Persistence of pain quality in community-dwelling older adults with chronic non-cancer pain
Chronic geriatric pain is a complex condition to assess and treat. Older age is associated with several highly prevalent comorbid pain conditions including both musculoskeletal and neurologic conditions.1 The impact of pain in older persons goes far beyond physiologic risks to include impaired cognitive function, depression, sleep disturbance, diminished socialization, increased healthcare use and costs, and impaired functional abilities.2 Despite the prevalence and potential impact, stoic attitudes of older adults in pain, myths about pain being a natural element of aging, and fears about potential addiction, can lead to ...
Source: Geriatric Nursing - February 21, 2018 Category: Nursing Authors: Manu Thakral, Ling Shi, Janice B. Foust, Kushang V. Patel, Robert H. Shmerling, Jonathan F. Bean, Suzanne G. Leveille Source Type: research

Restorative activities among bereaved caregivers of nursing home patients
This prospective study examined predictors and correlates of restorative activities in recently bereaved caregivers and their relation to post-bereavement adjustment, namely complicated grief. Participants included 89 caregivers (CGs) age 32 –87 (M age – 63 years) whose care recipients recently died in a long-term care facility (M time since loss = 107 days). Our findings show that being prepared prior to death enables CGs the opportunity to engage in restorative activities post death. Restorative activities partially mediated t he relationship between preparedness prior to death and complicated grief, but this ass...
Source: Geriatric Nursing - February 21, 2018 Category: Nursing Authors: Sarah T. Stahl, Richard Schulz Source Type: research

Persistence of pain quality in community-dwelling older adults with chronic non-cancer pain
Chronic geriatric pain is a complex condition to assess and treat. Older age is associated with several highly prevalent comorbid pain conditions including both musculoskeletal and neurologic conditions.1 The impact of pain in older persons goes far beyond physiologic risks to include impaired cognitive function, depression, sleep disturbance, diminished socialization, increased healthcare use and costs, and impaired functional abilities.2 Despite the prevalence and potential impact, stoic attitudes of older adults in pain, myths about pain being a natural element of aging, and fears about potential addiction, can lead to ...
Source: Geriatric Nursing - February 21, 2018 Category: Nursing Authors: Manu Thakral, Ling Shi, Janice B. Foust, Kushang V. Patel, Robert H. Shmerling, Jonathan F. Bean, Suzanne G. Leveille Source Type: research

Qualitative study of challenges of caring for a person with heart failure
Heart Failure (HF) is a chronic life-limiting condition that affects over six million Americans.1 The risk of HF is clearly age-related, with a prevalence of (Source: Geriatric Nursing)
Source: Geriatric Nursing - February 14, 2018 Category: Nursing Authors: Lauren R. Bangerter, Joan M. Griffin, Shannon M. Dunlay Source Type: research

Quality of experience during horticultural activities: an experience sampling pilot study among older adults living in a nursing home
Horticulture was shown to represent a well-being source for older adults, encompassing the physical, mental and social domains. Aim of this pilot study was to contribute to extant literature through the investigation of the quality of experience associated with horticultural versus occupational activities. A group of 11 older residents of a nursing home were involved in a crossover study with a baseline measure. Participants attended weekly horticultural and occupational sessions for two six-week cycles. (Source: Geriatric Nursing)
Source: Geriatric Nursing - February 12, 2018 Category: Nursing Authors: Marta Bassi, Cecilia Rassiga, Natalia Fumagalli, Giulio Senes Source Type: research

Optimizing insulin delivery for patients with diabetes
Management of diabetes for residents in long-term care settings is particularly challenging, due to the wide range of physical and mental limitations that bear on efficacy of their medications, as well as practical issues associated with the optimal administration of these medications. Foremost among the practical issues for residents requiring insulin injections, is the need to ensure that it is consistently delivered to the circulation at the target rate and dosage, thereby avoiding life-threatening episodes of hypoglycemia. (Source: Geriatric Nursing)
Source: Geriatric Nursing - February 4, 2018 Category: Nursing Authors: Naushira Pandya, Nancy Losben, Jane Moore Tags: Feature Article Source Type: research

