Kathy C Richards, Kavita Radhakrishnan, Katherine Carroll Britt, Andrea Vanags-Louredo, Eunice Park, Nalaka S Gooneratne, Liam Fry
{"title":"\"Please Don't Forget Us\": A Descriptive Qualitative Study of Caregivers of Older Adults With Alzheimer's Disease and Related Dementias During the COVID-19 Pandemic.","authors":"Kathy C Richards, Kavita Radhakrishnan, Katherine Carroll Britt, Andrea Vanags-Louredo, Eunice Park, Nalaka S Gooneratne, Liam Fry","doi":"10.3928/19404921-20220829-01","DOIUrl":"https://doi.org/10.3928/19404921-20220829-01","url":null,"abstract":"<p><p>The current descriptive qualitative study explored the perceived impact of the coronavirus disease 2019 pandemic on sleep disturbances and nighttime agitation; the reported use of antipsychotics and other sedating medications; and the overall well-being of older adults with Alzheimer's disease and related dementias (ADRD) and their caregivers. One investigator conducted in-depth, phone interviews with caregivers of nursing home residents with ADRD (four family caregivers [FCs], three nurse practitioners [NPs]) and seven FCs of older adults with ADRD who lived with them at home. Caregivers described multiple sleep disturbances. Nighttime agitation symptoms were perceived to continue or worsen, and sedating medications and nonpharmacological interventions were required. Adverse impacts on reported well-being were significant, and impacts were grouped into emotional, social, and physical themes. Caregivers said, \"Please don't forget us,\" and requested telehealth support for those at home and technology and human resources for nursing homes to reduce adverse impacts. [<i>Research in Gerontological Nursing, 15</i>(5), 217-228.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 5","pages":"217-228"},"PeriodicalIF":1.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7a/ce/nihms-1893218.PMC10187068.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472997","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}
Yeonsu Song, Gery W Ryan, Diane Lee, Haesook Kim, Jennifer L Martin, B Josea Kramer, Ron D Hays, Sarah E Choi
{"title":"Experiences of Sleep Problems Among Older Korean Immigrants.","authors":"Yeonsu Song, Gery W Ryan, Diane Lee, Haesook Kim, Jennifer L Martin, B Josea Kramer, Ron D Hays, Sarah E Choi","doi":"10.3928/19404921-20220518-01","DOIUrl":"10.3928/19404921-20220518-01","url":null,"abstract":"<p><p>Despite poor sleep among older adults, little is known about the sleep habits of older immigrants living in the United States. The current pragmatic qualitative descriptive study explored sleep among older Korean immigrants, using a focus group with six participants and individual phone interviews with 22 Korean immigrants aged ≥60 years. Transcripts were coded to identify underlying themes. Several thematic categories were identified under six domains: daytime function, getting ready for bed, falling asleep, awakenings during sleep, going back to sleep, and seeking advice from peers. Unhealthy sleep behaviors were found during daytime and bedtime, particularly among those who were retired/unemployed or living alone. Seeking advice from peers was common but none of the advice helped participants sleep. Sleep education programs in Korean-speaking communities can be used to target those who are socially isolated and may benefit older Korean immigrants with sleep difficulties. [<i>Research in Gerontological Nursing, 15</i>(4), 193-202.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 4","pages":"193-202"},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9355790/pdf/nihms-1826044.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9730922","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}
{"title":"Relationships Among Perception of Cognitive Function, Diabetes Self-Management, and Glucose Variability in Older Adults: A Mixed Methods Study.","authors":"H. Cuevas, Elizabeth M. Heitkemper, Bilal Haque","doi":"10.3928/19404921-20220609-02","DOIUrl":"https://doi.org/10.3928/19404921-20220609-02","url":null,"abstract":"The aim of the current study was to explore relationships among perceived cognitive function, glucose variability, and self-management in older adults with type 2 diabetes mellitus (T2DM). A mixed methods design was used with data from: (a) questionnaires on perceived cognitive function and diabetes self-management; (b) continuous glucose monitoring (CGM) reports; and (c) semi-structured interviews. Thirty adults with T2DM (47% female; mean age = 68.5 [SD = 5.2] years) participated. Those who exercised more days per week had more stable glucose. Those who reported fewer days of diet adherence had more hypoglycemia. Participants who reported higher levels of memory dissatisfaction exhibited higher levels of glucose variability. Findings point to the potential of glucose variability as a target to reduce the effect of diabetes on cognitive function. Instruction in recognition of glucose patterns found via CGM can be integrated into self-management education to improve self-management and subsequent glucose control and cognitive function. