Geriatric Nursing Commons^™

Identifying Polypharmacy In The Older Adult: A Survey Of Nurse Practitioners, Leslyn Ann Watson

Master's Projects

Currently 12% of the population are over the age of 65 and receive more than one third of all prescription medications. These clients are at risk for polypharmacy which defined in the current literature is greater than four or more medications taken on a daily basis (this includes prescription and over the counter (OTC) medications). Polypharmacy places a client at increased risk for adverse drug reactions which can lead to injury and death. This survey of 109 Nurse Practitioners (NPs) identified whether older adults were assessed for polypharmacy. The number of respondents was 64, or 59%. During routine history and …

Caregiver Assessment Of Problem Behaviors In Relatives With Dementia, Barbara J. Glaze

Master's Projects

Caregivers were asked to rank the presence and difficulty of 15 specific behaviors in their relative with dementia. Results showed that in most cases, female caregivers ranked the prevalence and the difficulty of the behaviors higher than the male caregivers. In this study, caregivers experienced positive outcomes from the caregiving experience.

The Role Of Group Activity Participation In Depression Among Institutionalized Elderly, Amparita L. Cabrera

FIU Electronic Theses and Dissertations

The role of group activity participation in depression among a group of residents (N=65), age 80 and older, in a nursing home was examined using the framework of Roy's Adaptation Theory and Nolen-Hoeksema's Response Style Theory of Depression. Roy views depression as a maladaptation. Nolen-Hoeksema views group activity participation as a therapeutic distraction to break depressed moods and thus allow for positive adaptation.

This study utilized data from medical records, group activity attendance, and self-report questionnaires. Demographic distributions were computed and correlational statistics were performed between subjects' participation and their degree of depression, pain experience, functional status, presence of social …

Geriatric Care Management And The Development Of A Long-Term Care Facilities Database, Patricia J. Iverson

Theses

The purpose of this project was to investigate the professional field of geriatric care management. Information was obtained by reviewing the needs of the caregiver and the aging adult and the dynamics of the relationship which exists between them, by exploring the reasons why this relationship sometimes inhibits the caregiver from pursuing the services that are needed, and by examining the role of the geriatric care manager in helping the caregiver and aging adult sort through the fragmented web of services in order to match the caregiver and the aging adult with the appropriate services.

Locating and selecting appropriate services …

Relationship Between Hardiness And Compliance To Diabetic Treatment Regimes With Diabetes, Karen Nichols Reece

MSN Research Projects

Over 3 million elders in the United States are afflicted with diabetes mellitus. This number is predicted to rise as the number of elders continues to increase. Hardiness is a personality characteristic that has been shown to help people adapt more effectively to chronic illness. Little is known about the relationship between hardiness and compliance to diabetic treatment regimens. The purpose of this descriptive correlational study was to determine if there was a relationship between hardiness and compliance to diabetic treatment regimens in elderly patients with diabetes mellitus. Becker's Health Belief Model served as the theoretical framework for this study. …

Attitudes Of Nurses To Palliative Care In Nursing Homes In The Perth Metropolitan Region, Lynne Cohen

Theses: Doctorates and Masters

Zanna and Rempel (1988) have proposed that attitudes are a summary evaluation of an attitude object based on three classes of information, namely: cognitive information, affective information and behavioural information. This model has mainly been tested in the social groups and social policies area investigating two classes of information: cognitive and affective, and therefore there is a need for research to test the validity of this model in other areas. The present study applies the model to the area of palliative care in nursing homes. 76 directors of nursing, 76 clinical nurse specialists, and 76 nursing assistants working in nursing …

Skilled Nursing Facility Based Rehabilitation Outcomes Of The Geriatric Stroke Patient, Sheila Bernadette Andrews

Theses Digitization Project

No abstract provided.

