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Role of Dietary Supplements for Brain Health in Older Adults. 膳食补充剂对老年人大脑健康的作用。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-04-01 Epub Date: 2026-02-26 DOI: 10.3928/00989134-20260204-02
Cindy Van, Nicole Brandt
{"title":"Role of Dietary Supplements for Brain Health in Older Adults.","authors":"Cindy Van, Nicole Brandt","doi":"10.3928/00989134-20260204-02","DOIUrl":"10.3928/00989134-20260204-02","url":null,"abstract":"<p><strong>Purpose: </strong>Dietary supplements are commonly used by older adults for concerns such as memory loss or to slow the progression of Alzheimer's disease. However, these agents are not regulated by the U.S. Food and Drug Administration. Furthermore, there are limited long-term studies evaluating safety and efficacy, especially in older adults. The intent of the current article is to review the recent literature on commonly used dietary supplements in older adults to reduce the risk of cognitive decline and dementia.</p><p><strong>Method: </strong>Systematic reviews and/or meta-analyses published within the past 10 years were reviewed to provide recommendations on the use of dietary supplements for brain health.</p><p><strong>Results: </strong>There is limited evidence supporting the efficacy of commonly used dietary supplements but there are germane safety concerns that need to be considered by the interprofessional team.</p><p><strong>Conclusion: </strong>Future research should prioritize standardized dosing, diverse older adult populations, and long-term outcomes focusing on efficacy and safety.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"5-10"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306712","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}
引用次数: 0
Evaluating the 4Ms of Age-Friendly Nursing Homes During COVID-19. COVID-19期间对老年友好型养老院4Ms的评估
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-10-20 DOI: 10.3928/00989134-20251010-04
Theresa Watts, Ezra C Holston, Suchawadee Yimmee
{"title":"Evaluating the 4Ms of Age-Friendly Nursing Homes During COVID-19.","authors":"Theresa Watts, Ezra C Holston, Suchawadee Yimmee","doi":"10.3928/00989134-20251010-04","DOIUrl":"10.3928/00989134-20251010-04","url":null,"abstract":"<p><strong>Purpose: </strong>To describe changes in the 4Ms-What Matters, Medication, Mentation, and Mobility-from before and the first 6 months of the coronavirus disease 2019 pandemic among nursing home residents.</p><p><strong>Method: </strong>Measures included able to express self, understand verbal content, medication use, depression and cognitive status, locomotion support, and use of assisted mobility devices. Measures were compared between the pre-pandemic period to the first and second 3 months of the pandemic among 85 residents.</p><p><strong>Results: </strong>Between the baseline and follow-up pandemic quarters, residents experienced declines in ability to express themselves, had increases in the use of depression medication, and needed more locomotion support over time. There were improved and worsening symptoms for depression and cognitive status between the baseline and follow-up pandemic quarters.</p><p><strong>Conclusion: </strong>Strengthening nursing homes' ability to sustain the 4Ms during a public health crisis is essential for providing quality care.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"21-28"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301320","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}
引用次数: 0
Age-Friendly Integrative Mobile Services: A 4Ms Pilot for Community-Dwelling Older Adults. “长者友好”综合流动服务：为社区居住的长者提供4Ms试验服务
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-12-18 DOI: 10.3928/00989134-20251210-03
Kimberly Posey, Gina Alexander, Amanda Sease, Bekki McKintosh, Marcus Zavala, Francesca Gentea, Kevin Knight
