An Enhanced Actualized Dnp Model To Improve Dnp Project Placements, Rigor, And Completion: A Research Brief, Marie Vanderkooi, Dianne Conrad, Sandra Spoelstra
Jun 2019
An Enhanced Actualized Dnp Model To Improve Dnp Project Placements, Rigor, And Completion: A Research Brief, Marie Vanderkooi, Dianne Conrad, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Doctor of nursing practice (DNP) projects are summative evaluations of enactment of the DNP Essentials. However, information about structure, process, and outcomes of DNP projects is scarce. Guided by an enhanced actualized DNP model, this study tested the effect of a PhD-DNP-site mentor model to guide DNP projects. Time-to-complete assignments, defense, and graduation improved; high satisfaction for students, mentors, and faculty were found; and a strengthened academic-practice partnership occurred, leading to additional student placements. Broader testing of the enhanced model in various size and types of academic-practice settings is needed prior to use.
Development Of An Index To Predict Risk Of Nursing Home Placement For Home And Community-Based Waiver Participants, Sandra L. Spoelstra, Charles W. Given
Jun 2016
Development Of An Index To Predict Risk Of Nursing Home Placement For Home And Community-Based Waiver Participants, Sandra L. Spoelstra, Charles W. Given
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Nursing home placement (NHP) is costly, and the majority of older adults prefer to remain living in the community. The purpose of this research was to examine NHP among a cohort of participants in a home and community-based waiver program during 2002 to 2007 to develop a risk model for predicting who may transition to a nursing home. Methods: This longitudinal study was conducted on data from the minimum data set-home for care linked with medicaid claim files and death certificates. The sample included 6525 participants who had two assessments and survived through 2007 or had NHP. A risk index …
A Qualitative Study Of Role Transition From Rn To Apn, Sandra L. Spoelstra, Lorraine B. Robbins
Jun 2016
A Qualitative Study Of Role Transition From Rn To Apn, Sandra L. Spoelstra, Lorraine B. Robbins
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Role transition from registered nurse to advanced practice nurse is a difficult process. A qualitative thematic analysis guided the integration of various experiences of 24 students in a twocredit, web-based role development course in a Master’s of Science in Nursing program at a large Midwestern university. Findings supported that students had developed an understanding of the core competencies and complexity of the advanced practice nurse role, and that beginning role transition had occurred. An overarching theme, ‘the essence of nursing’ was evident. Three subthemes supported the occurrence of role transition, which included the importance of: a) building a framework for …
How Increasing Personal Care Service Might Delay Or Prevent Nursing Home Placement, Sandra L. Spoelstra, Charles W. Given, Tracy Dekoekkoek, Monica Schueller
Jun 2016
How Increasing Personal Care Service Might Delay Or Prevent Nursing Home Placement, Sandra L. Spoelstra, Charles W. Given, Tracy Dekoekkoek, Monica Schueller
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
There is a pressing need to retain dually eligible elderly Medicare and Medicaid beneficiaries in the community. The objective of this study was to examine median personal care services (PCS) hours, and how increasing PCS to the median (for those below), might delay nursing home placement (NHP) and save cost. Methods: Retrospective study of PCS hours, costs, and NHP in a statewide home and community based waiver program in the Midwest serving 6525 dually eligible Medicare-Medicaid beneficiaries aged 65 and older. Two Minimum Data Set-Home Care assessments and Medicaid claim files were examined to identify PCS hours and cost. A …
Translating Capable To Micapable In A State Waiver Program: Community Aging In Place For Better Elderly Living, Sandra Spoelstra
Nov 2015
Translating Capable To Micapable In A State Waiver Program: Community Aging In Place For Better Elderly Living, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Poster Presentation
Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra
Dec 2014
Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: When taking oral anti-cancer agents (OAs), patients need to manage symptoms so that they do not become so severe that it leads to reducing or stopping the medication, rendering the cancer treatment ineffective.
Problem & Purpose: Cancer rates are increasing, as is the number of cancer patients treated with OAs. Therapeutic effect of the cancer treatment may depend on medication adherence. The purpose of this paper is to report on proof-of-concept and preliminary efficacy of a mHealth intervention using text messages to improve symptom management and medication adherence among cancer patients prescribed OAs.
