Journal ArticleJournal of nursing care quality · August 2024
BackgroundHip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.Local problemThe institution had a high rate of urin ...
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Journal ArticleInternational journal of environmental research and public health · May 2024
We aim to investigate the relationships between the population characteristics of patients with Alzheimer's Disease (AD) and their Healthcare Utilization (HU) during the COVID-19 pandemic. Electronic health records (EHRs) were utilized. The study sample co ...
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Journal ArticlePloS one · January 2024
The ability to retain and remember information (memory) is essential to caregiving tasks. There is evidence that caregivers are at greater risk for experiencing deteriorations in cognitive status than non-caregivers, especially memory; however, we have a l ...
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Journal ArticlePEC Innovation · December 1, 2022
Objective: The objective of this quality improvement project was to evaluate the effectiveness of a succinct health literacy training for providers at a demanding federally qualified health center. Methods: One group, pretest-posttest design was used to me ...
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Journal ArticleCancer nursing · September 2022
BackgroundWe investigated how caregiver self-esteem was associated with caregiving demands, coping, burden, and health.ObjectiveThe aim of this study was to investigate how caregiver self-esteem is associated with caregiving demands, copi ...
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Journal ArticlePsychol Serv · May 2022
Medical complexity and psychological distress are associated with frequent emergency department (ED) use. Despite this known association, our understanding is limited about which patients are at risk for persistent psychological distress and what patterns ...
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Journal ArticleNursing forum · October 2021
ObjectivesAlthough the importance of home caregivers of chronic kidney disease patients has been increasingly recognized, their perceived caregiving difficulties and requisites remain underexplored. This study investigated the challenges and needs ...
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Journal ArticleJournal of Perianesthesia Nursing · October 1, 2021
Purpose: The purpose of this quality improvement project was to develop a competency-based orientation (CBO) protocol based on the American Society of PeriAnesthesia Nurses Nursing Standards and CBO for perianesthesia nurses. Design: Feasibility study with ...
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Journal ArticleOncology nursing forum · July 2021
ObjectivesTo explore whether caregiver characteristics were associated with cognitive complaints reported by women with breast cancer undergoing chemotherapy.Sample & setting61 dyads of women with breast cancer and their caregivers we ...
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Journal ArticleJ Am Geriatr Soc · January 2021
OBJECTIVE: This pilot study assessed feasibility of video-enhanced care management for complex older veterans with suspected mild cognitive impairment (CI) and their care partners, compared with telephone delivery. DESIGN: Pilot randomized controlled trial ...
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Journal ArticleMed Care · August 2020
OBJECTIVE: The objective of this study was to compare health care utilization and costs among diabetes patients with physician, nurse practitioner (NP), or physician assistant (PA) primary care providers (PCPs). RESEARCH DESIGN AND METHODS: Cohort study us ...
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Journal ArticleBMJ open quality · August 2020
BackgroundCaregivers play a crucial role in taking over the important task of looking after patients post-hospitalisation. Caregivers who are unfamiliar with patients' post-discharge care often experience caregiver stress, while patients may see d ...
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Journal ArticleAsia-Pacific journal of oncology nursing · April 2020
Cognitive impairment (CI) is one of symptoms that adults with cancer frequently report. Although there are known factors that contribute to a patient's CI, these factors did not sufficiently explain its variability. Several studies conducted in patients wi ...
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Journal ArticleJ Gen Intern Med · January 2020
BACKGROUND: Little research has been done on primary care-based models to improve health care use after an emergency department (ED) visit. OBJECTIVE: To examine the effectiveness of a primary care-based, nurse telephone support intervention for Veterans t ...
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Journal ArticleN C Med J · 2020
BACKGROUND After a hospital stay, many older adults rely on their caregivers for assistance at home. Empirical evidence demonstrates that caregiver support programs in hospital-to-home transitions are associated with favorable caregiver and patient outcome ...
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Journal ArticleOncology nursing forum · November 2019
ObjectivesTo examine the longitudinal mediation effect of caregiver burden on the relationship between emotional distress and concentration among individuals with cancer.Sample & setting96 patients with cancer and their caregivers (96 ...
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Journal ArticleJ Gen Intern Med · October 2019
OBJECTIVE: To evaluate the effectiveness of Helping Invested Families Improve Veterans' Experiences Study (HI-FIVES), a skills training program for caregivers of persons with functional or cognitive impairments. DESIGN: A two-arm RCT. SETTING: Single Veter ...
