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Sample records for headlights bother older

  1. DMDs for smart headlights

    NASA Astrophysics Data System (ADS)

    Tamburo, Robert; Narasimhan, Srinivasa G.; Rowe, Anthony; Kanade, Takeo; Nurvitadhi, Eriko; Chen, Mei

    2014-03-01

    The primary goal of a vehicular headlight is to improve safety in low-light and poor weather conditions. The typical headlight however has very limited flexibility - switching between high and low beams, turning off beams toward the opposing lane or rotating the beam as the vehicle turns - and is not designed for all driving environments. Thus, despite decades of innovation in light source technology, more than half of the vehicular accidents still happen at night even with much less traffic on the road. We will describe a new DMD-based design for a headlight that can be programmed to perform several tasks simultaneously and that can sense, react and adapt quickly to any environment with the goal of increasing safety for all drivers on the road. For example, we will be able to drive with high-beams without glaring any other driver and we will be able to see better during rain and snowstorms when the road is most treacherous to drive. The headlight can also increase contrast of lanes, markings and sidewalks and can alert drivers to sudden obstacles. In this talk, we will lay out the engineering challenges in building this headlight and share our experiences with the prototypes developed over the past two years.

  2. How to Avoid Headlight Glare

    MedlinePlus

    ... technology, automotive design, and demographics. Extra Lights Many vehicles now sport fog lamps or other auxiliary lights ... broad beam to reduce “back-scatter” from the vehicle’s headlights when water droplets hang in the air. ...

  3. The accuracy of drivers' judgments of the effects of headlight glare on their own visual acuity.

    PubMed

    Stafford Sewall, Ashley A; Whetsel Borzendowski, Stephanie A; Tyrrell, Richard A

    2014-01-01

    Drivers' judgments of the magnitude of disability glare caused by high-beam headlights may not match actual declines in visual performance. This study investigated younger and older drivers' beliefs about their own visual performance in the presence of headlight glare. Eleven older drivers and seventeen younger drivers judged the distance at which they would just be able to recognize the orientation of a white Landolt C if it were present adjacent to the headlamps of a stationary opposing vehicle at night. The younger participants were generally accurate in their estimates of the recognition distance of the stimulus, while older participants significantly overestimated both their own acuity and the effect of glare on their vision. From this study, we see that older drivers' judgments about the disabling effects of oncoming headlights may be systematically inaccurate. These misperceptions about headlight glare may help explain why drivers tend to underuse high beams. PMID:25638936

  4. Improving motorcycle conspicuity through innovative headlight configurations.

    PubMed

    Ranchet, Maud; Cavallo, Viola; Dang, Nguyen-Thong; Vienne, Fabrice

    2016-09-01

    Most motorcycle crashes involve another vehicle that violated the motorcycle's right-of-way at an intersection. Two kinds of perceptual failures of other road users are often the cause of such accidents: motorcycle-detection failures and motion-perception errors. The aim of this study is to investigate the effect of different headlight configurations on motorcycle detectability when the motorcycle is in visual competition with cars. Three innovative headlight configurations were tested: (1) standard yellow (central yellow headlight), (2) vertical white (one white light on the motorcyclist's helmet and two white lights on the fork in addition to the central white headlight), and (3) vertical yellow (same configuration as (2) with yellow lights instead of white). These three headlight configurations were evaluated in comparison to the standard configuration (central white headlight) in three environments containing visual distractors formed by car lights: (1) daytime running lights (DRLs), (2) low beams, or (3) DRLs and low beams. Video clips of computer-generated traffic situations were displayed briefly (250ms) to 57 drivers. The results revealed a beneficial effect of standard yellow configuration and the vertical yellow configuration on motorcycle detectability. However, this effect was modulated by the car-DRL environment. Findings and practical recommendations are discussed with regard to possible applications for motorcycles. PMID:27280780

  5. 49 CFR 229.125 - Headlights and auxiliary lights.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Headlights and auxiliary lights. 229.125 Section... Cab Equipment § 229.125 Headlights and auxiliary lights. (a) Each lead locomotive used in road service.... (c) Headlights shall be provided with a device to dim the light. (d) Effective December 31,...

  6. 49 CFR 229.125 - Headlights and auxiliary lights.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Headlights and auxiliary lights. 229.125 Section... Cab Equipment § 229.125 Headlights and auxiliary lights. (a) Each lead locomotive used in road service.... (c) Headlights shall be provided with a device to dim the light. (d) Effective December 31,...

  7. 30 CFR 36.33 - Headlights and fixtures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Headlights and fixtures. 36.33 Section 36.33... EQUIPMENT Construction and Design Requirements § 36.33 Headlights and fixtures. (a) Headlights and lighting fixtures on mobile diesel-powered transportation equipment shall be protected from external damage...

  8. 30 CFR 36.33 - Headlights and fixtures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Headlights and fixtures. 36.33 Section 36.33... EQUIPMENT Construction and Design Requirements § 36.33 Headlights and fixtures. (a) Headlights and lighting fixtures on mobile diesel-powered transportation equipment shall be protected from external damage...

  9. 30 CFR 36.33 - Headlights and fixtures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Headlights and fixtures. 36.33 Section 36.33... EQUIPMENT Construction and Design Requirements § 36.33 Headlights and fixtures. (a) Headlights and lighting fixtures on mobile diesel-powered transportation equipment shall be protected from external damage...

  10. 30 CFR 36.33 - Headlights and fixtures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Headlights and fixtures. 36.33 Section 36.33... EQUIPMENT Construction and Design Requirements § 36.33 Headlights and fixtures. (a) Headlights and lighting fixtures on mobile diesel-powered transportation equipment shall be protected from external damage...

  11. 30 CFR 36.33 - Headlights and fixtures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Headlights and fixtures. 36.33 Section 36.33... EQUIPMENT Construction and Design Requirements § 36.33 Headlights and fixtures. (a) Headlights and lighting fixtures on mobile diesel-powered transportation equipment shall be protected from external damage...

  12. 30 CFR 18.46 - Headlights.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... damage by guarding or location. (c) Lenses for headlights shall be glass or other suitable material with physical characteristics equivalent to 1/2-inch thick tempered glass, such as “Pyrex.” Lenses shall meet the requirements of the tests prescribed in § 18.66. (d) Lenses permanently fixed in a ring with...

  13. 30 CFR 18.46 - Headlights.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... damage by guarding or location. (c) Lenses for headlights shall be glass or other suitable material with physical characteristics equivalent to 1/2-inch thick tempered glass, such as “Pyrex.” Lenses shall meet the requirements of the tests prescribed in § 18.66. (d) Lenses permanently fixed in a ring with...

  14. 49 CFR 229.125 - Headlights and auxiliary lights.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Headlights and auxiliary lights. 229.125 Section... Cab Equipment § 229.125 Headlights and auxiliary lights. (a) Each lead locomotive used in road service... light is aimed parallel to the tracks. If a locomotive or locomotive consist in road service...

