Elderly Demographics Research Study

Elderly Demographics Research StudyTopic Backgroundwellness want deportment is becoming more popular in the champaign of interrogation think at present fourth dimension. The custom of this, somehow, became the window of prospect to policymakers in delivering a discontinue health system especially in developing countries1. (Shaik, 2015). This is true among the patriarchal universe of discourse since a shift in the pattern of morbidness and mortality was observed in recent eld. Non-communicable diseases wear become the top leading cause of morbidity. Furthermore, the emergence of lifestyle diseases in urban aras as well adds up to the list of morbidity causes. This miscellanea contributes to the falter of of advance(p) in pursuance wellness on that pointfore an obstacle to achieving solid health. Health pursuit conduct converges a major role in the tack of their health post and non solely attributed to advancing historic period 2 (Sangmee Ahn Jo, 2007). A review literature 3(Grundy, 2010) indicated contributing factors that scratch decisions of ancient on health. An identified hindrance is the preference of choice or conventional therapies over formal health cargon which reportedly hold back consultations, and in effect, cause delay of handling accordingly 4-14. Grundy (2010) further emphasized that contempt the variation in health seeking behavior across regions, inveterate studies of this aspect in health interest is essential to provide a better picture of the disease process result. In this study health-seeking behaviour is defined as the following the use of alternative or traditionalistic therapies, reported delays in consultation and compliance of positivistic c atomic number 18 for among venerable population.Review of Related LiteratureEven though the growing population in the Filipinos was dominated by the young we cannot ignore the needs of the add population of the immemorial. The antiquated were not giv en as much guardianship in the government health computer programs but the incidence of health problems play a part to the economic burden of househ honest-to-goodnesss15. (Cecilia Santos-Acuin, 2013). In the 2010 topic count it was stated that in that location were around 92.34 million Filipinos and approximately 5.8M (6.8%) of these belongs to the ancient population. Philippine population projected to increase to 142 million by 2045 and a broom of 35 days around 50million people depart be added16. (PSAuniverse Projection Statistics, 2014)World Health Organization defined patriarchal according to the deuce-ace main categories namely chronology, change in social role and change in capabilities .To standardized UN agreed a cutoff of 60 years old and above17. (World Health OrganizationHealth Statistics and learning system, 2015).Health-seeking behaviour among ripened unhurrieds varies from each country. In the event of non-consultation or delay consultation among elderl y it is obvious that the outcome was associated with adverse medical consequences. In one of the study conducted intimately managing nutrition among the elderly they pointed out the importance of prevention and primaeval intervention because of the difficulty in treating an individual once the disease was already established4. (Damian Flanagan, 2012). This was also supported by cross-sectional study do in Namibia which the outcome resulted in higher manipulation delays. In the study they persistent the cause and categorized delay in the handling as long-lasting delay based on older age, urban residence, and longer walk of life distance to the ne atomic number 18st public facility, and doing a chest x-ray era having HIV seropositive and formal education feeld the shorter delays5. (Kingsley Ukwaja, 2013). One significant Malaysian study focusing among elderly which utilized CAM for natural and safer use set in motion out that non-consultation would contribute to the increasi ng undiagnosed cases of chronic diseases6.(Shahid Mitha, 2013).Further studies for dissimilar ways of treatment were done to substitute for complementary and alternative medicine especially ballpark amongst Asians with elderly quadruplex co morbidities6 (Shahid Mitha, 2013).A study on DM conducted in Uganda showed that the unavailability of medicines prompted the people to use CAM for treatment and consulted a faith healer especially to those failures to manage DM causing an increase in DM related complications7. (Katarina Hjelm, 2011). Moreover, the elderly in the Philippines use medicative plants before consulting to health professionals because of its availability, cheaper price than Western drugs, and usefulness in the treatment of various illnesses and to alleviate milder form of illnesses8.People who had chronic multiple morbidity took their medicines in a daily basis to survive, to work normally and to discharge social work or obligations in the family. Taking multiple tablets in a day is a burden to them9. (Anne Townsend, 2003). One of the study conducted in Malaysia showed that the front line of a particular symptom get out only acquire the usage of prescribed medicine. However, once these symptoms are resolve, medication would also be terminated giving them reason not to take drugs religiously. This result entirely worsen the disease process and later leave alone lead to multiple admittance. Other studies also pointed out that noncompliance of medicine are collectible to the fear of drug dependency, multiple side effects and interaction with otherwise drugs.