Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.013
Jiajun Xue BS , Ying Zhou PhD , Yuran Yan BS , Qilin Mao BS , Feng Lin BS , Lijuan Shen BS , Zichen Ye BS , Zheng Li PhD, FAAN
<div><h3>Objective</h3><div>To evaluate the feasibility and effect of nurse-led cognitive-motor dual-task training based on mobile health technology in people with cognitive frailty and investigate its potential for transforming practice in this population.</div></div><div><h3>Methods</h3><div>From September 2021 to May 2022, a total of 74 older adults with cognitive frailty were screened at a Cognitive Memory Clinic of a tertiary hospital in Beijing. The control and intervention groups received health education related to cognitive frailty; additionally the intervention group received cognitive-motor dual-task training based on mobile health technology at home for 12 weeks, three times a week. At baseline (T<sub>0</sub>), post-intervention (T<sub>1</sub>) and one-year follow-up (T<sub>2</sub>), Montreal Cognitive Assessment-Peking version (MoCA-P), Fried Frailty phenotype (FP), Short Physical Performance Battery (SPPB), and Modified Fall Efficacy Scale (MFES) were employed to evaluate cognitive function, frailty, physical function, and fear of falling, and to assess the impact of cognitive-motor dual-task training on these measures.</div></div><div><h3>Results</h3><div>The data collected for 65 out of 74 participants enrolled for the study was completed after 12 weeks intervention, including 34 participants in the control group and 31 participants in the intervention group. During the intervention, the majority (83.8 %) of the participants in the intervention group were able to complete the recommended intervention dose for 12 weeks under the guidance of nurses and the presence of caregivers. At the end of the 12-week intervention, the intervention group showed statistically significant improvements compared to the control in scores of MoCA-P (<em>t</em>=4.017, <em>p</em><0.001), FP (<em>t</em>=3.739, <em>p</em><0.001), MFES (<em>t</em>=4.283, <em>p</em><0.001) and SPPB (<em>t</em>=3.548, <em>p</em><0.001). At after one-year follow-up, the scores of MoCA-P (<em>t</em>=3.237, <em>p</em><0.05), FP(<em>t</em>=3.725, <em>p</em><0.001), and MFES (<em>t</em>=4.473, <em>p</em><0.001) in the two groups remained statistically significant. Cognition, frailty and fear of falling were significantly affected by intergroup effects (<em>P<sub>group</sub></em><0.05), time effects (<em>P<sub>time</sub></em><0.05) and interaction effects (<em>P<sub>group*time</sub></em><0.001).</div></div><div><h3>Conclusions</h3><div>The cognitive-motor dual-task training program based on mobile health technology developed by nurses exhibited high feasibility and acceptability in older people with cognitive frailty. The intervention was found to significantly improve cognitive function, frailty, physical function, and fear of falling in older individuals with cognitive frailty, and showed a specific long-term maintenance effect. This study provides evidence for the promotion and application of mobile health technology, and serves as a practical basi
{"title":"Effects of nurse-led cognitive-motor dual-task training based on mobile health technology on the older adults with cognitive frailty: A quasi-experimental study","authors":"Jiajun Xue BS , Ying Zhou PhD , Yuran Yan BS , Qilin Mao BS , Feng Lin BS , Lijuan Shen BS , Zichen Ye BS , Zheng Li PhD, FAAN","doi":"10.1016/j.gerinurse.2024.12.013","DOIUrl":"10.1016/j.gerinurse.2024.12.013","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility and effect of nurse-led cognitive-motor dual-task training based on mobile health technology in people with cognitive frailty and investigate its potential for transforming practice in this population.</div></div><div><h3>Methods</h3><div>From September 2021 to May 2022, a total of 74 older adults with cognitive frailty were screened at a Cognitive Memory Clinic of a tertiary hospital in Beijing. The control and intervention groups received health education related to cognitive frailty; additionally the intervention group received cognitive-motor dual-task training based on mobile health technology at home for 12 weeks, three times a week. At baseline (T<sub>0</sub>), post-intervention (T<sub>1</sub>) and one-year follow-up (T<sub>2</sub>), Montreal Cognitive Assessment-Peking version (MoCA-P), Fried Frailty phenotype (FP), Short Physical Performance Battery (SPPB), and Modified Fall Efficacy Scale (MFES) were employed to evaluate cognitive function, frailty, physical function, and fear of falling, and to assess the impact of cognitive-motor dual-task training on these measures.