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Nursing older people最新文献

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Exercise as a falls prevention strategy in the care of older people. 将运动作为老年人护理中预防跌倒的策略。
Nursing older people Pub Date : 2024-04-02 Epub Date: 2024-01-10 DOI: 10.7748/nop.2024.e1452
Vivian Zinyemba
{"title":"Exercise as a falls prevention strategy in the care of older people.","authors":"Vivian Zinyemba","doi":"10.7748/nop.2024.e1452","DOIUrl":"10.7748/nop.2024.e1452","url":null,"abstract":"<p><p>Older people who sustain a fall may experience a range of adverse outcomes, such as distress, injury and loss of independence. Falls increase the risk of frailty and frailty increases the risk of falls. Regular exercise is a pillar of falls prevention and can have extensive benefits for older people's health, well-being and ability to undertake activities they enjoy. As part of the multidisciplinary team, nurses have a pivotal role in implementing exercise-based falls prevention strategies for older people and in encouraging their patients to exercise. This article discusses exercise as a falls prevention strategy in hospital and in the community and supports nurses to develop their knowledge and confidence in promoting exercise in older people.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405807","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
Risk management and decision-making in dementia care. 痴呆症护理中的风险管理和决策。
Nursing older people Pub Date : 2024-03-20 DOI: 10.7748/nop.2024.e1460
Zena Aldridge, Karen Harrison Dening
{"title":"Risk management and decision-making in dementia care.","authors":"Zena Aldridge, Karen Harrison Dening","doi":"10.7748/nop.2024.e1460","DOIUrl":"https://doi.org/10.7748/nop.2024.e1460","url":null,"abstract":"<p><p>What constitutes a risk for a person living with dementia may be perceived and prioritised differently by nurses from varying clinical backgrounds. Furthermore, risk may be perceived differently according to the context. This article outlines some of the social, psychological and physical risk factors relevant to people living with dementia across the life course of the condition. It is important that nurses understand their role in identifying, assessing and managing risk and are aware of the resources, policies, legislation and processes designed to support decision-making and minimise the risk of harm to people living with dementia, their families and carers. The authors hope that this article will support nurses to become more confident in identifying risk while encouraging them to adopt a proactive and person-centred approach to risk assessment and management.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178416","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
Using therapeutic lies - an ethical challenge for nurses when caring for people with dementia. 使用治疗性谎言--护士在护理痴呆症患者时面临的伦理挑战。
Nursing older people Pub Date : 2024-03-06 DOI: 10.7748/nop.2024.e1468
Jane Pritchard
{"title":"Using therapeutic lies - an ethical challenge for nurses when caring for people with dementia.","authors":"Jane Pritchard","doi":"10.7748/nop.2024.e1468","DOIUrl":"https://doi.org/10.7748/nop.2024.e1468","url":null,"abstract":"<p><p>People living with dementia can become vulnerable when experiencing symptoms such as memory loss and disorientation, as well as stigma attached to the condition. The care of people with dementia is fraught with ethical dilemmas and challenges regarding how nurses should respond to situations that put patients at risk of distress. For example, if a person with dementia asks to see a deceased relative, a nurse may have to decide whether to tell the truth, or a 'white lie' to avoid distress. This article examines the debates around the use of such 'therapeutic lying' when caring for people with dementia and provides guidance on how nurses could use this technique while protecting the individual's best interests.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140041214","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 whether a diagnosis of severe frailty prompts advance care planning and end of life care conversations. 探讨严重虚弱的诊断是否会引发预先护理规划和生命末期护理对话。
Nursing older people Pub Date : 2024-02-21 DOI: 10.7748/nop.2024.e1459
Stacey Dodson
{"title":"Exploring whether a diagnosis of severe frailty prompts advance care planning and end of life care conversations.","authors":"Stacey Dodson","doi":"10.7748/nop.2024.e1459","DOIUrl":"https://doi.org/10.7748/nop.2024.e1459","url":null,"abstract":"<p><strong>Background: </strong>Older people with frailty are susceptible to sudden and rapid deterioration, so discussing their wishes and preferences for care at the end of life should be a priority. However, frailty is often not considered or recognised, which impedes patient-centred decision-making.</p><p><strong>Aim: </strong>To explore the views and perceptions of senior healthcare professionals regarding the usefulness of the Clinical Frailty Scale (CFS) in identifying frailty; whether a CFS score of severe frailty leads senior healthcare professionals to recognise that the person is likely to be approaching the end of life; and whether a CFS score of severe frailty prompts senior healthcare professionals to have conversations about advance care planning and end of life care with patients.</p><p><strong>Method: </strong>Semi-structured individual interviews were undertaken with seven senior healthcare professionals at one hospital in England. Data were analysed using thematic analysis.</p><p><strong>Findings: </strong>Frailty appeared to be complex, multifaceted and at times difficult to identify. A diagnosis of severe frailty did not necessarily prompt advance care planning and end of life care conversations. Such conversations were more likely to happen if the person had comorbidities, for example cancer. Prognostication appeared to be challenging, partly due to the gradual and uncertain trajectory in frailty and a lack of understanding, on the part of healthcare professionals, of the condition and its effects.</p><p><strong>Conclusion: </strong>People with severe frailty may be disadvantaged in terms of receiving appropriate end of life care. Better education on frailty for all healthcare professionals would facilitate conversations about advance care planning and end of life care with patients diagnosed with severe frailty.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914370","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
