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The Influence Of Cancer On Falls In Community Dwelling Elderly, Sandra Spoelstra Dec 2008

The Influence Of Cancer On Falls In Community Dwelling Elderly, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Cancer survivors are living longer, and encounter physical, psychosocial, and economic impacts until the end of life. However studies examining whether a cancer diagnosis alters the rate of falls in elderly survivors are rare. This retrospective, longitudinal cohort study examined community dwelling elderly in a home based waiver program to identify if individuals with a diagnosis of cancer experience falls at a higher rate than those without cancer. The Minimum Data Set in a State in the Midwest was used to examine cancer, age, gender, race and ethnicity, poor vision, reduced ADLs, reduced IADLS, cognitive skill, incontinence, pain, or depression …


A Pilot Study To Test Interventions To Improve Adherence And Symptoms From Oral Agent(S), Sandra Spoelstra Dec 2008

A Pilot Study To Test Interventions To Improve Adherence And Symptoms From Oral Agent(S), Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: This pilot study makes important contributions to the new ONS research agenda priority by promoting and managing treatment adherence. If management of symptoms is shown to improve adherence to oral cancer mediations, this will link two concerns among oncology nurses, patient adherence to medication protocol and symptom management.
Problem & purpose: The purpose of this study was to assess the feasibility of accruing cancer patients who are undergoing treatment using oral chemotherapy to actively participate in a research project and to test an Automated Voice Response (AVR) system complemented by nurse strategies for more severe symptoms, to improve adherence …