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Articles 1 - 28 of 28
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Iatrogenesis In The Elderly. Impaired Skin Integrity, Lisa Skemp Kelley, Paula Mobily
Iatrogenesis In The Elderly. Impaired Skin Integrity, Lisa Skemp Kelley, Paula Mobily
Paula Mobily
Risk factors that contribute to pressure ulcer formation include immobility and inactivity, age, malnutrition, fecal and urinary incontinence, and a decreased level of consciousness. Gerontological nurses should collaborate with other health disciplines (eg, the physician, physical therapist, and dietitian) to plan and provide preventive treatment measures for the elderly person with potential for impaired skin integrity: pressure ulcers. Gerontological nurses must continue the development and refinement of tools with which to predict the degree of risk for impaired skin integrity, as well as use a consistent method of grading pressure ulcers.
Innovations In Geriatric Nursing Curricula: Experiences From The John A. Hartford Foundation Centers Of Geriatric Nursing Excellence, E. Souder, S. Kagan, L. Hansen, L. Macera, Paula Mobily, D. White
Innovations In Geriatric Nursing Curricula: Experiences From The John A. Hartford Foundation Centers Of Geriatric Nursing Excellence, E. Souder, S. Kagan, L. Hansen, L. Macera, Paula Mobily, D. White
Paula Mobily
No abstract provided.
Toward Data Standards For Clinical Nursing Information, J. Mccloskey, G. Bulechek, L. Ackerman, M. Clarke, M. Croftrosenberg, J. Daly, C. Delaney, J. Denehy, W. Donahue, O. Glick, M. Kanak, V. Kraus, T. Kruckeberg, Meridean Maas, Paula Mobily, Sue Moorhead, M. Simons, Victoria Steelman, M. Titler, B. Wakefield, G. Woodworth, Y. Yom, Keela Herr, P. Mehmert
Toward Data Standards For Clinical Nursing Information, J. Mccloskey, G. Bulechek, L. Ackerman, M. Clarke, M. Croftrosenberg, J. Daly, C. Delaney, J. Denehy, W. Donahue, O. Glick, M. Kanak, V. Kraus, T. Kruckeberg, Meridean Maas, Paula Mobily, Sue Moorhead, M. Simons, Victoria Steelman, M. Titler, B. Wakefield, G. Woodworth, Y. Yom, Keela Herr, P. Mehmert
Paula Mobily
No abstract provided.
Perceived Leadership Effectiveness In Nursing Homes, Paula Mobily, Janet Specht, A. Bossen, L. Yeggy, S. Horras, H. Kang
Perceived Leadership Effectiveness In Nursing Homes, Paula Mobily, Janet Specht, A. Bossen, L. Yeggy, S. Horras, H. Kang
Paula Mobily
No abstract provided.
Perceived Use Of Research-Based Practice In Nursing Homes For Urinary Incontinence And Pain, Janet Pringle Specht, Paula Mobily, A. Bossen, L. Yeggy, S. Horras, H. Kang
Perceived Use Of Research-Based Practice In Nursing Homes For Urinary Incontinence And Pain, Janet Pringle Specht, Paula Mobily, A. Bossen, L. Yeggy, S. Horras, H. Kang
Paula Mobily
No abstract provided.
Interventions Related To Pain, Keela Herr, Paula Mobily
Interventions Related To Pain, Keela Herr, Paula Mobily
Paula Mobily
No abstract provided.
