scholarly journals Didactic Content and Experiential Aging Simulation for Developing Patient-Centered Strategies and Empathy for Older Adults

2018 ◽  
Vol 39 (01) ◽  
pp. 074-082 ◽  
Author(s):  
Anna Jilla ◽  
Jeffrey Danhauer ◽  
Carole Johnson
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Health Care Providers ◽  
The Elderly ◽  
Care Providers ◽  
Patient Centered ◽  
University Of Oklahoma ◽  
Sensory Disorders ◽  
Oklahoma Health ◽  
The University

AbstractThe number of people over 65 years of age is increasing, and many of those individuals will have sensorineural hearing loss in addition to other chronic health conditions. Future hearing health care providers need to be sensitive to the needs of elderly patients. The purpose of this article is to describe an experiential learning curriculum used in the Doctor of Audiology program in the Department of Communication Sciences and Disorders at the University of Oklahoma Health Sciences Center. The curriculum uses simulations of sensory disorders common in the elderly to transform knowledge and active experience into patient-centered, empathetic counseling skills and strategies to use with older adults with hearing loss.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

OP143 Conceptualizing Patients’ Experience With Atrial Fibrillation

2018 ◽  
Vol 34 (S1) ◽  
pp. 52-52
Author(s):  
Elisabeth Oehrlein ◽  
Eleanor Perfetto ◽  
Debbe McCall ◽  
Jennifer Albrecht ◽  
Julia Slejko ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Health Care ◽  
Health Care Providers ◽  
Patient Characteristics ◽  
Care Providers ◽  
Patient Centered ◽  
University Of Maryland ◽  
Selection Of Variables ◽  
The University ◽  
Patients Experience

Introduction:Conceptual models (CMs) are useful tools for researchers and health technology assessment bodies to understand the interplay among environmental characteristics (e.g., health care system), patient characteristics, health behaviors, and patient outcomes. The objective of this pilot study was to elicit perspectives of patients with atrial fibrillation (AF) and health care providers (HCPs) to develop a patient-centered CM of the AF patient experience in a US-based sample.Methods:We developed two preliminary versions of the Andersen model of healthcare utilization (standard and patient-friendly versions) based on the published literature and the help of a patient advisor. For example, instead of describing “predisposing characteristics,” the patient-friendly CM describes, “what is it about me, or other afib patients that could impact disease or outcomes;” “enabling resources” is swapped for “helpful resources,” and “perceived need” is changed to “what impacts whether I believe I need to be treated”. Five patients from an online patient community and 10 HCPs from the University of Maryland Medical System provided feedback on the preliminary models. Audio recordings of interviews were transcribed verbatim, analyzed, and findings incorporated into a revised CM.Results:Interviewee additions under “what impacts whether I believe I need to be treated” included: absence of symptoms and fear of experiencing an AF episode; under “helpful resources” suggested additions include resources for navigating insurer formulary/benefits. Suggested additional outcomes of interest include anxiety, bruising, and shortness-of-breath. While patients found the patient-friendly version easy to understand, HCPs required explanation of standard-version headers, for example ‘predisposing characteristics’ and ‘enabling resources’, which had been adapted in the patient-friendly version.Conclusions:Soliciting input from stakeholders ensures CMs are pragmatic, reflect the real-world experiences of patients and HCPs, and incorporate variables or other considerations not currently described in published literature. Researchers can utilize CMs to aid in selection of variables for observational studies.

Multi-disciplinary Care for the Elderly in Disasters: An Integrative Review

2014 ◽  
Vol 30 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Heather L. Johnson ◽  
Catherine G. Ling ◽  
Elexis C. McBee
Keyword(s):  
Older Adults ◽  
Health Care Providers ◽  
Disaster Planning ◽  
The Elderly ◽  
Integrative Review ◽  
Standards Of Care ◽  
Care Providers ◽  
Term Care ◽  
Care For The Elderly ◽  
Geological Processes

