Abstract
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.
Sigma Membership
Tau Omicron
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Descriptive/Correlational
Research Approach
Quantitative Research
Keywords:
Hip Fracture Recovery, Elderly Patients, Health Status in Elders
Advisor
Cindy Kerber
Degree
PhD
Degree Grantor
Illinois State University
Degree Year
2013
Recommended Citation
Garcia, Christina L., "Functional status of older adults after hip fracture" (2020). Dissertations. 689.
https://www.sigmarepository.org/dissertations/689
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2020-02-04
Full Text of Presentation
wf_yes
Description
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.