scholarly journals Fostering intergenerational education: an experiential learning program for medical students and older adults

Author(s):  
Rebecca Correia ◽  
Lindsay Klea ◽  
Graham Campbell ◽  
Andrew Costa

Educational initiatives providing intergenerational, experiential learning opportunities can engage students of various education levels and disciplines. All persons can benefit from initiatives with older adults because our aging population suggests more of these interactions will occur across sectors. While students pursuing an education in health or medical fields are primarily identified as benefiting from intergenerational education to gain skills and knowledge to effectively care for the elderly, these teachings are invaluable regardless of one’s age, education, or career background. The program delivery and evaluation criteria can be adapted to assess competencies essential to different education or career paths.

2019 ◽  
Vol 42 (5) ◽  
pp. 340-347 ◽  
Author(s):  
Darina V. Petrovsky ◽  
Justine S. Sefcik ◽  
Pamela Z. Cacchione

Recent research has recognized the value of participatory arts, including choirs, as a strategy to engage older adults in the community. Less is known about the participation of minority older adults of low socioeconomic status (SES) in choirs. The purpose of this qualitative descriptive study was to explore the perceived benefits of choral singing among older adults from Program of All-Inclusive Care for the Elderly (PACE) day centers. We elicited perceptions from 19 choir participants from three focus groups, the majority of whom were Black or African American (N =17/19), each held at a different PACE center. One main theme emerged, “Something for us to do that we love,” with two subthemes, “Joyful time together” and “Uplifting experience performing for others.” These study findings have implications for promoting choir singing in older adults to serve as a place for engagement in social interactions in a lifelong activity they love.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S536-S536
Author(s):  
Marjorie A Getz

Abstract Aging is a distinct part of the life cycle. College students enrolled in courses in gerontology often have difficulty relating to aging, that part of life not yet experienced. They may not fully appreciate that adults become more unique, not more similar, as they age. We describe courses in an undergraduate gerontology certificate program that incorporate experiential learning activities with older adults across a hierarchical sequence of courses. These courses feature service learning opportunities focused on increased understanding of course content, broader appreciation of the discipline and improved sense of civic responsibility. Much like the course content of the curriculum, the incorporated experiential learning opportunities for each course level fit a hierarchy leading to student competence and skills development needed for success in the final independent practicum. For the described courses, students provided community service, experienced direct contact with older adults and used reflective practices to integrate course content into service learning activities. We report on qualitative data obtained from students enrolled in the foundational course, Biophysical Aspects of Aging and the third level course, Aging and Mental Health. Content analyses of reflective essays identified five themes: (a) insights about the realities of aging in America (b) perceptions concerning personal negative stereotypes about older adults; (c) feelings of accomplishment/awareness of new skills in providing community services; (d) understandings related to the importance/value of community service; and (e) successes in integrating the course work on aging into service-learning experiences. Other experiential learning activities incorporated into this gerontology certificate program are highlighted.


2021 ◽  
Author(s):  
◽  
César Cuevas Lara

This doctoral thesis focuses on the effects of gamified intervention programmes on the functional capacity of hospitalized older adults. Hospitalization is a process that leads to the development of disability in older adults. Hospitalization-associated disability is mainly induced by reduced physical activity and frequent episodes of bed rest during this process of health restoration. Gamified interventions can be a novel and effective strategy to prevent hospitalization-associated functional impairment in elderly patients. This doctoral thesis is based on three studies that have been published in international scientific journals. The first study (Chapter 1) aimed to evaluate the available evidence on the effectiveness of game-based interventions on health parameters (functional capacity, quality of life, etc.) of hospitalized older adults. In the second study (Chapter 2), the main objective was to detail the validation of a pilot multidomain intervention system (physical and cognitive training) based on gamification technologies to improve the functional capacity of hospitalized older adults. In the last study (Chapter 3), the main purpose was to analyse the effects of different modalities of gamified intervention programmes on functional capacity in hospitalized older adults in acute care for the elderly.


2014 ◽  
Vol 30 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Heather L. Johnson ◽  
Catherine G. Ling ◽  
Elexis C. McBee

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.


2020 ◽  
Vol 9 (8) ◽  
pp. 2591
Author(s):  
Sweilem Al Rihani ◽  
Matt Smith ◽  
Ravil Bikmetov ◽  
Malavika Deodhar ◽  
Pamela Dow ◽  
...  

