scholarly journals Older Adult-Centred Design

2015 ◽  
pp. 477-483
Author(s):  
Mona Afifi ◽  
Mohamed Al-Hussein ◽  
Ahmed Bouferguene
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Best Practice ◽  
Evidence Based ◽  
Risk Of Falling ◽  
Minimum Risk ◽  
Human Needs ◽  
Living Space ◽  
Risk Of Falls ◽  
Definition Of

A poorly designed home environment is likely to cause falling for older adults. By employing the concept of older adult-centred design, home design that reduces the risk of falls for older adults can be achieved. This approach focuses on meeting specific human needs and enabling individuals to experience improved functionality within the living space. This paper presents an evidencebased analysis of bathroom design from the perspective of reducing the risk of falling for older adults. The methodology is divided into three stages: (1) evidence-based review of bathroom design; (2) cohesive analysis of evidence-based studies; and (3) definition of best practice for older adult-centred design. The outcome of this paper is an evidence-based approach to older adultcentred design that is associated with the minimum risk of falling.

scholarly journals Supporting Nutrition Care in Older Adults: An Essential Component of ‘Best Practice’ Nursing

2021 ◽  
pp. 79-85
Author(s):  
Lina Spirgienė ◽  
Gytė Damulevičienė ◽  
Gabriele Bales ◽  
Jack J. Bell
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Nursing Care ◽  
Real World ◽  
Best Practice ◽  
Evidence Based ◽  
Essential Component ◽  
Nutrition Care ◽  
Evidence Based Guidelines ◽  
What Matters

AbstractEvidence-based guidelines, recommendations and standards are considered the cornerstone of ‘best practice’ in nursing care. However, what optimal nutrition care of older adults actually looks like in real-world settings is also dependent on age, disease and care contexts and, perhaps most importantly, what matters to the older adult.

Increasing Student Empathy Toward Older Adults Using the Virtual Dementia Tour

2014 ◽  
Vol 19 (1) ◽  
pp. S-23-S-40
Author(s):  
Jana Donahoe ◽  
Lisa Moon ◽  
Kathy VanCleave
Keyword(s):  
Older Adults ◽  
Social Work ◽  
Nursing Homes ◽  
Experiential Learning ◽  
Older Adult ◽  
Work Practice ◽  
Social Work Practice ◽  
Evidence Based ◽  
Student Knowledge ◽  
Course Content

Educators know too well the challenges of teaching BSW students about social work practice with older adults. Students hesitate to work with older adults due to personal fears about aging, lack of experiences with this population, or stereotypical misconceptions about older adults and nursing homes. It is apparent that many students have difficulty empathizing with older adults because they have never experienced what it is like to be an older adult with dementia. A solution to this problem is incorporating an immersive experiential learning simulation called the Virtual Dementia Tour (VDT) into BSW course content. The findings indicate that the VDT was an effective evidence-based learning tool for increasing student knowledge about aging and improving their empathy and sensitivity toward older adults with dementia.

scholarly journals INTEREST GROUP SESSION—HEALTH BEHAVIOR CHANGE: USING DATA ABOUT PATIENT CHARACTERISTICS TO IMPROVE FALL PREVENTION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S566-S566
Author(s):  
Gwen Bergen
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Fall Prevention ◽  
Fall Risk ◽  
Healthcare Providers ◽  
Patient Characteristics ◽  
Health Behavior Change ◽  
Clinical Aspects ◽  
Evidence Based ◽  
Prevention Strategies

Abstract Over one in four U.S. older adults (age 65+) reports falling each year with fall-related medical costs estimated at $50 billion. The American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons recommends that healthcare providers assess and manage their patients’ fall risk. The Centers for Disease Control and Prevention’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative helps healthcare providers incorporate these guidelines by providing tools on how to screen, assess, and intervene to reduce risk. Evaluations of fall prevention have focused on the clinical process and outcomes. Understanding clinical activities is important in fall prevention but a better understanding of older adult characteristics that increase fall-risk, and attitudes that may affect their adoption of evidence-based interventions could improve the effectiveness of prevention strategies. The five presentations in this session include: 1. Demographic, health and functional characteristics of older adults with increased fall risk. 2. Caregivers of people with chronic conditions or disability as a group with increased fall risk. 3. The most effective and efficient ways of identifying older adults with increased fall risk. 4. Facilitators and barriers to older adults’ adherence to evidence-based fall interventions. 5. Applying knowledge of older adult attitudes to improving an implementation of STEADI-based fall prevention. Multifactorial fall prevention strategies such as STEADI focus on the clinical aspects of fall prevention but their success depends on understanding and incorporating older adult characteristics and attitudes. The information presented in this session can inform fall prevention strategies and improve health.

scholarly journals Implementation of an Opioid and Benzodiazepine Deprescribing Program for Older Adults in an Outpatient Setting

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 906-906
Author(s):  
Lori Armistead ◽  
Jan Busby-Whitehead ◽  
Stefanie Ferreri ◽  
Cristine Henage ◽  
Tamera Hughes ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
At Risk ◽  
Older Adult ◽  
Adult Population ◽  
Primary Care Providers ◽  
The United States ◽  
Outpatient Setting ◽  
Care Providers ◽  
Risk Of Falls