Supporting shared decision-making in medicines use with people living with dementia and their carers. 支持痴呆症患者及其照护者共同做出用药决策。
Nursing older people Pub Date : 2024-01-24 DOI: 10.7748/nop.2024.e1458
Lynn Chenoweth
{"title":"Supporting shared decision-making in medicines use with people living with dementia and their carers.","authors":"Lynn Chenoweth","doi":"10.7748/nop.2024.e1458","DOIUrl":"https://doi.org/10.7748/nop.2024.e1458","url":null,"abstract":"<p><p>Polypharmacy and inappropriate prescribing of psychotropic medicines are common among people living with dementia and pose considerable health risks. One way of addressing these issues is by involving the person and their carer in shared decision-making. This article discusses some of the issues related to polypharmacy and inappropriate prescribing in people living with dementia and examines the concept of shared decision-making in this context. The author details some practical aids that nurses and other healthcare professionals can use to engage people living with dementia and their carers in shared decision-making about medicines use.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543865","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
Equipping the healthcare workforce to meet the complex health needs of older people in the community: a skills-led approach. 培养医疗保健队伍，以满足社区老年人复杂的健康需求：以技能为主导的方法。
Nursing older people Pub Date : 2023-12-13 DOI: 10.7748/nop.2023.e1454
Marie Prior, Susan Blake, Helen Lyndon
{"title":"Equipping the healthcare workforce to meet the complex health needs of older people in the community: a skills-led approach.","authors":"Marie Prior, Susan Blake, Helen Lyndon","doi":"10.7748/nop.2023.e1454","DOIUrl":"https://doi.org/10.7748/nop.2023.e1454","url":null,"abstract":"<p><p>The shift towards delivering more clinical care in the community not only supports the healthcare system by avoiding unnecessary hospital admissions, but can also improve outcomes, particularly for older people with complex healthcare needs. Therefore, healthcare organisations need to consider how to ensure their workforce has the capabilities required to provide care in accordance with this new model. This article details a project that involved the design and development of a replicable Ageing Well programme of learning to increase knowledge, skills and confidence among registered and unregistered practitioners, underpinned by a 'skills not roles' strategy. Although evaluation of the programme is ongoing, the authors encourage its wider adoption by outlining its benefits, how the challenges encountered during this project were overcome and the learning points gained from the experience.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138816056","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
When will older people’s nursing get recognition? 老年人护理何时才能得到认可？
Nursing older people Pub Date : 2023-12-05 DOI: 10.7748/nop.35.6.12.s4
Paul Edwards
{"title":"When will older people’s nursing get recognition?","authors":"Paul Edwards","doi":"10.7748/nop.35.6.12.s4","DOIUrl":"https://doi.org/10.7748/nop.35.6.12.s4","url":null,"abstract":"","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598742","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 nursing services with outside partners 与外部伙伴合作改善护理服务
Nursing older people Pub Date : 2023-12-05 DOI: 10.7748/nop.35.6.13.s5
Claire Porter
{"title":"Improving nursing services with outside partners","authors":"Claire Porter","doi":"10.7748/nop.35.6.13.s5","DOIUrl":"https://doi.org/10.7748/nop.35.6.13.s5","url":null,"abstract":"","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599764","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
Setting up a journal club for healthcare professionals in an older people's residential care setting. 在老年人的住宿护理环境中为医疗保健专业人员建立一个期刊俱乐部。
Nursing older people Pub Date : 2023-12-05 Epub Date: 2023-10-18 DOI: 10.7748/nop.2023.e1448
Anita Duffy, Fiona Lawler, Christine Dalton, Michael Connolly
{"title":"Setting up a journal club for healthcare professionals in an older people's residential care setting.","authors":"Anita Duffy, Fiona Lawler, Christine Dalton, Michael Connolly","doi":"10.7748/nop.2023.e1448","DOIUrl":"10.7748/nop.2023.e1448","url":null,"abstract":"<p><p>With the rise in the number of older people in the population and new developments in older people's services such as integrated care hubs, there is a need for healthcare professionals working with older people to keep up to date with the latest research. This article describes the process of establishing a multidisciplinary journal club in a residential care setting and recognising the potential of such clubs to develop staff members' critical thinking, presentation and communication skills. The authors emphasise the importance of fostering a culture of learning in older people's services and describe how a journal club can support healthcare professionals to maintain their knowledge and improve care.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242774","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
Constant nursing pressures underline the importance of self-care 持续的护理压力凸显自我护理的重要性
Nursing older people Pub Date : 2023-12-05 DOI: 10.7748/nop.35.6.5.s1
{"title":"Constant nursing pressures underline the importance of self-care","authors":"","doi":"10.7748/nop.35.6.5.s1","DOIUrl":"https://doi.org/10.7748/nop.35.6.5.s1","url":null,"abstract":"","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599340","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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