{"title":"Fall-Related Medications and Fall Risk as Predictors of Fall-Related Hospitalization Among Community-Dwelling Older Adults.","authors":"Tamara Alibrahim, Yvonne Johnston","doi":"10.3928/00989134-20260219-02","DOIUrl":"10.3928/00989134-20260219-02","url":null,"abstract":"<p><strong>Purpose: </strong>To examine fall-related medications and fall risk as predictors of fall-related hospitalizations among a cohort of community-dwelling older adults in the southern tier of New York State.</p><p><strong>Method: </strong>Participants comprised 8,499 patients from 14 primary care practices within a large community hospital system. Bivariate and multivariate analyses were conducted to examine associations between fall-related medications and fall risk, and their interactions as predictors of fall-related hospitalizations.</p><p><strong>Results: </strong>There was a statistically significant association between fall risk and Fall Risk Medication Score (FRMS) with a cut-point ≥6 (χ<sup>2</sup> = 85.145, <i>p</i> < .001), with a weak but significant positive correlation (φ = 0.100, <i>p</i> < .001). Older adults who had fall risk were 1.738 times more likely to have a FRMS ≥6 (95% confidence interval [CI] [1.544, 1.956]). Similarly, there was a statistically significant association between fall risk and FRMS with a cut-point ≥10 (χ<sup>2</sup> = 68.953, <i>p</i> < .001), with a weak but significant positive correlation (φ = 0.090, <i>p</i> < .001). Older adults who had fall risk were 2.348 times more likely to have a FRMS ≥10 (95% CI [1.909, 2.887]). In logistic regression analyses, the interaction between fall risk and FRMS was a significant predictor of hospitalization when controlling for age and sex (<i>p</i> < .001); however, FRMS did not significantly improve the model over fall risk alone.</p><p><strong>Conclusion: </strong>Current tools for assessing and weighing the personal, environmental, and pharmacological factors that influence the likelihood of falls among older adults could be significantly improved through larger cohort studies using significant endpoints, such as fall-related hospitalizations.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"22-32"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navigating Delirium Superimposed on Dementia: Family Care Partners' Experiences and Needs.","authors":"Priyanka Shrestha, Donna M Fick","doi":"10.3928/00989134-20251212-02","DOIUrl":"10.3928/00989134-20251212-02","url":null,"abstract":"<p><strong>Purpose: </strong>To explore family care partners' (FCPs) experiences with delirium superimposed on dementia (DSD) and identify their needs and preferences for education, support, and resources.</p><p><strong>Method: </strong>A qualitative descriptive design was used. Data from 16 FCPs were collected using demographic surveys and semi-structured interviews, which were conducted via telephone and/or Zoom video conference. Thematic analysis identified key patterns and themes.</p><p><strong>Results: </strong>Five key themes were identified: (1) <i>Caught Off Guard: Emotional Strain and Sudden Shifts in DSD</i>; (2) <i>No Two Days the Same: Adapting to the Shifting Demands of DSD Care</i>; (3) <i>Bridging the Gaps: Navigating Support, Advocacy, and Communication in DSD Care</i>; (4) <i>Stabilizing Strategies: Reassuring Presence, Comfort, and Mobility in DSD Care</i>; and (5) <i>Wanting to Help, Not Knowing How</i>.</p><p><strong>Conclusion: </strong>Findings emphasize the need to educate and support FCPs through clinician-led training and community resources to improve caregiving confidence, effectiveness, and dyadic well-being.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"23-30"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rochelle M Kopka, Laura Santurri, Caroline Gwaltney, Lisa Borrero
{"title":"Perspectives of Chronic Wounds and Quality of Life Among Nursing Home Residents: A Descriptive Qualitative Study.","authors":"Rochelle M Kopka, Laura Santurri, Caroline Gwaltney, Lisa Borrero","doi":"10.3928/00989134-20251211-01","DOIUrl":"10.3928/00989134-20251211-01","url":null,"abstract":"<p><strong>Purpose: </strong>To describe older adults' lived experience with a chronic wound in a long-term care (LTC) facility, with the ultimate goal of enhancing well-being and overall quality of life (QoL).</p><p><strong>Method: </strong>A descriptive phenomenological design guided by Colaizzi's method was used. Seven cognitively intact LTC residents with chronic wounds were interviewed using a semi-structured guide. Interviews were analyzed inductively through multiple coding cycles, consensus-building, and member checking.</p><p><strong>Results: </strong>Four interrelated themes were constructed: <i>Lack of Independence</i>, <i>Confinement and Limitations</i>, <i>Interruptions to Daily Life</i>, and <i>Emotional Sequelae</i>. Participants described physical and emotional burdens, a reliance on staff, and disruptions to routines and relationships. Despite challenges, most expressed appreciation for the wound care received in the facility.</p><p><strong>Conclusion: </strong>Chronic wounds deeply affect quality of life and identity. Clinicians should recognize the emotional and social dimensions of wound care. Results can help guide clinicians in LTC facilities to improve residents' wound healing and promote overall QoL.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"18-22"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of a WeChat Mini Program-Based Cognitive Behavioral Therapy for Insomnia on Sleep Quality and Cognitive Function in Older Adults With Mild Cognitive Impairment and Insomnia: A Randomized Controlled Trial.","authors":"YiCan Tian, JinGui Lai, YanMing Qiao, Yan Song","doi":"10.3928/00989134-20251210-02","DOIUrl":"10.3928/00989134-20251210-02","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effects of a 6-week cognitive-behavioral therapy for insomnia (CBT-I) intervention delivered via a WeChat Mini Program on sleep quality and cognitive function among older adults with mild cognitive impairment (MCI) and insomnia.</p><p><strong>Method: </strong>Sixty older adults were recruited from February 2023 to June 2023, 30 older adults in the experimental group received a 6-week intervention based on the WeChat Mini Program, whereas those in the control group received 6 weeks of online sleep health education. Primary outcomes included sleep quality and cognitive function, and secondary outcomes were sleep hygiene, anxiety, and self-efficacy.