2.50
Hdl Handle:
http://hdl.handle.net/10755/157213
Type:
Presentation
Title:
Elder's Views of Health Care Provider Advice on Normal and Low Weight
Abstract:
Elder's Views of Health Care Provider Advice on Normal and Low Weight
Conference Sponsor:Western Institute of Nursing
Conference Year:2006
Author:Martin, Carolyn, RN, MS, CFNP, PhDc
P.I. Institution Name:University of California - San Francisco
Title:PhD Candidate
Contact Address:6219 Embarcadero, Stockton, CA, 95219, USA
Co-Authors:Jeanie Kayser-Jones, RN, PhD, FAAN and Erika S. Froelicher, RN, PhD, FAAN
Background: Unintentional weight loss in the older adult leads to increased risk for additional health problems, loss of independence, functional decline, and often institutionalization. Maintaining a healthy weight decreases length and number of hospitalizations, early admission into nursing homes, and health care cost for older adults Low weight is preventable and therefore appropriate management strategies are needed to assist older adults in achieving and maintaining normal weight goals. Purposes: The purpose of this study is to examine the low weight, community-dwelling, older adult's understanding and implementation of recommendations for weight stabilization given to them by their health care provider (HCP). Sample: Written consent was obtained from 130 older adults (age 65 and older) who live independently in three counties in Central California. All were cognitively intact (Folstein Mini-Mental Exam score > 23) and had a body mass index (BMI) of <24. Mean age was 78 (SD 7.6); with 54% female and 45% male; 84% were Caucasian with 10% Hispanic and African American. Methods: In-home interviews, using open-ended questions, were conducted and analyzed using content analysis. Instruments included a geriatric depression and cognitive status scale, and a nutritional screening and assessment. Anthropometric measurement included: weight, height, mid-arm circumference, triceps skinfold, and body mass index. Subjects were recruited from HCP offices, three Veterans Administration (VA) outpatient clinics, senior centers, and by snowball effect. Results: Four percent reported receiving information from their HCP on normal and low weight for their age. Thirty four percent report that they would visit a HCP if they lost weight and had difficulty stabilizing the weight loss. Only 22% (n=28) reported knowing what a normal weight is for their age and even less (2%, n=2) reported knowledge of what low weight is for their age. Fifty percent (n=68) were satisfied with their current weight and 34% (n=44) believed they should lose more. Conclusions: The majority of the subjects were unaware that they were at-risk for poor nutritional status and low weight. Since most community-living older adults do not know what normal or low weight is for their age, they may benefit from information on appropriate weight for an older person (age 65 and older). Health care provider's advice on normal and low weight ranges for the older adult must be included in strategies to avoid poor nutritional health in this population. Funding Support: This study is funded through a National Institute of Nursing Research grant, 1 F31 NR09165-01.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleElder's Views of Health Care Provider Advice on Normal and Low Weighten_GB
dc.identifier.urihttp://hdl.handle.net/10755/157213-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Elder's Views of Health Care Provider Advice on Normal and Low Weight</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Martin, Carolyn, RN, MS, CFNP, PhDc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California - San Francisco</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">PhD Candidate</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">6219 Embarcadero, Stockton, CA, 95219, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">carolyn.martin@ucsf.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jeanie Kayser-Jones, RN, PhD, FAAN and Erika S. Froelicher, RN, PhD, FAAN</td></tr><tr><td colspan="2" class="item-abstract">Background: Unintentional weight loss in the older adult leads to increased risk for additional health problems, loss of independence, functional decline, and often institutionalization. Maintaining a healthy weight decreases length and number of hospitalizations, early admission into nursing homes, and health care cost for older adults Low weight is preventable and therefore appropriate management strategies are needed to assist older adults in achieving and maintaining normal weight goals. Purposes: The purpose of this study is to examine the low weight, community-dwelling, older adult's understanding and implementation of recommendations for weight stabilization given to them by their health care provider (HCP). Sample: Written consent was obtained from 130 older adults (age 65 and older) who live independently in three counties in Central California. All were cognitively intact (Folstein Mini-Mental Exam score &gt; 23) and had a body mass index (BMI) of &lt;24. Mean age was 78 (SD 7.6); with 54% female and 45% male; 84% were Caucasian with 10% Hispanic and African American. Methods: In-home interviews, using open-ended questions, were conducted and analyzed using content analysis. Instruments included a geriatric depression and cognitive status scale, and a nutritional screening and assessment. Anthropometric measurement included: weight, height, mid-arm circumference, triceps skinfold, and body mass index. Subjects were recruited from HCP offices, three Veterans Administration (VA) outpatient clinics, senior centers, and by snowball effect. Results: Four percent reported receiving information from their HCP on normal and low weight for their age. Thirty four percent report that they would visit a HCP if they lost weight and had difficulty stabilizing the weight loss. Only 22% (n=28) reported knowing what a normal weight is for their age and even less (2%, n=2) reported knowledge of what low weight is for their age. Fifty percent (n=68) were satisfied with their current weight and 34% (n=44) believed they should lose more. Conclusions: The majority of the subjects were unaware that they were at-risk for poor nutritional status and low weight. Since most community-living older adults do not know what normal or low weight is for their age, they may benefit from information on appropriate weight for an older person (age 65 and older). Health care provider's advice on normal and low weight ranges for the older adult must be included in strategies to avoid poor nutritional health in this population. Funding Support: This study is funded through a National Institute of Nursing Research grant, 1 F31 NR09165-01.</td></tr></table>en_GB
dc.date.available2011-10-26T19:40:10Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:40:10Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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