Abstract The United States spends $50 billion each year on 2.8 million injuries and 800,000 hospitalizations older adults (age 65 years and older) incur as the result of falls. Chronic use of central nervous system (CNS)-active medications, such as opioid and/or benzodiazepine (BZD) medications, increases the risk of falls and falls-related injuries in this older adult population. This Centers for Disease Control and Prevention (CDC)-funded randomized control trial uses electronic health record (EHR) data from primary care outpatient clinics to identify older adult patients at risk for falls due to chronic opioid or BZD use. The primary program aim is to test the efficacy of a targeted consultant pharmacist service to reduce the dose burden of these medications in the targeted population. Impact of this intervention on the risk of falls in this population will also be assessed. Licensed clinical pharmacists will review at-risk patients’ medical records weekly and make recommendations through the EHR to primary care providers for opioid or BZD dose adjustments, alternate medications, and/or adjunctive therapies to support deprescribing for approximately 1265 patients in the first two cohorts of intervention clinics. One thousand three hundred eighty four patients in the control clinics will receive usual care. Outcome measures will include reduction or discontinuation of opioids and BZDs and falls risk reduction as measured by the Stop Elderly Accidents, Death and Injuries (STEADI) Questionnaire. Primary care provider adoption of pharmacists’ recommendations and satisfaction with the consult service will also be reported.

scholarly journals Program Practices Predict Intergenerational Interaction among Youth and Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 794-794
Author(s):  
Shannon Jarrott ◽  
Shelbie Turner ◽  
Jill Juris Naar ◽  
Rachel Scrivano ◽  
Raven Weaver
Keyword(s):  
Older Adults ◽  
Best Practices ◽  
Older Adult ◽  
Program Implementation ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Adult Participants ◽  
Potential Benefits ◽  
Participant Response ◽  
Intergenerational Interaction

Abstract Non-familial intergenerational programs engage younger and older people in shared programming for mutual benefit, frequently involving senior centers or adult day programs and preschools. With growing interest in the potential benefits of intergenerational strategies, it is imperative to know their effects on participant interaction during intergenerational programming. To address this knowledge gap, activity leaders at five sites serving older adults and/or preschoolers received training to implement 14 evidence-based practices during intergenerational activities involving 109 older adult and 105 preschool participants over four years. We utilized multi-level modeling to test whether variations in implementation of practices were associated with variations in participants’ responses to programming on a session-by-session basis. For both preschool and older adult participants, analyses revealed that the implementation of certain practices was associated with significantly more intergenerational interaction. Specifically, when person-centered best practices (e.g., leading activities that are age- and role-appropriate for older adults) were implemented, preschoolers (estimate=5.83, SD=2.11, p=0.01 and older adults (estimate=5.11, SD=.10, p=0.02) had more intergenerational interaction. Likewise, when environmental-centered best practices were implemented, such as pairing materials between intergenerational partners, preschoolers (estimate=6.05, SD=1.57, p=0.002) and older adults (estimate=6.50, SD=1.85, p=0.001) had more intergenerational interaction. Our findings reveal session-by-session variation in intergenerational interaction that can be impacted by implementation practices, which highlights the importance of training activity leaders to implement evidence-based practices. Researchers and practitioners should consider how session-by-session variation in program implementation affects participant response.

Older Adult Representation in the Counseling Psychology Literature

2003 ◽  
Vol 31 (6) ◽  
pp. 789-814 ◽  
Author(s):  
James L. Werth ◽  
Karen Kopera-Frye ◽  
Dean Blevins ◽  
Brian Bossick
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Counseling Psychology ◽  
Adult Population ◽  
Lifespan Development ◽  
Traditional Definition ◽  
Psychology Literature ◽  
Definition Of ◽  
Older Adult Population ◽  
Counseling Psychologists

The increasing older adult population has implications for the training and practice of counseling psychologists because of the field's avowed dedication to lifespan development. The present study examined the degree to which older adults were represented in articles in the Journal of Counseling Psychology and The Counseling Psychologist from 1991 to 2000. Several issues were examined: age-based characteristics of samples reported, changes in these characteristics over time, whether articles including multiple studies involved older participants, and degree of attention to older adults in theoretical articles. Results are discussed in context of the traditional definition of counseling psychology, what counseling psychologists have to offer older adults, and the implications for the training of counseling psychologists with expertise in older adult issues.

scholarly journals Implementing Effective, Evidence-Based Older Adult Fall Prevention

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 773-774
Author(s):  
Gwen Bergen
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Older Adult ◽  
Fall Prevention ◽  
Patient Adherence ◽  
Medical Costs ◽  
Lessons Learned ◽  
Evidence Based ◽  
Care Providers ◽  
Core Components

