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Articles 1 - 30 of 156
Full-Text Articles in Medicine and Health Sciences
Palliative Practices: An Interdisciplinary Approach, Kim Kuebler, Mellar Davis, Crystal Moore
Palliative Practices: An Interdisciplinary Approach, Kim Kuebler, Mellar Davis, Crystal Moore
Crystal Moore
The first book of its kind, this must-have resource examines the integration of palliative interventions from a disease-specific approach, providing practical guidance on caring for patients who follow a progressive, chronic disease trajectory prior to death. This uniquely practical book addresses all aspects of palliative care, going beyond theoretical information to advise practitioners on the most effective management of common symptoms and providing physical, psychological, and spiritual comfort to patients and families. The multidisciplinary focus of care is reflected by collaborative contributors and diverse authorship of an oncology/palliative care nurse practitioner, a physician, and a social worker.
Scholarship Reconsidered: Implications For Reward And Recognition Of Academic Staff In Schools Of Nursing And Beyond, Kylie Smith, Patrick Crookes, Fabienne Else, Ellie Crookes
Scholarship Reconsidered: Implications For Reward And Recognition Of Academic Staff In Schools Of Nursing And Beyond, Kylie Smith, Patrick Crookes, Fabienne Else, Ellie Crookes
Ellie Crookes
Aims This paper discusses the issues facing the nursing academic workforce and the development of a project at the University of Wollongong in Australia which attempts to address this problem. Background The project draws on Boyers work around scholarship reconsidered to enable new ways of thinking about the nature of research and how the work of a diversifying workforce can be recognized and rewarded within institutions. Methods We conducted a series of interviews with senior university staff to identify key issues around academic promotion processes. Feedback from these interviews, along with extensive internal and external consultation and benchmarking, will be …
Web-Based Physical Activity Intervention For College-Aged Women, Lynne Ornes, Lynda B. Ransdell
Web-Based Physical Activity Intervention For College-Aged Women, Lynne Ornes, Lynda B. Ransdell
Lynne L Ornes PhD, RN
This study compared the effectiveness of a web-based physical activity intervention to two control conditions in terms of increasing walking behavior in college-aged women. Women (N=112) from a public university in the southwest were randomly assigned to intervention or control groups. The 4-week intervention featured an experimental, repeated measures design that used the internet to deliver interactive activities. Control group participants were asked not to change their activity. Walking behavior was assessed by using pedometers to record step counts daily. Data were analyzed using repeated-measures analysis of variance (RM-ANOVA). Women who received the intervention increased their mean steps/day by 38.8% …
Web-Based Physical Activity Intervention For College-Aged Women, Lynne Ornes, Lynda B. Ransdell
Web-Based Physical Activity Intervention For College-Aged Women, Lynne Ornes, Lynda B. Ransdell
Lynne L Ornes PhD, RN
This study compared the effectiveness of a web-based physical activity intervention to two control conditions in terms of increasing walking behavior in college-aged women. Women (N=112) from a public university in the southwest were randomly assigned to intervention or control groups. The 4-week intervention featured an experimental, repeated measures design that used the internet to deliver interactive activities. Control group participants were asked not to change their activity. Walking behavior was assessed by using pedometers to record step counts daily. Data were analyzed using repeated-measures analysis of variance (RM-ANOVA). Women who received the intervention increased their mean steps/day by 38.8% …
Curriculum Designs, Donna Boland, Linda Finke
Teaching In Nursing: The Faculty Role, Linda Finke
Teaching In Nursing: The Faculty Role, Linda Finke
Linda M. Finke
No abstract provided.
Three Technology Enhancements In Nursing Education: Informatics Instruction, Personal Response Systems, And Human Patient Simulation, R. Jensen, Linda Meyer, Carol Sternberger
Three Technology Enhancements In Nursing Education: Informatics Instruction, Personal Response Systems, And Human Patient Simulation, R. Jensen, Linda Meyer, Carol Sternberger
Carol S Sternberger
No abstract provided.