</div></div><div><h3>Results</h3><div>The data collected for 65 out of 74 participants enrolled for the study was completed after 12 weeks intervention, including 34 participants in the control group and 31 participants in the intervention group. During the intervention, the majority (83.8 %) of the participants in the intervention group were able to complete the recommended intervention dose for 12 weeks under the guidance of nurses and the presence of caregivers. At the end of the 12-week intervention, the intervention group showed statistically significant improvements compared to the control in scores of MoCA-P (<em>t</em>=4.017, <em>p</em><0.001), FP (<em>t</em>=3.739, <em>p</em><0.001), MFES (<em>t</em>=4.283, <em>p</em><0.001) and SPPB (<em>t</em>=3.548, <em>p</em><0.001). At after one-year follow-up, the scores of MoCA-P (<em>t</em>=3.237, <em>p</em><0.05), FP(<em>t</em>=3.725, <em>p</em><0.001), and MFES (<em>t</em>=4.473, <em>p</em><0.001) in the two groups remained statistically significant. Cognition, frailty and fear of falling were significantly affected by intergroup effects (<em>P<sub>group</sub></em><0.05), time effects (<em>P<sub>time</sub></em><0.05) and interaction effects (<em>P<sub>group*time</sub></em><0.001).</div></div><div><h3>Conclusions</h3><div>The cognitive-motor dual-task training program based on mobile health technology developed by nurses exhibited high feasibility and acceptability in older people with cognitive frailty. The intervention was found to significantly improve cognitive function, frailty, physical function, and fear of falling in older individuals with cognitive frailty, and showed a specific long-term maintenance effect. This study provides evidence for the promotion and application of mobile health technology, and serves as a practical basi","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 544-553"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.039
Lingli Zhang MSN (student) , Ran Hou MSN (Professor) , Lin Liu MSN (student) , Yan Liu MSN (student) , Qinqin Yu MSN (student)
This systematic review evaluated the diagnostic accuracy of multiple screening tools for dysphagia in older adults. The analysis covered 30 studies involving 13 tools and 2,697 participants. The results showed that the volume viscosity swallow test performed best in sensitivity, specificity, and area under the curve, making it a recommended screening tool. Other tools have low sensitivity, unstable results or insufficient research and need to be further validated. Overall, this study provides an important reference for the screening of dysphagia in older adults.
{"title":"Evaluation of the performance of screening tools for dysphagia in older adults: A diagnostic meta-analysis","authors":"Lingli Zhang MSN (student) , Ran Hou MSN (Professor) , Lin Liu MSN (student) , Yan Liu MSN (student) , Qinqin Yu MSN (student)","doi":"10.1016/j.gerinurse.2024.12.039","DOIUrl":"10.1016/j.gerinurse.2024.12.039","url":null,"abstract":"<div><div>This systematic review evaluated the diagnostic accuracy of multiple screening tools for dysphagia in older adults. The analysis covered 30 studies involving 13 tools and 2,697 participants. The results showed that the volume viscosity swallow test performed best in sensitivity, specificity, and area under the curve, making it a recommended screening tool. Other tools have low sensitivity, unstable results or insufficient research and need to be further validated. Overall, this study provides an important reference for the screening of dysphagia in older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 629-641"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.030
Vanda Nissen , Renata F.I. Meuter
Objective
Not much is known about how one's understanding of words may differ with age. Here we explore how epistemic adverbs - as used in health communication to indicate degrees of uncertainty and risk - are understood by older and younger monolingual speakers of Australian English.
Methods
We used an online dissimilarity rating task with sentence pairs presented as first and second doctor opinions which differed only with respect to the embedded epistemic adverbs (e.g., This could certainly cause some cramps vs. This could possibly cause some cramps). To evaluate the possible effect of age, we compared the dissimilarity ratings of older and younger Australian English monolinguals (aged ≥55 (n = 24) and aged 18–50 (n = 57), respectively). The data were interpreted using classical Multi-Dimensional Scaling (C-MDS) analysis, complemented by cultural consensus analysis and hierarchical cluster analysis.
Results
Analyses revealed intragroup consensus for each speaker group. Both speaker groups clustered the hearsay adverbs (apparently, presumably, reportedly, and supposedly) similarly, and showed a similar understanding of probably, as reflected in a unique - albeit the least stable - cluster. Interestingly, the speakers differed in their understanding of high confidence adverbs and adverbs of likelihood. While they all clustered likely and possibly together, the older speakers also included certainly.
