Month: February 2017

Physical Exercise with Music Maintains Activities of Daily Living in Patients with Dementia: Mihama-Kiho Project Part 21. (J Alzheimers Dis. 2017 Feb. Epub)

Recent studies suggest that combined non-pharmacological interventions are more beneficial than single interventions for primary and secondary prevention of dementia. We previously reported enhanced effects of physical exercise with music (ExM) on cognitive function in normal elderly people compared to exercise alone. The objective of this research was to identify if ExM improves cognitive function and activities of daily living (ADLs) in dementia patients over cognitive stimulation (CS). Conclusion: ExM produced greater positive effects on cognitive function and ADLs in patients with mild to moderate dementia than CS, excluding memory. Optimal interventions for dementia will likely be achieved by combining ExMand CS.

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Music therapy is a potential intervention for cognition of Alzheimer’s Disease: A mini-review. (Translational Neurodegeneration. 2017, 6(1) Epub)

Music therapy (MT) is a nonpharmacological way with a long history of use and a fine usability for dementia patients. In this review, we will summarize different techniques, diverse clinical trials, and the mechanisms of MT as it is helpful to the cognition in AD, providing reference for future research. Many articles have demonstrated that MT can reduce cognitive decline especially in autobiographical and episodic memories, psychomotor speed, executive function domains, and global cognition. MT is a promising intervention for strategy of dementia especially of AD and it must be started as early as possible. However, more evidences with prospective, randomized, blinded, uniform and rigorous methodological investigations are needed. And we should consider to combine MT with other cognitive stimulations such as dance, physical exercise, video game, art and so on.

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Avoiding hospital admission in COPD: impact of a specialist nursing team. (British Journal of Nursing, 2017, 26(3) p.152-157)

Chronic obstructive pulmonary disease (COPD) is a common, preventable and incurable disease. The costs of caring for patients with COPD is estimated to be more than £800 million a year for acute hospital admissions alone (Department of Health, 2012). The hospital-at-home model is increasingly being adopted for COPD patients following British Thoracic Society (BTS) guidelines for the delivery of hospital admission-avoidance schemes (BTS, 2007). The aim of this case-note review was to evaluate the safety and effectiveness of a specialist nurse-led acute respiratory assessment service working with COPD patients in the community. The review recorded patient flow through the service and documented assessments and treatments. It was able to document potential benefits and cost savings.

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State of child health in the UK is unacceptable. Cuts to health visiting and school nursing services must end if we are to improve the health of children in deprived areas. (Nursing Standard, 2017, 31(25), p. 27)

The State of Child Health report, published last month by the Royal College of Paediatrics and Child Health, warns that a lack of a national strategic focus on children and the persistent gap between rich and poor in the UK are damaging the health of the nation’s infants, children and young people.

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Enhancing a Culture of Inquiry: The Role of a Clinical Nurse Specialist in Supporting the Adoption of Evidence. (J Nurs Admin, 2017, 47(3) p. 154-158)

This article describes a Magnet®-designated, national cancer institute comprehensive cancer center’s quest to restructure the organization’s evidence-based practice (EBP)/performance improvement (PI) framework leveraging the role of the clinical nurse specialist (CNS) as a coach to support staff nurses in EBP/PI initiatives. The support of the CNS is essential in developing effective projects, minimizing barriers, and maintaining a level of engagement in the EBP process from problem identification through dissemination and sustainment of practice changes.

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The effectiveness of and satisfaction with high-fidelity simulation to teach cardiac surgical resuscitation skills to nurses. (Intensive and Critical Care Nursing. 2017 Feb. Epub)

There are few reports of the effectiveness or satisfaction with simulation to learn cardiac surgical resuscitation skills. The objective of the paper was to test the effect of simulation on the self-confidence of nurses to perform cardiac surgical resuscitation simulation and nurses’ satisfaction with the simulation experience. Results showed self-confidence scores to perform all cardiac surgical skills as measured by paired t-tests were significantly increased after the simulation. Nurses were highly satisfied with the simulation experience.

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Effectiveness of a Nurse-Led Initiative, Peer-to-Peer Teaching, on Organizational CAUTI Rates and Related Costs. (J Nurs Care Qual. 2017 Feb. Epub)

A nurse-led initiative of peer-to-peer teaching positively impacted organizational incidence of catheter-associated urinary tract infections (CAUTIs). The initiative included validating the competency of the nursing staff, highlighting the importance of CAUTI prevention, identifying CAUTI costs, quantifying the value of nursing care, and supporting nurses as teachers. The project demonstrated that peer-to-peer teaching and competency validation can be effective methods to engage nurses in quality improvement.

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Nursing handovers: An integrative review of the different models and processes available. (International journal of nursing practice. 2017, Feb. Epub)

The aim of this study is to explore the different handover models and processes available and their efficacy in
improving handover communication within nursing practice. The handover of information is a key nursing
responsibility that ensures patient outcomes through continuity of care. This process is widely recognised as an
opening for error that may comprise patient safety The results detailed that there are various handover models in use, yet there is no evidence that any one model displays superior efficacy. The iSoBAR model and its adaptations remain the only model employed across various specialties. More research is warranted to determine if any handover model displays superior efficacy or transferability.

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Activities and Quality of Life for Persons with Dementia. (2016. Cassidy Rose. Utah State University Theses)

This study was conducted to better understand how activities may impact quality of life on dementia care units. Researchers observed dementia care units, and looked into how different activity types impacted emotional affect in the person with dementia, and how they elicited different levels of positive staff interaction. Results indicated that there were significantly higher levels of positive affect from participants on certain activity types, compared to no activity. Activities that had high levels of staff to client interactions had more positive affective outcomes. Researchers concluded that quality activities should consider the environment, staff ratio, staff communication and interaction, engagement of clients, and adaptability of the activity to the individual interest and ability of client.

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Senses make sense: An individualized multisensory stimulation for dementia. (Med Hypotheses. 2017 Jan Epub)

Reminiscence integrating individual experiences into therapeutic schemes has shown potential in the field of improving cognitive functions and depressive symptoms for dementia patients, and interactive music also demonstrated a positive outcome by using individualized music for the hearing aspect. The authors of this paper hypothesize that an individualized multisensory stimulation in a natural and realistic environment integrating personal experience may be an effective intervention for patients suffering from dementia.

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