Nursing older peoplePub Date : 2026-10-01Epub Date: 2026-07-23DOI: 10.7748/nop.2026.e1560
Sarah Ramsey
{"title":"Assessing and managing concerns about falling in older people.","authors":"Sarah Ramsey","doi":"10.7748/nop.2026.e1560","DOIUrl":"10.7748/nop.2026.e1560","url":null,"abstract":"<p><p>Concerns about falling may be present in up to half of all people aged 60 years or above. For some older people, concerns about falling increase their motivation to adopt falls prevention strategies and can therefore help to reduce their risk of falls. However, for others, concerns about falling create a cycle involving loss of confidence and deconditioning, which increases their fall risk and negatively affects their quality of life. Clinical guidelines recommend assessing and managing people's concerns about falling during all fall risk assessments. Management typically consists in adopting a multidisciplinary approach to consider concerns about falling holistically and address both the physiological and psychological factors at play.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148564141","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}
{"title":"Pressure ulcer healing in hospitalised older adults: a scoping review.","authors":"Dora Fragoso Santos, Rafaela Barata, Constança Correia, Eliana Morais, Lúcia Jerónimo","doi":"10.7748/nop.2026.e1550","DOIUrl":"10.7748/nop.2026.e1550","url":null,"abstract":"<p><p>Pressure ulcers are a frequent complication in hospitalised older adults and require expert nursing interventions to address the multiple factors involved. The aim of this scoping review was to map the nursing interventions that facilitate pressure ulcer healing in this patient group. The authors searched medical research databases and identified 15 relevant studies. The findings show that the pressure ulcer healing process in hospitalised older adults is complex and demands evidence-based nursing interventions supported by a multidisciplinary approach. Nurses' interventions should focus on nutritional support; repositioning, pressure redistribution and mobilisation; appropriate dressing selection; consideration of innovative treatments; and objective wound assessments and ongoing monitoring. Expert nursing care of pressure ulcers is essential to reduce complications, relieve pain and prevent infection, thereby reducing morbidity and improving older people's quality of life.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311128","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}
Nursing older peoplePub Date : 2026-10-01Epub Date: 2026-07-31DOI: 10.7748/nop.2026.e1544
Stuart Wood
{"title":"Exploring the use of outdoor percussion instruments in care homes: a pilot study.","authors":"Stuart Wood","doi":"10.7748/nop.2026.e1544","DOIUrl":"10.7748/nop.2026.e1544","url":null,"abstract":"<p><strong>Background: </strong>The benefits of music in the care of older adults have been well-established. However, little is known specifically about the impact that introducing outdoor musical instruments could have on residents with dementia in care homes.</p><p><strong>Aim: </strong>To explore how outdoor percussion instruments may offer enhanced opportunities for communication and engagement among people living with complex nursing needs and dementia, their families and the wider care home community.</p><p><strong>Method: </strong>This pilot study employed rapid ethnographically informed naturalistic, qualitative enquiry. It used qualitative questionnaires with residents, family members and nurses ( n =15); staff observation and researcher-participant observation over a five-day period; and two one-to-one interviews held at the end of the project with a care lead and a management lead in the care homes.</p><p><strong>Findings: </strong>The introduction of outdoor percussion instruments offered new insights into how music can help residents, families, nurses and carers in care home settings. The study findings demonstrated the instruments' potential impact on facilitating intergenerational interactions, encouraging meaningful activity, enhancing motivation and mood, and improving cognitive stimulation.</p><p><strong>Conclusion: </strong>The pilot study provided valuable preliminary indicative, qualitative insights into the introduction, use and evaluation of outdoor percussion instruments in a care home setting. Further research is warranted to explore the impact of the instruments in the wider nursing care context.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633277","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}
{"title":"Using creative health approaches in nursing practice: implications for the care of older people.","authors":"Cathy Rant, Marie Clancy-Kyle","doi":"10.7748/nop.2026.e1559","DOIUrl":"https://doi.org/10.7748/nop.2026.e1559","url":null,"abstract":"<p><p>The role of creative health approaches - including arts, music, movement and nature-based activities - is increasingly recognised in national policy as supporting well-being, connection and person-centred care for older people. Moreover, nurse education is beginning to explore creative health placements as a way of preparing students for holistic, community-focused practice. This article discusses the relevance of creative health to nurses working with older people across care homes, community services and acute care settings. Drawing on international evidence and insights from creative health placements for nursing students, it explores potential benefits for older people's well-being. The article concludes by outlining practical implications for practice and education, showing how creative health can enhance nurses' well-being as well as everyday care for older people.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027286","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}
