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Full-Text Articles in Medicine and Health Sciences
Falls, Fall Sequale, And Healthcare In Aging Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra
Falls, Fall Sequale, And Healthcare In Aging Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
The influence of cancer on elderly is examined in a Home and Community Based Waiver program during 2002-2007. A comparison of with cancer (865) to without cancer (8617) on falls, fractures and healthcare use occurred. Data were obtained from Minimum Data Set assessments, vital records, and claims. Mean age was 77.1 years, 67.8% female, 74.0% Caucasian. Cancers was 92.7% > stage 2. Falls were 35.9% (304) with cancer and 25.3% (2,174) with non-cancer, a significant difference (p-value 0.01); hip fractures were 4.6% (38) and 5.3% (449) p-value 0.38; service use: ER 35.4% (295) to 22.2% (1904) and hospitalization 13.1% (109) …
The Influence Of Medications On Falls In Community Dwelling Elderly, Sandra Spoelstra
The Influence Of Medications On Falls In Community Dwelling Elderly, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Problem Statement Medication use can place older adults at risk for falls and increased health care utilization. A need exists to better understand medication use in the community dwelling elderly and how it may contribute to falls and utilization of health care services. This study compares and contrasts those elderly with a significant amount of medications to those without a significant amount of medications to determine if certain types, as well as the number of medications impacts falls. The hypothesis is that there is a relationship between patients with more medications or between certain of these drug classes and falls. …
Frailty And Falls In Commuity Dwelling Elderly Cancer Survivors, Sandra Spoelstra
Frailty And Falls In Commuity Dwelling Elderly Cancer Survivors, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Aim:
Cancer survivors are diagnosed at an older age, with treatment often complicated by comorbidities which may exacerbate functional decline. The purposes of this study were to examine1) the effect of cancer diagnosis on frailty (activities of daily living, cognition, depression, incontinence, weight loss, vision, and hearing) and 2) differences in falls by site, stage, or cancer treatment. The hypothesis is that elderly cancer survivors experience the influence of the disease or treatment of cancer, and have increased frailty and falls. A synthesized aging and nursing model of care is being used.
Method:
This is a longitudinal, retrospective, cohort …