Copyright (c) 2013 All rights reserved. http://works.bepress.com/paula_mobily Recent documents in Paula Mobily en-us Mon, 06 May 2013 09:10:52 PDT 3600 http://works.bepress.com/paula_mobily/42 http://works.bepress.com/paula_mobily/42 Wed, 21 Mar 2012 13:13:18 PDT The primary purpose of this investigation was to determine the internal consistency of the 60+ functional fitness test battery for older adults. A secondary purpose was to determine whether the number of trials recommended in the testing manual was optimal. Subjects were used from an ongoing study of a fitness program for community-dwelling older adults. Internal consistency coefficients for subtests of flexibility, agility, coordination, and strength were excellent. Post hoc analysis across trials indicated significant differences in means between early trials and later trials. Mean scores stabilized after two or three trials, depending on the subtest of interest. Data provided insight into the number of practice trials and amount of warm-up necessary to implement the 60+ functional fitness test battery in field settings.

]]> K. E. Mobily et al. http://works.bepress.com/paula_mobily/41 http://works.bepress.com/paula_mobily/41 Mon, 24 Oct 2011 13:31:55 PDT Risk factors that contribute to pressure ulcer formation include immobility and inactivity, age, malnutrition, fecal and urinary incontinence, and a decreased level of consciousness. Gerontological nurses should collaborate with other health disciplines (eg, the physician, physical therapist, and dietitian) to plan and provide preventive treatment measures for the elderly person with potential for impaired skin integrity: pressure ulcers. Gerontological nurses must continue the development and refinement of tools with which to predict the degree of risk for impaired skin integrity, as well as use a consistent method of grading pressure ulcers.

]]> L. S. Kelley et al. http://works.bepress.com/paula_mobily/40 http://works.bepress.com/paula_mobily/40 Mon, 24 Oct 2011 13:31:50 PDT E. Souder et al. http://works.bepress.com/paula_mobily/39 http://works.bepress.com/paula_mobily/39 Mon, 24 Oct 2011 13:31:44 PDT Joanne McCloskey et al. http://works.bepress.com/paula_mobily/38 http://works.bepress.com/paula_mobily/38 Mon, 24 Oct 2011 13:31:38 PDT Paula Mobily et al. http://works.bepress.com/paula_mobily/37 http://works.bepress.com/paula_mobily/37 Mon, 24 Oct 2011 13:31:33 PDT Paula R. Mobily et al. http://works.bepress.com/paula_mobily/36 http://works.bepress.com/paula_mobily/36 Mon, 24 Oct 2011 13:31:26 PDT Paula R. Mobily http://works.bepress.com/paula_mobily/35 http://works.bepress.com/paula_mobily/35 Mon, 24 Oct 2011 13:31:21 PDT Keela Herr et al. http://works.bepress.com/paula_mobily/34 http://works.bepress.com/paula_mobily/34 Mon, 24 Oct 2011 13:31:16 PDT Janet K. Specht et al. http://works.bepress.com/paula_mobily/33 http://works.bepress.com/paula_mobily/33 Mon, 24 Oct 2011 13:31:11 PDT Meridean L. Maas et al. http://works.bepress.com/paula_mobily/32 http://works.bepress.com/paula_mobily/32 Mon, 24 Oct 2011 13:31:06 PDT Keela Herr et al. http://works.bepress.com/paula_mobily/31 http://works.bepress.com/paula_mobily/31 Mon, 24 Oct 2011 13:31:01 PDT Critical care nurses face the challenge of helping anxious families cope with the critical illness of one of their members. The purposes of this exploratory descriptive pilot study were to identify whether adult family members of surgical intensive care unit (SICU) patients were willing and able to learn imagery during the time of their family member's critical illness, and which factors facilitate the learning. Of the 139 persons invited, 26 (18.7%) indicated willingness to participate, but only 10 participants completed both learning sessions. All 10 subjects achieved increased relaxation with the imaging. Facilitators of their learning were the quiet environment, the investigator's voice, and the breathing aspect of the technique. Those who participated found imagery beneficial, but further study is needed regarding the basis of both willingness and reluctance to learn relaxation techniques such as imagery to assist with coping during the SICU vigil.

]]> D. k. Schweer et al. http://works.bepress.com/paula_mobily/29 http://works.bepress.com/paula_mobily/29 Mon, 24 Oct 2011 13:30:52 PDT Establishing a trusting, caring relationship that acknowledges suffering and demonstrates caring is an important first step toward pain management in the elderly. The content of assessing pain in the elderly is similar to that for younger individuals. However, the source of information, manner and timing of assessment, method, and amount of data collected must be adapted to meet the special needs of the elderly individual. Strategies for assessing pain in the elderly must be adapted for those with sensory, cognitive, or psychomotor deficits. Many tools currently available for assessing pain may be effective when adapted to accommodate these changes. Interpreting reports of pain and pain-related behaviors in the elderly is complicated by myths and misunderstandings commonly held by the elderly and many health professionals. Careful consideration must be given to the meaning of pain or lack of pain report, as well as personal biases, which may influence the interpretation of pain behaviors.