The Willingness Of Family Members Of Critically Ill Adults To Learn The Coping Technique Of Imagery, D. Schweer, L. Hart, O. Glick, Paula Mobily
The Willingness Of Family Members Of Critically Ill Adults To Learn The Coping Technique Of Imagery, D. Schweer, L. Hart, O. Glick, Paula Mobily
Paula Mobily
Critical care nurses face the challenge of helping anxious families cope with the critical illness of one of their members. The purposes of this exploratory descriptive pilot study were to identify whether adult family members of surgical intensive care unit (SICU) patients were willing and able to learn imagery during the time of their family member's critical illness, and which factors facilitate the learning. Of the 139 persons invited, 26 (18.7%) indicated willingness to participate, but only 10 participants completed both learning sessions. All 10 subjects achieved increased relaxation with the imaging. Facilitators of their learning were the quiet environment, …
Reliability Of The 60+ Functional Fitness Test Battery For Older Adults, K. E. Mobily, Paula R. Mobily
Reliability Of The 60+ Functional Fitness Test Battery For Older Adults, K. E. Mobily, Paula R. Mobily
Paula Mobily
The primary purpose of this investigation was to determine the internal consistency of the 60+ functional fitness test battery for older adults. A secondary purpose was to determine whether the number of trials recommended in the testing manual was optimal. Subjects were used from an ongoing study of a fitness program for community-dwelling older adults. Internal consistency coefficients for subtests of flexibility, agility, coordination, and strength were excellent. Post hoc analysis across trials indicated significant differences in means between early trials and later trials. Mean scores stabilized after two or three trials, depending on the subtest of interest. Data provided …
Geriatric Mental Health: Staff Stress On An Alzheimer's Unit, Paula Mobily, Meridean Maas, Kathleen Buckwalter, Lisa Skemp Kelley
Geriatric Mental Health: Staff Stress On An Alzheimer's Unit, Paula Mobily, Meridean Maas, Kathleen Buckwalter, Lisa Skemp Kelley
Paula Mobily
Nurses who work with patients with Alzheimer's disease (AD) are especially vulnerable to the effects of stress and burnout. Many are poorly trained to cope with the emotional and behavioral problems of these residents and are repeatedly frustrated by their inability to manage these recurrent problems. Specialized care units (SCUs) reduced stress in the areas of staff knowledge, abilities, and resources. The SCU was designed specifically to provide the special environmental structures, support, and service systems required for the care of persons with AD that would enhance functioning and decrease associated behavioral problems. Support groups can assist nurses to recognize …
Cognitive-Behavioral Techniques To Reduce Pain - A Validation-Study, Paula Mobily, Keela Herr, Lisa Skemp Kelley
Cognitive-Behavioral Techniques To Reduce Pain - A Validation-Study, Paula Mobily, Keela Herr, Lisa Skemp Kelley
Paula Mobily
The purpose of this study was to identify and validate specific activities considered important in the implementation of three non-pharmacologic pain management interventions-relaxation, distraction and guided imagery. Using a two-round Delphi survey, nurses selected for their expertise in pain management were asked to validate definitions and activities considered important in the implementation of each of these strategies. Data were analyzed using a modification of Fehring's diagnostic content validity method. From this process, a list of activities for each intervention evolved that has implications for nursing research, practice and education.
Chronic Pain And Depression., Keela Herr, Paula Mobily
Chronic Pain And Depression., Keela Herr, Paula Mobily
Paula Mobily
Because of the increased incidence of chronic disease and other health problems associated with aging, chronic pain is a common companion for the elderly. Pain is of great clinical importance, often associated with disability, loss of independence, and reduced quality of life. A fact that is of interest to psychiatric nurses is that many elderly with complaints of chronic pain also exhibit signs and symptoms of depressive disorders. Treating chronic pain conditions is complex and difficult, and health-care professionals are increasingly recognizing that psychological factors are often involved in the development and continuation of chronic pain problems. Depression is one …
Iatrogenesis In The Elderly. Factors Of Immobility, Paula Mobily, Lisa Skemp Kelley
Iatrogenesis In The Elderly. Factors Of Immobility, Paula Mobily, Lisa Skemp Kelley
Paula Mobily
Mobility of elderly patients is a consequence of the interaction between factors including biological health, sensory-perceptual capacity, motor skills, cognitive capacity, and ego-strength; and environmental resources including physical and architectural features, medical regimens, institutional policies, resident and staff characteristics, and social support availability. Impaired mobility, whether self- or other-imposed, places the elderly at risk for a multitude of negative physiological and psychological consequences that can affect health, well-being, and quality of life. Understanding the basic mechanisms underlying the physiological and psychological consequences of immobility, the relative time-frame in which they can develop, and the concomitant changes associated with aging provides …