AbstractIntroductionOlder adults are disproportionately affected by disaster. Frail elders, individuals with chronic diseases, conditions, or disabilities, and those who live in long-term care facilities are especially vulnerable.PurposeThe purpose of this integrative review of the literature was to describe the system-wide knowledge and skills that multi-disciplinary health care providers need to provide appropriate care for the elderly during domestic-humanitarian and disaster-relief efforts.Data sourcesA systematic search protocol was developed in conjunction with a research librarian. Searches of PubMed, CINAHL, and PsycINFO were conducted using terms such as Disaster, Geological Processes, Aged, Disaster Planning, and Vulnerable Populations. Forty-six articles met criteria for inclusion in the review.ConclusionsPolicies and guidance regarding evacuating versus sheltering in place are lacking. Tenets of elderly-focused disaster planning/preparation and clarification of legal and ethical standards of care and liability issues are needed. Functional capacity, capabilities, or impairments, rather than age, should be considered in disaster preparation. Older adults should be included in disaster planning as population-specific experts.Implications for PracticeA multifaceted approach to population-specific disaster planning and curriculum development should include consideration of the biophysical and psychosocial aspects of care, ethical and legal issues, logistics, and resources.JohnsonHL, LingCG, McBeeEC. Multi-disciplinary care for the elderly in disasters: an integrative review. Prehosp Disaster Med. 2015;30(1):1-8.

Myths and Realities of Aging

2006 ◽  
Vol 7 (3) ◽  
pp. 141-150 ◽  
Author(s):  
Brooke Salzman
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Aging Process ◽  
The Elderly ◽  
Care Providers ◽  
Health Concerns ◽  
Negative Stereotyping

As the aging population expands, it will become increasingly important for health care providers to become aware of and sensitive to the needs and concerns of older adults.Ageismis a term that describes negative stereotyping of older adults and discrimination because of older age. Health concerns and symptoms in the elderly may be overlooked or dismissed as part of the normal aging process. Consequently, several conditions in olders adults are significantly underdiagnosed and undertreated. Misconceptions about aging frequently encountered in medicine and in society at large include issues involving sexuality, sleep disturbance, depression, cognitive impairment, and substance abuse. We can learn to recognize ageist notions that influence medical practice. Perhaps by becoming more aware of myths and realities of aging, we can improve the health and quality of life of our elderly patients.

scholarly journals Psychometric Properties of the “Lasher and Faulkender Anxiety about Aging Scale” among Iranian older people

2020 ◽  
Author(s):  
Amir Pakpour ◽  
Shamsedin Namjoo ◽  
Khadijeh Sabahiazar ◽  
Mohammad Asghari Jafarabadi ◽  
Vijay Kumar r Chattu ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Psychometric Properties ◽  
Health Care Providers ◽  
Health Care Services ◽  
Factor Model ◽  
The Elderly ◽  
Community Dwelling ◽  
Care Providers ◽  
Factors Affecting

Abstract BackgroundAssessing anxiety in the elderly and the factors affecting this phenomenon will help the health care providers to provide appropriate and effective support and health care services for older adults. The aim of the present study was to assess the psychometric properties of the Aging Scale (AAS) among Persian speaking older adults.Method:A sample of 703 community-dwelling older adults was recruited for the study. A 'forward-backward' translation procedure was conducted to develop the Iranian version of the AAS. Confirmatory factor analysis (CFA) and Rasch model were then used for construct validity, and GHQ-12 and MSPSS were utilized for assessing concurrent validity of the AAS.ResultThe study participants included 416 (59.2%) men and 287 (40.8%) women with an average age of 69.4 years (SD D 8.11). Cronbach’s alpha for Fear of Old People, Psychological Concerns, Physical Appearance, Fear of Losses and the overall score was 0.881, 0.705, 0.748, 0.768 and 0.77, respectively. Applying CFA, it was found that the four original factors model was the best solution with 0.55 of the total variance. The result of the CFA indicated that this four-factor model had a good fit to the data. The results were then confirmed by Rasch analysis. Moreover, the AAS was significantly correlated with MSPSS (r=-0.395, p < 0.001) and GHQ_12 (r = 0.238, p < 0.001).ConclusionThe Persian version of the AAS was found to be valid and reliable for measuring anxiety of ageing among Persian speaking elderly populations.

