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Teaching Essential Skills to Family Caregivers

Video Author: Shawn Kennedy
Published on: 10.26.2011
Associated with: November 2011, Volume 111, Issue 11;

This is the second video in a series of articles and accompanying videos, part of the Professional Partners Supporting Diverse Family Caregivers Across Settings project funded by the Jacob and Valeria Langeloth Foundation through the AARP Foundation. Nearly one-third of American households have been involved in providing assistance to an older adult family member, often without the skills they need because of a variety of barriers to learning. This video (which has an accompanying article in the November 2011 issue) explores these barriers and discusses how nurses can use “teachable moments” and “teach back” to promote learning among caregivers.

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Creator: Shawn Kennedy
Duration: 4:29
Renee C.B. Manworren, PhD, APRN, PCNS-BC, AP-PMN, lead author of “Managing Postoperative Pain,” introduces her article, which discusses the American Pain Society’s 2016 postoperative pain management guideline and aims to help nurses translate the guideline’s recommendations into clinical practice.
Creator: Shawn Kennedy
Duration: 3:14
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video instructs caregivers on immediate steps to take when someone falls.
Creator: Shawn Kennedy
Duration: 3:47
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video provides caregivers with tips for enhancing safety in the home for those with mobility challenges.
Creator: Shawn Kennedy
Duration: 2:18
Vineet Chopra, MD, lead author of “Does Certification in Vascular Access Matter? An Analysis of the PICC1 Survey,” discusses his article, which examines differences in practices and views between certified and noncertified inserters.
Creator: Shawn Kennedy
Duration: 2:45
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video instructs caregivers on how to help their loved one transfer from a walker to the shower or bed.
Creator: Shawn Kennedy
Duration: 3:28
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video instructs caregivers on how to help their loved one use a walker or cane and navigating stairs.
Creator: Shawn Kennedy
Duration: 2:02
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video instructs caregivers on how to help their loved one get from a car to a wheelchair.
Creator: Shawn Kennedy
Duration: 3:47
Jane Barnsteiner, PhD, RN, FAAN, lead author of “Creating a Fair and Just Culture in Schools of Nursing,” discusses her article, which offers strategies that nursing schools can use to create a fair and just culture.
Creator: Shawn Kennedy
Duration: 4:01
Joanne Disch, PhD, RN, FAAN, lead author of “Exploring How Nursing Schools Handle Student Errors and Near Misses,” discusses her research on nursing school policies and practices for reporting and tracking student errors and near misses.
Creator: Shawn Kennedy
Duration: 4:18
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part of the AARP Public Policy Institute’s No Longer Home Alone video project supported evidence  that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 8:13
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part of the AARP Public Policy Institute’s No Longer Home Alone video project supported evidence that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 12:04
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part of the AARP Public Policy Institute’s No Longer Home Alone video project supported evidence that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 6:07
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Foundation. Results of focus groups conducted as part of the AARP Foundation’s No Longer Home Alone video project supported evidence that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 8:28
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Foundation. Results of focus groups conducted as part of the AARP Foundation’s No Longer Home Alone video project supported evidence that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 3:23
This video accompanies “Many Benefits, Little Risk: The Use of Massage in Nursing Practice,” a CE feature by Kathryn F. Westman and Cathy Blaisdell, which appears in the January 2016 issue of AJN. The video shows one of the authors demonstrating massage therapy of the hand.
Creator: Shawn Kennedy
Duration: 10:21
This video accompanies “Intergenerational Lessons and ‘Fabulous Stories’,” a special feature by Sandra B. Lewenson, Cathryne A. Welch, and Susan B. Hassmiller, which appears in the October 2015 issue of AJN. The video is an excerpt from interviews with a mother and daughter, who speak of their experiences as nurses.
Creator: Shawn Kennedy
Duration: 3:06
This video accompanies “Nursing in the Fourth Decade of the HIV Epidemic,” a CE feature by Whitney Marie Starr and Lucy Bradley-Springer, which appears in the March 2014 issue of AJN. This digital story describes one of the authors’ early experience with an HIV-infected patient and how she learned things that changed her nursing perspective.
Creator: Shawn Kennedy
Duration: 18:29
This video accompanies “Intraosseous Vascular Access for Alert Patients,” a CE feature by Stacie Hunsaker and Darren Hillis, which appears in the November 2013 issue of AJN. The video shows a demonstration of the placement of an intraosseous (IO) access needle in the proximal tibia using an IO power driver.
Creator:
Duration: 3:30
This video accompanies the “The Timed Up and Go Test,” a clinical feature by Ellen Neubauer Picone, which appears in the March 2013 issue of AJN. The video shows author Neubauer Picone administering the test to patient Shirley Niglio.
Creator: Shawn Kennedy
Duration: 10:16
This video, from the American Heart Association, accompanies the article “Competence in CPR” by Marilyn H. Oermann, Suzan E. Kardong-Edgren, and Tamara Odom-Maryon, which appears in the May 2012 issue of AJN. The video provides a basic life support skills demonstration for health care providers, including how to perform advanced cardiac life support and how to correctly perform chest compressions in CPR.