Framework: Principles of Self-Efficacy …
Proof-Of-Concept And Preliminary Efficacy Of A Sms Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents: A Randomized Controlled Trial, Sandra Spoelstra
Dec 2014
Proof-Of-Concept And Preliminary Efficacy Of A Sms Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents: A Randomized Controlled Trial, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: Cancer rates are increasing, as is the number of cancer patients treated with oral anti-cancer agents (OAs). Therapeutic effects may depend on medication adherence. The purpose of this study was to determine proof-of-concept of SMS text messaging intervention among cancer patients prescribed OAs and examined preliminary efficacy of SMS for symptom management and OA adherence.
Conceptual Framework: Self-Efficacy Theory directed heightening self-efficacy to promote adherence and symptom management.
Method:Patients (N=80) enrolled inalongitudinal randomized controlled trial at two community cancer centers and a large specialty pharmacy. Data on adherence and symptoms were collected weekly …
Assessment And Measurement Of Medication Adherence: Ons Pep Oral Anti-Cancer Agents, Sandra Spoelstra
Dec 2014
Assessment And Measurement Of Medication Adherence: Ons Pep Oral Anti-Cancer Agents, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: Oral anti-cancer agent (OA) adherence is often sub-optimal and may influence cancer treatment success. Clinicians are challenged to find ways to assess and measure adherence to OAs.
Problem & Purpose: When assessing and measuring OA adherence, it is essential to evaluate the timing, dosage, frequency, and duration of the regimen. The purpose of this paper is to report on the Oncology Nursing Society (ONS) Putting Evidence Into Practice (PEP) initiative to examine tools to assess and measure medication adherence.
Framework: Not applicable.
Methods: A review of the literature on tools using MEDLINE, the National Library of …
Ons Pep Putting Evidence Into Practice: Evidence-Based Interventions For Oral Anti-Cancer Agents, Sandra Spoelstra
Dec 2014
Ons Pep Putting Evidence Into Practice: Evidence-Based Interventions For Oral Anti-Cancer Agents, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: Adherence to oral anti-cancer agents is a significant clinical problem among patients who are very sick with a life threatening disease and may have a substantial impact on treatment success or failure.
Problem & Purpose: The limited evidence available suggests that adherence to oral anti-cancer agents is a significant clinical problem and may have a substantial impact on treatment success or failure. The purpose of this paper is to report on the Oncology Nursing Society (ONS) Putting Evidence Into Practice (PEP) initiative, a comprehensive examination of the current literature was conducted to identify effective interventions for patients prescribed …
Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra
Dec 2014
Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: When taking oral anti-cancer agents (OAs), patients need to manage symptoms so that they do not become so severe that it leads to reducing or stopping the medication, rendering the cancer treatment ineffective.
Problem & Purpose: Cancer rates are increasing, as is the number of cancer patients treated with OAs. Therapeutic effect of the cancer treatment may depend on medication adherence. The purpose of this paper is to report on proof-of-concept and preliminary efficacy of a mHealth intervention using text messages to improve symptom management and medication adherence among cancer patients prescribed OAs.
Framework: Principles of Self-Efficacy …
Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra
Nov 2014
Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Symposium Presentation
The Symptom Experience While Taking Oral Anti-Cancer Medication (Chemotherapy Or Targeted Agents), Sandra Spoelstra
Dec 2013
The Symptom Experience While Taking Oral Anti-Cancer Medication (Chemotherapy Or Targeted Agents), Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Background: Over 50-oral agents are on the market, and within three years, 25% of treatment will be in pill form, shifting the responsibility for symptom management to the patients. Symptoms need to be managed so they do not become so severe that it leads to reducing or stopping the medication, potentially rendering the cancer treatment ineffective. A gap in the literature exists, with no studies reporting the symptom experience of patients taking oral agents. Prior to developing interventions for patients at home setting on oral agents, we need to determine if symptoms are similar to those treated with IV chemotherapy. …
Symptom Attribution Of Older Cancer Patients With Comorbid Conditions During Chemotherapy Treatment, Sandra Spoelstra
Dec 2013
Symptom Attribution Of Older Cancer Patients With Comorbid Conditions During Chemotherapy Treatment, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Background:Over 60% of those who are diagnosed with cancer are older adults, and 75% have comorbid conditions. 15% of cancer treatment is now in pill form; and it is expected to grow to 25% within 3-years. Having comorbid conditions in addition to cancer may exacerbate symptom severity. As a consequence of these symptoms, some patients adjust, interrupt, or stop dosages of the oral agent, which may affect cancer treatment.
