Action Research: A Collaborative Approach to Falls Prevention and Management (POSTER)
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Action Research: A Collaborative Approach to Falls Prevention and Management (POSTER) by Daragh Rodger & Anne Spencer
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2) Key roles of RANPs include demonstrating autonomous clinical decision-making and expert practice in managing older adult caseloads, engaging in health promotion, and developing standards of care through research, education, and quality improvement.
3) RANPs work to address the complex health issues of an aging population and support aging in place through programs focused on falls prevention, bone health, chronic
Advancing Gerontological Nursing - Prof A Coffey
This document presents a framework for gerontological nursing competencies developed through a literature review and national focus groups. It identifies six domains of competence: professional nursing, nursing practice and clinical decision making, knowledge and cognitive processes, communication, organization and management, and leadership and professional scholarship. Related standards and cues are provided for each domain. The framework is intended to underpin the development of regulatory requirements, continuing education, and undergraduate curricula to help nurses develop the skills and competencies needed to provide high-quality care for older people.
Advances in gerontological nursing prof b mc cormack
This document discusses advances in gerontological nursing over the past 10 years. It notes that while health systems are under pressure, gerontological nurses have significant opportunities to help older people. It outlines key areas of research innovation, including person-centered care, managing frailty, palliative care, and dementia care. However, it also mentions challenges such as a dominance of medical models, risk avoidance attitudes, and lack of clarity around the gerontological nursing role. It raises questions about how nursing can best help older adults flourish and celebrates their strengths and individuality.
VERA - Dementia Communication Skills Prof Corina Naughton
The document describes a feasibility study that evaluated a dementia communication training intervention for pre-registration nurses based on the VERA framework. The 2.5 hour training included education on dementia, communication principles, and role-playing using the VERA approach. A controlled pre-post study across 7 hospitals found students who received the training showed improved person-centered responses, dementia competence, communication confidence, and knowledge compared to controls. Qualitative interviews found students applied VERA flexibly, used specific techniques like mirroring, and saw it as a useful toolkit. The study demonstrated the training was feasible but more evidence is needed on its impact on behavior.
The Absent Voice - the Reality - Dr E Beck
The document discusses advance care planning (ACP) for people with dementia living in long-term care settings. It summarizes a study that examined the understanding and experiences of family caregivers, general practitioners, and nursing home staff regarding ACP for dementia patients. The study found poor knowledge of ACP across all groups, especially around legal aspects. Challenges to implementing ACP included concerns about dementia patients' ability to engage and lack of disease-specific guidance. The roles of families, doctors, and nurses in ACP were unclear. The document calls for more research engaging with dementia patients early on to establish their priorities and examine barriers to ACP.
Person Centred Moving and Handling Dr Margaret Smith
This document summarizes a participatory action research project aimed at promoting person-centered moving and handling of older patients with osteoporosis. The project had two phases: an action research phase where an online educational module was developed with input from focus groups and then implemented, and a process evaluation phase where staff and patient interviews provided insights. Emerging themes included increased awareness of osteoporosis among staff and its implications for care. A stakeholder conference and creative workshop further explored applying the knowledge through artistic methods. The project concluded enhanced understanding of osteoporosis and uncovered tacit knowledge among practitioners.
Person Centred Moments Donegal - Maura Gillen
This document summarizes a project aimed at advancing person-centered care in two dementia units in Donegal, Ireland. A project team used the method of identifying and recording "person-centered moments" over 6 weeks to map interactions onto a person-centered framework. They found 66 moments across both units that demonstrated person-centered processes like engaging authentically and providing holistic care, as well as outcomes like good care experience and feeling of wellbeing. The next steps are to have staff observe interactions between residents and each other to further develop person-centered team processes and shared decision making.
National Suite of Older Persons - Mary Nolan
This document discusses the development of quality care metrics for older persons in Ireland using a consensus methodology. It describes a four phase study to identify and validate nursing quality care process metrics and indicators for older persons. The phases included a literature review, two rounds of online surveys to develop consensus, and a face-to-face consensus meeting. This resulted in 19 agreed upon older person process metrics and 80 associated indicators to measure quality of older person nursing care. An example metric and what is measured are provided.
National Dementia Strategy Mary Manning
The document summarizes the progress and future plans of Ireland's National Dementia Strategy. It outlines 6 priority areas including improving awareness, timely diagnosis, integrated services, training, research, and leadership. It discusses initiatives to date like an awareness campaign, education programs, and home care packages. It also outlines ongoing and future work like establishing standardized diagnostic pathways, developing post-diagnostic support, mapping community services, and clinical guidelines for prescribing medications. The concluding remarks note progress in awareness, education, and pathways, but that continued funding and cultural change is still needed to fully support those with dementia.
Namaste Project presentation Maria Magee
The document provides an overview of the Namaste Care pilot programme between Maria Magee and Silverdale Nursing Home. The programme aimed to improve quality of life for patients with advanced dementia through meaningful sensory activities. A 7-week pilot involved 2-hour Namaste sessions weekly. Evaluations found improvements in scales for agitation, behavior, and depression in residents. Carers reported the programme helped them provide comfort and fond memories. Overall, the programme fostered closer family relationships and intuitive, person-centered care at end of life. Future plans include training more facilitators and sharing the cost-effective model.