  15. Development of a Headlight Glare Simulator for a Driving Simulator

    PubMed Central

    Hwang, Alex D.; Peli, Eli

    2012-01-01

    We describe the design and construction of a headlight glare simulator to be used with a driving simulator. The system combines a modified programmable off–the-shelf LED display board and a beamsplitter so that the LED lights, representing the headlights of oncoming cars, are superimposed over the driving simulator headlights image. Ideal spatial arrangement of optical components to avoid misalignments of the superimposed images is hard to achieve in practice and variations inevitably introduce some parallax. Furthermore, the driver’s viewing position varies with driver’s height and seating position preferences exacerbate such misalignment. We reduce the parallax errors using an intuitive calibration procedure (simple drag-and-drop alignment of nine LED positions with calibration dots on the screen). To simulate the dynamics of headlight brightness changes when two vehicles are approaching, LED intensity control algorithms based on both headlight and LED beam shapes were developed. The simulation errors were estimated and compared to real-world headlight brightness variability. PMID:24443633

  16. Optical design of automotive headlight system incorporating digital micromirror device.

    PubMed

    Hung, Chuan-Cheng; Fang, Yi-Chin; Huang, Ming-Shyan; Hsueh, Bo-Ren; Wang, Shuan-Fu; Wu, Bo-Wen; Lai, Wei-Chi; Chen, Yi-Liang

    2010-08-01

    In recent years, the popular adaptive front-lighting automobile headlight system has become a main emphasis of research that manufacturers will continue to focus great efforts on in the future. In this research we propose a new integral optical design for an automotive headlight system with an advanced light-emitting diode and digital micromirror device (DMD). Traditionally, automobile headlights have all been designed as a low beam light module, whereas the high beam light module still requires using accessory lamps. In anticipation of this new concept of integral optical design, we have researched and designed a single optical system with high and low beam capabilities. To switch on and off the beams, a DMD is typically used. Because DMDs have the capability of redirecting incident light into a specific angle, they also determine the shape of the high or low light beam in order to match the standard of headlight illumination. With collocation of the multicurvature reflection lens design, a DMD can control the light energy distribution and thereby reinforce the resolution of the light beam.

  17. Validity of the “Bother Score” in the Evaluation and Treatment of Symptomatic Benign Prostatic Hyperplasia

    PubMed Central

    O’Leary, Michael P

    2005-01-01

    Benign prostatic hyperplasia (BPH) is a condition that is common among older men. It causes a variety of clinically significant lower urinary tract signs and symptoms. BPH is rarely life-threatening; the decision to seek treatment is frequently based on the degree to which patients find the symptoms bothersome and disruptive of daily activities. Recently developed reliable and valid outcome measures to evaluate treatments for BPH are clinical tools that urologists can use to determine the extent of bother and make treatment decisions. A single question used to determine the “bother score” provides a widely used and statistically valid measure of the need for treatment of BPH. Validation data support the argument that the bother score is a statistically reliable measure of treatment outcome in patients with BPH who view their symptoms as bothersome. PMID:16985801

  18. Application of Bother in patient reported outcomes instruments across cultures

    PubMed Central

    2014-01-01

    Background The objective of this study was to determine the applicability of the term bother, as used in Patient Reported Outcomes (PRO) instruments that will be translated into foreign languages from English for the United States. Bother is versatile in English for the U.S., in that it can describe negative mental states and physical sensations, as well as social disturbances. Bother has many different meanings across cultures, due to this versatility. Alternatives for bother were explored for future PRO instrument development. Methods A PRO instrument used to evaluate the degree of bother resulting from psoriasis was analyzed. This disease can negatively impact patients physically, emotionally and socially. Translations of bother were analyzed to determine its meaning when translated into other languages. Cognitive debriefing was conducted on psoriasis patients with the instrument containing bother. Following cognitive debriefing, a questionnaire was distributed to linguists and cognitive debriefing subjects to collect definitions of bother in each target language, and detail any difficulty with translation. To establish alternatives to bother and demonstrate the breakdown of concepts within bother, translations of the Dermatology Quality of Life Index (DLQI) were analyzed. This instrument was selected for its focus on psoriasis and use of terminology that lacks the ambiguity of bother. Results An analysis of back-translations revealed that bother yielded a back-translation that was conceptually different from the source 20% of the time (5/26). Analysis of alternative terminology found in the DLQI revealed much greater conceptual equivalence when translated into other languages. Conclusion When developing the wording of PRO instruments, the terminology chosen should be applicable across languages to allow for international pooling and comparison of data. While all linguists and subjects of cognitive debriefing understood bother to have a negative connotation, a

  19. Why bother with x-ray lithography?

    NASA Astrophysics Data System (ADS)

    Smith, Henry I.; Schattenburg, Mark L.

    1992-07-01

    The manufacture of state-of-the-art integrated circuits uses UV optical projection lithography. Conventional wisdom (i.e., the trade journals) holds that this technology will take the industry to quarter-micrometer minimum features sizes and below. So, why bother with X-ray lithography? The reason is that lithography is a 'system problem', and proximity X-ray lithography is better matched to that system problem than any other technology, once the initial investment is surmounted. X-ray lithography offers the most cost-effective path to the future of ultra-large-scale integrated circuits with feature sizes of tenth micrometer and below (i.e., gigascale electronics and quantum-effect electronics).

  20. Hyperspectral Image-Based Night-Time Vehicle Light Detection Using Spectral Normalization and Distance Mapper for Intelligent Headlight Control.

    PubMed

    Kim, Heekang; Kwon, Soon; Kim, Sungho

    2016-01-01

    This paper proposes a vehicle light detection method using a hyperspectral camera instead of a Charge-Coupled Device (CCD) or Complementary metal-Oxide-Semiconductor (CMOS) camera for adaptive car headlamp control. To apply Intelligent Headlight Control (IHC), the vehicle headlights need to be detected. Headlights are comprised from a variety of lighting sources, such as Light Emitting Diodes (LEDs), High-intensity discharge (HID), and halogen lamps. In addition, rear lamps are made of LED and halogen lamp. This paper refers to the recent research in IHC. Some problems exist in the detection of headlights, such as erroneous detection of street lights or sign lights and the reflection plate of ego-car from CCD or CMOS images. To solve these problems, this study uses hyperspectral images because they have hundreds of bands and provide more information than a CCD or CMOS camera. Recent methods to detect headlights used the Spectral Angle Mapper (SAM), Spectral Correlation Mapper (SCM), and Euclidean Distance Mapper (EDM). The experimental results highlight the feasibility of the proposed method in three types of lights (LED, HID, and halogen). PMID:27399720

  1. Hyperspectral Image-Based Night-Time Vehicle Light Detection Using Spectral Normalization and Distance Mapper for Intelligent Headlight Control

    PubMed Central

    Kim, Heekang; Kwon, Soon; Kim, Sungho

    2016-01-01

    This paper proposes a vehicle light detection method using a hyperspectral camera instead of a Charge-Coupled Device (CCD) or Complementary metal-Oxide-Semiconductor (CMOS) camera for adaptive car headlamp control. To apply Intelligent Headlight Control (IHC), the vehicle headlights need to be detected. Headlights are comprised from a variety of lighting sources, such as Light Emitting Diodes (LEDs), High-intensity discharge (HID), and halogen lamps. In addition, rear lamps are made of LED and halogen lamp. This paper refers to the recent research in IHC. Some problems exist in the detection of headlights, such as erroneous detection of street lights or sign lights and the reflection plate of ego-car from CCD or CMOS images. To solve these problems, this study uses hyperspectral images because they have hundreds of bands and provide more information than a CCD or CMOS camera. Recent methods to detect headlights used the Spectral Angle Mapper (SAM), Spectral Correlation Mapper (SCM), and Euclidean Distance Mapper (EDM). The experimental results highlight the feasibility of the proposed method in three types of lights (LED, HID, and halogen). PMID:27399720

