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Current Edition

December 2015

Volume 1  Issue 3

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Research Article

Dementia Caregiver Depression: An Analysis of Meaning and Symptom Severity

La Tonya Noël*, Robert L. Glueckauf , Megan Deichen

This study explored differential symptom endorsement on the Patient Health Questionnaire-9 (PHQ-9), associated item severity ratings, and assessed the impact of item complexity on caregiver responses between two samples of family dementia caregivers: an African-American (n = 8) and a non-Hispanic White comparison group (n = 6). Semi-structured interviews were performed to explore patterns of endorsement and symptom interpretation. The two groups responded in substantially different ways on three of the nine PHQ-9 items.

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Original Article

Role of Predehydration as a Predictor of Dehydration: A Noninvasive Cross- Sectional Assessment of Elderly Individuals

Hideki Taniguchi*, Masuji Hattori, Tomoka Naruse, Sanae Matsuyama, Akemi Tanaka, Keiko Ushigome

Dehydration can be classified as either mild, moderate, or severe. However, elderly individuals can be affected by a milder state of dehydration that does not correspond to any of these classifications. Therefore, we hypothesized that a predehydration (PD) state exists in elderly individuals that cannot be identified using objective findings or subjective symptoms. Based on this hypothesis, we defined PD as a loss of bodily fluids accompanied by a serum osmotic pressure that is above the standard levels, based on hematological findings. According to the International Statistical Classification of Diseases and Related Health Problems (ICD) from the International Statistical Classification of Diseases, Injuries, and Causes of Death (ICD10-E87.0), hypertonic dehydration (hyperosmolality) is diagnosed as a serum osmotic pressure of >300 mOsm/kg H2O. In contrast, the standard levels for serum osmotic pressure are 275–292 mOsm/kg H2O.

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Research Article

Health Concerns of the Oldest Old: A Pilot Study

Kristen L. Mauk*, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, ACHPN, FAAN, Julie Brandy, PhD, RN, FNP-BC, CNE, Sara Garcia, DNP, RN, FNP, Anna Kennel, MSN, MSPH, RN, FNP, CCRM CME, Chantel Hendrix-Andersen, MSN, RN, FNP-BC

The fastest growing age group in America is adults aged 85 years and over. The number of adults in this age group is expected to continue to increase from 5.1 million (in 2012) to 14.1 million in 2040. This nearly triples the number of older Americans in the 85+ age group over the next couple of decades (United States Department of Health and Human Services, 2013) . This oldest old group has reported some positive changes in patterns of aging compared to past decades. A study was conducted to explore the current health concerns of the oldest old group. A convenience sample of 12 volunteers in Northwest Indiana, ages 85–99, with an average age of 89.4, was interviewed.

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