Conclusions
Our analysis showed some differences in how epistemic adverbs are understood by older and younger Australian English speakers, suggesting that, between generations, there were subtle changes in the degree of certainty associated with some of the epistemic adverbs (e.g., certainly). When consulting with their patients, health practitioners should be mindful that the meaning they intend when using epistemic adverbs may not be shared by their patients, especially when there is an age gap between interlocutors.
{"title":"How does age impact understanding of epistemic adverbs in health communication?","authors":"Vanda Nissen , Renata F.I. Meuter","doi":"10.1016/j.gerinurse.2024.12.030","DOIUrl":"10.1016/j.gerinurse.2024.12.030","url":null,"abstract":"<div><h3>Objective</h3><div>Not much is known about how one's understanding of words may differ with age. Here we explore how epistemic adverbs - as used in health communication to indicate degrees of uncertainty and risk - are understood by older and younger monolingual speakers of Australian English.</div></div><div><h3>Methods</h3><div>We used an online dissimilarity rating task with sentence pairs presented as first and second doctor opinions which differed only with respect to the embedded epistemic adverbs (e.g., <em>This could certainly cause some cramps</em> vs. <em>This could possibly cause some cramps</em>). To evaluate the possible effect of age, we compared the dissimilarity ratings of older and younger Australian English monolinguals (aged ≥55 (<em>n</em> = 24) and aged 18–50 (<em>n</em> = 57), respectively). The data were interpreted using classical Multi-Dimensional Scaling (C-MDS) analysis, complemented by cultural consensus analysis and hierarchical cluster analysis.</div></div><div><h3>Results</h3><div>Analyses revealed intragroup consensus for each speaker group. Both speaker groups clustered the hearsay adverbs (<em>apparently, presumably, reportedly</em>, and <em>supposedly</em>) similarly, and showed a similar understanding of <em>probably</em>, as reflected in a unique - albeit the least stable - cluster. Interestingly, the speakers differed in their understanding of high confidence adverbs and adverbs of likelihood. While they all clustered <em>likely</em> and <em>possibly</em> together, the older speakers also included <em>certainly</em>.</div></div><div><h3>Conclusions</h3><div>Our analysis showed some differences in how epistemic adverbs are understood by older and younger Australian English speakers, suggesting that, between generations, there were subtle changes in the degree of certainty associated with some of the epistemic adverbs (e.g., <em>certainly</em>). When consulting with their patients, health practitioners should be mindful that the meaning they intend when using epistemic adverbs may not be shared by their patients, especially when there is an age gap between interlocutors.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 596-604"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.031
Ana Caroline Pinto Lima Msc , Madson Alan Maximiano-Barreto PhD , Fabiana de Souza Orlandi PhD , Marina Aleixo Diniz Rezende PhD , Tatiana Carvalho Reis Martins PhD , Bruna Moretti Luchesi PhD
Objectives
To investigate the correlation between health literacy and the likelihood of death in ten years among community-dwelling older people; and identify whether health literacy exerts an influence on the likelihood of death in this population.
Methods
A cross-sectional study was conducted with 200 community-dwelling older people. Data were collected on sociodemographic characteristics, health-related characteristics, health literacy and the likelihood of death in ten years.
Results
A weak and inversely proportional correlation was found between health literacy and the likelihood of death. Health literacy was associated with the likelihood of death regardless of age, sex, number of medications or recent hospitalization. Inadequate health literacy was identified in 72.5% of the participants and the average likelihood of death in 10 years was 35.4%.
Conclusions
Health literacy was associated with the likelihood of death. Health literacy, sociodemographic and health-related characteristics exert an influence on the likelihood of death.
