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Biomedical subjects

B Resnick

Publications and source records attributed to B Resnick.

At least 37 records · Page 2Linked to original sources
PubMed1999

Motivation to perform activities of daily living in the institutionalized older adult: can a leopard change its spots?

The concept of motivation has great relevance for the older adult because of the multiple problems that can result in functional limitations. The ability to overcome and transcend these problems is related to the individuals' motivation to maintain and/or improve function. The purpose of this study, which used a naturalistic or constructivist inquiry, was to explore what motivates the institutionalized older adult to perform functional activities. Primary selection was used to obtain the sample which included 44 older adults, 37 (84%) females, and 7(16%) males. The average of participants was 88 +/- 6.4, and they were institutionalized for 2.8 +/- 2.8 years. Semi-structured interviews were done in the participants room. Data analysis involved content analysis. A total of 27 codes were initially identified, and these were categorized and developed into five major themes: Personality, Goals, Beliefs, Fear and Physical factors. The participants indicated that basic personality had a major on motivation, i.e. 'a leopard can't change his spots'. Further findings suggested that although personality may be central to the individuals' motivation to perform, goals, fear, beliefs and physiological sensations also influenced motivation and behavior. Appropriate interventions can be used to foster motivation to perform functional activities for institutionalized older adults.

Activities of Daily Living↗
PubMed1999

Falls in a community of older adults: putting research into practice.

This study described the incidences of falls and injuries related to those falls in a community of older adults. It used a convenience sample of 220 older adults in a continuing care retirement community. Over a 2-year period, all residents who had a witnessed or reported fall were evaluated by a nurse or nurse practitioner and completed a Falls Data form. There were 154 falls, most of which occurred between noon and midnight, within the residents' apartments, when walking (63%) or transferring (19%). Only 16 (10%) of the falls resulted in a fracture. The number of falls was the only variable associated with having an injurious fall. Individuals who had atrial fibrillation or neurological problems, were not married, and did not adhere to a regular exercise program were more likely to have multiple falls. The findings were used by the nurse practitioner to educate residents about falls in their community and to develop interventions to decrease the risk and incidences of falls.

Accidental Falls↗
PubMed1999

Reliability and validity testing of the Self-Efficacy for Functional Activities Scale.

Self-efficacy expectations for functional activities were defined operationally by having individuals rate their perceived judgment or confidence in their ability to perform each specific activity of daily living (ADL) (bathing, dressing, transferring, ambulating, and stair climbing) at a given point in time. The Self-Efficacy for Functional Activities (SEFA) scale initially included 27 items focusing on efficacy expectations related to performance of each ADL independently, with adaptive equipment, and with the help of another person. After initial pilaf testing the scale was revised to include 9 items which focused on efficacy expectations related to performance of each ADL independently, or with the help of another person. Two additional studies were done and provided some evidence for the reliability and validity of the SEFA when used with older adults.

Activities of Daily Living↗
PubMed1999

Care for life: a faculty practice with a Lifecare community.

A combined clinical faculty practice model is shown in the partnership that was developed between the University of Maryland, School of Nursing, Baltimore, MD, and Roland Park Place, Baltimore, MD, a continuing care retirement community. This model encourages reciprocal relationships among clinical work, research, and what is taught and learned by the students.

Aged↗
PubMed1998

Health promotion practices of the old-old.

The purpose of this study was to describe the health promotion activities of older adults in a life care community. A total of 195 older adults participated in a health promotion survey. The old and old-old age groups demonstrated a decrease in cancer screening behaviors, aerobic exercise, and compliance with a low cholesterol diet. Moreover, these individuals indicated that they had lived a sufficient period of time, and were no longer interested in disease prevention and prolongation of life. Older adults may benefit from an individualized approach to health promotion that focuses on quality rather than quantity of life.

Age Factors↗
PubMed1998

Functional performance of older adults in a long-term care setting.

Motivation has been identified as an important factor in the older adult's ability to perform functional activities. The purpose of this study was to explore functional performance and factors that have an impact on functional performance in nursing home residents. Participants included 44 White older adults from two nursing homes. The majority of the participants were female (84%). The mean age of the participants was 88 +/- 6.4 years and, on the average, they had been institutionalized for 2.85 +/- 2.8 years. Following data reduction of the predictors, two factors--motivation (efficacy beliefs and intrinsic motivation) and lower extremity function (contractures and standing balance)--were identified. In a stepwise multiple regression analysis, these two factors were the only variables that significantly predicted functional performance and accounted for 81% of the variance in function.

Activities of Daily Living↗
PubMed1998

Efficacy beliefs in geriatric rehabilitation.