Introduction

2018 ◽  
Author(s):  
Mikhail Kogan ◽  
Kyle Meehan
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Assisted Living ◽  
Independent Living ◽  
Low Cost ◽  
The Elderly ◽  
Care Providers ◽  
Patient Centered ◽  
Geriatric Population ◽  
Outpatient Settings

Integrative geriatrics is the new field of medicine that advocates for whole-person, patient-centered, primarily nonpharmacological approaches to the medical care of the elderly. Most current geriatric practices overprescribe medications and procedures and underuse nonpharmacological low-cost and high-touch methods. Integrative geriatrics interventions such as nutrition, movement therapies, and mind–body and spirituality approaches allow patients to follow a different path to their health care. This book provides detailed evidence-based information for all health care providers and advocates who work with the geriatric population. Directed toward providers in outpatient settings and to those who work in nursing homes, assisted living, independent living, and senior community centers, it also provides valuable information for leaders and politicians who are setting up policies and procedures for the care of the elderly who are looking for safer, less costly, and more patient-centered approaches.

scholarly journals Computational algorithms for predictive health assessments

2015 ◽  
Author(s):  
◽  
Zahra Hajihashemi
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Time Series ◽  
Health Care Providers ◽  
Elderly Population ◽  
Time Series Data ◽  
The Elderly ◽  
Developed Countries ◽  
Series Data ◽  
Care Providers

Rapid aging of the population in the US requires increased attention from health care providers and from the entire society as a whole. While the elderly population (aged over 65) will increase by 8% until 2050 in the developed countries, the working-age population (age between 15 and 64 years) will decrease and its ratio to the elderly population will decline from 4.3 to 2.3. A possible solution to prevent unreported health problems in independently living older adults is through automatic health monitoring systems. The aim of this dissertation is to use sensor network technology to detect changes in health status of elderly living alone, alert health care providers, and augment traditional health care. In this dissertation, we address three topics. First, we discuss the problem of measuring the temporal similarity of two multidimensional time series. The second topic of this work is predicting health patterns using time series similarities. Third, we also propose three methods for identification of deviations in patterns of activities of daily livings (ADL) of older adults and use them to generate alerts for the healthcare providers. ADLs such as bathroom visits can be monitored by automated in-home sensor systems. Our proposed methods find periodicity in sensor time series data using clustering, item set mining, and statistical approaches.

scholarly journals Relationship of Perceived Social Support With the Activities of Daily Living in Older Adults Living in Rural Communities in Iran

Salmand ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. 350-365
Author(s):  
Fatemeh Jokar ◽  
◽  
Abdol Rahim Asadollahi ◽  
ohammad Hossein Kaveh ◽  
Leila Ghahramani ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Rural Communities ◽  
Health Care Providers ◽  
Perceived Social Support ◽  
The Elderly ◽  
Care Providers ◽  
Alpha Coefficient ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha

Objectives: The increasing trend in aging population raises the need to pay attention to the daily activities of the elderly and their social support as an effective factor in promoting their health. This study aims to investigate the correlation of perceived social support and demographic variables with the Activities of Daily Living (ADL) in older adults living in rural communities in Iran. Methods & Materials: This is a descriptive-analytical study with cross-sectional design conducted on 430 elderly people aged ≥60 years living in a rural community in Iran (Bayza county located 45 km away from Shiraz city) who were selected using a convenience sampling method. Procidano & Heller’s Perceived Social Support - Family Scale (PSS-Fa) and the ADL scale for the elderly were used for data collection. The ADL questionnaire’s internal consistency by calculating Cronbach’s alpha coefficient was obtained 0.96. The PSS-Fa with a Cronbach’s alpha coefficient ranging from 0.88 to 0.91 has acceptable internal consistency. The reliability of its Persian version using Cronbach’s alpha coefficient was obtained 87%. Data were analyzed in SPSS V. 25 software using multivariate ANOVA and regression analysis. Results: The mean±SD age of the participants was 69.67±7.067 years. The mean score of PSS-Fa and the ADL scale was reported 16.55± 5.16 and 55.10±3.07, respectively. Perceived social support, education and age had significant effect correlation with the ability to perform ADL in the elderly (P<0.001), while marital status and gender showed no significant correlation (P>0.05). The age factor was inversely correlated with the ability to perform ADL; hence, the independence of older adults decreases with the increase of age. Conclusion: Many demographic variables and social support affect the ability to perform ADL in the elderly. Social support can be used as a social investment to improve the quality of life of the elderly. Therefore, considering that one of the duties of health care providers is to improve the health status of the elderly, it is necessary for health care providers to increase social support and maintain and promote a healthy and active life for them through educational programs and periodic physical examinations.

