scholarly journals Barriers to and Facilitators for Optimal Intervention for Apathy in Older Adults With Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 280-280
Author(s):  
Shannon Freeman ◽  
Aderonke Agboji
Keyword(s):  
Older Adults ◽  
Healthcare Professionals ◽  
Interdisciplinary Team ◽  
Assessment Tools ◽  
Evidence Based ◽  
Brain Disorders ◽  
Persistent Symptom ◽  
Good Communication ◽  
Optimal Intervention ◽  
Raising Awareness

Abstract Apathy is a persistent symptom in brain disorders. It affects 84% of people with brain disorders. Those affected are more than two times likely to die early than those without. Yet it is often ignored and undertreated. An integrative review guided by Whittemore and Knafl's (2005) framework was carried out to identify the factors that inhibit or facilitate the diagnosis and management of apathy among older adults with dementia. The result of the findings revealed five barriers and three facilitators. Barriers included inconsistencies in the definition and diagnostic criteria, lack of awareness, overlap with other neuropsychiatric disorders, a paucity of evidence-based information, and lack of familiarity. Facilitators were standardized definition and assessment tools, good communication among the interdisciplinary team, and adequate training, education, and experience. In conclusion, efforts should be geared towards raising awareness and developing a practice guideline to aid healthcare professionals in detecting and managing apathy optimally.

scholarly journals Building a foundation for utilizing evidence based practice in conjunction with research in baccalaureate nursing program

2020 ◽  
Vol 10 (10) ◽  
pp. 1
Author(s):  
Young-Shin Lee ◽  
Carmen Galang ◽  
Janet E. Hughen
Keyword(s):  
Older Adults ◽  
Nursing Students ◽  
Community Health ◽  
Fall Prevention ◽  
Evidence Based Practice ◽  
Assessment Tools ◽  
Evidence Based ◽  
Timed Up And Go ◽  
Screening Process ◽  
Health Fair

Less is known about the undergraduate nursing students’ ability to conduct beginning research. This study aims to explore and describe nursing students' experiences in planning and implementation of community health fairs; and utilizing evidence based practice integrated with research as a learning outcome. The study using a quantitative and descriptive design was conducted by senior nursing students during diverse community health events as a part of Gerontological nursing clinical. The students utilized three fall assessment tools: Balance and Gait test, Timed Up and Go test, and 10-year Fracture Risk Calculation. A total of 74 students participated in seven community health fair events focused on Fall Prevention. This health fair event was in conjunction with the National Fall Prevention Awareness week. A total of 201 older adults were served during the event by nursing students who provided screening process and related health education. Data were gathered and a group of students volunteered to complete the research process. The students participated in oral presentation in the Annual University Research Student Symposium and had poster presentation in the professional academic conference. Early systematic organized planning of the clinical experience gives students opportunity to integrate evidence based practice into research. Application of varied evidence based assessment tools focused on older adults enables students to understand the health issue in depth and the need for additional services. Health fair experiences improve students’ communication and education skills, reality of health issues of the target population in a community, and evidence based research.

scholarly journals Delivering Interprofessional Education to Embed Interdisciplinary Collaboration in Effective Nutritional Care

2021 ◽  
pp. 159-169
Author(s):  
Julie Santy-Tomlinson ◽  
Celia V. Laur ◽  
Sumantra Ray
Keyword(s):  
Older Adults ◽  
Capacity Building ◽  
Interprofessional Education ◽  
Interdisciplinary Collaboration ◽  
Interdisciplinary Team ◽  
Evidence Based ◽  
Nutritional Care ◽  
Nutrition Care ◽  
Interdisciplinary Approaches

AbstractPrevious and forthcoming chapters describe how to improve nutrition care with an emphasis on interdisciplinary approaches. Developing and improving the skills and knowledge of the interdisciplinary team through interprofessional education are essential for embedding evidence-based, collaborative, nutritional care. This capacity building in turn supports delivery of effective nutritional care for older adults.

EVIDENCE-BASED APPROACH IN CREATING ASSESSMENT TOOLS FOR ACCREDITATION OF HEALTHCARE PROFESSIONALS

2021 ◽  
Vol 12 (1) ◽  
pp. 67-79
Author(s):  
T.V. Semenova ◽  
◽  
T.N. Malakhova ◽  
Zh.M. Sizova ◽  
◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Assessment Tools ◽  
Evidence Based

scholarly journals Protein Intake and Frailty: A Matter of Quantity, Quality, and Timing

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2915 ◽  
Author(s):  
Hélio J. Coelho-Junior ◽  
Emanuele Marzetti ◽  
Anna Picca ◽  
Matteo Cesari ◽  
Marco C. Uchida ◽  
...  
Keyword(s):  
Older Adults ◽  
Protein Intake ◽  
Observational Studies ◽  
Healthcare Professionals ◽  
Stressful Events ◽  
Geriatric Syndrome ◽  
Evidence Based ◽  
Substantial Evidence ◽  
Frail Older Adults ◽  
Health Related

