The composition and needs of culturally diverse older populations should encourage hospitals to address the conflicting demands for access and delivery of ethnically sensitive services. Health communication that is patient-centered and provides culturally and linguistically appropriate care has the potential to reduce racial and ethnic health…

To discuss the relationship between residents and the management team, we must first review the transition from a medical model to a social model of care that is sweeping across America. Long-term care (LTC) management models were developed for a very autocratic and hierarchical style of management based in the 1960s. Those facilities were built…

The majority of patients with chronic kidney disease (CKD) are undergoing maintenance hemodialysis. Hemodialysis is a process of removing metabolic waste, other poisons, and excess fluids from the blood and replacing essential blood constituents through a dialysis machine. With hemodialysis causing stress not only to physical status but also to…

In the interdisciplinary course, Aging to Infancy: A Life Course Retrospective, the Institute of Medicine's recommendations for education were embraced through the role modeling provided by faculty both across and between disciplines. Over the five years since its creation, the course has introduced students to aging in a positive manner,…

Background: Registered nurses (RNs) with specific knowledge and skills in the care of the aged are an important component in the delivery of quality health-care (Venturato, Kellet, & Windsor, 2006). These nurses experience both fervors of being in service and labor that challenge them, but which contribute to their provision of quality health…

There are little data regarding Licensed Practical Nurse (LPN) roles in long-term care settings and how the roles might be expanded or changed to meet the unique needs of the elderly. The purpose of this quantitative descriptive study was to determine if an increase in knowledge occurred in LPN care providers after implementation of a 32-hour…

The societal view that regards geriatrics as a period of decline may not be congruent to the views of elderly people themselves. This gives rise to the need for further understanding of how elderly individuals evaluate their lives. A phenomenological design was employed for purposes of discovering and characterizing the essence behind the life…

Geriatric nursing is a physically and emotionally demanding job in healthcare. It is a neglected field despite the growing population of the elderly, and the experiences of geriatric nurses are one of the unrecognized aspects of this field. This qualitative study purports to explore the successes and struggles of the lived experiences of a select…

Aging is a complex process that involves factors such as cultural, ethnic, and gender differences and is unique to each individual. Love, sexual intimacy, and sexuality are characteristics that help define individuals and often contribute to how well they will continue to live and age. Enhanced knowledge and healthy attitudes about sexual needs…

Older adults often get lost in the process of assessment, diagnosis and service brokering. If our concern as care providers is to enable older persons to remain independent or in the community for as long as possible, we must tap into their personal values, cultural identity and health beliefs in order to foster enhanced health care communication.…

Many older adults have experienced or witnessed devastating life events including wars, hurricanes, and explosions. This study examined retraumatization and the relationship between certain risk factors, resilience, and psychological distress in the post-9/11 environment among 120 community-dwelling older adults. Results indicate that Holocaust…

Clinicians are often asked to evaluate older individuals for their capacity to make decisions regarding their medical care, often referred to as "medical decision-making capacity" (MDMC). However, the degree to which clinicians have the necessary knowledge to properly evaluate MDMC is uncertain. To assess the level of training and knowledge that…

This study explored the relationship between four types of autonomy (health autonomy, informational autonomy, living autonomy, and financial autonomy) and the acceptance of five types of long-term care (adult day care, respite care, assisted living, unit care, and group home) for the elderly in Taiwan. Data were collected from 167 middle-aged and…

Due to an aging population and increases in healthcare costs, particular attention needs to be focused on developing Internet sites that provide older adults with credible and accurate healthcare information. Present research findings suggest that motivation is only one factor that influences whether or not older adults utilize the World Wide Web…

This study investigated the effects of 10 injury prevention computer-based training modules tested by 120 participants from 65 facilities that provide care or support to elderly people needing long-term care. The training was delivered either on CD-ROM or at a Web site. A repeated measures analysis was performed with module scores on a pretest and…