Creator: Shawn Kennedy
Duration: 4:29
Renee C.B. Manworren, PhD, APRN, PCNS-BC, AP-PMN, lead author of “Managing Postoperative Pain,” introduces her article, which discusses the American Pain Society’s 2016 postoperative pain management guideline and aims to help nurses translate the guideline’s recommendations into clinical practice.
Creator: Shawn Kennedy
Duration: 3:14
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video instructs caregivers on immediate steps to take when someone falls.
Creator: Shawn Kennedy
Duration: 3:47
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video provides caregivers with tips for enhancing safety in the home for those with mobility challenges.
Creator: Shawn Kennedy
Duration: 2:18
Vineet Chopra, MD, lead author of “Does Certification in Vascular Access Matter? An Analysis of the PICC1 Survey,” discusses his article, which examines differences in practices and views between certified and noncertified inserters.
Creator: Shawn Kennedy
Duration: 2:45
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video instructs caregivers on how to help their loved one transfer from a walker to the shower or bed.
Creator: Shawn Kennedy
Duration: 3:28
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video instructs caregivers on how to help their loved one use a walker or cane and navigating stairs.
Creator: Shawn Kennedy
Duration: 2:02
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part the AARP Public Policy Institute’s No Longer Home Alone video project, supported evidence that family caregivers aren’t given the information they need to manage the complex care regimens of family members. This video instructs caregivers on how to help their loved one get from a car to a wheelchair.
Creator: Shawn Kennedy
Duration: 3:47
Jane Barnsteiner, PhD, RN, FAAN, lead author of “Creating a Fair and Just Culture in Schools of Nursing,” discusses her article, which offers strategies that nursing schools can use to create a fair and just culture.
Creator: Shawn Kennedy
Duration: 4:01
Joanne Disch, PhD, RN, FAAN, lead author of “Exploring How Nursing Schools Handle Student Errors and Near Misses,” discusses her research on nursing school policies and practices for reporting and tracking student errors and near misses.
Creator: Shawn Kennedy
Duration: 4:18
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part of the AARP Public Policy Institute’s No Longer Home Alone video project supported evidence  that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 8:13
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part of the AARP Public Policy Institute’s No Longer Home Alone video project supported evidence that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 12:04
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Public Policy Institute. Results of focus groups conducted as part of the AARP Public Policy Institute’s No Longer Home Alone video project supported evidence that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 6:07
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Foundation. Results of focus groups conducted as part of the AARP Foundation’s No Longer Home Alone video project supported evidence that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 8:28
This video is part of a series, Supporting Family Caregivers: No Longer Home Alone, being published in collaboration with the AARP Foundation. Results of focus groups conducted as part of the AARP Foundation’s No Longer Home Alone video project supported evidence that family caregivers aren’t being given the information they need to manage the complex care regimens of their family members. This series of videos aims to help nurses provide caregivers with the tools needed to manage a family member’s medications.
Creator: Shawn Kennedy
Duration: 3:23
This video accompanies “Many Benefits, Little Risk: The Use of Massage in Nursing Practice,” a CE feature by Kathryn F. Westman and Cathy Blaisdell, which appears in the January 2016 issue of AJN. The video shows one of the authors demonstrating massage therapy of the hand.
Creator: Shawn Kennedy
Duration: 10:21
This video accompanies “Intergenerational Lessons and ‘Fabulous Stories’,” a special feature by Sandra B. Lewenson, Cathryne A. Welch, and Susan B. Hassmiller, which appears in the October 2015 issue of AJN. The video is an excerpt from interviews with a mother and daughter, who speak of their experiences as nurses.
Creator: Shawn Kennedy
Duration: 3:06
This video accompanies “Nursing in the Fourth Decade of the HIV Epidemic,” a CE feature by Whitney Marie Starr and Lucy Bradley-Springer, which appears in the March 2014 issue of AJN. This digital story describes one of the authors’ early experience with an HIV-infected patient and how she learned things that changed her nursing perspective.
Creator: Shawn Kennedy
Duration: 18:29
This video accompanies “Intraosseous Vascular Access for Alert Patients,” a CE feature by Stacie Hunsaker and Darren Hillis, which appears in the November 2013 issue of AJN. The video shows a demonstration of the placement of an intraosseous (IO) access needle in the proximal tibia using an IO power driver.
