scholarly journals Working with Individuals Who Provide Nursing Care to Educate Older Adults about Foodborne Illness Prevention: The Food Safety Because You Care! Intervention

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Kelly C. Wohlgenant ◽  
Sandria L. Godwin ◽  
Sheryl C. Cates ◽  
Richard Stone

Older adults are more susceptible to foodborne infections than younger adults and many older adults do not follow recommended food safety practices. This study implemented the Food Safety Because You Care! program with 88 individuals in the United States who provide nursing care to older adult patients and subsequently surveyed them. The majority of respondents had favorable opinions of the program. Following program exposure, many of the respondents advised their older adult patients about food safety. The findings from this study suggest that the program is a useful tool that can assist those who provide nursing care as they interact with their older patients and lead them to positively influence older adults’ food safety practices. However, more research is needed to examine changes in providers’ behaviors as a result of program exposure and the accompanying effect on older adults’ food safety practices.

2019 ◽  
Vol 82 (2) ◽  
pp. 200-206 ◽  
Author(s):  
KATHERINE M. KOSA ◽  
SHERYL C. CATES ◽  
JENNA BROPHY ◽  
SANDRIA GODWIN ◽  
DELORES CHAMBERS ◽  
...  

ABSTRACT Salmonella and Campylobacter are among the most common causes of foodborne disease in the United States. Most illnesses are associated with eating raw or undercooked poultry or cross-contamination. Young children and older adults are more susceptible to contracting foodborne illness and have serious infections compared with other age groups. We conducted a Web-based survey of parents of young children (n = 1,957) and older adults (n = 1,980) to estimate adherence to recommended food safety practices for raw poultry and to identify differences in practices between the two groups. The findings present adherence rates for 20 practices. In both groups, less than 50% of respondents reported adherence to seven practices; thus, improvements are needed in these areas. Parent respondents were significantly more likely than older adult respondents to report following eight practices, with most related to avoiding cross-contamination and using a food thermometer. For example, parents (39%) were significantly more likely than older adults (31%) to report not rinsing or washing raw poultry (P < 0.001). Older adult respondents were significantly more likely than parent respondents to report following seven practices, with most related to chilling to proper temperatures and thawing. For example, older adults (87%) were significantly more likely than parents (69%) to report cooking, freezing, or discarding raw poultry within 1 to 2 days of purchase as recommended (P < 0.001). For the remaining five practices, no differences were found between groups. To motivate behavior change, food safety messages and materials must target specific at-risk populations as their practices are different. Additional research is needed to better understand how parents of young children and older adults like to receive food safety information and how to tailor the information to different generations.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S449-S450
Author(s):  
Gerson Galdamez ◽  
Zach Gassoumis

Abstract Approaches to addressing crimes within the justice system typically do not differentiate between younger and older adults. However, approaches to addressing elder abuse cases—which involve older adult victims exclusively—often rely on the preconception that abuse can only occur if a visible physical injury exists. This preconception is driven in part by perceptions of frailty and ease-of-injury in older, vulnerable victims. We aimed to quantify the prevalence of physical injuries among older victims of violent crimes. We used data reported by the U.S. National Incidence-Based Reporting System (NIBRS) in 2015 to quantify the frequency of reported crimes which resulted in visible, physical injuries to victims aged 60+. Logistic regression was used to determine effects of age, race/ethnicity, type of crime, relationship to offender, and victim locality on physical injury from crime. Among 1,373,417 crime victims, 80.63% of older adults (60+) sustained an injury, as opposed to 65.17% of younger adults (<60). The proportion of individuals who showed physical injuries consistently increased with age until age 90. Knowing the offender was associated with higher odds of sustaining a visible injury (OR 1.47, 95% CI 1.38-1.58). Although older adults show higher risk of visible physical injuries from violent crimes than younger adults, it is possible for a crime against an older adult to have occurred without a visible injury. Medical and criminal justice practitioners should utilize this evidence on elder crime victimization to aid in expert witness testimony and other activities related to justice in crimes against older adults.


Author(s):  
Carol O. Long

Older adult patients are most likely to reside in the community as they age. The opportunity to provide quality comprehensive palliative nursing care that incorporates age-specific assessment and management principles in the care of older adults is necessary within community settings. This chapter specifies the key considerations for geriatric palliative care nursing care of older adult patients who live at home. A summary of geriatric palliative care nursing principles that emphasizes person-centered care, advocacy, and the incorporation of essential care strategies that support physical, psychological, social, and spiritual well-being of older adults is reviewed. This chapter provides an overview of the complexities of aging and the mechanisms necessary to allow individuals to age successfully until the end of life.


