It is important to keep this in mind in order to intentionally work to self-identify our own risk areas where our implicit biases might influence our behaviors. (2012). An AT device is "any item, piece of equipment, or product system, whether acquired commercially or off the shelf, modified, or customized, used to increase, maintain, or improve functional capabilities of individuals with disabilities (ATIA, 2020)." The course focuses on how social arrangements impact aging individuals and their families and how aging individuals impact society. Still, promising results were evident for people with Parkinson's disease and cognitive impairment (Sherrington et al., 2016). World Health Organization. The AGS and BGS also recommended that older adults be aware that shoes with low heels and high surface contact can reduce fall risks (AGS, 2011). Frailty was a significant and independent predictor of short-term future falls among community-dwelling older people who had volunteered for a physical activity study (Kokima et al., 2015). Finals are graded as Pass or No Pass. These resources include podcasts and several fall prevention brochures. That study found that institutionalization, age, taking several medications, and muscle weakness was related to falls, but no recurrence. Overview. Older Adults' Reasons for Using Technology while Aging in Place. Ambrose, A., Paul, G. and Hausdorff, J. The different etiological factors will be presented, focusing on their role in lesion Multifactorial interventions addressed multiple risk factors such as nutrition, hydration, home modification, education, exercise, and medication management, while population-based interventions were existing effective population-based fall prevention programs, such as Stepping On or A Matter of Balance, or other population-based multicomponent interventions (Elliott & Leland, 2018). Older age was correlated with lower levels of education and lower anxiety about aging. The impact of exercise as a single intervention in clinical groups and aged care facility residents requires further investigation. A caregiver's attendance may provide needed social and emotional support and assist the individual in implementing strategies in his or her home. Remember, implicit bias is a form of bias that impacts our practice as healthcare professionals. In their review, Karlsson et al (2013). The Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative was developed in response to this . Our site uses cookies to improve your experience. The gap in evidence regarding exercise interventions supports the need for further research. In their study, Horowitz et al(2013) noted home modifications and AT that assisted mobility increased independence and safety with self-care tasks and reduced caregiver assistance hours. Aging in Place (AIP) is defined as the ability to live in one's own home and community safely, independently, and comfortably regardless of age, income, or ability level (CDC, 2009). OLLI and The UC Davis Healthy Aging Initiative in collaboration with UC Davis Healthy Aging in a Digital World are pleased to present a discussion with UCDMC professor Yong Choi, whose research offers timely expressions on innovative technologies . Stark, S., Keglovits, M., Arbesman, M. and Lieberman, D. (2017). 2023 National Association of Home Builders. A Place to Age: Addressing Barriers to Aging-in-Place in Montgomery County JULY 2023 AFFIONG FAITH IBOK SUMMER FELLOW PRINCETON UNIVERSITY, MPA. Kojima G. Frailty as a Predictor of Future Falls Among Community-Dwelling Older People: A Systematic Review and Meta-Analysis. CEC Power Pass FPTA Approval: CE23-704083. continued, LLC, is authorized by IACET to offer 0.1 CEUs for this program. However, exercise as a program component should be carefully considered as it may increase falls in older adults with limited mobility (AGS, 2011). Use of certain medications that include antidepressants, antihypertensive, diuretics, and anti-seizure medications, Environmental issues such as low lighting, Behavior modifications to address the fear of falling, Exercise to improve balance, strength, and gait, Home environmental modifications and education, Self-reported unintentional weight loss of at least 10 pounds in the previous year, Self-reported exhaustion and low energy expenditure, The role cognition plays in falls and how cognition and visual deficits increase an individual's risk for falling, Environmental and home safety education and, Assistive technology/ assistive devices and strategies. In Middle Eastern and Asian countries Very clearly presented with great examples. We do this to provide a personalized experience, improve our content, and monitor the site performance. Implicit bias occurs when we have automatic prejudices, judgments, and/or a general attitude towards a person or a group of people based on associated stereotypes we have formed over time. Karlsson, M., Vonschewelov, T., Karlsson, C., Cster, M. and Rosengen, B. Poor diet and exercise habits can increase a person's risk. AOTA does not endorse specific course content, products, or clinical procedures. Here are five reasons to consider a career in data science. Aging In Place Continuing Education Opportunities After you have taken the CAPS designation courses and the universal design/build class, you may want or need additional coursework, seminars, continuing education hours ("CEUs"), or in-service training. This course is required for the NAHB Certified Aging in Place Specialist (CAPS) designation. It showed anxiety had a moderate to