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Journal ArticleBMJ Open · September 18, 2019
INTRODUCTION: Adults with cancer frequently report symptoms such as decline in cognitive function throughout the trajectory of illness. Patients with cognitive deficits need support and assistance from their informal caregivers and often rely on them to ma ...
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Journal ArticleJAAPA · June 2019
Growing demand for services is leading primary care organizations to explore new delivery models. One approach incorporates multiple primary care providers on a team. Effective incorporation of multiple clinicians into teams requires well-defined roles, in ...
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Journal ArticleJournal of nursing care quality · August 2024
BackgroundHip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.Local problemThe institution had a high rate of urin ...
Full textCite
Journal ArticleInternational journal of environmental research and public health · May 2024
We aim to investigate the relationships between the population characteristics of patients with Alzheimer's Disease (AD) and their Healthcare Utilization (HU) during the COVID-19 pandemic. Electronic health records (EHRs) were utilized. The study sample co ...
Full textCite
Journal ArticlePloS one · January 2024
The ability to retain and remember information (memory) is essential to caregiving tasks. There is evidence that caregivers are at greater risk for experiencing deteriorations in cognitive status than non-caregivers, especially memory; however, we have a l ...
Full textCite
Journal ArticlePEC Innovation · December 1, 2022
Objective: The objective of this quality improvement project was to evaluate the effectiveness of a succinct health literacy training for providers at a demanding federally qualified health center. Methods: One group, pretest-posttest design was used to me ...
Full textCite
Journal ArticleCancer nursing · September 2022
BackgroundWe investigated how caregiver self-esteem was associated with caregiving demands, coping, burden, and health.ObjectiveThe aim of this study was to investigate how caregiver self-esteem is associated with caregiving demands, copi ...
Full textCite
Journal ArticlePsychol Serv · May 2022
Medical complexity and psychological distress are associated with frequent emergency department (ED) use. Despite this known association, our understanding is limited about which patients are at risk for persistent psychological distress and what patterns ...
Full textLink to itemCite
Journal ArticleNursing forum · October 2021
ObjectivesAlthough the importance of home caregivers of chronic kidney disease patients has been increasingly recognized, their perceived caregiving difficulties and requisites remain underexplored. This study investigated the challenges and needs ...
Full textCite
Journal ArticleJournal of Perianesthesia Nursing · October 1, 2021
Purpose: The purpose of this quality improvement project was to develop a competency-based orientation (CBO) protocol based on the American Society of PeriAnesthesia Nurses Nursing Standards and CBO for perianesthesia nurses. Design: Feasibility study with ...
Full textCite
Journal ArticleOncology nursing forum · July 2021
ObjectivesTo explore whether caregiver characteristics were associated with cognitive complaints reported by women with breast cancer undergoing chemotherapy.Sample & setting61 dyads of women with breast cancer and their caregivers we ...
Full textCite
Journal ArticleJ Am Geriatr Soc · January 2021
OBJECTIVE: This pilot study assessed feasibility of video-enhanced care management for complex older veterans with suspected mild cognitive impairment (CI) and their care partners, compared with telephone delivery. DESIGN: Pilot randomized controlled trial ...
Full textLink to itemCite
Journal ArticleMed Care · August 2020
OBJECTIVE: The objective of this study was to compare health care utilization and costs among diabetes patients with physician, nurse practitioner (NP), or physician assistant (PA) primary care providers (PCPs). RESEARCH DESIGN AND METHODS: Cohort study us ...
Full textLink to itemCite
Journal ArticleBMJ open quality · August 2020
BackgroundCaregivers play a crucial role in taking over the important task of looking after patients post-hospitalisation. Caregivers who are unfamiliar with patients' post-discharge care often experience caregiver stress, while patients may see d ...
Full textCite
Journal ArticleAsia-Pacific journal of oncology nursing · April 2020
Cognitive impairment (CI) is one of symptoms that adults with cancer frequently report. Although there are known factors that contribute to a patient's CI, these factors did not sufficiently explain its variability. Several studies conducted in patients wi ...
Full textCite
Journal ArticleJ Gen Intern Med · January 2020
BACKGROUND: Little research has been done on primary care-based models to improve health care use after an emergency department (ED) visit. OBJECTIVE: To examine the effectiveness of a primary care-based, nurse telephone support intervention for Veterans t ...
Full textLink to itemCite
Journal ArticleN C Med J · 2020
BACKGROUND After a hospital stay, many older adults rely on their caregivers for assistance at home. Empirical evidence demonstrates that caregiver support programs in hospital-to-home transitions are associated with favorable caregiver and patient outcome ...