  2. Night driving: effects of glare from vehicle headlights on motion perception.

    PubMed

    Anderson, S J; Holliday, I E

    1995-11-01

    Elderly drivers often experience disability glare at night from the headlights of oncoming vehicles. To assess the effect of glare from vehicle headlights on visual performance for seeing moving targets, experiments were performed at night on a dimly lit road with observers seated in a stationary motor car viewing a computer-generated stimulus display at a distance of 23 m (the stopping distance for 50 kph). The display was set 2 m to the side of a second stationary car whose position on the road was that of an oncoming vehicle with respect to the observer. The headlights of the observer's car were on low-beam while those of those of the opposing car were switched off (contro condition), on lpw-beam or on high-beam. Experiments were performed using mean display luminances of 50 cd/m2 and 0.5 cd/m2. Spatial contrast sensitivity functions for the directional discrimination of drifting (8 Hz sinusoidal gratings were measured using three different viewing conditions: normal vision (binocular visual acuity (BVA) = 6/6); blurred vision (BVA = 6/9-); and simulated intraocular lens opacities (BVA = 6/6-). The data were fitted with an exponential function, which was extrapolated to 100% contrast to estimate dynamic visual acuity. The results show that simulated lens opacities, which have little or no effect on standard day time measures of visual acuity, have a marked effect on night-time measures of contrast sensitivity for moving targets. Taking into account the average luminance of objects lit by road lighting, we estimate that high-beam glare reduces maximum contrast sensitivity by an order of magnitude in persons affected by mild lens opacities, giving a dynamic acuity of 1.0 c/deg (6/180 Snellen equivalent) or less. From this and other studies we argue that there is now a strong case for the introduction of vehicle-licensing sight re-testing at regular intervals in the UK. In addition, we suggest that vehicle-licensing authorities consider the feasibility of

  3. Adolescents and Asthma: Why Bother with Our Meds?

    PubMed Central

    Naimi, David R.; Freedman, Tovia G.; Ginsburg, Kenneth R.; Bogen, Daniel; Rand, Cynthia S.; Apter, Andrea J.

    2011-01-01

    Background Adherence to inhaled steroid regimens for asthma is poor in adults and children. Although it is assumed that nonadherence contributes to morbidity in older adolescents, investigation is limited. Objective To describe adherence to preventive asthma medications and explore relevant beliefs and attitudes in older urban adolescents including their ideas for improving adherence. Methods Quantitative and qualitative methods were employed to collect data from a convenience sample of adolescents with asthma previously prescribed fluticasone/salmeterol. Two semi-structured face-to-face interviews were conducted one month apart and analyzed for themes. Fluticasone/salmeterol use was electronically monitored between visits and calculated as the number of actuations divided by the number of inhalations prescribed. Results 40 participants, 15–18 years, 19 female, 30 Black/African-American, 11 Medicaid-insured, 24 previously hospitalized for asthma, median FEV1 98% predicted, (range 67%–127%), had median adherence 43% (range 4%–89%). Adherence was not associated with FEV1 or ED visits. Themes emerged from interviews: teens 1) take fluticasone/salmeterol inconsistently; 2) believe fluticasone/salmeterol is “supposed to help me breathe”; 3) dislike its taste; 4) are “too busy” and “forget”; and 5) recommend “reminder” solutions to poor adherence. 20% believed that taking fluticasone/salmeterol was unnecessary and another 18% expressed ambivalence about its benefits. Conclusion Adherence was poor. Examining and acknowledging health beliefs of older teens in the context of their complicated lives may facilitate discussions about self-management. PMID:19395075

  4. If we're not merging for for the people, why bother?

    PubMed

    Gonzalez, W G

    2001-01-01

    When Batts Inc., a family business that invented wooden clothes hangers in 1903 was sold to Tyco International, it's ardent competitor, in 1999, nobody bothered to tell its 500 loyal employees in Holland that the plants would be closed, their jobs--perhaps entire careers--ended. And when Lescoa, a family-owned, auto-accessory manufacturing company in west Michigan since 1945, was combined with American Bumper, it's competitor from Ionia, the pledge to "not take the company apart" was communicated. However, that pledge was quickly forgotten as American's executives took over, ignoring the family-styled people-culture of decades past. PMID:11276947

  5. Day-to-Day Mental and Physical Health Symptoms of Older People: A Report on Health Logs.

    ERIC Educational Resources Information Center

    Brody, Elaine M.; Kleban, Morton H.

    1983-01-01

    Older people (N=132) reported details of their day-to-day mental and physical health symptoms. Pain of various types, fatigue/weakness, mental health symptoms, and worries, bothered the largest percentages of people. Different symptoms had differing effects in curtailing activities and disturbing sleep. Results underline the interrelationships…

  6. The University of Michigan Incontinence Symptom Index (M-ISI): a Clinical Measure for Type, Severity, and Bother related to Urinary Incontinence

    PubMed Central

    Suskind, Anne M.; Dunn, Rodney L.; Morgan, Daniel M.; DeLancey, John O.L.; McGuire, Edward J.; Wei, John T.

    2013-01-01

    Aims To develop a clinically relevant, easy to use, and validated instrument for assessing severity and bother related to urinary incontinence. Methods Survey items were piloted and refined following psychometric principles in five separate patient cohorts. Patient and expert endorsement of items, factor analyses, Spearman rank correlations and response distributions were employed for item selection. Formal reliability and validity evaluation were conducted for the final questionnaire items. Results Expert physicians and patient focus groups confirmed face and content validity for the measure. A 10-item measure called the Michigan Incontinence Symptom Index (M-ISI) was developed with two domains: a Total M-ISI Domain consisting of subdomains for stress urinary incontinence, urgency urinary incontinence, and pad use, and a Bother Domain. High construct validity was demonstrated with a Cronbach’s alpha for the Total M-ISI Domain (items 1–8) of 0.90 and for the Bother Domain (items 9–10) of 0.82. Cronbach’s alpha for the subdomains were all > 0.85. Construct validity, convergent and divergent validity, internal discriminant validity, and predictive validity were all robust. The minimally important difference for the measure was determined to be 4 points (out of 32) for the Total M-ISI Severity Domain, and 1–2 points (out of 8–12) for the individual subdomains. Conclusions The M-ISI is a parsimonious measure that has established reliability and validity on several levels and complements current clinical evaluative methods for patients with urinary incontinence. PMID:23945994

  7. Older Drivers

    MedlinePlus

    ... Affects Driving Tips for Safe Driving Making Your Vehicle Safe Regulations Affecting Older Drivers When Driving Skills ... Like drivers of any age, they use their vehicles to go shopping, do errands, and visit the ...

  8. Differentiating Instruction: Why Bother?

    ERIC Educational Resources Information Center

    Tomlinson, Carol Ann

    2005-01-01

    In her more than 30 years of teaching, the author has practiced differentiation in her own classroom at all educational levels. Although she is well familiar with the vocabulary, research and reasoning behind it, the most compelling answer she can give for why differentiation matters in the middle grades comes from her personal experience as an…

  9. Older Drivers: How Health Affects Driving

    MedlinePlus

    ... see clearly, especially at dawn, dusk, and night. Eyes become more sensitive to glare from headlights, street lights, or the sun, making it difficult to see people, things, and movements outside your direct line of sight. Peripheral vision — the ability to see to the ...

  10. The Performance of ICDAS-II Using Low-Powered Magnification with Light-Emitting Diode Headlight and Alternating Current Impedance Spectroscopy Device for Detection of Occlusal Caries on Primary Molars

    PubMed Central

    Ari, Nilgun

    2013-01-01

    Early detection of occlusal caries in children is challenging for the dentists, because of the morphology of pit and fissures. The aim of this study was to compare in vitro the diagnostic performance of low-powered magnification with light-emitting diode headlight (LPMLED) using ICDAS-II criteria and AC Impedance Spectroscopy (ACIS) device, on occlusal surfaces of primary molars. The occlusal surfaces of 18 extracted primary molars were examined blindly by two examiners. The teeth were sectioned and examined under light microscopy using Downer's histological criteria as gold standard. Good to excellent inter- and intraexaminer reproducibility, higher sensitivity, specificity, and AUC values were achieved by LPMLED at D1 threshold. Also the relationship between histology and LPMLED was statistically significant. In conclusion visual aids have the potential to improve the performance of early caries detection and clinical diagnostics in children. Despite its potential, ACIS device should be considered as an adjunct method in detecting caries on primary teeth. PMID:23956865

  11. Older People and HIV

    MedlinePlus

    ... Many older people believe that HIV only affects younger people Most older people get little training in ... diseases among older people, as they do for younger people. Physicians may not diagnose HIV infection in ...

