A Thesis Presented to
the Faculty if the Graduate School
at Central Luzon Doctors’ Hospital Educational Institution
In Partial Fulfillment
Of the Requirements for the Degree
Master Science in Nursing
MSN II - SC
THE PROBLEM AND ITS SETTINGS
The physical changes that occur with aging, a decline in a person’s ability to function typically has the greatest impact on their quality of life. Functional changes may lead to further disability and immobility and can result in hospitalization (e.g. bone fracture after a fall), assisted living or nursing home placement. Fortunately, early recognition and treatment of acute change in function (as occurs with an acute illness) can increase a person’s chance of returning to his or her original level of functioning. Additionally, lifelong preventive strategies can aide in maintaining optimal functional capacity, reduce pain, and improve quality of life. Functional capacity generally refers to a person's ability to perform the daily tasks that enable him or her to live and function. These tasks are also known as the “activities of daily living” (ADL).These activities include eating, bathing, ambulating, and managing money and medications. The ability to maintain these activities serves as the foundation of safe, independent functioning. A gradual change in the ability to perform activities of daily living may be due to age-related physical or cognitive changes, chronic medical problems, or inactivity. A sudden change in functional capacity may indicate a significant change in medical condition. For example, a new onset of acute illness, such as pneumonia, may present as a sudden inability to stand from a seated position. The change may appear prior to pneumonia symptoms in older adults. Any sudden or unexpected decrease in functional ability should prompt an urgent appointment with a medical provider to evaluate for the underlying cause(s).3 A sudden change in function is usually due to an underlying acute illness or exacerbation of a chronic condition, such as an elevated blood sugar in diabetes or increased pain from arthritis. Elderly persons are often reluctant to inform medical providers or family of a functional decline out of fear (of a serious illness or looking incapable of caring for themselves). Families and caregivers can help to identify change in function early-on so that underlying causes can be identified and treated and function improved. Family observations also help medical providers differentiate an acute condition from a decline related to chronic illness and debilitation. Functional limitations can significantly impact the quality of life for older adults. Maintaining optimal functioning is imperative to ensure a good quality of life. The ability of older adults to function can be significantly improved by early identification of functional decline and its underlying cause, early intervention to improve functioning, and preventive maintenance through exercise and other health maintenance activities.
Statement of the problem
This study aims to determine the extent of physical independence in performing activities of daily living among individual with chronic illness.
Specifically, it will seek to answer to the following questions : 1. What is the socio-demographic profile of respondents in terms of: 1.1. Age
1.3. Civil Status
1.4. Nature of work/Occupation
1.6. Monthly salary
1.7. Chronic disease
2. What is the extent of physical independence in performing the activities of daily living? 3. Is there a significant relationship between respondents’ demographic profile and extent of physical independence? 4. What are the implications of the results of the study to nursing care of the clients with chronic...