bluuebunny/crossref_metadata_2025_split huggingface dataset:
USE OF MUSIC to Decrease Aggressive Behaviors in People With Dementia
Authors: Clark Michael E , Lipe Anne W , Bilbrey Melinda 
Published: May 2014

ABSTRACT
The purpose of this study was to examine the effects of recorded, preferred music in decreasing occurrences of aggressive behavior among individuals with Alzheimer's type dementia during bathing episodes. Eighteen older adults, age 55 to 95, with severe levels of cognitive impairment, participated in the study. They were randomly scheduled for observation during bath time under either a control (no music) condition or an experimental condition in which recorded selections of preferred music were played via audiotape recorder during the bathing episode. Following a 2-week (10 episode) observation period, conditions were reversed. A total of 20 observations were recorded for each individual. Results indicated that during the music condition, decreases occurred in 12 of 15 identified aggressive behaviors. Decreases were significant (p < 0.05) for the total number of observed behaviors and for hitting behaviors. During the music condition, caregivers frequently reported improved affect and a general increase in cooperation with the bathing task. The implications of these findings for improving the overall quality of care for severely cognitively impaired older adults are discussed.
Identification of Alcohol-Related Problems in OLDER WOMEN
Authors: Eliason Michele J 
Published: May 2014

ABSTRACT
The stereotype of an alcohol or drug abuser rarely elicits an image of an older woman. However, if an expanded definition of alcohol abuse is considered, many older women are at risk because of normal changes in the body due to aging and the high number of prescription and overthe-counter medications they use. This article reviews current knowledge about alcohol-related problems in older women.
Test of an Educational Brochure on Advance Directives Designed for Well-Elderly People
Authors: Husted Gladys L , Miller M Carroll , Brown Barbara 
Published: May 2014

ABSTRACT
The aim of this study was to test an advance directive brochure designed especially for well-elderly people. The brochure was developed using information from literature on preparing educational materials ana from information gained from well-elderly focus groups. The information sought was in regard to what they knew and what they wanted to know about advance directives and what they found appealing in brochures on advance directives. Twenty well-elderly people participated in the study. Prior to data collection, the brochure was given to 10 nurses who were asked to evaluate it according to the Bernier Instructional Design Scale 2. Out of a possible 280 points, the brochure received 244. The participants in the study were asked to read the brochure and answer 15 questions about the content, user friendliness, and attractiveness of the brochure. The overall results were positive. The first five questions had to do with the appearance of the brochure. All 20 participants responded favorably to these questions. The next 10 questions had to do with understanding the content. A simple percentage was used to calculate the results. The participants understood 90.5% of the content. Based on these results, the brochure should be used in future intervention research and in discussions regarding the education of well-elderly people and the drafting of advance directives.
An Intervention Study to ENHANCE MEDICATION COMPLIANCE in Community-Dwelling Elderly Individuals
Authors: Fulmer Terry T , Feldman Penny Hollander , Kim Tae Sook , Carty Barbara , Beers Mark , Molina Maria , Putnam Margaret 
Published: May 2014

ABSTRACT
Objective: To determine whether daily videotelephone or regular telephone reminders would increase the proportion of prescribed cardiac medications taken in a sample of elderly individuals who have congestive heart failure (CHF).
Methods: The authors recruited community-dwelling individuals age 65 and older who had the primary or secondary diagnosis of CHF into a randomized controlled trial of reminder calls designed to enhance medication compliance. There were three arms: a control group that received usual care; a group that received regular daily telephone call reminders; and a group that received daily videotelephone call reminders. Compliance was defined as the percent of therapeutic coverage as recorded by Medication Event Monitoring System (MEMS) caps. Subjects were recruited from 2 sources: a large urban home health care agency and a large urban ambulatory clinic of a major teaching hospital. Baseline and post-intervention MOS 36-ltem Short-Form Health Survey (SF-36) scores and Minnesota Living with Heart Failure (MLHF) scores were obtained.
Results: There was a significant time effect during the course of the study from baseline to post-intervention (F [2,34] = 4.08, ? < .05). Over the elderly individuals who were called, either by telephone or videotc phone, showed enhanced medication compliance relative to the cot group. There was a trend, but no significant difference between the intervention groups. Both SF-36 and MLHF scores improved from bé line to post-intervention for all groups. There was no significant ch« in the SF-36 scores for the sample, but there was a significant change the MLHF scores (p < .001). The control group had a significant fall in the medication compliance rate during the course of the study, drc ping from 81 % to 57%.
Conclusions: Telephone interventions are effective in enhancing medk tion compliance and may prove more cost effective than clinic vis preparation of pre-poured pill boxes in the home. Technologie advi which enable clinicians to monitor and enhance patient medication cc pliance may reduce costly and distressing hospitalization for elderly viduals with CHF.
The Lived Experience of BEING AT HOME
Authors: Hammer Rita M 
Published: May 2014

