Successful Aging Among Assisted Living Community Older Adults

2013 ◽  
Vol 45 (3) ◽  
pp. 238-246 ◽  
Author(s):  
Maryalice Kozar-Westman ◽  
Meredith Troutman-Jordan ◽  
Mary A. Nies
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Successful Aging

scholarly journals Partnerships Matter in Successful Aging: Collaborations That Put Research Into Practice Across the Community

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 787-787
Author(s):  
Tina Sadarangani ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Successful Aging ◽  
Healthy Aging ◽  
Emotional Health ◽  
Care Quality ◽  
Academic Community ◽  
Evidence Based ◽  
Community Based ◽  
Key Stakeholders

Abstract Healthy aging begins and ends in the community with age friendly health systems and communities. In order to promote healthy aging and help older adults make healthy choices we must engage them as partners in healthcare with access to appropriate information and resources. This symposium will examine four community based studies that engage stakeholders to improve care quality through evidence-based interventions for older adults. These programs are all novel as they seek to engage stakeholders, perform pragmatic interventions, and improve outcomes in non-academic, community-based settings which are often overlooked. Promoting healthy behavior through peer coaching, using early detection and treatment to impact cognitive decline in social day care programs, evaluating the feasibility of screening for palliative care in assisted living and implementing evidence-based dementia care in hospice settings are all explored. Analysis of these initiatives showed improvements in perceived-health, reductions in unnecessary healthcare utilization, and improvements in the physical and emotional health of caregivers, and positive changes in health behaviors. Our discussion will underscore the importance of engaging key stakeholders in study design and implementation to yield better outcomes. Community engagement is an essential part of facilitating aging-in-place, and findings illustrate that this can be achieved through innovative collaborations between researchers and community-based organizations across a variety of settings.

scholarly journals Compromised Vision Impairs Successful Aging Among Assisted Living Residents

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 530-530
Author(s):  
Judith Scott ◽  
Ann Mayo
Keyword(s):  
Older Adults ◽  
Visual Acuity ◽  
Assisted Living ◽  
Successful Aging ◽  
Daily Living ◽  
Age Groups ◽  
Community Dwelling ◽  
Cognitive Screening ◽  
Factors Affecting ◽  
Significant Difference

Abstract Community dwelling independent older adults’ successful aging is known to be hampered by sensory and cognitive impairments. However, little is known about to what degree these impairments affect successful aging among assisted living (AL) residents. The purpose of this quantitative study, conducted in three (AL) facilities, was to describe factors affecting successful aging. A total of 88 older adults (M=89.0, SD=7.54), mostly women (n=68), completed hearing (CALFRAST-Strong procedure at 75cm, 35cm, and 2cm), vision (Jaeger reading [proximate], Snellen Acuity [visual acuity]), and cognitive screening (MiniCog, Borson et al), as well as the Lawton Instrumental Activities of Daily Living (IADL) and Successful Aging Inventory (SAI, Troutman et al, 2011). Most (68%) demonstrated hearing loss >25DB, with a significant difference demonstrated between age groups (age 65-89; n=38) (90-100; n=49) with the older group demonstrating worse hearing (F(1,80)=5.9, p=.017). Some vision compromise was noted for both reading (14.3%) and visual acuity (10.8%). Over one third of participants (34.1%) demonstrated compromised cognition. The SAI results indicated most participants were managing IADLs well (M=6.11, SD=1.42) and aging successfully (M=63.39, SD=9.04). Hearing, cognition and IADLs were not significantly related to successful aging. However, when compared to those without vision issues, participants with compromised vision, both reading and visual acuity, scored significantly lower on the SAI (reading F(1,75)= 24.9,p=.000; visual acuity F(1,28)=4.31, p=000). The infrastructure provided by AL settings may compensate for hearing, cognition, and IADL problems, but not as well for vision problems. Interventions supporting AL residents’ vision should be a priority to improve successful aging.

scholarly journals Vulnerable Older Adults in Disasters: Effects of Hurricane Irma on Nursing Homes and Assisted Living

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 733-734
Author(s):  
Lindsay Peterson ◽  
David Dosa ◽  
Patricia D’Antonio
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Gulf Coast ◽  
Secondary Data ◽  
Morbidity And Mortality ◽  
Term Care ◽  
The Face ◽  
Qualitative Methodologies ◽  
Hurricane Irma

Abstract Preparedness of residents in long-term care (LTC) in the face of hurricane emergencies is a contested and largely unanswered question. Our prior work involving the U.S. Gulf Coast hurricanes of 2005-08 showed that exposure to various storms on nursing home (NH) residents resulted in significantly more deaths than reported by health care officials. This work also highlighted that evacuation of NH residents, compared to sheltering in place, was independently associated with morbidity and mortality. Hurricane Irma struck Florida on Sept. 10, 2017, prompting the evacuation of thousands of NH and assisted living community (ALC) residents. This symposium will discuss the effects of Hurricane Irma on vulnerable older adults residing in NHs and ALCs using mixed quantitative and qualitative methodologies. The first presentation will discuss morbidity and mortality of NH residents exposed to Hurricane Irma and will stratify by long stay/short stay status and hospice enrollment. The second presentation will discuss improvements and continued barriers to NH preparedness based on interviews with 30 administrators following Hurricane Irma. Using a novel methodology to identify residents of ALCs using secondary data sources, the third presentation will document AL resident morbidity and mortality risk following Hurricane Irma. The final presentation will highlight results of interviews with 70 stakeholders from small and large ALCs concerning the hurricane experiences of residents, including those with dementia. This symposium offers a multi-faceted view of a disaster’s effects on LTC residents across Florida, including novel data from the NH environment and lesser-examined ALCs.