2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 257-257 ◽  
Author(s):  
Nina Niu Sanford ◽  
Chul Ahn ◽  
Michael Ryan Folkert ◽  
Todd Anthony Aguilera ◽  
David J. Sher

257 Background: Conditional survival (CS) is a relevant prognostic measure for cancer survivors and physicians and may be particularly important for young adult patients with CRC (colorectal cancer), whose incidence is rising. We sought to compare CS among young versus older adults with CRC. Methods: Patients diagnosed with colon or rectal adenocarcinoma between 2004-2010 were identified from the Surveillance, Epidemiology and End Results (SEER) registry. Overall survival (OS) and cancer-specific survival (CSS) were estimated, along with smoothed yearly hazards of death due to CRC, other causes and any cause, stratified by age at diagnosis ( < 50 vs. >50 years). Stage-specific conditional 5-year OS and 5-year CSS given that patients had already survived 1, 2, 3, 4 or 5 years after diagnosis was calculated, also stratified by age. Results: Among 161,859 patients with median follow-up of 54 months, 35,411 (21.9%) were aged < 50 years. Both OS and CSS were superior among younger adult as compared to older adult patients (p < 0.001). For older adults with rectal cancer, hazards of death due to non-cancer causes exceeded that of rectal and colon cancer approximately 6 and 4.5 years after diagnosis, respectively. Among younger adults, hazard of death from cancer remained greater than death from other causes throughout the entire study interval. Patients experienced improved conditional survival over time with greater improvement seen for more advanced stages. However, young adults had less CS improvement over time than older adults. For example, the 5-year overall and CSS for Stage IV colon cancer improved from 7.4% to 52.4%% (OS) and 15.1% to 78.5% (CSS) 0 to 5 years after diagnosis for older adults. In contrast, for younger adults, the 5-year overall and CSS for Stage IV colon cancer improved from 15.6% to 57% (OS) and 19.3% to 68.4% (CSS). Conclusions: Prognosis for CRC improves over time for all patients, although the increase in survival appears to be less for younger than older adults. Up to 10 years after diagnosis, the primary cause of death in younger adults with CRC remains their incident cancer.


2018 ◽  
Vol 69 (2) ◽  
pp. 341-344 ◽  
Author(s):  
Rafael Harpaz ◽  
Jessica W Leung

Abstract Historic herpes zoster incidence trends in US adults have been hard to interpret. Using administrative databases, we extended previous descriptions of these trends through 2016. We observed an age-specific transition, with ongoing increases among younger adults but deceleration in older adults. The patterns are not readily explained.


Author(s):  
Kathryn Baringer ◽  
Dustin J. Souders ◽  
Jeremy Lopez

Introduction: The use of shared automated vehicles (SAVs) should lead to several societal and individual benefits, including reduced greenhouse gas emissions, reduced traffic, and improved mobility for persons who cannot safely drive themselves. We define SAVs as on-demand, fully automated vehicles in which passengers are paired with other riders traveling along a similar route. Previous research has shown that younger adults are more likely to report using conventional ridesharing services and are more accepting of new technologies including automated vehicles (AVs). However, older adults, particularly those who may be close to retiring from driving, stand to greatly benefit from SAV services. In order for SAVs to deliver on their aforementioned benefits, they must be viewed favorably and utilized. We sought to investigate how short educational and/or experiential videos might impact younger, middle-aged, and older adult respondents’ anticipated acceptance and attitudes toward SAVs. Knowing what types of introductory experiences improve different age groups’ perceptions of SAVs will be beneficial for tailoring campaigns aiming to promote SAV usage. Methods: We deployed an online survey using the platform Prolific for middle-aged and older respondents, and our departmental participant pool for younger adults, collecting 585 total responses that resulted in 448 valid responses. Respondents answered questions regarding their demographic attributes, their ridesharing history, preconceptions of technology, as well as their anticipated acceptance attitudes towards SAVs as measured by the dimensions of the Automated Vehicle User Perception Survey (AVUPS). After this, respondents were randomly assigned to an intervention condition where they either watched 1) an educational video about how SAVs work and their potential benefits, 2) an experiential video showing a AV navigating traffic, 3) both the experiential and educational videos, or 4) a control video explaining how ridesharing works. Anticipated acceptance attitudes towards SAVs were measured again after this intervention and difference scores calculated to investigate the effect of the intervention conditions. Prolific respondents were paid at a rate of $9.50/hour and younger adults received course credit. Results: Controlling for preconceptions of technology and ridesharing experience, a MANOVA was run on the difference scores of the dimensions of the AVUPS (intention to use, trust/reliability, perceived usefulness (PU), perceived ease of use (PEOU), safety, control/driving-efficacy, cost, authority, media, and social influence). Both older and middle-aged adults expressed significantly greater increases in PEOU and PU of SAVs than younger adults. We also observed an interaction between age and condition for both PU and PEOU. For PU, older adults’ difference scores were found to be significantly greater than younger adults’ for the control video condition. With PEOU, older adults’ difference scores were significantly greater than both younger adults’ for the control video condition, and middle-aged adults had greater difference scores for the educational-only video condition than younger or older adults. Discussion: The increases in PU observed for older adults in the control condition suggests that educating them on how to use currently available ridesharing services might transfer to and/or highlight the benefits that automated ridesharing might provide. The PEOU interactions also suggest that middle-aged adults might respond more positively than younger or older adults to an educational introduction to SAVs. Conclusion: The positive findings pertaining to PU and PEOU show that exposure to information related to SAVs has a positive impact on these attitudes. PU’s and PEOU’s positive relationship to behavioral intentions (BI) in the Technology Acceptance Model, coupled with the findings from this study, bode well for higher fidelity interventions seeking to inform and/or give individuals experience with SAVs. Providing information on how currently available ridesharing services work helped our older adult respondents recognize the potential usefulness of SAVs. Knowing that different age groups may respond better to educational versus experiential interventions, for example middle-aged adults in this study responding more positively to the educational video condition than younger or older adults, may be useful for targeted promotional campaigns.


