June 30, 2015

Journal of Gerontological Nursing - June 2015 Volume 41 · Issue 6


to get the full text of articles members of AANSW - please email the Library on nsw.library@alzheimers.org.au



Contents

Guest Editorial
Considerations When Disseminating American-Developed, Evidence-Based Health Promotion Programs in China

Similar to other countries, the older adult population in China is experiencing a shift from having infectious diseases to chronic diseases.

 This shift is coupled with the need for older adults to better manage their health. Older adults in China have traditionally participated in activities, such as square dancing and walking.

However, the evidence demonstrating health outcomes for these and other similar community-based activities that are appealing to older adults in China is scant, and the work of examining and testing their effects can be costly and time consuming. Given that evidence-based programs are still in the development phase in China, adopting American well-designed, evidence-based programs might be a viable option. A number of issues should be taken into consideration. An American-developed, evidence-based health promotion program—Enhance®Fitness—will be used to explore potential issues with disseminating such programs in China. EnhanceFitness is a low-cost, group exercise program taught in community settings by certified EnhanceFitness instructors. Offered 3 times per week, classes are 60 minutes long and include cardiovascular, strength, flexibility, and balance exercises (Belza, Snyder, Thompson, & LoGerfo, 2010). Exercises are tailored to meet various levels of physical ability. P 3 – 4

 
Product News

*Formate assay in body fluids: application in methanol poisoning….

*Smartwatch CEO at SXSW 2015: Seniors don't want ugly tech that screams 'I've fallen, and I can't get up'



AUSTIN, Texas, March 12, 2015 /PRNewswire/ -- The first smartwatch that helps seniors with discreet support for falls, medication reminders and a guard against wandering is now going to market and will be viewable at SXSW, is the first wearable specifically for independent seniors that uses an easy speech interface rather than buttons, includes cellular and Wi-Fi technology, and updates medical information without typing.

The smartwatch also:

·         Goes where the wearer goes 24/7 and is waterproof

·         Has its own technology so no smartphone or home-based system is needed, unlike a Samsung Gear or an Apple Watch

·         Helps prevent the wearer from getting lost while driving or walking

·         Makes a nightly connection with pharmacies to automatically bring medication updates into the watch

·         Features a continuous welfare check and fall detection - during an accident or medical emergency that leaves the wearer unable to move or speak, it notifies the monitoring operators for help

Booth designed the wearable after her active, fashionable mother turned 80 and did not want to wear an assistive device that was ugly, stigmatizing and kept her tethered to her home.

*New MIND Diet May Significantly Protect Against Alzheimer’s Disease

Even moderate adherence shows reduction in incidence of devastating brain disease

A new diet, appropriately known by the acronym MIND, could significantly lower a person’s risk of developing Alzheimer’s disease, even if the diet is not meticulously followed, according to a paper published online for subscribers in March in the journal Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association.

Rush nutritional epidemiologist Martha Clare Morris, PhD, and colleagues developed the “Mediterranean-DASH Intervention for Neurodegenerative Delay” (MIND) diet. The study shows that the MIND diet lowered the risk of AD by as much as 53 percent in participants who adhered to the diet rigorously, and by about 35 percent in those who followed it moderately well…

 

*New Alzheimer's Association Report Finds Less Than Half of People with Alzheimer's Disease Say They Were Told the Diagnosis Diagnosis

Disclosure Rates for Alzheimer's are Significantly Lower than the Four Most Common Cancers and Other Serious Diseases"These disturbingly low disclosure rates in Alzheimer's disease are reminiscent of rates seen for cancer in the 1950s and 60s, when even mention of the word cancer was taboo," said Beth Kallmyer, MSW, Vice President of Constituent Services for the Alzheimer's Association. "It is of utmost importance to respect people's autonomy, empower them to make their own decisions and acknowledge that people with Alzheimer's have every right to expect truthful discussions with their physicians. When a diagnosis is disclosed, they can better understand the changes they are experiencing, maximize their quality of life, and often play an active role in planning for the future."

 

* Researchers Probing Potential Power of Meditation as Therapy

– When Rebecca Erwin was a varsity rower at the University of North Carolina, the coach had the team’s members take a yoga and meditation class. It had an impact.

“My teammates and I noticed that yoga and meditation improved our flexibility and focus, but also made us feel better, not just when we were rowing but in our everyday lives,” she recalled. “I wondered if yoga and meditation really have scientific benefits, especially if they have specific effects on the brain, and if so, how that works.”

Since becoming Rebecca Erwin Wells, M.D., she has done more than wonder about the effects of mind-body interventions, she has studied them.

“We’re coming to recognize that meditation changes people’s brains,” said Wells, an assistant professor of neurology at Wake Forest Baptist Medical Center. “And we’re just beginning to gain understanding of what those changes mean and how they might benefit the meditator.”

In separate clinical studies, Wells has looked into the effectiveness of a meditation and yoga program called mindfulness-based stress reduction (MBSR) as a therapy for mild cognitive impairment – problems with memory or other faculties without yet having dementia – and for migraine headaches.

 
Clinical Concepts


The only effective treatment for symptomatic aortic stenosis in the older adult population is surgical aortic valve replacement. However, more than 30% of candidates are denied surgery due to advanced age and multiple comorbidities. Without surgical intervention, death from symptomatic aortic stenosis approximates 2% per month, with mortality rates of approximately 50% within 2 years of symptom onset. There is no effective medical treatment for severe symptomatic aortic stenosis; care has been limited to palliative remedies and end-of-life decisions. Nascent advances in miniaturization and catheter technologies provide a new and less invasive approach: transcatheter aortic valve replacement (TAVR). The current article summarizes treatment guidelines; pathophysiology; clinical manifestations, progression, and classification of severe symptomatic aortic stenosis; and introduces TAVR and discusses randomized controlled trials involving three patient populations from the United States, with relevant nursing implications. [Journal of Gerontological Nursing, 41(6), 8–13.]

Public Policy


The number of older adults immigrating to the United States is expected to quadruple by 2050. The health of immigrant older adults is complicated by the limited options for low-cost health insurance available to this population. Welfare reform has limited new immigrants’ access to public assistance programs, such as Medicaid; and low-cost private insurance options rarely exist for individuals older than 65, even with the passage of the Patient Protection and Affordable Care Act (PPACA). Uninsured immigrant older adults have been found to forgo preventive care due to cost and are among the leading users of emergency departments for preventable complications of chronic disease, primarily cardiovascular disease (CVD). A review of the literature found that insurance coverage has a significant impact on CVD risk among immigrant older adults. The current article discusses the implications of welfare reform initiatives and the shortcomings of the PPACA in addressing the health care needs of immigrant older adults. [Journal of Gerontological Nursing, 41(6), 14–20.]CNE Article


objectives of this article are:

1. Explain common behaviours indicating excretion needs in patients with dementia.

2. Distinguish the unique behavioural characteristics of bowel and urination needs in patients with dementia.

Feature Article


The current paper discusses RNs’ transitions into their first nursing home director of nursing (DON) position, including hiring practice and role development

Feature Article


Social participation is a criterion for successful aging. Research has shown that social participation decreases in older adults. However, the role of social support on older adults’ social participation has received little attention, especially in eastern countries, such as Iran. Using the Social Participation Questionnaire, the relationship between social support and social participation was investigated in 525 Iranian older adults. A correlation was found between social support and social participation of older adults. Older adult women were found to have less social support and social participation compared with men. [Journal of Gerontological Nursing, 41(6), 39–47.]

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