Home
Shop

We can buy from other sites for you 

09036857618

(793)

KNOWLEDGE, ATTITUDE AND PRACTICE OF CARE OF THE ELDERLY PATIENTS AMONG HEALTH WORKERS IN UNIVERSITY OF CALABAR TEACHING HOSPITAL CALABAR, CROSS RIVER STATE, NIGERIA.

3,000.00

Description

CHAPTER ONE

INTRODUCTION

 Background to the Study

Ageing is the accumulation of changes in a person over time (Bowen and Atwood 2004). It involves a multidimensional process of physical, psychological and social change. Some dimensions of aging grow and expand over time, while others decline. Research shows that even in late life, potentials exist for physical, mental and social growth and development (Papalia, Sterns, Feldman, and Camp, 2002).  It is not a disease; but phase of life where there is retrograde biological process in growth and development which leads to decreased powers for survival and adjustment.  Aging is an important part of all human societies reflecting the biological changes that occur and also reflecting cultural and societal convention.

An estimated 100,000 people worldwide die each day of age related causes (Aubrey de Grey, 2007). According to National Population Commission (NPC, 2006), persons who are old enough to receive pension who are between ages of 60-65 years are regarded as the elderly. The elderly are classified by age into young old for those aged 60-74years, middle old for those aged 75-84years, old for those aged 85-94 years and oldest old for those 95years and above. (Barman, Snyder, Kozier & Erb , 2008).

Care of the elderly is the fulfillment of the special needs and requirements that are unique to senior citizens. It covers such services as assisted living, adult day care, long term care, nursing homes, hospice care and home care. Elderly care emphasizes the social and personal requirements of senior citizens who need some assistance with daily activities and health care, but who desire to age with dignity. The care of the elderly is multidimensional and these include physical, emotional, spiritual and social care (Ayres, 2008).

However, improvement in primary health care with focus on prevention of childhood diseases through immunization did not highlight the care of the elderly which should be one of the components of primary health care programme in most developing countries (Olise, 2011). A cursory look at the implementation of Millennium Development Goals (MDGs) by the federal government shows that there is little or no consideration of this very important segment of the population – the elderly.  Also most curricula for training Health Manpower in Nigeria do not highlight the care of the elderly (Donatelle, 2011). Yet the population of this segment of the society is increasing in developing countries with their special care needs. Traditionally, in Nigeria elderly care has been the responsibility of family members and was provided within the extended family system (Ting and Woo, 2009).But with modernization, elderly care is now being provided by state or charitable institutions. This is attributable to decreasing family size, the greater life expectancy of elderly people, the geographical dispersion of families, and the tendency for women to be educated and work outside the home (Lee, 2009).

In most developing countries including Nigeria the population of the elderly is increasing rapidly but the government does not seem to be making any major commitments to elderly healthcare (Adio-Moses, 2001). The government is still assuming that families should take care of their elderly without recognizing that the extended family system is at the verge of collapse.

Currently most families find it difficult to manage their own homes and face their challenges.  This is gradually leading to neglect and abuse of the elderly (Gubrium, 2002). Care of the elderly requires adequate knowledge of the ageing process, nutrition and daily needs of the elderly. In Nigeria, marginalization of the elderly especially in their care is a common episode (Abdulraheem & Parakoyi, 2005). Those involved in the provision of health care have important roles to play in programmes relating to elderly care especially in screening and detecting abuse.

Unfortunately doctors do not diagnose abuse because it is not part of their formal or professional training hence does not feature in their list of differential diagnosis (Donatelle, 2011). The health worker, according to Abdulrahem & Parakoyi (2005) plays major roles in determining and implementing desirable standards of health care, acting as a professional in developing core of professional knowledge and should have ability to impart same to others. They are often the providers of services designed to maintain health and prevent illness.   Research has also shown that the quality of health care service provided to older population is strongly influenced by care givers attitude towards older people (Gallaghar, Bennet & Halford, 2006). This underscores the need to assess the knowledge, attitude and practice of care of the elderly among health workers in University of Calabar, Calabar Cross River State.

