scholarly journals Supporting Nutrition Care in Older Adults: An Essential Component of ‘Best Practice’ Nursing

2021 ◽  
pp. 79-85
Author(s):  
Lina Spirgienė ◽  
Gytė Damulevičienė ◽  
Gabriele Bales ◽  
Jack J. Bell
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Nursing Care ◽  
Real World ◽  
Best Practice ◽  
Evidence Based ◽  
Essential Component ◽  
Nutrition Care ◽  
Evidence Based Guidelines ◽  
What Matters

AbstractEvidence-based guidelines, recommendations and standards are considered the cornerstone of ‘best practice’ in nursing care. However, what optimal nutrition care of older adults actually looks like in real-world settings is also dependent on age, disease and care contexts and, perhaps most importantly, what matters to the older adult.

scholarly journals Innovation During Disruption: Supporting What Matters Most to Older Adults Through Person-Environment Fit

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 291-291
Author(s):  
Sarah Szanton
Keyword(s):  
Older Adults ◽  
Social Environment ◽  
Older Adult ◽  
Systems Of Care ◽  
Evidence Based ◽  
The Social ◽  
Person Environment Fit ◽  
And Function ◽  
Tailored Program ◽  
What Matters

Abstract The fragile and improvised systems of care for older adults have been decimated by isolation and fragmented care during the pandemic. However, innovations are increasingly being offered to older adults to improve the fit between them and their environment. This includes fit within the home, the social environment, the policy environment, and with clinicians. Advancing these “fits” requires evidence-based solutions like CAPABLE, a 4 month self-efficacy and function program that provides an occupational therapist, nurse and handyworker to assess and address older adults’ functional goals. The older adult identifies what matters most and experiences a tailored program that taps into their purpose in life and supports engaging in meaningful activities. Starting in research sites, CAPABLE is now offered in 34 sites in 17 States and expanding through policy and insurers. Such efforts to leverage the strength of older adults and their families, builds capacity to evolve our communities of care.

scholarly journals Older Adult-Centred Design

2015 ◽  
pp. 477-483
Author(s):  
Mona Afifi ◽  
Mohamed Al-Hussein ◽  
Ahmed Bouferguene
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Best Practice ◽  
Evidence Based ◽  
Risk Of Falling ◽  
Minimum Risk ◽  
Human Needs ◽  
Living Space ◽  
Risk Of Falls ◽  
Definition Of

A poorly designed home environment is likely to cause falling for older adults. By employing the concept of older adult-centred design, home design that reduces the risk of falls for older adults can be achieved. This approach focuses on meeting specific human needs and enabling individuals to experience improved functionality within the living space. This paper presents an evidencebased analysis of bathroom design from the perspective of reducing the risk of falling for older adults. The methodology is divided into three stages: (1) evidence-based review of bathroom design; (2) cohesive analysis of evidence-based studies; and (3) definition of best practice for older adult-centred design. The outcome of this paper is an evidence-based approach to older adultcentred design that is associated with the minimum risk of falling.

Increasing Student Empathy Toward Older Adults Using the Virtual Dementia Tour

2014 ◽  
Vol 19 (1) ◽  
pp. S-23-S-40
Author(s):  
Jana Donahoe ◽  
Lisa Moon ◽  
Kathy VanCleave
Keyword(s):  
Older Adults ◽  
Social Work ◽  
Nursing Homes ◽  
Experiential Learning ◽  
Older Adult ◽  
Work Practice ◽  
Social Work Practice ◽  
Evidence Based ◽  
Student Knowledge ◽  
Course Content

Educators know too well the challenges of teaching BSW students about social work practice with older adults. Students hesitate to work with older adults due to personal fears about aging, lack of experiences with this population, or stereotypical misconceptions about older adults and nursing homes. It is apparent that many students have difficulty empathizing with older adults because they have never experienced what it is like to be an older adult with dementia. A solution to this problem is incorporating an immersive experiential learning simulation called the Virtual Dementia Tour (VDT) into BSW course content. The findings indicate that the VDT was an effective evidence-based learning tool for increasing student knowledge about aging and improving their empathy and sensitivity toward older adults with dementia.

