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A descriptive-comparative study of medications used by older people prior to and following admission to a continuing care facility

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Open Journal of Nursing 2012年第1期2卷 8-14页

作者： Alysha Visram donna wilson Center for Health Promotion Studies School of Public Health University of Alberta Edmonton Canada Faculty of Nursing University of Alberta Edmonton Canada

Medications are beneficial for curing or managing acute and chronic illnesses. Medications typically have positive outcomes, although older people are prone to drug-related problems. Community-dwelling seniors are at particularly high risk of polypharmacy, as they tend to receive many prescriptions over time and from different care providers. Continuing-care facility admission presents an excellent opportunity for a comprehensive medication review. A research study was conducted to describe and compare medications taken by community-dwelling seniors prior to and following admission to a continuing-care facility. This pilot project involved data being gathered from the charts of deceased residents, as required by a University Health Research Ethics Board, who had been cared for at one large local continuing-care facility. The facility administrators also approved this study, in part to evaluate their policy to conduct a medication review for all new residents within six weeks of entry. This study revealed a slight but statistically significant reduction in the number of medications following this review. Other issues such as medication interactions and required dosage changes were addressed by this medication review. Although this study was confined to one continuing-care facility and a small number of residents, the findings suggest medication reviews would be beneficial upon admission to all continuing-care facilities, and annually perhaps through other means for older persons living in the community.

关键词： Polypharmacy Drug Interactions Older People Aging Nursing Homes Continuing Care Comparative Research

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Advance Directives in the Context of Uncertain Prognosis for Residents of Nursing Homes

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Open Journal of Nursing 2014年第4期4卷 321-329页

作者： Beryl E. Cable-Williams donna M. donna M. wilson Norah Keating Department of Human Ecology University of Alberta Edmonton Canada Faculty of Nursing University of Alberta Edmonton Canada Trent/Fleming School of Nursing Trent University Peterborough Canada

This report documents the findings of a mixed-methods study focused on the advanced directives of 182 residents of three LTC facilities in southern Ontario, Canada. Although almost all had a completed advance directive within 3 months of death, most did not have a palliative designation or directive until a few days before they died. Each facility’s written Progress Notes revealed staff members usually sought additional confirmation of care preferences from residents’ substitute decision-makers within a few days of the death. It was thus common for advance directives to change from a more interventionist approach to the least interventionist approach near death. This change indicates that the meaning and significance of advance care planning and resulting advance directives must be considered in light of the processes and temporal factors involved in their completion and use within this distinct population. The relational nature of advance care planning and concern about ageism as a factor for withholding or withdrawing life support for LTC residents are considered as possible explanatory factors. These findings and their implications are described in relation to end-of-life care policies and practices in LTC facilities.

关键词： Advance Care Planning Advance Directives Palliative Care Nursing Homes

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Adapting to the Physical Changes of Aging with COPD

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Advances in Aging Research 2015年第4期4卷 120-132页

作者： Gail Low donna wilson Michael Stickland Carolyn Ross Eric Wong Faculty of Nursing University of Alberta Edmonton Canada G. F. MacDonald Centre for Lung Health Covenant Health Edmonton Canada Division of Pulmonary Medicine University of Alberta Edmonton Canada

The prevalence of Chronic Obstructive Pulmonary Disease is growing, and people are living with this disease well into older age. Little is known about how people with Chronic Obstructive Pulmonary Disease adapt to aging, particularly the physical changes of aging. According to the Identity Process Theory, people are inclined to attribute age-related changes in physical functioning to a transitory state of health, but not their physical health or appearance. Attributing one’s physical functioning to aging itself makes people believe that they are physically “old” and enhances negative affect. We tested the Identity Process Theory using secondary physical functioning and physical health data collected from 87 pulmonary rehabilitation program participants with Chronic Obstructive Pulmonary Disease (age range = 47 - 82 years of age). Transient health states were participants’ 6-Minute Walk Distance and perceived breathlessness during a time-limited exercise test using the Borg Rating of Perceived Exertion Scale. Participants’ age-related changes in physical functioning were attributed to walk distances and their physical health to the physical changes of aging (X2 = 18.55, df = 10, p = 0.05;GFI = 0.95;RMSEA = 0.10). These attribution patterns were replicated in the Borg Rating of Perceived Exertion model (X2 = 13.34, df = 10, p = 0.21;GFI = 0.96;RMSEA = 0.06). The attributing of age-related changes in physical functioning to either transient health state circumvented their propensity for negative affect. Our findings are discussed in relation to maintaining physical functioning and general physical health promotion among Pulmonary Rehabilitation Program participants with Chronic Obstructive Pulmonary Disease.

