bluuebunny/crossref_metadata_2025_split huggingface dataset:
Holding On: Self-Caring with Osteoarthritis
Authors: Baird Carol L 
Published: May 2014

ABSTRACT
As women age, they frequently have increasing difficulties with physical functioning associated with osteoarthritis (OA). An understanding of how elderly adults care for their health is necessary to assist older women to live independently. Self-care of five community-dwelling women with OA was investigated through an interpretative descriptive study. A phenomenologic and naturalistic inquiry framework was used. Interviews were conducted using an interview guide. Deconstruction and reconstruction by constant comparison were used for analysis. Participants told stories categorized as Holding On to Present Self, Holding On to Ableness, Holding On to Being Interested and Being Interesting, Holding On By Seeking to Know, and Holding On by Purposefully Choosing and Acting. Older women with OA may have strengths of self-caring, including positive appraisal of their OA and capabilities, maintenance and development of skills, and remaining interested in the world. Health professionals can support clients by assessing strengths and difficulties and helping clients modify activities and to find resources necessary for independent living.
Mealtimes In Nursing Homes: THE ROLE OF NURSING STAFF
Authors: Pearson Alan , Fitzgerald Mary , Nay Rhonda 
Published: May 2014

ABSTRACT
The literature suggests that food service largely has become identified as a non-nursing duty and as a task that should be completed as quickly as possible. This conflicts with the evidence that social interaction at mealtimes has the potential to promote well being. Using observational and interview techniques, the social and functional context of meal service in 10 nursing homes was examined in this study. The findings from the observation of and interviews with staff are reported in this article. Three broad themes describing the cultural practices of nursing home staff during mealtimes are identified as follows: maintaining personal identity, assisting individuals to eat, and maintaining interaction. Alongside residents' general outward acquiescence to the service, nurses did not see problems and deficiencies with the service observed by the researchers or reported by the residents. Recommendations to improve mealtime service in nursing homes have been put forward in an effort to enlighten staff.
Analysis of the Concept of Aloneness: AS APPLIED TO OLDER WOMEN BEING TREATED FOR DEPRESSION
Authors: Pierce Linda L , Wilkinson Laura K , Anderson Judith 
Published: May 2014

ABSTRACT
The concept of aloneness is examined in very few published materials. This article analyzes the concept of aloneness through the experiences of eight older women being treated for depression. When the women were depressed, they viewed aloneness as being vulnerable, fearful, helpless, and as having a loss of control of self and identity confusion. As the women progressed in their recovery from depression, they viewed aloneness as being self-reliant, hopeful, and resourceful and as having self-determination and self-reflection. Establishing and clarifying the meaning of aloneness for older women during their depression and during their recovery from depression is basic to using the concept of aloneness in nursing theory development and in gerontological nursing practice, education, and research.
Health Characteristics of Elderly Residents in Personal Care Homes: Dementia, Possible Early Dementia, And No Dementia
Authors: Quinn Mary Ellen , Johnson Mary Ann , Andress Elizabeth L , McGinnis Pat 
Published: May 2014

ABSTRACT
Personal care homes are becoming an integral part of the gerontological health care environment. This exploratory descriptive study compares the health characteristics of elderly personal care home residents without dementia or cognitive impairment, residents with possible early dementia, and residents with dementia. Results indicate a number of residents with possible early dementia, but without a diagnosis of dementia, may be residing in personal care homes. Additionally, the three groups may have distinctly different service needs. Residents with dementia were particularly at risk for problems with decision-making, communication, and impaired instrumental activities of daily living (IADL). Medication management for residents with dementia emerged as a particular concern. Most physical health characteristics, such as health care usage, were not significantly different in the three groups. Suggestions for strategies to promote the health and well-being of this growing population are discussed.
Family and Staff Partnerships in Long-Term Care: A Review of the Literature
Authors: Bauer Michael , Nay Rhonda 
Published: May 2014

ABSTRACT
Working with the family in aged care to provide the best care possible is consistent g with modern nursing philosophy, which espouses holistic care. The quality and enjoyment of the experience, however, is frequently fraught with problems and challenges for both the family and the staff involved. In residential aged care, ? partnerships are a complex I mix of interactions among the older adult resident, the family, and the caregiving staff. To understand how · family involvement in this I environment can be made I more meaningful, nurses I eed to be cognizant of how amily members experience ie caregiving role and how iey are perceived by ursing home staff and 'esidents. The relevant terature of the past 20 ears is reviewed and key isues central to an mderstanding of "family :are" in the nursing home rom the perspective of the amily, the nursing home esident, and the nursing I iome staff are highlighted in his article.
Creating a Therapeutic Psychosocial Environment in Dementia Care: A Preliminary Framework
Authors: Werezak Leona J , Morgan Debra G 
Published: May 2014

