Driving in Early-Stage Alzheimer's Disease: An Integrative Review of the Literature
<p>One of the most difficult decisions for individuals with Alzheimer's disease (AD) is when to stop driving. Because driving is a fundamental activity linked to socialization, independent functioning, and well-being, making the decision to stop driving is not easy. Cognitive decline in older adults can lead to getting lost while driving, difficulty detecting and avoiding hazards, as well as increased errors while driving due to compromised judgment and difficulty in making decisions. The purpose of the current literature review was to synthesize evidence regarding how individuals with early-stage AD, their families,...
Source: Research in gerontological nursing - April 17, 2017 Category: Geriatrics Source Type: research

Self-Reported Health Status and Malnutrition Risk in Home-Dwelling Korean Older Adult Women
<p>The current cross-sectional study described the prevalence of malnutrition risk and identified its associated factors in home-dwelling Korean older adult women. Nutritional status was assessed by the Nutrition Screening Initiative. Multinomial logistic regression analysis determined predictors of nutritional risk. Of 168 participants (mean age = 76.34 years,<i>SD</i> = 6.51 years), approximately 69.6% were classified as being at moderate/high risk for malnutrition. Results showed that higher levels of physical (odds ratio [OR] = 0.34, 95% confidence interval [CI] [0.12, 0.92]) and emotional (OR = 0.31,...
Source: Research in gerontological nursing - April 17, 2017 Category: Geriatrics Source Type: research

Feasibility and Utility of Online Dementia Care Training for Hospital Staff: The CARES ® Dementia-Friendly Hospital™ Program
<p>The current project tested the feasibility and utility of the CARES ® Dementia-Friendly Hospital™ (CDFH) program, a 4-module, online training program for nursing assistants (NAs) and allied hospital workers (AHWs) who provide care to individuals with dementia. A single group pretest/posttest design was used for 25 hospital NAs/AHWs, and quantitative and qualitati ve data were collected to determine whether NAs'/AHWs' knowledge of hospital-based dementia care significantly increased, and if CDFH was perceived as useful and acceptable. Dementia care knowledge increased significantly (<i>p</i>< 0.00...
Source: Research in gerontological nursing - April 17, 2017 Category: Geriatrics Source Type: research

Influence of Leisure Competence and Level of Leisure Activity on Life Satisfaction in Low-Income Older Adults in Rural South Korea
<p>The purpose of the current study was to investigate the relationships among leisure competence, level of leisure activity, and life satisfaction in low-income older adults in rural South Korea. A sample of 137 older adults answered the study questionnaire, and significant differences in leisure competence were noted depending on age, religion, and perceived health status as well as level of leisure activity based on perceived health status and type of leisure activities. There were also notable differences in life satisfaction regarding religion and perceived health status, and a correlation among leisure competen...
Source: Research in gerontological nursing - April 17, 2017 Category: Geriatrics Source Type: research

RGN's Commitment to Moving Intervention Science Forward: Specifying Targets, Mechanisms of Action, and Outcomes
(Source: Research in gerontological nursing)
Source: Research in gerontological nursing - April 17, 2017 Category: Geriatrics Source Type: research

Driving in Early-Stage Alzheimer's Disease: An Integrative Review of the Literature
One of the most difficult decisions for individuals with Alzheimer's disease (AD) is when to stop driving. Because driving is a fundamental activity linked to socialization, independent functioning, and well-being, making the decision to stop driving is not easy. Cognitive decline in older adults can lead to getting lost while driving, difficulty detecting and avoiding hazards, as well as increased errors while driving due to compromised judgment and difficulty in making decisions. The purpose of the current literature review was to synthesize evidence regarding how individuals with early-stage AD, their families, and prov...
Source: Research in gerontological nursing - March 30, 2017 Category: Geriatrics Source Type: research

Self-Reported Health Status and Malnutrition Risk in Home-Dwelling Korean Older Adult Women
The current cross-sectional study described the prevalence of malnutrition risk and identified its associated factors in home-dwelling Korean older adult women. Nutritional status was assessed by the Nutrition Screening Initiative. Multinomial logistic regression analysis determined predictors of nutritional risk. Of 168 participants (mean age = 76.34 years,SD = 6.51 years), approximately 69.6% were classified as being at moderate/high risk for malnutrition. Results showed that higher levels of physical (odds ratio [OR] = 0.34, 95% confidence interval [CI] [0.12, 0.92]) and emotional (OR = 0.31, 95% CI [0.13, 0.74]) functi...
Source: Research in gerontological nursing - March 30, 2017 Category: Geriatrics Source Type: research