A Penomenological Investigation
ABSTRACT
Objective: To describe the essential structure of the lived experience of feeling at home for older adults relocated to alternative care settings which provide some degree of supervision.
Methods: A purposive sample of 10 relocated older adults in three settings (i.e., one life care and two long-term care facilities) was studied using a qualitative design. Data were gathered through interviews and analyzed using Giorgi's (1985) method of phenomenology.
Findings: Fourteen themes existing in a dialectic of "at home" versus "not at home" emerged and were integrated into the essential structure of the phenomenon of home. Elders who felt at home had strong feelings of satisfaction with their lives, security, autonomy, and purpose. Those older adults who did not feel at home were anxious, angry, and depressed, and were consumed by a desire to be elsewhere.
Conclusions: Some individuals have great difficulty establishing a sense of home in alternative settings. Methods of assessing older adults and designing interventions that contribute to establishing a sense of home could prove valuable in enhancing the quality of life for those who must spend their remaining years in settings other than their traditional homes.
Factors Associated With Referral of Elderly Individuals With Cardiac and Pulmonary Disorders for Home Care Services Following Hospital Discharge
Authors: Narsavage Georgia L , Naylor Mary D 
Published: May 2014

ABSTRACT
Referrals for home care services initiated prior to hospital discharge may prevent or delay readmission or nursing home placement, especially for elderly individuals with multiple, chronic health problems. While multiple factors could justify the need for home follow-up after hospital discharge, little is known about those patient factors associated with clinicians' decisions to refer older adults with cardiac or pulmonary disorders. Increased understanding of factors that contribute to initiating a home care referral could enhance clinicians' decision-making and thus improve post-discharge outcomes for these patient groups. This study examined patient factors associated with and predictive of the decision to refer for home follow-up, using a sample of older adults hospitalized with chronic obstructive pulmonary disease (COPD) or congestive heart failure (CHF). Study findings suggest a model that includes patients diagnosed with both COPD and CHF, who are not married, need home health aides, and have a longer than average length of hospital stay may be helpful in predicting the need for home care referrals.
Pressure Ulcer Risk ASSESSMENT in Long-Term Care Nursing
Authors: Vap Pamela W , Dunaye Thomas 
Published: May 2014

ABSTRACT
The intent of this study was to determine whether the typical practice of using risk assessment tools in combination with the federally mandated Minimum Data Set (MDS) actually predict more cases of pressure ulcers (PUs) in long-term care facilities. Data in this study were collected from 555 resident charts in a sample of eight nursing homes. A total of 66 PUs were identified between September 1, 1996 and September 1, 1997 in a comparative test of the predictive abilities of the MDS versus the Braden Scale (BS) patient profiles.
As shown by a Chi square test, the MDS and the BS assesment tools were valid in finding factors that placed residents in jeopardy of developing pressure ulcers: MDS ?2 = 43.68, df= 1 , ? < .0001 and BS ?2 = 52.47, df = 1 , ? < .001 . However, a two-tailed t test, indicated results of the BS were significantly different than the MDS: t = 3.77, df= 97, ? < .003 and BS = ? = 3.77, df= 97, ? < .001.
Both the MDS and the BS identified patient factors: the MDS identified 311 at risk, resulting in accurate prediction of 62 of 66 PUs, while the BS found 172 at risk and predicted only 46 PUs accurately. Therefore, data indicate the BS did not make a significant difference in predicting the incidence of pressure ulcers in this sample of long-term care facilities. These unexpected findings would argue in favor of discontinuing the practice of using the BS for PU risk assessment simultaneously with the MDS, but rather at independent time frames such as immediately upon resident admission. This would continue to support the recommendations of the National Pressure Ulcer Advisory Panel (NPUAP), and at the same time, provide a more timely pressure ulcer risk assessment.
Assessing Elderly Patients with Congestive Heart Failure via In-Home Interactive Telecommunication
Authors: Jenkins Ruth L , McSweeney Maryellen 
Published: May 2014

