Older Adults’ Casino Gambling Behavior and Their Attitudes Toward New Casino Development

2016 ◽  
Vol 84 (4) ◽  
pp. 415-430 ◽  
Author(s):  
Anthony Piscitelli ◽  
Jay Harrison ◽  
Sean Doherty ◽  
Barbara A. Carmichael
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Research Study ◽  
Risk Groups ◽  
Gambling Behavior ◽  
Casino Gambling ◽  
Gambling Problem ◽  
Gambling Problems ◽  
The Impact ◽  
Casino Patrons

Research on new casinos typically focuses upon their impact on the community, rather than on specific at-risk groups. This research study explores the impact of the opening of a new casino on attitudes of older adult casino patrons, especially those at particular risk of having gambling problems. Results demonstrate that over 80% of older adult casino patrons would not change their attitudes toward gambling or expect to increase their gambling as a result of the opening of a new casino. However, older adults with problem gambling issues are more likely to indicate they would visit a casino more, spend more time at a casino, and gamble more as a result of the opening of a new casino. In addition, older adults with signs of a gambling problem are more likely to say the opening of a new casino would change their opinions of gambling in general or casino gambling.

scholarly journals AN ELDERLY’S PERSPECTIVE ON THE IMPACT OF SPIRITUALITY TOWARDS DEATH ACCEPTANCE

2019 ◽  
Vol 5 (6) ◽  
pp. 212-217
Author(s):  
Minnie Besin Mamauag
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Life Experiences ◽  
The Elderly ◽  
Spiritual Beliefs ◽  
Sense Of Security ◽  
Adult Participants ◽  
Old Adult ◽  
The Impact ◽  
Death Acceptance

Objective: This study explored the religious or spiritual beliefs and behaviors of the elderly that could somehow translate to their level of death acceptance or lack thereof.Methods: A total of four (4) elderly participants, ages 60 and above whom meet the criteria set for this study was interviewed to assess their spiritual upbringing and experiences that resulted to their death acceptance. The study involves qualitative approach using thematic analysis. The narrative testimony of the old adult participants in this study which includes cases of older adult that believes in God, older adult having shifted from one religious organization to another, and older adults’ instilled spirituality comes from religious imprint from family members during childhood describes the three important patterns in the religious or spiritual standing of the participants.Results: The themes signified that (1) older adults are inherently religious and this nature is a subsequent factor in (2) their faith in God basing on their life experiences and life’s meaning. Furthermore, this (3) belief or faith in God offers them a sense of security and hope in the afterlife.Conclusion: These themes explain the pattern in the creation of a religious/ spiritual standing that leads to death acceptance among participants as evident in their interview results.

scholarly journals Unexpected shock in a fallen older adult: a case report

2020 ◽  
Vol 5 (1) ◽  
pp. 15-19
Author(s):  
Gary Matthews ◽  
Helen Booth ◽  
Gregory Adam Whitley
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Spinal Injury ◽  
Extended Period ◽  
Spine Injury ◽  
Common Mechanism ◽  
Complex Nature ◽  
Major Trauma Patient ◽  
The Impact

Introduction: Falls are common in older adults and frequently require ambulance service assistance. They are the most frequent cause of injury and associated morbidity and mortality in older adults. In recent years, the typical major trauma patient has changed from being young and male to being older in age, with falls of < 2 metres being the most common mechanism of injury. We present a case of an 84-year-old male who had fallen in his home. This case highlights the complex nature of a relatively common incident.Case presentation: The patient was laid on the floor in the prone position unable to move for 12 hours. He did not complain of any pain in his neck, back, hips or legs, and wished to be lifted off the floor promptly. On examination, he had bruising to his chest and abdomen and had suffered a suspected cervical spine injury due to a step-like protrusion around C5‐C6. Distal sensory and motor function was intact. While in the ambulance his blood pressure dropped from 154/119 mmHg to 49/28 mmHg unexpectedly. We successfully reversed the shock using the modified Trendelenburg position and intravenous fluids. On follow-up he was diagnosed with dislocated C3, C6 and C7 vertebrae.Conclusion: The unexpected episode of shock witnessed in this patient may have been caused by a number of phenomena, including but not limited to crush syndrome, spinal cord concussion and orthostatic hypotension. We recommend that clinicians anticipate sudden shock in older adult patients who have fallen and a) have remained static on the floor for an extended period of time or b) are suspected of a spinal injury. We recommend assertive management of these patients to mitigate the impact of shock through postural positioning and consideration of early cannulation.

