Nursing older people最新文献

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Recognising and addressing loneliness and social isolation in older people.
Nursing older people Pub Date : 2025-03-05 DOI: 10.7748/nop.2025.e1490
Emily Pimm
{"title":"Recognising and addressing loneliness and social isolation in older people.","authors":"Emily Pimm","doi":"10.7748/nop.2025.e1490","DOIUrl":"https://doi.org/10.7748/nop.2025.e1490","url":null,"abstract":"<p><p>Loneliness is widely recognised as a problematic issue in UK society. Older people are particularly vulnerable to loneliness and social isolation for various reasons, and the effects of these can be detrimental to their physical and mental health and well-being. Recognising the signs and symptoms associated with loneliness and social isolation is central to beginning the process of assessment and intervention. This article describes the concepts of loneliness and social isolation and explores their link to physical and mental health. The author also discusses some ways in which nurses can measure loneliness and provides some examples of interventions, such as health coaching and social prescribing, which can help to reduce the experiences of loneliness and social isolation in older people.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurses' experiences of providing dementia care in acute hospital settings.
Nursing older people Pub Date : 2025-02-26 DOI: 10.7748/nop.2025.e1500
Gulen Addis, Donna Evans
{"title":"Nurses' experiences of providing dementia care in acute hospital settings.","authors":"Gulen Addis, Donna Evans","doi":"10.7748/nop.2025.e1500","DOIUrl":"https://doi.org/10.7748/nop.2025.e1500","url":null,"abstract":"<p><strong>Background: </strong>Increasing numbers of older people admitted to acute hospitals have dementia. For nurses, providing dementia care in acute settings involves unique challenges such as ensuring staff and patient safety and managing the stress caused by insufficient resources.</p><p><strong>Aim: </strong>To explore nurses' experiences and challenges when caring for patients with dementia in an acute general hospital setting.</p><p><strong>Method: </strong>This study used a qualitative approach and semi-structured interviews to explore participants' experiences of caring for patients with dementia. All permanent nurses working in three acute medical wards in one NHS trust ( n =120) received an email inviting them to take part. Eight nurses volunteered to be interviewed.</p><p><strong>Findings: </strong>Three main themes were extrapolated from the thematic analysis of interview data: attributes of dementia care; planning care effectively; and staff education and training needs. Participants emphasised the importance of person-centred care and the challenges involved in providing such care due to staff shortages, which could result in frustration, exhaustion and stress for both staff and patients.</p><p><strong>Conclusion: </strong>Nurses in acute care settings need additional education and training to improve their knowledge and skills in relation to dementia care. The involvement of families is important for the optimal care of patients with dementia on acute hospital wards.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to undertake an effective oral health assessment.
Nursing older people Pub Date : 2025-02-12 DOI: 10.7748/nop.2025.e1501
Thushara Thayaparan, Mili Doshi
{"title":"How to undertake an effective oral health assessment.","authors":"Thushara Thayaparan, Mili Doshi","doi":"10.7748/nop.2025.e1501","DOIUrl":"https://doi.org/10.7748/nop.2025.e1501","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Older people living in nursing and care homes are susceptible to developing oral health issues due, for example, to cognitive, physical and medical issues or conditions; therefore, an oral health assessment is a fundamental aspect of care for this population. Suboptimal oral health can result in pain and difficulty eating, drinking and communicating and can adversely affect the individual's comfort and dignity. Undertaking an effective and systematic oral health assessment can support nurses to identify oral health risk factors and evaluate the level of support individuals need to maintain optimal oral health: • An oral health assessment should be completed on an individual's admission to a nursing or care home and regularly thereafter to ensure early identification of any issues. • Nurses should use a validated oral health assessment tool, amend the individual's care plan as appropriate and instigate relevant care and/or a dental referral based on the outcomes. • An individualised oral care plan should be developed for each resident and should include daily oral hygiene routines, the use of dentures (if applicable) and access to dental care services. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it is evidence-based. Apply this article to your practice. Reflect on its contents and write a short account of: • How this article might improve your practice in undertaking an oral health assessment. • How you could use this information to educate nursing students or colleagues about undertaking oral health assessments.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to optimise medicines management for people with Parkinson's disease in hospital. 如何优化住院帕金森病患者的药物管理。
Nursing older people Pub Date : 2025-02-03 Epub Date: 2024-09-04 DOI: 10.7748/nop.2024.e1480
Cindy Marguerite Cox