Full textLink to itemCite
Journal ArticleOncology nursing forum · November 2019
ObjectivesTo examine the longitudinal mediation effect of caregiver burden on the relationship between emotional distress and concentration among individuals with cancer.Sample & setting96 patients with cancer and their caregivers (96 ...
Full textCite
Journal ArticleJ Gen Intern Med · October 2019
OBJECTIVE: To evaluate the effectiveness of Helping Invested Families Improve Veterans' Experiences Study (HI-FIVES), a skills training program for caregivers of persons with functional or cognitive impairments. DESIGN: A two-arm RCT. SETTING: Single Veter ...
Full textLink to itemCite
Journal ArticleBMJ Open · September 18, 2019
INTRODUCTION: Adults with cancer frequently report symptoms such as decline in cognitive function throughout the trajectory of illness. Patients with cognitive deficits need support and assistance from their informal caregivers and often rely on them to ma ...
Full textLink to itemCite
Journal ArticleJAAPA · June 2019
Growing demand for services is leading primary care organizations to explore new delivery models. One approach incorporates multiple primary care providers on a team. Effective incorporation of multiple clinicians into teams requires well-defined roles, in ...
Full textLink to itemCite
Journal ArticleHealth Aff (Millwood) · June 2019
Because of workforce needs and demographic and chronic disease trends, nurse practitioners (NPs) and physician assistants (PAs) are taking a larger role in the primary care of medically complex patients with chronic conditions. Research shows good quality ...
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Journal ArticleSupport Care Cancer · February 2019
PURPOSE: This study addressed the experiences of older caregivers of cancer patients in the 2 weeks following a hospital discharge. It sought to understand the challenges they face in providing supportive care to patients at home. METHODS: Qualitative desc ...
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Journal ArticleNursing outlook · January 2019
BackgroundIn 1995, VA's Office of Research and Development launched the Nursing Research Initiative (NRI), to encourage nurses to apply for research funding and to increase the role of nurse investigators in the VA's research mission. This program ...
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Journal ArticleAnn Intern Med · December 18, 2018
BACKGROUND: Primary care provided by nurse practitioners (NPs) and physician assistants (PAs) has been proposed as a solution to expected workforce shortages. OBJECTIVE: To examine potential differences in intermediate diabetes outcomes among patients of p ...
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Journal ArticleInternational journal of palliative nursing · September 2018
Background:The increasing population of Korean Americans in the US makes it mandatory to develop and provide culturally competent end-of-life (EOL) care for this population.Aims:To synthesize previous studies on Korean Americans and their ...
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Journal ArticleBMC Fam Pract · July 30, 2018
BACKGROUND: Continuity of care is a cornerstone of primary care and is important for patients with chronic diseases such as diabetes. The study objective was to examine patient, provider and contextual factors associated with interpersonal continuity of ca ...
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Journal ArticleAsia-Pacific journal of oncology nursing · July 2018
Approximately 3.1 million women in the US are living with breast cancer and up to 75% of these women experience cancer-related cognitive impairment (CRCI). CRCI is described as impairments in memory, verbal fluency, thought processes, and attention span. D ...
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Journal ArticleNursing forum · October 2017
BackgroundMany nursing studies are conducted in the United States, Europe, and Australia, where only a fourth of the world's population resides. There is a need to promote nursing research in Asia to enhance the contextual relevance of their evide ...
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Journal ArticleAm J Manag Care · August 1, 2017
OBJECTIVES: To compare 2 methods of identifying patients at high-risk of repeat emergency department (ED) use: high Care Assessment Need (CAN) score (≥90), derived from a model using Veterans Health Administration (VHA) data, and "Super User" status, defin ...
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Journal ArticlePatient Educ Couns · March 2017
OBJECTIVE: We tested an uncertainty self-management telephone intervention (SMI) with patients awaiting liver transplant and their caregivers. METHODS: Participants were recruited from four transplant centers and completed questionnaires at baseline, 10, a ...
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Journal ArticleInquiry · January 1, 2017
Expanded use of nurse practitioners (NPs) and physician assistants (PAs) is a potential solution to workforce issues, but little is known about how NPs and PAs can best be used. Our study examines whether medical and social complexity of patients is associ ...
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Journal ArticleJournal of doctoral nursing practice · January 2017
Traditional timeouts done ineffectively before surgical procedures can result in late blood product requests, inadequate preparation of needed intraoperative apparatus, improper administration of required antibiotics, and operating room (OR) time delays. T ...
