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Functional assessment of the elderly

M A Matteson1

  • 1San Antonio School of Nursing, Department of Chronic Nursing Care, University of Texas Health Science Center 78284-7950, USA.

Nurse Practitioner Forum
|December 31, 1997
PubMed
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Low-income elders in senior housing often require support for daily living and economic resources. Functional assessments are crucial for identifying the continuum of needs in older adults within primary care nursing.

Area of Science:

  • Gerontology
  • Nursing Practice
  • Public Health

Background:

  • Older adults, particularly those with low incomes, present unique healthcare challenges.
  • Senior housing projects aim to support aging populations but require understanding of resident needs.
  • Dorothea Orem's theory of self-care deficits provides a framework for assessing care needs.

Purpose of the Study:

  • To assess the functional levels and self-care abilities of low-income elders in a senior housing project.
  • To identify the specific service needs of this elderly population.
  • To determine the role of functional assessment in primary care nursing for older adults.

Main Methods:

  • Assessed functional levels and Orem's self-care abilities in 20 low-income elders.

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  • Evaluated needs for services within the community setting.
  • Utilized a primary care nursing framework for assessment.

    • Main Results:

    • Most elders were at Orem's supportive educative level for social/mental health.
    • Elders were partly compensatory for economic, physical health, and daily living needs.
    • Service needs predominantly fell into the partly compensatory category.

    Conclusions:

    • A continuum of needs exists within the low-income elderly population in senior housing.
    • Functional assessment is integral to primary care nursing for older adults.
    • Tailored services are necessary to address the diverse needs of community-dwelling elders.