Over Mountains, Across Rivers, And Through Woods: Teaching Collaboratively Using A Cross-Platform Environment, Carol Sternberger, B. Deal, R. Fountain
Over Mountains, Across Rivers, And Through Woods: Teaching Collaboratively Using A Cross-Platform Environment, Carol Sternberger, B. Deal, R. Fountain
Carol S Sternberger
No abstract provided.
Before You Write: Six Keys To Success - Creating Self Contained Information Literacy Modules, Shannon Johnson, Tammy Toscos
Before You Write: Six Keys To Success - Creating Self Contained Information Literacy Modules, Shannon Johnson, Tammy Toscos
Tammy R Toscos
In today's competitive job market, many working adults are returning to graduate school with rusty information literacy and computer skills. Before You Write: Six Keys to Success was designed to re-introduce returning adult students to the basic skills they will need for success in a graduate program. These six modules are self-paced and utilize real world scenario based assessments. In this session, a librarian and an informatics professor will discuss the inception and implementation of this collaborative information literacy/informatics initiative.
Building Organizational Capacity For Evidence-Based Practice, S. Shapiro, N. Donaldson, J. Stotts, Stephanie Gilbertson-White
Building Organizational Capacity For Evidence-Based Practice, S. Shapiro, N. Donaldson, J. Stotts, Stephanie Gilbertson-White
Stephanie Gilbertson-White
No abstract provided.
Nursing Libguide, Sandra Barclay
Nursing Libguide, Sandra Barclay
Sandra Barclay
LibGuide to resources on Nursing in the Horace W. Sturgis Library. Includes nursing & medical databases, health care sites, GaIN, sources of statistics, relevant books and eBooks, videos, how to cite your sources, and more.
The Effect Of Music Therapy On Patients' Perception And Manifestation Of Pain, Anxiety, And Patient Satisfaction, T. Richards, J. Johnson, Amy Sparks, H. Emerson
The Effect Of Music Therapy On Patients' Perception And Manifestation Of Pain, Anxiety, And Patient Satisfaction, T. Richards, J. Johnson, Amy Sparks, H. Emerson
Amy E.T. Sparks
An extensive review and synthesis of current research was completed to identify the clinical benefit of using music therapy in the hospital setting. It demonstrated that music therapy has the potential to improve the hospital experience of patients.
Effects Of Calming Music On Agitation In Nursing Home Residents, Patricia Tabloski, Ruth Remington, Leah Mckinnon-Howe
Effects Of Calming Music On Agitation In Nursing Home Residents, Patricia Tabloski, Ruth Remington, Leah Mckinnon-Howe
Ruth Remington
This article examines the use of calming music to decrease agitation in cognitively impaired nursing home residents. Calming music has been shown to be an effective, nonpharmacologic strategy to reduce agitated behavior in persons with dementia.
Efficacy Of A Vitamin/Nutriceutical Formulation For Moderate To Late Alzheimer’S Disease: A Placebo-Controlled Pilot Study, Ruth Remington, A Chan, Thomas Shea
Efficacy Of A Vitamin/Nutriceutical Formulation For Moderate To Late Alzheimer’S Disease: A Placebo-Controlled Pilot Study, Ruth Remington, A Chan, Thomas Shea
Ruth Remington
Recent studies demonstrated efficacy of a vitamin/ nutriceutical formulation (folate, vitamin B12, alpha-tocopherol, S-adenosyl methionine, N-acetyl cysteine, and acetyl-L-carnitine) for mild to moderate Alzheimer's disease. Herein, we tested the efficacy of this formulation in a small cohort of 12 institutionalized patients diagnosed with moderate-stage to later-stage Alzheimer's disease. Participants were randomly separated into treatment of placebo groups. Participants receiving the formulation demonstrated a clinically significant delay in decline in the Dementia Rating Scale and clock-drawing test as compared to those receiving placebo. Institutional caregivers reported approximately 30% improvement in the Neuropyschiatric Inventory and maintenance of performance in the Alzheimer's Disease …
Efficacy Of A Vitamin/Nutriceutical Formulation For Early-Stage Alzheimer’S Disease: A One-Year, Open-Label Pilot Study With An 11-Month Caregiver Extension, A Chan, J Paskavitz, Ruth Remington, S Rasmussen, Thomas Shea
Efficacy Of A Vitamin/Nutriceutical Formulation For Early-Stage Alzheimer’S Disease: A One-Year, Open-Label Pilot Study With An 11-Month Caregiver Extension, A Chan, J Paskavitz, Ruth Remington, S Rasmussen, Thomas Shea
Ruth Remington
No abstract provided.