Author(s):  
Reneé A. Zucchero

The population of older adults within the United States is growing rapidly, which calls for increased understanding of that population. However, ageism is pervasive and one of the most engrained forms of prejudice. Intergenerational service-learning may be one way to reduce negative stereotypes and ageism. The Co-Mentoring Project is an intergenerational service-learning project that matches undergraduate students and vital older adult volunteers. Students meet with their partners at least four times over the course of the semester to conduct a life review and gather information to begin the older adults' memoirs. This chapter provides a rationale for intergenerational service-learning and information about its theoretical underpinnings. The chapter also offers information about service-learning best practices, including structured reflection, and how the Project's methodology is consistent with them. The multi-modal assessment conducted for the Project and its outcomes are discussed. Finally, directions for future research are described.


2020 ◽  
Vol 35 (10) ◽  
pp. 436-438
Author(s):  
Edgar Garcia ◽  
Justin P. Reinert ◽  
Michael Veronin

While opioids have historically been the initial choice of analgesic for both acute and chronic pain, legislative and deprescribing trends as a result of the opioid epidemic have demonstrated an increase in the use of adjunctive therapies. These adjunctive agents are being utilized with increased frequency, especially in older adult patients, as a mechanism to mitigate any likelihood of dependency and in an effort to provide multimodal pain management. As this patient population can be more challenging because of comorbidities, the presence of polypharmacy, pharmacokinetic, and pharmacodynamic changes, it is important to evaluate the risk of any relevant adverse effects for opioids and adjuncts that can lead to higher risk of opioid toxicities. Gabapentin is one of the most commonly added adjunctive medications; however, its safety and efficacy in conjunction with opioids has not been exclusively considered in older adult patients in the perioperative setting. This report will summarize available evidence for gabapentin as an adjunctive therapy to opioids in older adult patients undergoing surgery.


Author(s):  
Sarah J Barber ◽  
Hyunji Kim

Abstract Objectives The case fatality rate of coronavirus disease 2019 (COVID-19) is higher among older adults than younger adults and is also higher among men than women. However, worry, which is a key motivator of behavioral health changes, occurs less frequently for older than younger adults, and less frequently for men than women. Building on this, we tested whether older adults–and particularly older men—would report the least amount of COVID-19 worry and also fewer COVID-19 behavior changes. Method From March 23–31, 2020, we administered an online questionnaire assessing COVID-19 perceptions, worries, and behavior changes. Participants were a convenience sample of U.S. residents, who were community-dwelling younger adults (18–35) or older adults (65–81). Analyses included 146 younger adults (68 men, 78 women) and 156 older adults (82 men, 74 women). Participants were predominately white, living in suburban/urban areas, and had completed some college. Results During the early phase of the outbreak in the United States, older adults perceived the risks of COVID-19 to be higher than did younger adults. Despite this, older men were comparatively less worried about COVID-19 than their younger counterparts. Compared with the other participants, older men had also implemented the fewest behavior changes. Discussion Interventions are needed to increase COVID-19 behavior changes in older men. These results also highlight the importance of understanding emotional responses to COVID-19, as these are predictive of their behavioral responses.


2019 ◽  
pp. 155982761988052 ◽  
Author(s):  
Gwen Bergen ◽  
Mark R. Stevens ◽  
Ramakrishna Kakara ◽  
Elizabeth R. Burns

Each year, more than 1 in 4 older adults in the United States report a fall and 1 in 10 a fall injury. Using nationally representative data from the 2016 US Behavioral Risk Factor Surveillance System, we evaluated demographic, geographic, functional, and health characteristics associated with falls and fall injuries among adults aged 65 years and older. Analyses included descriptive statistics and multivariable logistic regression to produce crude and adjusted percentages by characteristic. Characteristics most strongly associated with increased fall risk in order of adjusted percentage were depression, difficulty doing errands alone, and difficulty dressing or bathing. Characteristics most strongly associated with fall injury risk in order of adjusted percentage were depression, difficulty dressing or bathing, and being a member of an unmarried couple. The diverse health and functional characteristics associated with increased falls and fall injuries confirm the importance of screening and assessing older adult patients to determine their individual unique risk factors. Health care providers can use tools and resources from the Centers for Disease Control and Prevention’s STEADI (Stopping Elderly Accidents, Deaths, and Injuries) initiative to screen their older adult patients for fall risk, assess at-risk patients’ modifiable risk factors, and intervene to reduce risk by prescribing evidence-based interventions.


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