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Blackmon, Tami Felicia. "A Nursing Education Program to Decrease Use of Psychotropics Among Dementia Patients." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5979.
Dementia, a clinical condition that affects the psychological ability of patients, is distinguished by a significant overall decline in cognitive function that results in distorted perception. Guiding nursing practice in the long-term care (LTC) setting to decrease the unnecessary use of psychotropics is critical because doing so relates to the patients' quality of life and safety. In the LTC facility that served as the practicum site for this study, there was an observed overuse of psychotropic medications in the care of patients with dementia. The practice-focused question guiding this project asked whether a nursing staff development program would decrease the use of psychotropics in dementia patients. The purpose of the project was to inform nursing staff through an educational program on alternative methods to use when dementia patients exhibit increased disturbing behaviors. The conceptual framework for the project was the knowledge-to-action model. The nursing staff development program had a positive effect on the nursing staff as evidenced by a statistically significant improvement in knowledge and attitudes about the use of psychotropics in caring for dementia patients. The use of psychotropic in the dementia patient decreased from 22.32% to 15.77%, the lowest score achieved by the organization in 5 years. The dementia patients benefited from this project and its positive social change implications for nursing practice by decreasing dementia patients use of psychotropics, minimizing their side effects to the patients and providing an overall feeling of well-being.
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Hansebo, Görel. "Assessment of patients' needs and resources as a basis in supervision for individualised nursing care in nursing home wards : evaluation of an intervention study /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4531-4/.
Ethical decision-making is an integral aspect of gerontic nurses' experiences of caring for nursing home residents and their families. This thesis examines the author's journey into the life-worlds of nine registered nurses working in an Australian nursing home to explore how they manage the ethical problems they encounter in their everyday experience of nursing home life. As a result of interviews, the study revealed that nurses utilized an approach to ethical decision-making not previously described.This approach was identified as being professional, familial, collegial and reciprocal in nature. As an approach to ethical decision-making, respectful relationships is a potential tool for nurses coping with the ethical problems that are an every-day aspect of their professional lives in a nursing home. Respectful relationships can guide nurses' ethical decision-making as they strive to do the right thing
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Sewell, Linda. "Characteristics and Resource Utilization of Patients of a Proprietary Home Health Agency in Rural South Central Kentucky." TopSCHOLAR®, 1997. http://digitalcommons.wku.edu/theses/355.
The home health industry's introduction to managed care raises the prospect of reduced access to health care and poor outcomes for a vulnerable segment of our population—the rural elderly. Before effective intervention strategies can be accurately evaluated, a clearer picture of the sociodemographic features and home care service consumption is needed for this understudied group. The study was intended to provide a basis for future research into the evaluation of alternative methods of delivering effective care in terms of outcome and decreased cost for this population. A retrospective descriptive analysis was made of the patient record for the first six months of care from a proprietary home health agency. Eighty-one charts were examined and features such as age, race, gender, socioeconomic level, functional limitations, family support and literacy were analyzed to provide a profile of the patient population. Resource consumption was measured in terms of the type and frequency of disciplines intervening in each case. Comparison was made between the characteristics of the sample and the resource use. The study provided a composite view of the typical patient: Caucasian, literate, low income female, between 70-80 years of age, without family support. No clear linkage between specific characteristics and resource consumption was found; there was a broad range in the numbers of visits made to patients.
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Cabrera, Amparita L. "The role of group activity participation in depression among institutionalized elderly." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/1954.
The role of group activity participation in depression among a group of residents (N=65), age 80 and older, in a nursing home was examined using the framework of Roy's Adaptation Theory and Nolen-Hoeksema's Response Style Theory of Depression. Roy views depression as a maladaptation. Nolen-Hoeksema views group activity participation as a therapeutic distraction to break depressed moods and thus allow for positive adaptation.
This study utilized data from medical records, group activity attendance, and self-report questionnaires. Demographic distributions were computed and correlational statistics were performed between subjects' participation and their degree of depression, pain experience, functional status, presence of social support, and perception of benefits. Results show a negative correlation between frequency of participation and Geriatric Depression Scale score (GDS). The wide range of measured frequencies among low GDS-scored subjects suggests that less depressed individuals exercise more freedom of choice to participate than those who are more depressed. Significant finding show a positive correlation of group activity participation with functional status in terms of ambulation. Data shows that the experience of pain was not a significant deterrent to participation. The presence of social support from the staff and family did not increase participation. However there is a lesser GDS score among subjects who had recent family/friends visit suggesting a positive role of family in decreasing depression.
These results are significant not only for optimizing group therapeutic effects but also for understanding basic human and environmental correlates of depression. Study limitations are pointed out and recommendations are presented.
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Tramer, Beth A. "Case Study: Geriatric Group Art Therapy in a Nursing Home." Ursuline College / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=urs1210555128.
Rantakari, Minna-Kristiina. "Sjuksköterskans smärtidentifiering hos äldre med demenssjukdom." Thesis, Jönköping University, HHJ, Institute of Gerontology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-1234.
