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Biomedical subjects

Richard B Rosher

Publications and source records attributed to Richard B Rosher.

5 recordsLinked to original sources
PubMed2006

A simulated couple aging across the four years of medical school.

BACKGROUND: The medical students of today will deliver health care to an ever-increasing aging population. Regardless of specialties, physicians must view older patients holistically with attention to medical, psychosocial, and family issues and functional status. DESCRIPTION: This program was designed around a couple who ages from 60 to 90 over the 4 years of medical school. The woman represents the healthy aging process, whereas the man represents an elder experiencing multiple health problems. Through standardized patient experiences, small-group encounters, and paper-based learning modules, students address typical age-related issues that provide experiences representative of aging in today's society. EVALUATION: Sessions were rated good to excellent. Comments were positive, especially regarding interactions with the aging couple. CONCLUSIONS: Aging Couple Across the Curriculum allowed the interweaving of multiple issues that are characteristic of many geriatric cases. Students were able to see the complexity of issues and the impact on other family members.

Age Factors↗
PubMed2006

Tangling with the barriers to culture change: creating a resident-centered nursing home environment.

Prior to beginning culture change, nursing homes should analyze potential barriers, such as staff turnover, and develop plans to deal with these barriers. Infusion of culture change is dependent on inversion of the organizational structure, placing decision-making in the hands of the older adults. Although data from this study indicated decreased depression in older adults and increased family satisfaction with culture change, there were many confounding variables. Evaluation of culture change can be enhanced by using repeated measures and qualitative techniques.

Adult↗
PubMedDate not supplied

Impact of the Eden Alternative on family satisfaction.

OBJECTIVES: The purpose of the study was to determine the impact of the Eden Alternative on family satisfaction. DESIGN: The study was a one-group pre-post design. Families were surveyed prior to the beginning of implementation of the Eden Alternative and again 2 years later. SETTING: The study was conducted at a 150-bed nursing home in the Midwest. PARTICIPANTS: Thirty-seven family members completed the survey at both time points. INTERVENTION: More than 80 in-services on the 10 principles of the Eden Alternative were provided to the staff on all shifts over the first year. Implementation of the Eden Alternative began during the second year. MEASUREMENTS: The Family Questionnaire, which measures perception of skill and caring nature of caregivers, quality of activities, the environment, contentment of elders, and relationships with administration, was mailed to a family member of each elder living in the nursing home in March of 2002 and again in March of 2004. RESULTS: There was a significant improvement in family satisfaction, as measured by the Family Questionnaire (P < .0001) after implementation of the Eden Alternative. CONCLUSION: The Eden Alternative provided many opportunities for family involvement. The improved satisfaction scores reflected greater communication and interaction among families, staff, and residents.

Aged↗
PubMedDate not supplied

Can a beverage cart help improve hydration?

The purpose of this study was to determine the effectiveness of a hydration program to improve hydration and prevent conditions associated with dehydration (delirium, urinary tract infections, respiratory infections, falls, skin breakdown, and constipation). Data showed a significant increase in fluid in each body compartment, significant decrease in the number of laxatives, increase in the number of bowel movements, decline in the number of falls, and decrease in cost during the hydration period.

Aged↗