ABSTRACT
Research in dementia care during the past few years has focused on identifying and designing therapeutic physical environments while the psychosocial environment has remained a largely unexplored domain. More recently, discussions regarding the effect of the social environment on individuals with dementia have increased in the literature. Nevertheless, the authors suggest the term "social environment" does not adequately represent the critical psychological and emotional effect social interaction has on individuals with cognitive impairment. Through an examination of the literature, three conceptual frameworks, and clinical observations of several special care units (SCUs), the authors suggest that the psychosocial environment is the most important element of institutional dementia care. A preliminary conceptualization is offered which identifies the elements necessary to facilitate a supportive psychosocial environment in long-term care. The potential benefits of implementing such a model include preservation of personhood, simple recognition of remaining abilities and a decreased focus on disabilities, and reduction of pharmacologie therapy for disruptive behavior resulting in overall improvement in quality of life.
Older Adults with Osteoarthritis: Psychological Status and Physical Function
Authors: Kee Carolyn C 
Published: May 2014

ABSTRACT
The purpose of this study was to identify how sododemographic characteristics such as age, race, and socioeconomic status; psychosocial factors of hardiness, health promotion practices, and social support; health status; and pain are related to the ability of older, community-residing individuals with osteoarthritis (OA) to maintain psychological equilibrium and physical function. A total of 81 older adufe with OA completed a survey that induded a sododemographic data form, a hardiness scale, a measure of health promoting practices, and five subscales from the Arthritis Impact Measure Scale 2 on social support, general health status, pain, and psychological status and physical function. Analyses using multiple regression showed that hardiness, pain, and social support were significant contributors to psychological status and physical function and, respectively, accounted for 53% and 54% of the variance. By knowing about OA and being aware of factors that contribute to maintaining independence in individuals with OA, nurses can provide expert help to aging individuals.
Anxiety and Nighttime Behavioral Disturbances: Awakenings in Patients with Alzheimer's Disease
Authors: McCurry Susan M , Gibbons Laura E , Logsdon Rebecca G , Teri Linda 
Published: May 2014

ABSTRACT
This study was conducted to describe the relationship between anxiety and nighttime behavioral disturbance in a community-dwelling sample of patients with Alzheimer's disease (AD). Data from 153 patients with probable or possible AD and their family caregivers were analyzed using logistic regression modeling. Ratings of nighttime behavioral disturbance were based on caregiver reports of how often patients had awakened them at night during the past week. Standardized ratings for patient cognitive, functional, and behavioral status, and for caregiver sleep, depression, and burden were collected. Fifty-six percent of the patients with AD showed symptoms of anxiety, and 29% had awakened their caregiver at least once at night during the past week. Patient awakening was associated with higher levels of patient anxiety (odds ratio [OR] = 2.1; confidence Interval [Cl] = 1.4, 2.9) and patient impairments in activities of daily living (OR = 1.6, Cl = 1.2, 2.3). No other demographic, cognitive, functional, or behavioral variables were significant, including depression. In un i varíate analyses, individual patient anxiety symptoms (e.g., feeling anxious; showing physical signs of anxiety, agitation, and irritability) were significant risk factors for patient awakenings. Of these, showing physical signs of anxiety remained a significant risk factor in multivariate analyses. Results suggest that anxiety and nighttime awakening are highly interrelated in patients with moderate dementia due to AD1 and treatments targeting both may be more efficacious than those focusing on anxiety or sleep alone. They also reveal the importance of assessing anxiety as well as depression in the research and clinical care of patients with AD.
Compiling Life History Resources for Older Adults in Institutions: Development of a Guide
Authors: Reichman Sonia , Leonard Carol , Mintz Tessa , Kaizer Cindy , Lisner-Kerbel Heather 
Published: May 2014

ABSTRACT
Focus groups were conducted for nursing staff, visiting family members, and residents of a long-term care facility, with the purpose of developing a guide for compiling a life history resource. When compiling the proposed guideline, one must consider not only the topics to include, but also the process of collecting the information and the format for presentation. A key finding was that members of all three groups believed that the process of sharing and collecting life history information was an important step in promoting and enhancing the relationship between nursing staff and residents, and nursing staff and residents' families.
Multisensory Environments for Leisure: Promoting Well-being in Nursing Home Residents With Dementia
Authors: Cox Helen , Burns Ian , Savage Sally 
Published: May 2014

ABSTRACT
Multisensory environments such as Snoezelen® rooms are becoming increasingly popular in health care facilities for older individuals. There is limited reliable evidence of the benefits of such innovations, and the effect they have on residents, caregivers, and visitors in these facilities. This two-stage project examined how effective two types of multisensory environments were in improving the well-being of older individuals with dementia. The two multisensory environments were a Snoezelen room and a landscaped garden. These environments were compared to the experience of the normal living environment. The observed response of 24 residents with dementia in a nursing home was measured during time spent in the Snoezelen room, in the garden, and in the living room. In the second part of the project, face-to-face interviews were conducted with six caregivers and six visitors to obtain their responses to the multisensory environments. These interviews identified the components of the environments most used and enjoyed by residents and the ways in which they could be improved to maximize well-being.
Gerontology Coursework in Undergraduate Nursing Programs in the United States: A Regional Study
Authors: Grocki Julie H , "Bert" Fox Glenn E 
Published: May 2014