{"title":"Health literacy and likelihood of death in community-dwelling older people","authors":"Ana Caroline Pinto Lima Msc , Madson Alan Maximiano-Barreto PhD , Fabiana de Souza Orlandi PhD , Marina Aleixo Diniz Rezende PhD , Tatiana Carvalho Reis Martins PhD , Bruna Moretti Luchesi PhD","doi":"10.1016/j.gerinurse.2024.12.031","DOIUrl":"10.1016/j.gerinurse.2024.12.031","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the correlation between health literacy and the likelihood of death in ten years among community-dwelling older people; and identify whether health literacy exerts an influence on the likelihood of death in this population.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 200 community-dwelling older people. Data were collected on sociodemographic characteristics, health-related characteristics, health literacy and the likelihood of death in ten years.</div></div><div><h3>Results</h3><div>A weak and inversely proportional correlation was found between health literacy and the likelihood of death. Health literacy was associated with the likelihood of death regardless of age, sex, number of medications or recent hospitalization. Inadequate health literacy was identified in 72.5% of the participants and the average likelihood of death in 10 years was 35.4%.</div></div><div><h3>Conclusions</h3><div>Health literacy was associated with the likelihood of death. Health literacy, sociodemographic and health-related characteristics exert an influence on the likelihood of death.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 506-512"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The study aimed to determine the test–retest, interrater, and minimum detectable change, concurrent and known-groups validity in older adults with mild cognitive impairment. Minimal detectable change values are the degree of change needed to exceed a measurement's error within a confidence limit.
Methods
A total of 46 older adults with mild cognitive impairment and 34 healthy controls were included. The Four Square Step Test was used together with the Timed Up and Go Test, Berg Balance Scale, Functional Reach Test, and One-Leg Stand Test.
Results
The Four Square Step Test revealed high interrater and test-retest reliability (ICC = 0.963–0.986 and 0.937–0.956, respectively). The cut-off times of 15.11 s best distinguished older adults as fallers from non-fallers with mild cognitive impairment.
Conclusions
The Four Square Step Test is a valid, reliable, applicable, and safe dynamic balance evaluation to identify subtle changes to dynamic balance in mild cognitive impairment patients.
{"title":"The psychometric properties of the Four Square Step Test in older adults with mild cognitive impairment","authors":"Ulku Kezban Sahin , Taskin Ozkan , Habibe Durdu , Zeynep Unluturk , Fatih Soke","doi":"10.1016/j.gerinurse.2024.12.029","DOIUrl":"10.1016/j.gerinurse.2024.12.029","url":null,"abstract":"<div><h3>Purpose</h3><div>The study aimed to determine the test–retest, interrater, and minimum detectable change, concurrent and known-groups validity in older adults with mild cognitive impairment. Minimal detectable change values are the degree of change needed to exceed a measurement's error within a confidence limit.</div></div><div><h3>Methods</h3><div>A total of 46 older adults with mild cognitive impairment and 34 healthy controls were included. The Four Square Step Test was used together with the Timed Up and Go Test, Berg Balance Scale, Functional Reach Test, and One-Leg Stand Test.</div></div><div><h3>Results</h3><div>The Four Square Step Test revealed high interrater and test-retest reliability (ICC = 0.963–0.986 and 0.937–0.956, respectively). The cut-off times of 15.11 s best distinguished older adults as fallers from non-fallers with mild cognitive impairment.</div></div><div><h3>Conclusions</h3><div>The Four Square Step Test is a valid, reliable, applicable, and safe dynamic balance evaluation to identify subtle changes to dynamic balance in mild cognitive impairment patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 532-537"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.002
Jingxuan Wu PhD , Huamao Peng PhD
Objectives
To explore whether family guidance regarding Internet (FGI) mitigates the effect of educational attainment on older adults’ eHealth literacy through different Internet uses and identify which types of FGI improve eHealth literacy among low-educated older adults effectively.
Methods
A total of 490 Chinese adults aged 60 and above completed the eHealth Literacy Scale, an Internet use checklist, and self-reported their educational attainment and FGI frequency.
Results
With adequate FGI, educational attainment was not related to informational Internet use, recreational Internet use, and eHealth literacy. Instrumental, informational, and recreational FGI predicted low-educated older adults’ Internet uses and eHealth literacy positively.
Conclusions
FGI mitigates older adults’ eHealth literacy inequality due to educational attainment and indirectly narrows this gap through the mediations of informational and recreational Internet use. Informational, instrumental, and recreational FGI play key roles in improving eHealth literacy among low-educated older adults.