关键词： Aging Physical Identity Pulmonary Rehabilitation COPD Mental Health

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Canadian provincial, territorial, and federal government aging policies: A systematic review

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Advances in Aging Research 2012年第2期1卷 38-46页

作者： donna Marie wilson Jane Osei-Waree Jessica Anne Hewitt Andrew Broad Faculty of Nursing University of Alberta Edmonton Canada

In most countries, population aging is becoming more evident now that the first members of the large babyboom cohort have reached 65 years of age. As an accelerating increase in the number of older persons and the proportion of the public aged 65 and older will now occur, planning for population aging has become ever more crucially important. A systematic review of Canadian provincial, territorial, and federal government documents was undertaken to search for the existence of population aging policies, and to determine the aims and other content of the most current policy documents. Documents were identified in all but two jurisdictions of Canada (two northern territories). Document developers, and the aims and content of the 14 reviewed documents varied considerably. Some similarities were identified, however, including some common stated purposes for these documents - to address current issues and challenges facing older people and to plan ahead for a preferred future with population aging.

关键词： Canada Systematic Review Population Aging Government Policy Social Policy

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如何在不卖掉公司的情况下变现

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商业周刊（中文版） 2023年第6期 65-67页

作者： donna wilson 程玺(译) 不详

坐在俄勒冈州波特兰市博蒙特-威尔郡附近中央车站面包房(Grand Central Bakery)外面,首席执行官克莱尔·兰德尔(Claire Randall)看着她的拿铁。“你看!”她指着泡沫中的罗塞塔图案说。在这家公司工作近30年后,她仍为咖啡师的技艺惊叹。

关键词：波特兰市首席执行官俄勒冈州兰德尔博蒙特克莱尔变现罗塞塔

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沿用黑人原始配方打造增长快速的烈酒巨头

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商业周刊（中文版） 2023年第16期 10-11页

作者： donna wilson 融汐(译) 不详

1864年,田纳西州一个名叫杰克·丹尼尔(Jack Daniel)的农场男孩开始酿造威士忌。在此过程中,他的师傅是一个名叫南森·格林(Nathan Green)的奴隶。那里的大多数人都称他的师傅为“Uncle Nearest”,后者在一个种植园里掌握了蒸馏的工艺... 详细信息

1864年,田纳西州一个名叫杰克·丹尼尔(Jack Daniel)的农场男孩开始酿造威士忌。在此过程中,他的师傅是一个名叫南森·格林(Nathan Green)的奴隶。那里的大多数人都称他的师傅为“Uncle Nearest”,后者在一个种植园里掌握了蒸馏的工艺。两人成为了朋友。美国废除奴隶制后,丹尼尔聘请格林经营他在林奇堡小镇上开的酿酒厂,格林在这个岗位上干了十多年。但在接下来的一个世纪里,尽管杰克丹尼成为了世界上最大的威士忌品牌之一,Nearest Green的名字却被人遗忘了。

关键词：威士忌酿酒厂 Green 种植园丹尼尔

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LTQ Orbitrap XL混合线性离子阱质谱仪对绿茶和红茶提取物的代谢组学分析

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中国食品 2012年第22期 82-85页

作者： donna L.wilson Charles Yang 赛默飞世尔科技

概述目的：展示完整的分析代谢组学工作流程,包括采用高分辨率准确质量数质谱仪配备高能碰撞解离（HCD）池,与高压LC联用技术进行数据采集（图1）;代谢物微分丰度分析;利用准确质量数和HCD碎片信息鉴定相关代谢物的结构,以区分绿茶和红... 详细信息

