A5008933864- Dementia and Cognitive Impairment Research
- Geriatric Care and Nursing Homes
- Intensive Care Unit Cognitive Disorders
- Palliative Care and End-of-Life Issues
- Health disparities and outcomes
- Frailty in Older Adults
- Aging and Gerontology Research
- Health Policy Implementation Science
- Intergenerational Family Dynamics and Caregiving
- Family and Patient Care in Intensive Care Units
- Health and Well-being Studies
- Anesthesia and Sedative Agents
- Elder Abuse and Neglect
- Stroke Rehabilitation and Recovery
- Pharmaceutical Practices and Patient Outcomes
- Health and Wellbeing Research
- Aging, Elder Care, and Social Issues
- Mental Health and Patient Involvement
- Healthcare Systems and Public Health
- Healthcare Decision-Making and Restraints
- Interprofessional Education and Collaboration
- Dental Health and Care Utilization
- Retirement, Disability, and Employment
- Migration, Aging, and Tourism Studies
- Mental Health and Psychiatry
Pennsylvania State University
2015-2024
Ross School
1996-2022
John Wiley & Sons (United States)
2019-2022
University of Chicago
2021
National Opinion Research Center
2021
Faghihi Hospital
2021
Albert Ellis Institute
2021
Park University
2017-2020
Moss Landing Marine Laboratories
2019-2020
Hudson Institute
2019-2020
The disruptive behavior of persons with dementia is a problem considerable clinical interest and growing scientific concern. This paper offers view these behaviors as expressions unmet needs or goals provides comprehensive conceptual framework to guide further research practice. Empiricalfindings impressions related wandering, vocalizations aggression support illustrate the are presented
To test the main and interactive effects of activities derived from Need-Driven Dementia-Compromised Behavior model for responding to behavioral symptoms in nursing home residents.Randomized double-blind clinical trial.Nine community-based homes.One hundred twenty-eight cognitively impaired residents randomly assigned adjusted functional level (FL) (n=32), personality style interest (PSI) (n=33), (FL+PSI) (n=31), or active control (AC) (n=32).Three weeks provided twice daily.Agitation,...
Background Agitation and passivity are behavioral symptoms exhibited by 90% of nursing home residents with dementia. They account for many poor health outcomes, caregiver burden, increased costs long-term care. Objectives This study tested the efficacy recreational activities derived from Need-driven Dementia-compromised Behavior (NDB) model: matched to skill level only; style interest a combination both (NDB-derived) responding Methods Thirty participants were randomly assigned 1 6 possible...
Background. Dementia is a growing public health problem and well-described risk factor for delirium. Yet little known about delirium superimposed on dementia in community-dwelling populations. The purpose of this study was to examine the 3-year occurrence, healthcare utilization, costs associated with persons.
To understand how nursing home staff obtain information needed for implementing person-centered care (PCC) to residents with dementia who exhibit behavioral and psychological symptoms of (BPSD), they communicate this other staff. Barriers PCC exchange were also explored.Participants 59 from two homes. Focus group methodology captured discussions in eight 1-hr sessions. Sessions audiotaped transcribed. Data analyzed using qualitative content analysis provide a comprehensive summary real world...
Many nursing home residents are unoccupied and at risk for poor health outcomes because of inactivity. The purpose this study was to identify characteristics with dementia that predict engagement in activities when implemented under ideal conditions. Data from a clinical trial tested the efficacy individually prescribed were used address aim. Thirty subjects videotaped daily 12 days during 20-minute activity sessions. Measures (time on task level participation) taken these videotapes....
Abstract Purpose: To provide a stronger evidence base for cultural change in the nursing home, this study elicited nursing, recreational therapy, and medical staff perceptions of barriers to implementation nonpharmacological interventions behavioral psychological symptoms dementia (BPSD). Design: Thirty‐five members (registered nurses, licensed practical nurses’ aides, therapists, activity personnel, directors) from six homes located Pennsylvania North Carolina participated qualitative...
ABSTRACT The primary purpose of this pilot study was to test the feasibility an intervention designed reduce care‐resistant behaviors (CRBs) in persons with moderate‐to‐severe dementia during oral hygiene activities. intervention, Managing Oral Hygiene Using Threat Reduction (MOUTh), combined best practices CRB reduction techniques. health operationalized as total score obtained from Health Assessment Tool (OHAT). measured using a refinement Resistiveness Care Scale. Seven nursing home...
Objectives The purpose of this study was to test the efficacy MOUT h (Managing Oral Hygiene Using Threat Reduction), a nonpharmacologic, relationship‐based intervention vs. control on 2 primary outcomes for nursing home ( NH ) residents with dementia who resisted mouth care: (i) reduction in occurrence and intensity care‐resistant behaviours CRB s) (ii) improvement oral health. Two secondary were also examined: duration care completion hygiene activities. Background Persons exhibit s are at...
Our climate is changing. These changes have an impact on health, especially in vulnerable populations such as older adults. Many adults lack the physical, cognitive, social, and economic resources to avoid and/or mitigate effects of exposure extreme weather events. The purpose current article help nurses understand change how that relates need for specific interventions support adaptation adult population. A model exposure, contact stressors, adaptive capacity are used address health needs...
Editor's note: This article is by 22 nursing gerontology experts who are all advocates of home reform. They listed at the end this article.
The current State of the Science Commentary focuses on workforce challenges in nursing home (NH) setting that lie within purview professional nursing—what nurses can do to promote high-quality person-centered care a context existing resources—individually and broadly across collective profession. Historically, three models delivery have characterized way which is organized delivered different settings: primary nursing, functional team nursing. Based evidence, we call for scientific...