Evidence-based guidelines for acute stabilization and management of neonates with persistent pulmonary hypertension of the newborn

2021 ◽  
Author(s):  
Molly K Ball ◽  
Ruth Seabrook ◽  
Elizabeth M Bonachea ◽  
Bernadette Chen ◽  
Omid Fathi ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Neonatal Intensive Care ◽  
Best Practice ◽  
Clinical Care ◽  
Persistent Pulmonary Hypertension ◽  
High Morbidity ◽  
Evidence Based ◽  
Extensive Literature ◽  
Disciplinary Expertise ◽  
Evidence Based Guidelines

Persistent pulmonary hypertension of the newborn, or PPHN, represents a challenging condition associated with high morbidity and mortality. Management is complicated by complex pathophysiology and limited neonatal specific evidence-based literature, leading to a lack of universal contemporary clinical guidelines for the care of these patients. To address this need and to provide consistent high-quality clinical care for this challenging population in our neonatal intensive care unit, we sought to develop a comprehensive clinical guideline for the acute stabilization and management of neonates with PPHN. Utilizing cross-disciplinary expertise and incorporating an extensive literature search to guide best practice, we present an approachable, pragmatic, and clinically relevant guide for the bedside management of acute PPHN.

scholarly journals Empathic Accuracy: Worse Recognition by Older Adults and Less Transparency in Older Adult Expressions Compared With Young Adults

2019 ◽  
Vol 75 (8) ◽  
pp. 1658-1667 ◽  
Author(s):  
Ted Ruffman ◽  
Jamin Halberstadt ◽  
Janice Murray ◽  
Fiona Jack ◽  
Tina Vater
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Emotion Recognition ◽  
Older Adult ◽  
Social Adjustment ◽  
Real World ◽  
Emotional Experience ◽  
Empathic Accuracy ◽  
Emotional States

Abstract Objectives We examined empathic accuracy, comparing young versus older perceivers, and young versus older emoters. Empathic accuracy is related to but distinct from emotion recognition because perceiver judgments of emotion are based, not on what an emoter looks to be feeling, but on what an emoter says s/he is actually feeling. Method Young (≤30 years) and older (≥60 years) adults (“emoters”) were unobtrusively videotaped while watching movie clips designed to elicit specific emotional states. The emoter videos were then presented to young and older “perceivers,” who were instructed to infer what the emoters were feeling. Results As predicted, older perceivers’ empathic accuracy was less accurate relative to young perceivers. In addition, the emotions of young emoters were considerably easier to read than those of older emoters. There was also some evidence of an own-age advantage in emotion recognition in that older adults had particular difficulty assessing emotion in young faces. Discussion These findings have important implications for real-world social adjustment, with older adults experiencing a combination of less emotional transparency and worse understanding of emotional experience.

scholarly journals Evidence-Based Guidelines Meet the Real World: The case of diabetes care

Diabetes Care ◽  
2001 ◽  
Vol 24 (10) ◽  
pp. 1728-1733 ◽  
Author(s):  
A. C. Larme ◽  
J. A. Pugh
Keyword(s):  
Real World ◽  
Diabetes Care ◽  
Evidence Based ◽  
The Real ◽  
Evidence Based Guidelines

scholarly journals THE ROAD TO ACCEPTANCE OF DRIVER RETIREMENT FOR PATIENTS WITH DEMENTIA: PHYSICIANS’ AND PATIENTS’ PERSPECTIVES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S117-S117
Author(s):  
Theresa L Scott ◽  
Jacki Liddle ◽  
Nancy A Pachana ◽  
Elizabeth Beattie ◽  
Geoffrey Mitchell
Keyword(s):  
Focus Groups ◽  
Best Practice ◽  
Current System ◽  
Driving Safety ◽  
Evidence Based ◽  
Driving Cessation ◽  
Safe Driving ◽  
The Road ◽  
Assessment Measures ◽  
Evidence Based Guidelines

Abstract People living with Alzheimer’s disease and related dementias (ADRD) must eventually stop driving. While some will voluntarily retire, many others will continue to drive until a crisis. In Australia, like many other countries, general physicians/practitioners (“GPs”) play a key role in monitoring driving safety and driver retirement with their patients with ADRD. Advising patients about driving cessation is one of the most challenging aspects of clinical dementia care, complicated by limited time in consultations, lack of patient awareness and insight, and objective screening and assessment measures. We examined how to support best practice in relation to management of driving cessation with patients with ADRD through focus groups with 29 GPs and contrasted their perspectives with those of 11 retired drivers with ADRD. Focus groups and interviews were transcribed and thematically analysed. Themes discovered highlighted the importance of providing education about the effects of dementia on safe driving and incorporating regular assessment of driving safety into the care continuum. Key strategies that GPs successfully employed included acknowledging loss and encouraging continued community engagement, providing referral pathways, and deferring to other GPs within the practice in challenging circumstances. In conclusion, there is demand for an overhaul of the current system of management and a need to establish nationally aligned, standardized and evidence-based guidelines, in particular relating to assessment of safe driving. In the meantime, we can learn from these GPs who have implemented particular strategies that mitigate some of the challenges and complex driving related issues that present in primary care.

