Subject(s)
Chronic Disease/nursing , Geriatric Nursing/organization & administration , Long-Term Care/organization & administration , Aged , Aging , Chronic Disease/psychology , Community Health Nursing/organization & administration , Humans , Long-Term Care/psychology , Nursing Homes/organization & administrationABSTRACT
This article is about nursing leadership, workforce diversity, and underrepresentation in nursing. It is about long-term care, specifically the nursing home, the nurses, and the certified nursing assistants. The nursing shortage, the shortage of nurse educators, and curricular changes in the colleges and universities are not the focus of this work. The questions asked here are, who will care for the residents in nursing homes, and how will they recruit the much-needed leadership at a time of unprecedented need?
Subject(s)
Cultural Diversity , Leadership , Nursing Assistants/organization & administration , Nursing Homes/organization & administration , Nursing Staff/organization & administration , Personnel Selection/organization & administration , Aged , Career Choice , Emigrants and Immigrants , Forecasting , Health Services Needs and Demand/organization & administration , Humans , Models, Nursing , Nurse's Role , Nursing Assistants/education , Nursing Assistants/psychology , Nursing Staff/education , Nursing Staff/psychology , Organizational Innovation , Organizational Objectives , Personnel Turnover , United StatesABSTRACT
Problem solving using a collaborative approach may reduce the risk of falls in the nursing home. Interventions need to be tailored to the individual's cognitive and physical impairments as well as be feasible in the particular long-term care setting. Polypharmacy, Vitamin D deficiency, delirium, and urinary incontinence are among several risks for falls that are discussed in this article.
Subject(s)
Accidental Falls/prevention & control , Geriatric Nursing/organization & administration , Long-Term Care/organization & administration , Nursing Homes/organization & administration , Patient Care Planning/organization & administration , Patient Care Team/organization & administration , Accidental Falls/statistics & numerical data , Aged , Cooperative Behavior , Delirium/nursing , Geriatric Assessment , Humans , Mobility Limitation , Nurse Practitioners , Nurse's Role , Nursing Assessment , Organizational Culture , Polypharmacy , Problem Solving , Risk Assessment , Risk Factors , Safety Management/organization & administration , Urinary Incontinence/nursing , Vitamin D Deficiency/nursingABSTRACT
This article is about pain management and some of the best practices to address the problem of pain in nursing home patients who have a serious illness and multiple comorbid conditions. Management of the emotional distress that accompanies chronic or acute pain is of foremost concern. In this article, the topics discussed include general pain management in a nursing home for a long-term care resident who has chronic pain, the relief of symptoms and suffering in a patient who is on palliative care and hospice, and the pain management of a postoperative patient with acute pain for a short transitional period (post-acute illness or surgery).
Subject(s)
Benchmarking , Long-Term Care , Nursing Homes , Pain/prevention & control , Aged , Analgesia/methods , Analgesia/nursing , Attitude of Health Personnel , Benchmarking/organization & administration , Comorbidity , Geriatric Assessment , Geriatric Nursing/organization & administration , Humans , Internal Medicine , Long-Term Care/organization & administration , Nurse Practitioners/organization & administration , Nurse Practitioners/psychology , Nurse's Role , Nursing Assessment , Nursing Homes/organization & administration , Nursing Process , Pain/diagnosis , Pain/etiology , Pain/psychology , Pain Measurement , Practice Guidelines as Topic , Terminal Care/organization & administrationABSTRACT
Just as the voices of people with Alzheimer's disease are driving changes, the voices of caregivers can also facilitate change, which is vital now and for the future. Caregivers play an important role in the educational process.