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 Nursing0197-45722010-02-05 © 2010 Mosby, Inc. All rights reserved. healthpermissions@elsevier.comhttp://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 ARTICLEhttp://www.gnjournal.com/article/PIIS0197457209003930/abstract?rss=yesFalls are common yet devastating events for hospitalized older adults and often occur in the presence of other geriatric syndromes. Fall prevention efforts for hospitalized older adults are being driven by an increasing concern for safety during acute-care admissions and new Medicare reimbursement guidelines. Falls are recognized as a nursing-sensitive quality indicator and prevention begins by identifying fall risk factors. One important fall risk factor for older adults is cognitive impairment (CI), a common condition in older adults receiving acute care. CI encompasses impaired attention, which contributes to gait instability, and increases fall risk among older adults. It may also contribute to impulsive behaviors such as attempting to get out of bed before planning for safety or adjusting for treatments such as intravenous lines or Foley catheters. Thus, the major focus of this study was to describe falls in hospitalized older adults that were characterized as “impulsivity-related falls” (IRFs).Evaluating the Relationship Between Inattention and Impulsivity-Related Falls in Hospitalized Older Adults - Corrected ProofBarbara E. Harrison, Marisa Ferrari, Cathy Campbell, Michael Maddens, Ann L. Whall10.1016/j.gerinurse.2009.09.002Geriatric Nursing (2009)2009-11-13Geriatric Nursing2009-11-13FEATURE ARTICLEhttp://www.gnjournal.com/article/PIIS0197457209003942/abstract?rss=yesThe purpose of this study was to gain understanding about nurse practitioners' (NPs') prescriptive decision making for geriatric patients with attention to pharmaceutical marketing influences. Prior research has focused on physician prescribers and identified suboptimal practices. Because the majority of medications are prescribed to older adults, NPs in geriatric practice were targeted as an information-rich group to interview about prescribing issues. Given the exploratory nature of this research, qualitative focus group methods were employed using content analysis. Fifteen NPs were recruited at an annual national geriatric NP conference. They worked in all regions of the United States, had an average of 9 years prescribing experience, and participated in 1 of the 2 focus groups. The key theme that emerged was that they were more than a prescriber. Findings revealed overwhelming consistency among the NP participants that their nursing background instilled a holistic approach that encompassed both nondrug and therapeutic drug options and skepticism about drug marketing, as well as offered a positive difference by tailoring to their patients' biophysical, psychological, and economic needs with an involvement in the interplay of geriatric care issues not typically addressed by physicians. The participants' reported approaches were in alignment with geriatric prescribing recommendations.More than a Prescriber: Gerontological Nurse Practitioners' Perspectives on Prescribing and Pharmaceutical Marketing - Corrected ProofDiane Feeney Mahoney, Elissa Ladd10.1016/j.gerinurse.2009.09.003Geriatric Nursing (2009)2009-11-13Geriatric Nursing2009-11-13FEATURE ARTICLE