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How To Try This Video: The Hendrich II Fall Risk Model

Video Author: AJN
Published on: 08.10.2011
Associated with: AJN The American Journal of Nursing. 107(11):50-58, November 2007

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.

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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.

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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.
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Creator: AJN
Duration: 30:00

For you, the thought of a warm bath or shower is probably a treat anticipated to provide comfort and relaxation. How unfortunate that for those with dementia, the bathing experience may be a painful, frightening, and humiliating procedure.

With planning and a process customized to address each person’s unique needs, or a person-centered approach, older adults with dementia can be spared a negative experience. This 30-minute program is based on the April 2006 New Look at the Old AJN article by Joanne Rader MN, RN, et al, titled: The Bathing Of Older Adults with Dementia. The video outlines cutting-edge research and presents best practices in bathing from researchers and practitioners, as well as guidance from the perspective of a state regulatory agency on what actually constitutes compliance with relevant standards of care.

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Creator: AJN
Duration: 24:30
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.
Play Video |
Creator: AJN
Duration: 30:00

As we age, so do our eyes. The resulting changes can put older adults at risk for injury; limit participation in favorite activities; cause increased sensitivity to light and glare; and ultimately limit independence. However, in many older adults with “low vision” the problems are not so obvious to others—until we take a closer look and better understand the nature and extent of the problem.

However, there are many simple interventions and enhanced technologies available to maximize vision and function. This 30-minute program provides viewers with a broad range of tools and strategies to enhance safety and maximize independence, and describes services, tools, and options available for those with vision loss.

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Creator: AJN
Duration: 32:31
The cumulative toll of caring for a family member can result in stress and burnout for the caregiver. In order to prevent this extreme, and more appropriately target interventions to help caregivers carry out their role, the Modified Caregiver Strain Index (CSI) can be used to identify specific areas where problems may exist. Among those areas are: finances, employment, socialization, health status and demands on personal time. Using this questionnaire with caregivers provides an opportunity for them to better identify their own situation, and for the health professional to guide the development of a plan that can prevent further stress and organize resources to unload the caregiver. The following video demonstrates an interview of a husband who has been caring for his wife with advancing dementia, among other issues, for many years, and who is increasingly saddened by the impact of the illness on her personality. Viewers will observe the development of a care plan for the caregiver developed by a nurse practitioner, students, and staff at the long term care facility where the wife is now a resident.
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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.
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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.
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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.
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Creator: AJN
Duration: 32:47
Sufficient duration and quality of sleep are vital ingredients to good health in all human beings. Many of the complexities associated with aging can make it difficult to meet sleep requirements. The Pittsburgh Sleep Quality Index (PSQI) is an evidence-based tool that can be used to screen older adults for information about duration and quality of sleep, use of sleep medications, and other important sleep-related information. Using the results of the PSQI helps target problem areas to help nurses and other team members develop strategies to improve sleep. Included in this video is discussion of simple steps that all healthcare facilities can implement to improve environmental conditions that can contribute to better sleep during hospitalization.
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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.
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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.
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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.
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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.
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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.
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Creator: AJN
Duration: 30:51
Nurses can use a very brief and simple screening tool, called the Mini-Cog, to evaluate memory and executive function in their patients and to determine if further evaluation for dementia is indicated. While the tool is not diagnostic, it gathers useful information to inform the probability of an underlying dementia - information critical to determining care, addressing safety and improving outcomes. Equally important to patients and families, positive results in the screening provides an opportunity for the healthcare team to educate about the need to address a range of safety, legal and personal issues in order to improve quality of life and sustain independence following discharge and to coordinate follow-up diagnostic evaluation.
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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.
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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.
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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.
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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.
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