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Full-Text Articles in Medicine and Health Sciences
Can Nursing Home Transfer Be Delayed If Home And Community-Based Waiver Personal Care Services Are Increased?, Sandra Spoelstra
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
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
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 …