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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
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
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 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 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
October 2011
Carol Levine |
Supporting Family Caregivers: The Hospital Nurse's Assessment of Family Caregiver Needs It's important to assess and address a family caregiver's needs, strengths, and limitations. Nurses have the training, skills, and opportunities to carry out these assessments. |
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. |
American Journal of Nursing
April 2008
Wallace & Shelkey |
Monitoring Functional Status in Hospitalized Older Adults The Katz Index of Independence in Activities of Daily Living can help nurses detect subtle changes in health and prevent functional decline. |
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 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
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. |
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
April 2011 |
Strategies for Feeding Patients with Dementia An overview of the difficulties associated with feeding those with dementia and suggestions for caregivers to help overcome these challenges. |
American Journal of Nursing
December 2008 |
Screening Older Adults for Executive Dysfunction The detection of executive dysfunction is essential to helping a patient remain as safe and independent as possible. |
American Journal of Nursing
September 2011
Schmid et al. |
Care of the Suicidal Pediatric Patient in the ED: A Case Study At Childrens Hospital Boston, an algorithm-the Risk of Suicidality Clinical Practice Algorithm has been developed to ensure evidence-based care supported by best practice guidelines. |
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
February 2009
Janet K. Specht |
Assessment of Transient Urinary Incontinence in Older Adults Many caregivers erroneously consider urinary incontinence to be inevitable in older adults. Failure to identify and respond to transient urinary incontinence may lead to established incontinence and to other poor outcomes. |
American Journal of Nursing
July 2008
Horgas & Miller |
Pain Assessment in People with Dementia The Pain Assessment in Advanced Dementia (PAINAD) scale has been designed to assess pain in this population by looking at five specific indicators. |
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. |
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. |
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
November 2011
Christine L. Cutugno |
The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population. |
American Journal of Nursing
December 2008 |
Screening for Mistreatment of Older Adults The Elder Assessment Instrument provides a way for nurses to screen older adults for possible mistreatment and can be used in most clinical settings. |
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 Journal of Nursing
April 2010
Mary Curry Narayan |
Culture's Effects on Pain Assessment and Management When patients belong to a culture or speak a language that's different from that of their health care provider, the provider faces additional challenges in successfully assessing and managing the patients' pain. |
Nursing
September 2008
Denise L. Lyons et al. |
Double Trouble: When Delirium Complicates Dementia Learn to protect a patient with dementia from the disabling effects of delirium. |
American Family Physician
June 1, 2002
Jeffrey L. Cummings |
Guidelines for Managing Alzheimer's Disease: Part I. Assessment Family physicians play a key role in assessing and managing patients with Alzheimer's disease and in linking the families of these patients to supportive services within the community. |
American Journal of Nursing
February 2008
DiMaria-Ghalili & Guenter |
The Mini Nutritional Assessment This tool can identify malnutrition in older adults before changes in biochemistry or weight are evident. |
American Family Physician
December 15, 2000
Susan Mockus Parks & Karen D. Novielli |
A Practical Guide to Caring for Caregivers Patients who provide care to family members or friends with dementia are likely to be in a family physician's practice. The caregiver role can be stressful, and identifying these patients can give the family physician opportunities to help patients cope with the challenges of the role... |
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. |
Nursing Management
March 2010
Becker & Schmidtke |
All along the watchtower: Suicide risk screening, a pilot study Patients will continue to die if healthcare organizations don't take action and appropriately assess patients at risk for suicide in general hospitals. |
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. |
Nursing Management
September 2011
Sally Austin |
What does EMTALA mean for you? When a patient enters your hospital, do you know what your obligations are under the Emergency Medical Treatment and Active Labor Act? |
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
April 2012
Elliott et al. |
Managing alcohol withdrawal in hospitalized patients A focused nursing assessment is critical in identifying the potential for alcohol withdrawal symptoms in all hospitalized patients. This article discusses how to assess patients at risk and how to use these assessment findings as a basis for nursing interventions. |
Nurse Practitioner
March 2012
Baumann & Dang |
Helping Patients with Chronic Conditions Overcome Barriers to Self-Care Here are approaches nurse practitioners can use to reduce or eliminate barriers to self-care in adults with chronic conditions. |
American Journal of Nursing
October 2005
Charlotte Thomas-Hawkins |
Self-Management of Chronic Kidney Disease Effective management of this disease requires the patient to be the principal illness manager and this skill requires the nurses guidance and support. |
Nursing
August 2010
Bartley & Shiflett |
Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible. |
American Journal of Nursing
November 2008
Madeline A. Naegle |
Screening for Alcohol Use and Misuse in Older Adults: Using the Short Michigan Alcoholism Screening Test--Geriatric Version The availability of accurate, easy-to-use screening tools to detect people in need of counseling can increase the number of older adults whose lives can be improved and even lengthened. |
American Family Physician
December 15, 2000
James O'Brien |
Caring for Caregivers Long-term care given by family members is a central component of our current health care system and, thus, a critical social policy issue... |
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. |
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. |
Nursing Management
November 2011
Mary Ann Remshardt |
The Impact of Patient Literacy on Healthcare Practices With regard to patient teaching, how can healthcare personnel be certain that patients understand concepts basic to informed consent, hospital safety, dietary restrictions, and prescription information? |
American Journal of Nursing
August 2011
Craft & Prahlow |
From Fecal Impaction to Colon Perforation The authors present the case of an elderly, nonverbal nursing home resident with dementia who developed fecal impaction, despite interventions such as enema. |
Nursing Management
August 2009
Jenkins et al. |
Nursing the spirit The concept of spirituality in nursing is deeply rooted in the history of our profession, yet it's often overlooked in nursing practice. |
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
September 2009
Judith K. Schwarz |
Stopping Eating and Drinking The author describes stopping eating and drinking, as well as other clinical practices associated with hastening dying. Should this practice be distinguished from suicide; and what are the ethical and legal implications for nurses. |
American Family Physician
March 1, 2003
Ondria C. Gleason |
Delirium Delirium is characterized by an acute change in cognition and a disturbance of consciousness, usually resulting from an underlying medical condition or from medication or drug withdrawal. The associated morbidity and mortality make diagnosis of this condition extremely important. |
Nursing
May 2010
Sharon M. Valente |
Assessing patients for suicide risk This article will help you update your knowledge of suicide risk factors and prevention strategies, and provide guidelines for effective intervention. |