significant association with FRPCs among community-dwelling older adults and that the relationship does not change depending on fear of falling or falls-efficacy or balance confidence (Payette et al., 2016). Sneakers and wider and higher toe boxed shoes are examples of footwear that have been shown to evenly distribute plantar pressure, increase comfort, and promote appropriate balance and gait (Ikpeze et al., 2015). Interesting topic and area for OT work. Identifying this burgeoning opportunity and then developing the skills to interact with this market can help you grow your business dramatically. Single people are more likely than married people to need care from a paid provider. Occupational Therapy Fall Prevention Interventions for Community-Dwelling Older Adults: A Systematic Review. Their review of a Level I study in which frail older adults received home modification recommendations by an occupational therapist (OT), assistance from a nurse, and home modifications by a technician, demonstrated strong evidence supporting home modifications for older adults. Although there are numerous and obvious benefits for older adults to AIP and remain in their homes and communities, factors can impede this ability. He also is an AOTA associate member and an Approved Provider for AOTA continuing education programs. Menz HB, Auhl M, Spink MJ. The Impact of the "Village" Model on Health, Well-Being, Service Access, and Social Engagement of Older Adults. Fallers can be categorized by their frailty level. AOTA provider number 9575. The instructor was very knowledgable and shared examples and information that kept my interest. Use these resources from the training to learn how to conduct a medication review, minimize high risk medications, and implement fall prevention. The AGS and BGS recommend exercise as part of a multifactorial fall intervention program. - Assistive Technology Industry Association. Live Webinars allow presenter and participant interaction. In order to take this training you need to register within the APhA learning management system. The presenter was interesting, the content informative and was a wonderful blend of OT and AIP. On-demand courses include texts, video and audio recordings of live webinars, and multimedia formats. Further research supports the need for clinicians to assess the fear of falling as part of their comprehensive treatment planning. Clinicians should consider using AT with clients to address areas that may prevent them from remaining safely in their homes and address deficits that occur as part of aging. Tinetti, M., Han, L., Lee, D., McAvay, G., Peduzzi, P., Gross, C., Zhou, B. and Lin, H. (2014). Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons. Excellent text course. 1. In their updated systematic review, Elliott and Leland examined evidence regarding the effectiveness of fall prevention interventions in improving quality of life, fall-related outcomes, occupational performance, and health care facility readmissions for community-dwelling older adults (Elliott & Leland, 2018). One would want to do this because it was all truly interesting, informative and pertinent. The exam and course evaluation for these courses must be completed within 7 days of the event. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. In a systematic review, Stark, Keglovits, Arbesman, and Lieberman (2017) found evidence to support home modification interventions beneficial in improving functional outcomes for frail older adults, individuals with low vision, and individuals with schizophrenia. The analysis noted that exercise also had a fall prevention effect in community-dwelling adults with Parkinson's disease. Finally, individuals were categorized as fragile if they were utterly dependent on basic ADLs and had significantly impaired cognitive functioning. Environmental factors can contribute to falls (Ambrose et al., 2013). For the best experience, choose your profession & state. There are inconsistencies with the recommended length of time for exercise fall prevention programs. In a 12-month cohort study with community-dwelling older adults 70 and older in Canada, Davis et al(2017). I liked that the author used case studies and that the course was structured in a way that was easily digestible. STEADI Pharmacist Training Resources List [PDF 102 KB]. In Linda's case, the clinician should educate Linda about how her medications can increase her risk of falling. Women are at higher risk than men, primarily because they often live longer. In Tokyo, Japan, Centenarians were categorized as exceptional, normal, frail, and fragile. overall the specifics, well organized, and easy to follow. I can only absorb so much, but tell me where to find the info when I need it is the best. A metanalysis by Payette, Blanger, Lveill, and Grenier (2016) on the relationship between anxiety and Fall Related Psychological Concerns (FRPCs) among community-dwelling older adults demonstrated the importance of examining anxiety within the context of FRPCs (Payette et al., 2016). Clinicians need to stay updated regarding the evidence supporting fall prevention programs. By completing this course, participants will be able to: This course will benefit builders, remodelers and allied professionals that serve the aging in place market, including occupational therapists, physical therapists, real estate professionals, and trade contractors, as well as academics. Specifically, 800 international units (IUs) per day of vitamin D supplements are recommended for older adults with Vitamin D deficiency