Daily living Activities among Institutionalized Older Adults with Chronic Immobility

Abstract

Immobility is a major cause of morbidity and mortality in older adults. Aim of the Study: To assess daily living activities among institutionalized older adults with chronic immobility. Design: Descriptive analytical or correlational study to achieve the aim of this study. Setting: The study was conducted at all (4) institutionalized health care centers affiliated to the ministry of social solidarity in Fayoum Governorate. Subjects: Convenience sample of 150 elderly was used in the study. Tools; two tools were used for data collection. First tool; interviewing structured questionnaires contained five parts; socio-demographic characteristics, medical history, older adults’ knowledge, degree of mobility and BARTHEL INDEX for assessing activities of daily living for elderly. Second tool: Environmental observational assessment tool (EAT). Results: One third of older adults, their age ranged between 75 to 85 years old more than half of older adult had satisfactory knowledge regarding immobility where about less than half of them had unsatisfactory knowledge regarding immobility.Also, the present study results concluded that, more than three quarters of older adult had satisfactory knowledge regarding daily living activities where about one quarter of them had unsatisfactory knowledge regarding daily living activities. Also, the present study results concluded that, one third of older adults show independent level of mobility on the other hand one quarter of them had borderline independent level and less than half of them had dependent mobility degree. Conclusion: concluded there were statistically significant relation between socio demographic characteristic of older adults and degree of mobility. Also, there was significant relation between sociodemographic older adult and daily living activities. As well as, there were significant relation between degree of mobility of older adult and their daily living activities. Recommendations: Education program should be developed and implemented to raise health awareness among older adults with chronic immobility about their disease and how to improve daily living activities.