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American Journal of Nursing October 2008 |
How to Try This: Working with Families of Hospitalized Older Adults with Dementia Families provide a considerable amount of informal care and support for older adults living with dementia. And when an older adult with dementia is hospitalized, family caregivers should be seen as important sources of information and included as valuable members of the health care team.  |
American Journal of Nursing August 2008 Carla L. Graf |
How to Try This: The Hospital Admission Risk Profile A simple screening tool can be used to classify hospitalized older adults as being at low, intermediate, or high risk for losing the ability to perform activities of daily living, based on assessments of age, cognitive function, and the ability to perform independent activities of daily living.  |
American Journal of Nursing April 2008 Carla Graf |
The Lawton Instrumental Activities of Daily Living Scale The Lawton Instrumental Activities of Daily Living (IADL) Scale assesses a person's ability to perform tasks such as using a telephone, doing laundry, and handling finances. The scale may provide an early warning of functional decline.  |
American Journal of Nursing May 2008 Carole A. Smyth |
Evaluating Sleep Quality in Older Adults: The Pittsburgh Sleep Quality Index can be used to detect sleep disturbances or deficits. Get more information on why it's important for nurses to screen older patients for sleep difficulties, as well as why the Pittsburgh Sleep Quality Index is the right tool for the job.  |
American Journal of Nursing August 2008 Stockdell & Amella |
How to Try This: The Edinburgh Feeding Evaluation in Dementia Scale: Determining How Much Help People with Dementia Need at Mealtime. The Edinburgh Feeding Evaluation in Dementia scale is an 11-item instrument developed to assess eating and feeding problems in people with late-stage dementia. Using the scale, a nurse can identify a patient's needs and build an effective care plan.  |
American Journal of Nursing January 2008 Maslow & Mezey |
Recognition of Dementia in Hospitalized Older Adults Recognition of Dementia in Hospitalized Older Adults proposes several approaches that hospital nurses can use to increase recognition of dementia. This article describes the Try This approaches, how to implement them, and how to incorporate them into a hospital's current admission procedures.  |
American Journal of Nursing November 2011 |
Supporting Family Caregivers: Teaching Essential Skills to Family Caregivers Nurses can use 'teachable moments' to help the transition from hospital to home care.  |
American Journal of Nursing January 2008 Fick & Mion |
How to Try This: Delirium Superimposed on Dementia Delirium is common in older adults who have dementia, but too often nurses confuse the symptoms of delirium with those of dementia and it goes unrecognized and untreated. Delirium can signal a serious underlying condition such as infection or dehydration.  |
American Family Physician May 1, 2005 Adelman & Daly |
Initial Evaluation of the Patient with Suspected Dementia It is common for older patients to present to family physicians with concerns of memory loss. With an accurate and timely diagnosis of dementia, appropriate therapies can be initiated to reduce further cognitive decline.  |
American Journal of Nursing November 2008 Hyer & Brown |
The Impact of Event Scale-- Revised: A Quick Measure of a Patient's Response to Trauma The Impact of Event Scale-Revised (IES-R) provides a structured way for a patient to communicate distress when she or he may not have the words to do so.  |
American Journal of Nursing September 2008 Messecar et al. |
The Family Preferences Index: Helping Family Members Who Want to Participate in the Care of a Hospitalized Older Adult. Researcher Hong Li developed the FPRI in 2000 after analysis of in-depth interviews with patients, families, and nurses and many hours of observing hospitalized older adults and their family caregivers.  |
American Journal of Nursing November 2007 Ann Hendrich |
How to Try This: Predicting Patient Falls Assess a hospitalized patients risk of falling using this screening tool.  |
American Journal of Nursing November 2007 Nancy A. Stotts |
How to Try This: Predicting Pressure Ulcer Risk An assessment tool to predict the risk of pressure ulcers in the elderly.  |
American Family Physician February 15, 2001 Karen S. Santacruz & Daniel Swagerty |
Early Diagnosis of Dementia As more treatment options become available, it will become increasingly important to diagnose dementia early...  |
American Journal of Nursing October 2008 |
Wandering in Hospitalized Older Adults: Identifying Risk is the First Step in This Approach to Preventing Wandering in Patients with Dementia. People who have dementia are at risk for wandering away from the safety of the care setting and becoming lost in the community. Here are three critical elements of prevention and action.  |
