International journal of older people nursing
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Int J Older People Nurs · Sep 2019
Deaths due to thermal injury from cigarette smoking in a 13-year national cohort of nursing home residents.
To examine the nature and frequency of deaths due to thermal injuries from cigarette smoking reported to Australian coroners and to examine the decisions which surround these deaths. ⋯ Nurses and aged care practitioners should endeavour to give effect to each resident's wishes while mitigating the risk of harm. The supervision requirements for cigarette smoking residents should be tailored to the needs of individual residents and staff should try to ensure that residents who require supervision receive it.
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Int J Older People Nurs · Dec 2018
Mismatch between risk factors and preventive interventions? A register study of fall prevention among older people in one Swedish county.
Falls are a common and often a devastating health hazard for older people, causing suffering, morbidity and mortality. Falls are costly for society in terms of both resources and direct medical costs. Although knowledge about falls and fall prevention is well known, falls among older people are still a major problem. ⋯ A better match between identified risk factors and preventive interventions is warranted.
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Int J Older People Nurs · Sep 2018
New care home admission following hospitalisation: How do older people, families and professionals make decisions about discharge destination? A case study narrative analysis.
To gain an in-depth understanding of the decision-making processes involved in the discharge of older people admitted to hospital from home and discharged to a care home, as described in the case records. ⋯ Nurses have a critical role in the involvement of older people making discharge decisions in hospital, improved documentation of the patient's voice is essential. Health and social care systems must allow older people time to make significant decisions about their living arrangements, adapting to changing medical and social needs.
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Int J Older People Nurs · Dec 2017
Associations between nursing home performance and hospital 30-day readmissions for acute myocardial infarction, heart failure and pneumonia at the healthcare community level in the United States.
To evaluate community-specific nursing home performance with community-specific hospital 30-day readmissions for Medicare patients discharged with acute myocardial infarction, heart failure or pneumonia. ⋯ Coordinated care between hospitals and nursing homes is essential to reduce readmissions. Nursing homes can improve performance and reduce readmissions by increasing registered nursing homes. Further, communities can work together to create cross-continuum care teams comprised of hospitals, nursing homes, patients and their families, and other community-based service providers to reduce unplanned readmissions.
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Int J Older People Nurs · Sep 2017
Skin cleansing and emolliating for older people: A quasi-experimental pilot study.
The aims of this study were to (i) assess the effect of low-cost hygiene and emollient regimens on the skin barrier function (SBF) of people aged >65 year with xerosis (dry skin) on their lower legs; (ii) to assess the utility of portable measures of skin barrier function in terms of stratum corneum hydration (SCH) and transepidermal water loss (TEWL) in community settings; and iii) to provide evidence for a randomised controlled trial on the treatment of adults in a resource-poor country with dry skin on their lower legs which causes and exacerbates the skin disease podoconiosis (non-filarial elephantiasis). ⋯ Skin barrier function in older people can be improved using a regimen of washing, soaking in 2% glycerine and applying Vaseline™ .