Nursing older people最新文献

How to identify an older person who may have depression. 如何识别可能患有抑郁症的老年人。

Nursing older people Pub Date : 2025-05-14 DOI: 10.7748/nop.2025.e1509

Zena Aldridge

{"title":"How to identify an older person who may have depression.","authors":"Zena Aldridge","doi":"10.7748/nop.2025.e1509","DOIUrl":"https://doi.org/10.7748/nop.2025.e1509","url":null,"abstract":"Rationale and key points: Depression is the most common mental health condition in older age but often goes undetected and untreated, which can negatively affect health, well-being and quality of life. This article highlights how nurses can improve the identification of depression in older people, including by being aware of risk factors and signs and symptoms; by using proactive questioning and an individualised approach; and by encouraging older people who may have depression to discuss their mental health as part of a person-centred assessment. • Older people are highly susceptible to many of the physical and psychosocial risk factors associated with depression. • In older people, symptoms of depression can be wrongly attributed to dementia or considered a normal part of ageing. • Older people with depression may not recognise it or be reluctant to discuss it for fear of being stigmatised. • Improving the identification of depression in older people requires challenging assumptions about their mental health. 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 identifying an older person who may have depression. • How you could use this information to educate nursing students or colleagues about identifying an older person who may have depression.","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060032","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 reflect critically on your clinical practice in older people nursing. 如何批判性地反思你在老年人护理方面的临床实践。

Nursing older people Pub Date : 2025-04-09 DOI: 10.7748/nop.2025.e1508

Beth Goss-Hill, Gayle Maddens

{"title":"How to reflect critically on your clinical practice in older people nursing.","authors":"Beth Goss-Hill, Gayle Maddens","doi":"10.7748/nop.2025.e1508","DOIUrl":"https://doi.org/10.7748/nop.2025.e1508","url":null,"abstract":"Rationale and key points: Critical reflection increases nurses' competence by providing them with a method for analysing complex situations and learning from them. Reflecting critically on their practice enables nurses to recognise and question their values, beliefs and assumptions. This is essential when caring for older people because unconscious bias increases the risk of ageism and can lead to decisions that negatively affect the care provided - for example, decisions that reduce patients' autonomy and agency. This article outlines the steps nurses can take to reflect critically on their clinical practice in older people nursing, using a reflective model constructed around three key questions: 'What?', 'So what?' and 'Now what?' • Critical reflection is an essential aspect of the nurse's role that supports the continuous improvement of practice. • Critical reflection involves examining one's thoughts, feelings and actions to better understand oneself and reduce the risk of unconscious bias. • Reflecting on clinical practice can support nurses to find a balance between managing the challenges of work and maintaining their emotional well-being. 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 critical reflection on clinical practice in older people nursing. • How you could use this information to educate nursing students or your colleagues on reflecting critically on clinical practice in older people nursing.","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813266","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

Evaluating pain management in older people after orthopaedic surgery - a study in Jordan. 评估骨科手术后老年人的疼痛管理--约旦的一项研究。

Nursing older people Pub Date : 2025-03-31 Epub Date: 2024-11-27 DOI: 10.7748/nop.2024.e1491

Wesam Almagharbeh

{"title":"Evaluating pain management in older people after orthopaedic surgery - a study in Jordan.","authors":"Wesam Almagharbeh","doi":"10.7748/nop.2024.e1491","DOIUrl":"10.7748/nop.2024.e1491","url":null,"abstract":"Background: Pain management in older people presents unique challenges due to age-related physiological changes, altered responses to medicines, comorbidities and polypharmacy. These challenges, which are exacerbated in those aged ≥75 years, can compromise the efficacy and safety of pharmacological treatment, including after discharge following orthopaedic surgery.Aim: To evaluate pain management and follow-up care provided in primary care settings in Jordan to older people who had undergone orthopaedic surgery.Method: For this descriptive study, data were collected from the discharge summaries and electronic health records of older people who were receiving support from community nurses in rural primary care units in the Aqaba Governorate in Jordan after undergoing orthopaedic procedures in hospital.Results: Of the 100 participants, 63 lived in a nursing home and 30 had been diagnosed with dementia. Hip fractures, diagnosed in 56 participants, were the most common reason for surgery. Thirty-two participants had a documented post-discharge follow-up plan regarding pain management in primary care. Of the 90 participants who were still being followed up 12 weeks after discharge, 51 (57%) were still being prescribed opioids for regular use or as required.Conclusion: Nurses have a crucial role in ensuring effective and safe pain management in older people, particularly when using opioids, due to the heightened risk of adverse effects and medicine interactions. Tailored pain management involves careful initiation of medicines; regular monitoring and assessment of pain levels, adherence to medicines and monitoring of potential side effects; and individualised follow-up plans.","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735422","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 complexities of symptom recognition and management in older people with dementia and multimorbidity. 探讨老年痴呆和多病患者症状识别和管理的复杂性。

Nursing older people Pub Date : 2025-03-26 DOI: 10.7748/nop.2025.e1504

Kay de Vries, Amy Pepper, Karen Harrison Dening

{"title":"Exploring the complexities of symptom recognition and management in older people with dementia and multimorbidity.","authors":"Kay de Vries, Amy Pepper, Karen Harrison Dening","doi":"10.7748/nop.2025.e1504","DOIUrl":"https://doi.org/10.7748/nop.2025.e1504","url":null,"abstract":"Many older people living with dementia experience multimorbidity, which has been described as the presence of two or more long-term conditions, such as congestive heart failure, type 2 diabetes or stroke. Each of these long-term conditions can cause a wide range of symptoms and almost all can involve pain. Older people may also experience sensory impairments, such as hearing and vision loss, which in those with dementia can lead to symptoms similar to the behavioural and psychological symptoms of dementia. In addition, older people with dementia can experience challenges with expressive and receptive communication. All these factors can make it challenging for nurses to effectively identify and manage symptoms related to long-term conditions in older people with dementia. This article provides an overview of multimorbidity in older people with dementia, using pain as an example of a symptom associated with multiple long-term conditions to illustrate the complexities of symptom recognition and management in this population. The authors also consider how communication issues, sensory impairment and diagnostic overshadowing can add to the complexities of symptom recognition and management, and outline some of the implications for nursing practice.","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712603","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

Recognising and addressing loneliness and social isolation in older people. 承认并解决老年人的孤独和社会孤立问题。

Nursing older people Pub Date : 2025-03-05 DOI: 10.7748/nop.2025.e1490

Emily Pimm

引用次数: 0

Nurses' experiences of providing dementia care in acute hospital settings. 护士在急性医院环境中提供痴呆症护理的经验。

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":"Background: 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.Aim: To explore nurses' experiences and challenges when caring for patients with dementia in an acute general hospital setting.Method: 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.Findings: 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.Conclusion: 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.","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. 如何进行有效的口腔健康评估。

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":"Rationale and key points: 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.","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":"Rationale and key points: 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.","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":"Background: 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.Aim: To test the feasibility of using the Bide device in a community health service.Method: 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.Findings: 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.Conclusion: 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.","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

引用次数: 0