Frailty is a geriatric syndrome that refers to a state of reduced resiliency to stressful events that occurs in response to physiological and/or psychosocial detriments. Frailty is a predictor of poor prognosis, given that frail older adults are at higher risk of many adverse health-related events. Hence, the identification of potential strategies to prevent the development and progression of frailty is of extreme importance for avoiding its negative outcomes. An adequate protein consumption is advocated as a possible intervention for the management of frailty in older adults due to its effects on muscle mass and physical function. However, empirical evidence is still needed to support this proposition. On the other hand, substantial evidence from observational studies has provided important information on the association between frailty and dietary protein-related parameters. Here, we provide a narrative review of the current literature regarding the association between protein intake (amount (how much?), quality (what type?), and distribution across meals (when?)) and frailty-related parameters. The ultimate aim of this work is to offer practical, evidence-based indications to healthcare professionals responsible for the care of frail older adults.

scholarly journals Malnutrition Prevention

2021 ◽  
pp. 51-64
Author(s):  
Patrick Roigk ◽  
Fabian Graeb
Keyword(s):  
Older Adults ◽  
Interdisciplinary Team ◽  
Later Life ◽  
Nutritional Intake ◽  
Evidence Based ◽  
Healthcare Settings ◽  
Pressure Injury ◽  
Hospital Stays ◽  
Poor Outcomes

AbstractA healthy nutritional intake is required to prevent malnutrition. Furthermore, nutrition is associated with improved quality of life in older adults. Simultaneously, many factors influence nutritional intake in later life. Onset and progression of acute or chronic diseases and a reduced dietary intake play a crucial role in developing malnutrition. Malnutrition is associated with poor outcomes such as pressure injury, increased length of hospital stays and increased mortality. The aim of the chapter is to increase the nutritional-based knowledge of the interdisciplinary team to prevent malnutrition in all its forms. Therefore, this chapter offers evidence-based information to support interdisciplinary prevention of malnutrition in older adults across diverse healthcare settings.

scholarly journals Instruments to assess Evidence-Based Practice among healthcare professionals: a systematic review

2021 ◽  
Author(s):  
Anderson Martins da Silva ◽  
Daniela Pereira Valentim ◽  
Adriana Leite Martins ◽  
Rosimeire Simprini Padula
Keyword(s):  
Systematic Review ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Evidence Based Practice ◽  
Assessment Tools ◽  
Measurement Properties ◽  
Evidence Based ◽  
Cosmin Checklist ◽  
Fresno Test ◽  
New Instruments

The study makes it possible to select the most appropriate instruments to evaluate the use of Evidence-Based Practice (EBP) among health professionals. The objective of this study was to assess the measurement properties, summarize and describe the instruments that evaluate the use of EBP in health professionals, currently available through the update of the systematic review. The study was conducted and reported according to recommendations of the PRISMA checklist. A systematic search was conducted in the databases: PubMed, Embase, CINAHL and ERIC. In addition, three groups of search terms: EBP terms; evaluation; cross-cultural adaptation and measurement proprieties.  They included studies that showed assessment tools of EBP in healthcare workers in general publication of full-text scientific articles, which tested the measurement properties and publication of an article in English. Searches included published studies from 2006 until July 2020. Evaluation of the methodological quality of the studies was conducted according to the COSMIN initiative. 92 studies were included. Forty new instruments have been identified to assess EBP. From these, most were developed for nursing professionals and physiotherapists. More than 48% of studies have American and Australian English as their native language. Only 28% of the studies included students in the samples. Reliability was considered appropriate (sufficient) in 76% of the instruments. The COSMIN checklist classified 7 (seven) instruments as being suitable for use in the target audience. However, Fresno Test remains the most appropriate instrument for assessing the use of EBP in healthcare professionals. 40 new instruments that assess EBP have been identified. Most are consistent and reliable for measuring the use of EBP in healthcare professionals. The Fresno Test, in a list of seven reliable and valid instruments for analysis, remains the most used and the one that most assesses the domains of EBP.

The Impact of TimeSlips on Undergraduate Students in Service Learning With Older Adults

2020 ◽  
pp. 1-8
Author(s):  
Sabine Heuer
Keyword(s):  
Older Adults ◽  
Service Learning ◽  
Undergraduate Students ◽  
Attitude Scale ◽  
Evidence Based ◽  
Attitudes Toward Older Adults ◽  
Students Attitudes ◽  
Attitude Shift ◽  
The Impact ◽  
Journal Entries

Purpose Future speech-language pathologists are often unprepared in their academic training to serve the communicative and cognitive needs of older adults with dementia. While negative attitudes toward older adults are prevalent among undergraduate students, service learning has been shown to positively affect students' attitudes toward older adults. TimeSlips is an evidence-based approach that has been shown to improve health care students' attitudes toward older adults. The purpose of this study is to explore the change in attitudes in speech-language pathology students toward older adults using TimeSlips in service learning. Method Fifty-one students participated in TimeSlips service learning with older adults and completed the Dementia Attitude Scale (DAS) before and after service learning. In addition, students completed a reflection journal. The DAS data were analyzed using nonparametric statistics, and journal entries were analyzed using a qualitative analysis approach. Results The service learners exhibited a significant increase in positive attitude as indexed on the DAS. The reflective journal entries supported the positive change in attitudes. Conclusions A noticeable attitude shift was indexed in reflective journals and on the DAS. TimeSlips is an evidence-based, patient-centered approach well suited to address challenges in the preparation of Communication Sciences and Disorders students to work with the growing population of older adults.

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

Refining Evidence-Based Treatments for Late-Life Depression

GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Brain Plasticity ◽  
Late Life ◽  
Aging Population ◽  
The United States ◽  
Future Research ◽  
Evidence Based ◽  
Late Life Depression ◽  
Evidence Based Treatments

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.

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