Statement of the Problem

The population of the elderly in the world is increasing rapidly (United Nations, 2004) and the rate of increase is higher in developing countries including Nigeria. Currently, Nigeria has the highest number of the elderly people in Africa estimated to be about 5.6% of the Nigeria population (NPC, 2008). With this increase in the growth of the aging population, the number of people that will need health care will undoubtedly increase. Donatelle (2011) posited that in most curricula for health professionals, little or nothing is indicated about the care of the elderly showing absolute neglect in this area Mclafferly and Morrison (2004) stated also that most health workers have very poor knowledge of mental health conditions which are common with the elderly and as such health workers come to service with deep seated, negative, diluted and superstitious belief about caring for the elderly. This lack of adequate knowledge and negative attitude towards the care of the elderly may result in serious problems in our society in the near future.  In a recent study of the elderly in Ibadan by Oyetunde, Ojo & Ojewale (2013) show that attitudinal relational gaps exist, resulting in negative patient outcome. From my clinical practice in different hospitals in Calabar, frequent misunderstanding between elderly patients and health care providers especially the young ones, was observed. Based on these, the researcher seeks to find out the knowledge, attitude and practice of care of the elderly among health workers in the only tertiary health facility in Calabar, University of Calabar Teaching hospital.

Purpose of the study

The purpose of the study is to determine the level of knowledge, attitude and practice of care of the elderly among health workers in University of Calabar Teaching Hospital, Calabar, Cross River State.

Objectives of the study

Specifically the objectives of the study include to:

  1. determine the health workers level of knowledge of the physical, emotional and social  care of the elderly in University of Calabar Teaching Hospital ,Calabar, Cross River State
  2. determine the attitude of the health workers towards the care of the elderly.
  3. determine the health workers practices in the provision of care for the elderly.
  4. identify the factors that influence health workers attitude of care towards the elderly in

University of Calabar Teaching Hospital, Calabar.

Research Questions

  1. What is the level of knowledge of the care of the elderly among health workers in a tertiary health facility in Calabar, Cross River State?
  2. What is the attitude of health workers towards care of the elderly in a tertiary health facility in Calabar?
  3. What are the health workers practices in the provision of care of the elderly in a tertiary health facility in Calabar, Cross River State?
  4. What are the factors that influence health workers attitude of care towards the elderly? 

Hypothesis.

  1. There is no association between years of experience of health workers and their attitude towards care of the elderly in UCTH, Calabar.

Significance of Study

The result will help to provide basic information for designing structures and programmes for the care of the elderly in the community. It will also provide evidence based information for health education on graceful ageing.  It will serve as a reference material to other researchers in the field of community health practice.

Findings of the study will help in showing the level of knowledge and attitude of the health workers towards the care of the elderly and will help improve the decision making. The result will also help in building up knowledge base on the care of the elderly patients. Improving data base on elderly health nutrition and standard of living which will help for further research, advocacy, policy dialogue and programming.

Scope of Study

The study focused on the level of knowledge, attitude and practice of the care of the elderly among health workers in University of Calabar Teaching Hospital, Calabar. The study was delimited to only health workers providing direct clinical care (hand on care to the elderly) consisting of nurses, doctors, dentists and physiotherapists in University of Calabar Teaching Hospital.

 

Operational Definition of Terms

Knowledge of physical care are expressing understanding of bed bath, skin care, oral hygiene, feeding, elimination and ambulation.   

Knowledge of Emotional care; refers to expressing attention, acceptance and love.  

Knowledge of social care; means financial support and visitation by family members and friends (co-workers, church member’s, social club, and neighbors).  

Practice of physical care expressing competence in providing skin care, oral hygiene, feeding, ambulation and elimination.

Attitude means health workers’ expression of cheerfulness, listening to patient’s complaints and prompt attention, positive attitude while negative attitude means expression of harsh words, lack of respect and “stone face”.

Health Workers refers only to Nurses, Doctors, Physiotherapists and dentists that are directly involved in the clinical care of the elderly.

Elderly refers to people aged 60 years and above.  

WE CAN GET ANY MATERIAL FOR YOU

Do you want a project Material different from this, Contact us

Reviews (793)