{"title":"How to optimise medicines management for people with Parkinson's disease in hospital.","authors":"Cindy Marguerite Cox","doi":"10.7748/nop.2024.e1480","DOIUrl":"10.7748/nop.2024.e1480","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Hospital admissions can be challenging for people with Parkinson's disease, in part because of the lack of understanding, among some healthcare professionals, of the importance of administering antiparkinsonian medicines on time. This article outlines the steps that nurses can take to optimise medicines management for people with Parkinson's disease who are admitted to hospital. • Pharmacotherapy is the primary treatment for Parkinson's disease and aims to increase dopamine levels in the brain to relieve symptoms. • People with Parkinson's disease require careful administration, titration, adjustment and monitoring of their antiparkinsonian medicines regimen, which is highly individualised. • It is crucial that people with Parkinson's disease take their antiparkinsonian medicines at exactly the right time, since the inaccurate timing of these medicines can have significant adverse health implications. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when undertaking medicines management for people with Parkinson's disease in hospital. • How you could use this information to educate nursing students or your colleagues on optimising medicines management for people with Parkinson's disease in hospital.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the feasibility of using a bedside device to help prevent nighttime falls. 探索使用床边装置帮助预防夜间跌倒的可行性。
Nursing older people Pub Date : 2025-02-03 Epub Date: 2024-10-23 DOI: 10.7748/nop.2024.e1484
Kevin Edward Anthony, Laura Houten, Pip Logan
{"title":"Exploring the feasibility of using a bedside device to help prevent nighttime falls.","authors":"Kevin Edward Anthony, Laura Houten, Pip Logan","doi":"10.7748/nop.2024.e1484","DOIUrl":"10.7748/nop.2024.e1484","url":null,"abstract":"<p><strong>Background: </strong>Older people living in the community are at risk of preventable nighttime falls. Technology can support falls interventions but there is a lack of research into this area. A new bedside device called Bide senses movement and changes in light levels and plays a prerecorded message encouraging the user to follow falls prevention advice when trying to mobilise at night.</p><p><strong>Aim: </strong>To test the feasibility of using the Bide device in a community health service.</p><p><strong>Method: </strong>Healthcare workers were trained in the use of the Bide device and asked to identify potential participants. The research team subsequently recruited participants, provided them with a device and explained how to use it. After four weeks, participants took part in face-to-face semi-structured interviews regarding the acceptability of the device. Participants' fear of falling was calculated before and after the intervention using the Falls Efficacy Scale-International.</p><p><strong>Findings: </strong>The Bide device appeared to increase patients' confidence to mobilise at night and no adverse events were reported from its use. The device was generally found to be acceptable and easy to use, although one participant found it irritating. Healthcare workers flagged up very few potential participants to the research team, which may have been due to workload pressures and a disconnect between healthcare workers and technology.</p><p><strong>Conclusion: </strong>It appears feasible to study the use of the Bide device for nighttime falls prevention in the community. To enhance recruitment, a member of the research team may be embedded in the clinical team with the aim of proactively identifying potential participants.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing palliative and end of life care for people with dementia. 为痴呆症患者实施姑息治疗和临终关怀。
Nursing older people Pub Date : 2025-02-03 Epub Date: 2024-11-06 DOI: 10.7748/nop.2024.e1479
Diane Drain, Louisa Stone, Rachel Louise Daly
{"title":"Implementing palliative and end of life care for people with dementia.","authors":"Diane Drain, Louisa Stone, Rachel Louise Daly","doi":"10.7748/nop.2024.e1479","DOIUrl":"10.7748/nop.2024.e1479","url":null,"abstract":"<p><p>Dementia is characterised by memory loss, behavioural changes and decline of cognitive, social and physical functions and is a life-limiting condition. At the point of diagnosis it is classed as a palliative condition, yet there is limited public and healthcare professional awareness that, once diagnosed, a person will either die of dementia or die with dementia. This article discusses how the recognition and timing of the need for palliative dementia care is pivotal in providing person-centred care. The authors explore factors such as optimal prognostication, advance care planning, staff education and accessing support from palliative and end of life care teams and Admiral Nurses. The authors also use a fictional case study to demonstrate best practice in palliative dementia care.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Walk Through Dementia: exploring the effects of a virtual reality app about dementia on students' knowledge and attitudes. 漫步痴呆症:探索关于痴呆症的虚拟现实应用程序对学生的知识和态度的影响。
Nursing older people Pub Date : 2025-01-22 DOI: 10.7748/nop.2025.e1503
Michelle Heward, Rebecca Mitchell, Jane Murphy, Michele Board
