Geriatric Nursing RSS feed: Articles in Press. Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal's peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting. Geriatric Nursing is the official journal of the American Assisted Living Nurses Association, National Gerontological Nurses Association, Gerontological Advanced Practice Nurses Association and is indexed in Medline, ISI and CINAHL.http://www.gnjournal.com//inpress?rss=yesElsevier Inc.en © 2010 Mosby, Inc. All rights reserved. Geriatric Nursing0197-45722010-03-08 © 2010 Mosby, Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.gnjournal.com/article/PIIS0197457210000832/abstract?rss=yesThe purpose of this study was to identify the impact of the behavioral, psychological, and functional symptoms of dementia on the burden of formal caregivers. A cross-sectional study was conducted among formal caregivers caring for residents with dementia in Japan. The Zarit Caregiver Burden Interview (ZBI) personal strain items, the Personal Self-Maintenance Scale (PSMS), and the Troublesome Behavior Scale (TBS) were used to assess the level of formal caregiver burden, activities of daily living (ADL), and behavioral and psychological symptoms of dementia (BPSD), respectively. The data from 445 respondents were analyzed using multiple linear regression analyses to predict the burden on formal caregivers. Disruptive behaviors, such as aggression, screaming, and a low ADL levels among residents with dementia were significantly correlated with higher formal caregiver burden. The results of this study support a positive relationship between BPSD, low ADL levels, and formal caregiver burden in caring for residents with dementia. These results illustrate the various characteristics of the burdens on staff members compared with those faced by individuals who provide informal care.Formal Caregiver Burden in Dementia: Impact of Behavioral and Psychological Symptoms of Dementia and Activities of Daily Living - Corrected ProofYuki Miyamoto, Hisateru Tachimori, Hiroto Ito10.1016/j.gerinurse.2010.01.002Geriatric Nursing (2010)2010-03-08Geriatric Nursing2010-03-08FEATURE ARTICLEhttp://www.gnjournal.com/article/PIIS0197457210000029/abstract?rss=yesThe purpose of this study was to assess efficacy and safety of 3 doses (6.25 mg, 12.5 mg, 25 mg) of intravenous (IV) promethazine in treatment of established nausea and vomiting (N/V) in hospitalized elderly patients. Study participants aged ≥65 years received at least 1 dose of IV promethazine for treatment of N/V. Outcomes were degree of efficacy and safety. Efficacy was measured by time to relief and whether relief occurred. Safety was measured by the incidence of adverse drug reactions (ADRs). The results showed no difference in the time to relief and proportion of patients who felt relief between the 6.25-mg and 12.5-mg groups. The median frequency of ADRs in the 6.25-mg group, based on total administrations, was significantly less than the 12.5-mg group (P = .048). This study suggests a starting dose of 6.25 mg IV promethazine is as effective as higher doses and has fewer ADRs.The Initial Examination of the Efficacy of Low-Dose Promethazine for the Treatment of Nausea and Vomiting in the Hospitalized Elderly - Corrected ProofGalina H. McClintock, Rita M. LaReau, Kuanwong Watcharotone, George DeMaagd10.1016/j.gerinurse.2010.01.001Geriatric Nursing (2010)2010-02-22Geriatric Nursing2010-02-22FEATURE ARTICLEhttp://www.gnjournal.com/article/PIIS0197457209005084/abstract?rss=yesThe multifactorial model of delirium was developed to explain the interrelationship between predisposing and precipitating factors for delirium. Although validated among hospitalized patients, this model has never been tested among long-term care residents with dementia. We undertook this secondary data analysis to investigate the combined effect of predisposing and precipitating factors on the likelihood of having delirium among this population. Delirium was defined as meeting the Confusion Assessment Method criteria for definite or probable delirium. Risk factors considered in the study were those found significantly associated with delirium in the original study. Participants (N=155) were classified into risk groups. Prevalence of delirium for the low, moderate, and high predisposing risk groups were 32%, 78.4%, and 98.1%, respectively, and 37.9%, 67.2%, and 86.8% for the precipitating factors risk groups. When both variables were included in the same model, only predisposing factors remained statistically associated with delirium. Predisposing factors play a key role in the likelihood of having delirium among this population. Increased awareness of these factors among nurses could improve the care of these residents by targeting modifiable risk factors.Examination of the Multifactorial Model of Delirium among Long-Term Care Residents with Dementia - Corrected ProofPhilippe Voyer, Sylvie Richard, Lise Doucet, Nancy Cyr, Pierre-Hugues Carmichael10.1016/j.gerinurse.2009.12.001Geriatric Nursing (2010)2010-02-05Geriatric Nursing2010-02-05FEATURE ARTICLEhttp://www.gnjournal.com/article/PIIS0197457209004935/abstract?rss=yesTo understand how Chinese culture influences chronic disease self-management, we conducted focus groups with older adults of Chinese descent. Specifically, we explored their perceptions and self-management practices regarding treatment adherence, lifestyle decisions, and patient-provider communication within the context of their culture.Chronic Disease Self-Management: Views Among Older Adults of Chinese Descent - Corrected ProofJing Wang, Judith Tabolt Matthews10.1016/j.gerinurse.2009.11.001Geriatric Nursing (2010)2010-01-06Geriatric Nursing2010-01-06FEATURE ARTICLE