Strength Training And Falls Among Older Adults: A Community-Based Tr Intervention, K. Mobily, Paula Mobily, R. Raimondi, K. Walter, L. Rubenstein
Strength Training And Falls Among Older Adults: A Community-Based Tr Intervention, K. Mobily, Paula Mobily, R. Raimondi, K. Walter, L. Rubenstein
Paula Mobily
The purpose of this study was to determine the effectiveness of a community-based strength training program for older adults in decreasing falls. Subjects who completed a strength training program and an age and gender matched comparison group of older adults who did not participate in the strength training program were questioned about falls during the preceding year. Functional fitness measures for coordination, balance, and strength significantly improved in strength training subjects after completion of a six week program. Furthermore, after controlling for gender effects, the findings revealed that the strength training group reported significantly fewer falls in the preceding year …
Evaluation Of The Faces Pain Scale For Use With The Elderly, Keela Herr, Paula Mobily, F. Kohout, D. Wagenaar
Evaluation Of The Faces Pain Scale For Use With The Elderly, Keela Herr, Paula Mobily, F. Kohout, D. Wagenaar
Paula Mobily
Objective: The specific objective for this research was to determine initial psychometric properties of the Faces Pain Scale (FPS) as a measure of pain intensity for use with the elderly. Design: The study was descriptive correlational in nature, with nonrandom sampling. A total sample of 168 community subjects (30-121, depending on task completed), aged 65 or older, participated in the research protocol. To determine the validity, reliability, and scaling properties of the FPS, rating and ranking procedures, placement tasks, and test-retest methods were used. Results: Response to six Likert-type items indicated that subjects agreed that the FPS represents pain; however, …
Validation Of Cutaneous Stimulation Interventions For Pain Management, Paula Mobily, Keela Herr, A. Nicholson
Validation Of Cutaneous Stimulation Interventions For Pain Management, Paula Mobily, Keela Herr, A. Nicholson
Paula Mobily
The purpose of this study was to identify and validate specific activities considered important in the implementation of selected cutaneous stimulation pain management interventions including heat and cold application, massage and Transcutaneous Electrical Nerve Stimulation (TENS). A two-round Delphi survey was completed by nurses selected for their expertise in pain management. Data were analyzed using a modification of Fehring's diagnostic content validity method. Consistently high scores were obtained by the raters for each intervention and activity, with most activities perceived as critical to the intervention. From this process, a list of activities for each cutaneous stimulation intervention evolved that are …
The Young Gerontological Nurse Clinician Program: An Innovative Geropsychiatric Nursing Recruitment Strategy, Janet Specht, Paula Mobily
The Young Gerontological Nurse Clinician Program: An Innovative Geropsychiatric Nursing Recruitment Strategy, Janet Specht, Paula Mobily
Paula Mobily
Historically, graduate nurses are not attracted to older adults or geriatric care. Innovative strategies, such as the Young Gerontological Nurse Clinician Program (YGNCP) initiated by the John A. Hartford Center for Geriatric Nursing Excellence at the University of Iowa, are needed to promote geriatric nursing as a challenging and rewarding practice focus. The YGNCP, which provides early, positive, self-directed experiences for nursing students under the direction and supervision of faculty and expert clinical mentors, shows excellent potential for recruiting nurses to clinical and leadership positions in geriatric and geropsychiatric care.
Acute Confusion Assessment Instruments: Clinical Versus Research Usability, C. Rapp, B. Wakefield, M. Kundrat, J. Mentes, Toni Tripp-Reimer, Kennith Culp, Paula Mobily, J. Akins, L. Onega
Acute Confusion Assessment Instruments: Clinical Versus Research Usability, C. Rapp, B. Wakefield, M. Kundrat, J. Mentes, Toni Tripp-Reimer, Kennith Culp, Paula Mobily, J. Akins, L. Onega
Paula Mobily
Acute confusion (AC), also referred to as delirium (AC/delirium), is a common problem seen by health professionals who work in a variety of care settings. This is an evaluative report on the clinical usability of instruments to assess AC/delirium as a part of nursing practice. Specifically, five instruments [the Confusion Assessment Method (CAM), Delirium Rating Scale (DRS), Delirium Symptom Inventory (DSI), Mini-Mental State Examination (MMSE), and Neelon/Champagne (NEECHAM) Confusion Scale] are discussed. The work demonstrates how the cooperation of nurses in practice, education, and research can improve both patient and staff outcomes.