概述目的：展示完整的分析代谢组学工作流程,包括采用高分辨率准确质量数质谱仪配备高能碰撞解离（HCD）池,与高压LC联用技术进行数据采集（图1）;代谢物微分丰度分析;利用准确质量数和HCD碎片信息鉴定相关代谢物的结构,以区分绿茶和红茶成分的差别。方法：采用带HCD池的LTQ Orbitrap XL^（TM）分析绿茶和红茶提取物。

关键词： Accela^(TM) High Speed UHPLC SIEVE^(TM)软件高能碰撞解离(HCD) Mass Frontier^(TM)软件天然产物分析

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Barriers and facilitators to an outreach rehabilitation program delivered in nursing homes after hip fracture surgical repair

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Advances in Aging Research 2013年第1期2卷 43-50页

作者： donna M. wilson Sandra L. Robertson C. Allyson Jones D. W. C. Johnston Lauren A. Beaupre Department of Physical Therapy Faculty of Rehabilitative Medicine University of Alberta Edmonton Canada Department of Surgery Faculty of Medicine and Dentistry University of Alberta Edmonton Canada Faculty of Nursing University of Alberta Edmonton Canada

Objective: To identify and understand facilitators and barriers to implementing an Outreach rehabilitation program designed to improve post-operative recovery following hip fracture in long-term care residents. Residents of nursing home facilities are at considerable risk of hip fracture and minimal recovery following a hip fracture. Methods: Data were gathered over June-August, 2012 through semi-structured interviews or focus groups. Fifteen persons (n = 15) who were members of the Outreach rehabilitation team (n = 8) or relevant nursing home staff (n = 7) were interviewed. Data analysis was guided by principles of grounded theory method. Findings: Three major themes that contributed to or hindered the Outreach rehabilitation program emerged, namely, 1) the division, the separate operation and delivery of rehabilitation services;2) building bridges, or negotiating ways to communicate and work together, and 3) strength in the structure, the acceptance of the program and the perceived benefits of the program. One main challenge to program implementation con- cerned coordinating additional rehabilitation with the rehabilitation provided within the nursing homes. Facility staff was largely unaware of the program and were unprepared to work with Outreach team members. As the program progressed, the facility staff and Outreach team were able to collaborate to overcome resident health issues impeding recovery such as cognitive impairment, language barriers and post-surgical pain control needs. Facilitators included the consistency of Outreach team members and accessible facility staff, which contributed to effective communication and trust between the Outreach team and facility staff. Facilitators also included support for the program by the Outreach team and facility staff, as well as the potential benefits of improved mobility and functional status among some program recipients. Conclusion: Although planning, implementation, and delivery of an Outreach rehabilitation pr

关键词： Hip Fracture Rehabilitation Qualitative Research Nursing Homes Continuing Care

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这对姐妹打破葡萄酒业无形屏障

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商业周刊（中文版） 2023年第6期 67-67页

作者： donna wilson 程玺(译) 不详

麦克布莱德(McBride)姐妹几乎有一半的人生不知道彼此的存在。罗宾·麦克布莱德(Robin McBride)在美国加州长大,安德丽娅·麦克布莱德-约翰(Andréa McBride-John)在新西兰长大,两人直到1999年父亲去世后才相见。父亲的最后心愿就是找... 详细信息

麦克布莱德(McBride)姐妹几乎有一半的人生不知道彼此的存在。罗宾·麦克布莱德(Robin McBride)在美国加州长大,安德丽娅·麦克布莱德-约翰(Andréa McBride-John)在新西兰长大,两人直到1999年父亲去世后才相见。父亲的最后心愿就是找到女儿们,让她们知道彼此的存在。

关键词：葡萄酒业美国加州姐妹麦克新西兰相见

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Wong's nursing care of infants and children / senior consultant, donna L. Wong ; primary author, Marilyn J. Hockenberry ; section editors, David wilson, Marilyn L. Winkelstein, Nancy E. Kline. 7th ed.

Wong's nursing care of infants and children / senior consult...

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2003年

作者： senior consultant donna L. Wong primary author Marilyn J. Hockenberry section editors David wilson Marilyn L. Winkelstein Nancy E. Kline.

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