scholarly journals INTEREST GROUP SESSION—HEALTH BEHAVIOR CHANGE: USING DATA ABOUT PATIENT CHARACTERISTICS TO IMPROVE FALL PREVENTION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S566-S566
Author(s):  
Gwen Bergen
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Fall Prevention ◽  
Fall Risk ◽  
Healthcare Providers ◽  
Patient Characteristics ◽  
Health Behavior Change ◽  
Clinical Aspects ◽  
Evidence Based ◽  
Prevention Strategies

Abstract Over one in four U.S. older adults (age 65+) reports falling each year with fall-related medical costs estimated at $50 billion. The American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons recommends that healthcare providers assess and manage their patients’ fall risk. The Centers for Disease Control and Prevention’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative helps healthcare providers incorporate these guidelines by providing tools on how to screen, assess, and intervene to reduce risk. Evaluations of fall prevention have focused on the clinical process and outcomes. Understanding clinical activities is important in fall prevention but a better understanding of older adult characteristics that increase fall-risk, and attitudes that may affect their adoption of evidence-based interventions could improve the effectiveness of prevention strategies. The five presentations in this session include: 1. Demographic, health and functional characteristics of older adults with increased fall risk. 2. Caregivers of people with chronic conditions or disability as a group with increased fall risk. 3. The most effective and efficient ways of identifying older adults with increased fall risk. 4. Facilitators and barriers to older adults’ adherence to evidence-based fall interventions. 5. Applying knowledge of older adult attitudes to improving an implementation of STEADI-based fall prevention. Multifactorial fall prevention strategies such as STEADI focus on the clinical aspects of fall prevention but their success depends on understanding and incorporating older adult characteristics and attitudes. The information presented in this session can inform fall prevention strategies and improve health.

scholarly journals Re-energising the way we manage change in healthcare: the case for soft systems methodology and its application to evidence-based practice

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hanna Augustsson ◽  
Kate Churruca ◽  
Jeffrey Braithwaite
Keyword(s):  
Real World ◽  
Soft Systems Methodology ◽  
Evidence Base ◽  
Learning Cycle ◽  
Evidence Based ◽  
Systems Methodology ◽  
Soft Systems ◽  
Implementation Effort ◽  
Evidence Based Guidelines ◽  
Taking Action

Abstract Background Updating, improving and spreading the evidence base for healthcare practices has proven to be a challenge of considerable magnitude – a wicked, multi-dimensional problem. There are many interlinked factors which determine how, why and whether any particular implementation effort or intervention succeeds. Soft Systems Methodology (SSM), strongly grounded in systems ideas and complexity science, offers a structured, yet flexible process for dealing with situations that are perceived as problematical and in need of improvement. The aim of this paper is to propose the use of SSM for managing change in healthcare by way of addressing some of the complexities. The aim is further to illustrate examples of how SSM has been used in healthcare and discuss the features of the methodology that we believe can be harnessed to improve healthcare. Discussion SSM is particularly suited for tackling real world problems that are difficult to define and where stakeholders may have divergent views on the situation and the objectives of change. SSM engages stakeholders in a learning cycle including: finding out about the problematical situation, i.e. the context in which the problem exists, by developing a rich picture of the situation; defining it by developing conceptual models and comparing these with the real world; taking action to improve it by deciding on desirable and feasible improvements; and implementing these in an iterative manner. Although SSM has been widely used in other sectors, it has not been extensively used in healthcare. We make the case for applying SSM to implementation and improvement endeavours in healthcare using the example of getting clinicians at the hospital level to use evidence-based guidelines. Conclusion Applying SSM means taking account of the multi-dimensional nature of care settings, and dealing with entrenched and unique contexts, cultures and socio-political ecosystems – precisely those that manifest in healthcare. There are gains to be made in appreciating complexity and facilitating contextualization of interventions, and by approaching improvements in an iterative learning cycle.

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