and should be considered for individuals suspected of having the deficiency or who are at high risk for falling (AGS, 2011). Warning against 'race-based quotas,' 13 Republican attorneys general have taken aim at company diversity programs, including Microsoft's 2020 pledge to double Black leaders and suppliers . Published March 24, 2016. AOTA provider number 9575. The content was well-organized and straightforward. Although his wife was able to bounce back from her knee replacement surgery quickly, Luke is thinking ahead and would like to prepare his home so both he and his wife can age safely in place. The Chase et al. Dehydration occurs when there is a loss of body mass of at least 1% (Hooper, 2015). Together, we can cease perpetuating stereotypes and remind each other to remain mindful to help avoid reacting according to biases that are contrary to our conscious beliefs and values. 2023 Steve Hoffacker LLC | Privacy Policy | Contact Steve | Sitemap. The instructor provides an excellent introductory presentation and numerous resources for further education on the topic. Occupational Therapy Community Practice and Home Assessments: Use of the Home Safety Self-Assessment Tool (HSSAT) to Support Aging in Place. Low-tech AT devices are relatively inexpensive, easy to use and maintain, and have simple features (Tools for Life, 2016). Education Aging is changing. Examples of high-tech devices include stair lift systems and environmental control devices. well organized, clear and direct usefulness in my practice. Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors. Thank you. Excellent information and the presenter was well-paced. But my perception is that most viewers would have to "re-wind" frequently during this presentation to ensure that all the information that was given was effectively received. continued complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. Research supports multifactorial fall prevention approaches to prevent falls in older adults. Falls. There is inconsistent evidence to support home modification/environmental risk assessment-only interventions in fall prevention programs. ANCC Provider number #P0274. The clinician would complete a thorough home safety and fall assessment using a standardized or non-standardized assessment. Tai chi was shown to be the most effective exercise in decreasing the number of falls in a randomized control study discussed in the Karlsson et al. Factors contributing to a fear of falling include age decreased ADLs, a history of falling, activity restriction, balance, social and physical deconditioning. Additionally, individuals with cognitive and visual deficits may benefit from attending such a caregiver program. In their study, Tinetti et al(2014) found that antihypertensive medications increased the risk of a serious fall, especially among individuals with previous fall injuries. Non-effective treatments also included one-time assessments without resources for participants to carry out the recommended improvements. Home modification interventions performed by OTs were more effective in fall reduction and the improvement of overall functional performance than interventions delivered by non-OT professionals (Horowitz et al., 2016). Continuing education is available for this free accredited course. Antihypertensive Medications and Serious Fall Injuries in a Nationally Representative Sample of Older Adults. The study found that poorer processing predicted the most indoor, outdoor, and non-injurious falls (Dabis et al., 2017). I was excited to learn more about it! Image obtained from Medicationactionplan.com. What are some areas a clinician could assess and address regarding Linda's overall health and home safety concerns? Falls are a common and serious health threat to adults 65 and older. Take test and pass with a score of at least 80%. Enhance your knowledge with this five-part virtual conference, featuring courses organized by guest editor Pamela E. Toto, PhD, OTR/L, BCG, FAOTA. In their fall prevention review, Karlsson et al. Buckinx F, Rolland Y, Reginster J-Y, Ricour C, Petermans J, Bruyre O. Mid-tech AT devices/solutions may be operated electronically or by a battery, have some complex features, and require some training (Tools for Life, 2016). Unfortunately, the burden fell solely on my stepmother because my sister and I live in another state. Malnutrition in older adults can decrease bone mass and muscle strength and reduce cognitive abilities (Chien & Guo, 2014). Every year, more than 1 in 4 older adults falls, but more than half of those who fall dont tell their healthcare provider. Eat a healthy diet. ASA empowers members to keep up with newsworthy issues, develop a deeper understanding of critical factors impacting aging, and learn about the latest innovations to stay ahead of the curve. July 26, 2023. Clients will often hire an Aging in Place Designer to help them stay in their home instead of moving to an assisted living facility. Shoes with a low heel height reduce the risk of falling (AGS, 2011). Instructor provided lots of good information with good references for further information. 5 Reasons to Study Data Science. Clinicians should, therefore, assess adults for fear of falling if they demonstrate anxiety and decreased motivation to perform functional activities. Research indicates multifactorial fall prevention approaches for older adults reduce falls and deficits with ADLs and IADLs (chase et al., 2012). However, in their literature review, Ambrose et al.

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