Subject(s)
Malnutrition/prevention & control , Nutritional Requirements , Weight Loss , Age Factors , Aged , Aged, 80 and over , Aging/physiology , Body Mass Index , Female , Geriatric Assessment/methods , Humans , Male , Malnutrition/epidemiology , Monitoring, Physiologic , Nutrition Assessment , Risk AssessmentSubject(s)
Aged/psychology , Geriatric Nursing/methods , Memory , Personal Satisfaction , Female , Geriatric Assessment , Humans , Male , Self ConceptSubject(s)
Caregivers/psychology , Elder Abuse/statistics & numerical data , Home Care Services/organization & administration , Primary Prevention/organization & administration , Aged , Aged, 80 and over , Elder Abuse/prevention & control , Female , Frail Elderly , Homes for the Aged/organization & administration , Humans , Incidence , Male , Needs Assessment , Risk Assessment , United States/epidemiologyABSTRACT
Dehydration and malnutrition are commonly experienced by patients with dementia and can result in hospitalizations and decreased quality of life. The purpose of this study was to explore and describe retrospectively, the incidence and correlations of variables that may precede hospitalizations for dehydration/malnutrition in the community-dwelling patient with dementia. Data from the Outcome and Assessment Information Set (OASIS) Start of Care (SOC) on 44 patients served by a Michigan home care agency were retrieved for analysis. This study did not reveal any single or collection of variables that would predict risk for hospitalization for dehydration/malnutrition. With the lack of specific predictors of hospitalization related to dehydration and malnutrition, clinicians need to place high priority on risk-lowering strategies and preventive education for patients, family, and caregivers.
Subject(s)
Dehydration/therapy , Dementia/diagnosis , Hospitalization/statistics & numerical data , Malnutrition/therapy , Aged , Aged, 80 and over , Aging/physiology , Caregivers , Cohort Studies , Dehydration/etiology , Dehydration/physiopathology , Dementia/complications , Female , Geriatric Assessment/methods , Home Care Services/organization & administration , Humans , Male , Malnutrition/etiology , Malnutrition/physiopathology , Michigan , Patient Admission/statistics & numerical data , Retrospective Studies , Risk AssessmentABSTRACT
As record number of individuals move into their retirement years, home healthcare clinicians are witnessing an increase in the number of patients and families struggling to cope with the complex symptoms of dementia. Unlike other terminal conditions such as cancer, the course of this terminal and debilitating disease can span several decades. Home healthcare clinicians will be caring for greater numbers of these patients and their families in the community.
Subject(s)
Dementia/diagnosis , Dementia/nursing , Home Health Nursing/organization & administration , Aged , Aged, 80 and over , Female , Home Care Services/organization & administration , Humans , Male , Nurse's Role , Nurse-Patient Relations , Outcome Assessment, Health Care , Severity of Illness Index , United StatesABSTRACT
Although the literature suggests that incivility on the part of staff nurses toward student nurses in the clinical setting exists, no instrument was found that addressed this phenomenon. This article describes the development and validation of the uncivil behavior in clinical nursing education (UBCNE) tool to measure nursing students' experiences with incivility in the clinical learning environment. The 20-item UBCNE was administered to 118 nursing students at a midwestern school of nursing. Analyses included evaluation of interitem response consistency, internal structure via principal components analysis using both orthogonal and oblique rotation, and assessment of the association to demographic variables and stress while on placement as a criterion measure. Six items were dropped due to high loading on more than 1 component. This resulted in a 12-item test with 2 modified subscales-hostile/mean/dismissive and exclusionary behavior. The revised subscales and total test demonstrate good reliability, and both subscales are clearly represented in the separate components. The UBCNE is an easily administered tool with good internal consistency. Future studies with a larger sample and in different settings need to be conducted.