ABSTRACT
The efficacy of telemedicine technology was tested for equivalence of nursing assessment with chronic congestive heart failure (CHF) home care patients (N = 28). The equivalence of nurses' physical assessment findings was estimated using an innovative two-way, telemedicine audiovisual system. Nurses were randomly assigned to a method of client assessment: on-site (real time) or telemedicine (monitor time). Each assessment was performed within 10 minutes of each other. Assessment variables compared were auscultation of lung sounds, heart sounds, rate and rhythm, blood pressure, weight, edema, respiratory effort, and client's face, lip, and nail color. Eighteen physiological parameters were analyzed, using either the Wilcoxon signed ranks test or the McNemar test. Results indicate few significant differences between the assessments of the real time and monitor time nurses. The monitor nurse was more likely to claim abnormality than the real nurse was when assessing the color of nails (p = .048). The real nurse picked up ankle edema (p = .024), pedal edema (p = .099), and inspiratory wheeze (p = .01) more frequently than did the monitor nurse. Kappa coefficients to determine the extent of agreement between nurse's assessments were significant. Nurses' comments were favorable, but they recommended altering the interview to elicit symptoms not easily observed by the monitor nurse such as diaphoresis. Exit interviews of the elderly patients revealed a favorable reaction to using the telemedicine monitor, citing a quick connection to a nurse and response to their concerns and questions. Both nurses and patients reported the need to have real nurse home visits along with telemedicine visits.
Long-Term Care for Older Adults: The Role of the Family
Authors: Janzen Wonita 
Published: May 2014

ABSTRACT
Family members are involved in all aspects of a frail or ill older adult's care before, during, and after admission into a long-term care facility. However, their role within the facility is not always clearly defined. This article addresses issues regarding facility policies and staff attitudes toward family involvement, particularly whether the family member is seen as an integral part of the care system or peripheral to the care system. An emphasis is placed on the use of open communication to prevent misunderstandings and disagreements between staff and family and to promote good quality care and acceptable quality of life for the resident.
Studying Acute Confusion in Long-Term Care: Clinical Investigation or Secondary Data Analysis Using the Minimum Data Set?
Authors: Culp Kennith , Mentes Janet C , McConnell Eleanor S 
Published: May 2014

ABSTRACT
Clinical investigations of acute confusion have largely been initiated in the acute care setting, where no uniform patient assessment exists. No reliable estimates of the prevalence of acute confusion in long-term care (LTC) residents have been reported. Delirium indicators are present in the nursing home Minimum Data Set (MDS), suggesting that MDS assessments could be used to facilitate studies of acute confusion in LTC. Methods to study acute confusion in LTC are discussed, with an emphasis on the advantages and disadvantages of using secondary analysis of MDS assessments as one research strategy.
RELOCATION Among Ethnic Elders: A REVIEW - Part 2
Authors: Johnson Rebecca A , Tripp-Reimer Toni 
Published: May 2014

ABSTRACT
Relocation to more supportive housing is a potentially stressful life event for older adults. Under the best of circumstances, the older adult will be relatively healthy and able and willing to participate in relocation decisions. However, this is not always possible. Nurses have a critical role to play in helping families identify the most appropriate housing alternative, helping plan the relocation, and helping older adults adjust to their new homes. Relocation is particularly stressful for ethnic elders who may not understand the housing options available, or may fear prejudicial treatment and exclusion in the various settings. Nurses need to take time for careful assessment of the older adults' preferences, and to provide information needed to help them make relocation decisions within the context of their existing support networks.
The 20th Century: Looking Back at the Ambiance of Aging From the Perspective of Age-Specific Journals and Periodicals
Authors: Holkup Patricia A 
Published: May 2014

ABSTRACT
The word "aging" is fraught with nuance, both positive and negative. The purpose of this article is to describe the results of a preliminary exploration of the ambiance of the concept of aging in the United States as seen from the perspective of periodical literature from the past century. A convenience sample of professional journals and lay periodicals concerned with aging and the issues of aging was selected as the focus for this investigation. Specifically, volume one, number one of the selected journals was examined with regard to the date of the first publication, the table of contents, and the first issue editorial or articles in the first volume describing the motivation for the introduction of the journal. Findings indicated that as the century progressed and the study of aging took form, the focus shifted from how to manage the problems of aging to: (a) how to promote healthier young adult lifestyles to increase the chances of a healthy old age, (b) how to continue to maintain older adults' health and therefore, increase the life expectancy for those people older than age 65, and (c) how older adults contribute to the well-being of society. The longevity of the human species, as well as the increasing size of the aging population is a new phenomenon, the ramifications of which are difficult to predict. However, as the emotional tone of the journals in the latter quarter of the century gradually became more positive, it was apparent that consideration was being given to the idea that this phenomenon could be a positive force in the collective growth of humanity.
The Effect of INDIVIDUALIZED ACTIVITIES ON THE SLEEP of Nursing Home Residents Who Are Cognitively Impaired: A PILOT STUDY
Authors: Richards Kathy Culpepper , Sullivan Sheila Cox , Phillips Robin L , Beck Cornelia K , Overton-McCoy Amy Leigh 
Published: May 2014

