{"title":"Late-life schizophrenia. What providers need to know.","authors":"Phillips D Harvey, Christopher R Bowie","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"13 2","pages":"90, 93-4"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25132909","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}
{"title":"The nursing standards in Texas states that if you believe a fellow nurse is practicing impaired, you must notify the board.","authors":"Deborah Majo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"13 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26903108","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}
This paper describes the findings of Phase I of an advance care planning (ACP) demonstration project, undertaken collaboratively between the Texas Partnership on End-of-Life Care and the North Texas Alliance of Nursing Homes. The goal of the project, designed as a continuous quality improvement program for the nine volunteer nursing facilities (NFs), was to increase the systematic implementation of ACP Phase I consisted of baseline data collection of ACP documentation from the nine NFs. This was followed by a pre-intervention train-the-trainer educational program for facility coordinators and other interested staff who subsequently would implement the procedures in their NFs, to increase the use of advance directives (ADs). Following the Phase II implementation, a model will be developed for replication in other Texas facilities. Reported here are the pre-intervention baseline chart review findings documenting ACP and various AD documents. Based on the experience of this chart review, recommendations are outlined for improving the quality of ACP communication and documentation.
{"title":"Promoting communication and documentation of advance care planning in long-term care facilities.","authors":"Marge Benham-Hutchins, Ferne Kyba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes the findings of Phase I of an advance care planning (ACP) demonstration project, undertaken collaboratively between the Texas Partnership on End-of-Life Care and the North Texas Alliance of Nursing Homes. The goal of the project, designed as a continuous quality improvement program for the nine volunteer nursing facilities (NFs), was to increase the systematic implementation of ACP Phase I consisted of baseline data collection of ACP documentation from the nine NFs. This was followed by a pre-intervention train-the-trainer educational program for facility coordinators and other interested staff who subsequently would implement the procedures in their NFs, to increase the use of advance directives (ADs). Following the Phase II implementation, a model will be developed for replication in other Texas facilities. Reported here are the pre-intervention baseline chart review findings documenting ACP and various AD documents. Based on the experience of this chart review, recommendations are outlined for improving the quality of ACP communication and documentation.</p>","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"13 1","pages":"10-2, 14-5"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26903111","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}
{"title":"A guide to fall prevention: understanding a Fall Prevention Program.","authors":"Patricia Quigley, James A Haley, Innette Sarduy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"13 1","pages":"38, 40, 42-3"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26903115","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}
Kirsten N Corazzini, Deborah Lekan-Rutledge, Queen Utley-Smith, Mary L Piven, Cathleen S Colón-Emeric, Donald Bailey, Natalie Ammarell, Ruth A Anderson
The Golden Rule guides people to choose for others what they would choose for themselves. The Golden Rule is often described as 'putting yourself in someone else's shoes', or 'Do unto others as you would have them do unto you'(Baumrin 2004). The viewpoint held in the Golden Rule is noted in all the major world religions and cultures, suggesting that this may be an important moral truth (Cunningham 1998). The Golden Rule underlies acts of kindness, caring, and altruism that go above and beyond "business as usual" or "usual care" (Huang, 2005). As such, this heuristic or 'rule of thumb' has universal appeal and helps guide our behaviors toward the welfare of others. So why question the Golden Rule? Unless used mindfully, any heuristic can be overly-simplistic and lead to unintended, negative consequences.A heuristic is a rule of thumb that people use to simplify potentially overwhelming or complex events. These rules of thumb are largely unconscious, and occur irrespective of training and educational level (Gilovich, Griffin & Kahneman 2002). Rules of thumb, such as the Golden Rule, allow a person to reduce a complex situation to something manageable-e.g., 'when in doubt, do what I would want done'. Because it is a simplifying tool, however, the Golden Rule may lead to inappropriate actions because important factors may be overlooked.In this article we describe "The Golden Rule" as used by administrators, supervisors, charge nurses, and CNAs in case studies of four nursing homes. By describing use of this rule-of-thumb, we aim to challenge nurses in nursing homes to: 1) be mindful of their use of "The Golden Rule" and its impact on staff and residents; and 2) help staff members think through how and why "The Golden Rule" may impact their relationships with staff and residents.
{"title":"\"The Golden Rule\": Only a starting point for quality care.","authors":"Kirsten N Corazzini, Deborah Lekan-Rutledge, Queen Utley-Smith, Mary L Piven, Cathleen S Colón-Emeric, Donald Bailey, Natalie Ammarell, Ruth A Anderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Golden Rule guides people to choose for others what they would choose for themselves. The Golden Rule is often described as 'putting yourself in someone else's shoes', or 'Do unto others as you would have them do unto you'(Baumrin 2004). The viewpoint held in the Golden Rule is noted in all the major world religions and cultures, suggesting that this may be an important moral truth (Cunningham 1998). The Golden Rule underlies acts of kindness, caring, and altruism that go above and beyond \"business as usual\" or \"usual care\" (Huang, 2005). As such, this heuristic or 'rule of thumb' has universal appeal and helps guide our behaviors toward the welfare of others. So why question the Golden Rule? Unless used mindfully, any heuristic can be overly-simplistic and lead to unintended, negative consequences.A heuristic is a rule of thumb that people use to simplify potentially overwhelming or complex events. These rules of thumb are largely unconscious, and occur irrespective of training and educational level (Gilovich, Griffin & Kahneman 2002). Rules of thumb, such as the Golden Rule, allow a person to reduce a complex situation to something manageable-e.g., 'when in doubt, do what I would want done'. Because it is a simplifying tool, however, the Golden Rule may lead to inappropriate actions because important factors may be overlooked.In this article we describe \"The Golden Rule\" as used by administrators, supervisors, charge nurses, and CNAs in case studies of four nursing homes. By describing use of this rule-of-thumb, we aim to challenge nurses in nursing homes to: 1) be mindful of their use of \"The Golden Rule\" and its impact on staff and residents; and 2) help staff members think through how and why \"The Golden Rule\" may impact their relationships with staff and residents.</p>","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"14 1","pages":"255-293"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1636677/pdf/nihms-8340.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26582543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using failure mode effects analysis to solve clinical system problems... It's easier than you think!","authors":"Traci Hardell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"13 2","pages":"66-8"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25132903","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}
{"title":"Treatment strategies for the management of GERD in older adults.","authors":"Michael P Slyk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"13 1","pages":"25, 27-32; quiz 33"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26903113","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}
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