Elderly Demographics Research Study

Elderly Demographics Research StudyTopic Backgroundwellness stressing behavior is becoming more popular in the field of research deal at present m. The use of this, somehow, became the window of opportunity to policymakers in delivering a check wellness system especially in developing countries1. (Shaik, 2015). This is true among the gray population since a shift in the pattern of morbidness and mortality was disc all over in recent long time. Non-communicable diseases have become the top leading father of morbidity. Furthermore, the emergence of lifestyle diseases in urban atomic number 18as too adds up to the list of morbidity acts. This change contributes to the reluctance of elderly in seeking wellness therefore an obstacle to achieving good wellness. Health seeking behaviour plays a major bureau in the effect of their health status and not solely attributed to advancing age 2 (Sangmee Ahn Jo, 2007). A review literature 3(Grundy, 2010) indicated contributing factors that affect decisions of elderly on health. An identified hindrance is the preference of alternative or traditional therapies over formal health care which reportedly delay consultations, and in effect, cause delay of treatment accordingly 4-14. Grundy (2010) further emphasized that despite the variation in health seeking behaviour across regions, continuing studies of this aspect in health care is essential to provide a better picture of the disease process event. In this take health-seeking behaviour is defined as the followers the use of alternative or traditional therapies, reported delays in consultation and complaisance of prescribed medicine among elderly population. freshen of Related Literature plane though the growing population in the Philippines was dominated by the young we cannot ignore the needs of the increasing population of the elderly. The elderly were not given as much attention in the government health programs but the incidence of health problems play a par t to the economic burden of households15. (Cecilia Santos-Acuin, 2013). In the 2010 bailiwick census it was stated that there were closely 92.34 million Filipinos and approximately 5.8M (6.8%) of these belongs to the elderly population. Philippine population projected to increase to 142 million by 2045 and a match of 35 years around 50million people testament be added16. (PSAPopulation Projection Statistics, 2014)World Health Organization defined elderly according to the three principal(prenominal) 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 information system, 2015).Health-seeking behaviour among elderly unhurrieds varies from each country. In the event of non-consultation or delay consultation among elderly it is obvious that the outcome was associated with indecorous medical consequences. In sensation of the study conducted ab out managing nutrition among the elderly they pointed out the importance of prevention and early intervention because of the difficulty in treating an private once the disease was already established4. (Damian Flanagan, 2012). This was also supported by cross-sectional study done in Namibia which the outcome resulted in higher treatment delays. In the study they determined the cause and categorized delay in the treatment as protracted delay based on older age, urban residence, and longer walking distance to the nearest public facility, and doing a chest x-ray while having HIV seropositive and formal education determined the shorter delays5. (Kingsley Ukwaja, 2013). One significant Malaysian study focusing among elderly which utilized CAM for natural and safer use found out that non-consultation would contribute to the increasing undiagnosed cases of chronic diseases6.(Shahid Mitha, 2013).Further studies for distinguishable slipway of treatment were done to substitute for complem entary and alternative medicine especially common amongst Asians with elderly eightfold 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 connect complications7. (Katarina Hjelm, 2011). Moreover, the elderly in the Philippines use medicinal 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. peck who had chronic multiple morbidity took their medicines in a daily basis to survive, to work normally and to fulfil social work or obligations in the family. pickings multiple tablets in a day is a burden to them9. (Anne Townsend, 2003). One of the study conducted in Malaysia showed that the presence of a particular symptom lead single start 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 will skillful worsen the disease process and later will lead to multiple admittance. Other studies also pointed out that noncompliance of medicine are due to the apprehension of drug dependency, multiple side effects and interaction with other 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 first prime(a) of treatment for their illnesses. This somehow increases the morbidity 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 AG E found out that the increase level of awareness and concern about the health of elderly women increases health-care consultation thus, resulted to increased jeopardy of morbidity.2 (Sangmee AhnJo, 2007). In Myanmar, a study conducted to elderly women concluded that low-level of education and income play great role in skipping treatment and self-care13. (Soe Moe, 2012). Similarly, in Bangladesh, younger big(p) and elderly age conference 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 due to poverty which would explain the increase in morbidity pattern of both.14(Syed Masad Ahmed, 2005).The growing trend of non-communicable diseases is the common cause of morbidity in todays modern world. This lifestyle related disease can be altered in the future by ascertain the source of it. Also, health seeking behaviour pl ays a major role in determining the outcome of health status of an individual. No study on health seeking behaviour and factors that influence 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 different 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 FAMED outpatient department 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 infirmary, the outcome of this study will be the basis of the future recommendation of programs for the elderly in the DRH outpatient department. With this study we will be able to deliver better health services to our elderly patien ts 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 lessen their delay in consultation at the same time will increase the need to seek consult to a physician as their first excerption of health care giver.b. By incorporating a primary giver as a capableness 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 within 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 study This study general neutral 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 ofDelay in consultation of promontory 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 Medicine sometime in September 1, 2015 to October 31, 2015. The triaging sy stem of Davao Regional Hospital outpatient department starts with a introductoryity number to all with special considerations to the elderly population. All 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 Medicine department will be invited to participate.C. assorticipantsThe 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 ingest will be done.E. Interventions and Comparisons Not applicableF. Randomization Not applicableG. Data GatheringApproval of the CERC board will be obtained first prior to the collection of entropy. Data will be collected using a three-part standard questionnaire which will be administered through 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, speckle 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 flack of chief complaint to first consult in Davao Regional Hospital FAMED outpatient department. For this study, a delay of 14 days or more 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 irregular 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 referable 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. Sample size computationSample size of this study was computed using the software StatC alc 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 more patients aged 70 years as there are patients aged 60-70 years. In a computation of odds ratios of getting the outcome, carried out at a 5% level of significance, a total sample of 194 patients will have 80% power of rejecting null hypothesis (no significant increase or decrease in odds ratio) if the alternative holds. An interim analysis will be done halfway through the recruitment (97%) in order to recompute the ideal sample size.I.Data use and analysisData for the study will be encoded in the Microsoft Excel and analyzed using EpiInfo 7. Categorical data will be summarized as frequencies and percentages, and compared. free burning data will be summarized as means and standard deviations, and compared. Odds ratios of having particular health seeking behaviours will be computed. Level of significance will be set at 5%.Ethical Consideration foregoing to participating in the study, the consent of the participant must be obtained.Ethics ReviewThe proponent of the study will secure an approval from the Cluster Ethics Research Committee of Southern Philippines Medical Center prior to doing the research. informed go for FormA written consent is obtained from the potential participants 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 informed consent to be binding.Informed Consent placeholder ConsentThere will be no proxy consent aside from that of the participant will be allowed.Informed Consent ProcessPrior to signing the consent form, the potential participants are informed about the study rationale and objectives.Informed Consent Timing and VenueThe informed consent will be taken prior to the administration of the que stionnaire. It will be done in the assigned area of the participant within DRH premises during office 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 relate in the study.Remuneration, Reimbursement and Other BenefitsNo remuneration or reimbursement will be given to the participants.Privacy and ConfidentialityThe researchers will not disclose the identities of the participants at any time. moreover the main proponent of the study has the individualized information of the participants. The researchers will not contact the participants after this one time interview.Investigators ResponsibilityIt is the tecs responsibility to ensure the confidentiality of any information obtained during the research.Specimen HandlingN/AVoluntariness and Alternative 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 declare no difference of opinion 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 Copy of the Informed C onsent 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 phone number of the principal investigator. The principal investigator is also open for questions, comments and concerns about the study.