FRAILTY AND FALLS IN COMMUITY DWELLING ELDERLY CANCER SURVIVORSCouncil for the Advancement of Nursing (2010)
Cancer survivors are diagnosed at an older age, with treatment often complicated by comorbidities which may exacerbate functional decline. The purposes of this study were to examine1) the effect of cancer diagnosis on frailty (activities of daily living, cognition, depression, incontinence, weight loss, vision, and hearing) and 2) differences in falls by site, stage, or cancer treatment. The hypothesis is that elderly cancer survivors experience the influence of the disease or treatment of cancer, and have increased frailty and falls. A synthesized aging and nursing model of care is being used.
This is a longitudinal, retrospective, cohort study. 11,478 persons enrolled in a Home and Community Based Waiver program in a State in the Midwest during 2002 to 2007 are examined. Data were obtained from the Minimum Data Set and State vital records. Generalized Estimating Equations are used.
The sample consisted of 74.7% female, 74.2% Caucasian and 24.3% African American, and 15.4% with cancer. Preliminary analyses produced significant differences in levels of frailty and a higher rate of falls in those with cancer compared to those without cancer; and a difference with respect to cancer site and stage. Additional results will be reported.
Cancer was a statistically significant predictor of increased frailty and falls in elderly. Nurses may use this information when developing cancer survivor care plans (including frailty reduction and fall prevention interventions), ultimately improving functional status and quality of life of of elderly cancer survivors.
Publication DateFall 2010
Citation InformationSandra Spoelstra. "FRAILTY AND FALLS IN COMMUITY DWELLING ELDERLY CANCER SURVIVORS" Council for the Advancement of Nursing (2010)
Available at: http://works.bepress.com/sandra-spoelstra/16/