A Comparative Study Of Activities Of Daily Living Levels Of Catholic Nuns In A Motherhouse Nursing Home And Mainstream Women In A Community Nursing Home, Betty Ann Ray Duke

Morehead State Theses and Dissertations

A thesis presented to the faculty of the College of Education and Behavioral Sciences at Morehead State University in partial fulfillment of the requirements for the Degree of Master of Arts by Betty Ann Ray Duke on August 31, 1994

The Effect Of Facilitating Increased Involvement In Nursing Home Caregiving On Former Caregivers' Satisfaction With The Care Arrangement, Christine Toye

Theses : Honours

This study examined the effect of a programme that facilitated fanner caregivers' increased involvement with nursing home care giving on their satisfaction with the care provided for their relatives. It was guided by Ray's Adaptation Model of Nursing (Ray, 1984, 1989). The hypotheses stated that the programme would help former caregivers to adapt to the institutionalisation of their loved ones, as manifested by their increased satisfaction with aspects of the care arrangement (overall care, nursing care, relationships, and the environment). The convenience sample consisted of 31 former care givers of long term residents admitted to a metropolitan nursing home 1 …

Book Review, Mitchell M. Simon

RISK: Health, Safety & Environment (1990-2002)

Review of: MARSHALL A. KAPP, ETHICAL ASPECTS OF HEALTH CARE FOR THE ELDERLY: AN ANNOTATED BIBLIOGRAPHY. (Greenwood Press 1992). [200 pp.] Number 17 in series, Bibliographies and Indices in Gerontology. Author index; foreword by Erdman B. Palmore, series editor; preface; subject index. LC: 92-17776; ISBN: 0-313-27490-8. [Cloth $45.00. P.O. Box 5007, Westport CT 06881.]

Abuse, Neglect And Exploitation In Licensed Facilities - Recognize It - Prevent It - Report It, Maine Department Of Human Services

Maine Collection

Abuse, Neglect and Exploitation In Licensed Facilities - Recognize It - Prevent It - Report It.

Maine Department of Human Services - Bureau of Elder and Adult Services, Augusta, Maine (August 1993).

Contents: Introduction / Signs of Abuse and Neglect / Abuse: Risk Factors / Prevention / Maine's Reporting Law / Investigations of Reports of Abuse, Neglect or Exploitation / Where to Report / Other Relevant Agencies

The Effect Of 'Environmental Manipulation' On Agitation And 24-Hour Sleep In Dementia Sufferers In An Institutional Setting, Ernest A. Matthews

Theses: Doctorates and Masters

Living in an institutional setting places on residents certain constraints in relation to freedom of choice as to when, where, and how they conduct activities of daily living, such as, sleeping eating, attending to hygiene needs. Studies indicate this loss of control over the environment contributes to loss of self-esteem, leads to stress, and at times precipitates agitation among nursing home residents. Cognitive impairment may render dementia sufferers more vulnerable to loss of control over their control over their environment and result in agitation, which may in turn influence sleep. The study therefore, investigated if ‘environmental manipulation’ as in introducing …

Identification Of Health Promotion Behaviors, Perceived Health Status And Perceived Health Education Needs Of Older Women, Susan Carol Fellinger Reynolds

Nursing Theses & Dissertations

The health-promoting behaviors, perceived health status, and perceived health education needs of older women were identified in this non-experimental, descriptive, correlational study. Fifty women over 60 years of age, living in three housing complexes for the elderly, disabled and handicapped in two southeastern United States cities were asked to complete The Health-Promoting Lifestyle Profile, The Perceived Health Status Questionnaire, The Health Education Needs Questionnaire, and Demographic Data Sheet. It was concluded that the women engaged in a high level of health-promoting behaviors. The participants rated their health as good and rated their health as good compared to that of other …

The Post-Discharge Medication Compliance Of Elderly Medical Patients: Incidence And Influencing Factors, Donna L. Mitchell

Theses : Honours

This study was designed to estimate the extent to which elderly patients complied with their medication regimens post-discharge from three general medical wards of an acute hospital in Perth. Relationships between medication compliance and age, education, cognitive function, medication supervision, number of drugs taken, number of doses per drug per day, regimen recall and drug knowledge were observed. The sample of the study was the general medical patients of three medical wards who were 60 years or older, fluent in the English language, returning to a home in the metropolitan area with no full-time nursing care needs and discharged during …

Ua12/2/1 Magazine, Wku Student Affairs

WKU Archives Records

Special magazine edition of the College Heights Herald.