The Impact of Natural Hazards on Older Adult Health: Lessons Learned From Hurricane Maria in Puerto Rico

2021 ◽  
pp. 1-8
Author(s):  
Elizabeth L. Andrade ◽  
Megan Jula ◽  
Carlos E. Rodriguez-Diaz ◽  
Lauren Lapointe ◽  
Mark C. Edberg ◽  
...  
Keyword(s):  
Older Adults ◽  
Puerto Rico ◽  
Natural Hazards ◽  
Older Adult ◽  
Natural Hazard ◽  
Emotional Health ◽  
Well Being ◽  
Adult Health ◽  
Preparedness Planning ◽  
The Impact

Abstract Objective: With natural hazards increasing in frequency and severity and global population aging, preparedness efforts must evolve to address older adults’ risks in disasters. This study elucidates potential contributors to the elevated older adult mortality risk following Hurricane Maria in Puerto Rico through an examination of community stakeholder preparedness, response, and recovery experiences. Methods: In April 2018, qualitative interviews (n = 22) were conducted with stakeholders in 7 Puerto Rican municipalities. Interview transcripts were deductively and inductively coded and analyzed to identify salient topics and themes representing participant response patterns. Results: The hurricane’s detrimental impact on older adult health emerged as a prominent finding. Through 6 months post-hurricane, many older adults experienced unmet needs that contributed to declining physical and emotional health, inadequate non-communicable disease management, social isolation, financial strain, and excess morbidity and mortality. These needs were predominantly consequences of lengthy public service gaps, unsafe living conditions, interrupted health care, and the incongruence between preparedness and event severity. Conclusions: In a landscape of increasing natural hazard frequency and magnitude, a pattern of older adult risk has become increasingly clear. Study findings compel practitioners to engage in natural hazard preparedness planning, research, and policy-making that considers the multiple facets of older adult well-being.

Driving, transportation, and mobility in the older adult

2017 ◽  
pp. 1303-1310
Author(s):  
Benjamin M. Shapiro ◽  
L. Jaime Fitten
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Well Being ◽  
Driving Safety ◽  
Crash Risk ◽  
Accident Risk ◽  
Healthy Older Adults ◽  
Crash Rates ◽  
Normal Ageing ◽  
The Impact

Older adults drive more miles than prior generations and have mobility and transportation needs that are central to independence and well-being. While older adult crash rates have decreased due to safety improvements, those aged 80 years and older have higher morbidity and mortality from crashes due to physical vulnerabilities. Normal ageing is associated with cognitive, motor, and sensory changes that prompt healthy older adults to modify their driving. Older adults use a wide range of potentially driver-impairing medications that increase accident risk. Glaucoma, visual field changes from strokes, and other impairments assessed in the Useful Field of View test can significantly increase crash risk. Moderate and advanced dementia results in unsafe driving due to the impact on ‘process skills’, resulting in the prevailing opinion that they should not drive. However, there is no appropriate screening instrument to assess driving safety among older adults.

scholarly journals An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department

2017 ◽  
Vol 32 (2) ◽  
pp. 167-174 ◽  
Author(s):  
Jason M. Moss ◽  
William E. Bryan ◽  
Loren M. Wilkerson ◽  
Heather A. King ◽  
George L. Jackson ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Quality Improvement ◽  
Older Adult ◽  
Quality Improvement Project ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Academic Detailing ◽  
Improvement Project ◽  
The Impact

Objective: To evaluate the impact of an academic detailing intervention delivered as part of a quality improvement project by a physician–pharmacist pair on (1) self-reported confidence in prescribing for older adults and (2) rates of potentially inappropriate medications (PIMs) prescribed to older adults by physician residents in a Veteran Affairs emergency department (ED). Methods: This quality improvement project at a single site utilized a questionnaire that assessed knowledge of Beers Criteria, self-perceived barriers to appropriate prescribing in older adults, and self-rated confidence in ability to prescribe in older adults which was administered to physician residents before and after academic detailing delivered during their emergency medicine rotation. PIM rates in the resident cohort who received the academic detailing were compared to residents who did not receive the intervention. Results: Sixty-three residents received the intervention between February 2013 and December 2014. At baseline, approximately 50% of the residents surveyed reported never hearing about nor using the Beers Criteria. A significantly greater proportion of residents agreed or strongly agreed in their abilities to identify drug–disease interactions and to prescribe the appropriate medication for the older adult after receiving the intervention. The resident cohort who received the educational intervention was less likely to prescribe a PIM when compared to the untrained resident cohort with a rate ratio of 0.73 ( P < .0001). Conclusion: Academic detailing led by a physician–pharmacist pair resulted in improved confidence in physician residents’ ability to prescribe safely in an older adult ED population and was associated with a statistically significant decrease in PIM rates.

scholarly journals On Optimality of Bold Play for Discounted Dubins-Savage Gambling Problems with Limited Playing Times

2007 ◽  
Vol 44 (1) ◽  
pp. 212-225 ◽  
Author(s):  
Yi-Ching Yao
Keyword(s):  
Casino Gambling ◽  
Gambling Problem ◽  
Gambling Problems ◽  
Future Discounting ◽  
Playing Time

In the classic Dubins-Savage subfair primitive casino gambling problem, the gambler can stake any amount in his possession, winning (1 - r)/r times the stake with probability w and losing the stake with probability 1 - w, 0 ≤ w ≤ r ≤ 1. The gambler seeks to maximize the probability of reaching a fixed fortune by gambling repeatedly with suitably chosen stakes. This problem has been extended in several directions to account for limited playing time or future discounting. We propose a unifying framework that covers these extensions, and prove that bold play is optimal provided that w ≤ ½ ≤ r. We also show that this condition is in fact necessary for bold play to be optimal subject to the constraint of limited playing time.