{"title":"Age-Friendly Integrative Mobile Services: A 4Ms Pilot for Community-Dwelling Older Adults.","authors":"Kimberly Posey, Gina Alexander, Amanda Sease, Bekki McKintosh, Marcus Zavala, Francesca Gentea, Kevin Knight","doi":"10.3928/00989134-20251210-03","DOIUrl":"10.3928/00989134-20251210-03","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the feasibility and preliminary outcomes of Age-Friendly Integrative Mobile Services (AIMS), a community-based model guided by the 4Ms Framework to address complex needs of underserved older adults aging in place.</p><p><strong>Method: </strong>This longitudinal pilot enrolled adults aged ≥65 years who received in-home assessments, a mobile health unit visit, and follow-up encounters at 1 and 3 months. Nurse practitioner-pharmacist collaboration supported medication reviews and personalized care planning.</p><p><strong>Results: </strong>Seven participants enrolled (mean age = 70 years). Frequent needs included transportation, home modifications, food insecurity, and legal aid. Three participants showed possible cognitive impairment and four were at risk for falls. All received social prescriptions aligned with goals. Interprofessional collaboration resulted in deprescribing and tailored education to improve adherence. Follow up showed increased engagement with services.</p><p><strong>Conclusion: </strong>The AIMS pilot demonstrated feasibility and acceptability of a nurse-led, person-centered model. Community-based, age-friendly care may address disparities and promote safe aging in place.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"14-20"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774733","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}
引用次数: 0
What Matters: Learning From Patients to Transform Age-Friendly Care. 重要的是：向病人学习，转变老年友好型护理。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-10-20 DOI: 10.3928/00989134-20251010-02
Jarmin Yeh, James D Harrison, Julia Adler-Milstein
{"title":"What Matters: Learning From Patients to Transform Age-Friendly Care.","authors":"Jarmin Yeh, James D Harrison, Julia Adler-Milstein","doi":"10.3928/00989134-20251010-02","DOIUrl":"10.3928/00989134-20251010-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"72-74"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12616414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing Academic-Practice Partnerships With Age-Friendly Health Systems: Overview of the Revisiting the Teaching Nursing Home Pilot Initiative (2021 to 2023). 加强与老年人友好型卫生系统的学术实践伙伴关系：重新审视教学养老院试点计划概述（2021年至2023年）。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-10-20 DOI: 10.3928/00989134-20251010-07
Nancy D Zionts, JoAnne Reifsnyder, Emily K Franke, Chelsea Dickson, Kenna Campbell, Howard B Degenholtz
{"title":"Enhancing Academic-Practice Partnerships With Age-Friendly Health Systems: Overview of the Revisiting the Teaching Nursing Home Pilot Initiative (2021 to 2023).","authors":"Nancy D Zionts, JoAnne Reifsnyder, Emily K Franke, Chelsea Dickson, Kenna Campbell, Howard B Degenholtz","doi":"10.3928/00989134-20251010-07","DOIUrl":"10.3928/00989134-20251010-07","url":null,"abstract":"<p><strong>Purpose: </strong>To provide an overview of the Revisiting the Teaching Nursing Home (RTNH) pilot initiative, lessons learned, and recommendations for future projects.</p><p><strong>Method: </strong>The RTNH pilot initiative (2021-2023) implemented a contemporary version of the Teaching Nursing Home (TNH) model in Pennsylvania. This initiative demonstrated how enhanced partnerships between academic nursing schools and nursing homes improve nursing home resident care, nursing student education, and nursing faculty support.</p><p><strong>Results: </strong>Drawing upon existing resources from the Age-Friendly Health Systems and the original TNH model implementation from the 1980s, the RTNH pilot illustrated the varied benefits of a formalized academic-practice partnership combined with a practice framework on nursing home residents and nursing home staff, and nursing students and faculty.</p><p><strong>Conclusion: </strong>The momentum and promising outcomes of the pilot have resulted in the expansion of the initiative's Phase II (2023-2026), which aims to deepen relationships between schools of nursing and nursing homes across Pennsylvania and the country.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"29-34"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301288","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}
引用次数: 0
Improving Delivery of an Age-Friendly Health System in a Geriatrics Primary Care Clinic: Mobility Focus. 改善老年初级保健诊所中老年人友好型卫生系统的交付：流动性重点。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251112-06
Rochelle M Carlson, Cassie Belzer