Creator:
Duration: 3:30
This video accompanies the “The Timed Up and Go Test,” a clinical feature by Ellen Neubauer Picone, which appears in the March 2013 issue of AJN. The video shows author Neubauer Picone administering the test to patient Shirley Niglio.
Creator: Shawn Kennedy
Duration: 10:16
This video, from the American Heart Association, accompanies the article “Competence in CPR” by Marilyn H. Oermann, Suzan E. Kardong-Edgren, and Tamara Odom-Maryon, which appears in the May 2012 issue of AJN. The video provides a basic life support skills demonstration for health care providers, including how to perform advanced cardiac life support and how to correctly perform chest compressions in CPR.
Creator: Shawn Kennedy
Duration: 30:14
This video is part three of a three-part series, Professional Partners Supporting Diverse Family Caregivers Across Settings, and funded by the Jacob and Valeria Langeloth Foundation through the AARP Foundation. Because caregiving for seriously and chronically ill people carries well-known physical, emotional, and financial risks, with consequences for the patient as well as the caregiver, it’s important to assess and address a family caregiver’s needs, strengths, and limitations.
Creator: Shawn Kennedy
Duration: 33:11
This is the second video in a series of articles and accompanying videos, part of the Professional Partners Supporting Diverse Family Caregivers Across Settings project funded by the Jacob and Valeria Langeloth Foundation through the AARP Foundation. Nearly one-third of American households have been involved in providing assistance to an older adult family member, often without the skills they need because of a variety of barriers to learning. This video (which has an accompanying article in the November 2011 issue) explores these barriers and discusses how nurses can use “teachable moments” and “teach back” to promote learning among caregivers.
Creator: AJN
Duration: 32:34
This video is part one of a three-part series, Professional Partners Supporting Diverse Family Caregivers Across Settings, and funded by the Jacob and Valeria Langeloth Foundation through the AARP Foundation. Because caregiving for seriously and chronically ill people carries well-known physical, emotional, and financial risks, with consequences for the patient as well as the caregiver, it’s important to assess and address a family caregiver’s needs, strengths, and limitations. This video (which has an accompanying article in the October 2011 issue) showcases how a nurse and social worker collaborated to assess the needs of a caregiver as she prepares to assume care of her husband.
Creator: AJN
Duration: 60:00
Do you know that diseases and illnesses present differently in the elderly? Do you know why and do you know how to recognize those differences? This program is part of a series called A New Look at the Old produced in association with the American Journal of Nursing, the Gerontological Society of America and Trinity Healthforce Learning. Topics such as changes related to aging, critical indicators of health problems in the elderly, and presentation of illness are all discussed in this presentation. Illnesses commonly affecting the elderly are also examined. Join Elaine J. Amella, PhD, APPN, BC, Associate Dean for Research and Associate Professor at Medical University of South Carolina College of Nursing for this informative presentation.
Creator: AJN
Duration: 30:03
The Atlantic Philanthropies has awarded two grants to increase the knowledge and skills of those providing care to older adults. Information about the care of those over 65, derived from cutting-edge research and best practices, is now available to nurses and other providers in either print format or streaming video, at any time and at no cost, through this series called A New Look at the Old. The print series began in the August 2004 issue, and continued until December 2006.
Creator: AJN
Duration: 50:31
The Atlantic Philanthropies has awarded two grants to increase the knowledge and skills of those providing care to older adults. Information about the care of those over 65, derived from cutting-edge research and best practices, is now available to nurses and other providers in either print format or streaming video, at any time and at no cost, through this series called A New Look at the Old. The print series began in the August 2004 issue, and continued until December 2006.
Creator: AJN
Duration: 26:01
The Atlantic Philanthropies has awarded two grants to increase the knowledge and skills of those providing care to older adults. Information about the care of those over 65, derived from cutting-edge research and best practices, is now available to nurses and other providers in either print format or streaming video, at any time and at no cost, through this series called A New Look at the Old. The print series began in the August 2004 issue, and continued until December 2006.
Creator: AJN
Duration: 60:01