  12. Violence against older women.

    PubMed

    2016-07-01

    Domestic abuse is widespread and indiscriminate. Older women living with domestic abuse experience a number of health-related concerns and significant mental health issues. Research suggests that the needs of older women experiencing domestic abuse are not being met by existing services. This article examines the issues that older women face as a result of abusive relationships and the barriers to seeking help. Research suggests that a stepped approach, tailored to suit older women's needs, could be beneficial. PMID:27384810

  13. Why bother about wildlife disease?

    USGS Publications Warehouse

    Friend, Milton

    2014-01-01

    In most developed countries, the maintenance of the numbers of wildlife1 is vested in the natural resource agencies of those countries. During earlier times, game species were the primary focus of natural resource agencies2,3 however, current wildlife conservation continues to transition towards a more holistic focus on biodiversity4 and environmental health5,6. Nevertheless, that transition lags behind in addressing wildlife disease in “…the struggle for existence between different forms of life…”.7 Thus, the primary objective of this presentation is to provide a pragmatic assessment of wildlife disease that is irrespective of one’s orientation towards wildlife conservation. A secondary objective is to highlight the changing role of disease over time as a wildlife conservation factor. That transition is relevant to the insights provided for current and future efforts focused on sustaining global biodiversity and desired levels of wildlife populations in nature.

  14. A Writing Contest? Why Bother.

    ERIC Educational Resources Information Center

    Simpson, Jeanette

    1982-01-01

    An approach to generating enthusiasm for writing through a writing contest is described in this brief article. AUTHOR'S COMMENT (excerpt): Why would a librarian sponsor a writing contest for more than eleven hundred students in an elementary school? I wanted to provide a writing experience for my students that would be a positive one; I hoped to…

  15. Schizophrenia in older adults.

    PubMed

    Collier, Elizabeth; Sorrell, Jeanne M

    2011-11-01

    Although the number of people older than 55 with schizophrenia is expected to double during the next 20 years, the research data on older adults with schizophrenia are limited. This appears to be because until the middle of the 20th century, it was assumed that mental illness in older adults was a part of the aging process and because older adults are often excluded from research investigations. Nursing research is needed to explore how people with schizophrenia learn to manage their problems as they age, as well as how those who are first diagnosed with schizophrenia in later life adapt to their illness. Mental health nurses need to be cautious in assigning premature labels to older adults with mental illness that may lead to unsubstantiated assumptions about levels of disability. Instead, nurses should realize individual potential regarding undiscovered strengths and should attempt to create interventions that recognize and foster personal development for older adults with schizophrenia.

  16. Sport for Older Persons.

    ERIC Educational Resources Information Center

    Council of Europe, Strasbourg (France).

    The following papers were prepared for a seminar on sport for older people: (1) "Gerontological Aspects of Physical Exercise" (Eino Heikkinen); (2) "Sporting Activities in the Individual Life from the View of Older Persons" (Henning Allmer); (3) "Reasons Why Decision-Makers Should Urge Old People to Practise Physical and Sporting Activities"…

  17. Medication for older patients.

    PubMed

    2016-09-01

    A growing body of literature documents multiple morbidities and multiple medication use among older people with intellectual disabilities. In Ireland in 2012, 8.6% of all medication-related adverse events were reported from the disability sector. PMID:27581916

  18. Older People and HIV

    MedlinePlus

    ... common than they were before the use of anti-HIV drugs. It is difficult to know what is causing mental problems in older people with HIV. Is it normal aging, or is it HIV disease? Research studies have ...

  19. Depression - older adults

    MedlinePlus

    ... these steps do not help, medicines to treat depression and talk therapy often help. Doctors often prescribe lower doses of antidepressants to older people, and increase the dose more slowly than in ...

  20. Sexuality in Older Adults

    MedlinePlus

    ... for your partner. It also benefits your physical health by reducing stress and making you feel good about yourself. As you age, your sexual health will change. But growing older doesn’t have ...

  1. The older adult driver.

    PubMed

    Carr, D B

    2000-01-01

    More adults aged 65 and older will be driving in the next few decades. Many older drivers are safe behind the wheel and do not need intensive testing for license renewal. Others, however, have physiologic or cognitive impairments that can affect their mobility and driving safety. When an older patient's driving competency is questioned, a comprehensive, step-by-step assessment is recommended. Many diseases that impair driving ability can be detected and treated effectively by family physicians. Physicians should take an active role in assessing and reducing the risk for injury in a motor vehicle and, when possible, prevent or delay driving cessation in their patients. Referral to other health care professionals, such as an occupational or physical therapist, may be helpful for evaluation and treatment. When an older patient is no longer permitted or able to drive, the physician should counsel the patient about using alternative methods of transportation. PMID:10643955

  2. Education for Older Adults.

    ERIC Educational Resources Information Center

    Glendenning, Frank

    2001-01-01

    Examines ways in which discussion of education for older adults has been enlarged and expanded since 1973. Discusses developments in third-age learning, educational gerontology, and preretirement education. (Contains 33 references.) (SK)

  3. Learning Opportunities for Older People.

    ERIC Educational Resources Information Center

    MacKeracher, Dorothy

    1980-01-01

    The author summarizes a conference on learning opportunities for older people by discussing six issues: (1) perspectives of older people and service providers; (2) categorization of older learners; (3) learning needs of older people; (4) participation rates; (5) government policies; and (6) curriculum concerns. (SK)

  4. The older worker.

    PubMed

    Fulks, J S; Fallon, L F

    2001-01-01

    About one person in eight remains employed past 65, the average age for retirement in the U.S. These persons tend to be highly reliable. They can adapt and learn new technology, but may require extra time to do so. Older workers have particular needs in the workplace due to physiological changes that accompany aging. They may require more lighting, and they may have decreased mobility, physical strength, and dexterity. These factors often have no impact on their ability to accomplish job duties. This chapter underscores the significant contributions that older workers often provide, and also addresses retirement planning.

  5. Older Americans. Datatrack 9.

    ERIC Educational Resources Information Center

    American Council of Life Insurance, Washington, DC.

    Ninth in a series of reports which compile and interpret statistical information of direct concern to life insurance executives, this report deals with senior citizens, defined as persons 65 years and over. Examined are social and economic characteristics. Trends in the older population's growth, morality, educational attainment, residence, living…

  6. Bereavement in Older Adults.

    ERIC Educational Resources Information Center

    Morgan, James P.

    1994-01-01

    Factors that place older adults at risk for problems associated with the bereavement process are identified and discussed. Provides guidelines for distinguishing between normal bereavement depression and clinical depression, discusses the impact of different types of loss, describes three types of intervention, and explores countertransference.…

  7. Business and Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    This study updates a 1985 study which examined the perceptions, policies, and practices of American business regarding older workers, and placed them in the context of larger economic, demographic, and social trends shaping the business climate. The new survey was conducted in July 1989 among a random sample of 400 companies, with 100 each in 4…

  8. Assessment of Older Persons.

    ERIC Educational Resources Information Center

    Meyers, Jane E., Ed.; Rimmer, Susan M., Ed.