Abstract Over one in four older adults (65 years and older) in the US reports falling annually with estimated medical costs of $50 billion. Evidence-based strategies exist that can reduce falls with one of the most promising being multifactorial, clinically-based initiatives such as the Centers for Disease Control and Prevention’s STEADI (Stopping Elderly Accidents, Deaths, and Injuries) Initiative. STEADI includes three core components for health care providers: screen for risk factors, assess modifiable factors, and intervene to reduce falls with evidence-based strategies. Barriers to implementation include competing patient demands and limited time during patient visits. Efficient, effective implementation of clinical fall prevention is important to increase the use of multifactorial interventions. In addition, understanding older adult attitudes about the preventability of falls is needed to increase patient adherence to prescribed interventions. This symposium will cover:1. Background data on older adult falls over time,2. Description of an initial implementation of STEADI in an outpatient, Southeastern clinical practice including lessons learned,3. Attitudes of older adults toward fall prevention with implications for health promotion,4. Process evaluation of an ongoing implementation of STEADI in New York State with lessons learned. Understanding practical methods of implementing the three core components of fall prevention into practice supports wider dissemination of evidence-based fall prevention, while understanding patient attitudes toward falls informs the design of health promotion approaches to increase patient uptake of prescribed interventions. Wider dissemination and increased patient adherence in combination can reduce older adult falls and their associated medical costs.

scholarly journals Evidence-based Recommendations to Inform Best Practices for LGBTQ Older Adults in Long-term Care Settings

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 851-851
Author(s):  
Katherine Fasullo ◽  
Erik McIntosh ◽  
Todd Ruppar ◽  
Sarah Ailey ◽  
Susan Buchholz
Keyword(s):  
Older Adults ◽  
Best Practices ◽  
Best Practice ◽  
Long Term Care ◽  
Guideline Development ◽  
Care Staff ◽  
Evidence Based ◽  
Term Care ◽  
Care Facilities

Abstract Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults are more likely to live alone and have less familial support, which disproportionately contributes to a reliance on long-term care facilities as they age. Best-practice guidelines supported by scholarly literature to care for LGBTQ older adults in long-term care settings do not exist. This review synthesizes literature about LGBTQ older adults in long-term care facilities and provides recommendations for best practice guideline development. Four electronic databases were searched in June 2019 for studies conducted between 2000 – 2019 related to caring for LGBTQ older adults in long-term care settings. An integrative literature review was completed on the twenty eligible studies. Findings showed that LGBTQ participants fear discrimination in long-term care leading to the invisibility of their identities. They recognize a need for increased staff training and the importance of community networks and facility preferences. Long-term care staff have mixed experiences with inclusive practices and complex views of LGBTQ older adults. They experience training deficits and have a need for more expansive training modalities. The recommendations offered by both LGBTQ participants and long-term care staff are to revise policies and forms as well as provide widespread training and education. LGBTQ participants recommend that their unique identities be recognized within long-term care while long-term care staff recommend leadership involvement to change culture and practice. This review provides evidence-based recommendations to promote equitable healthcare to the LGBTQ older adult population and calls to attention the need for long-term care settings to uniformly follow best-practices.

scholarly journals Innovation During Disruption: Supporting What Matters Most to Older Adults Through Person-Environment Fit

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 291-291
Author(s):  
Sarah Szanton
Keyword(s):  
Older Adults ◽  
Social Environment ◽  
Older Adult ◽  
Systems Of Care ◽  
Evidence Based ◽  
The Social ◽  
Person Environment Fit ◽  
And Function ◽  
Tailored Program ◽  
What Matters

Abstract The fragile and improvised systems of care for older adults have been decimated by isolation and fragmented care during the pandemic. However, innovations are increasingly being offered to older adults to improve the fit between them and their environment. This includes fit within the home, the social environment, the policy environment, and with clinicians. Advancing these “fits” requires evidence-based solutions like CAPABLE, a 4 month self-efficacy and function program that provides an occupational therapist, nurse and handyworker to assess and address older adults’ functional goals. The older adult identifies what matters most and experiences a tailored program that taps into their purpose in life and supports engaging in meaningful activities. Starting in research sites, CAPABLE is now offered in 34 sites in 17 States and expanding through policy and insurers. Such efforts to leverage the strength of older adults and their families, builds capacity to evolve our communities of care.

Older Adults on Digital Media in a Networked Society

2019 ◽  
pp. 96-108 ◽  
Author(s):  
Anabel Quan-Haase ◽  
Renwen Zhang ◽  
Barry Wellman ◽  
Hua Wang
Keyword(s):  
Older Adults ◽  
Digital Media ◽  
Older Adult ◽  
Digital Communication ◽  
Personal Networks ◽  
The Internet ◽  
Evidence Based ◽  
Use Of The Internet ◽  
Networked Society ◽  
Depth Interviews

Conventional wisdom holds that the Internet is a technology for the young. However, as this chapter shows, older adults are increasingly adopting digital media, and it is therefore critical to know more about how networks of digital communication are changing their lives in such respects as their interaction with family and friends. The authors draw upon a study using in-depth interviews of older adult residents in East York, a locality in Toronto, Canada. These interviews illuminate the roles that digital media play in managing and strengthening the personal networks of elders. Their findings challenge stereotypes about older adults and their use of the Internet. The chapter makes an evidence-based case that the Internet and related digital media help older adults develop a sense of connectedness versus isolation.

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