3,573 results match your criteria Journal of Gerontological Nursing[Journal]


Usability Testing of a Mobile Clinical Decision Support App for Urinary Tract Infection Diagnosis in Nursing Homes.

J Gerontol Nurs 2019 Apr 12:1-7. Epub 2019 Apr 12.

The aim of the current study was to conduct usability testing of a mobile clinical decision support (CDS) prototype designed for urinary tract infection (UTI) assessment by nurses in nursing homes (NHs). Usability of the UTIDecide smartphone application (app) was evaluated using cognitive walk-through and think-aloud protocol sessions with nurses (n = 6) at two NH sites. This evaluation was followed by unsupervised field tests lasting ≥1 week with nurses at one site (n = 4) and posttest interviews and administration of the System Usability Scale (SUS). Read More

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http://dx.doi.org/10.3928/00989134-20190408-01DOI Listing
April 2019
1 Read

Intentional Rounding With Certified Nursing Assistants in Long-Term Care: A Pilot Project.

J Gerontol Nurs 2019 Apr 12:1-7. Epub 2019 Apr 12.

Intentional rounding (IR) is a strategy used by predominately acute care nursing staff to proactively address patients' needs at regular and consistent intervals. The current project piloted the use of IR with certified nursing assistants (CNAs) on a 60-bed unit of a 120-bed skilled nursing facility (SNF). Using a pre/post intervention design and the Plan-Do-Study-Act (PDSA) framework, the authors measured knowledge of IR's "4Ps" (potty, position, possessions, and pain) and the incidence of falls and lost possessions. Read More

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http://dx.doi.org/10.3928/00989134-20190328-01DOI Listing
April 2019
5 Reads

Evidence-Based Practice Guideline: Assessing Heart Failure in Long-Term Care Facilities.

J Gerontol Nurs 2019 Apr 12:1-7. Epub 2019 Apr 12.

Evidence suggests the most crucial elements to successful heart failure (HF) management in long-term care (LTC) include improving staffs' HF knowledge to recognize and intervene in early symptom exacerbations, embedding an effective and integrated interprofessional communication system into daily care processes, risk stratification, and anticipatory advanced care planning. Despite a large body of evidence describing best practices, quality HF management remains elusive in LTC facilities. Studies have shown that care quality and outcomes improve when the entire team, including direct caregivers, have an active role in residents' care planning and implementation. Read More

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http://dx.doi.org/10.3928/00989134-20190409-01DOI Listing
April 2019
4 Reads

Relationships Among Social Support, Coping Strategy, and Depressive Symptoms in Older Adults With Diabetes.

J Gerontol Nurs 2019 Apr;45(4):40-46

The current study aimed to examine the relationships among social support, coping strategy, and depressive symptoms in older adults with diabetes, and the mediating role of coping strategy in the relationship between social support and depressive symptoms. Participants were 152 older adults with diabetes from two community health service centers in Chongqing, China. Self-reported questionnaires were used to assess social support, coping strategy, and depressive symptoms. Read More

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http://dx.doi.org/10.3928/00989134-20190305-03DOI Listing

Women's Perceptions of Retirement.

J Gerontol Nurs 2019 Apr;45(4):31-39

A record number of women are going through the major life transition of retirement. The purpose of the current study was to explore women's perceptions of retirement with the goals of better understanding important patterns of response regarding retirement transitioning and to inform nurses on how to assist clients who are anticipating or engaging in the retirement transition. A sample population of 170 retired women was recruited using convenience sampling from community settings within six southeastern U. Read More

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http://dx.doi.org/10.3928/00989134-20190221-01DOI Listing
April 2019
1 Read

Hydration Status of Assisted Living Memory Care Residents.

J Gerontol Nurs 2019 Apr;45(4):21-29

Water intake and hydration status of assisted living memory care (ALMC) residents were evaluated. Thirty-two residents (eight men; mean age 86.5 years; Global Deterioration Scale [GDS] 3 to 7) from four ALMC units participated. Read More

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http://dx.doi.org/10.3928/00989134-20190213-02DOI Listing
April 2019
1 Read

Impact of a SystemCHANGE™ Intervention on Medication Adherence in Older Adults With Heart Failure: A Feasibility Study.

J Gerontol Nurs 2019 Apr;45(4):15-19

The purpose of the current study was to examine the feasibility and acceptability of a SystemCHANGE™ intervention in improving medication adherence in older adults with heart failure (HF). Adults age ≥50 years with HF who self-administered diuretics were screened for 2 months using electronic monitoring to determine baseline adherence scores. Participants were randomized into the SystemCHANGE™ or attention-control group if adherence scores were <88%. Read More

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http://dx.doi.org/10.3928/00989134-20190212-01DOI Listing

Beneficiary, Caregiver, and Case Manager Perspectives on the Medication Therapy Management Program Standardized Format.

