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AJN The American Journal of Nursing. 108(7):62-70, July 2008 AJN The American Journal of Nursing. 108(6):40-47, June 2008
Whether patients are cognitively intact and able to quantify their pain and communicate without difficulty, or in end-stage dementia with severely limited verbal ability, the presence and severity of pain can be determined using a variety of tools found in the Try This series. This video includes demonstrations of how to assess for pain in any older adult, and to reassess to determine the effectiveness of interventions, using four distinct tools: the Faces Pain Scale, the Verbal Descriptor Scale, the Numeric Rating Scale, and the Pain Assessment in Advanced Dementia Scale (PAINAD). In this program, interdisciplinary team members also develop a care plan to address chronic pain in a patient with severe arthritis and a history of joint replacement, and family members who have discouraged use of medication for fear addiction might result.
Would you believe that it is possible to maintain urinary continence among residents with end-stage dementia? The author of the article on which this program is based can attest to it.
Most practitioners have mistaken ideas about the inevitability of urinary incontinence as we age. That notion extends to the general public and is reinforced by advertisements for incontinence pads. However, research shows that urinary incontinence is treatable, often without pharmacologic intervention, especially if assessments are routinely made by registered nurses and behavioral interventions implemented.
This program outlines the myths and the science related to urinary incontinence, and steps you can take to assess, improve and maintain continence among your client population. The 60 minute program features interviews with Dr. Specht, nurses working in long-term care settings, a physical therapist, and a resident with urinary incontinence.
Staffing is, quite possibly, one of the most talked-about topics in health care. This program will provide you with important advice--whether your concerns revolve around the liabilities of insufficient staffing; steps to reduce these liabilities and improve your staffing sufficiency; or what the research says about the relationship between nurse staffing and the quality and cost of care.
Staffing Matters: Liability, Research, and Patient Outcomes provides further evidence of the critical link between nurse staffing and safety and quality of care and guides viewers in short and long-term strategies to protect patients and caregivers.
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