    1982-01-01

    Contains eight articles exploring aging and assessment. Discusses counseling needs of older adults. Reviews instruments for life satisfaction and attitude assessment. Discusses the measurement of retirement maturity, and attitudes toward death. Reviews leisure assessment issues and instruments. Examines assessment of organic dysfunctions in…

  9. Depression in Older Adults

    PubMed Central

    Fiske, Amy; Wetherell, Julie Loebach; Gatz, Margaret

    2010-01-01

    Depression is less prevalent among older adults than among younger adults but can have serious consequences. Over half of cases represent a first onset in later life. Although suicide rates in the elderly are declining, they are still higher than in younger adults and more closely associated with depression. Depressed older adults are less likely to endorse affective symptoms and more likely to display cognitive changes, somatic symptoms, and loss of interest than are younger adults. Risk factors leading to the development of late life depression likely comprise complex interactions among genetic vulnerabilities, cognitive diathesis, age-associated neurobiological changes, and stressful events. Insomnia is an often overlooked risk factor for late life depression. We suggest that a common pathway to depression in older adults, regardless of which predisposing risks are most prominent, may be curtailment of daily activities. Accompanying self-critical thinking may exacerbate and maintain a depressed state. Offsetting the increasing prevalence of certain risk factors in late life are age-related increases in psychological resilience. Other protective factors include higher education and socioeconomic status, engagement in valued activities, and religious or spiritual involvement. Treatments including behavioral therapy, cognitive behavioral therapy, cognitive bibliotherapy, problem-solving therapy, brief psychodynamic therapy, and life review/reminiscence therapy are effective but too infrequently used with older adults. Preventive interventions including education for individuals with chronic illness, behavioral activation, cognitive restructuring, problem-solving skills training, group support, and life review have also received support. PMID:19327033

  10. Discharging older patients.

    PubMed

    2016-09-01

    Significant numbers of older people with dementia use general hospital services, and ensuring the safe and appropriate discharge home of patients with poor cognition, impaired judgement, misperception or reduced risk awareness is complex and challenging for many healthcare professionals. PMID:27615354

  11. Nutrition in older adults.

    PubMed

    DiMaria-Ghalili, Rose Ann; Amella, Elaine

    2005-03-01

    Both physiologic and psychosocial changes affect the nutritional status of adults over the age of 65. Malnutrition is, in fact, a greater threat to this population than obesity. This article reviews the intake requirements of older adults and discusses the risk factors that can lead to malnutrition, including diet, limited income, isolation, chronic illness, and physiologic changes. Assessment and nursing interventions are also addressed.

  12. Reaching Older Readers.

    ERIC Educational Resources Information Center

    Green, Michelle Y.

    2001-01-01

    Discusses reading comprehension difficulty among older students. Only 40% of adolescents can read well enough to comfortably manage standard high school texts--untangling specialized text to construct meaning does not come automatically. Offers tips for reinforcing reading strategies that center on teaching children to interact with text. These…

  13. Older Workers: Research Readings

    ERIC Educational Resources Information Center

    Griffin, Tabatha, Ed.; Beddie, Francesca, Ed.

    2011-01-01

    One of the challenges facing Australia is the ageing of the population. Of major concern, especially to government, is that the dependency ratio--a measure of the burden that economically active persons carry by supporting dependent persons--will increase significantly unless older people keep working or immigration is used to change the…

  14. Updating Older Fume Hoods.

    ERIC Educational Resources Information Center

    Saunders, G. Thomas

    1985-01-01

    Provides information on updating older fume hoods. Areas addressed include: (1) adjustment of the hood's back baffle; (2) hood air leakage; (3) light level; (4) hood location in relation to room traffic and room air; and (5) establishing and maintaining hood performance. (JN)

  15. Older people. Courtesy entitles.

    PubMed

    Calnan, Michael; Woolhead, Gillian; Dieppe, Paul

    2003-02-20

    A study of 72 people, with an average age of 72, showed that dignity--and lack of it--were key issues in their estimation of care. Concerns about lack of dignity centred on lack of privacy, mixed sex wards, forms of address and loss of independence. The study suggested that older people do not complain about care for fear of retaliation.

  16. Hearing Loss and Older Adults

    MedlinePlus

    ... Home » Health Info » Hearing, Ear Infections, and Deafness Hearing Loss and Older Adults On this page: What is ... about hearing loss and older adults? What is hearing loss? Hearing loss is a sudden or gradual decrease ...

  17. How To Train Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    Because of the aging of the labor force and legislation designed to keep older workers on the job, employers will have to deal with increasing numbers of older workers. For this transition to be as smooth as possible, employers must first overcome age-related stereotypes that have taken hold since the 1930s. Dealing with older workers involves two…

  18. Protein and older adults.

    PubMed

    Chernoff, Ronni

    2004-12-01

    Body composition changes as people get older. One of the noteworthy alterations is the reduction in total body protein. A decrease in skeletal muscle is the most noticeable manifestation of this change but there is also a reduction in other physiologic proteins such as organ tissue, blood components, and immune bodies as well as declines in total body potassium and water. This contributes to impaired wound healing, loss of skin elasticity, and an inability to fight infection. The recommended dietary allowance (RDA) for adults for protein is 0.8 grams of protein per kilogram of body weight. Protein tissue accounts for 30% of whole-body protein turnover but that rate declines to 20% or less by age 70. The result of this phenomenon is that older adults require more protein/kilogram body weight than do younger adults. Recently, it has become clear that the requirement for exogenous protein is at least 1.0 gram/kilogram body weight. Adequate dietary intake of protein may be more difficult for older adults to obtain. Dietary animal protein is the primary source of high biological value protein, iron, vitamin B(12), folic acid, biotin and other essential nutrients. In fact, egg protein is the standard against which all other proteins are compared. Compared to other high-quality protein sources like meat, poultry and seafood, eggs are the least expensive. The importance of dietary protein cannot be underestimated in the diets of older adults; inadequate protein intake contributes to a decrease in reserve capacity, increased skin fragility, decreased immune function, poorer healing, and longer recuperation from illness.

  19. Rhinitis in older adults.

    PubMed

    Nyenhuis, Sharmilee M; Mathur, Sameer K

    2013-04-01

    Rhinitis symptoms of rhinorrhea, congestion, sneezing, nasal/ocular pruritis, and postnasal drainage can significantly affect the quality of life for older adults. As the US population ages, it will be increasingly important for health-care providers to effectively diagnose and manage rhinitis. Rhinitis is categorized broadly into allergic rhinitis and non-allergic rhinitis. Environmental changes and avoidance measures are a primary means of intervention. In addition, there are several topical therapies (nasal sprays) that can be effective for symptom control.