J Gerontol Nurs 2019 Apr;45(4):7-13

Plan sponsors of Medicare Part D must provide beneficiaries who receive a comprehensive medication review (CMR) with a written summary using the Medicare Part D Medication Therapy Management Standardized Format (SF). The SF is a means to advance consistency in the CMR program by providing a template of expected content. However, barriers remain with beneficiary use and integration into existing electronic health records. Read More

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http://dx.doi.org/10.3928/00989134-20190311-01DOI Listing

Type 2 Diabetes Self-Management Barriers in Older Adults: An Integrative Review of the Qualitative Literature.

Authors:
Tina Saunders

J Gerontol Nurs 2019 Mar;45(3):43-54

Type 2 diabetes is a prevalent chronic health condition more frequently affecting adults ages 65 and older. Furthermore, these individuals tend to have more type 2 diabetes-associated complications, compared with younger individuals with diabetes, and face unique challenges throughout the self-management process. Despite many studies and reviews about diabetes self-management, few researchers focus specifically on older adults. Read More

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http://dx.doi.org/10.3928/00989134-20190211-05DOI Listing
March 2019
1 Read

Hypercholesterolemia Management in Older Adults: A Scoping Review of Recent Evidence.

J Gerontol Nurs 2019 Mar;45(3):31-42

Given the high co-occurrence of age and hypercholesterolemia, there is a critical need for age-appropriate evidence for achieving normal cholesterol levels. The purpose of the current review was to map recent evidence (i.e. Read More

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http://dx.doi.org/10.3928/00989134-20190211-04DOI Listing
March 2019
2 Reads

Partnership to Enhance Resident Outcomes for Community Living Center Residents With Dementia: Description of the Protocol and Preliminary Findings.

J Gerontol Nurs 2019 Mar;45(3):21-30

The goal of this quality improvement project is to improve care planning around preferences for life-sustaining treatments (LST) and daily care to promote quality of life, autonomy, and safety for U.S. Department of Veterans Affairs (VA) Community Living Center (CLC) (i. Read More

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http://dx.doi.org/10.3928/00989134-20190211-03DOI Listing
March 2019
1 Read

Feasibility of an Integrative Activity Program for Older Adults With Low Education and Mild Dementia.

J Gerontol Nurs 2019 Mar;45(3):13-20

The population of older adults is increasing, as is the number of older adults with dementia. However, there is a lack of integrative interventions that include both cognitive training and physical exercise for older adults with dementia. The current study conducted a 12-week integrated program for older adults with low education and mild dementia; the study modified the contents developed by the National Dementia Institute. Read More

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http://dx.doi.org/10.3928/00989134-20190124-01DOI Listing
March 2019
1 Read

Are We Ready for the CARE Act?: Family Caregiving Education for Health Care Providers.

J Gerontol Nurs 2019 Mar;45(3):7-11

The CARE Act, law in 40 states and territories in the United States, requires hospitals to identify and include family caregivers during admission and in preparation for discharge. Although the number of family caregivers has been steadily increasing, health care providers are ill-prepared to address their needs, and caregiving remains a neglected topic in health care providers' education. A market analysis was performed to explore the availability of and interest in interprofessional courses and programs focused on preparing health professionals to support family caregivers. Read More

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http://dx.doi.org/10.3928/00989134-20190211-02DOI Listing
March 2019
1 Read

Effect of Low-Intensity, Kinect™-Based Kaimai-Style Qigong Exercise in Older Adults With Type 2 Diabetes.

J Gerontol Nurs 2019 Feb;45(2):42-52

The aim of the current study was to investigate the effect of low-intensity, Kinect™-based Kaimai-style Qigong exercise among older adults with type 2 diabetes mellitus (T2DM). A non-randomized controlled trial was conducted in a community center in Changchun, China, from July to September 2017. Participants (N = 55) were assigned to the Qigong group or control group. Read More

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http://dx.doi.org/10.3928/00989134-20190111-05DOI Listing
February 2019
13 Reads

Assessing Informal and Formal Diabetes Knowledge in African American Older Adults With Uncontrolled Diabetes.