Preferences of older inpatients and their family caregivers for life-sustaining treatments in South Korea
This descriptive cross-sectional survey aimed to investigate the preferences of older inpatients and their family caregivers for life-sustaining treatments (LSTs) and their influential factors. Inpatients aged 60 and older and their family caregivers in three acute hospitals in Seoul, South Korea, were invited to participate in the study. A total of 180 surveys were returned from 90 pairs of patients and family caregivers with a response rate of 95%. Older inpatients expressed a significantly high desire for “not wanting to have cardiopulmonary resuscitation” (χ2 = 10.07, p = 0.007) and “mechanical ventilato...
Source: Geriatric Nursing - February 2, 2018 Category: Nursing Authors: Hyeyoung Hwang, Sook Ja Yang, Sarah Yeun-Sim Jeong Source Type: research

Feeding experiences of nursing aides for residents with dysphagia
Since the 1950, most countries have seen decreased fertility and death rates as well as a rapid increase in the aged population. This is called global aging. The global population in 2015 was 7.33 billion including 0.901 billion people over 60 years old (12.3%). By 2030, there will be 8.5 billion people on earth with 1.402 billion over 60 years old (16.5%).1 In Taiwan, the proportion of older adults increased from 7% in 1993 to 13.5% in 2017.2 Approximately, 1,610 facilities in Taiwan R.O.C. provide residential care for an estimated 3.1 million older adults. (Source: Geriatric Nursing)
Source: Geriatric Nursing - February 2, 2018 Category: Nursing Authors: Ching-Kuei Chiang, Yueh-Juen Hwu Source Type: research

Preferences of older inpatients and their family caregivers for life-sustaining treatments in South Korea
This descriptive cross-sectional survey aimed to investigate the preferences of older inpatients and their family caregivers for life-sustaining treatments (LSTs) and their influential factors. Inpatients aged 60 and older and their family caregivers in three acute hospitals in Seoul, South Korea, were invited to participate in the study. A total of 180 surveys were returned from 90 pairs of patients and family caregivers with a response rate of 95%. Older inpatients expressed a significantly high desire for “not wanting to have cardiopulmonary resuscitation” (χ2 = 10.07, p = 0.007) and “mechanical ventilato...
Source: Geriatric Nursing - February 2, 2018 Category: Nursing Authors: Hyeyoung Hwang, Sook Ja Yang, Sarah Yeun-Sim Jeong Source Type: research

Feeding experiences of nursing aides for residents with dysphagia
Since the 1950, most countries have seen decreased fertility and death rates as well as a rapid increase in the aged population. This is called global aging. The global population in 2015 was 7.33 billion including 0.901 billion people over 60 years old (12.3%). By 2030, there will be 8.5 billion people on earth with 1.402 billion over 60 years old (16.5%).1 In Taiwan, the proportion of older adults increased from 7% in 1993 to 13.5% in 2017.2 Approximately, 1,610 facilities in Taiwan R.O.C. provide residential care for an estimated 3.1 million older adults. (Source: Geriatric Nursing)
Source: Geriatric Nursing - February 2, 2018 Category: Nursing Authors: Ching-Kuei Chiang, Yueh-Juen Hwu Source Type: research

GAPNA 2017 Conference and Foundation Awards
As a national professional organization, the Gerontological Advanced Practice Nurses Association (GAPNA) provides multiple opportunities for research, clinical projects and education initiatives. Through its committee structure and local chapters, it also provides opportunities for individual and community leadership. At the GAPNA 36th Annual Conference in Nashville, Tennessee this past October 2017, many individuals and local chapters were recognized for their leadership and contributions towards the care of older adults. (Source: Geriatric Nursing)
Source: Geriatric Nursing - January 12, 2018 Category: Nursing Authors: Valerie K. Sabol Source Type: research

Interdisciplinary development and implementation of a dementia skills training program in a VA community living center: a pilot study
This pilot study investigates the usefulness of a dementia care training program developed by an interdisciplinary team to address problem behaviors associated with dementia. Staff members of a VA Community Living Center completed an 8-hour workshop covering fundamental knowledge about dementia and instruction in skills to use with patients through video, lecture, and role-plays. Measures on dementia knowledge and perceived self-efficacy were completed by staff members before and after the workshop. (Source: Geriatric Nursing)
Source: Geriatric Nursing - January 11, 2018 Category: Nursing Authors: Lindsay A. Gerolimatos, Kyle S. Page, Phyllis Balestracci, Kate L.M. Hinrichs Source Type: research