We Are Different: Learning Needs Of Accelerated Second-Degree Nursing Students, Martha Driessnack, Paula Mobily, Anita Stineman, L. Montgomery, T. Clow, S. Eisbach
We Are Different: Learning Needs Of Accelerated Second-Degree Nursing Students, Martha Driessnack, Paula Mobily, Anita Stineman, L. Montgomery, T. Clow, S. Eisbach
Paula Mobily
In this study, the authors explored the perceptions of effective teaching-learning strategies from the perspective of graduates of a second-degree prelicensure nursing program. Data were collected using interviews and analyzed using qualitative description. Seven themes were identified. These findings provide a unique perspective in identifying teaching strategies for use with these students and may provide insight and direction to others who have considered or are considering second-degree prelicensure programs.
Screening For Acute Confusion In Elderly Long-Term Care Residents, Kennith Culp, Toni Tripp-Reimer, K. Wadle, B. Wakefield, J. Akins, Paula Mobily, M. Kundradt
Screening For Acute Confusion In Elderly Long-Term Care Residents, Kennith Culp, Toni Tripp-Reimer, K. Wadle, B. Wakefield, J. Akins, Paula Mobily, M. Kundradt
Paula Mobily
While acute confusion (AC) is frequently studied in the hospitalized elderly population, this phenomena has been largely ignored in elders who are residents in long-term care (LTC) facilities. The purpose of this study was to estimate the prevalence of AC in older LTC residents, the antecedent conditions present at the time of the AC event and the recognition rate of AC when assessed by staff nurses in two LTC facilities. This is a descriptive, longitudinal study with a 14 day follow-up period which incorporates a screening algorithm using AC instruments with established psychometric properties. A behavioral symptom instrument was also …
Unit-Based Acute Confusion Resource Nurse: An Educational Program To Train Staff Nurses, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman
Unit-Based Acute Confusion Resource Nurse: An Educational Program To Train Staff Nurses, C. Rapp, L. Onega, Toni Tripp-Reimer, Paula Mobily, B. Wakefield, M. Kundrat, J. Akins, K. Wadle, J. Mentes, Kennith Culp, J. Meyer, J. Waterman
Paula Mobily
Despite the high prevalence of acute confusion among elders and the importance of its early detection, there are few reports of systematic efforts to increase staff competence. This article describes the development and evaluation of an 8-hour educational program designed to prepare staff nurses to perform in a new role, the unit-based acute confusion Resource Nurse (ACRN). Pre- and posttest scores were obtained for the 80 registered nurses who participated in the program. Paired t tests showed that knowledge and confidence significantly increased for participants as a result of their participation in the educational program. This program can serve as …
Training Key To Job Satisfaction, Meridean Maas, Kathleen Buckwalter, Elizabeth Swanson, Paula Mobily
Training Key To Job Satisfaction, Meridean Maas, Kathleen Buckwalter, Elizabeth Swanson, Paula Mobily
Paula Mobily
No abstract provided.
Barriers To Pain Management In Ltc, Paula Mobily, Keela Herr
Barriers To Pain Management In Ltc, Paula Mobily, Keela Herr
Paula Mobily
No abstract provided.
Leg Pain In The Rural Iowa 65+ Population - Prevalence, Related Factors, And Association With Functional Status, Keela Herr, Paula Mobily, R. Wallace, Y. Chung
Leg Pain In The Rural Iowa 65+ Population - Prevalence, Related Factors, And Association With Functional Status, Keela Herr, Paula Mobily, R. Wallace, Y. Chung
Paula Mobily
Research tabulating the existence and effects of pain related factors in the elderly is lacking, in spite of the continued growth of the aged population. Leg pain, in particular, may interfere with activities and interpersonal interactions. This study of 3,097 rural elderly examines the prevalence of complaints of leg pain and related factors in a geographically-defined population. Findings indicate that leg pain is clearly a common experience which impacts daily activities of the elderly.