Deliriium in Acute Care F Sharkey and A McCloskey
This document discusses efforts to improve delirium awareness, prevention, and management in a trauma and orthopedic unit. It defines delirium and its relationship to dementia. It also provides statistics on dementia prevalence and delirium risk factors. The project aims to educate staff and patients/families about delirium risks and reduce delirium incidence through a person-centered approach. Initial results show staff have increased delirium awareness and are identifying it earlier to provide prompt treatment. Delirium episodes are now being better documented, raising community awareness.
Connectedness and meaningful living on the older adult dr e weathers
This document discusses connectedness and meaningful living in older adulthood. It explores how maintaining good relationships and having a sense of purpose can promote better aging. Research shows that social connection and meaning are linked to improved health, well-being, and independence in older age. The document also examines ways to help older adults find meaning, such as through creative activities, volunteering, and community involvement. Even those with cognitive impairment can experience meaning through emotions, humor, and interactions with others. Creating opportunities for contribution and participation can help older adults feel relevant and sustain their social value.
Gerontological Nursing Research in a Time of Change
Keynote presentation given by Dr Catriona Murphy, School of Nursing and Human Sciences, Dublin City University at the 5th Annual Nursing Showcase at St Mary's Hospital, Phoenix Park, Dublin. September 6th 2017.
National Clinical Programme for Older People - Current Developments & Future ...
The National Clinical Programme for Older People is working on several initiatives to improve care for older people, including developing an educational framework for nurses, a national frailty education program, a standardized national nursing transfer letter, and work on delirium. The organization is partnering with other clinical programs and stakeholders. Key goals are to increase understanding of frailty, promote interprofessional education, and improve communication and outcomes for older patients.
Quality Improvement Through Effective Staff Handover
Ms Simone Comiskey, Quality & Safety Manager
Quality Improvement through Effective Clinical Handover
Pressure Ulceration In Older Adults: Lessons From A Four Year Service Review
This document evaluates pressure ulceration in St. Mary's Hospital over a four year period. It finds that 51.4% of pressure ulcers were acquired in the hospital, compared to 48.5% present on admission. Ulcers acquired in the hospital tended to be lower severity and affect non-traditional sites like the feet and heels. The total person time spent with pressure ulcers and associated costs decreased from 2014-2016, suggesting staff education on prevention was effective. Ongoing education is still needed for all staff and carers to address ulcers on admission and prevent ulcers acquired in the hospital.
The Impact Of Nurse-led Medication Reconciliation On Medication Discrepancy D...
This presentation summarizes a systematic review on nurse-led medication reconciliation (MedRec) for older adults during care transitions. The review found that MedRec performed by nurses improved detection of medication discrepancies in all 8 included studies. Nurse-led interventions involved structured interviews, home visits, and telephone follow-ups. The review concluded that nurses can substantially reduce medication errors but more high-quality research is still needed to better understand nurses' role in MedRec.
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...
Bone Health and Falls Awareness in Intellectual Disability Population: Empowerment of Peers through Education - Lorraine Ledger, CNMIII, St Michael's House, Dublin
Falls Reduction & Falls Management Quality Improvement Initiative in the Kerr...
Falls reduction & falls management quality improvement initiative in the Kerry Community Hospitals/ Nursing Units.
Presentation from 31st August 2017 at Forever Autumn COP Meeting
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AIGNA 10th Birthday Celebrations - A Reflection of 10 years
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Role of Advanced Nurse Practitioner in Gerontological Nursing
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Advances in gerontological nursing prof b mc cormack
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VERA - Dementia Communication Skills Prof Corina Naughton
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Person Centred Moving and Handling Dr Margaret Smith
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Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
The Nervous and Chemical Regulation of Respiration
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
MERCURY GROUP.BHMS.MATERIA MEDICA.HOMOEOPATHY
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
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pathology MCQS introduction to pathology general pathology
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It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
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Action Research: A Collaborative Approach to Falls Prevention and Management (POSTER)
- 1. Background: Falls awareness and falls prevention are a priority for health care providers of older adults (DoHC, HSE, NCAOP, 2008). According to the Burden of Care study falls in 2004 cost our economy €402 million and projected to cost €2043 million by 2030 with our ageing population (Gannon et al, 2008). Action Research: A Collaborative Approach to Falls Prevention and Management Daragh Rodger RGN, RNP, RANP, MSc, & Anne Spencer RN, BA (Hons), MSc Methodology: Action research taking a multidisciplinary approach Data collection on falls pre programme development and implementation of a new falls awareness and prevention programme Data collection on falls post implementation of the programme Results: A reduction in the number of falls across the campus by 35%. A new data measurement – data collected on the number of interventions to prevent a potential fall. Development of the Forever Autumn Community of Practice bringing falls awareness to a wider audience Conclusion: Forever Autumn has placed falls prevention and management on the agenda within our healthcare organisation and beyond. The reduction of falls and potential falls data is evidence to our staff of their commitment to making falls prevention and management a priority for the older adults in our care. Objectives: To raise awareness of falls among all staff groups. To enhance the safety of the patients and residents in our care. To reduce the costs associated with falls – financial, physical and psychological. www.bonehealth.co www.foreverautumn.co References Department of Health & Children. Health Service Executive, National Council on Ageing & Older People (2008) Strategy to Prevent Falls and Falls Related Injuries Gannon, B., O'Shea, E. & Hudson, E. (2008) “Economic cost of falls and fractures among older people in Ireland”. Irish Medical Journal, Vol. 101(6)