What is the impact of the use of humor as a coping strategy by nurses working in geropsychiatric settings?
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Biomedical subjects
Publications and source records attributed to K C Buckwalter.
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This chapter has included a review of nursing research in Alzheimer's disease. Much of what is in the literature regarding nursing of Alzheimer's disease patients and their families is anecdotal and has not been validated by systematic research and is atheoretical. The majority of nursing research on Alzheimer's disease has been focused on patient characteristics and problem behaviors or on the needs and experiences of family caregivers. Research should continue in these areas along with testing nursing interventions to maintain optimal cognitive, physical, social, and emotional function of Alzheimer's disease patients. Explanatory theories should be devised and tested to advance the development of nursing knowledge in the care of Alzheimer's disease patients and family caregivers. Finally, more evaluation research is needed to test the cost effectiveness of home-based and institutional programs, including effects on Alzheimer's disease patients, family members, and staff caregivers.
This article provides an historical overview of the care of older persons with behavioral problems, from the almshouses of the early 20th century to the dedicated care units of today. The rôle of the psychiatric nurse in relation to the need for more mental health programming and changes in reimbursement mechanisms for the institutionalized elderly is examined.
Two samples of older respondents (N = 1,153 and N = 420) were used in the refinement of the Iowa Self-Assessment Inventory (ISAI). Factor analyses based on data obtained from these samples resulted in modification of the original six-scale inventory to an inventory of seven scales: economic resources, anxiety/depression, physical health, alienation, mobility, cognitive status, and social support. The original ISAI was shortened from 120 to 56 items.
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1. The treatment of mental health problems is a growing concern in long-term care facilities; up to 80% of nursing home residents suffer from some type of mental illness, but most receive no active treatment. 2. Nursing home staff do not receive sufficient training on mental health issues, the aging process, and assessment and management of psychiatric symptoms in the elderly. 3. Psychiatric nurses can provide a number of quality geriatric mental health programs to increase staff knowledge and promote quality of care.
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Depression is a serious condition that will be encountered by most nurses regardless of their specialty area or practice setting. There is good empirical support for biologic and psychologic models of depression. This article discusses how symptom management is enhanced through a combination of psychotherapeutic and somatic treatments.
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Twelve (N = 12) Alzheimer's (AD) residents of a Special Care Unit in a large midwest Veterans' Home were observed for the effects of the presence of a pet dog on eight social behaviors: smiles, laughs, looks, leans, touches, verbalizations, name-calling, and others. Observations took place on three separate occasions (absence of dog, temporary presence of the dog, and permanent placement of the dog) in both group and individual settings. The results showed that the presence of the dog increased the number of total social behaviors of the AD clients, but no differences were found in behaviors between the temporary and permanent placement of the dog.
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