014

ABSTRACT
A service learning experience in a senior citizen center was planned for first-quarter associate-degree nursing students at a university. Activities were plan ned that would benefit both student learning and senior citizen health and well-being. Students had the opportunity to interact with wefl elderly adults before dealing with ill or frail elderly adults, thus preventing the formation of some negative attitudes about elderly individuals. Students practiced interviewing, using observational skills and taking blood pressures in a relaxed environment. Benefits to the senior citizens included having their blood pressure checked and learning about home safety and nutrition. Interactions made the senior citizens feel valued. Evaluation of the experience was positive from the students', senior citizens', faculty's, and center director's perspective. As a result, this service learning experience has been incorporated into the nursing curriculum for the university.
Diabetic Foot Care in a Long-Term Facility
Authors: Berry Rosa Maria , Raleigh Edith D Hunt 
Published: May 2014

ABSTRACT
Foot problems continue to be a major cause of morbidity, disability, and mortality for individuals with diabetes. According to Rothman's model of causation, as interpreted by Pecoraro, Reiber, and Surges (1990), each amputation related to diabetes implies the existence of a completed causal pathway of predisposing factors. The purpose of this descriptive retrospective study was to evaluate foot care provided to residents in a 179-bed long-term care facility. The charts of all 17 eligible residents with a diagnosis of diabetes mellitus were reviewed for documentation of assessment and care of their feet. All data were collected by the investigator using the Minimum Data Set (MDS) 2.0 Assessment of Diabetic Foot Care Instrument and a demographic and foot care history instrument. Foot problems were documented for 59% of the participants. Podiatrist-documented foot examination was found in only one of the charts reviewed; however, six residents had been referred to podiatrist Throughout the charts reviewed, no documentation of protective sensation using the Semmes- Weinstein monofilament or vibration test was found. The findings of this study are consistent with previous research that showed a gap exists between the established standard and the degree to which the standards are met (Fain & Melkus, 1994; Wylie-Rosett et al., 1995). Adequate attention to the problem by health care providers, efforts to increase awareness of foot care standards, and early intervention may be steps to close the gap. Nurses must identify patients at risk for foot problems and actively intervene to prevent complications from occurring.
Medication Practices Among Chinese American Older Adults: A STUDY OF CULTURAL INFLUENCES
Authors: Zhan Lin , Chen Jie 
Published: May 2014

ABSTRACT
The magnitude and intensity of medication use in older individuals have been widely discussed. Yet, a paucity of research data exists on medication practices among community-dwelling Chinese American older adults. This study examined factors associated with medication practices in community-dwelling Chinese American older adults. Data were collected through a descriptive survey. Chinese American older adults (n = 165) from the greater Boston area participated in the survey. The study revealed that ethnocultural barriers and a lack of health insurance significantly influenced medication practices among Chinese American older adults. The study suggested three important implications. First, more ethnoculturally appropriate health services are needed. Secondly, communication between clients and health providers must be improved. Finally, culturally sensitive medication management programs are needed.
GAMBLING BEHAVIORS in Black Older Adults: PERCEIVED EFFECTS ON HEALTH
Authors: Christensen Margaret H , Patsdaughter Carol A 
Published: May 2014

ABSTRACT
Gambling is a popular activity among older adults of multiple ethnic and cultural backgrounds, but gambling research has not focused on elderly individuals or on minority groups. Although most gambling is a social activity, it also could have health implications for older adults. Sixty-seven Black individuals, ages 50 to 88, completed the Massachusetts Gambling Screen and 20 Black older adults were interviewed about gambling behaviors and beliefs about gambling and health. Although participants in this study were low income, they were as active in gambling as the general population. One pathological gambler and two problem gamblers were identified. The correlation between reported overall health and beliefs about the effects of gambling on health was not significant. Researchers, educators, and nurses working with older adults can help define the health implications of gambling on this population.
Decreasing Assault Occurrence on a Psychogeriatric Ward
Authors: Savage Troy , Crawford Ian , Nashed Yousery 
Published: May 2014

An Agitation Management Model
ABSTRACT
An agitation management model providing staff education, quantitative assessment of agitation, and emphasized psychosocial interventions was introduced on a geriatric psychiatry ward for male patients. A within-subjects comparison was made of Cohen -Mansfield Agitation Inventory (CMAI) scores and frequency of committing assault under pre- and post-intervention conditions. Among participants (N = 8) who finished the 72week study, CMAI scores did not differ significantly under either of the study conditions (p > .05, two-tailed t test). Twenty-nine assaults occurred during the pre-intervention time period and six assaults occurred during the post-intervention time period. According to analysis with the Wilcoxon signed ranks test, the distribution of assaults differed significantly between the two time periods (p < .05, two-tailed). Among individuals who were excluded from the intervention because of lack of consent, assaults increased over the same two time periods. Psychosocial interventions intended to reduce agitation among elderly men with dementia may not necessarily serve to decrease agitation, but may serve to decrease assault occurrence.