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Biomedical subjects

S S Travis

Publications and source records attributed to S S Travis.

30 records · Page 2Linked to original sources
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Personalizing self-care.

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Activities of Daily Living↗
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Nursing management of elderly patients with asymptomatic bacteriuria.

Nursing management of elderly patients with asymptomatic bacteriuria encompasses an array of basic and complex nursing observations and interventions to eliminate or reduce those risk factors that contribute to persistent bacteriuria and to identify warning signs of an impending inflammatory response. Selected risk factors, the prevalence of bacteriuria in the elderly population, and nursing management of clients with asymptomatic bacteriuria are discussed.

Aged↗
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Motorized cart driver safety in assisted living.

When a group of residents at a life care facility purchased motorized carts to move around the 350,000-square-foot facility, staff members were faced with the need to ensure the safety of both drivers and pedestrians. This article describes a safety assessment procedure developed for cart drivers who lived in the assisted living area of the community. Five performance criteria were selected for the safety assessment: the ability to safely moving into and out of the vehicle, demonstrate safe reaction times, take appropriate evasive action to sudden obstructions in the driver's path, turn the vehicle around safely, and park the vehicle without hitting walls or other objects.

Activities of Daily Living↗
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Terminal restlessness in the nursing facility: assessment, palliation, and symptom management.

Terminal restlessness, sometimes called agitated delirium, is a common occurrence at the end of life. This type of delirium may appear as thrashing or agitation, involuntary muscle twitching or jerks, fidgeting or tossing and turning, yelling, or moaning. Among older adults, especially those in long-term care situations, the delirium may not appear to be very different from previous episodes observed when the resident experienced an infection, exacerbation of a chronic condition, anxiety, pain, or adverse drug reactions. However, delirium at the end of life is usually multifactorial and exacerbated by the progressive shutdown of multiple body systems. Therefore, the effective management of terminal restlessness requires a different approach than the usual care of residents with delirium. For many nurses, this responsibility means adding new clinical knowledge and skills to their practice inventories. This article provides an overview of terminal restlessness, offers assessment guidelines for older adults in long-term care situations who are dying, and describes comfort and symptom management strategies for these individuals.

Geriatric Assessment↗
PubMedDate not supplied

The provision of staff development programs in adult day care centers.

BACKGROUND: Little is known about staff development activities in adult day care (ADC) programs. Therefore, this descriptive study was used to compare existing center programs with research- and practice-derived "model staff development program" for orientation, inservice education, and continuing education opportunities. METHOD: A multi-step mail survey design was used to study licensed adult day care programs in Virginia (n = 38). The design produced a 92% (n = 35) response rate among eligible respondents. RESULTS: Thirty-seven percent (n = 13) of the responding administrators described staff development activities that met the criteria for a model program. Despite limited financial support, Virginia centers are making an effort to provide comprehensive staff development opportunities for their staff. CONCLUSION: Centralized or regionalized programming may be two viable solutions for addressing unmet staff training issues for these community-based agencies. Moreover, because their staff tend to be interdisciplinary in nature, educational programming for an interdisciplinary audience will be in order.

Adult↗
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Preparing staff to deliver age-appropriate nursing care to elderly patients.

Meeting the Joint Commission on Accreditation of Healthcare Organizations accreditation standard for age-appropriate care cannot be accomplished by a once-a-year inservice educational program. Educational offerings that address the specialty of gerontological nursing require deliberate decision-making regarding the generic and advanced competencies necessary for care of elderly patients. Finding the resources to effectively teach the essential (generic and advanced) content is challenging. This article suggests that a staff development department may use existing resources and personnel from other organizations to prepare nursing staff to deliver age-appropriate care to elderly patients.

Aged↗
PubMedDate not supplied

Private pay clients in adult day services.

Data collected for all 3,992 participants in Maryland's adult day care programs as of December 31, 1993 showed that the majority of clients were supported by publicly supported "welfare" funding sources. The authors examined the differences in characteristics and service needs between the public payer population and private pay patients, including those who were charged on a sliding scale. They found that private pay clients were not dependent on others to "initiate service arrangements when they want and can find them." Private pay clients were twice as likely to be self or family referrals and more likely to be older, white, and living with a spouse or adult child. Private pay patients were also much more likely to have a history of the recent onset of cognitive impairment and associated memory loss but less likely to fall into the more ADL dependent categories. The nuclear families of private pay clients who are primary caregivers are described as the "critical marketing targets" and that services specifically for the cognitively impaired should be developed.

Activities of Daily Living↗
PubMedDate not supplied

Observer-rated functional assessments for institutionalized elders.

A content analysis was conducted of 320 units of observational data generated on 40 randomly selected institutionalized and uncommunicative elders over a 5-day (220-hour) period. When existing observer-rated instruments were compared with observational data, using a six-dimensional theoretical framework, gaps in the existing instruments became apparent. Future research and development of functional assessments should include observer-rated criteria for health and well-being for the affective dimension of functioning and criteria for determining mental judgment in uncommunicative elders.

Activities of Daily Living↗