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Biomedical subjects

K C Buckwalter

Publications and source records attributed to K C Buckwalter.

At least 37 records · Page 2Linked to original sources
PubMed1999

Use of the Iowa Self-Assessment Inventory with older hospitalized patients.

This study examined the utility of the Iowa Self-Assessment Inventory (ISAI) as a multidimensional screening tool for older adults in the acute care hospital setting. A sample of 98 patients age 60 and older were administered the ISAI, the Short Geriatric Depression Scale, and the Mini-Mental State Examination. The findings suggest the ISAI is useful for screening for depression but does not detect differences in cognition. However, qualitative data and literature review support the continued search for a holistic, humanistic screening tool to increase the quality and effectiveness of patient care.

Acute Disease↗
PubMed1999

Well siblings living with schizophrenia. Impact of associated behaviors.

As a result of the ongoing hallucinations and delusions, life at home became "anxious and chaotic" with "lots of stress." Because there was no on-site crisis intervention by professionals, well siblings were sometimes called upon to control the violent behavior and were vigilant and fearful regarding the potential for abuse. Negative symptoms were the most disturbing to well siblings. Siblings need help to understand that social isolation and lack of motivation are symptoms of the illness--not due to "laziness."

Adult↗
PubMed1998

A pitch for public policy.

Explore the source record for details and available documents.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1998

Special care units for people with Alzheimer's disease. Only for the privileged few?

The number of Special Care Units (SCUs) for people with Alzheimer's disease (AD) in nursing homes have increased dramatically in the past 10 years. Despite the rapid increase in number of SCUs and the concern that most SCUs report higher costs than traditional nursing home units where residents with AD are integrated with cognitively intact residents, the evaluation of costs has been largely unsystematic and noncomparative. Studies are urgently needed to assess comparative costs so that administrators and policy makers can make informed decisions. This article reviews studies that examine the costs of care in SCUs and presents cost-related data comparing the outcomes of care for residents with AD on a SCU and on traditional units in one long-term care setting.

Aged↗
PubMed1997

What's hot, what's not, in dementia drugs. Part II.

Research is dramatically increasing our understanding of what goes awry in the brains of persons with AD. Three compounds approved for use in other conditions, estrogen, anti-inflammatory drugs, and antioxidants, are currently under study based on their ability to promote cell metabolism and survival, counteract inflammatory responses, and protect neurons from oxidative damage. All three show promise in terms of treating and possibly preventing Alzheimer's disease.

Alzheimer Disease↗
PubMed1997

Assessing family and staff caregiver outcomes in Alzheimer disease research.

Outcomes and measurement issues related to caregivers for persons with Alzheimer disease and related disorders are examined. Assumptions regarding the dynamic linkages between resident, family, and staff outcomes are reviewed, and potential sources of stress inherent in family adaptation to the institutional setting, role transitions, and emotional responses that occur with placement are examined. Family and staff caregiver outcomes that flow logically from treatment goals, and what can be expected if sources of transitional and institutional stress are ameliorated through successful family and staff-related interventions, are discussed. Instruments developed to evaluate family perceptions of care and the caregiving role in institutional settings are described. The article concludes with an analysis of measurement approaches, general measurement issues, and those more specific to family and staff caregivers, as well as recommendations for further development in this area.

Alzheimer Disease↗
PubMed1996

Mental health services for rural elderly: innovative service strategies.

This paper reviews issues in planning and delivering mental health services to rural dwelling elderly. First, comparative data on the prevalence of mental illness among rural elderly, and the availability and accessibility of mental health services in rural areas are presented to provide a basis for subsequent discussion. Next, several strategies for improving the development and delivery of geriatric mental health services to rural areas are discussed. These include: increasing the number and quality of rural mental health providers; adapting or developing diagnostic techniques to improve case identification among rural elderly; providing culturally sensitive mental health services; strengthening informal and formal care linkages in rural communities; developing innovative service delivery models building upon the strengths of rural settings; and emphasizing fluidity as well as continuity in treatment models.

Aged↗
PubMed1996

Caregiver training for people with Alzheimer's based on a stress threshold model.

A caregiver training protocol for Alzheimer's disease and related disorders (ADRD) is presented for dementia management based on the progressively lowered stress threshold model. The training protocol is described using criteria for a nursing intervention including: (a) characteristics of the nursing diagnosis, (b) research base for the intervention, (c) desired patient outcomes, (d) acceptability to the patient, (e) capability of the nurse, and (f) feasibility for doing the intervention. A national study is described which is currently underway to further evaluate the effects of the training protocol.

Alzheimer Disease↗
PubMed1995

Uncovering and managing denial during the research process.

This article describes experiences of geropsychiatric nurses examining the effectiveness of the Progressively Lowered Stress Threshold Model for caregivers of persons with Alzheimer's disease and related disorders, and briefly reviews the literature on coping and denial. This research project, and those of many other psychiatric nurses, is predicated on the expectation that subjects will be able to acknowledge and report to investigators their personal and intimate responses to the challenges and everyday experiences of caregiving. Clearly, the research findings will be most valid if subjects are completely open about all aspects of their experiences, no matter how painful; yet this is often an idealized expectation. Therefore, this article also explores the concerns of geropsychiatric nurse researchers attempting to balance sensitivity to the needs of subjects and the reliability and validity of the data.

Adaptation, Psychological↗