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Health Literacy in Geriatric Patients: An Integrative Review of the Literature
Abstract
The concept of health literacy is a recent addition to healthcare literature, appearing in the early to mid 1990s. Health literacy refers to individuals' ability to understand their healthcare issues and effectively care for themselves in the healthcare system. Individuals' health literacy abilities vary greatly and can be viewed on a continuum ranging from adequate to marginal to inadequate. Repeated research has demonstrated that older individuals, the geriatric patient population, are at risk of inadequate or marginal health literacy. This risk impacts health outcomes and cost for caring for the older people in our society who are the consumers of a large quantity of healthcare services. The demographic data from the research show that multiple factors influence an individual's health literacy. Besides age, individuals with less education, lower income, "blue collar" jobs, and poor health status (mental and physical) can be at risk of marginal or inadequate health literacy. Providing care to low health literacy patients is complicated by commercially prepared healthcare materials and presentations that are often written well above the average national literacy level. Studies in this review examine various approaches to healthcare education and provide viable options for educating those with low health literacy. This review stresses the importance of healthcare professionals identifying older individuals with marginal or inadequate health literacy and being able to provide education in an effective manner to this segment of the population.
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“Individuals with lower education may have less access to health literacy and resources, making it more challenging to navigate care systems, understand their own needs, and advocate for appropriate services [1, 25, 26].”
From Unmet Needs in Dementia Care: The Predictive Role of Caregiver Challenges (2025) · cites this paper as [25]
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Metadata
- Authors
- Cutilli, C. C.
- Affiliations
- Hospital of the University of Pennsylvania (US)
- Corresponding author
- Cutilli, Carolyn Crane
- Venue
- Orthopaedic Nursing
- Published
- 2007-01
- Volume
- 26
- Issue
- 1
- Pages
- 43???48
- ISSN
- 0744-6020 (ISSN-L)
- OpenAlex
- W2036374152
- Cited by
- 114
- References
- 8
- Citations by year
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- FWCI
- 5.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Orthopaedic Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
- Keywords
- health literacy, older adults, elderly patients, low health literacy, healthcare education, patient education, socioeconomic factors, health outcomes, health care costs
- MeSH terms
- Aged, Drug Therapy, Educational Status, Geriatric Nursing, Health Services Needs and Demand, Health Status, Humans, Income, Nursing Assessment, Patient Education as Topic, Risk Factors, Self Administration, Self Care, Teaching Materials, United States, Nursing Research, Geriatric Assessment, Nurse's Role
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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