Date of Award

1995

Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Department

College of Nursing

First Advisor

Andrea C. Bostrom

Second Advisor

Katherine Kim

Third Advisor

James O. Grant

Abstract

Delirium occurs frequently among hospitalized hip fractured elders. The purpose of this study was to examine the impact of a delirious episode on physical and mental status of those patients 12-18 months post-injury. This ex post facto correlational study utilized Levine's Conservation Principles as the conceptual framework. The sample consisted of 67 subjects age 60 or older. The Mini-Mental State Examination (MMSE) and Katz Index of Activities of Daily Living (ADL) were administered on admission and by telephone at the post-injury interview. The Confusion Assessment Method (CAM) Diagnostic Instrument was used to assess for the syndrome of delirium. Eleven (16%) of the subjects became delirious during the acute hospitalization. Data analysis included Fisher's Exact test, ANCOVA, t-test and paired t-test. Delirium did not have an impact on the mortality rate, ADL score, nor the MMSE scores post-injury. On average, all survivors of hip fracture lost one ADL.

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