{"title":"Family guidance regarding internet mitigates older adults' ehealth literacy inequality due to educational attainment through internet use","authors":"Jingxuan Wu PhD , Huamao Peng PhD","doi":"10.1016/j.gerinurse.2024.12.002","DOIUrl":"10.1016/j.gerinurse.2024.12.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore whether family guidance regarding Internet (FGI) mitigates the effect of educational attainment on older adults’ eHealth literacy through different Internet uses and identify which types of FGI improve eHealth literacy among low-educated older adults effectively.</div></div><div><h3>Methods</h3><div>A total of 490 Chinese adults aged 60 and above completed the eHealth Literacy Scale, an Internet use checklist, and self-reported their educational attainment and FGI frequency.</div></div><div><h3>Results</h3><div>With adequate FGI, educational attainment was not related to informational Internet use, recreational Internet use, and eHealth literacy. Instrumental, informational, and recreational FGI predicted low-educated older adults’ Internet uses and eHealth literacy positively.</div></div><div><h3>Conclusions</h3><div>FGI mitigates older adults’ eHealth literacy inequality due to educational attainment and indirectly narrows this gap through the mediations of informational and recreational Internet use. Informational, instrumental, and recreational FGI play key roles in improving eHealth literacy among low-educated older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 414-422"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.012
C. Ray Cheever B.S. , Rayad B. Shams B.S. , K. Reese Willingham M.D. , Hyoungjun Sim B.S. , Lauren M. Cook B.S. , Mohamed Y. Ahmidouch B.S. , Katherine E. Scholand M.D. , Lindsay A. Wilson M.D., M.P.H., M.M.E.
Constipation is common among older adults and significantly impacts their quality of life (QoL). Prior studies have extensively detailed constipation, but conceptualization of constipation as a geriatric syndrome is lacking. In this review, we provide an overview of constipation in the geriatric population and conceptualize constipation as a geriatric syndrome given its high prevalence, under-recognized status, and association with poor QoL and adverse outcomes among older adults. The conceptualization of constipation as a geriatric syndrome, as with frailty and delirium, highlights its importance and need for a multi-faceted approach. Future research is needed to 1) better define constipation, 2) explore the multifactorial nature of constipation in older adults and relationship with other geriatric syndromes, 3) include more older adults in pharmacological and non-pharmacological interventions for constipation, and 4) curate multidisciplinary care models. Appreciating constipation as a geriatric syndrome will yield tailored management strategies, ensure timely intervention, and avoid adverse outcomes.
{"title":"Understanding constipation as a geriatric syndrome","authors":"C. Ray Cheever B.S. , Rayad B. Shams B.S. , K. Reese Willingham M.D. , Hyoungjun Sim B.S. , Lauren M. Cook B.S. , Mohamed Y. Ahmidouch B.S. , Katherine E. Scholand M.D. , Lindsay A. Wilson M.D., M.P.H., M.M.E.","doi":"10.1016/j.gerinurse.2024.12.012","DOIUrl":"10.1016/j.gerinurse.2024.12.012","url":null,"abstract":"<div><div>Constipation is common among older adults and significantly impacts their quality of life (QoL). Prior studies have extensively detailed constipation, but conceptualization of constipation as a geriatric syndrome is lacking. In this review, we provide an overview of constipation in the geriatric population and conceptualize constipation as a geriatric syndrome given its high prevalence, under-recognized status, and association with poor QoL and adverse outcomes among older adults. The conceptualization of constipation as a geriatric syndrome, as with frailty and delirium, highlights its importance and need for a multi-faceted approach. Future research is needed to 1) better define constipation, 2) explore the multifactorial nature of constipation in older adults and relationship with other geriatric syndromes, 3) include more older adults in pharmacological and non-pharmacological interventions for constipation, and 4) curate multidisciplinary care models. Appreciating constipation as a geriatric syndrome will yield tailored management strategies, ensure timely intervention, and avoid adverse outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 440-448"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.11.017
Christine Noelle Flaherty PhD, RN, Joint Nursing Science Ph.D. Program , Jennifer R. Bail Ph.D., RN (Assistant Professor) , Vicki Winstead Ph.D. (Scientist I) , Patricia A. Carter Ph.D., RN (Professor) , Lenora Smith Ph.D., RN (Associate Professor) , Gwendolyn L. Hooper Ph.D., CRNP (Associate Professor) , Nancy Lerner DNP, RN (Associate Professor) , Rita A. Jablonski Ph.D., CRNP, FAAN, FGSA (Professor)
Advance Care Planning (ACP) is a process that supports decision-making about end-of-life goals. Dementia ACP is recommended during the early stages of the disease to empower the individual living with dementia to express wishes for quality of life before experiencing significant cognitive decline. ACP during early dementia is rare, and hesitancy to initiate difficult and emotional conversations may be a contributing factor to delaying ACP. Effective ACP includes input from the clinician, patient, and family; however, there is limited dementia ACP research that includes all three perspectives. This secondary qualitative data analysis, guided by Social Cognitive Theory, aims to better understand the convergent and divergent views of ACP among dementia clinicians, caregivers, and individuals living with pre-clinical dementia. Study findings support the need for early, frequent, compassionate, and patient-centered ACP conversations that are considerate of the interests, perspectives, and wishes of the individual with dementia and their caregiver.