ABSTRACT
Because of the changing demographics, it is increasingly necessary for nurses to acquire competence in gerontology. In this article, the authors present the findings of a study investigating the extent to which undergraduate nursing programs in the United States include gerontology. Fifty-six undergraduate nursing programs in the United States were examined. In this study, course content and program curricula were examined to assess the extent to which programs include gerontological content, either integrated into other courses, or as required, stand-alone courses. The sample was randomly chosen from the Northeast, South, West and Midwest regions. All programs were accredited. More than 85% of programs evaluated did not require coursework in gerontology. The authors suggest that nurses are not being educated adequately to care for older adults.
EFFECTS OF Urinary Incontinence: Psychological Well-Being and Distress in Older Community-Dwelling Women
Authors: Heidrich Susan M , Wells Thelma J 
Published: May 2014

ABSTRACT
Urinary incontinence (Ul) has been related to lower quality of life. However, the research has generally been cross- sectional, and causal relationships have not been determined. This research was a secondary analysis of a 6-year longitudinal study of chronic illness and psychological well-being in older (mean age = 73 at Time 1), community-dwelling women (n = 103). Over time, women with Ul reported significantly lower subjective health, purpose in life, affect balance, personal growth, positive relations with others, and self-esteem and higher scores for depression, compared to women without Ul. Incontinence had broad effects on multiple domains of psychological wellbeing that persisted over time and need to be addressed by clinicians.
PROMOTING SAFER HOME ENVIRONMENTS for Persons With Alzheimer's Disease: The Home Safety/Injury Model
Authors: Hurley Ann C , Gauthier Mary Anne , Horvath Kathy J , Harvey Rose , Smith Sally J , Trudeau Scott , Cipolloni P B , Hendricks Ann , Duffy Mary 
Published: May 2014

ABSTRACT
This article describes a Home Safety/Injury Model derived from Social Cognitive Theory. The model's three components are safety platform, the person with dementia, and risky behaviors. The person with dementia is in the center, located on the safety platform composed of the physical environment and caregiver competence. The interaction between the underlying dementia and indicators of frailty can lead to the person with dementia performing risky behaviors that can overcome the safety platform's resources and lead to an accident or injury, and result in negative consequences. Through education and research, the model guides proactive actions to prevent risky behaviors of individuals with dementia by promoting safer home environments and increased caregiver competence.
Elder Care Supportive Interventions Protocol: Reducing Discomfort in Confused, Hospitalized Older Adults
Authors: Miller Judy , Campbell Jane , Moore Katherine , Schofield Anna 
Published: May 2014

ABSTRACT
This study tested the Elder Care Supportive Interventions Protocol (ECSIP), which are nursing and family support interventions designed to reduce discomfort and the associated consequences of delirium, impaired physical function, and need for post-hospital care in hospitalized older adults experiencing confusion from delirium or dementia. All adults older than age 74 or older than age 64 if from a nursing home who were admitted to the medical and surgical units of a tertiary care hospital were screened for a diagnosis of dementia, dependence on functional activities, or delirium. The ECSIP includes interventions to prevent and control discomfort, and to promote environmental organization and familiarity. Outcome measures administered within 48 to 72 hours of admission and again within 24 hours prior to discharge included the modified Discomfort Screen - Dementia Alzheimer's Type, NEECHAM Confusion Scale, and Katz Index of Activities of Daily Living. Patients problems with delirium and impaired physical function improved over hospitalization but were still pronounced at discharge. With the exception of reduced discomfort, there were no significant treatment effects for patients, which is attributed, in part, to inadequate implementation of the ECSIP protocol by nursing staff.
Assaultive Behavior in Alzheimer's Disease: IDENTIFYING IMMEDIATE ANTECEDENTS DURING BATHING
Authors: Somboontanont Wilaipun , Sloane Philip D , Floyd Frank J , Holditch-Davis Diane , Hogue Carol C , Mitchell C Madeline 
Published: May 2014

