Understanding Everyday Needs of Older Adults with Cognitive Impairments: Insights from Subject Matter Experts

2020 ◽  
Vol 101 (11) ◽  
pp. e10
Author(s):  
Elizabeth Lydon ◽  
Maurita Harris ◽  
Raksha Mudar ◽  
Wendy Rogers
2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 194-195
Author(s):  
Neil Charness ◽  
Sara Czaja ◽  
Wendy Rogers ◽  
Edie Sanders ◽  
Robin Stuart ◽  
...  

Abstract Prospective memory, the ability to remember to execute an intention in the future, is crucial for the performance of many everyday tasks important for independent living. Prospective memory abilities decline with age, and older adults living with mild cognitive impairment (MCI), cognitive impairment due to traumatic brain injury (TBI), and cognitive impairment due to stroke are especially susceptible to prospective memory failures. The goal of the Digital Reminders for Everyday Activity Memory (DREAM) project is first to establish proof of concept for an adaptive cognitive aid to support the prospective memory of older adults with various cognitive impairments, and then establish proof of product in studies examining the use of a working prototype within the lab and within participants’ homes. Data will be presented from initial work verifying product requirements through engagement with stakeholders, including subject matter experts, older adults with cognitive impairments, and their care partners.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 580-580
Author(s):  
Sonya Barsness

Abstract COVID-19 has further illuminated the need for educational approaches in gerontology that are person-centered and experiential. Ideally, this includes in-person experiences with students and older adults. Through their classroom participation as subject matter experts in aging, older adults share their personal experiences, and react to gerontological theories and ideas. Shared learning offers a platform for exploration of shared humanity, so that older adults are not seen as the “other”, but “us”. This prepares a generation of gerontologists to identify and reject ongoing ageism, again highlighted by the pandemic. COVID-19 has also challenged educators to offer these experiential opportunities. In this presentation we will outline how older adults from a Continuing Care Retirement Community participated virtually in a graduate course. We will discuss how their virtual involvement was structured, how their real-time COVID experiences were integrated, and share feedback from older adult participants and students on their shared learning experiences.


Author(s):  
Barbara Kuenzle Haake ◽  
Yan Xiao ◽  
Colin Mackenzie ◽  
F. Jacob Seagull ◽  
Thomas Grissom ◽  
...  

Teamwork training is critical for patient safety and has been advocated for widespread application in many settings. A key challenge for evaluating teamwork training is measurement. Despite much effort, the team performance instruments reported thus far suffer from a variety shortcomings that prevent their wide application in assessing teams in real settings. Based on review of video recorded trauma team activities in real patient care, a multi-disciplinary research team developed an instrument based on observable behaviors (UMTOP). A set of video clips were reviewed by 6 subject matter experts who were requested to provide “descriptors” about the observed team activities. The 167 collated descriptors were combined to a reduced list, which was then sent to the subject matter experts for revision. The revised list was then categorized into 5 areas of team performance (task and clinical performance, leadership organization, teamwork organization, social environment, sterile precaution). UMTOP was developed to be a tradeoff among four criteria: ease of use, reliability, usefulness for team performance feedback, and speed of scoring. An initial assessment of reliability was conducted with surgeon and nursing reviewers.


2021 ◽  
pp. 1-9
Author(s):  
Gihwan Byeon ◽  
Min Soo Byun ◽  
Dahyun Yi ◽  
Jun Ho Lee ◽  
So Yeon Jeon ◽  
...  

Background: Both elevated blood homocysteine and diabetes mellitus (DM) are related to cognitive impairments or dementia. A previous study also demonstrated that the association between homocysteine and cognitive decline was much stronger in individuals with DM than in those without DM. Objective: This study aimed to examine the interactive effect of blood homocysteine and DM on brain pathological changes including brain atrophy, amyloid-β and tau deposition, and small vessel disease (SVD) related to cognitive impairments. Methods: A total of 430 non-demented older adults underwent comprehensive clinical assessment, measurement of serum homocysteine level, [11C] Pittsburgh Compound B (PiB) PET, [18F] AV-1451 PET, and brain MRI. Results: The interactive effect of homocysteine with the presence of DM on brain atrophy, especially in aging-related brain regions, was significant. Higher homocysteine concentration was associated with more prominent brain atrophy in individuals with DM, but not in those without DM. In contrast, interaction effect of homocysteine and DM was found neither on Alzheimer’s disease (AD) pathologies, including amyloid-β and tau deposition, nor white matter hyperintensity volume as a measure of SVD. Conclusion: The present findings suggest that high blood homocysteine level and DM synergistically aggravate brain damage independently of AD and cerebrovascular disease. With regard to preventing dementia or cognitive decline in older adults, these results support the importance of strictly controlling blood glucose in individuals with hyperhomocysteinemia and lowering blood homocysteine level in those with DM.


