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AJN The American Journal of Nursing. 108(3):40-49, March 2008
Avoiding Restraints in Older Adults with Dementia walks viewers through a scenario involving a patient with dementia admitted after falling at home, and found to have an underlying urinary tract infection. The patient repeatedly pulls out his IV and Foley catheter during the night shift. As a result, wrist restraints are applied to protect the catheter and IV, and to keep him from climbing out of bed in his confused state. During this program, viewers will learn how to work backward from the problem and use a variety of best practices to eliminate the need for restraints, and to minimize the likelihood of future hospitalizations for the older adult with dementia.
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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