Nursing Interventions for Sensory Impaired LTC Elders to Improve Cognition, Depression and Decrease Acute Confusion

2.50
Hdl Handle:
http://hdl.handle.net/10755/160390
Type:
Presentation
Title:
Nursing Interventions for Sensory Impaired LTC Elders to Improve Cognition, Depression and Decrease Acute Confusion
Abstract:
Nursing Interventions for Sensory Impaired LTC Elders to Improve Cognition, Depression and Decrease Acute Confusion
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Cacchione, Pamela
Contact Address:Adult and Gerontological Nursing, SON, 3525 Caroline Mall RM 326, St. Louis, MO, 63104, USA
Co-Authors:Kennith Culp; Bryant Price; Kerri Helms
Sensory impairment in long-term care elders is associated with poor cognitive function, depression and acute confusion. The purpose of this study was to test an individualized nursing intervention for sensory impaired LTC elders to improve cognition, depression and decrease acute confusion. Thirty sensory impaired elders from one 240-bed LTC facility were enrolled in this study. There were 21 (70%) females and 9 (30%) males with a mean age of 87 years. There were 9 visually impaired (bilateral visual acuity 20/70 or worse), 8 hearing impaired (bilateral failed whisper test) and 13 dually impaired. Cerumen impactions were found in 26 (87%). The elders were followed for 12 weeks the first 6 weeks consisted of a social control phase and the last six weeks was the individualized nursing intervention to enhance their sensory function. The nursing intervention significantly improved their depression (GDS) scores (p>.015). Only improved cognitive scores (MMSE) for the elders with a single sensory impairment. There were more episodes of acute confusion (5) during the nursing intervention than there were during the social control (2). This was explained by severity of illness. Significant qualitative findings included the benefits of pocket amplifiers for resident EP. EP reported the amplifier made him feel like he wasn’t missing anything in the dining room and he enjoyed activities again. Participant EA was able to read her bible again with her “newly” found eyeglasses and proper positioning. The nursing assistants were so surprised they didn’t even know she could still read! This study demonstrates that simple nursing interventions can have positive effects on sensory impaired LTC elders. More intensive nursing interventions may be required for dually impaired LTC elders. AN: MN030238
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Interventions for Sensory Impaired LTC Elders to Improve Cognition, Depression and Decrease Acute Confusionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160390-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Interventions for Sensory Impaired LTC Elders to Improve Cognition, Depression and Decrease Acute Confusion </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cacchione, Pamela</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Adult and Gerontological Nursing, SON, 3525 Caroline Mall RM 326, St. Louis, MO, 63104, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kennith Culp; Bryant Price; Kerri Helms </td></tr><tr><td colspan="2" class="item-abstract">Sensory impairment in long-term care elders is associated with poor cognitive function, depression and acute confusion. The purpose of this study was to test an individualized nursing intervention for sensory impaired LTC elders to improve cognition, depression and decrease acute confusion. Thirty sensory impaired elders from one 240-bed LTC facility were enrolled in this study. There were 21 (70%) females and 9 (30%) males with a mean age of 87 years. There were 9 visually impaired (bilateral visual acuity 20/70 or worse), 8 hearing impaired (bilateral failed whisper test) and 13 dually impaired. Cerumen impactions were found in 26 (87%). The elders were followed for 12 weeks the first 6 weeks consisted of a social control phase and the last six weeks was the individualized nursing intervention to enhance their sensory function. The nursing intervention significantly improved their depression (GDS) scores (p&gt;.015). Only improved cognitive scores (MMSE) for the elders with a single sensory impairment. There were more episodes of acute confusion (5) during the nursing intervention than there were during the social control (2). This was explained by severity of illness. Significant qualitative findings included the benefits of pocket amplifiers for resident EP. EP reported the amplifier made him feel like he wasn&rsquo;t missing anything in the dining room and he enjoyed activities again. Participant EA was able to read her bible again with her &ldquo;newly&rdquo; found eyeglasses and proper positioning. The nursing assistants were so surprised they didn&rsquo;t even know she could still read! This study demonstrates that simple nursing interventions can have positive effects on sensory impaired LTC elders. More intensive nursing interventions may be required for dually impaired LTC elders. AN: MN030238 </td></tr></table>en_GB
dc.date.available2011-10-26T22:53:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:53:51Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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