  1. Salina

  2. Damaris

  3. Aiden

  4. Fernando

  5. Cassandra

  6. Declan

  7. Shana

  8. Santiago

  9. Ellie

  10. Maxie

  11. Georgiana

  12. Yvette

  13. Vickie

  14. Lucinda

  15. Lucile

  16. Birgit

  17. Indira

  18. Kelli

  19. Velva

  20. Katrina

  21. Savannah

  22. Mahalia

  23. Jacques

  24. Roxana

  25. Thorsten

  26. Sam

  27. Alexander

  28. Maxine

  29. Octavia

  30. Carmel

  31. Mitchell

  32. Corinne

  33. Shasta

  34. Lester

  35. Barb

  36. Charmain

  37. Jai

  38. Kayleigh

  39. Ramon

  40. Kasey

  41. Emery

  42. Isabelle

  43. Carole

  44. Cathryn

  45. Genie

  46. Odette

  47. Israel

  48. Theda

  49. Wilbert

  50. Ada

  51. Wilda

  52. Edmund

  53. Jame

  54. Regina

  55. Rita

  56. Raquel

  57. Rebbeca

  58. Finlay

  59. Mariam

  60. Teresita

  61. Verna

  62. Merissa

  63. Geraldine

  64. Harrison

  65. Magaret

  66. Harold

  67. Launa

  68. Grover

  69. Torsten

  70. Manuel

  71. Lillian

  72. Lucile

  73. Cortney

  74. Mayra

  75. Dean

  76. Melody

  77. Elmo

  78. Madeline

  79. Sophia

  80. Kali

  81. Luella

  82. Ladonna

  83. Ricardo

  84. Neva

  85. Shane

  86. Britney

  87. Wilson

  88. Almeda

  89. Georgina

  90. Dewitt

  91. Geoffrey

  92. Matt

  93. Trina

  94. Wilford

  95. Joann

  96. Riley

  97. Willy

  98. Berry

  99. Odell

  100. Georgiana

  101. Gregory

  102. Abby

  103. Merry

  104. Charlie

  105. Margarito

  106. Scott

  107. Raymon

  108. Lynne

  109. Cruz

  110. Aundrea

  111. Wilhemina

  112. Steve

  113. Stephan

  114. Chelsey

  115. Omer

  116. Krista

  117. Earl

  118. Vernell

  119. Luella

  120. Jared

  121. Oscar

  122. Raleigh

  123. Chante

  124. Arlie

  125. Clement

  126. Orval

  127. Mozelle

  128. Nona

  129. Kristeen

  130. Raina

  131. Diana

  132. Diane

  133. Luther

  134. Demetra

  135. Nate

  136. Karla

  137. Erik

  138. Alica

  139. Lucile

  140. Mira

  141. Leatha

  142. Oren

  143. Daniella

  144. Lucie

  145. Dick

  146. Patrick

  147. Frederick

  148. Ina

  149. Willis

  150. Rosalina

  151. Byron

  152. Cory

  153. Celina

  154. Mari

  155. Jenifer

  156. Domingo

  157. Carley

  158. Lynell

  159. Michaela

  160. Freddie

  161. Felipe

  162. Vada

  163. Nickolas

  164. Christin

  165. Deanna

  166. Carson

  167. Jefferson

  168. Maximo

  169. Abigail

  170. Frederick

  171. Bertie

  172. Kristeen

  173. Micah

  174. Leonor

  175. Keenan

  176. Julius

  177. Sanford

  178. Koby

  179. Barney

  180. Stuart

  181. Nadine

  182. Karla

  183. Florene

  184. Maude

  185. Celia

  186. Francine

  187. Randall

  188. Adelaida

  189. Chelsey

  190. Joyce

  191. Jasmine

  192. Kraig

  193. Callum

  194. Tyson

  195. Pedro

  196. Janie

  197. Dane

  198. Anne

  199. Madelaine

  200. Latosha

  201. Pat

  202. Tarah

  203. Katherin

  204. Jeffrey

  205. Meridith

  206. Emory

  207. Anneliese

  208. b-sovety.ru

  209. Jeannie

  210. Trinidad

  211. Van

  212. Noah

  213. Julissa

  214. Raphael

  215. Efren

  216. David

  217. Jacklyn

  218. Imogene

  219. Amanda

  220. Yasmin

  221. Quincy

  222. Lidia

  223. Tanja

  224. Aiden

  225. Madelaine

  226. Gisele

  227. Mazie

  228. Jesenia

  229. Candy

  230. Felisha

  231. Kassie

  232. Ciara

  233. Marcella

  234. Lora

  235. Dorothy

  236. Doris

  237. Annie

  238. Bart

  239. Martina

  240. Lori

  241. Alycia

  242. Dillon

  243. Alecia

  244. Lela

  245. Fausto

  246. Naomi

  247. Bonnie

  248. Cierra

  249. Holley

  250. Abraham

  251. Greta

  252. Arianne

  253. Agueda

  254. Ned

  255. Micheal

  256. Ronny

  257. Antonia

  258. Jeannie

  259. Cinda

  260. Eugenio

  261. Cecilia

  262. Valentina