ABSTRACT
This pilot study investigated a program of individualized activities designed to enhance nocturnal sleep in five cognitively impaired veterans residing in a dementia care unit. Actigraphy documented 24-hour sleep-wake patterns of the residents for 3 days. Those meeting the criteria for inclusion then participated in an Individualized Activity Intervention timed to occur during peak napping times for 14 days. During the 10th, 12th, and 14th days of intervention, actigraphy provided a repeat measure of sleep-wake patterns. The results indicated an increase in nocturnal sleep with increased efficiency, as well as a decrease in daytime napping. This pilot study encourages further investigation of this potential method for enhancing nocturnal sleep in cognitively impaired elderly adults.
Fall Occurrence in a Geriatric Psychiatry Setting Before and After a Fall Prevention Program
Authors: Savage Troy , Matheis-Kraft Carol 
Published: May 2014

ABSTRACT
A fall prévention program providing staff education, quantitative assessment of gait and balance, risk factors assessment, and evidence- based interventions was introduced on two geriatric wards of a regional psychiatric hospital. A within -subjects comparison was made of fall occurrence during the 4-month preintervention phase and the 4-month post-intervention phase using Fisher's exact test. Among those (N = 23) who survived the duration of the study, significantly fewer falls occurred in the post- intervention time period than in the pre-intervention time period (p < 0.01). Comprehensive assessment, problem identification, and intervention planning by nurses may serve to reduce the number of fails among elderly individuals with severe psychiatric disorders.
RESIDENTS' AUTONOMY: Nursing Home Personnel's Perceptions
Authors: Mullins Larry C , Hartley Tina M 
Published: May 2014

ABSTRACTWhile delivering quality care, nursing home personnel may unintentionally adversely affect residents' sense of personal autonomy. Faced with the challenge of respecting resident autonomy and simultaneously adhering to nursing home standards, nursing home staff often experience a frustrating ethical conflict. This study examines the effects of sets of independent variables on six autonomy dimensions to examine nursing home personnel's perceptions of how care was provided in their facility. For each of six case studies, respondents were asked the following question: "If Mr. or Mrs. X were at your facility, what would have been decided?"
Coping Styles of OLDER ADULTS with Ostomies
Authors: Reynaud Sheila Normand , Meeker Bonnie Juve 
Published: May 2014

ABSTRACT
Various clinical studies throughout the years have shown that individuals with ostomies are a unique group facing adjustment demands. One of the most important challenges for an individual with an ostomy is coping with the physiological and psychological changes. The purpose of this study was to describe coping styles of older adults after undergoing ostomy surgery and to explore its helpfulness in dealing with the Stressors related to having an'ostomy. Lazarus and Folkman's theory on stress and coping was used as the framework to guide this study. A sample of 27 participants ranging from age 5Q to 84 years was obtained from an ostomy association in southeastern Louisiana. Participants were asked to complete a demographic data form and the Revised Jalowiec Coping Scale. This revised scale measured eight coping styles related to Use and Effectiveness. Findings revealed significant differences existed among the means of the eight measures for both Use and Effectiveness at p < .01. Results demonstrated that the optimistic and self-reliant styles of coping were the most frequently used as effective styles for coping with an ostomy. This indicated a positive outlook and dependence on oneself rather than dependence on ethers when coping with the Stressors of having an ostomy. There were no statistically significant differences related to gender or ostomy type. Also, aging did not appear to be a factor when considering coping styles of older adults with ostomies. The nursing role should include assessment of the individual preoperatively to identify fears, concerns, and Stressors reJated to having an ostomy. Also, nurses can provide education on disease management, assist with identification of ineffective coping mechanisms, and promote effective coping skills and stress management techniques.
Why Older Adults with Light Care Needs: Enter and Remain in Nursing Homes
Authors: Grando Victoria T , Mehr David , Popejoy Lori , Maas Meridean , Rantz Marilyn , Wipketevis Deidre D , Westhoff Reghnald 
Published: May 2014

ABSTRACT
Many patients in nursing homes receive limited services. In 1996, approximately 17% of the 1.6 million nursing home residents received assistance with two or less activities of daily living (ADL). This descriptive study addressed this issue by investigating why residents with light care needs enter and remain in nursing homes. Residents with light care needs (N = 20) identified by directors of nursing were interviewed to elicit why they entered and remain in nursing homes. Their care level was estimated using the Minimum Data Set (MDS) and Resource Utilization Groups, Version III (RUGIII). In this study, older adults with light care needs who decide to enter and remain in nursing homes were found to be influenced by a prior Hospitalization or a health event; the perceived inability to manage instrumental ADLs (IADLs), ADLs, or health monitoring at home; and lack of knowledge about alternatives to nursing home care. This study demonstrates the vital role nurse case managers can play in both acute care settings and nursing homes. They can help older adults with light care needs to make informed decisions about longterm care, seek out community options, and set in place assistive care systems that can help them age in the community.