RESUMO
PURPOSE: The purpose of this study was to examine differences, interactions, and associations among cognition, fluid intake, and demographic variables that may affect length of stay (LOS) for psychogeriatric inpatients aged 65 years or older. DESIGN AND METHODS: Descriptive, comparative, correlational secondary analysis of data from a primary study of 202 inpatients. FINDINGS: Older adults with and without cognitive impairment had different fluid intake over time (F = 3.50; p = .03), but had no difference in LOS in relation to cognitive functioning (p = .23); additional factors may predict LOS. PRACTICE IMPLICATIONS: Care providers must monitor the fluid intake of elderly patients with and without cognitive impairment throughout their hospitalization.
Assuntos
Envelhecimento/fisiologia , Bebidas , Transtornos Cognitivos/fisiopatologia , Tempo de Internação/estatística & dados numéricos , Transtornos Mentais/terapia , Equilíbrio Hidroeletrolítico , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Unidade Hospitalar de PsiquiatriaRESUMO
The purpose of this study was to determine the impact of a genomic educational session by measuring participants' application of the class content to their nursing care. A sample of 65 psychiatric nurses participated in a staff development activity and completed a survey. Every respondent reported use of a genomic assessment or intervention with a patient from their clinical practice. The mean use of genomic assessment and intervention items was 5.5 out of the possible 10 which were identified and described in the educational session, providing evidence that nurses are able to include genomic assessments and interventions when caring for a patient with a psychiatric disorder.
Assuntos
Genômica/educação , Recursos Humanos de Enfermagem Hospitalar/educação , Enfermagem Psiquiátrica/organização & administração , Desenvolvimento de Pessoal/organização & administração , Estudos Transversais , Educação Continuada em Enfermagem , Humanos , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários , Estados UnidosRESUMO
We investigated the psychometric validity and reliability of the Suicide Status Form-II (SSF-II) developed by Jobes, Jacoby, Cimbolic, and Hustead (1997). Participants were 149 psychiatric inpatients (108 suicidal; 41 nonsuicidal) at the Mayo Clinic. Each participant completed assessment measures within 24 hours of admission and 48-72 hours later. Factor analyses of the SSF core assessment produced a robust two-factor solution reflecting chronic and acute response styles. The SSF core assessment had good to excellent convergent and criterion validity; pre-post SSF ratings also demonstrated moderate test-retest reliability. The results replicated previous research and show that the SSF-II is psychometrically sound with a high-risk suicidal inpatient sample.
Assuntos
Transtornos Mentais/psicologia , Admissão do Paciente , Inventário de Personalidade/estatística & dados numéricos , Tentativa de Suicídio/psicologia , Suicídio/psicologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/estatística & dados numéricos , Reprodutibilidade dos Testes , Medição de Risco , Tentativa de Suicídio/prevenção & controle , Adulto Jovem , Prevenção do SuicídioRESUMO
Dehydration negatively impacts geriatric hospitalization outcomes. The purpose of this study was to investigate the hydration status of psychogeriatric inpatients and explore possible factors for dehydration. A descriptive, retrospective chart review of patients discharged from a psychogeriatric unit was completed. Clinical and biochemical information was collected at three time points (admission, mid-point, and discharge). Results were consistent with clinical observations that less hydrated patients seem to do worse clinically. It is important to closely monitor hydration status in psychogeriatric inpatients to reduce morbidity. Further studies are needed to develop strategies to prevent dehydration and its complications in this population.
