2.50
Hdl Handle:
http://hdl.handle.net/10755/159356
Type:
Presentation
Title:
Determining Orthostatic Changes among the Elderly
Abstract:
Determining Orthostatic Changes among the Elderly
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Heitman, Susan
Contact Address:2020 King, La Crosse, WI, 54601, USA
Co-Authors:Michelle M. Wolf; Stacey M. Boehm
Orthostatic hypotension (OH) places the elderly at-risk for falls and decreased activity. Yet standardization of time intervals for measurement of vital signs (VS) when determining OH is lacking. Purposes of the study were to: 1) determine the prevalence of OH among a select elderly sample, and 2) identify when changes in blood pressure, heart rate, and or s/sx of disruption of cerebral perfusion occur in this sample. The physiological framework guiding this study was based on the work of Lipsitz (1989), Robbins & Rubenstein (1984), and Schatz (1984). The volunteer sample consisted of 34 elderly religious Sisters (mean age of 81 years; SD=7) who were able to lie supine for five minutes, and stand for six minutes. Protocol for data collection included acquisition of VS and s/sx of decreased cerebral perfusion at five minutes supine, immediately upon standing, and at one-minute intervals for five minutes. The DINAMAPP R PRO 300 was used to record VS. OH was defined as having at least one of the following changes: decrease in SBP of 20 mmHg, decrease of DBP of 10 mmHg, increase in pulse by 20 BPM, or the presence of s/sx of decreased cerebral perfusion . Prevalence of OH among the sample was 61.7%. Results indicated that the majority of VS changes and s/sx of decreased cerebral perfusion occurred immediately upon standing. Eight subjects had VS changes indicative of OH but no s/sx of decreased cerebral perfusion, and 10 had s/sx of decreased cerebral perfusion but no change in VS. Identification of those with OH is the first step in addressing this problem. Findings support that orthostatic VS include measurement of BP, pulse, and assessment of s/sx of decreased cerebral perfusion be measured after five minutes in a supine position, and then immediately upon standing. Replication of this research is necessary. AN: 030012
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDetermining Orthostatic Changes among the Elderlyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159356-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Determining Orthostatic Changes among the Elderly</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Heitman, Susan</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2020 King, La Crosse, WI, 54601, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Michelle M. Wolf; Stacey M. Boehm</td></tr><tr><td colspan="2" class="item-abstract">Orthostatic hypotension (OH) places the elderly at-risk for falls and decreased activity. Yet standardization of time intervals for measurement of vital signs (VS) when determining OH is lacking. Purposes of the study were to: 1) determine the prevalence of OH among a select elderly sample, and 2) identify when changes in blood pressure, heart rate, and or s/sx of disruption of cerebral perfusion occur in this sample. The physiological framework guiding this study was based on the work of Lipsitz (1989), Robbins &amp; Rubenstein (1984), and Schatz (1984). The volunteer sample consisted of 34 elderly religious Sisters (mean age of 81 years; SD=7) who were able to lie supine for five minutes, and stand for six minutes. Protocol for data collection included acquisition of VS and s/sx of decreased cerebral perfusion at five minutes supine, immediately upon standing, and at one-minute intervals for five minutes. The DINAMAPP R PRO 300 was used to record VS. OH was defined as having at least one of the following changes: decrease in SBP of 20 mmHg, decrease of DBP of 10 mmHg, increase in pulse by 20 BPM, or the presence of s/sx of decreased cerebral perfusion . Prevalence of OH among the sample was 61.7%. Results indicated that the majority of VS changes and s/sx of decreased cerebral perfusion occurred immediately upon standing. Eight subjects had VS changes indicative of OH but no s/sx of decreased cerebral perfusion, and 10 had s/sx of decreased cerebral perfusion but no change in VS. Identification of those with OH is the first step in addressing this problem. Findings support that orthostatic VS include measurement of BP, pulse, and assessment of s/sx of decreased cerebral perfusion be measured after five minutes in a supine position, and then immediately upon standing. Replication of this research is necessary. AN: 030012</td></tr></table>en_GB
dc.date.available2011-10-26T21:56:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:56:21Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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