Dehydration Reduction In The Community Dwelling Older Adult: Perspectives Of Community Health Care Providers, Lisa Abdallah, Ruth Remington, S Houde, L Zhan, Karen Melillo
Dehydration Reduction In The Community Dwelling Older Adult: Perspectives Of Community Health Care Providers, Lisa Abdallah, Ruth Remington, S Houde, L Zhan, Karen Melillo
Ruth Remington
Dehydration is a common problem among older adults and can negatively affect their health. This crosssectional descriptive study used survey findings and focus group interviews to investigate dehydration problems among community-dwelling older adults and to identify strategies perceived to be helpful in preventing dehydration in this population. The survey sample (n = 18) and four focus groups (n = 36) included health care providers in the northeast United States from provider agencies representing emergency care, home care, primary care, and community health care. Survey findings indicated that 89% of participantsidentify dehydration as a problem affecting older adults, and 94% noted …
Optimizing Functionality Of Clients With Age-Related Macular Degeneration, Arlene Mcgrory, Ruth Remington
Optimizing Functionality Of Clients With Age-Related Macular Degeneration, Arlene Mcgrory, Ruth Remington
Ruth Remington
Age-related macular degeneration (ARMD) is a major cause of severe vision loss and blindness among older people. This condition is progressive, incurable, and significantly compromises central vision. Rehabilitation nurses have a pivotal role in the assessment and management of clients with ARMD. An understanding of incidence and pathophysiology of ARMD, as well as health promotion and a new treatment for ARMD can help rehabilitation nurses design interventions to help clients maintain an acceptable quality of life despite declining vision.
Neuroprotective Effects Of Apples On Cognition And Alzheimer’S Disease, Ruth Remington, A Chan, F Tchantchou, D Ortiz, Thomas Shea
Neuroprotective Effects Of Apples On Cognition And Alzheimer’S Disease, Ruth Remington, A Chan, F Tchantchou, D Ortiz, Thomas Shea
Ruth Remington
Consumption of apples is known to reduce risk of some cancers, cardiovascular disease, asthma, and diabetes. Studies over the last decade reviewed herein, demonstrate that apples also provide neuroprotection, to the extent that they can impact hallmarks and some symptoms of Alzheimer’s disease (AD).
Evidence-Based Guideline: Wandering, May Futrell, Karen Melillo, Ruth Remington
Evidence-Based Guideline: Wandering, May Futrell, Karen Melillo, Ruth Remington
Ruth Remington
No abstract provided.
Effects Of Calming Music On The Level Of Agitation In Cognitively Impaired Nursing Home Residents, Patricia Tabloski, Leah Mckinnon-Howe, Ruth Remington
Effects Of Calming Music On The Level Of Agitation In Cognitively Impaired Nursing Home Residents, Patricia Tabloski, Leah Mckinnon-Howe, Ruth Remington
Ruth Remington
This study examines the use of music as a strategy to decrease agitated behavior in cognitively impaired nursing home residents. Twenty agitated subjects, 68 to 84 years of age, were exposed to 15 minutes of calming music on two occasions. Agitated behavior scores were recorded before, during and after the musical intervention using the Agitated Behavior Scale. Results indicate that a statistically significant reduction in agitated behavior occurs both during (p.
