Nursing older people最新文献

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Exploring the concept of a 'long lie' after a fall to inform clinical pathways in pre-hospital services: a systematic literature review. 探索跌倒后“长卧”的概念,以告知院前服务的临床路径:系统的文献综述。
Nursing older people Pub Date : 2025-08-04 Epub Date: 2025-05-29 DOI: 10.7748/nop.2025.e1505
Joanne Holland, Rachel Watkins-Webb
{"title":"Exploring the concept of a 'long lie' after a fall to inform clinical pathways in pre-hospital services: a systematic literature review.","authors":"Joanne Holland, Rachel Watkins-Webb","doi":"10.7748/nop.2025.e1505","DOIUrl":"10.7748/nop.2025.e1505","url":null,"abstract":"<p><p>The term 'long lie' is often used clinically to describe a situation where an individual has had a fall and has remained on the floor. However, there is no universal definition of what constitutes a long lie or recognition of the effect it can have on physical or psychological well-being. In August 2024, the authors undertook a comprehensive literature review on the subject. A search of articles published in English from the past 45 years which refer to adults over the age of 18 years who had a fall and a long lie, identified six articles. The outcome of the review demonstrates that there is a lack of primary literature that clearly defines a long lie. Nevertheless, ambulance and community first responders are encouraged to convey to hospital patients who have been on the floor for one hour or more, directly contradicting national health agendas that promote the delivery of acute care closer to home.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176377","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 care work and personal need narratives of older carers. 探索老年护理人员的护理工作和个人需求叙述。
Nursing older people Pub Date : 2025-08-04 Epub Date: 2025-06-26 DOI: 10.7748/nop.2025.e1517
Bob Price
{"title":"Exploring the care work and personal need narratives of older carers.","authors":"Bob Price","doi":"10.7748/nop.2025.e1517","DOIUrl":"10.7748/nop.2025.e1517","url":null,"abstract":"<p><p>Increasingly, older adults are undertaking carer roles to support other older people. They are doing this within the confusing world of healthcare consumerism, with different agencies providing different services and with variations in services across the UK. Understanding of the care work and needs of older carers is incomplete in relation to what they provide and what they believe they should seek help with. Therefore, it is important that nurses help older carers to narrate their care work and personal needs as part of an assessment of the self-care resources within the home. By doing so, nurses can better understand what support they might offer themselves and what assistance might be sought from other agencies. In this article, the author discusses the concepts of care agency and older carer narratives and describes how nurses might approach narrative enquiry by adopting the same principles used to develop person-centred care relationships.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"34-41"},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499937","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
Sustaining older people's mental well-being: social prescribing and the benefits of a film club. 维持老年人的心理健康:社会处方和电影俱乐部的好处。
Nursing older people Pub Date : 2025-07-30 DOI: 10.7748/nop.2025.e1517
Bob Price
{"title":"Sustaining older people's mental well-being: social prescribing and the benefits of a film club.","authors":"Bob Price","doi":"10.7748/nop.2025.e1517","DOIUrl":"https://doi.org/10.7748/nop.2025.e1517","url":null,"abstract":"<p><p>In December 2020 the United Nations launched the Decade of Healthy Ageing initiative, a global collaboration led by the World Health Organization which spans the years 2021-2030. It was designed to change how people think, feel about and act towards age and ageing, and to ensure that communities foster the abilities of older people. However, there is still a need to ascertain how best to arrange support in a way that redefines what it means to age well. Moreover, work remains to be done on finding resource-viable interventions that could improve the resilience of older people as they age, enriching their cognitive reserve. This article discusses how social prescribing interventions may assist people to age well, and draws on a reflective case study to highlight how collaborative action via a film club might empower older people to sustain their mental well-being.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746673","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 develop and present a conference poster. 如何制作和展示会议海报。
Nursing older people Pub Date : 2025-07-09 DOI: 10.7748/nop.2025.e1516
Amy Pepper
{"title":"How to develop and present a conference poster.","authors":"Amy Pepper","doi":"10.7748/nop.2025.e1516","DOIUrl":"https://doi.org/10.7748/nop.2025.e1516","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Presenting a poster at a conference is an effective way for nurses to share their work - for example, a research piece or quality improvement project - with a wider audience. It can help nurses to improve their writing and presentation skills while also benefiting colleagues and patients through the dissemination of best practice. However, if you are a novice poster author and presenter, you may find it challenging to know where to start. This article aims to guide nurses through the process of developing and presenting a conference poster, which will involve: • Consider what it is you wish to share with a wider audience and why. • Choose which conference will be a suitable forum and submit a convincing abstract. • Determine the design, structure and content of your poster. • Develop a draft, proofread it and ask a colleague or supervisor to look at it before finalising it. • Prepare yourself to discuss your poster with delegates. 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 designing and presenting a conference poster. • How you could use this information to educate nursing students or your colleagues on the appropriate technique and evidence base when designing and presenting a conference poster.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593280","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 : 2025-06-02 Epub 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":"10.7748/nop.2025.e1508","url":null,"abstract":"<p><strong>Rationale and key points: </strong>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.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","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
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 : 2025-06-02 Epub 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":"10.7748/nop.2025.e1504","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","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 : 2025-06-02 Epub 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":"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":"34-41"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","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
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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To evaluate pain management and follow-up care provided in primary care settings in Jordan to older people who had undergone orthopaedic surgery.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
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":"<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
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