2.50
Hdl Handle:
http://hdl.handle.net/10755/161375
Type:
Presentation
Title:
Elders at risk: Setting priorities for community intervention
Abstract:
Elders at risk: Setting priorities for community intervention
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Williams, Kathleen, PhD, RN
Title:Assistant Professor
Contact Address:CON, P.O. Box 5190, Kent, OH, 44242-0001, USA
Community health agencies are increasingly committed to delaying or preventing the need for nursing home placement for the growing cohort of older adults. Purpose: The purpose of the study was to contribute to program creation and focus by identify the demographic and functional characteristics that are the strongest predictors of nursing home dwelling. Method: This was an exploratory study of older adults (N=2851) receiving publicly funded long term care services in one county in a metropolitan area. A data set of older adult assessments completed by the agency’s registered nurses or licensed social workers between 1/97 and 1/2000 were included in the study. Measures of central tendency and dispersion, analysis of variance and stepwise logistic regression analysis were employed during the statistical analysis of the data. Findings: Females represented seventy-six percent (2168), while 23.9% (682) were males. The age range was 60.1-103.5 years with mean of 80.8 years. The data set contained 2550 (89.4%) community dwellers, 172 (6.0%) assisted living dwellers and 129 (4.6%) nursing home dwellers. When demographic, functional and cognitive characteristics were subjected stepwise logistic regression techniques (entry criteria p<.05 and removal criteria p>.10) the need to have a helper present for toileting and transferring, long term memory loss and bowel incontinence increased the odds of receiving services within the confines of a nursing home, the presence of an informal caregiver and advanced age reduced the odds of nursing home dwelling. Practice Significance: The findings support program interventions that support existing social resources and the creation of novel resources for the older adult in the community. Additionally, nursing has opportunity and challenge of actively engaging in the prevention of conditions that have catastrophic impact on mobility. Equally important is nursing's aggressive, creative engagement using technologies to develop techniques and environments for restoration and mitigation of functional limitation in a community setting.
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.titleElders at risk: Setting priorities for community interventionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161375-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Elders at risk: Setting priorities for community intervention</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">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Williams, Kathleen, PhD, RN</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">CON, P.O. Box 5190, Kent, OH, 44242-0001, USA</td></tr><tr><td colspan="2" class="item-abstract">Community health agencies are increasingly committed to delaying or preventing the need for nursing home placement for the growing cohort of older adults. Purpose: The purpose of the study was to contribute to program creation and focus by identify the demographic and functional characteristics that are the strongest predictors of nursing home dwelling. Method: This was an exploratory study of older adults (N=2851) receiving publicly funded long term care services in one county in a metropolitan area. A data set of older adult assessments completed by the agency&rsquo;s registered nurses or licensed social workers between 1/97 and 1/2000 were included in the study. Measures of central tendency and dispersion, analysis of variance and stepwise logistic regression analysis were employed during the statistical analysis of the data. Findings: Females represented seventy-six percent (2168), while 23.9% (682) were males. The age range was 60.1-103.5 years with mean of 80.8 years. The data set contained 2550 (89.4%) community dwellers, 172 (6.0%) assisted living dwellers and 129 (4.6%) nursing home dwellers. When demographic, functional and cognitive characteristics were subjected stepwise logistic regression techniques (entry criteria p&lt;.05 and removal criteria p&gt;.10) the need to have a helper present for toileting and transferring, long term memory loss and bowel incontinence increased the odds of receiving services within the confines of a nursing home, the presence of an informal caregiver and advanced age reduced the odds of nursing home dwelling. Practice Significance: The findings support program interventions that support existing social resources and the creation of novel resources for the older adult in the community. Additionally, nursing has opportunity and challenge of actively engaging in the prevention of conditions that have catastrophic impact on mobility. Equally important is nursing's aggressive, creative engagement using technologies to develop techniques and environments for restoration and mitigation of functional limitation in a community setting.</td></tr></table>en_GB
dc.date.available2011-10-26T23:20:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:20:21Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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