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Journal ArticleJournal of Hospice and Palliative Nursing · June 1, 2016
The purpose of this quality improvement project was to improve the recognition of delirium in an inpatient hospice setting through the use of the Confusion Assessment Method (CAM) by staff nurses. After receiving education on the CAM, staff nurses used the ...
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Journal ArticleSupport Care Cancer · January 2016
PURPOSE: We examined the effects of an enhanced informal caregiver training (Enhanced-CT) protocol in cancer symptom and caregiver stress management to caregivers of hospitalized cancer patients. METHODS: We recruited adult patients in oncology units and t ...
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Journal ArticleAdv Emerg Nurs J · 2016
Acute bronchitis is a predominantly viral illness and, according to clinical practice guidelines, should not be treated with antibiotics. Despite clear guidelines, acute bronchitis continues to be the most common acute respiratory illness for which antibio ...
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Journal ArticleThe Journal of nursing education · November 2015
BackgroundIn the United States, inadequate attention has been given to the mental health needs of chronically ill adults, and the attempts to integrate mental health in primary care have fallen short.MethodThis article describes the begin ...
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Journal ArticleJournal of nursing care quality · April 2015
Compliance with safety features on smart pumps with drug libraries is a challenge for health care systems. Noncompliance and workarounds heighten the risk for adverse drug events and subsequent costs of patient care. This quality improvement project descri ...
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Journal ArticleContemp Clin Trials · November 2014
BACKGROUND: An explicit goal of Patient Aligned Care Teams (PACTs) within the Veterans Health Administration is to promote continuity of care in primary care clinics and thereby reduce Emergency Department (ED) utilization; however, there has been little r ...
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Journal ArticleAnn Intern Med · July 15, 2014
BACKGROUND: Changes in federal health policy are providing more access to medical care for persons with chronic disease. Providing quality care may require a team approach, which the American College of Physicians calls the "medical home." One new model ma ...
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Journal ArticleContemp Clin Trials · July 2014
Within the Veterans Health Administration (VHA), the largest integrated health care system in the US, approximately 8.5 million Veteran patients receive informal care. Despite a need for training, half of VHA caregivers report that they have not received t ...
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Journal ArticleThe Nurse practitioner · October 2013
Patients with Parkinson disease have prolonged motor and nonmotor symptoms affecting their ability to perform activities of daily living. Providers are tasked not only to provide quality care to afflicted patients but also to offer assistance to their info ...
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Journal ArticleJ Am Assoc Nurse Pract · August 2013
PURPOSE: To describe the development, implementation, and preliminary results of the Transitional Care (TLC) Partners, a clinical demonstration program that supports the transition from hospital to home of older veterans. DATA SOURCES: Hospital records of ...
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Journal ArticleJournal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing · March 2013
A Nurse Practitioner-led quality improvement project was implemented in a vascular surgical care clinic to facilitate home-based exercise for patients diagnosed with peripheral arterial disease (PAD) and intermittent claudication (IC). The primary goal of ...
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Journal ArticleFederal Practitioner · August 2012
Although only about 13% of the U.S. population is aged ≥ 65 years, people in this age group account for about 37% of all hospital discharges and 43% of hospital days.1 Similarly, veterans who are aged ≥ 65 years are more than twice as likely to be hospital ...
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Journal ArticleThe Nurse practitioner · July 2012
Falls in community-dwelling older adults are often preventable, yet remain the leading cause of deaths due to injury and a major cost to the healthcare system. Primary care nurse practitioners who care for older adults can minimize the risk for falls by us ...
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Journal ArticlePublic health nursing (Boston, Mass.) · January 2012
Pillars for the Care of Older Persons in the Caribbean: A Comprehensive Community-Based Framework (Pillars) is a hybrid of multiple public health frameworks developed through community-based participatory research processes. Health and social service profe ...
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Journal ArticleWestern journal of nursing research · September 2011
Caring for older cancer patients after hospital discharge is challenging and many of their caregivers lack confidence to do so. This study investigated the effects of an individualized caregiver training program on self-efficacy in home care and symptom ma ...
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Journal ArticleThe Nurse practitioner · August 2011
Alzheimer disease (AD) accounts for most dementia diagnoses. Acetylcholinesterase inhibitors and antipsychotics are first-line drug therapies for cognitive decline and to manage neuropsychiatric symptoms, respectively. Because AD is relentlessly progressiv ...
