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P Hawranik

Publications and source records attributed to P Hawranik.

6 recordsLinked to original sources

Recruitment of community-dwelling older adults for nursing research: a challenging process.

In the face of changing demographics, the need for gerontological nursing research has become central to the development of relevant health and social policies and resources for older adults. The recruitment of community-dwelling older adults presents multiple challenges for the nurse researcher wishing to conduct meaningful research. A common concern cited in the literature is the recruitment of sufficient numbers of older participants. The recruitment of persons 65 years of age and older is influenced by factors such as gender and study design as well as physical, social, psychological, and age-related changes. This paper describes these factors, as well as effective strategies for recruiting older adults, the authors' conceptualization of a 3-phase recruitment process, and key points for the nurse researcher to consider when recruiting subjects.

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The role of cognitive status in the use of inhome services: implications for nursing assessment.

The link between cognitive status and use of home-care services by elders and their informal caregivers has received limited research attention. The purpose of this study was to determine whether an association exists between cognitive status and inhome service utilization by elders and their identified informal caregiver (N = 380). A modification of the Andersen-Newman health service utilization model was constructed to facilitate analysis and comparison with other studies. Data from the Manitoba Study on Health and Aging-1 (MSHA-1) were analyzed using hierarchical logistic regression modelling. Elders of 3 types of cognitive status--dementia, cognitive loss without dementia, and no cognitive impairment--were studied; 4 different inhome services--homemaking, inhome nursing, personal care, and home-delivered meals--were examined. The study revealed a weak association between cognitive status and use of inhome services. The findings raise implications for eligibility assessment by nurses and home-care policy.

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Targeting seniors.

Health promotion is not just for the young. There has been far too much emphasis on the so-called burden that Canada's aging population puts on our health care system. It's time we focused on keeping our seniors well.

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A clinical possibility: preventing health problems after the age of 65.

1. There are a number of common health problems of the elderly that have the potential to be prevented, postponed, or reversed even after age 65. 2. The nurse's knowledge of the difference between normal aging and a disease process is essential to enable the nurse to detect whether a health problem can be prevented, postponed, or reversed. 3. It is being discovered that there is an alarmingly high number of seniors whose "dementia" is not permanent, but rather is reversible or treatable.

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