The effects of weighted vest walking and strength-training exercises on bone mineral density (BMD), balance, strength, and self-efficacy were tested in older women. Eighteen women, age 69.2 +/- 3.5 years, were randomly assigned to an exercise group (EG) (n = 9), or a sedentary control group (CG) (n = 9). The EG participated in 32 weeks (three 1-h sessions/week) of supervised strength training and walking, stair climbing, and balance exercises while wearing weighted vests. The CG did not exercise. All women took Ca2+ and vitamin D during the study period. Measures included 1) BMD of the hip and lumbar spine measured by dual-energy X-ray absorptiometry, 2) strength, 3) balance, and 4) scores on a self-efficacy instrument. The EG had significant improvements in bone density of the femoral neck and balance and a significant weight loss (P < 0.05). There were no changes in self-efficacy in either group.

As simulation technology is rapidly expanding, nursing programs are making large investments in this technology, which has great potential for undergraduate nursing programs. Unfortunately, this potential is underestimated and underused. With simulation technology, undergraduate students can gain and improve skills in a safe, non-threatening, experiential environment that also provides opportunities for decision making, critical thinking, and team building. This article describes how to use simulation technology to enhance undergraduate nursing education. The process for simulation technology instruction, leveling content from simple to complex, and faculty resources are discussed. An example of a simulation program is included.

Actigraphy has emerged as a valuable method for measuring natural sleep patterns; however, it is unclear how many consecutive nights should be measured and what sleep parameter values are typical of older adults. This study examined sleep in relatively healthy community-based older adults for 14 consecutive days. The findings present comparison values for Actiwatch-L actigraphy in older adults, and can be used to determine an appropriate length of measurement. When using means of the aggregate period, a 3-day aggregate is comparable to the values obtained over 7- or 14-day aggregates. However, if variability of the sleep parameter is of interest, a minimum of a 7-day aggregate is needed, and 14-day aggregates are better when measuring sleep onset latency.

Background-Nighttime activity, a common occurrence in persons with dementia, increases the risk for injury and unattended home exits, and impairs the sleep patterns of caregivers. Technology is needed that will alert caregivers of nighttime activity in persons with dementia to help prevent injuries and unattended exits.Methods-As part of a product development grant, a randomized pilot study was conducted to test the effectiveness of a new night monitoring system designed for informal caregivers to use in the home. Data from 53 subjects were collected at 9 points in time over a 12-month period regarding injuries and unattended home exits that occurred while the caregiver slept. Nighttime activity frequently resulted in nursing home placement.Results-The night monitoring system proved a reliable adjunct to assist caregivers in managing nighttime activity. A total of 9 events (injuries or unattended home exits) occurred during the study with 6 events occurring in the control group. Using intent-to-treat analysis, there was no difference between the groups. However, in a secondary analysis based on use of the intervention, experimental subjects were 85% less likely to sustain an event than control subjects.Conclusion-When nighttime activity occurred, it resulted in severe injuries sometimes associated with subsequent nursing home placement. The night monitoring system represents a new technology that caregivers can use to assist them in preventing nighttime injuries and unattended home exits in care recipients with dementia.