Feasibility and Utility of Online Dementia Care Training for Hospital Staff: The CARES ® Dementia-Friendly Hospital™ Program
The current project tested the feasibility and utility of the CARES ® Dementia-Friendly Hospital™ (CDFH) program, a 4-module, online training program for nursing assistants (NAs) and allied hospital workers (AHWs) who provide care to individuals with dementia. A single group pretest/posttest design was used for 25 hospital NAs/AHWs, and quantitative and qualitati ve data were collected to determine whether NAs'/AHWs' knowledge of hospital-based dementia care significantly increased, and if CDFH was perceived as useful and acceptable. Dementia care knowledge increased significantly (p< 0.001). Open- and closed-ended d...
Source: Research in gerontological nursing - March 30, 2017 Category: Geriatrics Source Type: research

Influence of Leisure Competence and Level of Leisure Activity on Life Satisfaction in Low-Income Older Adults in Rural South Korea
The purpose of the current study was to investigate the relationships among leisure competence, level of leisure activity, and life satisfaction in low-income older adults in rural South Korea. A sample of 137 older adults answered the study questionnaire, and significant differences in leisure competence were noted depending on age, religion, and perceived health status as well as level of leisure activity based on perceived health status and type of leisure activities. There were also notable differences in life satisfaction regarding religion and perceived health status, and a correlation among leisure competence, level...
Source: Research in gerontological nursing - March 30, 2017 Category: Geriatrics Source Type: research

RGN's Commitment to Moving Intervention Science Forward: Specifying Targets, Mechanisms of Action, and Outcomes
(Source: Research in gerontological nursing)
Source: Research in gerontological nursing - March 30, 2017 Category: Geriatrics Source Type: research

Influence of Leisure Competence and Level of Leisure Activity on Life Satisfaction in Low-Income Older Adults in Rural South Korea
In 2015, individuals 65 and older accounted for 13.1% of the population in South Korea, which was a 4.5-fold increase from 1960 (2.9%) and a 1.4-fold increase from 2005 (9.1%) (Statistics Korea, 2015a). The South Korean older adult population is expected to reach 24.3% by 2030 and 40.1% by 2060 —one of the fastest rates of older adult population growth among the Organization for Economic Co-operation and Development members (Statistics Korea, 2015c). South Korea is currently ranked highest in the national index of aging (Statistics Korea, 2015b). This increase in the older adult populati on (Source: Research in gerontological nursing)
Source: Research in gerontological nursing - March 27, 2017 Category: Geriatrics Authors: Jihea Choi, PhD, RN Source Type: research

RGN's Commitment to Moving Intervention Science Forward: Specifying Targets, Mechanisms of Action, and Outcomes
Recently, there has been an increase in the number of gerontological research journals being published and a concomitant increase in the number of articles published on aging. On the face of it, more science and more publication in gerontology sound good for the field. But more is not necessarily better. As Editor of Research in Gerontological Nursing (RGN), I have a responsibility to publish articles that are notable for making a contribution to science. Replication studies contribute to science, but only up to a certain saturation point. Researchers also need to use published data as the (Source: Research in gerontological nursing)
Source: Research in gerontological nursing - March 27, 2017 Category: Geriatrics Authors: Christine R. Kovach, PhD, RN, FAAN, FGSA Source Type: research

Modes of Decision Making Used by Nursing Home Residents and Their Families When Confronted With Potential Hospital Readmission
The purpose of the current study was to characterize the decision-making processes used by nursing home (NH) residents and their families when confronted with an acute change in condition and the choice of transfer to the hospital or treatment in the NH. Using cognitive task analysis, 96 residents and 75 family members from 19 NHs were asked how they would make this choice. Fifty-one residents (53%) and 61 family members (81%) used a deliberative mode characterized by seeking information and weighing risks and benefits. Ten residents (10%) and five family members (7%) used a predominantly emotion-based mode characterized b...
Source: Research in gerontological nursing - September 28, 2016 Category: Geriatrics Source Type: research

Predicting Off-Label Antipsychotic Medication Use in a Randomly Selected Nursing Home Sample Based on Resident and Facility Characteristics
Reducing off-label antipsychotic medication use for behavioral and psychological symptoms of dementia (BPSD) in nursing home residents has been a centerpiece of government regulation, but without insight into utilization differences based on resident and facility characteristics. To examine whether resident and facility characteristics can predict off-label antipsychotic medication treatment for BPSD, residents prescribed antipsychotic medication (N = 216) from 17 Maryland nursing facilities were randomly selected. Based on physician diagnoses, 59.7% of participants were taking off-label antipsychotic medications for BPSD....
Source: Research in gerontological nursing - September 28, 2016 Category: Geriatrics Source Type: research

Driving in Early-Stage Alzheimer's Disease: An Integrative Review of the Literature
One of the most difficult decisions for individuals with Alzheimer's disease (AD) is when to stop driving. Because driving is a fundamental activity linked to socialization, independent functioning, and well-being, making the decision to stop driving is not easy. Cognitive decline in older adults can lead to getting lost while driving, difficulty detecting and avoiding hazards, as well as increased errors while driving due to compromised judgment and difficulty in making decisions. The purpose of the current literature review was to synthesize evidence regarding how individuals with early-stage AD, their families, and prov...
Source: Research in gerontological nursing - September 28, 2016 Category: Geriatrics Source Type: research