</p><p><strong>Results: </strong>Significant improvements were observed in sleep quality, cognitive function, sleep hygiene, anxiety, and self-efficacy in the experimental group compared to the control group (<i>p</i> < .05). In addition, findings showed significant enhancements in these areas before and after the intervention within the experimental group (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Results indicate that the WeChat Mini Program-based CBT-I intervention effectively improved sleep quality and cognitive function, enhanced knowledge and habits related to sleep hygiene, increased self-efficacy, and reduced anxiety in older adults with MCI and insomnia.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"41-53"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Pearl: Herbal Supplements in Management of Psychiatric Disorders-Tumeric.","authors":"Cecilia A Nwogu","doi":"10.3928/00989134-20260306-02","DOIUrl":"https://doi.org/10.3928/00989134-20260306-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 4","pages":"64"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Filial Piety: A Core Value of Asian Immigrant Families and Its Role in Healthy Aging.","authors":"Hsin-Ni Lee, Sarah McKiddy","doi":"10.3928/00989134-20260305-01","DOIUrl":"https://doi.org/10.3928/00989134-20260305-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 4","pages":"3-4"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mobile Health App Adoption Among Older Adults: A Technology Acceptance Model Approach.","authors":"Jeeyae Choi, Susan Glose, Valerie Tarte","doi":"10.3928/00989134-20260122-01","DOIUrl":"10.3928/00989134-20260122-01","url":null,"abstract":"<p><strong>Purpose: </strong>To examine factors influencing use of mobile health applications (apps) among older adults using the Technology Acceptance Model (TAM).</p><p><strong>Method: </strong>Data from the University of Michigan National Poll on Healthy Aging (<i>N</i> = 1,013 adults aged ≥65 years) were analyzed. Descriptive statistics and chi-square tests identified demographic factors associated with mobile health app use. Informatics experts categorized reasons for use and non-use via TAM constructs, perceived usefulness (PU) and perceived ease of use (PEOU).</p><p><strong>Results: </strong>Only 27.2% of participants used mobile health apps. App use correlated with demographics and home internet accessibility, although the effect sizes were small. PU motivators included tracking health and seeking information. Barriers to PU and PEOU included lack of interest, awareness, and discomfort with technology.</p><p><strong>Conclusion: </strong>Addressing PU and PEOU is essential to improve app adoption among older adults. Nurses can enhance adoption by promoting digital literacy and supporting user-centered app design with simple navigation and larger fonts.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"11-16"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Home-Visit Cognitive Function Training Among National Long-Term Care Insurance Beneficiaries With Dementia in Korea.","authors":"Sung Ok Han, Hyunjong Song","doi":"10.3928/00989134-20260121-01","DOIUrl":"10.3928/00989134-20260121-01","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effect of home-visit cognitive function training among National Long-Term Care Insurance (LTCI) beneficiaries with dementia in Korea.</p><p><strong>Method: </strong>We performed propensity score matching and difference-in-differences analysis over data from the National Health Insurance Service. The experimental group (<i>n</i> = 215) received home-visit cognitive function training for dementia for ≥6 months. Participants in the control group received general home-visit care.</p><p><strong>Results: </strong>Physical function score increased significantly according to the time effect; the interaction term between time (at 12 months) and home-visit cognitive function training was significant. The interaction term was not significant for cognitive function.</p><p><strong>Conclusion: </strong>Home-visit cognitive function training had a partial effect among LTCI beneficiaries with dementia in Korea. Health care workers specializing in dementia should be educated as professionals who provide nonpharmacological intervention programs.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"55-62"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miriam Carmena Del Viso, Alejandro Mazas, David Navarrete-Villanueva, Carlos Navas-Ferrer, Isabel Iguacel
{"title":"Social Support Networks and Mental Health Among Older Adults Residing in a Nursing Home: A Qualitative Study.","authors":"Miriam Carmena Del Viso, Alejandro Mazas, David Navarrete-Villanueva, Carlos Navas-Ferrer, Isabel Iguacel","doi":"10.3928/00989134-20251111-02","DOIUrl":"10.3928/00989134-20251111-02","url":null,"abstract":"<p><strong>Purpose: </strong>Social support networks are essential for maintaining quality of life among older adults, particularly in nursing homes where loneliness and isolation are common. The current study analyzed the perceived impact of formal and informal social support networks on emotional well-being and evaluated recreational activities as factors promoting social connections among older adult residents in Spain.</p><p><strong>Method: </strong>A qualitative study was conducted using semi-structured interviews with seven nursing home residents. Data were analyzed thematically to identify key aspects of social support and well-being.</p><p><strong>Results: </strong>Participants highlighted the importance of family visits, peer relationships, and nursing staff support in enhancing emotional well-being. Although many reported satisfaction with their social environment, some expressed a need for more diverse recreational activities to foster social interaction. Maintaining external connections was also deemed essential.</p><p><strong>Conclusion: </strong>Strengthening social support networks and increasing opportunities for meaningful social engagement can significantly improve the emotional well-being of older adults residing in long-term care facilities.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"32-39"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}