{"title":"Dementia advance care planning perspectives within an Alabama community: A theory guided qualitative study","authors":"Christine Noelle Flaherty PhD, RN, Joint Nursing Science Ph.D. Program , Jennifer R. Bail Ph.D., RN (Assistant Professor) , Vicki Winstead Ph.D. (Scientist I) , Patricia A. Carter Ph.D., RN (Professor) , Lenora Smith Ph.D., RN (Associate Professor) , Gwendolyn L. Hooper Ph.D., CRNP (Associate Professor) , Nancy Lerner DNP, RN (Associate Professor) , Rita A. Jablonski Ph.D., CRNP, FAAN, FGSA (Professor)","doi":"10.1016/j.gerinurse.2024.11.017","DOIUrl":"10.1016/j.gerinurse.2024.11.017","url":null,"abstract":"<div><div>Advance Care Planning (ACP) is a process that supports decision-making about end-of-life goals. Dementia ACP is recommended during the early stages of the disease to empower the individual living with dementia to express wishes for quality of life before experiencing significant cognitive decline. ACP during early dementia is rare, and hesitancy to initiate difficult and emotional conversations may be a contributing factor to delaying ACP. Effective ACP includes input from the clinician, patient, and family; however, there is limited dementia ACP research that includes all three perspectives. This secondary qualitative data analysis, guided by Social Cognitive Theory, aims to better understand the convergent and divergent views of ACP among dementia clinicians, caregivers, and individuals living with pre-clinical dementia. Study findings support the need for early, frequent, compassionate, and patient-centered ACP conversations that are considerate of the interests, perspectives, and wishes of the individual with dementia and their caregiver.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 390-399"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.024
Jialan Xu RN, MSN, Yi Xiong RN, MSN, Hong Yan RN, MSN, Zitong Zhou RN, MSN, Jun Wen RN, MSN, Siyu Wang RN, MSN
Objective
To systematically evaluate the prevalence and influencing factors of skin tears in older adults.
Methods
The Cochrane Library, Web of Science, Embase, PubMed, CNKI, VIP, WanFang Data, and CBM databases were searched to collect studies related to the prevalence and influencing factors of skin tears in older adults, and the search period was from inception to October 29, 2024. The examined literature was independently screened, data extracted, and evaluated for risk of bias, and the meta-analysis was performed using Stata17.0.
Results
A total of 23 studies with a sample size of 59,489 older adults were included. Meta-analysis showed that the prevalence of skin tears in older adults was 6.5 % (95 % CI: 4.7 %–8.4 %, P < 0.01). A history of skin tears (OR = 9.30, 95 % CI: 1.66-52.25, P = 0.012), purpura (OR = 3.26, 95 % CI: 2.14-4.98, P < 0.01), and a risk of having a pressure injury (OR = 2.60, 95 % CI: 1.10-6.13, P = 0.029) were associated with skin tears in older adults.
Conclusions
Current evidence suggests that older adults have a high prevalence of skin tears. Skin tears in older adults are influenced by a history of skin tears, purpura, and a risk of having a pressure injury. Early screening should be conducted on the influencing factors of skin tears, and targeted intervention measures should be developed to reduce the impact of adverse outcomes on older adults and optimize the management of skin tears.