J Gerontol Nurs 2019 Feb;45(2):35-41

Some researchers attribute the excess rates of diabetes complications among African American older adults compared to other racial/ethnic subgroups to low diabetes knowledge. Diabetes knowledge measures have a biomedical orientation, including knowledge of glycemic control and using diet and exercise to control blood sugar. Measures do not assess informal knowledge that patients obtain outside of the clinical environment. Read More

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February 2019
6 Reads

Relationships Between Subjective Cognitive Impairment and Personality Traits: A Systematic Review.

J Gerontol Nurs 2019 Feb;45(2):27-34

This systematic review examined the relationships between personality traits and subjective cognitive impairment (SCI) in older adults without dementia. A comprehensive literature search conducted according to PRISMA guidelines identified empirical investigations of SCI and at least one of the big five personality traits among adults age 60 or older. All articles were critically appraised using the weight of evidence framework and findings were compared, contrasted, and synthesized across studies. Read More

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February 2019

Prompted Voiding for Individuals With Urinary Incontinence.

Authors:
Diane K Newman

J Gerontol Nurs 2019 Feb;45(2):14-26

Urinary incontinence (UI) is one of the most common conditions among residents of post-acute and long-term care facilities. UI is seen in at least 55% of nursing home residents and is the second leading cause of institutionalization of older adults. UI has been shown to be an independent risk factor for unplanned hospitalization of home care individuals. Read More

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February 2019

Mapping Core Concepts of Person-Centered Care in Long-Term Services and Supports.

J Gerontol Nurs 2019 Feb;45(2):7-13

Person-centered care (PCC) has a wide range of definitions, most based on expert opinion rather than empirical analysis. The current study used an empirical concept mapping approach to identify core components of PCC used in long-term services and supports (LTSS). The aim is to help providers and researchers develop a unified set of domains that can be used to assess and improve the quality of PCC in real-world settings. Read More

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February 2019
10 Reads

Cybercrime: A New and Growing Problem for Older Adults.

Authors:
Albert Munanga

J Gerontol Nurs 2019 Feb;45(2):3-5

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February 2019

What Does "Healthy Aging" Really Mean?: New AGS Report Looks for Answers.

Authors:
Laurie G Jacobs

J Gerontol Nurs 2019 Jan;45(1):47-48

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http://dx.doi.org/10.3928/00989134-20190102-07DOI Listing
January 2019
1 Read

Burden and Coping Ability of Individuals Caring for Chronically Ill Older Adults in Nigeria: A Mixed Methods Study.

J Gerontol Nurs 2019 Jan;45(1):39-46

Family members play key roles in the care of older adults with chronic illness. However, little is known about the negative consequences of caregiving in Sub-Sahara Africa. The current study examined the influence of caregivers' burden and coping ability on the health-related quality of life of caregivers of older adults with chronic illness. Read More

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http://dx.doi.org/10.3928/00989134-20190102-06DOI Listing
January 2019
1 Read

Nurses' Positive Experiences in Caring for Older Adults With Dementia: A Qualitative Analysis.

J Gerontol Nurs 2019 Jan;45(1):31-37

A qualitative study was conducted to explore nurses' positive experiences in caring for older adults with dementia in South Korea. Researchers collected data through in-depth, face-to-face interviews, and the recorded interviews were analyzed using grounded theory. A total of 33 codes, 12 categories, and 21 sub-categories were derived, and the categories were further analyzed using the paradigm model. Read More

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January 2019
1 Read

Older Adults' Perceptions of Their Fall Risk and Prevention Strategies After Transitioning from Hospital to Home.

J Gerontol Nurs 2019 Jan;45(1):23-30

Falls are common adverse events following hospital discharge. However, prevention programs are not tailored for older patients transitioning home. To inform development of transitional fall prevention programs, nine older adults designated as being at risk of falls during hospitalization who were recently discharged home were asked about their perceptions of fall risk and prevention, as well as their knowledge and opinion of materials from the Centers for Disease Control and Prevention Stopping Elderly Accidents, Deaths & Injuries Initiative. Read More

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http://dx.doi.org/10.3928/00989134-20190102-04DOI Listing
January 2019
9 Reads
0.619 Impact Factor

Exploring Perceptions of Health Care Providers' Use of Electronic Advance Directive Forms in Electronic Health Records.

J Gerontol Nurs 2019 Jan;45(1):17-21

The current study explored the perceptions of health care providers' use of electronic advance directive (AD) forms in the electronic health record (EHR). The Technology Acceptance Model (TAM) was used to guide the study. Of 165 surveys distributed, 151 participants (92%) responded. Read More

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January 2019
2 Reads

Combating Polypharmacy Through Deprescribing Potentially Inappropriate Medications.

