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Older People: definitions, issues in addition to context Session learning outcomes:
Arizona State University, West Campus, US has reference to this Academic Journal, Occupational Therapy in addition to Older People: Assessment in addition to Evaluation of Health in addition to Well- being Deborah Davys in addition to Ellen Tickle Session learning outcomes: Consider the role in addition to background of occupational therapy regarding health in addition to wellbeing in older people. Consider the evidence base in consideration of occupational therapy interventions alongside older people. Present a range of relevant assessment in addition to evaluation tools. Older People: definitions, issues in addition to context Issues ? physical, psychological, social Statistical info UK government perspective ?notable policies directly aimed at older people; NSF in consideration of Older People (2001) in addition to Employment Equality (Age) Regulations (2006), Equality Act (2010)
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Definitions of health in addition to well being According so that WHO (2006) , healthy ageing is concerned alongside living a longer yet healthier life in addition to relates so that physical, social in addition to mental health along alongside reduced levels of disability WHO (2001) suggests a major determinant of healthy ageing is living an independent life in consideration of as long as possible OT role re older people Core OT philosophy is related so that : Occupation is fundamental so that health in addition to wellbeing People want so that engage in occupations that are meaningful in addition to purposeful so that themselves as an individual People want so that take control of in addition to manage their own lives People want so that be valued Evidence of efficacy of community OT alongside older people Steultjens et al (2004) carried out a systematic review related so that the effectiveness of OT in in maintaining independent community living in consideration of older people aged 60 in addition to above. Strong evidence in consideration of the efficacy of OT advising on equipment so that improve functional ability. Some evidence in consideration of the effectiveness of OT in skills training alongside home safety assessment so that reduce the incidence of falls in older people. Some evidence in consideration of the effectiveness of OT in improving functional ability, social participation in addition to quality of life in consideration of older people. Insufficient evidence in consideration of OT interventions that involve counselling primary caregiver of dementia patients about maintaining patients functional abilities.
Evidence in consideration of OT within mental health, well being in addition to older people Graff et al 2007 Effects of Community OT on Quality of Life, Mood in addition to Health Status of Dementia Patients in addition to Their Caregivers: A Randomised Control Trial. Journal of Gerontology. Vol.62A, No 9 1002-1009. Sample – 135 community dwelling older people alongside mild so that moderate dementia in addition to their informal caregivers Intervention – 2 groups ; OT intervention group ( environmental modification, cognitive behavioural strategies, problem solving) in addition to no OT intervention in consideration of 10 weeks. Outcome measures – Dementia Quality of Life Instrument, the Cornell Scale in consideration of Depression, Centre in consideration of Epidemiologic Studies Depression Scale, General Health Questionnaire 12 in addition to Mastery Scale used alongside patients in addition to their carers. Results – Overall Dementia Quality of Life was significantly better in the intervention group compared so that the control group in addition to significant 12 weeks post intervention. Evidence in consideration of OT in health promotion training in consideration of older people alongside visual difficulties Eklund et al (2008) A randomized control trial of a health promotion programme in addition to its effect on ADL dependence in addition to self-reported health problems in consideration of the elderly visually impaired. Scandinavian Journal of Occupational Therapy. Vol.15, pp68-74. Sample – 229 older people (65 years +) who have macular degeneration Intervention -Activity based health promotion programme compared so that an individual programme- both led by OT`s Outcome measures ? Functional tasks e.g. stairs, bath, dressing etc., SF-36 in addition to self-rating scales in consideration of health issues such as coronary, vascular, musculoskeletal, psychological in addition to fatigue issues. Results – The health promotion maintained their ADL independence level despite lowered visual acuity whilst individual intervention group increased dependence in ADL. Both groups lowered general health levels but the health promotion groups reported fewer health problems- maintained at 28 months post intervention Evidence in consideration of OT regarding well being in addition to life engagement in consideration of older people Horowitz in addition to Chang (2004) Promoting well-being in addition to engagement in life through occupational therapy lifestyle redesign. Topics in Geriatric Rehabilitation. Vol.20, No.1, pp46-58. Sample – 28 older people alongside a range of chronic conditions (depression, COPD, diabetes in addition to spinal stenosis) Intervention – 16 week experimental group in consideration of lifestyle redesign( focused on daily routines, physical in addition to mental activity, nutrition, medication, home in addition to community safety in addition to assistive technology) controlled alongside usual adult day programme. Outcome measures -Mini-Mental Status Exam, Functional Status Questionnaire, SF-36(V2), Centre in consideration of Epidemiological Studies Depression Scale, Life Satisfaction Index-Z Scale, in addition to the Master Scale. Results -a favourable outcome in consideration of the experimental groups in relation so that Role Functioning, Bodily Pain, General Health Survey SF-36,Social Activity on the Functional Status Questionnaire in addition to Centre in consideration of Epidemiological Studies Depression Scale.
What is SafeStart? How Does SafeStart training work? Error states/conditions Rushing: Frustration: Fatigue: Complacency Critical errors Eyes not on Task Mind not on Task Line-of-Fire Balance/Traction/Grip Safe Start Principles Risk Management Daily Home & Work Activities Benefits
Examples of tools used within research so that assess in addition to evaluate health in addition to well being in consideration of older people (Graff et al 2007 Horowitz in addition to Chang 2004, Clark et al 2001) Mini-Mental Status Exam, Functional Status Questionnaire, SF-36(V2), Centre in consideration of Epidemiological Studies Depression Scale, Life Satisfaction Index-Z Scale, Master Scale Dementia Quality of Life Instrument, Cornell Scale in consideration of Depression, General Health Questionnaire 12 References Clarke,F., Azen,S., Carlson,M. et al.(2001) Embedding health-promoting changes into the daily lives of independent-living older adults: long-term follow-up of occupational therapy intervention. The Journals of Gerontology Series B: Psychological Sciences in addition to Social Sciences 56B (1):pp60-63. Eklund et al (2008) A randomized control trial of a health ?promotion programme in addition to its effect on ADL dependence in addition to self-reported health problems in consideration of the elderly visually impaired. Scandinavian Journal of Occupational Therapy. Vol.15, pp68-74. Graff et al 2007 Effects of Community OT on Quality of Life, Mood in addition to Health Status of Dementia Patients in addition to Their Caregivers: A Randomised Control Trial. Journal of Gerontology. Vol.62A, No 9 1002-1009. Horowitz in addition to Chang (2004) Promoting well-being in addition to engagement in life through occupational therapy lifestyle redesign. Topics in Geriatric Rehabilitation. Vol.20, No.1, pp46-58. References continued: Steultjens , E.M.J., Dekker,J., Bouter,L.M., Jellema,S. et al (2004) Occupational therapy in consideration of community dwelling elderly people: a systematic review. Age in addition to Ageing.Vol.33 No.5 pp 453-460. World Health Organisation ? who
Assessment web addresses Functional Status Questionnaire – rangevoting /fun_status_question.pdf Mini Mental State Examination – medicine.uiowa /igec/tools/cognitive/MMSE.pdf SPF-36v2 Health Survey – dfwback /pdfs/SF36HealthSurvey.pdf Range of rating scale examples counsellingresource Life satisfaction – gesher /Myers-Briggs/life_satis_index.html
Benesh, Carolyn General Assignment Reporter
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