  20. Resilience among older women.

    PubMed

    Wagnild, G; Young, H M

    1990-01-01

    This qualitative study was designed to identify and describe characteristics of successfully adjusted older women. The participants reported a recent major loss and were considered successfully adjusted as evidenced by social involvement in a senior center, a mid level to high level of morale and self-report. Using a grounded theory approach, five underlying themes were identified: equanimity, self-reliance, existential aloneness, perseverance and meaningfulness. These themes are thought to constitute resilience. Lateral grounding of the concept resilience is accomplished by comparison with philosophical writings of Frankl, Bettelheim, Frank, May and von Witzleben. Resilience is important in late life as a component of successful psychosocial adjustment. PMID:2292448

  1. Work attitudes of older RNs.

    PubMed

    Kovner, Christine T; Brewer, Carol S; Ying Cheng; Djukic, Maja

    2007-05-01

    Using data collected from 1,906 RNs from Metropolitan Statistical Areas in 29 states, the purpose of this study was to examine the characteristics and work attitudes of older RNs compared to RNs less than age 50 at two time periods, and compare among the older RNs those who are working in nursing, working outside nursing, and not working. Older RNs reported more distributive justice (fairness of rewards), work group cohesion, and supervisory support and less organizational constraint, and quantitative workload than younger RNs. Overall, older RNs were more satisfied, had greater organizational commitment, and had less desire to quit than younger RNs. There were no significant differences between older and younger RNs for autonomy, mentor support, or variety. Strategic efforts by employers and government could be used to retain older workers, attract RNs working in nonnursing settings back into nursing, and recruit retired RNs into the nursing workforce. PMID:17652628

  2. Assessment of older drivers.

    PubMed

    Reuben, D B

    1993-05-01

    As concern increases about the safety of the aging driver, it is clear that the principal goal of assessment is to identify the unsafe driver and provide effective medical and rehabilitative services to enable the resumption of safe driving. When adequate restorative therapy is not possible, it is necessary to restrict or revoke the privilege of driving. Assessment also can reassure the safe older driver that he or she can continue operating a motor vehicle without restrictions. The process of assessing the older driver is best accomplished through the collaboration of health professionals and governmental agencies. The former identify and treat, if possible, medical conditions that may pose threats to safe driving; the latter establish guidelines of competency for driving tasks. These roles are complementary, although the settings and methods for these assessments are different. Moreover, the responsibilities of the physician and other health care professionals extend beyond the decision regarding driving and must consider the individual needs for driving, as well as the ramifications associated with its cessation. PMID:8504391

  3. Root Caries in Older Adults.

    PubMed

    Gregory, Dick; Hyde, Susan

    2015-08-01

    Older adults are retaining an increasing number of natural teeth, and nearly half of all individuals aged 75 and older have experienced root caries. Root caries is a major cause of tooth loss in older adults, and tooth loss is the most significant negative impact on oral health-related quality of life for the elderly. The need for improved preventive efforts and treatment strategies for this population is acute.

  4. Root Caries in Older Adults.

    PubMed

    Gregory, Dick; Hyde, Susan

    2015-08-01

    Older adults are retaining an increasing number of natural teeth, and nearly half of all individuals aged 75 and older have experienced root caries. Root caries is a major cause of tooth loss in older adults, and tooth loss is the most significant negative impact on oral health-related quality of life for the elderly. The need for improved preventive efforts and treatment strategies for this population is acute. PMID:26357814

  5. Addressing violence against older women.

    PubMed

    2016-07-01

    Domestic abuse is widespread and indiscriminate, causing health-related concerns and mental health issues in older women. Research suggests their needs are not met by existing services. This article examines physical and mental health issues faced by older women as a result of abusive relationships, and the barriers that exist to seeking help. Healthcare professionals can facilitate therapeutic engagement of older women living with domestic abuse. Refuges and related interventions are limited, but developing a stepped approach, tailored to older women's needs, could help. PMID:27369732

  6. Feelings of Gratitude Toward God Among Older Whites, Older African Americans, and Older Mexican Americans

    PubMed Central

    Krause, Neal

    2011-01-01

    The first goal of this study is to see if social relationships in the church influence feelings of gratitude toward God. The second goal is to assess the impact of race and ethnicity on this relationship. The data support the following hypotheses: (1) older people who go to church more often tend to receive more spiritual support from fellow church members; (2) older adults who receive more spiritual support at church will derive a deeper understanding of themselves and others; (3) older people who develop greater insight into themselves and others will derive a greater sense of religious meaning in life; and (4) older adults who develop a deeper sense of religious meaning in life will feel more grateful to God. The results also indicate that the study model explains how feelings of gratitude toward God arise among older blacks and whites, but not older Mexican Americans. PMID:23543840

  7. Feelings of Gratitude Toward God Among Older Whites, Older African Americans, and Older Mexican Americans.

    PubMed

    Krause, Neal

    2012-03-01

    The first goal of this study is to see if social relationships in the church influence feelings of gratitude toward God. The second goal is to assess the impact of race and ethnicity on this relationship. The data support the following hypotheses: (1) older people who go to church more often tend to receive more spiritual support from fellow church members; (2) older adults who receive more spiritual support at church will derive a deeper understanding of themselves and others; (3) older people who develop greater insight into themselves and others will derive a greater sense of religious meaning in life; and (4) older adults who develop a deeper sense of religious meaning in life will feel more grateful to God. The results also indicate that the study model explains how feelings of gratitude toward God arise among older blacks and whites, but not older Mexican Americans.

  8. Older Students in Adult Education.

    ERIC Educational Resources Information Center

    Clennell, Stephanie, Ed.; And Others

    British students 60 years and older in 1985-86 were studied in order to learn about their age, sex, marital status, employment background, the subjects they study, their reasons for studying, how they study, and what they think about their studies. Considered by the researchers to be the largest survey of older students, the study involved 2,254…

  9. Marketing to Older American Consumers.

    ERIC Educational Resources Information Center

    Mertz, Barbara; Stephens, Nancy

    1986-01-01

    Examined older adults as a potential market for American businesses. Data indicate that in terms of size and income, senior citizens comprise a substantial buying group. Their buying styles, product and service needs, and shopping behavior vary from younger adults and within the older adult population. Strategies for successful marketing are…

  10. Quitting Smoking for Older Adults

    MedlinePlus

    ... Related Topics Alcohol Use and Older Adults COPD Lung Cancer The information in this topic was provided by the National Cancer Institute Topic last reviewed: June 2014 For an enhanced version of this page please turn Javascript on. Quitting Smoking for Older ...

  11. Rural Education for Older Adults

    ERIC Educational Resources Information Center

    Mott, Vivian W.

    2008-01-01

    Meeting the learning needs of older adults in rural areas is a critical and growing concern for adult and continuing education. This chapter addresses learning in a rural context for older adults by examining several constructs. These include the definitions of "rural," the issues of the learners' ages, and the various structures and purposes…

  12. Counseling Needs of Older Persons.

    ERIC Educational Resources Information Center

    Myers, Jane E.

    The Older Person's Counseling Needs (OPCN) Survey is used as an instrument to assess counseling needs of older persons in relation to their major life concerns. Four key areas of concern have been identified. These include personal, interpersonal, activity, and environmental concerns. These four areas have been subdivided to achieve 27 basic…

  13. How To Manage Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    Most older workers continue to work hard and perform well; those who do not often perceive that their opportunities for promotion and increased earnings are limited. Six principles of management particularly apply to older workers: (1) recognize that needs can be powerful motivators; (2) link need satisfaction to job performance; (3) set specific,…

  14. Cohort Influences in Older Marriages.

    ERIC Educational Resources Information Center

    Eskew, Ron W.

    Cohort differentiation has been posited to crystallize around periods of social crises and to be most impactful on the young adults of a given socio-historical period. The two most prominent socio-historical events in the pasts of today's older married persons were the Great Depression of the 1930's and World War II. Older married couples were…

  15. Clinical Interviewing with Older Adults

    ERIC Educational Resources Information Center

    Mohlman, Jan; Sirota, Karen Gainer; Papp, Laszlo A.; Staples, Alison M.; King, Arlene; Gorenstein, Ethan E.

