Functional Status of Older Adults After Hip Fracture
Dr. Christina L. Garcia, PhD, RN
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- Tau Omicron
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This dissertation is composed of three manuscripts addressing functional status of adults age 65 years and older after hip fracture. The first manuscript is a review of the literature on the impact of gender, age, comorbidities, pain, depression, self-efficacy, cognitive status, and social support on functional status of older adults after hip fracture. Further research on the relationships among these factors will assist healthcare providers in early identification of adults age 65 years and older after hip fracture at risk of decline in functional status. Results of this literature review led to a concept analysis aimed to provide clarity of the meaning of functional status. The Walker and Avant method was used to analyze the concept of functional status included formatting sample cases, defining attributes, identifying antecedents and consequences, and defining empirical referents. The definition of functional status is not clear in the literature. The influence of various aspects of life on the performance of activities of daily living by an individual needs further clarification. The final manuscript is a descriptive correlational study of annual assessment data from the 2011 Minimum Data Set (MDS) 3.0 for adults age 65 and older who reside in nursing homes in Illinois for care following surgical repair of a hip fracture. The research questions were: 1. What is the relationship between cognitive status, depressive symptoms, comorbidities, pain, age, social support, and functional status? 2. What is the effect of cognitive status, depressive symptoms, comorbidities, pain, age, and social support on predicting functional status? In this sample of 98 adults age 65 and older after surgical repair of a hip fracture, cognitive status significantly (p < .01) predicted functional status. Earlier detection, prevention, and treatment of cognitive status impairments may impact the attainment of prefracture functional status of older adults after hip fracture.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3592292; ProQuest document ID: 1436991692. The author still retains copyright.
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This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Quantitative Research|
|Keywords||Hip Fracture Recovery;
Health Status in Elders
|CINAHL Subject(s)||Hip Fractures;
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