An Examination Of Role Strain For University Nurse Faculty And Its Relation To Socialization Experiences And Personal Characteristics, Paula Mobily
Paula Mobily
The purpose of this study is to describe the degree of perceived role strain and the major sources of role strain in nurse faculty employed in major universities; and to explore the relationship between selected socialization experiences and personal characteristics and the degree of role strain experienced. The sample (N = 102) was comprised of full-time tenure track nurse faculty employed in major universities that offered National League for Nursing-accredited undergraduate and graduate programs in nursing, and were located in institutions classified as Research Universities I by the Carnegie Council on Policy Studies in Higher Education (1987). The majority of …
Depression And The Experience Of Chronic Back Pain - A Study Of Related Variables And Age-Differences, Keela Herr, Paula Mobily, C. Smith
Depression And The Experience Of Chronic Back Pain - A Study Of Related Variables And Age-Differences, Keela Herr, Paula Mobily, C. Smith
Paula Mobily
Objective: To document the prevalence of depression an examine the relationship between depression and selected pain-related variables associated with chronic back pain among elderly and nonelderly samples. Design: Survey with mailed questionnaire. Setting: Patients seeking treatment at a spine diagnostic and treatment center. Patients: Consecutive sample of elderly subjects (n = 69). Nonelderly subjects (n = 59) were randomly selected to achieve a sample size comparable to the elderly. Evaluation of depressed mood was determined by Beck Depression Inventory. Main Outcome Measures: Multidimensional Pain Inventory, Pain Disability Index, Pain Duration, Work-Related Disability, Medication Use, and Pain Severity. Results: A high …
Clinical Methods. Acute Confusion Assessment Instruments: Clinical Versus Research Usability, C. Rapp, B. Wakefield, M. Kundrat, J. Mentes, Toni Tripp-Reimer, Kennith Culp, Paula Mobily, J. Akins, L. Onega
Clinical Methods. Acute Confusion Assessment Instruments: Clinical Versus Research Usability, C. Rapp, B. Wakefield, M. Kundrat, J. Mentes, Toni Tripp-Reimer, Kennith Culp, Paula Mobily, J. Akins, L. Onega
Paula Mobily
Acute confusion (AC), also referred to as delirium (AC/delirium), is a common problem seen by health professionals who work in a variety of care settings. This is an evaluative report on the clinical usability of instruments to assess AC/delirium as a part of nursing practice. Specifically, five instruments [the Confusion Assessment Method (CAM), Delirium Rating Scale (DRS), Delirium Symptom Inventory (DSI), Mini-Mental State Examination (MMSE), and Neelon/Champagne (NEECHAM) Confusion Scale] are discussed. The work demonstrates how the cooperation of nurses in practice, education, and research can improve both patient and staff outcomes.
Staff Stress On An Alzheimer's Unit, Paula Mobily, Meridean Maas, Kathleen Buckwalter, Lisa Skemp Kelley
Staff Stress On An Alzheimer's Unit, Paula Mobily, Meridean Maas, Kathleen Buckwalter, Lisa Skemp Kelley
Paula Mobily
Nurses working with the elderly encounter many complex and potentially stressful care situations. Nowhere is this more true than for nursing home staff who work in highly demanding, labor- and client-intensive jobs. A number of factors contribute to the high levels of stress found among nurses who work with the elderly, including continual exposure to physical and emotional pathology and death, and conflict with families, co-workers, supervisors, and representatives from other departments or professions (Goldin, 1985; Klus, 1980). When the stress level in a long-term care facility becomes overwhelming, role conflict, ambiguity, poor self-esteem, and burnout may ensue (Goldin, 1985; …
Dehydration As A Precipitating Factor In The Development Of Acute Confusion In The Frail Elderly, J. Mentes, Kennith Culp, B. Wakefield, P. Gaspar, C. Rapp, Paula Mobily, Toni Tripp-Reimer
Dehydration As A Precipitating Factor In The Development Of Acute Confusion In The Frail Elderly, J. Mentes, Kennith Culp, B. Wakefield, P. Gaspar, C. Rapp, Paula Mobily, Toni Tripp-Reimer
Paula Mobily
No abstract provided.