    2012-01-01

    Over the next few decades the older adult population will increase dramatically, and prevalence rates of psychiatric disorders are also expected to increase in the elderly cohort. These demographic projections highlight the need for diagnostic instruments and methods that are specifically tailored to older adults. The current paper discusses the…

  16. Older Drivers: A Closer Look.

    ERIC Educational Resources Information Center

    Goggin, Noreen L.; Keller, M. Jean

    1996-01-01

    Cognitive and decision-making capabilities and motor responses were assessed for 24 older adults using 15 videotaped driving scenarios. Older drivers performed better on the simulation than the written test. Men performed better, drove more miles per year, and did more highway driving, differences attributed to handgrip strength or sex-role…

  17. Preventing abuse of older people.

    PubMed

    Fraser, Aileen

    2010-10-01

    The author travelled to the United States on a Florence Nightingale Travel Scholarship to study the systems in place to respond to and prevent elder abuse. She visited centres in Orange County, California, and New York City that are involved in dealing with the issue. This article provides a summary of her findings, with emphasis on education and training strategies for healthcare professionals working with older people, and provides recommendations for developments in safeguarding older people in the UK. The author also reviews models of service, models of evaluation and approaches to older people who self-neglect.

  18. Joining the Big Society: Am I Bothered?

    ERIC Educational Resources Information Center

    Hayward, Geoff; Williams, Richard

    2011-01-01

    This contribution takes the form of a reflective essay informed by 15 years of working and undertaking research with young people at risk of social exclusion and non-participation in the post-compulsory education and training system in the UK. In particular, it draws upon our experience of working with young people, youth workers and other adults…

  19. An Author in Residence? Why Bother?

    ERIC Educational Resources Information Center

    Blubaugh, Penny

    In October 1999 young adult author, Adam Rapp, was the first author-in-residence at Ridgewood High School, located outside Chicago. During his week at Ridgewood, Adam did readings and question and answer sessions for area 7th and 8th graders who came to the high school on field trips. He talked with the staff of the high school literary magazine…

  20. [Nasogastric tubes: a lot of bother].

    PubMed

    Tagliabue, Fabio; D'Angelo, Carlo; Zuccon, William; Giorgetta, Casimiro; Balduzzi, Valerio; Gambarini, Fabrizio; Bonandrini, Luigi

    2008-01-01

    The insertion of the nasogastric tube is one of the procedure that produces the most discomfort for the patients and practitioners. The AA, with the make use of their clinical experience and the data of the literature, report some personal reflections about the management of the nasogastric tube. The AA also analyse some variables (choice of the tube, approach to the patient, insertion of the tube, examination of the position, fixation and removal) that can influence on discomfort of the patient. The choice of the most right SNG is an important moment for the correct insertion; an effect we need to adjust the material and diameter of the tube to the prearranged use. The common practice demonstrates that the collaboration with the patient, obtained by "direct" and "indirect" strategies, gives more possibilities to immediately success of this procedure. The literature explains that it is possible to decrease the discomfort with topical anesthesia; still there are some points of view to clarify. From analyse of the different methods to check the position of SNG, the pH test of the aspirating fluid is the best solution. Once examination of right placement, we need to fix in different points (at least two). From personal experience the removal of SNG is better tolerate that the insertion because the patient is more conscious to be on the mend. The principal recommendation is to abstain from insertion of SNG if it is not closely necessary!

  1. Bother over Books: A Data Response Exercise.

    ERIC Educational Resources Information Center

    Seales, Michael

    1990-01-01

    Presents review questions concerning the Net Book Agreement for upper sixth year students preparing to take their Advanced Level examination in economics. Relates these questions to economic debates over price setting, governmental restrictions, and the relationship between the public interest and profitability. Suggests relative weight of…

  2. Innovative Older-Worker Programs.

    ERIC Educational Resources Information Center

    Jessup, Denise; Greenberg, Barbara

    1989-01-01

    Describes program innovations to keep older workers employed: retraining, job sharing, flexible working hours, job redesign, and phased retirement. Addresses costs and savings, disincentives for workers and employers, and future trends. (SK)

  3. Alcohol Use and Older Adults

    MedlinePlus

    ... version of this page please turn Javascript on. Alcohol Use and Older Adults Alcohol and Aging Adults of any age can have ... Escape (Esc) button on your keyboard.) What Is Alcohol? Alcohol, also known as ethanol, is a chemical ...

  4. Osteoporosis: Unique to Older Adults

    MedlinePlus

    ... fractures if needed annual flu shots. Protein-Calorie Malnutrition Many older adults living at home eat poorly. ... serious that a condition known as protein-calorie malnutrition (PCM) develops. Sometimes, PCM occurs after a long ...

  5. Computer acceptance of older adults.

    PubMed

    Nägle, Sibylle; Schmidt, Ludger

    2012-01-01

    Even though computers play a massive role in everyday life of modern societies, older adults, and especially older women, are less likely to use a computer, and they perform fewer activities on it than younger adults. To get a better understanding of the factors affecting older adults' intention towards and usage of computers, the Unified Theory of Acceptance and Usage of Technology (UTAUT) was applied as part of a more extensive study with 52 users and non-users of computers, ranging in age from 50 to 90 years. The model covers various aspects of computer usage in old age via four key constructs, namely performance expectancy, effort expectancy, social influences, and facilitating conditions, as well as the variables gender, age, experience, and voluntariness it. Interestingly, next to performance expectancy, facilitating conditions showed the strongest correlation with use as well as with intention. Effort expectancy showed no significant correlation with the intention of older adults to use a computer.

  6. Older Adults and Mental Health

    MedlinePlus

    ... is a widely underrecognized and undertreated medical illness. Depression often co-occurs with other serious illnesses, such as heart disease, stroke, diabetes, cancer, and Parkinson's disease. Because many older adults face these illnesses as well as various social and ...

  7. Employee Benefits for Older Workers.

    ERIC Educational Resources Information Center

    Kramer, Natalie

    1995-01-01

    As life expectancy increases, more people continue working later in life. Some retirement plans offer incentives, others disincentives to retire. Health, life, and disability insurance plans often have different provisions for older workers. (SK)

  8. Cognitive Interventions for Older Diabetics.

    ERIC Educational Resources Information Center

    Black, Sheila; Scogin, Forrest

    1998-01-01

    Older diabetic adults should receive memory training to improve their compliance with medication taking. The intervention should include comprehensible medical instructions, assistance with remembering the nutritional values of food, and higher order skills for disease management. (SK)

  9. Cardiac Rehabilitation in Older Adults.

    PubMed

    Schopfer, David W; Forman, Daniel E

    2016-09-01

    The biology of aging and the pathophysiology of cardiovascular disease (CVD) overlap, with the effect that CVD is endemic in the growing population of older adults. Moreover, CVD in older adults is usually complicated by age-related complexities, including multimorbidity, polypharmacy, frailty, and other intricacies that add to the risks of ambiguous symptoms, deconditioning, iatrogenesis, falls, disability, and other challenges. Cardiac rehabilitation (CR) is a comprehensive lifestyle program that can have particular benefit for older patients with cardiovascular conditions. Although CR was originally designed primarily as an exercise training program for younger adults after a myocardial infarction or coronary artery bypass surgery, it has evolved as a comprehensive lifestyle program (promoting physical activity as well as education, diet, risk reduction, and adherence) for a broader range of CVD (coronary heart disease, heart failure, and valvular heart disease). It provides a valuable opportunity to address and moderate many of the challenges pertinent for the large and growing population of older adults with CVD. Cardiac rehabilitation promotes physical function (cardiorespiratory fitness as well as strength and balance) that helps overcome disease and deconditioning as well as related vulnerabilities such as disability, frailty, and falls. Similarly, CR facilitates education, monitoring, and guidance to reduce iatrogenesis and promote adherence. Furthermore, CR fosters cognition, socialization, and independence in older patients. Yet despite all its conceptual benefits, CR is significantly underused in older populations. This review discusses benefits and the paradoxical underuse of CR, as well as evolving models of care that may achieve greater application and efficacy. PMID:27297002

