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Biomedical subjects

M O Hogstel

Publications and source records attributed to M O Hogstel.

At least 19 recordsLinked to original sources

Risk status related to knowledge of osteoporosis in older women.

BACKGROUND: The objectives of this study were to: (1) identify common risk factors for osteoporosis, (2) relate risk factors to knowledge of osteoporosis, and (3) teach prevention, diagnosis, and treatment strategies for women at risk. METHODS: A descriptive exploratory design was used to assess the osteoporosis risk factors of 211 women age 60 and over living in the community in a large city in a southwestern state. Participants in 15 different sites completed a demographic data form, an osteoporosis Risk Factor Card, and a pre-test about osteoporosis. After participating in a 30-minute educational program, they completed a post-test. RESULTS: The mean score on the Risk Factor Card was 3.00 out of a total possible score of 11. The most frequent risk factors identified were race, small frame, and early menopause. Using a two-tailed Pearson correlation, there was no significant correlation between being at risk and a person's knowledge of osteoporosis prior to or after the educational program. Using a one-tailed t-test, there was a significant increase in knowledge from pre-test to post-test. CONCLUSION: Additional educational programs might increase awareness of risk factors and behaviors likely to enhance bone health. All older women should be encouraged to initiate discussion regarding osteoporosis with their health care providers. Physicians, nurses, social workers, and others also should assess their client's knowledge of osteoporosis.

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Elder abuse revisited.

1. There are many types of elder abuse, some of which are never recognized or reported. 2. Medical neglect is a type of elder abuse in health care. 3. Nurses in all health care settings need to be aware of signs and symptoms of elder abuse and take action as indicated. 4. Suspected elder abuse must legally and ethically be reported to the appropriate supervisor and state agencies.

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Hospital resources for care of acutely ill older persons.

Older patients in acute care hospitals are at high risk for problems. Care of older persons is further jeopardized by a shortage of physicians and nurses interested and prepared in gerontology and geriatrics, as shown in a survey of hospitals and staff in one southwestern state.

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Safety or autonomy. An ethical issue for clinical gerontological nurses.

A common dilemma is whether to ensure a safe environment for the older person or to allow the older person to continue to live independently in an environment where personal safety may not be ensured. Conflicting opinions between marginally competent older adults and adult children regarding satisfactory living arrangements involve a forced choice between the moral principles of beneficence and autonomy. An ethical dilemma cannot be resolved on the basis of values alone. Pertinent ethical principles must be applied and an ethical theory used to guide the resolution. Autonomy is considered the supreme ethical principle in Western culture. The decision to set it aside, even to promote safety, takes rigorous ethical justification.

Activities of Daily Living↗

Feeding the frail elderly.

1. Frail older adults need to be fed carefully and observed closely while eating to prevent choking and aspiration of food and fluids. They choke more easily on clear liquids than on soft foods with some texture. 2. The licensed nurse is responsible for evaluating the physical status of frail older adults before feeding them and for assuring that less qualified personnel are aware of the dangers and specific precautions in feeding these types of patients. 3. The use of nutritious finger foods allows frail older people some degree of independence by encouraging them to feed themselves whenever possible. Careful menu planning can result in a variety of nutritious foods for older people. 4. Soft-cooked vegetables and fruits are more appetizing and acceptable to frail edentulous older adults than pureed or ground foods. Making mealtime special may be one of their few pleasures. 5. Frail older adults should remain in a sitting or semi-Fowler's position for at least one to two hours after eating to prevent possible regurgitation and aspiration of food or fluids.

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