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Journal ArticleNursing outlook · May 2011
The Duke-Nurses Improving Care of Healthsystem Elders (NICHE) is an example of an academic-practice partnership between a university-based school of nursing and a health system that aims to improve care of older adults by simultaneously enhancing the exper ...
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Journal ArticleNurs Res · 2011
BACKGROUND: : The hospital-to-home transition represents a vulnerable time for older veterans who are more medically and socioeconomically challenged than the general population of older adults. OBJECTIVES: : The aim of this study was examine the feasibili ...
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Journal ArticleApplied nursing research : ANR · November 2010
Older adults continue to be disproportionately represented in research studies and cancer-related clinical trials. As survival rates for patients with cancer continue to increase, it is critical that we begin to gather data on how to provide the best care ...
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Journal ArticleNurse Educ Pract · July 2010
Clinical practice guidelines have been developed to improve patient care and outcomes. Guideline implementation is often stymied by the complexity of patients' conditions, complex care environments, and limited advanced clinical training of nursing staff. ...
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Journal ArticleJ Am Geriatr Soc · July 2009
OBJECTIVES: To determine the effects of primary care-based, multicomponent physical activity counseling (PAC) promoting physical activity (PA) guidelines on gait speed and related measures of PA and function in older veterans. DESIGN: Randomized controlled ...
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Journal ArticleHome Healthc Nurse · May 2009
The aim of this pilot study was to investigate if an individualized and experiential training can promote family caregiver's confidence (self-efficacy) in home care and symptom management. The study was conducted in a hematology/oncology unit in a southeas ...
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Journal ArticleJournal of gerontological nursing · April 2009
Evidence-based practice holds tremendous potential to optimize care outcomes for older adults, yet many nurses are ill prepared to identify, interpret, and apply the best evidence to their practice. The Geriatric Nursing Innovations through Education (GNIE ...
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Journal ArticleAnnals of Long-Term Care · May 1, 2008
As a complementary service to our Geriatric Evaluation and Management Clinic, the geriatrics Post-Hospital Clinic (PHC) was recently established for prompt follow-up assessment and care of our geriatric patients and their caregivers after hospital discharg ...
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Journal ArticleJournal of Hospice and Palliative Nursing · November 2006
The goals for care at the end of life include relief of pain and suffering. Despite excellent palliative care, some patients continue to experience intolerable, unrelieved pain and suffering from refractory symptoms. Palliative sedation, although controver ...
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Journal ArticleJournal of Hospice and Palliative Nursing · September 1, 2006
The life span of developmentally disabled individuals has been greatly extended as a result of continued advances in medical technology and life-prolonging treatments. Consequently, this special population now faces many of the same chronic or terminal ill ...
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Journal ArticleOncology nursing forum · July 2006
Purpose/objectivesTo determine the feasibility of individualized caregiver training for home care and symptom management conducted at the bedside of older patients with cancer prior to hospital discharge.DesignPilot study.Setting ...
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Journal ArticleJournal of the American Academy of Nurse Practitioners · July 2005
Featured Publication
PurposeTo discuss the role that gerontological nurse practitioners (GNPs) may play in providing chronic care management for the elderly.Data sourcesReview of recent literature on chronic care management, personal experience of the authors ...
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Journal ArticleJournal of the American Medical Directors Association · November 2003
Featured Publication
ObjectiveTo determine whether depression in the elderly in institutionalized settings could be identified using the mood indicators in the Minimum Data Set (MDS) 2.0 (Section E1, Items A-P).DesignDescriptive study.SettingThree nu ...
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Journal ArticleComputers in nursing · March 2000
Featured Publication
This study investigates the literature on the state of knowledge on computer use among elderly people. Results of this review suggest that benefits may ensue if computer use is advocated. Functional limitations secondary to visual, hearing, and mobility ch ...
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Journal ArticlePsychological reports · August 1994
The goal of the present report is to validate the Impact of Event Scale for use as a measure of the enduring nature of reactions to combat stress by 60 American Vietnam veterans. Validity was supported through significant correlations with measures of abus ...
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Journal ArticleJournal of traumatic stress · April 1994
The Purdue Post-traumatic Stress Disorder Scale is a 15-item self-report instrument based on the DSM-III diagnostic criteria for post-traumatic stress disorder. This scale is a quick, easily administered, measure of psychological reactions to a traumatic e ...
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Journal ArticlePsychological reports · December 1990
The purpose of this study was to develop and evaluate the Stressors of Clergy Children Inventory. The initial self-report survey was tested for internal consistency reliability. Tests for construct validity, concurrent validity, and internal consistency re ...
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