]]> Keela Herr et al. http://works.bepress.com/paula_mobily/28 http://works.bepress.com/paula_mobily/28 Mon, 24 Oct 2011 13:30:46 PDT In most nursing programs, limited options exist beyond the required nursing curricula for students to continue career growth in a nursing specialty area at the undergraduate level. The authors describe the Young Nurse Clinician Programs, an innovative approach that provides individualized educational opportunities to select nursing students to promote leadership and foster interest in geriatric, pediatric, and community health nursing.

]]> Mary Berg et al. http://works.bepress.com/paula_mobily/27 http://works.bepress.com/paula_mobily/27 Mon, 24 Oct 2011 13:30:41 PDT Keela Herr et al. http://works.bepress.com/paula_mobily/26 http://works.bepress.com/paula_mobily/26 Mon, 24 Oct 2011 13:30:33 PDT Nurses who work with patients with Alzheimer's disease (AD) are especially vulnerable to the effects of stress and burnout. Many are poorly trained to cope with the emotional and behavioral problems of these residents and are repeatedly frustrated by their inability to manage these recurrent problems. Specialized care units (SCUs) reduced stress in the areas of staff knowledge, abilities, and resources. The SCU was designed specifically to provide the special environmental structures, support, and service systems required for the care of persons with AD that would enhance functioning and decrease associated behavioral problems. Support groups can assist nurses to recognize causes of stress, to ventilate feelings, and to examine value and belief systems. They also offer psychiatric nurses the opportunity to encourage staff to develop their lives outside the workplace and to devise effective coping strategies for work and personal stressors.

]]> Paula R. Mobily et al. http://works.bepress.com/paula_mobily/25 http://works.bepress.com/paula_mobily/25 Mon, 24 Oct 2011 13:30:28 PDT The purpose of this study was to identify and validate specific activities considered important in the implementation of three non-pharmacologic pain management interventions-relaxation, distraction and guided imagery. Using a two-round Delphi survey, nurses selected for their expertise in pain management were asked to validate definitions and activities considered important in the implementation of each of these strategies. Data were analyzed using a modification of Fehring's diagnostic content validity method. From this process, a list of activities for each intervention evolved that has implications for nursing research, practice and education.

]]> Paula Mobily et al. http://works.bepress.com/paula_mobily/24 http://works.bepress.com/paula_mobily/24 Mon, 24 Oct 2011 13:30:22 PDT Because of the increased incidence of chronic disease and other health problems associated with aging, chronic pain is a common companion for the elderly. Pain is of great clinical importance, often associated with disability, loss of independence, and reduced quality of life. A fact that is of interest to psychiatric nurses is that many elderly with complaints of chronic pain also exhibit signs and symptoms of depressive disorders. Treating chronic pain conditions is complex and difficult, and health-care professionals are increasingly recognizing that psychological factors are often involved in the development and continuation of chronic pain problems. Depression is one of these influential variables. Increased understanding of the role of depression in the etiology and maintenance of chronic pain can improve assessment and intervention for the elderly with chronic pain complaints.

]]> Keela Herr et al. http://works.bepress.com/paula_mobily/23 http://works.bepress.com/paula_mobily/23 Mon, 24 Oct 2011 13:30:13 PDT Mobility of elderly patients is a consequence of the interaction between factors including biological health, sensory-perceptual capacity, motor skills, cognitive capacity, and ego-strength; and environmental resources including physical and architectural features, medical regimens, institutional policies, resident and staff characteristics, and social support availability. Impaired mobility, whether self- or other-imposed, places the elderly at risk for a multitude of negative physiological and psychological consequences that can affect health, well-being, and quality of life. Understanding the basic mechanisms underlying the physiological and psychological consequences of immobility, the relative time-frame in which they can develop, and the concomitant changes associated with aging provides the basis for interventions aimed at preventing or minimizing them. A multitude of factors that influence the elderly's state of mobility are within nursing's realm of practice. Although elderly patients may present a special challenge, the negative consequences of immobility can be avoided, to a significant extent, with astute and vigilant nursing management.

]]> Paula R. Mobily et al. http://works.bepress.com/paula_mobily/22 http://works.bepress.com/paula_mobily/22 Mon, 24 Oct 2011 13:30:05 PDT C. G. Rapp et al.