ABSTRACT
To identify immediate antecedents of bathing-related physical assaults against caregivers by nursing home residents with Alzheimer's disease and related disorders, videotapes of nursing home residents who physically assaulted nursing assistants during baths were analyzed. Caregiver behaviors that occurred significantly (p < .01) more often during the 5 seconds preceding an assault included: calling the resident by name, confrontational communication, invalidation of the resident's feelings, failure to prepare the resident for a task, disrespectful speech, any touch, absence of physical restraint, and hurried pace of bath. Assaults were significantly more likely when caregivers sprayed water without a verbal prompt; the resident's feet, axilla, or perineum were touched; residents exhibited signs of temperature discomfort; and multiple caregivers were present. Improved caregiver training and individualized, gentler bathing methods should be investigated as methods of reducing assaults.
Older Adults and THE ARTS: The Importance of Aesthetic Forms of Expression in Later Life
Authors: Wikström Britt-Maj 
Published: May 2014

ABSTRACT
The purpose of this study was to examine the importance of aesthetic forms of expression in a randomly selected Swedish population age 65 to 89. Data were based on semi-structured interviews with 166 participants. Results revealed dance, music, literature, and pictures were important for this group of elderly individuals in promoting successful aging, and the connection to their everyday life was apparent. Participants considered viewing natural scenes and looking in a photo album as important aesthetic activities. The aesthetic forms of expression contributed to physical and intellectual activities, as well as to interaction with other individuals. Aesthetic experiences were related to feelings of timelessness and spacelessness, and served as sources of gratification.
UNRECOGNIZED Chronic Dehydration in Older Adults: Examining Prevalence Rate and Risk Factors
Authors: Bennett Jill A , Thomas Valorie , Riegel Barbara 
Published: May 2014

ABSTRACT
Dehydration has serious consequences for older adults, including increased risk of illness or death. This retrospective review of medical records describes the prevalence, assessment, and risk factors for chronic dehydration in 185 older adults who visited an emergency department in June 2000. Results showed chronic dehydration was present in 89 (48%) patients. Physicians documented assessment for signs of dehydration in 23 (26%) of the dehydrated older adults, but no independent assessments for dehydration were recorded by nurses. These findings indicate many older adults may suffer from unrecognized dehydration, and nurses should be alert to the possibility that dehydration may be present in community-dwelling older adults as well as those who live in residential facilities.
OLDER ADULTS AND Autonomy in Acute Care: Increasing Patients' Independence and Control During Hospitalization
Authors: Jacelon Cynthia S 
Published: May 2014

ABSTRACT
In a grounded theory study of the experience and actions of hospitalized older adults, autonomy emerged as a major focus, particularly during the last phase of hospitalization. Autonomy, defined in the derived theory as older adults' freedom and ability to act on their own behalf, has two components: independence (the physical ability to act) and control (the ability to make decisions on one's own behalf). Being in the hospital threatens the autonomy of older adults. This article describes changes in the autonomy of older adults throughout hospitalization and makes recommendations for improving their autonomy through acute care hospital system redesign.
Expectations for Care: Older Adults' Satisfaction With and Trust in Health Care Providers
Authors: Hupcey Judith E , Clark Mary Beth , Hutcheson Cristina R , Thompson Virginia L 
Published: May 2014

ABSTRACT
This study sought to determine whether community-dwelling older adults' expectations for care were met by identifying factors that influence trust in and satisfaction with health care providers. Data were collected using a demographic questionnaire and focus group methodology. A total of 39 older adults participated in 8 focus groups. Three categories of themes were identified: a sense of personal touch, technical proficiency, and environmental factors. These categories related to individual providers or practice environments. When providers and practice settings met expectations for care, then the elderly individual was satisfied. Trust was more complex, as the older adults indicated they could be satisfied but not trust providers or they could trust providers but not be satisfied. Implications for practice include spending quality time with older adults and treating them as individuals.
EVERYDAY ETHICS in Assisted Living Facilities: A Framework for Assessing Resident-Focused Issues
Authors: Powers Bethel Ann 
Published: May 2014

ABSTRACT
This article describes and illustrates a framework that may be used when assessing the moral basis of everyday issues that can affect residents of assisted living facilities. The "taxonomy of everyday ethical issues" was an outcome of ethnographic research focused on care of nursing home residents with dementia. However, in this article it is shown to be equally relevant for conceptualizing issues affecting cognitively intact as well as cognitively impaired residents across these two settings. The taxonomy is grounded in some of the more common cultural characteristics of congregate living arrangements for elderly individuals who have needs for varying levels of compensatory and therapeutic oversight by a staff of service providers.
Nurse Staffing in Nursing Homes in the United States: Part I
Authors: Harrington Charlene 
Published: May 2014

ABSTRACT
This study described the nurse staffing standards in nursing homes in all states and the District of Columbia in 2000 to 2001. An Internet survey of state statutes and regulations and a structured telephone survey of state officials were used to collect data for this descriptive study. Almost half of the states had higher licensed nurse (registered nurse and licensed vocational nurse) requirements than the federal government and 33 states had established minimum state requirements for direct care workers (including nursing assistants). Thirteen states had increased their state standards i n the 1999 to 2001 period. Federal standards for nursing homes lag behind those in many states.