{"title":"Improving Delivery of an Age-Friendly Health System in a Geriatrics Primary Care Clinic: Mobility Focus.","authors":"Rochelle M Carlson, Cassie Belzer","doi":"10.3928/00989134-20251112-06","DOIUrl":"10.3928/00989134-20251112-06","url":null,"abstract":"<p><strong>Purpose: </strong>Falls are a leading cause of morbidity and mortality among older adults. The Age-Friendly Health Systems 4Ms Framework identifies objective mobility screening and follow up as essential health care for older adults, yet objective mobility screening is challenging to complete and often missed in primary care appointments.</p><p><strong>Method: </strong>In the current project, objective mobility screening was changed from Timed Up and Go to visual gait speed in a geriatrics primary care clinic in a Plan, Do, Study, Act rapid process improvement project with four 2-week cycles. Data were collected through electronic health record audits and surveys.</p><p><strong>Results: </strong>Objective mobility screening using the visual gait speed test increased from 32% to 61% during the improvement period. Follow-up mobility actions also improved during this time.</p><p><strong>Conclusion: </strong>Adoption of the visual gait speed test for mobility screening can successfully occur and improve in a geriatric primary care clinic setting during an 8-week improvement period.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"9-13"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549491","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}
引用次数: 0
Clinical Teaching in the Nursing Home: Perspectives From Three Universities. 养老院临床教学：以三所大学为例。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251112-07
Desiree A Fleck, Erin Kitt-Lewis, Yurun Cai
{"title":"Clinical Teaching in the Nursing Home: Perspectives From Three Universities.","authors":"Desiree A Fleck, Erin Kitt-Lewis, Yurun Cai","doi":"10.3928/00989134-20251112-07","DOIUrl":"10.3928/00989134-20251112-07","url":null,"abstract":"<p><strong>Purpose: </strong>With the increasing aging population, the demand for long-term care (LTC) services, particularly in nursing homes, is expected to rise substantially. Interest in working in LTC has been low but the Teaching Nursing Home Collaborative is trying to combat this lack of interest. In the state of Pennsylvania, three universities participated in the collaborative adding clinical experiences in nursing homes for nursing students.</p><p><strong>Method: </strong>The experience of three universities establishing clinical in nursing homes was evaluated and suggestions for improving the clinical experience were included.</p><p><strong>Results: </strong>Students attend clinical rotations at nursing homes/LTC from 6 to 12 hours and from one to multiple days over one semester. Clinical rotations are placed in one to three courses offering a variety of experiences and assignments.</p><p><strong>Conclusion: </strong>Well prepared faculty and an established agenda for the clinical experience are essential.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"39-45"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549494","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}
引用次数: 0
Bringing the 4Ms Home: Elevating the Role of Nonmedical Home Care in Age-Friendly Health Systems. 把4个女士带回家：提升非医疗家庭护理在老年人友好型卫生系统中的作用。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-12-18 DOI: 10.3928/00989134-20251203-01
David Chandler, Christina Chartrand, Teresa Harbour, Khai Nguyen
{"title":"Bringing the 4Ms Home: Elevating the Role of Nonmedical Home Care in Age-Friendly Health Systems.","authors":"David Chandler, Christina Chartrand, Teresa Harbour, Khai Nguyen","doi":"10.3928/00989134-20251203-01","DOIUrl":"10.3928/00989134-20251203-01","url":null,"abstract":"<p><strong>Purpose: </strong>Private duty nurses and professional caregivers providing nonmedical home care play an important role in supporting older adults, yet they are often underrecognized in Age-Friendly Health System strategies. As the age-friendly care movement grows, there is an opportunity to better integrate these professionals as partners in supporting safe transitions, reducing hospitalizations, and delivering person-centered care aligned with the 4Ms Framework.</p><p><strong>Method: </strong>Data were drawn from structured assessments completed in 2024 and client/family narratives collected with informed consent. All analyses were descriptive; data were aggregated and de-identified in compliance with HIPAA.</p><p><strong>Results: </strong>Older adults receiving nonmedical home care demonstrated improvements in management of chronic medical conditions, daily activities, mobility, nutrition, and participation in meaningful routines.</p><p><strong>Conclusion: </strong>Nonmedical home care extends the 4Ms Framework into the home, enhancing independence and safety. Although findings are preliminary, they suggest consistent in-home support may reduce risks for decline and better align care with what matters most to older adults.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"46-51"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774666","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}
