Living with Fear: The Lived Experience of Community Mobility among Older Adults with Low Vision

2008 ◽  
Vol 17 (1) ◽  
pp. 106-122 ◽  
Author(s):  
Deborah Laliberte Rudman ◽  
Michelle Durdle
Keyword(s):  
Older Adults ◽  
Lived Experience ◽  
Phenomenological Study ◽  
Low Vision ◽  
Management Strategies ◽  
Secondary Analysis ◽  
Risk Avoidance ◽  
Core Element ◽  
Community Mobility ◽  
Low Vision Rehabilitation

This secondary analysis of data drawn from a descriptive phenomenological study explored how older adults with low vision experience and manage community mobility. Participants included 34 urban and rural older adults, age 70 years and older, who were not using low-vision-rehabilitation services. The findings convey a core element of the experience of community mobility for participants: living with a pervasive sense of fear regarding one’s body and way of being. Participants continually gauged risks associated with mobility and engaged in risk avoidance and management strategies. Community mobility was often restricted by participants because of perceived risks, leading to reduced participation in a range of physical, social, and other types of activities. Further research on environmental factors mediating community mobility and on strategies effective in maintaining mobility among seniors with low vision is essential to optimize participation, health, and service delivery.

Low vision rehabilitation services: Perceived barriers and facilitators to access for older adults with visual impairment

2019 ◽  
Vol 82 (8) ◽  
pp. 466-474 ◽  
Author(s):  
Jennifer Kaldenberg
Keyword(s):  
Older Adults ◽  
Visual Impairment ◽  
Low Vision ◽  
Public Awareness ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Rehabilitation Services ◽  
Coordinated Care ◽  
Low Vision Rehabilitation ◽  
Vision Rehabilitation

Introduction The aim of this study is to describe the barriers and facilitators to accessing low vision rehabilitation services in Massachusetts, USA, and determine differences between communities with and without existing low vision rehabilitation services for older adults with visual impairment. Method A sample of older adults with visual impairment ( n = 64) from both communities participated in the study. Barriers and facilitators to accessing the services were explored through focus groups and prioritized during one-on-one interviews, which allowed for comparison between communities. Results Twelve themes were identified: (a) bureaucracy and funding (public policy); (b) public awareness and stigma (community); (c) services available, knowledge of providers, care coordination, transportation (organizational); (d) people and lack of awareness of family/friends (interpersonal); and (e) income, health status, knowledge, self-advocacy, and time (individual). Conclusion This study provides insights into the perceived barriers and facilitators of accessing low vision rehabilitation services for older adults with vision impairment living in Massachusetts, USA. Key findings indicate the need for improved awareness of these services at the provider and consumer level, coordinated care, increased education on the efficacy of occupational therapy low vision rehabilitation services, client-centered care provided when the client is ready to accept services, and service provision that addresses sociodemographic factors.

scholarly journals Lived Experience of Older Adults with Post-Hip Fracture

2014 ◽  
Vol 1 (1) ◽  
pp. 35-40
Author(s):  
Bishnu Bista Thapa
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Lived Experience ◽  
Phenomenological Study ◽  
Edmund Husserl ◽  
Early Recovery ◽  
Web Based ◽  
Qualitative Research Design ◽  
Care Givers ◽  
And Coping

Objective: this phenomenological study was undertaken to explore lived experiences of community dweller older adults with post hip fractured.  Methods: A qualitative research design underpinned by the philosophy of Edmund Husserl and methodological interpretations of Colaizzi’s. The series of in-depth web based interviews were simultaneously conducted and analyzed until saturation of data. Rigor of the study was maintained by validated the transcribed information by informants. Findings: based on subjective information provided by informants, sixteen themes were emerged which further merged into four theme clusters that were patho-dynamic of hip fracture, affected reaction to distress and situation appraisal, limitation in movement and being dependent on others and coping behaviors. Findings of this study indicated that informants experienced both fluid and complex that challenges all spheres of their life after hip fracture. Conclusion: It was concluded that, older adults with post-hip fracture are facing multiple situational problems like physical, emotional, care-givers and financial so that comprehensive, affordable and culturally based multi-disciplinary services are essential. Physical comforts, motivation, continuous support, encouragement for exercise, walking and financial assistance can promote their early recovery and regaining functional capacity. This approach to the study of lived experience of older adults with post-hip fracture offers an opportunity to reflect and make sense of their current situation in the light of their day to day life activities, struggling and achieving pre-fracture functional abilities, to tell their story to an interested listener and to have their feelings validated.DOI: http://dx.doi.org/10.3126/ijssm.v1i1.9590 Int. J. Soc. Sci. Manage. Vol.1(1) 2014 35-40

scholarly journals DOING AGING IN PLACE IN AN AGE-FRIENDLY CITY: AN APERTURE TO THE LIVED EXPERIENCES OF OLDER SAN FRANCISCANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S26-S26
Author(s):  
Jarmin C Yeh
Keyword(s):  
Older Adults ◽  
Lived Experience ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Aging In Place ◽  
Multiple Identities ◽  
Macro Level ◽  
Community Initiatives ◽  
Age In Place ◽  
Distribution Of Resources