Interpreting Laboratory Values In The Rehabilitation Setting, Jane Flanagan, Karen Melillo, Lisa Abdallah, Ruth Remington
Interpreting Laboratory Values In The Rehabilitation Setting, Jane Flanagan, Karen Melillo, Lisa Abdallah, Ruth Remington
Ruth Remington
Treating patients in rehabilitation settings is becoming increasingly complex for a variety of reasons, such as the presence of several comorbid conditions, increased age, and earlier discharge from acute care facilities. As a result, careful monitoring and assessment by nurses is essential. Laboratory testing can improve the assessment when nurses are able to recognize when and what should be reported and what types of treatments may be needed. Understanding what laboratory findings should be monitored and what added assessment criteria are necessary can be daunting. Therefore, this article reviews critical laboratory and other assessment findings in light of common health …
Using Antipsychotic Drugs Safely In Older Patients, Lisa Abdallah, Jane Flanagan, Karen Melillo, Ruth Remington
Using Antipsychotic Drugs Safely In Older Patients, Lisa Abdallah, Jane Flanagan, Karen Melillo, Ruth Remington
Ruth Remington
Do you know how to monitor an older adult who's receiving an antipsychotic drug? Learn the benefits and the pitfalls so you can keep your older patients safe
Apple Juice Improved Non-Cognitive Symptoms In Moderate- To Late-Stage Alzheimer’S Disease In An Open-Label Pilot Study, Ruth Remington, A Chan, A Lepore, E Kotlya, Thomas Shea
Apple Juice Improved Non-Cognitive Symptoms In Moderate- To Late-Stage Alzheimer’S Disease In An Open-Label Pilot Study, Ruth Remington, A Chan, A Lepore, E Kotlya, Thomas Shea
Ruth Remington
Preclinical studies demonstrate that apple juice exerts multiple beneficial effects including reduction of central nervous system oxidative damage, suppression of Alzheimer's disease (AD) hallmarks, improved cognitive performance, and organized synaptic signaling. Herein, we initiated an open-label clinical trial in which 21 institutionalized individuals with moderate-to-severe AD consumed 2 4-oz glasses of apple juice daily for 1 month. Participants demonstrated no change in the Dementia Rating Scale, and institutional caregivers reported no change in Alzheimer's Disease Cooperative Study (ADCS)-Activities of Daily Living (ADL) in this brief study. However, caregivers reported an approximate 27% (P < .01) improvement in behavioral and psychotic symptoms associated with dementia as quantified by the Neuropsychiatric Inventory, with the largest changes in anxiety, agitation, and delusion. This pilot study suggests that apple juice may be a useful supplement, perhaps to augment pharmacological approaches, for attenuating the decline in mood that accompanies progression of AD, which may also reduce caregiver burden.
Patient Outcomes And Satisfaction With Care Following Palliative Care Consultation, S Parker, Ruth Remington, A Nannini, M Cifuentes
Patient Outcomes And Satisfaction With Care Following Palliative Care Consultation, S Parker, Ruth Remington, A Nannini, M Cifuentes
Ruth Remington
No abstract provided.