• Eagleston, Leigh. The Christian Soldier’s Story – John & Sandy Snelson, Salvation Army
• Jessie, Lisa. Riding the Rails of Train History – James Brown, L&N Railroad Depot
• Carter, Darla. Adults Learn to Catch Up at Adult Learning Center
• Tradition, Discipline Salvation Army’s Root
• Schlagenhauf, Ann. Families Feel Alzheimer’s Effects – James Sacrey, Adult Day Care

The Development Of The 'Nursing Home/Hostel - Quality Of Life Index': A Tool To Measure The Quality Of Life Of Permanent Residents In Geriatric Care Institutions, Linda Pettit

Theses : Honours

The purpose of this study was to develop the 'Nursing Home/Hostel: Quality of Life Index' (NH/H:QLI). This was to be a tool which would indicate the 'quality of life' of elderly residents in geriatric care institutions, such as nursing homes and hostels. Several means were employed to establish the validity of the tool. These were: consultation with experienced geriatric nurses, an examination of similar types of tools and correlation with another already established tool; Bigot's Life Satisfaction Index. The reliability of the NH/H:QLI was established by determining how well the scores correlated on a test re-test format. Kendall's Tau was …

A Study Of Loneliness And Health Related Complaints In Residents Of High Rise Apartment Buildings For The Elderly, Susan H. Jones

Nursing Theses & Dissertations

The purpose of this study was to explore feelings of loneliness among relocated elderly residents of age-segregated, high-rise apartment buildings and any relationship between these subjective feelings of loneliness and certain variables which were hypothesized as predictors of feelings of loneliness. The variables studied in relation to loneliness were cathectic investment, activity, and perceptions of health. A non-experimental survey design where data were collected by interviewing subjects was used. The sample consisted of 18 female residents of a high-rise apartment building for the elderly. Each was interviewed using the Loneliness Rating Scale developed by Dr. Gloria M. Francis and a …

Assertion Training Of Nursing Home Residents, Roberta Saul

Dissertations and Theses

The National Organization for Women use assertion training as a part of its strategy to overcome the oppression of women in our society. Certainly another group of people who suffer from oppression are the elderly. When a person in our society reaches age 65, he or she may suddenly be perceived as of decreased worth and may face forced retirement and quite often may have to adjust to a lifestyle of poverty. If an elderly person's physical health begins to wane, a nursing home may suddenly become the day to day environment he or she must accept.

The therapists in …

Community Health Nurse Influence On Retiree Health Planning, Patricia Hora

Loma Linda University Electronic Theses, Dissertations & Projects

The number and percent of the population over the age of 60 in the United States is increasing. The majority of these people (96%) are functioning in their own homes (Shanas, 1965). Physical health is important to the enjoyment and utilization of the added years of life. Therefore it seems important to find ways to meet the older citizen before the time of illness and help him/her to develop health goals and plans that will facilitate an optimal level of functioning and improve the quality of life.

The purpose of this study was to describe a method of intervening at …

The Effect Of Pre-Admission Crisis Nursing Intervention On The Anxiety Level Of Elderly Persons On Admission To A Nursing Home, Doreen C. K. Lee

Loma Linda University Electronic Theses, Dissertations & Projects

The experimental study attempted to determine whether pre-admission crisis nursing intervention had any effect on the level of anxiety of elderly people when they were transferred from an acute hospital to a nursing home.

The literature review related to trends in numbers of nursing homes and in the increase in longevity. Several articles indicated that the aged, as a group, lacked power to alter their situations. The need for patients to express their feelings and participate in their own decisions was stressed in various studies. Other theories discussed theoretical aspects and goals of crisis intervention. Several articles suggested that crisis …

Depression In Elderly Men Following Transurethral Prostatectom, Brenda Leach Allocco

Loma Linda University Electronic Theses, Dissertations & Projects

This study was concerned with the problem of depression among elderly patients following surgery. The purpose of the study was to find out if older men following transurethral prostatectomy experienced a higher level of depression than normal elderly people in the general population. An attempt was made in the study to suggest factors in the patients' illness or environment which may have influenced the amount of depression they experienced.