{"title":"How to undertake a structured telephone consultation with an older person experiencing breathlessness.","authors":"Emma Lucas","doi":"10.7748/nop.2026.e1564","DOIUrl":"https://doi.org/10.7748/nop.2026.e1564","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Breathlessness is one of the most common and clinically significant symptoms encountered in older people. It may indicate an acute infection, heart failure, chronic respiratory disease exacerbation, pulmonary embolism or other serious pathology. Telephone consultations enable nurses to assess the patient rapidly and direct them to appropriate care. However, the absence of direct observation, physical examination and independent measurement of physiological parameters means that a structured and systematic approach to the telephone assessment of breathlessness is required. • Telephone consultations can make it more challenging to assess symptom severity and identify clinical deterioration in older people. • Older people with a new or worsening respiratory condition may present with less obvious breathlessness and more non-specific features such as fatigue, confusion or reduced ability to carry out their daily activities. These atypical presentations can make clinical deterioration more difficult to recognise. • Using a structured approach can support clinical decision-making and help nurses recognise when escalation to emergency services or same-day face-to-face review by a GP is required. REFLECTIVE ACTIVITY: 'How to' articles can help update your practice. Apply this article to your practice and reflect on: • How this structured approach will change the way you undertake telephone consultations with older people experiencing breathlessness. • How you could use this information to support the learning of nursing students or colleagues.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914915","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}
{"title":"Communication support for older adults with age-related hearing loss in acute care settings.","authors":"Jinhua Huang, Zhongren Chen","doi":"10.7748/nop.2026.e1562","DOIUrl":"https://doi.org/10.7748/nop.2026.e1562","url":null,"abstract":"<p><p>Age-related hearing loss is frequently overlooked in acute care settings despite its negative effects on communication, care experience and patient safety. This literature review synthesises recent evidence on interventions, practices and approaches relevant to supporting older adults with age-related hearing loss in acute care settings. Five recurring areas were identified: recognition of hearing-related communication needs; assistive hearing technology and broader hearing support; staff preparedness and education; adapted communication strategies; and visibility of hearing-related communication needs. There are several practical approaches that can improve communication support for older adults with hearing loss, which should be a core component of safe and effective nursing practice.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842676","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}
Ma'en Aljezawi, Mohammad Suliman, Rana Bani Naser, Mohammad Al Qadire, Omar Al Omari, Mohammed ALBashtawy, Asem Abdalrahim, Abdullah Alkhawaldeh, Yasmin Al-Shannaq, Imad Abu Khader
{"title":"Dementia prevalence among nursing home residents: a national study in Jordan.","authors":"Ma'en Aljezawi, Mohammad Suliman, Rana Bani Naser, Mohammad Al Qadire, Omar Al Omari, Mohammed ALBashtawy, Asem Abdalrahim, Abdullah Alkhawaldeh, Yasmin Al-Shannaq, Imad Abu Khader","doi":"10.7748/nop.2026.e1553","DOIUrl":"https://doi.org/10.7748/nop.2026.e1553","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of dementia among nursing home residents has been extensively investigated in developed countries but remains underexplored in Jordan.</p><p><strong>Aim: </strong>To determine dementia prevalence and examine factors associated with dementia among residents of nursing homes in Jordan.</p><p><strong>Method: </strong>A cross-sectional study was conducted using a sample composed of all 366 residents of all nine licensed nursing homes in Jordan. A neurologist interviewed residents and assessed their cognition, function and behavioural symptoms. This was complemented by information from residents' medical records and interviews with one member of staff per resident. Factors associated with dementia were explored using a matched case-control approach.</p><p><strong>Results: </strong>The overall dementia prevalence was 25%, with a higher prevalence among female residents and residents aged 65 years and older. Multivariate logistic regression analysis revealed statistically significant associations between dementia and age, smoking status and number of comorbidities. The number of comorbidities was inversely associated with dementia.</p><p><strong>Conclusion: </strong>This study provides the first national estimate of dementia prevalence among nursing home residents in Jordan. Dementia prevalence was lower than that reported in many developed countries, but Jordan's population is rapidly ageing so dementia prevalence is likely to increase in the coming years.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803865","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}
