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Full-Text Articles in Nursing
Iowa Certified Nursing Assistants Study: Self-Reported Ratings Of The Nursing Home Work Environment, Kennith Culp, S. Ramey, S. Karlman
Iowa Certified Nursing Assistants Study: Self-Reported Ratings Of The Nursing Home Work Environment, Kennith Culp, S. Ramey, S. Karlman
Kennith R. Culp
No abstract provided.
Risk For Acute Confusion In Sensory-Impaired, Rural, Long-Term-Care Elders, P. Cacchione, Kennith Culp, M. Dyck, J. Laing
Risk For Acute Confusion In Sensory-Impaired, Rural, Long-Term-Care Elders, P. Cacchione, Kennith Culp, M. Dyck, J. Laing
Kennith R. Culp
Acute confusion is a common geriatric syndrome in long-term care (LTC) elders with prevalence rates of 10% to 39%. Sensory impairment, specifically vision and hearing impairment, is even more common in LTC, with prevalence rates of 40% to 90%. The purpose of this study was to investigate the risk relationship between sensory impairment and the development of acute confusion in LTC elders. Each resident (N = 114) underwent sensory screening and then was followed for 28 days to monitor for the onset of acute confusion. Twenty residents (17.5%) developed acute confusion, 60 residents (52.6%) were found to be visually impaired, …
Hydration And Acute Confusion In Long-Term Care Residents... Including Commentary By Lindgren Cl And Mills Em With Author Response, Kennith Culp, J. Mentes, B. Wakefield
Hydration And Acute Confusion In Long-Term Care Residents... Including Commentary By Lindgren Cl And Mills Em With Author Response, Kennith Culp, J. Mentes, B. Wakefield
Kennith R. Culp
Although it is generally appropriate for a healthy adult to consume 2000 to 2500 ml per day, the literature does not address evaluating any standard. The objective here was to develop a weight-based hydration management intervention and evaluate the impact of this on the incidence of acute confusion (AC) using an N = 98. The intervention consisted of a fluid intake goal based on 100 ml per kg for the first 10 kg, 50 ml/kg for the next 10 kg, and 15 ml for the remaining body weight. The treatment group received instruction and assistance on the fluid goal and …
Risk Factors And Outcomes Associated With Hospital Admission For Dehydration, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Risk Factors And Outcomes Associated With Hospital Admission For Dehydration, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Kennith R. Culp
The hospital admission rate for dehydration is one of the Agency for Healthcare Research and Quality Prevention's Quality Indicators, which are considered screening tools for potential quality issues. Thus, admission for dehydration may reflect the quality of care provided in community settings. Using a case-control design, this study estimated the incidence, risk factors, and outcomes of dehydration in adults admitted to the hospital. The overall prevalence rate for three International Classification of Diseases codes for dehydration at admission was 0.55%. Cases and controls differed significantly on a number of clinical variables at admission, including weight, body mass index, pulse, blood …
Comparing The Geriatric Depression Scale, Minimum Data Set, And Primary Care Provider Diagnosis For Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Comparing The Geriatric Depression Scale, Minimum Data Set, And Primary Care Provider Diagnosis For Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Kennith R. Culp
BACKGROUND: Depression has a substantial negative impact on quality of life. Underdiagnosis and undertreatment of depression are major problems in nursing home residents. OBJECTIVES: This study sought to determine the prevalence of depression among older adults in nursing homes in rural Iowa using the Geriatric Depression Scale (GDS), Minimum Data Set (MDS), and primary care provider (PCP) depression diagnosis. DESIGN: This is a secondary analysis of data collected from 279 randomly selected residents of nursing homes in rural Iowa. RESULTS: The prevalence of depression based on the GDS (score of 6 or greater) was 37.3%, the MDS was 21.3%, and …
Reducing Hydration-Linked Events In Nursing Home Residents... Including Commentary By Godkin D, J. Mentes, Kennith Culp
Reducing Hydration-Linked Events In Nursing Home Residents... Including Commentary By Godkin D, J. Mentes, Kennith Culp
Kennith R. Culp
The authors used a quasi-experimental treatment and control group design with 49 participants from four nursing homes to test the effectiveness of an 8-week hydration intervention in reducing hydration-linked events (HLEs). A Kaplan Meier survival curve with log rank test was calculated to determine incidence and time to occurrence of a HLE. Incidence of and time to a HLE did not differ between the treatment and control groups over an 8-week period (p > .05). However, treatment group participants were found to be more frail, more cognitively impaired and more at risk for acute confusion than the control group participants. Although …
Use Of A Urine Color Chart To Monitor Hydration Status In Nursing Home Residents, J. Mentes, B. Wakefield, Kennith Culp
Use Of A Urine Color Chart To Monitor Hydration Status In Nursing Home Residents, J. Mentes, B. Wakefield, Kennith Culp
Kennith R. Culp
To determine whether urine color, as measured by a color chart, might be a valid indicator of hydration status in frail nursing home residents, this study tested the associations between urine color and urine specific gravity. This is a descriptive correlational study set in seven nursing homes in eastern Iowa. Ninety-eight nursing home residents > or =65 years of age participated. Exclusion criteria for the study included: unstable congestive heart failure or diabetes, documented renal disease, hyponatremia (serum sodium or =50 ml/min) had significant associations between average urine color and average Usg. Females with mild renal impairment (CrCl between 30 and …
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
Kennith R. Culp
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.
Antidepressant Treatment Of Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Antidepressant Treatment Of Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Kennith R. Culp
Under-diagnosis and under-treatment of depression are major problems in nursing home residents. The purpose of this study was to determine antidepressant use among nursing home residents who were diagnosed with depression using three different methods: (1) the Geriatric Depression Scale, (2) Minimum Data Set, and (3) primary care provider assessments. As one would expect, the odds of being treated with an antidepressant were about eight times higher for those diagnosed as depressed by the primary care provider compared to the Geriatric Depression Scale or the Minimum Data Set. Men were less likely to be diagnosed and treated with antidepressants by …
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
Kennith R. Culp
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.
Postadmission Dehydration: Risk Factors, Indicators, And Outcomes, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Postadmission Dehydration: Risk Factors, Indicators, And Outcomes, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Kennith R. Culp
Detecting and treating dehydration in hospitalized patients is critical because of the adverse outcomes associated with this condition. Using a case-control design, this study estimated the incidence, risk factors, and outcomes of dehydration in hospitalized adults. The overall incidence rate for developing one of three ICD-9 codes for dehydration during a hospital stay was 3.5%. Cases and controls differed significantly on a number of clinical variables on admission; a large percentage of patients may have had dehydration on admission to the hospital. Mortality rates at 30 and 180 days postdischarge were significantly higher when dehydration was present. Patients may be …