Author(s):  
Anne-S. Helvik

AbstractThe population of older adults (≥60 years) is currently growing. Thus, in the years to come it is expected that a high proportion of patients hospitalized will be in the older age range. In western countries, the proportion of older inpatients is about 40% in the medical and surgical hospitals units. Older people with illness is vulnerable to both physical and cognitive impairments as well as depression. Therefore, a health-promoting perspective and approach are highly warranted in clinical nursing care of older adults in medical hospitals. This chapter focuses on health promotion related to depressive symptoms, impairment in activities of daily living, and cognitive impairment in older hospitalized adults.


2020 ◽  
Vol 9 (1) ◽  
pp. 1-14
Author(s):  
Nurul Farehah Mohamad Uri ◽  
Mohd Sallehhudin Abd Aziz

The Implementation of CEFR in Malaysia is currently at the second stage whereby the classroom usage of the new CEFR-aligned syllabus and assessment has taken place since 2017 at all stages except for Form 5. Previous studies on CEFR in Malaysia have focused more on teachers’ views and their readiness in accepting the new changes. However, this study focusses more on ascertaining the suitability of the writing syllabus specifications against the CEFR writing scale to find out if the CEFR levels of writing syllabus specifications recommended by the teachers match the CEFR level set by the Ministry of Education, Malaysia. A total of 331 secondary school teachers were asked to respond to the writing syllabus checklist and the Winstep SPSS was used for data analysis. Findings have shown that productive skills of the writing syllabus specifications were found not to be aligned to the target CEFR level set by the Ministry. In conclusion, adjustment and alignment processes should be made accordingly to align and match the non-CEFR aligned English syllabus to the CEFR global scale instead of eradicating it.


2016 ◽  
Vol 5 (1) ◽  
pp. 43 ◽  
Author(s):  
Sri Latifah

This is a research development that aim to produce product such as Student’s Worksheet (LKPD) oriented in values of Islam, through guided inquiry approach on the temperature and heat material for students of class X SMA/MA and to know the response of students toward it. The problem in this study include how to develop Student’s Worksheet (LKPD) oriented in values of Islam through guided inquiry approach on the temperature and heat material and the extent to which the response of students toward it.. This is a development research which apply Research and Development (R&D) method. Products produced is categorized as valid by the validation of subject matter experts with a percentage of 85%, subject matter experts to Islam with a score of 89% and design experts with a score of 91%, as well as products LKPD are very interesting based on the assessment of teachers with a percentage of 84%, and the response of students to the test field trials obtain a percentage score of 90%. Penelitian ini merupakan penelitian pengembangan yang bertujuan untuk menghasilkan produk berupa Lembar Kerja Peserta Didik (LKPD) berorientasi nilai-nilai agama Islam melalui pendekatan inkuiri terbimbing pada materi suhu dan kalor untuk peserta didik kelas X SMA/MA dan untuk mengetahui respon peserta didik terhadap produk LKPD berorientasi nilai-nilai agama Islam melalui pendekatan inkuiri terbimbing pada materi suhu dan kalor untuk peserta didik kelas X SMA/MA . Masalah dalam penelitian ini antara lain bagaimanakah mengembangkan LKPD berorientasi nilai-nilai agama Islam melalui pendekatan inkuiri terbimbing pada materi suhu dan kalor dan sejauh manakah respon peserta didik terhadap LKPD berorientasi nilai-nilai agama Islam melalui pendekatan inkuiri terbimbing pada materi suhu dan kalor untuk peserta didik kelas X SMA/MA. Penelitian ini merupakan penelitian pengembangan menggunakan metode penelitian Research and Development (R&D). Produk yang dihasilkan berkategori valid berdasarkan validasi dari ahli materi dengan persentase 85%, ahli materi agama Islam dengan skor 89% dan ahli desain dengan skor 91%, serta produk LKPD sangat menarik berdasarkan penilaian guru memperoleh persentase 84%, dan respon peserta didik pada uji coba lapangan memperoleh skor persentase 90%.


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