So much is at stake when nutritional status is impaired and there are so many interventions that can you can make to reduce this problem that affects quality of life and cost and quality of care for older adults.

Do you know the half life of serum albumin and how dated its reflection on nutritional status might be compared to other visceral proteins?

What can you teach families and patients to increase the quality of their nutritional intake in the home setting?

How many times have you included a can of Ensure with a meal, or an hour or so before a meal, and didn’t think about how that would affect one’s appetite for “real” food?

Have you ever thought about how your behavior and the eating environment might be adapted to improve mood, prompt appetite and increase food intake?

Drs. Rose Ann DiMaria and Elaine Amella outline steps you can take to better assess nutritional status and provide cost-effective and practical interventions you can implement in your practice to improve the nutritional status of older adults.

Creator: AJN
Duration: 30:00
The Atlantic Philanthropies has awarded two grants to increase the knowledge and skills of those providing care to older adults. Information about the care of those over 65, derived from cutting-edge research and best practices, is now available to nurses and other providers in either print format or streaming video, at any time and at no cost, through this series called A New Look at the Old. The print series began in the August 2004 issue, and continued until December 2006.
Creator: AJN
Duration: 30:00
The Atlantic Philanthropies has awarded two grants to increase the knowledge and skills of those providing care to older adults. Information about the care of those over 65, derived from cutting-edge research and best practices, is now available to nurses and other providers in either print format or streaming video, at any time and at no cost, through this series called A New Look at the Old. The print series began in the August 2004 issue, and continued until December 2006.
Creator: AJN
Duration: 30:00
The Atlantic Philanthropies has awarded two grants to increase the knowledge and skills of those providing care to older adults. Information about the care of those over 65, derived from cutting-edge research and best practices, is now available to nurses and other providers in either print format or streaming video, at any time and at no cost, through this series called A New Look at the Old. The print series began in the August 2004 issue, and continued until December 2006.
Creator: AJN
Duration: 29:00
The Atlantic Philanthropies has awarded two grants to increase the knowledge and skills of those providing care to older adults. Information about the care of those over 65, derived from cutting-edge research and best practices, is now available to nurses and other providers in either print format or streaming video, at any time and at no cost, through this series called A New Look at the Old. The print series began in the August 2004 issue, and continued until December 2006.
Creator: AJN
Duration: 40:38
Physiologic changes associated with the aging process dramatically affect the appropriateness of certain medications for older adults. This concern is compounded by the potential interactions of multiple medications – both prescribed and over-the counter. In order to better medications for risks with older adults in various settings, including hospitals, nursing homes, and private homes, the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults assessment instrument can be used. The following video demonstrates how to use this assessment tool, and how easily patients can put themselves at risk for medication-related problems when a thorough assessment of their medications is not routinely made. Viewers will also hear critical discussion points regarding appropriate and inappropriate medications for older adults during a care planning meeting involving nurses and a pharmacist.
Creator: AJN
Duration: 36:46
This video features a patient diagnosed with dementia and living independently with his partner, yet requiring several readmissions for pneumonia. The frequent admissions prompt further investigation and screening for executive dysfunction using three brief tests: Royal’s clock drawing test (CLOX), the Controlled Oral Word Association Test , and the Trail Making Test – all of which are demonstrated by an expert clinician and staff nurse. An interdisciplinary team develops a plan of care based on the assessment findings, and faces difficult challenges in the process.
Creator: AJN
Duration: 41:36