{"title":"A Walk Through Dementia: exploring the effects of a virtual reality app about dementia on students' knowledge and attitudes.","authors":"Michelle Heward, Rebecca Mitchell, Jane Murphy, Michele Board","doi":"10.7748/nop.2025.e1503","DOIUrl":"https://doi.org/10.7748/nop.2025.e1503","url":null,"abstract":"<p><strong>Background: </strong>A Walk Through Dementia (AWTD) is a learning resource that shows dementia from the perspective of people with the condition. Its three 360-degree simulation films depict a person with dementia in different everyday situations and can be viewed online or on a smartphone using an app.</p><p><strong>Aim: </strong>To evaluate how first-year undergraduate healthcare students react to the AWTD app, what they learn from it and the influence it has on their clinical practice during placements.</p><p><strong>Method: </strong>The app was used as a learning tool during two dementia training days attended by 414 students at Bournemouth University. Data were collected on the day via a post-training survey and four months later via two focus groups with a small purposive sample of students.</p><p><strong>Findings: </strong>The survey was completed by 271 of the 414 students (65% response rate) and 11 students participated in the focus groups. Survey respondents found the app easy to use and engaging. They reported a deeper understanding of dementia and felt that the app had changed their attitude towards people with dementia. Focus group participants discussed how they approached people with dementia with more awareness, more confidence and in a more person-centred manner.</p><p><strong>Conclusion: </strong>There are potential benefits of using the AWTD app in dementia education for undergraduate healthcare students, but further research is needed to confirm its effectiveness as a learning tool.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Delivering safe, person-centred care for acutely unwell older people on virtual wards. 在虚拟病房为严重不适的老年人提供安全、以人为本的护理。
Nursing older people Pub Date : 2025-01-08 DOI: 10.7748/nop.2025.e1482
Melissa Angell
{"title":"Delivering safe, person-centred care for acutely unwell older people on virtual wards.","authors":"Melissa Angell","doi":"10.7748/nop.2025.e1482","DOIUrl":"https://doi.org/10.7748/nop.2025.e1482","url":null,"abstract":"<p><p>A virtual ward can provide hospital-level care for older people in their usual place of residence during an episode of acute illness. Care on a virtual ward may be delivered through a mix of in-person home visits, telephone or video calls and remote monitoring. This model of care can prevent unnecessary inpatient admissions, which in turn can prevent the development of associated complications in this patient population, such as deconditioning, delirium and hospital-acquired infections. However, there are barriers to the use of virtual wards in the care of older people. This article provides an overview of technology-enabled virtual wards and discusses some of the barriers to their use in older people's care as well as ways in which these can be addressed. The author also considers how nurses can help ensure that the care provided to an older person admitted to a virtual ward is person-centred and safe.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving meaningful activity and meaningful engagement for residents in long-term care settings. 为长期护理机构的居民改善有意义的活动和有意义的参与。
Nursing older people Pub Date : 2024-12-18 DOI: 10.7748/nop.2024.e1495
Rosemary Bradley, Assumpta Ryan, Sarah Penney
{"title":"Improving meaningful activity and meaningful engagement for residents in long-term care settings.","authors":"Rosemary Bradley, Assumpta Ryan, Sarah Penney","doi":"10.7748/nop.2024.e1495","DOIUrl":"https://doi.org/10.7748/nop.2024.e1495","url":null,"abstract":"<p><p>During the coronavirus disease 2019 (COVID-19) pandemic, restrictions were placed on social contacts and group activities in long-term care settings. Evidence has suggested that social isolation can lead to the onset of health issues including depression and cognitive decline in older people. This article details a quality improvement project undertaken by the managers of nine long-term care settings in Northern Ireland that aimed to enhance meaningful activity and meaningful engagement for residents following the easing of COVID-19 restrictions. The findings suggest that improving meaningful activity and meaningful engagement can benefit residents in terms of nutrition and hydration, sleep patterns, use of medicines and number of falls.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring self-care health-related beliefs, values and attitudes with older patients. 与老年患者探讨自我保健相关的信念、价值观和态度。
Nursing older people Pub Date : 2024-12-04 DOI: 10.7748/nop.2024.e1475
Bob Price
{"title":"Exploring self-care health-related beliefs, values and attitudes with older patients.","authors":"Bob Price","doi":"10.7748/nop.2024.e1475","DOIUrl":"https://doi.org/10.7748/nop.2024.e1475","url":null,"abstract":"<p><p>Person-centred care is based on the notion that patients' independence and dignity is sustained during the care planning process. Negotiating person-centred care with the older person involves exploring their self-care beliefs, values and attitudes. This article discusses patient beliefs, values and attitudes in the context of self-care and suggests ways in which nurses might explore these as a collaborative enquiry. The author also describes the use of a simple reflective framework as a starting point for engaging in this exploration.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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