Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
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The aging of America and the explosion of Hispanic immigrants into the United States are causing a tremendous burden to the health care system. The challenges already apparent in an overburdened health care system are examined, and useful strategies for health care providers are offered. The significant challenges facing the Hispanic population are presented, and the need for cultural sensitivity and its importance in providing culturally competent, patient-relevant care are highlighted.
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Clinical delirium in the hospitalized geriatric patient is defined and described. Use of the Confusion Assessment Method (CAM) and Pain Assessment in Advanced Dementia (PAINAD) screening tools is discussed. Nursing strategies to identify and prevent delirium are explored.
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Interest in telemonitoring interventions to reduce re-admissions in patients with congestive heart failure (CHF) is growing. This critical review of available evidence suggests telemonitoring may reduce CHF-related re-admissions, although a clear impact on all-cause re-admissions remains elusive.