Using the Short Michigan Alcohol Screening Test-Geriatric Version (S-MAST-G) to evaluate for alcohol use and misuse will help to identify those older adults participating in risky drinking behavior and provide an opportunity to educate patients about the need to modify alcohol intake and improve personal safety as a result. Asking patients about personal drinking behavior is difficult at best. This video demonstrates how to conduct such an interview and how to help patients change behaviors using motivational interviewing techniques and includes an expert interview on the issue of alcohol use and abuse in aging adults.
Creator: AJN
Duration: 28:26
Between 50 to 80 percent of older adults will have experienced at least one traumatic event in their life – events that can affect their coping ability and overall wellbeing. The manifestations of post traumatic stress disorder (PTSD) are difficult to discern and may surface as physical complaints with no identifiable medical cause. Using the Horowitz Impact of Events Scale (revised) to evaluate for possible PTSD can help to identify underlying issues that, when addressed, can improve coping skills, provide relief from symptoms, and instill hope. This video demonstrates how to administer and interpret the Horowitz tool and involves an interdisciplinary team approach to helping the patient involved in the program to improve her quality of life.
Creator: AJN
Duration: 42:27
Wandering, and wandering away (elopement) pose extreme safety risks for dementia patients, and significant liability for healthcare facilities. Yet many units lack policies and procedures that address the triggers for these behaviors. Knowing how to assess, supervise and search are key to preventing adverse outcomes when caring for hospitalized dementia patients. This video offers outlines strategies for preventing wandering behaviors, and serious considerations for policies that result in quick, successful searches should elopement occur.
Creator: AJN
Duration: 38:05
The Edinburgh Feeding Evaluation in Dementia Questionnaire (EdFED-Q) is a valid and reliable observational instrument that nurses can use to assess difficulties and determine the amount of assistance a patient with dementia will need to have sufficient nutrition and hydration. During this video, viewers will observe the feeding problems in a hospitalized patient with dementia, as well as observe the interview of a family member to gather insight on unique behaviors that may take place during meals. Following the assessment, the nurse and nursing students work with other disciplines to develop a plan that can be implemented during hospitalization to provide for the nutrition needs of the patient, and then transitioned to the home setting.
Creator: AJN
Duration: 37:40
This video includes a sexuality assessment using the PLISSIT model, and demonstrates how to introduce the topic and conduct the brief interview process. Once the assessment findings are summarized and discussed by the Nurse Practitioner and the student conducting the assessment, the information is taken to the team for their expert advice. The subsequent plan includes information to educate the patient, allay anxiety, and provides strategies and resources which will help her resume her sexual relationship with her partner.
Creator: AJN
Duration: 64:31
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.
Creator: AJN
Duration: 40:33
The Lawton Instrumental Activities of Daily Living (IADL) Scale video program features a case study of an anxious older adult admitted to the hospital after being found disoriented by neighbors, and very aware that the results of this assessment might mean the end of living in her own apartment. While the challenges of measuring the activities included in the Lawton, such as housekeeping, money-management and transportation, are fairly significant when a patient is hospitalized and not in a home-like environment, those challenges can be eclipsed when patients are reluctant to cooperate. This program provides viewers with expert interviewing and assessment techniques which can be applied in their own practice.
Creator: AJN
Duration: 28:26
This video discusses and demonstrates the Katz ADL assessment with an older adult following a prosthetic hip replacement and helps the staff determine specific needs as he is discharged to his home, an apartment which is on a the third floor of a building without elevators. Involved in the discharge planning process are the Occupational and Physical therapists who have also worked with him during his hospital stay.
Creator: AJN
Duration: 40:53
This video discusses and demonstrates best practices in assessing and improving communication and understanding when caring for older adults with dementia, or other medical problems affecting expressive and receptive abilities, and outlines a range of options nurses and others can use to improve understanding and promote patient safety.
Creator: AJN
Duration: 41:35
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.
Creator: AJN
Duration: 47:15