Falls and fear of falling among older adults in an assisted-living facility: A qualitative and foundational study for intervention development in a developing country

2021 ◽  
Vol 94 ◽  
pp. 104375
Author(s):  
Emmanuel Chiebuka Okoye ◽  
Christopher Olusanjo Akosile ◽  
Fatai Adesina Maruf ◽  
Ifeoma Uchenna Onwuakagba ◽  
Ukamaka Gloria Mgbeojedo
Keyword(s):  
Older Adults ◽  
Developing Country ◽  
Assisted Living ◽  
Fear Of Falling ◽  
Intervention Development ◽  
Assisted Living Facility

scholarly journals A Theoretical Framework for the Development of Views of One’s Own Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 6-6
Author(s):  
Sarah Marrs ◽  
Jennifer Inker ◽  
Madeline McIntyre ◽  
Leland Waters ◽  
Tracey Gendron
Keyword(s):  
Older Adults ◽  
Medical Students ◽  
Assisted Living ◽  
Health Professions ◽  
Theoretical Framework ◽  
Community Dwelling ◽  
Mentoring Program ◽  
Term Care ◽  
Before And After ◽  
Students Attitudes

Abstract Senior mentoring programs have been established that provide medical students exposure to a community-dwelling older adult mentor. The goal of these programs is to expose students to healthy older adults, increase knowledge of geriatrics, and prepare them to care for an aging population. However, even while participating in a senior mentoring program, health professions students still demonstrate some discriminatory language towards older adults (e.g., Gendron, Inker, & Welleford, 2018). In fact, research suggests ageist practices occur, intentionally or not, among all health professions and within assisted living and long-term care facilities (e.g., Bowling, 1999; Dobbs et al., 2008; Kane & Kane, 2005). There is reason to believe that how we feel about other older adults is a reflection of how we feel about ourselves as aging individuals. As part of an evaluation of a Senior Mentoring program, we found that students’ attitudes towards older adults were not significantly improved (t (92) = .38, p = .70). To further explore this, we collected subsequent qualitative data. Specifically, we asked students to respond to the open-ended prompt before and after completing their senior mentoring program: How do you feel about your own aging? Our findings have revealed just how complex students’ views towards aging and elderhood are, pointing to a need to develop a theoretical framework for how these views are formed. Thus, the results of this qualitative grounded theory study illustrate the stages of development medical students’ progress through as they come to accept themselves as aging humans.

scholarly journals Usability Testing for the Operation of a Mobile Robotic Telepresence System by Older Adults

2020 ◽  
Vol 64 (1) ◽  
pp. 1191-1195
Author(s):  
Samuel Olatunji ◽  
Andre Potenza ◽  
Tal Oron-Gilad ◽  
Andrey Kiselev ◽  
Amy Loutfi ◽  
...  
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Usability Testing ◽  
Small Sample ◽  
Developmental Factors ◽  
Assistive Robot ◽  
Adult Participants ◽  
Autonomous Mode ◽  
Levels Of Automation ◽  
Local User

Mobile robotic telepresence (MRP) systems feature a video conferencing interface on a mobile robot, enabling pilot users to remotely control the robot while communicating with a local user. For older adults in an assisted living facility, the operators are mostly caregivers or remote family members. This small-sample usability testing aimed to evaluate the use of MRP by the older adult. Participants navigated the robot to locations in the home, e.g., to check if the front-door is closed. Two levels of automation were introduced; assisted teleoperation and autonomous. Observations revealed that the older adults enjoyed the dexterity with which the robot could be teleoperated in the assisted teleoperation mode. Yet, they preferred the operation of the MRP at the autonomous mode where the robot navigated autonomously towards the locations the user indicated. Usability, preference and objective findings raise awareness regarding elder care assistive robot developmental factors. Future experimental plans are discussed.

scholarly journals Student-Led Fall Prevention Care Management Reduced Fall Risks at Assisted Living Facilities

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 238-238
Author(s):  
Hiroko Kiyoshi-Teo ◽  
Claire McKinley-Yoder ◽  
Erin Lemon ◽  
Olivia Ochoa
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Fall Prevention ◽  
Fall Risk ◽  
Care Management ◽  
Assisted Living Facilities ◽  
Care Needs ◽  
Term Care ◽  
Fall Risks ◽  
The Impact

Abstract Older adults in residential care settings are four times more likely than those not living in care facilities to experience falls. Yet, fall prevention efforts at long-term care settings are under-resourced, under-regulated, and under-studied. To address this gap, we developed and studied the impact of a specialty clinical, Fall Prevention Care Management (FPCM), for nursing students to decrease older adults’ fall risks. We enrolled assisted living residents that facility liaison identified as being high fall risk (fall rates or fall risk were not tracked at the study sites) and MOCA ≥15, in 2 assisted living facilities in Northwest USA. Participants received weekly, 1-hour, individual, semi-structured, Motivational Interviewing-based care management visits by same students over 6 visits. Changes in fall risks were measured by the CDC STEADI assessment (unsteadiness & worry), Falls Self-Efficacy Scale International-Short (FESI-S), and Falls Behavioral Scale (FAB). Twenty-five residents completed the study. Students addressed the following (multiple responses possible): emotional needs (n=23), improved motivation to prevent falls (n=21), and individualized education/coaching (i.e., exercise, mobility aids) (n=10-17). FESI-S score improved from 16.0 to 14.4 (p=.001; decreased fear. FAB score improved from 2.94 to 3.10 (p=.05; more frequent fall prevention behaviors). Frequency of those who felt steady while standing or walking increased (24% to 40%, p=.07) and those who did not worry about falling increased (20% to 36%, p=.08). FPCM clinical offered valuable opportunity to address unmet care needs of older adults to reduce fall risks.

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