Purpose: This study describes the attribution of symptoms (fatigue, pain, numbness/tingling, sleep disturbance, diarrhea, distress, swelling in hands/feet, lack of appetite, constipation, shortness of breath, redness/swelling/pain in hands or …
Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra
Dec 2013
Acceptability And Preliminary Efficacy Of A Sms Text Message Intervention In Older Cancer Patients, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
With 68% of adults owning cell phones, text messaging (herein, SMS) may be a means to prompt self-management. A 10-week trial of a 4-week SMS intervention enrolled 80 patients from 2 cancer centers and a specialty pharmacy. Regarding acceptability, 56.3% (80/142) of eligible consented. Mean age of consented was 58.5 (range 39-82); eligible not consented 57.24 (range 32-92); and ineligible 63.6 (range 26-82). Of 142 approached, consent rate according to age was: 60% (27 of 45) for those 65+; 53% (35 of 66) for those 50-64; and 58.1% (18 of 31) for those <50. Females represented 59% (n=47) of consented, …
Translating Evidence-Based Care In A State Waiver Program To Reduce Transitions, Sandra Spoelstra
Dec 2013
Translating Evidence-Based Care In A State Waiver Program To Reduce Transitions, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Disability reflects a gap between an individual’s abilities and the environment in which they function, and is the primary modifiable factor in preventing institutionalization. We report on a pilot study testing dissemination and implementation of a proven intervention, intervening directly on pain, medication management, strength and balance, depression and the home environment, in the State of Michigan waiver program to reduce re-institutionalization. We are enrolling 20 clients who were hospitalized or nursing home within the past 14-days, and providing the intervention plus usual waiver services. We will compare those 20 to a match (age, race, gender) cohort from 2012 who …
An Intervention To Improve Adherence And Symptoms For Oral Oncolytics, Sandra Spoelstra
Dec 2012
An Intervention To Improve Adherence And Symptoms For Oral Oncolytics, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Background. The use of oral chemotherapy agents to treat cancer has increased. Patients are responsible for adhering to complex dosing regimens, while monitoring and managing symptoms from side effects of the chemotherapy at home.
Objective. This study examined an intervention to manage symptoms and promote adherence to oral chemotherapy agents.
Intervention and Methods. A 3 group exploratory pilot study determined how an Automated Voice Response (AVR) system alone (N=40), or the AVR with strategies to manage symptoms and adherence (N=40), or the AVR with strategies to manage adherence (N=39) reduced symptom severity and improved adherence. Participants received a …
Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra
Dec 2012
Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
BACKGROUND
More than 50 oral chemotherapy agents in pill form are on the market, with projections that in 3 years, 25% of cancer treatment will be in pill form. For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. However, adherence is often less than 80%, which may be inadequate for treating the cancer. There are more than 285 million wireless subscribers in the US with an estimated 67.5% of adults owning cell phones and 98% of those phones having text messaging capability. A recent review of 12 trials on interventions …
Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra
Dec 2012
Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: Patients with cancer miss as much as one-third of the prescribed doses of oral anti-cancer agents required for treatment of their disease.
Problem & Purpose: This shift in treatment results in care at home, placing responsibility on patients. This review will discuss the foundation for developing a combined motivational interviewing (MI) and brief cognitive behavioral therapy (CBT) intervention and will examine evidence on MI/CBT interventions that improved adherence.
Framework: Not applicable.
Methods: Whittemore and Knafl’s review method was used, identifying studies via a search in CINAHL and PubMed using key words of MI/CBT; and reviewing of references.
Findings: 2822 …
Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra
Dec 2012
Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: When taking oral agents, patients need to manage symptoms so that they do not become so severe that it leads to decreased function and difficulty with activities of daily living, and reducing or stopping the medication, rendering the cancer treatment ineffective.