This video discusses best practices in preventing aspiration during and within the first few hours after oral feedings, as well as discussion of best practices and demonstration of techniques that help the nurse assess placement and evaluate the location of feeding tubes. Also included in the program are practices considered outdated and unreliable in assessing feeding tube placement.
Creator: AJN
Duration: 34:24
The Mini-Nutritional Assessment (MNA) is a two-part assessment tool that has been developed just for older adults, and is quick and easy for nurses to use. This video demonstrates the assessment process, as well as how to measure calf and upper arm circumference, to determine key information used in the final determination of nutrition status. In addition, viewers will hear a discussion among interdisciplinary team members that identify a broad range of options to address all the risk factors identified for this particular patient, including simple, cost-effective strategies of improving the nutrient content of inexpensive foods.
Creator: AJN
Duration: 51:19
This video guides viewers through the utilization of two tools found in the Try This series: the Confusion Assessment Method (CAM) and Assessing and Managing Delirium in Older Adults with Dementia. In this five chapter program, two patients are presented and assessed for delirium using the CAM: one with delirium and one with a delirium superimposed on an underlying dementia. Once identified, further assessment and treatment of the underlying etiology and safe management of care is shown using the Delirium Superimposed on Dementia Algorithm.
Creator: AJN
Duration: 30:00
In the video, behaviors and family concerns are elicited by a staff nurse during a routine hospital admission assessment of a patient with memory problems admitted for knee replacement, and the results shared with an interdisciplinary team who use the information to plan post-operative care. In addition to identifying steps to more suitably address pain management, minimize potential delirium, and prevent dehydration and functional decline; the staff discusses how to inform the family members about the plan of care, the rationale, and what to expect during the course of hospitalization and discharge.
Creator: AJN
Duration: 34:22
Using the Hendrich II Fall Risk Model, nurses and others care providers can determine risk and implement strategies to prevent falls. This video demonstrates a fall risk assessment and interpretation, as well as outlines research that has allowed Hendrich to hone in on the numerous probable causes evaluated after falling takes place, and to limit the predictive assessment to eight specific factors.
Creator: AJN
Duration: 37:32
The Braden Scale is a simple and easy-to-use tool which allows nurses to quickly assess for the risk of ulcer development, as well as modify care and interventions to target those specific factors which put patients in danger Coupled with routine skin assessment, use of the Braden Scale is a best practice which all nurses can implement as part of routine care. Where pressure ulcers already exist, using the Braden Scale to identify and address precise areas where problems have been identified is also a best practice to promote healing. This video demonstrates the use of the Braden Scale, as well as how to perform skin assessment, and outlines the factors contributing to ulcer development. Viewers will learn about prevention strategies, as well as considerations for patients at discharge.
Creator: AJN
Duration: 27:42
Depression among older adults is a common, but not a normal or acceptable phenomenon. Untreated depression reduces quality of life and can lead to serious complications when not addressed. To better screen for this problem, this program features the GDS short form--a quick and easy to administer tool that can identify those who are most likely depressed so they can be referred for further evaluation. This video discusses the prevalence of depression; demonstrates the screening process; describes some of the challenges in its administration; and explains how the results can be interpreted and used to adapt the plan of care. Included in this program is an excellent discussion among nursing staff, students and experts about how to assist the depressed patient in structuring daily activities and routines to account for changes in energy and interest in the short term, and plan for a return to normal over the longer term.
Creator: AJN
Duration: 20:48
Fulmer SPICES, developed by Terry Fulmer, PhD, APRN, FAAN at New York University College of Nursing, is an efficient and effective tool for obtaining the information necessary to prevent health alterations in the older adult patient. This program demonstrates the SPICES assessment process, and describes how this framework translates across settings and can even be used after discharge to home. In addition, Dr. Fulmer provides some historical insight as to how our approach to care of older adults is moving from treating symptoms to preventing problems.