(10). Thus, being more cautious and elaborative in giving instructions to patients who are taking multiple drug regimens should be practiced by health practitioners11. (Isacson D, 2002).A house-hold survey done among elderly Nigerian revealed that regardless of age and sex, family consultation is their basic choice of treatment for their illnesses. This somehow increases the morbidi ty among the elderly population since family members know little about the safety and appropriate treatment for them12. (Abdulraheem, 2007)A cohort study in South Korea using succession found out that the increase level of awareness and concern about the health of elderly women increases health-care consultation thus, resulted to increased risk of morbidity.2 (Sangmee AhnJo, 2007). In Myanmar, a study conducted to elderly women concluded that low-level of education and income play coarse role in skipping treatment and self-care13. (Soe Moe, 2012). Similarly, in Bangladesh, younger adult and elderly age concourse were compared in terms of health seeking behaviour (self-care/self-treatment). It showed no significant difference in health-seeking pattern. Both age group opted self-care/self-treatment as the first line of prevention imputable to poverty which would formulate the increase in morbidity pattern of both.14(Syed Masad Ahmed, 2005).The growing trend of non-communicable dis eases is the common cause of morbidity in todays modern world. This lifestyle related disease can be altered in the snip to come by determining the semen of it. Also, health seeking behaviour plays a major role in determining the outcome of health status of an individual. No study on health seeking behaviour and factors that lick the behaviour of our elderly in our locality so a research study would be beneficial in gathering new information. Added to that, our elderly may have polar factors towards health seeking behaviour and different morbidity pattern than the others.Research QuestionThis study aims to determine what are the demographic and clinical characteristics of elderly patient 60 years old and above of the Davao regional Hospital renowned outpatient subdivision that are associated with their health seeking behaviour?Significance of the studySince health care programs to the elderly is not yet well established in Davao regional Hospital, the outcome of this study be queath be the basis of the future recommendation of programs for the elderly in the DRH outpatient surgical incision. With this study we result be able to deliver better health services to our elderly patients such asa. Creating a geriatrics club that would exclusively cater the needs of the elderly patient so that they dont need to line-up with other patients. This would somehow help decrease their delay in consultation at the same time leave increase the need to seek consult to a physician as their first choice of health care giver.b. By incorporating a original giver as a potential treatment partner for the elderly patients that would monitor and check the elderly patients compliance to medicine and assure treatment success.C.Enrolling those elderly patients ages 70 years and above residing indoors 5 km of the hospital premises to a family oriented program .This would benefit those elderly patients that cannot visit the hospital due to old age, too sick to move and avoiding too much crowd. A home visit from the assign physician will help lessen their delay in consultation, correct the use of alternative medicine and affect their first choice of care giver.Objective of the studyThis study worldwide objective is to identify the demographic and clinical characteristics of elderly patient 60 years old and above of the Davao Regional Hospital FAMED outpatient department that are associated with their health seeking behaviour.Specific ObjectivesTo determine respondents socio-demographic and clinical profile.To determine the health seeking behaviour among elderly patients in terms of retard in consultation of chief complaintUse of alternative and traditional therapiesCompliance of prescribed medicineFirst choice of health care providerTo identify the socio-demographic and clinical characteristics of patient that would determine their health seeking behaviour.II. MethodologyA. Research DesignA cross-sectional study will be conducted among elderly patient of Davao Regional Hospital outpatient department.B. SettingThis will be done at Davao Regional Hospital outpatient department of Family treat sometime in September 1, 2015 to October 31, 2015. The triaging system of Davao Regional Hospital outpatient department starts with a priority number to all with special considerations to the elderly population. either elderly on the senior citizen lane will be distributed to the different departments based on their chief complaint. In this study all respondents triage to the Family medication department will be invited to participate.C. ParticipantsThe respondents of this study include elderly patients ages 60 years and above willing to participate in this study. All those who are critically ill will be excluded from the study.D. Sampling ProcedureA convenience sampling will be done.E. Interventions and Comparisons Not applicableF. randomization Not applicableG. selective information GatheringApproval of the CERC board will be obtained first prior to the collection of data. Data will be collected using a three-part standard questionnaire which will be administered finished a one on one interview by the FAMED residents rotating at the outpatient department.Independent VariablesPart 1 will consist of information about socio-demographic profile like age, sex, highest educational attainment, place of origin and source of funds.Part 2 will consist of the clinical profile of the respondents which includes presence of concomitant chronic diseases and current chief complaint.Dependent VariablesPart 3 will be the information about the respondents health seeking behaviour and the outcome to be measured. In this study the following health seeking behaviours are explored. First health seeking behaviour is according to delay in consultation which in this study refer as the time from plan of