Problem & Purpose: Over fifty oral anti-cancer agents are currently on the market, and within three years, 25% of treatment will be delivered in pill form, shifting treatment to the responsibility of patients. This study describes symptoms from oral agents, attribution of symptoms, and preference for assistance.
Framework: Not applicable.
Methods: Thirty cancer patients taking …
Text Messaging To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra
Dec 2012
Text Messaging To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: A review of oral agent studies indicates less than an 80% rate of adherence; and 10% of those newly prescribed oral agents stop taking their medication. Lack of adherence to oral anti-cancer agents is a significant clinical problem that may result in treatment failure, hospitalization, loss of work, and, in some instances, death.
Problem & Purpose: Treatment is primarily the responsibility of patients who are prescribed oral agents. This review will discuss the foundation for developing a text message intervention and will examine evidence on text message interventions that improved adherence.
Framework: Not applicable.
Methods: Whittemore and …
Development Of A Risk Index To Predict Transfers From Home And Community-Based Waiver Programs To Nursing Homes: Can Care Managers Assist Older Adults To Delay Nursing Home Placement?, Sandra Spoelstra
Dec 2012
Development Of A Risk Index To Predict Transfers From Home And Community-Based Waiver Programs To Nursing Homes: Can Care Managers Assist Older Adults To Delay Nursing Home Placement?, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Purpose: This research examines the risk of nursing home placement (NHP) among an inception cohort of 6525 older adults entering a statewide home and community-based waiver program between 2002—2007.
Background: With adults aged 65 and older currently comprising 15% of the population and growing exponentially, concern is mounting as to how to care for this group. It will be important to deliver high-quality care tailored to the needs of clients in order to allow these individuals to remain living in the community. Most older adults prefer to remain in their homes but are forced to transfer to NHs because …
A Multi-Disciplinary Collaboration To Promote Adherence In Cancer Patients Taking Oral Agent Medications, Sandra Spoelstra
Dec 2012
A Multi-Disciplinary Collaboration To Promote Adherence In Cancer Patients Taking Oral Agent Medications, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Problem and State of the Science: Over 50 oral agents in pill form are currently on the market, with projections that in three years, 25% of cancer treatment will be delivered in pill form with patients assuming responsibility for self-management at home. For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. Adherence to oral cancer agents is often less than 80%, which may be inadequate for treating the cancer. Many barriers exist to promoting medication adherence for cancer patients in fast-paced office settings. This include time demands, focusing on physical …
Determining Preferences For Symptom Management Assistance While Taking Oral Anti-Cancer Agent Pills, Sandra Spoelstra
Dec 2012
Determining Preferences For Symptom Management Assistance While Taking Oral Anti-Cancer Agent Pills, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Nearly 50 oral anti-cancer agents are on the market, and it’s projected that in 3 years, 25% of chemotherapy will be delivered in pill form. Thus, patients must take responsibility for managing symptoms at home. This was an 8-week exploratory study of cancer patients on oral agents from 3 cancer centers in the Midwest. Baseline interviews collected characteristics, type/stage of cancer, symptoms, and comorbid conditions. Patients were asked preference for information to help manage symptoms. Mean age was 65.2 years, 50% were Female, 87% Caucasian and 13% African American. Preference for obtaining symptom management information included: 37% phone calls, 27% …
Fall Prevention In Hospitals: An Integrative Review, Sandra Spoelstra
Dec 2011
Fall Prevention In Hospitals: An Integrative Review, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Purpose:This article summarize research and draws overall conclusions from the body of literature on fall prevention interventions to provide nurse administrators with a basis for developing evidence-based fall prevention programs in the hospital setting.Method: Data were obtained from published studies. Thirteen articles were retrieved that focused on fall interventions in the hospital setting. An analysis was performed based on levels of evidence using an integrative review process. Results: Multifactoral fall prevention intervention programs that included fall risk assessments, door/bed/patient fall risk alerts, environmental and equipment modifications, staff and patient safety education, medication management targeted to specific types, and …
Can Nursing Home Transfer Be Delayed If Home And Community-Based Waiver Personal Care Services Are Increased?, Sandra Spoelstra
Dec 2011
Can Nursing Home Transfer Be Delayed If Home And Community-Based Waiver Personal Care Services Are Increased?, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
There is a pressing need to retain the dually eligible elderly in the community.This research compared the use and cost of personal care services (PCS) and nursing home placement (NHP) among 7302 older adults aged 65 and older in a statewide home and community-based waiver program. A model was developed to estimate costs of increased PCS to compare savings associated with remaining the community versus NHP. The second to last and last Minimum Data Set-Home Care assessments and Medicaid claims files were examined. Median hours of PCS and savings based on average cost were calculated. Median hours of PCS were …
Patient Beliefs And Their Influence On Adherence To Oral Anti-Cancer Agents, Sandra Spoelstra
Dec 2011
Patient Beliefs And Their Influence On Adherence To Oral Anti-Cancer Agents, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: To focus clinicians on what to address with patients on oral agents to promote adherence.