Motivation is an important variable in older adults' ability to recover from any disabling event. The theory of self-efficacy states that efficacy beliefs affect behavior, motivational level, thought patterns, and emotional reactions in response to any situation. This study explored the impact of efficacy beliefs on older adults in a rehabilitation program and tested interventions to strengthen efficacy beliefs related to participation in rehabilitation and functional performance. An experimental pretest-posttest design was used. Participants were randomly assigned to: the usual care control group or the treatment group. The study was completed on an inpatient geriatric rehabilitation unit. The sample consisted of 77 participants, 55 women and 22 men with a mean age of 78 +/- 7.2. Individuals in the treatment group received three efficacy enhancing interventions: role modeling, verbal persuasion, and physiological feedback. Baseline data were collected within 48 hours of admission and included four investigator-developed efficacy measures: Functional Inventory Measure, Participation Index, Numeric Rating Scale for pain, amount of analgesic used for pain, and Health Status. With the exception of Health Status, these measures were again completed within 48 hours of discharge. Admission performance was the only statistically significant predictor of efficacy beliefs. All efficacy beliefs increased over time and were significantly correlated with performance behaviors and length of stay. The treatment group had stronger efficacy beliefs regarding participation, higher participation at discharge, and less pain than the control group. Efficacy beliefs, both self-efficacy and outcome expectations, are related to participation, functional performance, and length of stay. Interventions to strengthen these beliefs improved participation in rehabilitation and decreased pain. Consideration of motivation can facilitate rehabilitation and help older adults obtain and maintain their highest functional level.

Aged↗
PubMed1997

The effect of cognitive status on outcomes following rehabilitation.

BACKGROUND AND OBJECTIVES: Impaired cognition is a determinant of poor recovery following a hip fracture. Because of the risk of poorer outcomes, individuals with impaired cognitive function may be refused admission into a rehabilitation program. This study considered the impact of cognitive status on functional ability over time for older adults who participate in a rehabilitation program. METHODS: We studied a convenience sample of 200 consecutive patients who participated in an inpatient rehabilitation program following an orthopedic event. We obtained complete follow-up data on 181 participants. Baseline data were collected within 48 hours of admission and included demographics, rehabilitation diagnosis, living location prior to admission, the Mini-mental State Examination, and the Barthel Index (BI). Telephone follow-up was made at 3, 6, and 12 months after discharge from rehabilitation, and we obtained information about demographic data and functional status (BI). RESULTS: There were no differences in the demographic characteristics of the two groups except for race; a larger percentage of African-Americans were in the impaired group. There was a statistically significant main effect of time with functional ability of all participants, increasing over the 12-month follow-up period. CONCLUSIONS: This study suggests that rehabilitation of the older adult, both with and without cognitive impairment, can result in improvement in functional ability that is sustained over a 12-month period. Although the findings indicate that those with cognitive impairment have lower functional performance at each testing period, these individuals improved functionally during the course of rehabilitation and maintained their discharge level of functioning for 1 year after discharge.

Aged↗
PubMed1996

Motivation in geriatric rehabilitation.

In this study, critical ethnography was used to explore the factors that help motivate people in a geriatric rehabilitation unit and factors that decreased motivation. Five key informants were chosen using purposeful selection. The participants were white women with an average age of 87. The women were interviewed within the first week of admission and follow up interviews were done at 3- to 5-day intervals. Each informant was interviewed at least three times and one informant was interviewed eight times. Additionally, participants were observed in therapy and on the nursing unit. The following themes emerged regarding factors that improved motivation -- goals, humor, caring, beliefs, encouragement, a motive disposition, and "power with" relationships. Several factors decreased motivation including feelings of domination and negative beliefs. The study helped identify ways in which clinicians can motivate older adults in a geriatric rehabilitation program.

Aged↗
PubMed1995

Measurement tools. Do they apply equally to older adults?

1. The self-motivation inventory was developed and tested on young and middle-aged adults, and may not be appropriate for the older adult. 2. Areas of concern when considering the use of scales in the older adult should include a careful examination of the underlying assumptions on which the measure is based, as well as the appropriateness of questions, language and administration. 3. Measuring motivation in the older adult may be different from consideration of this concept in younger adults, as older adults are more concerned with conserving energy and surviving than achieving socially accepted goals.

Age Factors↗
PubMed1984

Second-look laparotomy in stage III epithelial ovarian cancer: clinical variables associated with disease status.

Variables associated with a negative second-look laparotomy in patients with stage III epithelial ovarian carcinoma are analyzed. Fifty-six patients were clinically free of disease after systemic chemotherapy and were subjected to second-look laparotomy to assess tumor status. Eighteen of these patients (32.1%) had no evidence of malignancy. Eight (14.3%) additional patients with no gross evidence of disease at laparotomy had microscopic persistence; five of these had disease documented in the pelvic or para-aortic lymph nodes. Significant variables associated with a histologically and cytologically negative second-look operation were low tumor grade (P less than .01), the use of cis-platinum containing combination chemotherapy (P less than .01), patient age less than or equal to 50 years (P less than .02), small residual tumor (less than 0.5 cm) before chemotherapy (P less than .05), and metastatic tumor less than or equal to 10 cm before initial cytoreduction (P less than .05). Patients treated with six to nine cycles of combination chemotherapy had the same probability of a negative second-look laparotomy as those treated with ten to 12 cycles. Multivariate discriminate analysis indicated that patients with low tumor grade, those receiving cis-platinum containing combination chemotherapy, and those with minimal residual tumors (less than 0.5 cm) after primary cytoreductive surgery correctly classify second-look status in 78.6% of patients. Until a nonsurgical method of monitoring subclinical disease is available, a through second-look laparotomy, including a pelvic and para-aortic lymphadenectomy, should be performed.

Adult↗
PubMed1970

Psoriasis.

Explore the source record for details and available documents.

Female↗