2.50
Hdl Handle:
http://hdl.handle.net/10755/163109
Category:
Abstract
Type:
Presentation
Title:
Have the Needs of the Community Living Frail Elderly Changed Over Time?
Author(s):
Hayes, Evelyn R.; Plowfield, Lisa Ann; Greggo, Elaine M.
Author Details:
Evelyn R. Hayes, PhD, APRN, BC, University of Delaware, Newark, Delaware, USA, email: erhayes@udel.edu; Lisa Ann Plowfield, PhD, RN; Elaine M. Greggo, NSN, APRN, BC-NURS
Abstract:
Purpose: The frail elderly are living longer and reaching for wellness as they try to maintain their independent community living for as long as possible. The purpose of this study was to compare the needs of frail elderly from the first five years to the needs of those in the past two years to determine if time has altered the expression of their needs. Theoretical Framework: This study utilizes the person-environment interaction and fit framework as all frail elders and their families in the dataset were comprehensively assessed for needs throughout the physical, psychological, health behaviors, and environmental domains. The Omaha System provided a framework for documentation of these domains at the individual and family level. Methods (Design, Sample, Setting, Measures, Analysis): Using a retrospective, secondary analysis design, this study compared and contrasted the documented needs and trends in needs of the frail elderly. The datasets included a total of 137 clients in the first 5 year cohort and 17 in the second cohort. Descriptive and statistical analysis allowed for comparisons between the two datasets. Results: Demographically, the sample of frail elders in the datasets were not significantly different. The needs that remained stable over time included high level difficulties with social contact and interpersonal relationships. In the most recent dataset (2005-2006), an increased number of frail elders had residential needs, greater difficulties with healthcare supervision (especially coordination of care and inconsistency in providers), and an increased difficulty accessing community resources. Conclusions and Implications: The major changes in the increased expression of family difficulties with coordinating community resources and meeting the healthcare needs of frail elders implies an increasing complexity of the healthcare system. An overall sense of social isolation, which has been stable over time, adds to the ability of frail elders to meet their own needs and further increases the difficulties of family members to assist their loved ones.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleHave the Needs of the Community Living Frail Elderly Changed Over Time?en_GB
dc.contributor.authorHayes, Evelyn R.en_US
dc.contributor.authorPlowfield, Lisa Annen_US
dc.contributor.authorGreggo, Elaine M.en_US
dc.author.detailsEvelyn R. Hayes, PhD, APRN, BC, University of Delaware, Newark, Delaware, USA, email: erhayes@udel.edu; Lisa Ann Plowfield, PhD, RN; Elaine M. Greggo, NSN, APRN, BC-NURSen_US
dc.identifier.urihttp://hdl.handle.net/10755/163109-
dc.description.abstractPurpose: The frail elderly are living longer and reaching for wellness as they try to maintain their independent community living for as long as possible. The purpose of this study was to compare the needs of frail elderly from the first five years to the needs of those in the past two years to determine if time has altered the expression of their needs. Theoretical Framework: This study utilizes the person-environment interaction and fit framework as all frail elders and their families in the dataset were comprehensively assessed for needs throughout the physical, psychological, health behaviors, and environmental domains. The Omaha System provided a framework for documentation of these domains at the individual and family level. Methods (Design, Sample, Setting, Measures, Analysis): Using a retrospective, secondary analysis design, this study compared and contrasted the documented needs and trends in needs of the frail elderly. The datasets included a total of 137 clients in the first 5 year cohort and 17 in the second cohort. Descriptive and statistical analysis allowed for comparisons between the two datasets. Results: Demographically, the sample of frail elders in the datasets were not significantly different. The needs that remained stable over time included high level difficulties with social contact and interpersonal relationships. In the most recent dataset (2005-2006), an increased number of frail elders had residential needs, greater difficulties with healthcare supervision (especially coordination of care and inconsistency in providers), and an increased difficulty accessing community resources. Conclusions and Implications: The major changes in the increased expression of family difficulties with coordinating community resources and meeting the healthcare needs of frail elders implies an increasing complexity of the healthcare system. An overall sense of social isolation, which has been stable over time, adds to the ability of frail elders to meet their own needs and further increases the difficulties of family members to assist their loved ones.en_GB
dc.date.available2011-10-27T11:01:24Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:01:24Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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