Community-based diagnostics for older adults.

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The study investigated whether abnormal chemical-dipstick readings would be detected for older adults in community settings. Using SF-12 quality-of-life assessments, vital signs, and urine-chemical dipsticks, the study collected data on 208 subjects aged 60 and older in Southwest Ohio. The dipstick screening tests included nitrates, leukocytes, blood, urinary glucose, pH, bilirubin, ketones, specific gravity, urobilinogen, and protein. Samples were collected in community settings including senior centers and community health fairs. The chemical-dipstick findings were correlated with other findings.;Leukocytes and nitrates were found in several samples (14.4% and 1.4%, respectively). Blood-pressure readings varied (hypertensive to hypotensive levels). Temperature readings (ear) ran below normal to above normal.;Physical health- and mental health-component scores also varied. Several significant correlations were found: (1) between decreasing mental/physical scores and increased age; (2) (statistically) between gender and positive leukocyte readings (females), between physical scores and blood pressure, between positive leukocyte readings and systolic blood pressure (hypotensive with positive leukocytes), and between the presence of leukocytes and elevated temperature (all significant at the p=0.01 level); (3) between the presence of blood in the urine and decreased pulse rate; (4) between decreased respiration rate and decreased blood pressure.;The abnormal findings may have healthcare-delivery policy implications, which could lead to a community-screening protocol that could potentially reduce early-diagnosis costs, provide more-timely and more-accurate health status, and reduce traditional healthcare-system utilization for older adults. This study could serve as one of several preliminary studies that could build the foundation for a valid and reliable community-screening protocol study. With the benefit of early detection, an early-screening protocol could potentially prevent unnecessary physician-office visits, emergency-room visits, and hospital stays. This protocol could also reduce morbidity and mortality in older adults.
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Product Details

  • BN ID: 2940032299790
  • Publisher: ProQuest LLC
  • Sold by: Barnes & Noble
  • Format: eTextbook
  • Pages: 83

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