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"44 1","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83021639","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":"Predictors of Acute Care Transfers From Skilled Nursing Facilities: Recommendations for Preventing Unnecessary Hospitalization.","authors":"A. Antony, J. Champion","doi":"10.3928/19404921-20220609-01","DOIUrl":"https://doi.org/10.3928/19404921-20220609-01","url":null,"abstract":"Preventing acute care transfers from skilled nursing facilities (SNFs) is a challenge secondary to residents' associated debilitated status and comorbidities. Acute care transfers often result in serious complications and unnecessary health care expenditure. Literature implies that approximately two thirds of these acute care transfers could be prevented using proactive interventions. The purpose of the current study was to identify the predictors of acute care transfers for SNF residents in developing relevant prevention strategies. A retrospective chart review using multivariate logistic regression analysis showed increased odds of SNF hospitalization was significantly associated with impaired cognition, chronic obstructive pulmonary disease, and chronic kidney disease, whereas decreased odds of hospitalization was identified among non-Hispanic White residents. Study recommendations include prompt assessment of comorbid symptomatology among SNF residents for the timely management and prevention of unnecessary acute care transfers. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"118 1","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76990711","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":"Predicting 31- to 60-Day Heart Failure Rehospitalization Among Older Women.","authors":"Carolyn B. Sue-Ling, N. Jairath","doi":"10.3928/19404921-20220518-03","DOIUrl":"https://doi.org/10.3928/19404921-20220518-03","url":null,"abstract":"The current study sought to identify social, hemodynamic, and comorbid risk factors associated with 31-to 60-day heart failure (HF) rehospitalization in African American and Caucasian older (aged >65 years) women. A non-equivalent, case-control, quantitative design study using secondary data analysis of medical records from a local community hospital in the Southeast region of the United States was performed over a 3-year period. Relationships between predictor variables and the outcome variable, 31- to 60-day HF rehospitalization, were explored. The full model containing all predictors was not able to distinguish between predictors (χ2[21, N = 188] = 35.77, p = 0.12). However, a condensed model showed that body mass index (BMI) level 1 (<25 kg/m2), BMI level 2 (>25 and <30 kg/m2), age 75 to 80 years, and those taking lipid-lowering agents were significant predictors. Subtype of HF (reduced or preserved) and race did not predict HF rehospitalization within the specified time period. Multiple comorbid risk factors failed to consistently predict rehospitalization, which may reflect dated HF-specific approaches and therapies. Future studies should evaluate contributions of current targeted post-discharge methods or therapies. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"171 1","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87036046","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}
Elizabeth Hill, P. Bekker, Susan M. Strouse, Rebecca Davis
{"title":"\"We Weathered the Storm\": A Qualitative Phenomenological Study of the Lived Experience of Assisted Living Administrators During the COVID-19 Pandemic.","authors":"Elizabeth Hill, P. Bekker, Susan M. Strouse, Rebecca Davis","doi":"10.3928/19404921-20220518-02","DOIUrl":"https://doi.org/10.3928/19404921-20220518-02","url":null,"abstract":"The purpose of the current qualitative phenomenological study is to learn about the lived experiences of assisted living (AL) community administrators during the coronavirus disease 2019 (COVID-19) pandemic. Little is known about how administrators coped with the ever-changing mandates (e.g., visitation, testing, communal activities, acceptance of COVID-positive residents). Semi-structured interviews with AL administrators were conducted, transcribed verbatim, and analyzed for meaning and essence using a modified Giorgi's approach. Data analysis showed that administrators experienced a multitude of feelings and actions related to the well-being of staff, residents, and residents' families. Findings also identified the complexity of the constant changes, including limited resources and policy changes, of the AL administrators' lived experiences during the pandemic. Results from this study can inform policies and strategies for providing care to this often-overlooked population of older adults. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"11 1","pages":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79738709","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":"Medication Errors are Indeed Related to Source of Purchased Medication.","authors":"Ling-ling Zhu, Quan Zhou","doi":"10.3928/19404921-20220428-01","DOIUrl":"https://doi.org/10.3928/19404921-20220428-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"79 1","pages":"114-115"},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72449002","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":"Making Care for Older People the Choice of Nurses Today, Tomorrow, and Forever.","authors":"D. Fick, S. Kagan, B. Resnick, H. Young","doi":"10.3928/19404921-20220426-01","DOIUrl":"https://doi.org/10.3928/19404921-20220426-01","url":null,"abstract":"[...]workplace concerns, such as low staffing levels, low morale, and subsequent burnout, are pushing nurses out of health care entirely. In those settings, resources are limited and have been for decades. [...]complexity characterizes the needs of all residents under these nurses' care. [...]nursing homes specifically need policy and practice changes to optimize scope of practice and provide around-the-clock professional nurse leadership. Other local efforts include nursing schools offering robust clinical rotations in nursing homes and programs providing opportunities to students to work in long-term care facilities.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"19 1","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80572046","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}
Chih-Ying Li, Paul Arthur, Brian Downer, Craig A Velozo, Yong-Fang Kuo, Huey-Ming Tzeng, Kenneth J Ottenbacher
{"title":"Examining the Clinical Utility of the Brief Interview for Mental Status.","authors":"Chih-Ying Li, Paul Arthur, Brian Downer, Craig A Velozo, Yong-Fang Kuo, Huey-Ming Tzeng, Kenneth J Ottenbacher","doi":"10.3928/19404921-20220428-02","DOIUrl":"10.3928/19404921-20220428-02","url":null,"abstract":"<p><p>The Brief Interview for Mental Status (BIMS) is used to identify delirium and needed supports in patients living in skilled nursing facilities (SNFs) and long-term care facilities (LTCFs). We analyzed 3,537,404 patients discharged from acute hospitals to SNFs or LTCFs with factor and Rasch analyses to examine the clinical utility of the BIMS. More than 40% of the sample had maximum scores, indicating a ceiling effect. \"Repetition of three words\" was the easiest and the only misfit item (Outfit = 3.14). The ability of the BIMS to distinguish individuals into two cognitive levels (with person strata of 1.48) was limited. Although the BIMS is a widely used screening tool for cognitive impairment, we found it lacked sensitivity for approximately one half of patients admitted to SNFs/LTCFs. Our results suggest the BIMS should be interpreted with caution, particularly for patients with mild cognitive impairment. [<i>Research in Gerontological Nursing, 15</i>(3), 124-130.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 3","pages":"124-130"},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/0b/nihms-1828061.PMC9377165.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10512019","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}
Carol M Vos, Nancy Ambrose-Gallagher, Katelyn E. Webster, J. Larson
{"title":"Physical Activity and Sedentary Behavior of Residents in Assisted Living: A Preliminary Study.","authors":"Carol M Vos, Nancy Ambrose-Gallagher, Katelyn E. Webster, J. Larson","doi":"10.3928/19404921-20220408-02","DOIUrl":"https://doi.org/10.3928/19404921-20220408-02","url":null,"abstract":"Low physical activity (PA) and high sedentary behavior (SB) place residents in assisted living at risk for physical decline, but little is known about factors that influence PA/SB in this setting. In the current cross-sectional study, we described objectively measured PA/SB (activPAL™) and examined the relationships between PA/SB and use of an assistive walking device, depression, sleep disturbance, pain, fatigue, social isolation, and the tendency to make social comparisons. Fifty-four residents from eight assisted living facilities participated. Mean time spent in PA was 252.9 (SD = 134.3) minutes/day. Mean time spent in SB was 660.8 (SD = 181.4) minutes/day. Depression predicted PA (R2 = 0.16). Residents using an assistive device spent significantly more time in SB (p = 0.02). Fatigue correlated with time in longer bouts of SB (r = 0.19, p = 0.04). The tendency to make social comparisons correlated with SB (r = 0.22, p = 0.04). Findings show residents in assisted living are inactive and further research is needed to fully understand factors that influence PA/SB. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"90 1","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82408581","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}