The impact of forced migration on the mental health of the elderly: a scoping review

2016 ◽  
Vol 28 (6) ◽  
pp. 889-896 ◽  
Author(s):  
Ashwini Virgincar ◽  
Shannon Doherty ◽  
Chesmal Siriwardhana
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Older Adults ◽  
Developing Countries ◽  
Older Adult ◽  
Forced Migration ◽  
The Elderly ◽  
Poor Mental Health ◽  
Bibliographic Databases ◽  
The Impact

ABSTRACTBackground:The worldwide elderly population fraction is increasing, with the greatest rise in developing countries. Older adults affected by conflict and forced migration mainly taking place in developing countries may be particularly vulnerable to poor mental health due to other age-specific risk factors. This review aims to explore global evidence on the effect of conflict-induced forced migration on the mental health of older adults.Methods:Seven bibliographic databases were searched. The title and abstract of 797 results were reviewed for qualitative and quantitative studies meeting inclusion and exclusion criteria.Results:Six studies were selected for the in-depth review. Five papers assessed mental health in older adult populations displaced as refugees. One paper assessed mental health of older adults with varying immigration status.Conclusions:This review highlights the dearth of evidence about the impact of forced migration on the mental health of older adults. Further research is needed to explore the risk factors and processes that contribute to adverse mental health outcomes among older adult populations. This is essential to the development of interventions for this vulnerable and at-risk population, particularly in resource-poor settings.

scholarly journals Ageism in the time of COVID-19

2021 ◽  
Vol 24 (2) ◽  
pp. 246-252
Author(s):  
Hannah J. Swift ◽  
Alison L. Chasteen
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Negative Impact ◽  
Age Groups ◽  
The Impact

In this article, we outline how the response to the coronavirus (COVID-19) pandemic has the potential to fundamentally change how we think and feel about our own age, and how we think and feel about other age groups. Specifically, we outline how discourse surrounding the pandemic has strengthened the homogeneous view of older adults as vulnerable, has socially stigmatized being an older adult, and has exacerbated hostile and benevolent expressions of ageism. We explore the impact of these changing dynamics on intergenerational cohesion and relations, and propose that understanding theories of ageism will be essential for how we handle future pandemics in order to reduce the potential negative impact of crises on individuals as well as on communities and societies.

When Grandparents Move In

2020 ◽  
Vol 51 (5) ◽  
pp. 299-308 ◽  
Author(s):  
Brian T. Smith ◽  
Kelly Charlton
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Aging Process ◽  
Negative Impact ◽  
The Elderly ◽  
Growing Up ◽  
Attitudes Toward Older Adults ◽  
The Impact ◽  
The Relationship

Abstract. This paper explores the impact of growing up with an older adult in the home on one’s attitudes toward older adults. We surveyed 309 participants for their opinions on older adults, whether they grew up living with an older adult, and whether the older adult they lived with was ill. Those who grew up with an older adult had significantly lower opinions of the elderly but had less anxiety around their own aging process. This negative impact of contact seemed especially pronounced if the older adult was ill. Results indicate that although contact in and of itself can have a positive benefit on opinions toward the elderly, the nature of the relationship impacts the effectiveness of the contact.

Acceptability and Identification of Scooped Versus Molded Puréed Foods

2014 ◽  
Vol 75 (03) ◽  
pp. 145-147 ◽  
Author(s):  
Jamila R. Lepore ◽  
Charles A. Sims ◽  
Nancy J. Gal ◽  
Wendy J. Dahl
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Magnitude Scale ◽  
University Of Florida ◽  
The University ◽  
The Impact ◽  
Sensory Studies

Purpose: Although puréed foods are commonly recommended for individuals with dysphagia and the acceptability of these foods is often a concern, few sensory studies on puréed foods have been carried out. The aim of this study was to evaluate the impact of serving style (i.e., scooped vs molded), on identification and acceptability of puréed foods in younger and older adults. Methods: Acceptability of scooped versus molded puréed meats and vegetables was evaluated using the hedonic general Labeled Magnitude Scale. The younger adult panelists (n = 97; 55 F, 42 M) were recruited from the University of Florida staff and students, and the older adult panelists (n = 70; 59 F, 11 M) were recruited from the community. Results: The younger panelists correctly identified a higher percentage of puréed foods than did the older panelists. Scooped puréed foods were more acceptable than molded. Conclusions: The results suggest that puréed foods may be more acceptable and identifiable when served without molding for both younger and older adults.

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