J Gerontol Nurs 2019 Jan;45(1):9-15

Polypharmacy, defined as the use of five or more medications, is becoming increasingly prevalent in older adults throughout the United States. Depre-scribing, along with the use of existing tools, such as the American Geriatrics Society Beers Criteria, can help guide health care providers in reducing the risks associated with polypharmacy such as side effects and drug interactions. The framework of deprescribing and the use of existing guidelines and resources are valuable in guiding health care providers in addressing polypharmacy. Read More

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January 2019
3 Reads

The Association Between Chronic Condition Symptoms and Treatment Burden in a Skilled Nursing Population.

J Gerontol Nurs 2018 Dec;44(12):45-52

The purpose of the current study was to determine the relationship between chronic condition symptoms and treatment burden in older adults transitioning from skilled nursing facilities to home. Treatment burden is defined as the burden associated with adhering to a prescribed chronic condition self-management regimen. Analysis of correlations between chronic condition symptoms and treatment burden revealed that symptoms and treatment burden are positively correlated (p < 0. Read More

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http://dx.doi.org/10.3928/00989134-20181019-01DOI Listing
December 2018
5 Reads

Nurses' Recognition of Hospitalized Older Patients With Delirium and Cognitive Impairment Using the Delirium Observation Screening Scale: A Prospective Comparison Study.

J Gerontol Nurs 2018 Dec;44(12):35-43

The aim of the current study was to report findings about delirium detection when ward nurses screened for delirium in patients with cognitive impairment using the Delirium Observation Screening Scale (DOSS) in comparison to the Confusion Assessment Method (CAM). A secondary analysis was performed of research data collected in 2010 at a Swiss tertiary university hospital. During the first 5 days after admission, patients 70 and older with cognitive impairment were screened for delirium using the DOSS. Read More

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http://dx.doi.org/10.3928/00989134-20181018-02DOI Listing
December 2018
9 Reads

Development of a Comprehensive Geriatric Assessment Led by Geriatric Nurse Consultants: A Feasibility Study.

J Gerontol Nurs 2018 Dec;44(12):25-34

Hospitalized older adults are at high risk for complications, leading to negative outcomes such as longer lengths of stay, hospital readmissions, and functional and cognitive decline. Comprehensive Geriatric Assessment (CGA) models are effective in mitigating these syndromes but are not widespread. Nurses with expertise in gerontology who can provide consultation and care coordination can improve care processes and clinical outcomes. Read More

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http://dx.doi.org/10.3928/00989134-20181109-03DOI Listing
December 2018
1 Read
0.619 Impact Factor

Older Smokers' Beliefs About e-Cigarettes and Intent to Quit Conventional Cigarettes.

J Gerontol Nurs 2018 Dec;44(12):17-24

To explore associations between older smokers' attitudes and beliefs about electronic cigarettes (e-cigarettes) and tobacco use behavior, descriptive and correlational analysis of a cross-sectional survey of a random national sample of current smokers (age ≥45 years [considered "older" herein]) was performed. Of 498 older smokers, 75% wanted to quit smoking cigarettes and 60% had tried e-cigarettes. The 108 current e-cigarette users believed e-cigarettes help quit cigarettes (p < 0. Read More

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December 2018
1 Read

Care Plan Standardization for Older Adults: Opportunities for Nursing Leadership.

J Gerontol Nurs 2018 Dec;44(12):11-16

Care plans guide and document achievement of short- and long-term goals. However, most care plans are discipline oriented, document medical problems, and lack person-centered information such as care preferences. The current authors' goal was to explore the status of comprehensive care plans and the future application of sharing data among health care providers and settings. Read More

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December 2018
1 Read

The Art and Science of Nursing.

J Gerontol Nurs 2018 Dec;44(12):3-5

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December 2018
1 Read

Influence of Leisure Activity Participation Between Genders Among Korean Older Adults.

J Gerontol Nurs 2018 Nov;44(11):51-58

The current study examined and compared the effect of male and female older adults' participation level in leisure activities on their perceived health status, psychological well-being, levels of depression, levels of loneliness, and successful aging. A cross-sectional descriptive study design was used. Study participants comprised 197 older adults (women: n = 108, men: n = 89) ages 65 and older who were living in Gyeonggi Province, South Korea. Read More

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November 2018
4 Reads

Perceptions of Mental Health Among Hispanic Older Adults: Findings Among Immigrants from the Dominican Republic, Colombia, and Guatemala.

