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Components of the Risk Instrument for Screening in the Community (RISC) that Correlate with Public Health Nurses'

P Leahy-Warren1, R O'Caoimh, C FitzGerald

  • 1Dr Rónán O'Caoimh, Centre for Gerontology and Rehabilitation, University College Cork, St Finbarr's Hospital, Douglas road, Cork City, Ireland, Email: rocaoimh@hotmail.com, Phone: +353214901461, Fax: +3534901635.

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Summary
This summary is machine-generated.

Public health nurses identified risks for older adults, with institutionalization linked to mental state and hospitalization/death to medical state. Caregiver network assessment is crucial for community-dwelling elderly care.

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Area of Science:

  • Gerontology
  • Public Health Nursing
  • Healthcare Risk Assessment

Background:

  • Functional decline and frailty are prevalent in community-dwelling older adults, increasing risks of adverse outcomes.
  • Identifying risk factors is crucial for proactive healthcare interventions in the elderly population.

Purpose of the Study:

  • To investigate public health nurses' perceptions of risk factors for institutionalization, hospitalization, and death in older adults.
  • To utilize the Risk Instrument for Screening in the Community (RISC) to assess these perceived risks.

Main Methods:

  • A quantitative, correlational, descriptive study design was employed.
  • 15 public health nurses assessed 803 community-dwelling adults aged over 65 using the RISC and Clinical Frailty Scale (CFS).
  • Correlations were analyzed between caregiver network support, concern severity, and perceived risks of adverse outcomes.

Main Results:

  • Concern was highest for medical (88%) and activities of daily living (76%) domains, and lower for mental state (39%).
  • Perceived risk of institutionalization strongly correlated with mental state concerns (r=0.53).
  • Risks of hospitalization (r=0.53) and death (r=0.40) correlated most with medical state concerns; CFS correlated strongly with ADL (r=0.78).

Conclusions:

  • While concern prevalence was high, severity was often mild.
  • Perceived institutionalization risk relates to caregiver network's ability to manage mental state; hospitalization/death risks link to the patient's medical state.
  • Integrating caregiver network assessment is vital for evaluating community-dwelling older adults; RISC validation is recommended.