Problem & Purpose: With increased use of oral anti-cancer agents, patients are responsible for adhering to complex regimens. The aim of this study was to explore beliefs about oral anti-cancer agents and describe how those beliefs were associated with adherence to the regimens among 119 solid tumor cancer patients taking oral agent regimens.
Framework: The trial assessed beliefs about oral anti-cancer agents and used a cognitive behavioral model to compare the impact of: usual care with strategies to manage symptoms and adherence, …
Do Elderly Cancer Survivors Have More Pain? A Comparison Of Cancer Survivors To Those Without Cancer, Sandra Spoelstra
Dec 2011
Do Elderly Cancer Survivors Have More Pain? A Comparison Of Cancer Survivors To Those Without Cancer, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Introduction: Pain can impact the quality of life of cancer survivors. This research determined if a difference in pain existed among elderly cancer survivors compared to a like group of elderly without a cancer diagnosis. A synthesized aging and nursing model was used to guide this study.
Method: A longitudinal, secondary data analysis compared 865 cancer survivors to 8617 elderly without cancer. Data from the Michigan Home and Community Based Services program Minimum Data Set was linked to the Cancer Registry (2002-2007). Those with and without cancer were matched on age, race, and sex. Generalized Estimating Equations modeling were …
Interventions To Improve Adherence And Symptoms For Oral Agents, Sandra Spoelstra
Dec 2010
Interventions To Improve Adherence And Symptoms For Oral Agents, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance & Background:
With increased use of oral chemotherapy agents to treat cancer, patients are responsible for adhering to complex dosing regimens and to self-monitor symptoms.
Purpose:
This study determined through a three arm trial of 119 patients with solid tumors from four Cancer Centers, how an Automated Voice Response (AVR) system alone (n=40), or the AVR complemented by nurse strategies to manage symptoms and adherence (n=40), or to manage adherence alone (n=39), reduced symptom severity and non-adherence to oral chemotherapy.
Conceptual Framework:
This trial compared an educational approach to symptom management coupled with reminders to take medications …
The Influence Of Comorbidities On Use Of #11;Symptom Management Strategies, Sandra Spoelstra
Dec 2010
The Influence Of Comorbidities On Use Of #11;Symptom Management Strategies, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
This research examines 552 solid tumor cancer patients undergoing chemotherapy, the impact of comorbidities on patient’s use of management strategies for 15 common symptoms during treatment. After adjusting for age and intervention mode, number of comorbidities was significantly related to number of symptoms threshold; ranging from 5.5—7.5 (no comorbidity to 3+). However, numbers of comorbidities had no impact on patients trying proposed strategies. To determine if age adjusted numbers of comorbidities influenced proportion of symptoms, severe, moderate, mild cut-points were applied and responses were defined as moving from severe to moderate/mild, or moderate to mild. Mean response rates among patients …
Falls And Fractures In Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra
Dec 2010
Falls And Fractures In Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance & Background:
Cancer survivors are living longer, but continue to encounter physical, psychosocial, and economic impacts of cancer until end of life. Of all types of injuries, falls pose the most serious threat to quality of life in the elderly.
Purpose: The purpose of this study was to examine the impact of a cancer diagnosis on falls and fractures.
Conceptual Framework: An aging and nursing model of care were synthesized.
Methods & Analysis:
This is a longitudinal, retrospective, study comparing 865 with cancer to 8617 without cancer. We analyzed data from the Michigan Home …
