Learning Objective #1: compare statewide health promotion/prevention status of older adults to a rural health clinic.

Learning Objective #2: address deficits in health prevention to help reduce the risk of functional decline, disability, or premature death.

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Purpose - The purpose of this study was to examine the health screening status of older adults in a midwestern, primarily rural state. Methodology - Sample/Setting: This study included 21,598 older adults in Midwest USA who participated in the Kansas Outpatient Rapid Assessment for the Kansas Foundation for Medical Care (KFMC) from 2003 to 2006. This sample presented for appointments for routine well examinations or management of chronic health conditions. Patients with acute or emergency conditions were excluded from the study. Design: A descriptive approach and Prochaska et al.’s transtheoretical model/stages of change framework were used for the study. Participants were requested to respond to major health screening categories such as bone density, mammograms, immunizations, lipid levels, HbA1C in diabetics. Instrument: An interview guide with closed ended responses was used to obtain the participants’ responses. The interview guide was part of a larger screening survey developed and validated by the KFMC, am organization working with the Department of Health and Human Services. Categories and items have been developed using evidenced-based recommendations from the U.S. Preventive Services Task Force. Results – The data collected in both state and rural health clinic indicated deficiencies in many of the screening areas. Analyses of data reveal the majority of subjects were in the precontemplation to preparation stages of change. Implications for nurses – Determining the status of patients’ recommended screening and use of the transtheoretical model/stages of change framework allows nurses opportunities to educate patients and plan for subsequent health promotion screenings.