  263. Roxie

  264. Thalia

  265. Francisca

  266. Marquita

  267. Phil

  268. Donnie

  269. Michale

  270. Eve

  271. Chance

  272. Robby

  273. Dong

  274. Martha

  275. Jared

  276. Nola

  277. Rhonda

  278. Connie

  279. Dannie

  280. Katherine

  281. Brandi

  282. Marcelino

  283. Cassie

  284. Magda

  285. Aleisha

  286. Margarita

  287. Frederic

  288. Maricela

  289. Tanya

  290. Sondra

  291. Valentin

  292. Rosaria

  293. Roland

  294. Elisha

  295. Dannie

  296. Gertrude

  297. Cecil

  298. Violette

  299. Della

  300. Deb

  301. Pat

  302. Monique

  303. Hilda

  304. Marcus

  305. Giuseppe

  306. Bernd

  307. Renato

  308. Carlton

  309. Evie

  310. Corina

  311. Kieran

  312. Terence

  313. Ashely

  314. Louella

  315. Darwin

  316. Zoila

  317. Elba

  318. Aubrey

  319. Wilford

  320. Arielle

  321. Jasper

  322. Bennett

  323. Antonetta

  324. Jeramy

  325. Bev

  326. Julianne

  327. Georgianna

  328. Sharon

  329. Shirleen

  330. Deborah

  331. Lasonya

  332. Gloria

  333. Zachery

  334. Mellisa

  335. Mammie

  336. Norine

  337. Dallas

  338. Tiffany

  339. Gerald

  340. Mike

  341. Maricela

  342. Brenda

  343. Shellie

  344. Lourdes

  345. Herbert

  346. Alfonzo

  347. Nannie

  348. Werner

  349. Brianne

  350. Dario

  351. Monique

  352. Caridad

  353. Lawanna

  354. Hamish

  355. Audrea

  356. Aimee

  357. Daryl

  358. Muriel

  359. Tammi

  360. Merry

  361. Chu

  362. Jacki

  363. Valarie

  364. Milla

  365. Felicitas

  366. Leanna

  367. Clifford

  368. Christal

  369. Louie

  370. Christopher

  371. Brigida

  372. Cedric

  373. Nelly

  374. Leonor

  375. Molly

  376. Domenic

  377. Lynne

  378. Betty

  379. Margareta

  380. Lasonya

  381. Dalene

  382. Bobbye

  383. Hye

  384. Carma

  385. Gladys

  386. Edythe

  387. Lizette

  388. Kerry

  389. Bradly

  390. Francine

  391. Florrie

  392. Elbert

  393. Katia

  394. Rhys

  395. Candice

  396. Jared

  397. Rachele

  398. Jacelyn

  399. Penney

  400. Augusta

  401. Meridith

  402. Gerald

  403. Brandon

  404. Alexis

  405. Lela

  406. Shirley

  407. Jorja

  408. Roseanne

  409. Alice

  410. Juana

  411. Fern

  412. Monty

  413. Madeleine

  414. Iesha

  415. Andrea

  416. Connor

  417. Tiffiny

  418. Jose

  419. Margherita

  420. Kala

  421. Carey

  422. Gabriela

  423. Bobby

  424. Eusebia

  425. Mitchell

  426. Terry

  427. Omer

  428. Vicente

  429. Lionel

  430. Carma

  431. Margarito

  432. Breanna

  433. Matthew

  434. Carla

  435. Darrel

  436. Hans

  437. Fredrick

  438. Jerilyn

  439. Irish

  440. Irma

  441. Lester

  442. Yetta

  443. Debbra

  444. Jillian

  445. Esmeralda

  446. Williams

  447. Jefferson

  448. Eric

  449. Adolph

  450. Arletha

  451. Foster

  452. Robby

  453. Shane

  454. Juliet

  455. Colette

  456. Kitty

  457. Norma

  458. Jed

  459. Celia

  460. Tressa

  461. Gilda

  462. Theresa

  463. Brenton

  464. Christin

  465. Porfirio

  466. Clint

  467. Fay

  468. Catharine

  469. Abbey

  470. Concepcion

  471. Rueben

  472. Vicki

  473. Jerrold

  474. Frederic

  475. Forest

  476. Jacquie

  477. Britney

  478. Merissa

  479. Jonathan

  480. Indiana

  481. Randy

  482. Napoleon

  483. Carroll

  484. Hector

  485. Finn

  486. Bill

  487. Leonida

  488. Callie

  489. Agnes

  490. Darryl

  491. Dong

  492. Dane

  493. Carolyn

  494. Garnet

  495. Alphonso

  496. Leticia

  497. Jackie

  498. Mirta

  499. Christa

  500. Garry

  501. Janeen

  502. Raina

  503. Lee

  504. Savannah

  505. Bernie

  506. Tracee

  507. Alisa

  508. Delphia

  509. Justine

  510. Alfredo

  511. Jewel

  512. Miquel

  513. Jody

  514. Nida

  515. Joseph

  516. Elizbeth