Alzheimer’S Disease: Are We Intervening Too Late? Yes, By Years If Not Decades, Thomas Shea, Ruth Remington
Alzheimer’S Disease: Are We Intervening Too Late? Yes, By Years If Not Decades, Thomas Shea, Ruth Remington
Ruth Remington
The ongoing debate as to whether we are or are not early enough in treatment for Alzheimer's disease presents distinct vantage points. Points expressed range from stressing the need for early preventive measures to highlighting the failure of "alternative" therapies, and concluding that we are unfortunately doing all that we can at present. Herein, we stress the worth of nutritional intervention, and review why such studies are often inherently compromised. We conclude that considerable education is needed to advance lifestyle modifications early enough to obtain their optimal effect, and instead of positioning "classical" interventions against "alternative" interventions, the combinations of …
Nutrition And Dementia: Are We Asking The Right Questions?, Thomas Shea, E Rogers, Ruth Remington
Nutrition And Dementia: Are We Asking The Right Questions?, Thomas Shea, E Rogers, Ruth Remington
Ruth Remington
Alzheimer's disease (AD) has no cure or nullifying pharmacological interventions. Nutritional supplementation represents a systemic approach that in some studies has provided benefit and has augmented pharmacological approaches. However, additional studies report no benefit of supplementation. We review herein how studies of nutrition on dementia, including those combining nutrition and dementia, are inherently compromised. We also review studies with mice, which demonstrate that nutritional supplementation can alleviate multiple genetic risk factors for AD. An individual diagnosed with AD has by definition undergone considerable cognitive decline; anticipating restoration/maintenance of cognitive performance following nutritional supplementation alone may be misdirected. Nutrition declines in …
A Comparison Of Hospice In The Us And Uk: Implications For Policy And Practice, Ruth Remington, G Wakim
A Comparison Of Hospice In The Us And Uk: Implications For Policy And Practice, Ruth Remington, G Wakim
Ruth Remington
The modern hospice movement in the United States was modeled on the specialized care for dying individuals that was championed by Dame Cicely Saunders, a social worker, nurse, and physician, in London in the 1960s. A collaboration between Saunders and Florence Wald, then at Yale University, led to the establishment of the first hospice in the United States in 1974. Despite similar foundations, the provision of hospice care differs in the United States and the United Kingdom with regard to financing and access. This article reviews these similarities and differences and discusses implications for U.S. hospice policy.
A Vitamin/Nutriceutical Formulation Improves Memory And Cognitive Performance In Community-Dwelling Adults Without Dementia, A Chan, Ruth Remington, E Kotlya, A Lepore, J Zemianek, Thomas Shea
A Vitamin/Nutriceutical Formulation Improves Memory And Cognitive Performance In Community-Dwelling Adults Without Dementia, A Chan, Ruth Remington, E Kotlya, A Lepore, J Zemianek, Thomas Shea
Ruth Remington
Adults of both genders without dementia consumed a nutriceutical formulation ("NF," consisting of folic acid, B12, Vitamin E, S-adenosylmethionine, N-acetyl cysteine and Acetyl-L-carnitine), previously shown to improve cognitive performance in Alzheimer's disease, or placebo. Participants receiving NF but not placebo improved statistically and clinically in the California Verbal Learning Test II and the Trail-Making Test. Both groups improved further during a 3-month open-label extension. Additional individuals displayed identical improvement during a separate 6-month open-label trial. Performance declined to baseline following withdrawal of NF, and statistically improved when participants resumed taking NF. Additional participants receiving NF but not placebo demonstrated improvement …
Managing Problem Behaviors Associated With Dementia, Ruth Remington, Lisa Abdallah, Karen Melillo, Jane Flanagan
Managing Problem Behaviors Associated With Dementia, Ruth Remington, Lisa Abdallah, Karen Melillo, Jane Flanagan
Ruth Remington
The older adult with dementia who exhibits problem behaviors is likely to be experiencing physical or psychological distress. Both can negatively affect the health, rehabilitation and quality of life for the older adult. Managing problem behaviors can challenge the skills of the most experienced nurse. Being able to identify the origins of these behaviors can help caregivers respond in a way that will achieve behavioral management and preserve the dignity of the older adult. This article presents some practical measures to assist nurses with minimizing the negative effects of dementia-associated problem behaviors in older adults.
Neurocognitive Diagnostic Challenges And The Dsm-5: Perspectives From The Front Lines Of Clinical Practice, Ruth Remington
Neurocognitive Diagnostic Challenges And The Dsm-5: Perspectives From The Front Lines Of Clinical Practice, Ruth Remington
Ruth Remington
The proposed changes to the DSM-IV-TR are an attempt to advance a common language to be used by clinicians and researchers in psychiatry in the United States. Any improvement brought about by these changes may be jeopardized unless the ICD-10, which is used by non-psychiatric clinicians and researchers worldwide, and the DSM resolve the differences in the definitions and diagnostic criteria of most disorders. Unless there is congruence between the two manuals, debate is therefore likely to continue in the literature as to which provider is best suited to direct the care for the person with dementia: primary care providers, …