引用次数: 0
Age-Friendly Health Systems Pilot in a Veterans Health Administration Community Living Center. 退伍军人健康管理社区生活中心老年人友好健康系统试点。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251112-05
Emily A Kasmar, Karyl Jean Yockey, Tamara Keefner, Cheryl Fischbach
{"title":"Age-Friendly Health Systems Pilot in a Veterans Health Administration Community Living Center.","authors":"Emily A Kasmar, Karyl Jean Yockey, Tamara Keefner, Cheryl Fischbach","doi":"10.3928/00989134-20251112-05","DOIUrl":"10.3928/00989134-20251112-05","url":null,"abstract":"<p><strong>Purpose: </strong>To implement an Age-Friendly Health System (AFHS) in a Veterans Health Administration nursing home using shared decision-making and goal-concordant care, achieve Institute for Healthcare Improvement recognition, and assess patient perceptions of care.</p><p><strong>Method: </strong>This pilot study took place over 3 months and included 35 patients aged ≥65 years. Pre- and post-implementation chart reviews assessed documentation of the 4Ms (What Matters, Medication, Mentation, Mobility). After implementation, 12 patients completed the collaboRATE survey to evaluate shared decision-making and goal-concordant care.</p><p><strong>Results: </strong>Documentation of all 4Ms improved. The collaboRATE top score was 83%, with a mean score of 3.94 of 4, indicating high levels of perceived shared decision-making.</p><p><strong>Conclusion: </strong>Implementing the AFHS 4Ms Framework in a nursing home setting is feasible and supports high-quality, person-centered care. Results suggest strong alignment with the 4Ms and what matters most to older adults.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"35-38"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549488","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}
引用次数: 0
Resources for Improving Clinical Experiences in U.S. Nursing Homes: Filling a Gap in Nursing Education. 改善美国养老院临床经验的资源：填补护理教育的空白。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-10-20 DOI: 10.3928/00989134-20251010-03
Ann M Kolanowski, Jacqueline Dunbar-Jacob, JoAnne Reifsnyder
{"title":"Resources for Improving Clinical Experiences in U.S. Nursing Homes: Filling a Gap in Nursing Education.","authors":"Ann M Kolanowski, Jacqueline Dunbar-Jacob, JoAnne Reifsnyder","doi":"10.3928/00989134-20251010-03","DOIUrl":"10.3928/00989134-20251010-03","url":null,"abstract":"<p><strong>Purpose: </strong>Despite national and international calls to improve the preparation of our long-term care workforce, educators themselves often lack the necessary competencies for professional practice in nursing home settings. A pilot study of the Revisiting the Teaching Nursing Home initiative was designed to evaluate the initial outcomes of the academic/practice partnership and to offer direction for improving the educational experience faculty provide to students in the nursing home.</p><p><strong>Methods: </strong>Qualitative findings were used to respond to faculty and student-identified educational needs.</p><p><strong>Results: </strong>Faculty and students identified lack of educational resources that provide the necessary competencies to deliver quality care in nursing homes.</p><p><strong>Conclusion: </strong>Resources that help nursing faculty achieve a quality educational experience were compiled by experts and practitioners in the field. These resources are described and help ensure that our future workforce can meet the complex challenges that are the responsibility of the profession.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"67-71"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301406","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}
引用次数: 0
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