Physical, Social, Psychological, and Environmental Predictors of Life Satisfaction Among Older Adults.

Life satisfaction is a multidimensional construct impacted by many variables and needs to be explored within that context. A correlational design was used to survey community-dwelling older adults to determine perceptions of life satisfaction and its association with physical, social, psychological, and environmental factors. The sample was primarily White (n = 474 [93%]) but balanced between male (n = 253 [50%]) and female (n = 258 [50%]).

Frailty prevalence and associated factors in community dwelling older adults: An examination of the frailty care model.

Background: Age-related changes put older adults at risk for frailty. The Frailty Care Model was created to inform the care of older adults with or at risk for frailty. The purpose was to test the Frailty Care Model.

Anesthesia for Patients With the Centrifugal-Flow Left Ventricular Assist Devices: A Content Validity Assessment.

Safely anesthetizing patients with left ventricular assist devices (LVADs) can be intimidating, particularly for novice anesthesia providers. Given the variety of complex issues anesthesia providers may encounter with patients, it would be impractical to expect expertise in every population. To combat the inevitable loss of knowledge, education experts recommend active learning techniques, including test-enhanced learning, active recall, and spaced repetition.

Patient factors associated with treatment time for stroke before and after the onset of COVID-19.

Objectives: Prior to our study, little was known about factors related to time-to-treatment for stroke pre- and post-COVID-19.

Design: This was a retrospective cohort study to evaluate factors associated with delayed door-to-needle time among patients with acute ischemic stroke over two time-periods.

Results: Final sample consisted of 932 charts with mean age of 68.

Assisted ambulation to improve health outcomes for older medical inpatients (AMBULATE): study protocol for a randomized controlled trial.

Background: Hospitalized older adults spend as much as 95% of their time in bed, which can result in adverse events and delay recovery while increasing costs. Observational studies have shown that general mobility interventions (e.g.

Cardiac Rehabilitation Facebook Intervention: Feasibility Randomized Controlled Trial.

Background: The adherence to cardiac rehabilitation is low. Social media has been used to improve motivation and cardiac rehabilitation completion, but the authors did not find Facebook interventions for these purposes in the literature.

Objective: The purpose of this study was to determine the feasibility of the Cardiac Rehabilitation Facebook Intervention (Chat) for affecting changes in exercise motivation and need satisfaction and adherence to cardiac rehabilitation.

Application of a new frailty care model.

Frailty is an age-related physiological deterioration that results in weakness, slowness of movement, fatigue, weight loss, and multimorbidity. These limitations lead to an inability to respond to stressors, which ultimately increase risk for poor outcomes including falls, disability, hospitalization, and mortality. Although many medical and physiology-based frailty screening tools and associated theories exist, none are specific to advanced practice nurses and the care of the older adult.

Empowering New Ostomy Patients Through a Novel Inpatient Group Education Class: A Quality Improvement Project.

Purpose: A quality improvement project was undertaken that evaluated the results of a group inpatient ostomy education class designed to reinforce information provided by the WOC nurse. A secondary goal was to provide emotional support during the immediate postoperative period following ostomy surgery.

Participants And Setting: Participants were inpatients undergoing fecal ostomies (ileostomies, jejunostomies, or colostomies) and their families.

Appearance and Performance Enhancing Drugs and Substances: The Role of the School Nurse.

The purpose of this article is to provide the school nurse with the ability to recognize performance and appearance enhancing substance use and understand treatment and prevention strategies to reduce associated health risks. The use of appearance and performance enhancing drugs and substances, also known as "doping," has been an ethical and health issue in sports for many years. It is vital that school nurses learn to recognize performance and appearance enhancing substance use to ensure student athletes and exercisers receive the care and education they need.

Anxiety and depression moderate the relationship between quality of life and self-care in patients with heart failure.

The purpose of this study was to determine perceptions of heart failure quality of life and its relationship to self-care as moderated by anxiety and depression. Older adults (n = 85) were surveyed using Kansas City Cardiomyopathy Questionnaire-12, Self-Care of Heart Failure Index V6.2, and Patient Reported Outcomes Measurement Information System Anxiety and Depression Short Forms 4a.

Pilot testing of nurse led multimodal intervention for falls prevention.

Patient fall-risk awareness, self-efficacy, and engagement in fall-prevention activities are important aspects of fall-prevention. The current pilot study examined the effect of a nurse-led multimodal intervention on hospitalized adults' levels of fall risk awareness, self-efficacy, and engagement in fall prevention. Sixty hospitalized older adults in an acute care setting in Florida participated in the study.

Relationships between physical activity, social isolation, and depression among older adults during COVID-19: A path analysis.

Background: There are known significant relationships between greater physical activity and less depression, and greater social isolation and greater depression; therefore, it is important to understand these relationships among older adults during COVID-19.

Methods: The Physical Activity Scale for Elders, Geriatric Depression Scale, and PROMIS Social Isolation were administered. Path analysis was performed to evaluate the relationship between physical activity, social isolation, and depression.

The Relationship Among Pain Location, Complications, and Quality of Life in Individuals With Fibromuscular Dysplasia.

Background: Fibromuscular dysplasia (FMD), a nonatherosclerotic arterial disease, can cause pain and vascular complications. The aim of this study was to examine the impact of FMD symptoms and complications on quality of life, depression, anxiety, and self-rated health.

Design: This was a cross-sectional, correlational study.

A Project to Implement Use of 40% Dextrose Gel for Transient Neonatal Hypoglycemia.

Objective: To examine the effect of oral dextrose gel and oral feedings on newborns' blood sugar homeostasis in the first day of life in an effort to decrease transfers to the NICU.

Design: Evidence-based practice project.

Setting/local Problem: Obstetric service at a large hospital in northeast Ohio with approximately 5,300 births annually.

Social Media in Occupational Health Nursing: Helpful or Harmful?

Social media, an online vehicle for communication and media sharing, is a growing phenomenon in many aspects of everyday life, including health care. We explored the ways occupational health nurses can use social media as a helpful resource as well as identified potential concerns associated with its use. : A review of the literature was conducted between December 1, 2019, and April 10, 2020, using PubMed and Google Scholar.

Patients' Use of Social Media for Diabetes Self-Care: Systematic Review.

Background: Patient engagement with diabetes self-care is critical to reducing morbidity and mortality. Social media is one form of digital health that is available for diabetes self-care, although its use for peer-to-peer communication has not been systematically described, and its potential to support patient self-care is unclear.

Objective: The primary aim of this systematic review was to describe the use of social media among patients (peer-to-peer) to manage diabetes and cardiovascular disease (CVD).

Functional Capacity but Not Early Uptake of Cardiac Rehabilitation Predicts Readmission in Patients With Metabolic Syndrome.

Background: Phase II cardiac rehabilitation reduces hospital readmissions and cardiovascular disease risk factors and improves functional capacity. Cardiovascular disease risk factors double with patients with metabolic syndrome, a population less likely to adhere to cardiac rehabilitation.

Purpose: The aim of this study was to determine relationships between cardiac rehabilitation uptake timing, demographic variables and functional capacity, and readmission in patients with metabolic syndrome.

Feasibility of a Facebook Intervention for Exercise Motivation and Cardiac Rehabilitation Adherence: Study Protocol.

Background: While cardiac rehabilitation has been shown to be effective at improving coronary heart disease (CHD), participation is generally poor. Attempts to increase uptake and adherence often fail. Use of a Facebook intervention for this population may be a unique opportunity to support self-determined motivation and affect adherence.