American Journal of Nursing March 2008 Evans & Cotter |
Avoiding Restraints in Patients with Dementia Understanding, prevention, and management are the keys to reducing restraint use.  |
American Family Physician March 15, 2006 Carr et al. |
Older Adult Drivers with Cognitive Impairment In patients who continue to drive, physicians should assess pertinent cognitive domains, determine the severity and etiology of the dementia, and screen for risky driving behaviors.  |
American Journal of Nursing October 2007 Terry Fulmer |
How to Try This: Fulmer SPICES Fulmer SPICES is a framework for assessing older adults. This assessment, done regularly, can lead to the prevention and treatment of common conditions.  |
Nurse Practitioner August 2011 Davis et al. |
Supportive approaches for Alzheimer Disease Alzheimer disease accounts for almost 80% of all dementia diagnoses. Currently, more than 5 million Americans suffer from this debilitating illness, with the highest prevalence in the oldest age groups.  |
Nursing March 2010 Peg Gray-Vickrey |
Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.  |
American Journal of Nursing July 2011 Brodkey et al. |
Living Well with Multiple Sclerosis Improvements in magnetic resonance imaging and the advent of disease-modifying therapies in the past 15 years have changed the diagnosis and treatment of multiple sclerosis  |
Nursing April 2011 Sally Austin |
Stay Out of Court with Proper Documentation Here is a practical guideline to help you document your assessments and interventions completely, accurately, and concisely. Doing so not only improves patient care, but also shields you from legal fallout if something goes wrong.  |
American Journal of Nursing March 2011 Jablonski et al. |
The Use of Algorithms in Assessing and Managing Persistent Pain in Older Adults This article introduces readers to the use of algorithms in guiding the assessment and management of persistent pain in older adults, and provides an illustrative case study.  |
American Journal of Nursing December 2011 Mary K. Walton |
Supporting Family Caregivers: Communicating with Family Caregivers A transformation is under way in acute care, at least in the United States, from provider-centered care to patient- and family-centered care.  |
Nursing Management December 2010 Raso & Gulinello |
Creating Cultures of Safety: Risk Management Challenges and Strategies The role of the nurse manager in directing patient care and influencing change from a risk perspective is paramount to success.  |
American Journal of Nursing January 2010 |
Life-Support Interventions at the End of Life: Unintended Consequences Nurses need to be knowledgeable life-support interventions at the end of life and able to communicate what they know about those consequences to patients, family members, and others on the health care team, leading to better decision making at this difficult time.  |
Nursing Management February 2010 Chuck Fort |
So good it's unreal: The value of simulation education The advantages of simulation in healthcare education are many.  |
Salon.com June 19, 2000 Lisa Ochs |
In the shadow of a glass mountain One nurse observes how the fear of lawsuits causes healthcare professionals to neglect patients.  |
American Family Physician November 15, 2004 Peter A. Calabresi |
Diagnosis and Management of Multiple Sclerosis The diagnosis of multiple sclerosis should be made by a physician with experience in identifying the disease. Five disease-modifying treatments for multiple sclerosis have been approved by the U.S. Food and Drug Administration.  |
Nursing July 2009 Penny S. Brooke |
Legally speaking...When can you say NO? As a nurse, accepting responsibilities that are beyond the scope of your license or skill level can have serious consequences for you, your patients, and your nursing career.  |
Pharmaceutical Executive May 1, 2014 Ben Comer |
2014 Brand of the Year Brand of the Year recipients for 2014 are Copaxone, a mainstay treatment for multiple sclerosis, and KORLYM for diseases driven by excess production of the metabolic hormone, cortisol. We profile the journey of both drugs.  |
Registered Rep. September 8, 2011 Mark Miller |
How to Protect Aging Clients' Finances A growing body of evidence suggests that the aging brain isn't well-suited to financial decision-making.  |
Salon.com March 27, 2000 Jeff Drayer |
The hardest question Even after doing it hundreds of times, it's never easy to ask someone whether they want you to let them die.  |
American Journal of Nursing May 2011 Pusateri et al. |
Original Research: The Role of the Non-ICU Staff Nurse on a Medical Emergency Team: Perceptions and Understanding We sought to determine the nursing staff's familiarity with and perceptions of the Medical Emergency Team at one hospital.  |
Salon.com September 19, 2002 Stephanie Zacharek |
"Secretary" Whip me, spank me, correct my spelling mistakes. James Spader stars in a weird tale about the mysteries of desire.  |