title: Health and nursing problems of elderly patients related to bio-psycho-social need deficiencies and functional assessment.
abstract: Elderly population is characterized by larger need for social welfare and medical treatment than other age groups. Along with aging, there is a number of emerging health, nursing, caring, psychological and social problems. Complexity of these problems results from overlapping and advancing involutional changes, multi-illness, decreased functional efficiency and other factors. The aim of the study was the assessment of health problems in geriatric patients as well as bio-psycho-social need deficiencies in a view of selected parameters of functional efficiency. The research group consisted of the Chair and Clinic of Geriatrics, 186 women and 114 men, 300 persons in total. The research was carried out using a diagnostic poll method with the application of the Activities of Daily Living (ADL) questionnaire of assessment of daily efficiency on the basis of the Katz Scale; the Care Dependency Scale (CDS) questionnaire used to measure the level of the care dependency and human needs, Norton's bed sores risk assessment scale, the Nursing Care Category (NCC) questionnaire applied to assess the need for nursing care. In most patients the results unveiled manifestations of three or more illnesses. Functional efficiency was at low and average level. Half of the subjects were endangered by risk of bed sores as well as showed high need fulfillment deficiency. The highest level of the deficiency was observed in patients in the eldest age group as well as suffering from multi-illness. Material status, education, place of residence or gender showed no significant influence on the level of need fulfillment.
authors.affiliation: Department and Clinic of Geriatrics of Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, ul. Marii Curie-Skłodowskiej 9, Bydgoszcz 85-094, Poland. muszalik@cm.umk.pl
authors.forename: Marta
authors.initials: M
authors.lastname: Muszalik
authors.forename: Ate
authors.initials: A
authors.lastname: Dijkstra
authors.forename: Kornelia
authors.initials: K
authors.lastname: Kędziora-Kornatowska
authors.forename: Halina
authors.initials: H
authors.lastname: Zielińska-Więczkowska
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment; D006301:Health Services Needs and Demand; D006299:Health Services for the Aged; D006306:Health Surveys / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009732:Nursing Care; D003668:Pressure Ulcer / Q000628:therapy; D012720:Severity of Illness Index; D012944:Social Support; D011795:Surveys and Questionnaires