Abstract Aging in place finds meaning through the quotidian. The mundanity of this work is the crux of its poignancy. This phenomenological study utilizes photovoice to explore how older adults manage to age in place in an age-friendly city. By interrogating micro- and macro-level realities, this study elicits the strategies seventeen informants use, including how their multiple identities and positionalities become implicated in the process of negotiating and navigating everyday environs, their acts of resistance and resilience, their articulations of hope or pressure to manage the future, as well as the risks and opportunities they encounter and the conditions shaping them, such as urbanization, discrimination, and distribution of resources between generations and groups. To "see" how informants do the “doing” of aging in place has implications for age-friendly community initiatives. It helps to capture the sociality of aging and demonstrates the way the materiality of inequality is sown through lived experience.

scholarly journals Exploring the lived experience of older adults with dual sensory impairment

2019 ◽  
Author(s):  
Walter Wittich ◽  
Marie-Celine Lorenzini
Keyword(s):  
Older Adults ◽  
Lived Experience ◽  
Low Vision ◽  
Leisure Activities ◽  
Phenomenological Approach ◽  
Qualitative Description ◽  
Sensory Impairment ◽  
Daily Lives ◽  
Age Related ◽  
Dual Sensory Impairment

Objective. With the aging of the population, the prevalence of combined age-related vision and hearing impairments continues to rise. This increase results in a higher likelihood for low vision practitioners to serve older adults with dual sensory impairment (DSI). In order to ultimately provide optimal services to this population, the purpose of this study was to explore the lived experiences of older adults with DSI, examine their perceptions of their loss and identify the obstacles they face in their daily lives. Method. Twenty-nine older adults (age range 60 to 100) with DSI were interviewed about their experience of living with DSI. These interviews were transcribed verbatim and analyzed using a phenomenological approach through qualitative description. Results. Inter-rater reliability assessment between the two students who conducted the coding was high (kappa = .85). Six themes emerged from the interviews, three of which described participant priorities before the onset of their DSI (diagnosis, symptoms and treatments), and three summarizing concerns thereafter (barriers, facilitators and experiences with assistive technology). The later focused on activities of daily living and leisure activities, as well as specific experiences when coping with DSI. Discussion. The description of participants’ perception and experience with their sensory impairments can help low vision practitioners understand their clients’ perspective and their rehabilitation priorities in order to improve the practitioners –patient relationship. Furthermore, in a more general way, this study enables a better understanding of individuals living with DSI.

Low-Vision Rehabilitation with Older Adults

1993 ◽  
Vol 3 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Steven B. Lovett ◽  
Jon M. Rose
Keyword(s):  
Older Adults ◽  
Low Vision ◽  
Low Vision Rehabilitation ◽  
Vision Rehabilitation

scholarly journals The functional ability of older adults with visual impairments: A 2-year follow-up study

2021 ◽  
pp. 026461962199188
Author(s):  
Kaisa-Mari Mirjam Saarela ◽  
Ulla Jämsä ◽  
Aura Falck ◽  
Helvi Kyngäs ◽  
Heidi Johanna Siira
Keyword(s):  
Older Adults ◽  
Functional Ability ◽  
Low Vision ◽  
Visual Impairments ◽  
Standard Of Care ◽  
International Classification Of Functioning ◽  
Personal Hygiene ◽  
Homogeneity Test ◽  
Low Vision Rehabilitation

This study describes the self-estimated functional ability of older adults with visual impairments (VI) living at home prior to and after 24 months of individual low vision rehabilitation (LVR) according to the International Classification of Functioning, Disability and Health (ICF) framework. The LVR was carried out according to regular standard of care in Finland. The study provides knowledge that is relevant for improving both LVR as well as other services for older adults living with VI. Thirty-nine older adults with VI initially participated in the study with 28 remaining for the follow-up at 24 months of LVR. Data were collected by an orally administered questionnaire including items from the Oldwellactive Wellness Profile instrument. Data were analyzed using the marginal homogeneity test, and the outcomes were divided into four categories according to the ICF framework. Comparisons between the baseline and 2-year follow-up revealed statistically significant decreases in daily functions, including going outdoors ( p = .011), washing oneself ( p = .016), taking care for personal hygiene ( p = .046), dressing ( p = .034), preparing meals ( p = .041), and doing heavy housework ( p = .046), following 2 years of received LVR. A statistically significant increase in the need for help was also observed during the study period ( p = .025). The independence of older adults with VI decreased, and the need for external services or help increased during 24 months after the onset of receiving LVR. Visual problems were shown to widely affect functional ability. Activities and participation dimension together with loneliness are most affected and need attention in individual LVR.

scholarly journals Low Vision Rehabilitation in Older Adults

2016 ◽  
Vol 46 (3) ◽  
pp. 118-122
Author(s):  
Zuhal Özen Tunay ◽  
Aysun İdil ◽  
İkbal Seza Petriçli ◽  
Özdemir Özdemir
Keyword(s):  
Older Adults ◽  
Low Vision ◽  
Low Vision Rehabilitation ◽  
Vision Rehabilitation

scholarly journals Memory Deficit Associated with Worse Functional Trajectories in Older Adults in Low-Vision Rehabilitation for Macular Disease

2012 ◽  
Vol 60 (11) ◽  
pp. 2087-2092 ◽  
Author(s):  
Heather E. Whitson ◽  
Diane Whitaker ◽  
Linda L. Sanders ◽  
Guy G. Potter ◽  
Scott W. Cousins ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Vision ◽  
Memory Deficit ◽  
Macular Disease ◽  
Low Vision Rehabilitation ◽  
Vision Rehabilitation
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