attack of chief complaint to first consult in Davao Regional Hospital FAMED outpatient department. For this study, a delay of 14 days or mor e from the time of onset of chief complaint to the time that the patient goes to the hospital will be considered as longer delay and a delay of 7 days to 14 days from the time of onset of chief complaint to the time that the patient goes to the hospital will be considered as shorter delay 18-19(Fact sheet Diarrhoel disease, 2013) (Blanca Ochoa, 2002). The second health seeking behaviour is the use of alternative or traditional therapies which are define in this study as the use of herbal medicines, over the counter drugs, acupuncture, reflexology, hilot and others not part of the conventional medicine before the initial consult imputable to the chief complaint. Another health seeking behaviour is the compliance of prescribed medicine which in this study defines as the correct usage of drugs as to dosage, frequency, duration, and timing as prescribed by licensed physician of Davao Regional Hospital in relation to its chief complaint. Last health seeking behaviour is according to the first choice of health care providers. For this study, the first choice of health care providers in relation to its chief complaint.H. hear size computationSample size of this study was computed using the bundle StatCalc from EpiInfo 7. Calculations were based on the following assumptions 1 40% of patients aged 70 years (exposure) consult 2 weeks after onset of their chief complaint (outcome) and, 3 there are as many patients aged 70 years as there are patients aged 60-70 years. In a computation of odds ratios of acquire the outcome, carried out at a 5% level of significance, a native sample of 194 patients will have 80% power of rejecting null assumption (no significant increase or decrease in odds ratio) if the alternative holds. An interim abstract will be done halfway through the recruitment (97%) in order to recompute the ideal sample size.I.Data handling and analysisData for the study will be encoded in the Microsoft Excel and analyse using EpiInfo 7. Categorical data will be summarized as frequencies and percentages, and compared. round-the-clock data will be summarized as means and standard deviations, and compared. betting odds ratios of having particular health seeking behaviours will be computed. Level of significance will be set at 5%.Ethical friendlinessPrior to participating in the study, the take of the thespian must be obtained.Ethics ReviewThe advocate of the study will secure an panegyric from the Cluster Ethics Research Committee of Southern Philippines Medical heart and soul prior to doing the research.Informed Consent FormA written consent is obtained from the potential histrions prior to conducting the study.Informed Consent SignatoryThe signature of the participant should appear in the consent form.Informed Consent WitnessNo witness will be required in order for the advised consent to be binding.Informed Consent Proxy Consent there will be no proxy consent aside from that of the participant will be allowed.Informed Conse nt ProcessPrior to sign the consent form, the potential participants are apprised about the study rule and objectives.Informed Consent Timing and VenueThe cognizant consent will be taken prior to the administration of the questionnaire. It will be done in the assigned area of the participant within DRH premises during self-confidence or duty hours.Disclosure of Study Objectives, Risks, Benefits and ProceduresThe participants will be informed of the study objectives, its purpose, its benefits and what is expected of them. They will also be told that there are no risks involved in the study.Remuneration, Reimbursement and Other BenefitsNo remuneration or reimbursement will be given to the participants.Privacy and ConfidentialityThe researchers will not break out the identities of the participants at any time. Only the main proponent of the study has the own(prenominal) information of the participants. The researchers will not contact the participants after this one time intervi ew.Investigators ResponsibilityIt is the researchers responsibility to encounter the confidentiality of any information obtained during the research.Specimen HandlingN/AVoluntariness and substitute OptionsThe respondents participation in the study will be entirely voluntary. In case the participants wish to withdraw from this study the researchers will respect that decision and there will be no effect in the present and succeeding consultations.Information on Study ResultsThe participants will have access to their data. After the data has been analysed, the overall results will also be made known to the participants.Extent of Use of Study DataAt present there are no intended plans to use the data aside from the objectives stated in the protocol.Authorship and ContributorshipJacqueline N. Nuenay, M.D. is the principal investigator and the main author of the study. Dr. Chrysteler Clet is the co-author.Conflicts of InterestThe principal investigator and the co-author maintain no co nflict of interest.PublicationThe research may be submitted for national and/or international presentation or publication.FundingThe main proponent of the study is using personal funds to conduct the study.Duplicate simulate of the Informed Consent FormA duplicate copy of the informed consent form will be provided to the participants of the study. Additional copies can be made on request.Questions and Concerns Regarding the StudyThe participants will be encouraged by the principal investigator to voice out concerns about their participation in the study.Contact DetailsThe participants of the study will be provided with the cell call up number of the principal investigator. The principal investigator is also available for questions, comments and concerns about the study.