Nursing older peoplePub Date : 2026-08-03Epub Date: 2026-04-08DOI: 10.7748/nop.2026.e1543
Matthew Berrisford
{"title":"Performative empathy in dementia care: ethics and practice.","authors":"Matthew Berrisford","doi":"10.7748/nop.2026.e1543","DOIUrl":"10.7748/nop.2026.e1543","url":null,"abstract":"<p><p>Empathy is widely recognised as a cornerstone of high-quality dementia care. However, the emotional demands of caring for people with dementia placed on nurses and other professional caregivers may lead to situations where their empathic responses are performed rather than genuinely felt. This article examines the ethics and practice of 'performative empathy' when supporting people with dementia, particularly those who present with complex distressed behaviours. Drawing on theories of emotional labour and person-centred, relationship-centred and emotionally intelligent care, the article evaluates whether performative empathy may be ethically defensible, beneficial or even transformative. It also questions whether the appearance of empathy is distinguishable from authentic empathic engagement, and whether repeated empathic performance may foster genuine compassion in caregivers. The article concludes that there is a need for organisational support, reflective practice and training to ensure that emotional labour in dementia care is sustainable, ethically grounded and oriented towards the psychological well-being of people with dementia and caregivers.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635542","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}
{"title":"Building resilience through adversity: exploring the experiences of older migrant women.","authors":"Georgia Tziros, Catherine Hungerford, Maree Bernoth","doi":"10.7748/nop.2026.e1540","DOIUrl":"10.7748/nop.2026.e1540","url":null,"abstract":"<p><strong>Background: </strong>Older people from migrant backgrounds, including those with Greek heritage, comprise a significant portion of the population in Australia and contribute to its multicultural nature. However, there is limited research on resilience in this population group.</p><p><strong>Aim: </strong>To explore how migration experiences shape resilience among older Greek migrants in Australia, providing key insights for nurses who support these individuals.</p><p><strong>Method: </strong>This study employed a qualitative, descriptive phenomenological approach to explore the experiences of Greek migrants who had relocated to Australia, and to discuss their experiences of ageing in their new country. Semi-structured interviews were conducted with six participants, all of whom were women, and the data were thematically analysed.</p><p><strong>Findings: </strong>Three themes were identified: adversity, resilience through adversity and maintaining identity. The participants described experiencing various challenges, such as navigating two cultures during migration, settling into their new country and raising their families while working. These challenges often contributed to their resilience and well-being in later life. The participants also noted receiving support from cultural connections and the identity they derived from their Greek culture.</p><p><strong>Conclusion: </strong>Resilience in older migrants can be an outcome of the adversity they have experienced across the lifespan. Nurses can support older migrants to build on this resilience and develop stronger community connections, thereby enabling them to better manage challenges that may arise as they age.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847848","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}
Nursing older peoplePub Date : 2026-08-03Epub Date: 2026-06-10DOI: 10.7748/nop.2026.e1542
Gill Maidens, Rachel Louise Daly
{"title":"Supporting effective shared decision-making with people with dementia.","authors":"Gill Maidens, Rachel Louise Daly","doi":"10.7748/nop.2026.e1542","DOIUrl":"10.7748/nop.2026.e1542","url":null,"abstract":"<p><p>Shared decision-making is fundamental to person-centred dementia care but its practical application is often challenged by time, relationships, people's fluctuating capacity and organisational constraints. This article encourages nurses to reflect on the principles of shared decision-making in the context of dementia care, drawing on micro, meso and macro decision-making levels to illustrate how choices are shaped by personal values, culture, legal frameworks and the care environment. Using theory, a case study and time out activities, the article highlights how nurses can adopt communication and partnership approaches that prioritise the inclusion of people with dementia in decisions about their care. The authors also examine the emotional burden associated with the responsibility of families as decision partners, thereby supporting nurses to provide compassionate and culturally sensitive decision-making support.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213932","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}