J Gerontol Nurs 2018 Nov;44(11):44-50

Disparities exist in the recognition and treatment of mental health issues among Hispanic community-dwelling older adults. Previous researchers have focused on accessing mental health services, with limited attention to older Hispanic immigrants' perceptions of mental health issues. A qualitative descriptive research design was used to understand older Hispanic immigrants' perceptions of mental health issues, especially those related to stress, anxiety, and depression. Read More

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November 2018
13 Reads

Person-Centered Incontinence Care in Residential Care Facilities for Older Adults With Cognitive Decline: Feasibility and Preliminary Effects on Quality of Life and Quality of Care.

J Gerontol Nurs 2018 Nov;44(11):10-19

The current study operationalized, assessed, and evaluated the feasibility and preliminary effects of implementing a person-centered approach to incontinence care for older adults with cognitive decline in residential care facilities (RCFs) in Sweden. Twenty health care workers were purposively sampled from two intervention RCFs. Process outcome was measured as number of assessments conducted for incontinence management. Read More

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November 2018
15 Reads

A Comprehensive Assessment of Risk Factors for Falls in Community-Dwelling Older Adults.

J Gerontol Nurs 2018 Oct;44(10):40-48

Falls in community-dwelling older adults are a complicated phenomenon that are attributed to sociodemographic characteristics, health conditions, functional problems, and environmental factors. The current cross-sectional and correlational study aimed to explore comprehensive risk factors for falls in community-dwelling older adults using a nationally representative data file (N = 5,930). Descriptive statistics were used and multiple logistic regression analyses were performed. Read More

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October 2018
19 Reads

Moderating Effects of Resilience on the Relationship Between Emotional Labor and Burnout in Care Workers.

J Gerontol Nurs 2018 Oct;44(10):30-39

The aim of the current study was to investigate the moderating effects of resilience on the relationship between emotional labor and burnout among care workers in long-term care (LTC) hospitals. Participants were 126 care workers from five different LTC hospitals in Busan, South Korea. A set of self-reported questionnaires was administered to assess general characteristics, emotional labor, resilience, and burnout of participants. Read More

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October 2018
3 Reads

The Relationship Between Physical Activity and Dementia: A Systematic Review and Meta-Analysis of Prospective Cohort Studies.

Authors:
Junga Lee

J Gerontol Nurs 2018 Oct;44(10):22-29

Physical activity may decrease the risk of dementia; however, conflicting findings exist. The purpose of the current meta-analysis was to investigate the relationship between physical activity and dementia risk based on physical activity type, amount, and intensity, and to propose an effective minimal physical activity amount for older adults. Forty-four studies were selected for the meta-analysis. Read More

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http://dx.doi.org/10.3928/00989134-20180814-01DOI Listing
October 2018
3 Reads

Chronic Obstructive Pulmonary Disease in Older Adults: Part II: Considerations for Inhaler Selection.

J Gerontol Nurs 2018 Oct;44(10):10-15

Inhaler administration for patients with chronic obstructive pulmonary disease (COPD) can be challenging, as it requires correct recall and execution of multiple steps. Older adults may have a higher risk of incorrectly administering inhalers versus the general population due to age-related visual, cognitive, and functional impairments. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2018 report states that in addition to advanced age, use of multiple inhalers and lack of previous inhaler education can negatively impact technique. Read More

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October 2018
16 Reads

Motivational Interviewing and Fat Consumption in Older Adults: A Meta-Analysis.

J Gerontol Nurs 2018 Nov 13;44(11):33-43. Epub 2018 Sep 13.

Diets high in fat increase the risks for obesity and chronic diseases, even for older adults, the largest growing population in the United States. In the current study, a meta-analysis was performed to examine the effects of motivational interviewing (MI) dietary interventions on fat consumption in older adults. Electronic databases, journals, and unpublished literature were searched. Read More

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http://dx.doi.org/10.3928/00989134-20180817-01DOI Listing
November 2018
8 Reads

Outcomes of Patients With Delirium in Long-Term Care Facilities: A Prospective Cohort Study.

J Gerontol Nurs 2018 Sep;44(9):41-50

A 6-month prospective cohort study was performed in patients with or without dementia admitted to two Korean long-term care (LTC) facilities. Participants were categorized into four groups: (a) no delirium or dementia, (b) dementia only, (c) delirium only, and (d) delirium superimposed on dementia (DSD). Delirium incidence, mortality, readmission, discharge placement, length of stay, and other associated factors were evaluated. Read More

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http://dx.doi.org/10.3928/00989134-20180808-08DOI Listing
September 2018
13 Reads