Walters, Veronica Jeanne. "Geriatric Patient Satisfaction with Discharge Medication Information." University of Toledo Health Science Campus / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=mco1149002272.
Anders, Judith E. "Senior Graduating Nursing Students: Career Choices in Gerontological Nursing in Response to Expanding Geriatric Population." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc103285/.
Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the hospital worksite, as it is perceived as being the strongest resource in paying back loans. (d) Nearly 87% are considering the nursing advance practice role, and 52% have interest in the nurse practitioner role. The majority of students identified as very happy with their decision to become a nurse. This study provided insight for schools of nursing as they make curriculum decisions and to businesses as they learn of the preferences and plans of the new emerging nurses.
Gervasini, Alice. "Nursing Consideration." In Geriatric Trauma and Critical Care, 415–22. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-48687-1_40.
Bakaev, Innokentiy, Suzanne M. Gillespie, Casey Rust, and Paul Katz. "Nursing Home Care in the USA." In Geriatric Medicine, 1–13. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-030-01782-8_21-1.
Searle, Samuel, and Ken Rockwood. "Frailty and comprehensive geriatric assessment." In Nursing Older People, 73–84. Abingdon, Oxon; New York, NY: Routledge, 2019.: Routledge, 2019. http://dx.doi.org/10.4324/9781315116129-7.
Sandberg-Cook, Joanne. "Rheumatic Disease in the Nursing Home Patient." In Geriatric Rheumatology, 73–78. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-5792-4_8.
Izatt, Sharron. "Nursing Aspects of the Elderly Patient on Dialysis." In Geriatric Nephrology, 175–82. Dordrecht: Springer Netherlands, 1986. http://dx.doi.org/10.1007/978-94-009-4255-4_19.
Graci, Andrea, Erin Hachez, and Daniel Lavin. "Medical Nursing Care and Communication Barriers." In Inpatient Geriatric Psychiatry, 355–72. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-10401-6_19.
Park, Soo-chul, Hong-sik Kim, and Myung-hee Jung. "A Study of the Factors of Affecting on Patients' Halitosis in Geriatric Hospital." In Healthcare and Nursing 2013. Science & Engineering Research Support soCiety, 2013. http://dx.doi.org/10.14257/astl.2013.40.22.
Sun, Winnie, and Diane Doran. "Using Remote Activity Monitoring and Guideline System for Home Care Clients to Support Geriatric Nursing Care in the Community." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.20.
Martinez Casanova, N., MC Sánchez Argaiz, and M. Valera Rubio. "4CPS-020 Comparison of deprescribing strategies: LESS-CHRON criteria versus the good palliative-geriatric algorithm in a nursing home." In 26th EAHP Congress, Hospital pharmacists – changing roles in a changing world, 23–25 March 2022. British Medical Journal Publishing Group, 2022. http://dx.doi.org/10.1136/ejhpharm-2022-eahp.71.
Tunurrohmin, Zela. "Application of Precede Proceed Model on Factors Affecting Depression Symptom in the Elderly: Evidence from Surakarta, Central Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.44.
ABSTRACT Background: Geriatric depression is a mental and emotional disorder affecting older adults. Social support is an important factor known to moderate the deleterious effects of stress in elderly. This study aimed to determine factors affecting depression symptom in the elderly using PRECEDE PROCEED model. Subjects and Method: A cross sectional study was conducted in Surakarta, Central Java. A sample of 200 elderly was selected for this study by cluster random sampling. The dependent variable was depression. The independent variables were gender, marital status, residence, education, family support, and peer support. The data were collected by questionnaire and analyzed by a multiple linear regression run on Stata 13. Results: The risk of depression in elderly increased with female (b= 5.53; 95% CI= 3.38 to 7.70; p<0.001), unmarried (b= 4.15; 95% CI=1.36 to 6.95; p= 0.004), and living at nursing home (b= 8.16; 95% CI= 5.26 to 11.06; p<0.001). The risk of depression decreased with high education (b= -5.51; 95% CI= -7.49 to -3.51; p<0.001), strong peer support (b= -2.75; 95% CI= -4.92 to -0.58; p= 0.013), and strong family support (b= -5.02; 95% CI= -7.96 to -2.09; p<0.001). Conclusion: The risk of depression in elderly increases with female, unmarried, and living at nursing home. The risk of depression decreases with high education, strong peer support, and strong family support. Keywords: depression, elderly Correspondence: Zela Tunurrohmin. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ze.zelatunurrohmin@gmail.com. Mobile: 082225442002. DOI: https://doi.org/10.26911/the7thicph.01.44
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Carrión Madroñal, IM, E. Martín Alcalde, E. Hoyos Alcañiz, I. Bartolomé Martín, and P. Tardáguila Molina. "4CPS-155 Appropriateness of pharmacotherapy in nursing homes: pharmacy and geriatrics services coordination project." In 26th EAHP Congress, Hospital pharmacists – changing roles in a changing world, 23–25 March 2022. British Medical Journal Publishing Group, 2022. http://dx.doi.org/10.1136/ejhpharm-2022-eahp.169.