Telemedicine interventions for older adults: A systematic review

2021 ◽  
pp. 1357633X2110583
Author(s):  
Ebru Şahin ◽  
Betül Gülsüm Yavuz Veizi ◽  
Mehmet Ilkin Naharci
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
The Elderly ◽  
Current Evidence ◽  
Future Research ◽  
Care Providers ◽  
Quality Of Life Indicators ◽  
Hands On

Introduction Telemedicine may help improve older adults' access, health outcomes, and quality of life indicators. This review aims to provide current evidence on the effectiveness of telemedicine in the aged population. Method A systematic literature search was conducted in PubMed, Google Scholar, and Web of Science electronic databases between January 2015 and September 2021 using the keywords “telemedicine” or “telehealth” and “older people” or “geriatrics” or “elderly.” The articles were classified under three headings according to the purposes: feasibility, diagnosis and management of chronic diseases, and patient satisfaction. Results A total of 22 articles were included. Across most disciplines, evidence has shown that telemedicine is as effective as usual care, if not more so, in the feasibility, chronic disease management, and patient satisfaction of the elderly. However, a few studies reported challenges such as difficulty with technology, hearing problems, and the inability to perform hands-on examinations for physicians. Conclusion Findings from this review support the view that health care providers can use telemedicine to manage elderly individuals in conjunction with usual health care. However, future research is needed to eliminate barriers to increasing telemedicine use among older adults.

Effects of Cardiovascular Disease and Related Risk Factors on Neurocognition

2019 ◽  
pp. 83-116
Author(s):  
Spencer W. Liebel ◽  
Lawrence H. Sweet
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Cognitive Processing ◽  
Health Care Providers ◽  
The United States ◽  
Research Literature ◽  
Neurocognitive Functioning ◽  
Care Providers ◽  
Cardiac Events ◽  
Related Risk

Cardiovascular disease (CVD) affects approximately 44 million American adults older than age 60 years and remains the leading cause of death in the United States, with approximately 610,000 each year. With improved survival from acute cardiac events, older adults are often faced with the prospect of living with CVD, which causes significant psychological, social, and economic hardship. The various disease processes that constitute CVD also exert a deleterious effect on neurocognitive functioning. Although existing knowledge of neurocognitive functioning in CVD and its subtypes is substantial, a review of these findings by CVD type and neurocognitive domain does not exist, despite the potential impact of this information for patients, health care providers, and clinical researchers. This chapter provides a resource for clinicians and researchers on the epidemiology, mechanisms, and neurocognitive effects of CVDs. This chapter includes a discussion of neurocognitive consequences of CVD subtypes by neuropsychological domain and recommendations for assessment. Overall, the CVD subtypes that have the most findings available on specific neurocognitive domains are heart failure, hypertension, and atrial fibrillation. Despite a large discrepancy between the number of available studies across CVD subtypes, existing literature on neurocognitive effects by domain is consistent with the literature on the neurocognitive sequelae of unspecified CVD. Specifically, the research literature suggests that cognitive processing speed, attention, executive functioning, and memory are the domains most frequently affected. Given the prevalence of CVDs, neuropsychological assessment of older adults should include instruments that allow consideration of these potential neurocognitive consequences of CVD.

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