Exploring Older Adults' Strengths, Problems, and Wellbeing Using De-identified Electronic Health Record Data.

Exploring Older Adults' Strengths, Problems, and Wellbeing Using De-identified Electronic Health Record Data.

Gao, Grace;Pieczkiewicz, David;Kerr, Madeleine;Lindquist, Ryth;Chi, Chih-Lin;Maganti, Sasank;Austin, Robin;Kreitzer, Mary Jo;Todd, Katherine;Monsen, Karen A;
amia annual symposium proceedings amia symposium 2018 Vol. 2018 pp. 1263-1272
287
gao2018exploringamia

Abstract

As new data sources including individuals' strengths emerge in electronic health records, such data provide whole-person oriented information to generate integrated knowledge for person-centered practice. The purpose of this study is to describe older adults' strengths and problems within a wellbeing context documented by the Omaha System. The Wellbeing Model is employed as a conceptual framework for wellbeing and is operationalized by the Omaha System Problem Classification Scheme. This study has a retrospective, descriptive design using de-identified EHR data of wellbeing assessments including problems, strengths, and signs/symptoms for a convenience sample of 440 assisted-living residents in a Midwest metropolitan area. Descriptive statistics and data visualization were used to summarize and display strength and signs/symptom attributes within wellbeing contexts. The study reveals cutting-edge knowledge regarding older adults' strengths and wellbeing, and creates a platform for further research use of a strength-based ontology in clinical practice and electronic system of documentation.

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