{"title":"Prevalence and influencing factors of skin tears in older adults: A systematic review and meta-analysis","authors":"Jialan Xu RN, MSN, Yi Xiong RN, MSN, Hong Yan RN, MSN, Zitong Zhou RN, MSN, Jun Wen RN, MSN, Siyu Wang RN, MSN","doi":"10.1016/j.gerinurse.2024.12.024","DOIUrl":"10.1016/j.gerinurse.2024.12.024","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically evaluate the prevalence and influencing factors of skin tears in older adults.</div></div><div><h3>Methods</h3><div>The Cochrane Library, Web of Science, Embase, PubMed, CNKI, VIP, WanFang Data, and CBM databases were searched to collect studies related to the prevalence and influencing factors of skin tears in older adults, and the search period was from inception to October 29, 2024. The examined literature was independently screened, data extracted, and evaluated for risk of bias, and the meta-analysis was performed using Stata17.0.</div></div><div><h3>Results</h3><div>A total of 23 studies with a sample size of 59,489 older adults were included. Meta-analysis showed that the prevalence of skin tears in older adults was 6.5 % (95 % <em>CI</em>: 4.7 %–8.4 %, <em>P</em> < 0.01). A history of skin tears (<em>OR</em> = 9.30, 95 % <em>CI</em>: 1.66-52.25, <em>P</em> = 0.012), purpura (<em>OR</em> = 3.26, 95 % <em>CI</em>: 2.14-4.98, <em>P</em> < 0.01), and a risk of having a pressure injury (<em>OR</em> = 2.60, 95 % <em>CI</em>: 1.10-6.13, <em>P</em> = 0.029) were associated with skin tears in older adults.</div></div><div><h3>Conclusions</h3><div>Current evidence suggests that older adults have a high prevalence of skin tears. Skin tears in older adults are influenced by a history of skin tears, purpura, and a risk of having a pressure injury. Early screening should be conducted on the influencing factors of skin tears, and targeted intervention measures should be developed to reduce the impact of adverse outcomes on older adults and optimize the management of skin tears.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 491-498"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.023
Yijiong Yang Ph.D. , Stacy A. Drake Ph.D., MPH, RN , Jing Wang Ph.D., MPH, RN, FAAN , Gordon C. Shen Ph.D., S.M. , Hongyu Miao Ph.D. , Robert O. Morgan Ph.D. , Xianglin L. Du Ph.D. , David R. Lairson Ph.D.
Objectives
To compare the total medical costs associated with operative versus non-operative medical procedures for femoral neck fractures in older adults with Alzheimer's disease (AD).
Methods
This retrospective cohort study examined 4,157 Optum beneficiaries diagnosed with AD who filed an initial claim for femoral neck fracture between January 1, 2012, and December 31, 2017. Generalized linear regression with Gamma log link function was performed to evaluate total medical costs between surgical treatment and non-operative care while controlling for covariates.
Results
The adjusted total medical costs per patient for arthroplasty and internal fixation were $207,392 and $170,210, exceeding the total medical costs for non-operative cases ($63,041). Comorbidities such as history of falls, sarcopenia/muscle weakness, abnormal weight loss, depression, and fatigue also had a significant impact on the overall medical costs.
Conclusions
Surgical intervention for femoral neck fractures incurs higher costs but offers better clinical outcomes than non-operative care.
{"title":"Comparing total medical costs of surgical treatment versus nonoperative care for femoral neck fractures among Alzheimer's disease patients: A retrospective cohort study","authors":"Yijiong Yang Ph.D. , Stacy A. Drake Ph.D., MPH, RN , Jing Wang Ph.D., MPH, RN, FAAN , Gordon C. Shen Ph.D., S.M. , Hongyu Miao Ph.D. , Robert O. Morgan Ph.D. , Xianglin L. Du Ph.D. , David R. Lairson Ph.D.","doi":"10.1016/j.gerinurse.2024.12.023","DOIUrl":"10.1016/j.gerinurse.2024.12.023","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the total medical costs associated with operative versus non-operative medical procedures for femoral neck fractures in older adults with Alzheimer's disease (AD).</div></div><div><h3>Methods</h3><div>This retrospective cohort study examined 4,157 Optum beneficiaries diagnosed with AD who filed an initial claim for femoral neck fracture between January 1, 2012, and December 31, 2017. Generalized linear regression with Gamma log link function was performed to evaluate total medical costs between surgical treatment and non-operative care while controlling for covariates.</div></div><div><h3>Results</h3><div>The adjusted total medical costs per patient for arthroplasty and internal fixation were $207,392 and $170,210, exceeding the total medical costs for non-operative cases ($63,041). Comorbidities such as history of falls, sarcopenia/muscle weakness, abnormal weight loss, depression, and fatigue also had a significant impact on the overall medical costs.</div></div><div><h3>Conclusions</h3><div>Surgical intervention for femoral neck fractures incurs higher costs but offers better clinical outcomes than non-operative care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 499-505"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：