Geriatric nursing (New York, N.Y.)

Published by Elsevier
Print ISSN: 0197-4572
Although autopsy remains the only definitive way to confirm and sometimes diagnose disease, the autopsy rate has continued to decline during the past 3 decades. Despite numerous publications citing its value, the nursing literature lacks information addressing the benefits and implications of the autopsy to nurses who provide direct care to older adults. This article provides geriatric nurses with information about the benefits, purpose, process, and barriers of autopsy to better inform nurses as they ease family concerns and assist physicians in obtaining consent for autopsy.
In the immediate hours after a person takes his or her last breath, the nurse has always been present. In the hospital or at home, under hospice care or without warning, the nurse is frequently the last to hold the hand of those transitioning from life to death. The nurse, in assuring the patient and family a peaceful transition, finds her role to include caring for the body with reverence to the religious and cultural concerns that the patient holds sacred.
This article propels the reader back in time to the mid-1800s and then journeys forward to the present day to look at the recorded knowledge of urinary incontinence (UI) and prevailing interventions of the era. A literature review was conducted to provide a historical framework for the development of theories, treatments, and interventions of UI during this period. The interventions necessitate looking at the concurrent development of medicine and the rise of nursing. A variety of sources are used to offer interdisciplinary approaches flavored with events of the time. Attitudes held toward the development of nursing under the aegis of medicine color the entire article.
A preceptor is an experienced and competent staff member who serves as a clinical role model and resource person to newly employed nursing personnel. Although this concept has been prominent since the late 1970s in acute health care settings, preceptors rarely are used in long-term care facilities. This article describes the overall effectiveness of the first long-term care preceptor program implemented at the Masonic Home of New Jersey in 1989. Conclusions will support the program as viable and beneficial to long-term care facilities by decreasing nursing turnover, providing continuity in the orientation process, promoting job satisfaction, and providing quality resident care.
Geriatr Nurs 1999;20:54,56
A 6-month clinical trial was conducted to evaluate two models of restorative nursing care designed to improve mobility in nursing home residents. The models were compared on number of residents enrolled, documentation of nursing assistant (NA) compliance, and nursing staff satisfaction. The designated model, which relied on one specially trained NA to perform restorative activities on the unit, resulted in higher rates of enrollment, compliance, and staff satisfaction compared with the integrated model, which relied on regular staff NAs who were trained to incorporate restorative activities into their daily routines.
This century's first year is a good time to reflect on the health status of women. Technology and information have exploded in the past 30 years and show no signs of abating. We are entering a new century with some of the same problems that faced us in 1900. Uncontrollable infectious diseases, unacceptable morbidity and mortality rates for diseases that disproportionately affect women, and a continuing lack of funded research and reimbursement for health promotion leave women in a precarious position. Which issues are critical to address, and which technologies may be used to further improve our delivery of health care?
Studies have shown that up to 10% of the elderly drink daily and as much as 4% have alcoholism. Although many elders visit a primary care provider, the problem frequently is overlooked or misdiagnosed. We have found that primary care-based nursing is an effective treatment for older adults with alcoholism. In this article, we introduce the BRENDA model and show its effectiveness in retaining older adults in treatment. BRENDA involves biopsychosocial assessment, reporting the assessment to the patient, an empathetic approach, identified and stated patient needs, direct advice to stop or decrease alcohol consumption, and assessment of the compliance with or outcome of the direct advice. We also describe the utility of the BRENDA model for the pharmacotherapeutic treatment of addiction in late life.
The aim of this study was to investigate how overall health, participation in physical activities, self-esteem, and social and financial resources are related to life satisfaction among people aged 65 and older with reduced activities of daily living (ADL) capacity in 6 European countries. A subsample of the European Study of Adults' Well-Being (ESAW), consisting of 2,195 people with reduced ADL capacity from Sweden, the United Kingdom, the Netherlands, Luxembourg, Austria, and Italy, was included. The Older Americans' Resources Schedule (OARS), the Life Satisfaction Index Z, and the Self-Esteem Scale were used. In all national samples, overall health, self-esteem, and feeling worried, rather than ADL capacity, were significantly associated with life satisfaction. The findings indicate the importance of taking not only the reduction in functional capacity into account but also the individual's perception of health and self-esteem when outlining health care and nursing aimed at improving life satisfaction. The study thus suggests that personal rather than environmental factors are important for life satisfaction among people with reduced ADL capacity living in Europe.
Top-cited authors
Shirley Musich
Kevin Hawkins
Stephanie MacLeod
May L Wykle
  • Case Western Reserve University
Elizabeth A. Capezuti
  • City University of New York - Hunter College