RESUMO
Nursing was not a part of the coalition of multiple nursing home stakeholders at the roll out of the Advancing Excellence Campaign (AEC). In January 2007, several nurse organizations proactively approached the AEC leadership, were welcomed and immediately began to volunteer for leadership positions such as committee chairs and conference coordinators. This paper presents an exemplar of how a proactive stance, even when not initially included, allowed nurses to secure chairs at the decision making table of this quality campaign and contribute to improved resident outcomes.
Assuntos
Comportamento Cooperativo , Enfermagem Geriátrica , Relações Interprofissionais , Liderança , Qualidade da Assistência à SaúdeRESUMO
There is a high prevalence of insomnia in the long-term care setting. This condition needs to be addressed because insomnia affects the quality of life of the resident. It is important for practitioners to differentiate between primary and secondary insomnia so the proper treatment can be given to residents.
Assuntos
Distúrbios do Início e da Manutenção do Sono/epidemiologia , Distribuição por Idade , Idoso , Diagnóstico Diferencial , Avaliação Geriátrica , Enfermagem Geriátrica , Necessidades e Demandas de Serviços de Saúde , Humanos , Assistência de Longa Duração , Avaliação em Enfermagem , Casas de Saúde , Prevalência , Fatores de Risco , Distúrbios do Início e da Manutenção do Sono/classificação , Distúrbios do Início e da Manutenção do Sono/diagnóstico , Distúrbios do Início e da Manutenção do Sono/etiologia , Estados Unidos/epidemiologiaRESUMO
It is important to establish a goal when a resident is diagnosed with chronic insomnia. Based on clinical studies, sleep hygiene should be the first step in managing insomnia. Long-term care facilities should identify environmental factors that may put residents at risk for insomnia. CBT has been studied and shown to be effetive in the management of chronic insomnia, especially in older adults at risk for complications associated with drug therapy. Various CBT options are available. The type of CBT used should be individualized depending upon the resident and resources available within the facility. Drug therapy can be added if CBT alone is ineffective. The next article in this series will discuss pharmacologic options to manage chronic insomnia.