Thirty patients, sixty-five years or older, were included in the study sample. Depression was measured by a self-rating depression scale (Zung) three weeks following their operations. Other facts about the patients …

The Effect Of A Repressive-Inspirational Discussion Group On The Self-Esteem Of Selected Elderly Individuals, Rebecca Hollesca Gucilatar

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to determine if the use of a repressive-inspirational discussion group has significance in changing the level of self-esteem of institutionalized essentially normal elderly individuals.

A review of literature indicates the need for a group method that can help in developing and maintaining self-esteem in the elderly. Different studies reveal the need for self-esteem in the aged. The development of self-esteem is necessary so that elderly individuals can cope with situations in daily living and maintain physical and mental health.

An experimental method was utilized in conducting this study. A sample of twenty elderly individuals was selected …

A Descriptive Analysis Of The Social Roles Of Nursing Home Residents, John A. Hermann

Loma Linda University Electronic Theses, Dissertations & Projects

In contemporary American society there has been a growing trend toward nursing home residency for the aged. Up until the present there has been almost no attempt on the part of Sociology to study the sociological aspects of the life within such institutions.

A major objective of this study was to descriptively analyze the social life of nursing home residents. In order to do this, role theory was used as a tool for analysis and applied to the methods of unstructured observation and informal interviewing. The points of analysis were: role enactment, role expectations, and self-role congruency.

The research was …

An Instructional Method For Self-Administered Medications, Beryl Marx, Lorene Russell

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was done to determine the effectiveness of an instructional method for older ambulatory patients taking prescribed self-administered medications. This method was developed to emphasize the physicians' specific orders, the purpose of medications, feedback of instruction and a plan for remembering and recording medications. The hypothesis tested was that a selected group of ambulatory patients age 60 and over with the instructional method would make significantly fewer errors than a similar control group with no instructions.

Sixty private patients from the Loma Linda University Hospital outpatient department were selected and randomly placed in the experimental and control groups. …

Nursing Needs Of Selected Patients On Home Care, Margie Sue Temples

Loma Linda University Electronic Theses, Dissertations & Projects

A study was conducted to identify selected needs of patients receiving nursing care at home through the Loma Linda University Hospital Department of Home Care. The descriptive survey was used. Fifty patient home care records were reviewed.

From the general information secured, it was found that 68 percent of the patients studied were women. One-half of all patients were under sixty years of age. Fifty-four percent lived with a spouse only, while 26 percent lived with their family. There were 20 percent who lived alone and six of these were over the age of sixty. Patients were found in nine …

Falls Sustained By Patients In A Selected Nursing Home, Katty Joy Fenton

Loma Linda University Electronic Theses, Dissertations & Projects

This study was done to learn how the incidence of falls was related to certain, selected factors such as ambulatory state, sex, location of occurrence and time of occurrence in the nursing home chosen for the study and to make recommendations for increasing the safety of nursing home patients.

The descriptive-survey was the method used in the study. The data were made available in the form of 235 incident reports which had been collected over a five-year period in the selected nursing home. There were 213 of these records which described falls of various types so the study was limited …

The Incidence And Types Of Medication Errors Occurring Among A Selected Group Of Elderly Patients, Harriet Dinsmore

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find the incidence of medication errors among a group of patients, sixty years of age and over, who were being treated in the outpatient department of a selected urban hospital; and to investigate the effect of certain selected factors on the errors found. It was also planned to compare findings from this study with one done by Schwartz et. al. in New York. The descriptive survey approach employing an interview guide was used.

Errors were classified as those of omission, self-medication, incorrect dosage, and errors in timing or sequence. Fifty-two per cent of …

The Increasing Significance Of Nursing Homes In Our Way Of Life, Pauline Ryman

Henry Ford Hospital Medical Journal

No abstract provided.