Determination of the risk–benefit ratio associated with the use of novel coronavirus disease 2019 (COVID-19) repurposed drugs in older adults with polypharmacy is mandatory. Our objective was to develop and validate a strategy to assess risk for adverse drug events (ADE) associated with COVID-19 repurposed drugs using hydroxychloroquine (HCQ) and chloroquine (CQ), alone or in combination with azithromycin (AZ), and the combination lopinavir/ritonavir (LPV/r). These medications were virtually added, one at a time, to drug regimens of 12,383 participants of the Program of All-Inclusive Care for the Elderly. The MedWise Risk Score (MRSTM) was determined from 198,323 drug claims. Results demonstrated that the addition of each repurposed drug caused a rightward shift in the frequency distribution of MRSTM values (p < 0.05); the increase was due to an increase in the drug-induced Long QT Syndrome (LQTS) or CYP450 drug interaction burden risk scores. Increases in LQTS risk observed with HCQ + AZ and CQ + AZ were of the same magnitude as those estimated when terfenadine or terfenadine + AZ, used as positive controls for drug-induced LQTS, were added to drug regimens. The simulation-based strategy performed offers a way to assess risk of ADE for drugs to be used in people with underlying medical comorbidities and polypharmacy at risk of COVID-19 infection without exposing them to these drugs.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S134-S134
Author(s):  
Elizabeth Fine-Smilovich ◽  
Diana L Morris ◽  
David M Rosenberg ◽  
Elizabeth O’Toole ◽  
Cynthia Booth-Lord ◽  
...  

Abstract Background: An innovative educational program addresses two gaps in health professions education: lack of an emerging workforce comfortable caring for older adults and proficiency in working in an interprofessional (IP) setting. We sought to explore whether AIP provides grounding in pillars of IPE and geriatric competencies through experiential learning in IP teams with older adults in a community setting. Methods: Early health profession students n=37 (MD, MSN, PA, SW), working in teams of 3, made monthly visits to older adults’ residences over a one-year period. Workshops on core geriatric and IPE principles defined expected learning goals for client visits. Visits were followed by: 1) written field notes; 2) reflections based on pre-determined learning prompts; and 3) debriefing sessions with faculty members. Students completed pre and post program questionnaires including Attitudes Towards Social Issues in Medicine, Geriatrics Attitude Scale, ICCAS, and RIPLS. Pre-post results were analyzed using t-tests and qualitative analysis of comments. Results: 25 (68%) students completed pre-post questionnaires. Responses on the interprofessional collaboration scale significantly increased following the program (t=2.09; p = 0.047) and 94% responded that they could “well” or “very well” describe issues that impact older adults’ health, quality of life, and convey appreciation toward older adults. Discussion: Students, engaging with older adults longitudinally in a community setting learned pillars of IPE, geriatric care competencies, and gained insights into this population. An interprofessional, experiential learning program is feasible and effective way to increase interest and self-efficacy in working with older adult populations.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 823-823
Author(s):  
Pamela Cacchione ◽  
Caio Mucchiani ◽  
Kristine Lima ◽  
Ross Mead ◽  
Mark Yim ◽  
...  

Abstract Development of low-cost robots to assist older adults requires the input of end users: older adults, paid caregivers and clinicians. This study builds on prior work focused on the task investigation and deployment of mobile robots in a Program of All-inclusive Care for the Elderly. We identified hydration, walking and reaching as tasks appropriate for the robot and helpful to the older adults. In this study we investigated the design specifications for a socially assistive robot to perform the above tasks. Through focus groups of clinicians, older adults and paid caregivers we sought preferences on the design specifications. Using conventional content analysis, the following four themes emerged: the robot must be polite and personable; science fiction or alien like; depends on the need of the older adult; and multifaceted to meet the needs of older adults. These themes were used in the design and deployment of the Quori robot.


2005 ◽  
Vol 9 ◽  
pp. 1-42
Author(s):  
Oscar Gerardo Hernández Lara ◽  
◽  
Benjamin Toney ◽  

The work addresses access to Museums as cultural spaces by older adults in Mexico. The access, use, and knowledge they have regarding museums are analyzed. The analysis is carried out by rural or urban origin, travel time, gender, education levels, among other variables. The database used is the Museum Statistics for 2017 published by INEGI in 2018 and the method used consisted of crossing variables. The National Statistical Directory of Economic Units database was accessed to cross-check statistical information with georeferenced points of museums throughout the country. The work adds two different dimensions of study, 1) to the studies of aging and old age, when verifying the mobility, cultural interests and social connectivity of the elderly and, 2) to the studies on museums and cultural spaces, by demonstrating the persistence of access and interest on the part of older adults.


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