2.50
Hdl Handle:
http://hdl.handle.net/10755/160540
Type:
Presentation
Title:
Acute Confusion and Depression in Sensory Impaired Rural Long-Term Care Elders
Abstract:
Acute Confusion and Depression in Sensory Impaired Rural Long-Term Care Elders
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Cacchione, Pamela
P.I. Institution Name:University of Iowa
Title:Postdoctoral Fellow
Contact Address:College of Nursing, 410 Nursing Building, Iowa City, IA, 52242, USA
Sensory Impairment, vision and/or hearing impairment, have been found to be antecedents for acute confusion and depression in the community and acute care. Very little is known about the relationship between sensory impairment, acute confusion and depression in rural long-term care elders. The purpose of this part of this epidemiological study was to evaluate the relationship between sensory impairment and the development of acute confusion and depression. Seventy-four rural long-term care elders were evaluated for vision and/or hearing impairment and then followed for 28 days for signs of acute confusion and depression. The Functional Consequences Theory was utilized for this study. Elders were screened for vision and hearing impairment with the Hearing Handicap Inventory for the Elderly- Screen, Whisper test, and Welch Alyn Handheld Audioscope, Rosenbaum Pocket Eye Chart, Amsler Grid and Visual Fields by confrontation. The resident's ears were also evaluated for the presence of cerumen impactions. The sample was predominantly Caucasian (100%) females (76%) with a mean age of 87.3. Over 75% of the elders had cerumen impactions, 35 (47%) had a hearing handicap based on the HHIE-S, 47 (64%) failed the whisper test, and 66 (89%) could not hear the tones at 40 dbls at 500 Hz. On the vision screening the 30 (40%) had 20/70 vision as their best corrected vision, 61 (82%) failed the Amsler Grid and 28 (38%) had visual field deficits. All cases of acute confusion were found to be both vision and hearing impaired. All cases of acute confusion were both hearing and vision impaired. Hearing and vision impairment were common among elders who scored depressed on the Geriatric depression scale. Based on the Confusion Assessment Method (Inouye, 1991) there were 16 cases of acute confusion. Based on the Geriatric Depression Scale (Yesavage, 1987) there were 24 cases of depression.
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.titleAcute Confusion and Depression in Sensory Impaired Rural Long-Term Care Eldersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160540-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Acute Confusion and Depression in Sensory Impaired Rural Long-Term Care Elders</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">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cacchione, Pamela</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Postdoctoral Fellow</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 410 Nursing Building, Iowa City, IA, 52242, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pamela-cacchione@uiowa.edu</td></tr><tr><td colspan="2" class="item-abstract">Sensory Impairment, vision and/or hearing impairment, have been found to be antecedents for acute confusion and depression in the community and acute care. Very little is known about the relationship between sensory impairment, acute confusion and depression in rural long-term care elders. The purpose of this part of this epidemiological study was to evaluate the relationship between sensory impairment and the development of acute confusion and depression. Seventy-four rural long-term care elders were evaluated for vision and/or hearing impairment and then followed for 28 days for signs of acute confusion and depression. The Functional Consequences Theory was utilized for this study. Elders were screened for vision and hearing impairment with the Hearing Handicap Inventory for the Elderly- Screen, Whisper test, and Welch Alyn Handheld Audioscope, Rosenbaum Pocket Eye Chart, Amsler Grid and Visual Fields by confrontation. The resident's ears were also evaluated for the presence of cerumen impactions. The sample was predominantly Caucasian (100%) females (76%) with a mean age of 87.3. Over 75% of the elders had cerumen impactions, 35 (47%) had a hearing handicap based on the HHIE-S, 47 (64%) failed the whisper test, and 66 (89%) could not hear the tones at 40 dbls at 500 Hz. On the vision screening the 30 (40%) had 20/70 vision as their best corrected vision, 61 (82%) failed the Amsler Grid and 28 (38%) had visual field deficits. All cases of acute confusion were found to be both vision and hearing impaired. All cases of acute confusion were both hearing and vision impaired. Hearing and vision impairment were common among elders who scored depressed on the Geriatric depression scale. Based on the Confusion Assessment Method (Inouye, 1991) there were 16 cases of acute confusion. Based on the Geriatric Depression Scale (Yesavage, 1987) there were 24 cases of depression.</td></tr></table>en_GB
dc.date.available2011-10-26T23:02:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:02:32Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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