  10. Weight Management in Older Adults.

    PubMed

    Gill, Lydia E; Bartels, Stephen J; Batsis, John A

    2015-09-01

    As the number of older adults increases rapidly, the national epidemic of obesity is also affecting our aging population. This is particularly concerning given the numerous health risks and increased costs associated with this condition. Weight management is extremely important for older adults given the risks associated with abdominal adiposity, which is a typical fat redistribution during aging, and the prevalence of comorbid conditions in this age group. However, approaches to weight loss must be considered critically given the dangers of sarcopenia (a condition that occurs when muscle mass and quality are lost), the increased risk of hip fracture with weight loss, and the association between reduced mortality and increased BMI in older adults. This overview highlights the challenges and implications of measuring adiposity in older adults and the dangers and benefits of weight loss in this population and provides an overview of the new Medicare Obesity Benefit. In addition, we provide a summary of outcomes from successful weight loss interventions for older adults and discuss implications for advancing clinical practice. PMID:26627496

  11. Characteristics of Older Motorcyclist Crashes

    PubMed Central

    Stutts, Jane; Foss, Robert; Svoboda, Colleen

    2004-01-01

    In the U.S. as well as other countries, the number of motorcyclists killed in traffic crashes has risen sharply over the past five years, due in part to the increased popularity of motorcycling among older riders. This paper examines trends in motorcyclist casualties and vehicle registrations from 1990–2002, based on national and state (North Carolina) motor vehicle crash and vehicle registration data. The data show similar patterns of increased fatalities that parallel a growth in motorcycle registrations. Whereas the number of motorcyclists ages 16–24 declined over the 13–year study period, the number of riders ages 35 and older increased. Three years of recent (2000–2002) NC data are examined to identify salient characteristics of the crashes of these older riders. Results are discussed with respect to approaches for mitigating the increase in motorcyclist deaths and injuries. PMID:15319126

  12. Vaccinations for the Older Adult.

    PubMed

    Gnanasekaran, Gowrishankar; Biedenbender, Rex; Davidson, Harley Edward; Gravenstein, Stefan

    2016-08-01

    Vaccine response declines with age, but currently recommended vaccines are safe and effective in reducing, if not preventing, disease altogether. Over the last decade, advancements in vaccine immunogenicity, either by increasing dose or conjugating vaccines to protein, have resulted in more immunogenic vaccines that also seem more effective in reducing clinical disease both for influenza and pneumococcus. Meanwhile, there is a resurgence in incident pertussis, exceeding prevalence from five decades ago, adding older adults to a recommended target vaccination group. This article discusses currently available vaccines, in the context of current epidemiology and recommendations, for older adults. PMID:27394026

  13. Pain management in older adults.

    PubMed

    Schilling, Margo L

    2003-05-01

    Pain is a common complaint of older adults. Persistent pain has a significant negative impact on elderly individuals' sense of well being, physical function, and quality of life. Increasing age and cognitive impairment are risk factors for undertreatment of persistent pain. Safe and effective therapy is available for pain syndromes that commonly affect older adults. Recognition of failure of health providers to appropriately assess and manage persistent pain has led to the recent development and adoption of regulatory guidelines for the implementation of effective pain management programs.

  14. COPD: Unique to Older Adults

    MedlinePlus

    ... Multiple Health Problems Prevention Join our e-newsletter! Aging & Health A to Z COPD Unique to Older Adults This section provides information ... not a weakness or a normal part of aging. Most people feel better with ... help you can, so that your COPD does not prevent you from living your life ...

  15. Hearing loss in older adults.

    PubMed

    Walling, Anne D; Dickson, Gretchen M

    2012-06-15

    Hearing loss affects approximately one-third of adults 61 to 70 years of age and more than 80 percent of those older than 85 years. Men usually experience greater hearing loss and have earlier onset compared with women. The most common type is age-related hearing loss; however, many conditions can interfere with the conduction of sound vibrations to the inner ear and their conversion to electrical impulses for conduction to the brain. Screening for hearing loss is recommended in adults older than 50 to 60 years. Office screening tests include the whispered voice test and audioscopy. Older patients who admit to having difficulty hearing may be referred directly for audiometry. The history can identify risk factors for hearing loss, especially noise exposure and use of ototoxic medications. Examination of the auditory canal and tympanic membrane can identify causes of conductive hearing loss. Audiometric testing is required to confirm hearing loss. Adults presenting with idiopathic sudden sensorineural hearing loss should be referred for urgent assessment. Management of hearing loss is based on addressing underlying causes, especially obstructions (including cerumen) and ototoxic medications. Residual hearing should be optimized by use of hearing aids, assistive listening devices, and rehabilitation programs. Surgical implants are indicated for selected patients. Major barriers to improved hearing in older adults include lack of recognition of hearing loss; perception that hearing loss is a normal part of aging or is not amenable to treatment; and patient nonadherence with hearing aids because of stigma, cost, inconvenience, disappointing initial results, or other factors.

  16. Assessment of the older woman.

    PubMed

    Miller, D K; Kaiser, F E

    1993-02-01

    Our knowledge of the aging woman will continue to grow, and that knowledge will begin with obtaining assessments that are appropriate and complete for this population. It is important to recognize that assessment can lead to improved diagnoses, more appropriate intervention, and improved outcomes, which hopefully will contribute to an improved quality of life for all older women.

  17. Psychotherapy with Older Dying Persons.

    ERIC Educational Resources Information Center

    Dye, Carol J.

    Psychotherapy with older dying patients can lead to problems of countertransference for the clinician. Working with dying patients requires flexibility to adapt basic therapeutics to the institutional setting. Goals of psychotherapy must be reconceptualized for dying clients. The problems of countertransference arise because clinicians themselves…

  18. Personal Epistemologies and Older Workers

    ERIC Educational Resources Information Center

    Billett, Stephen; van Woerkom, Marianne

    2008-01-01

    This paper evaluates the need and prospects for older workers to develop and deploy effective and critical personal epistemologies in order to maintain workplace competence, successfully negotiate work transitions and secure ontological security in their working life. Furthermore, it addresses different ways of reflecting by workers, which types…

  19. Theme: Pharmacology and Older People.

    ERIC Educational Resources Information Center

    Simonson, William; And Others

    1994-01-01

    This theme issue discusses maximizing the benefits and minimizing the risks of drug therapy for older people. It includes articles on psychoactive drugs, drug-related problems, medication compliance, geriatric psychopharmacotherapy, consumer guidelines, and outpatient prescriptions drug coverage as it relates to health care reform. (JOW)

  20. Older Americans and the Arts.

    ERIC Educational Resources Information Center

    Sunderland, Jaqueline Tippett

    The potential force for the mutual enrichment of the arts on the lives of older people was investigated by an advisory committee representing the John F. Kennedy Center for Performing Arts and The National Council on the Aging. This prospectus, a report of the committee findings, includes a review of a representative spectrum of cultural programs…

  1. Drug Misuse in Older People.

    ERIC Educational Resources Information Center

    Raffoul, Paul R.; And Others

    1981-01-01

    Drug misuse of prescription and OTC drugs was studied among 67 older subjects to determine the frequency of misuse and relationship to various psychosocial, medical and pharmacological factors. Drug misuse was found among 43 percent of subjects with number of prescribing physicians and number of pharmacies directly related to misuse. (Author)

  2. Educational Initiatives for Older Learners

    ERIC Educational Resources Information Center

    Swindell, Rick

    2009-01-01

    A rapidly ageing population has given rise to many innovative later life learning programs that engage older adults in the kinds of activities that are associated with successful ageing. Experts of all kinds retire and retired expert volunteers would seem to be the best people to run learning programs for other retirees. One of the best known…

  3. Visuomotor Binding in Older Adults

    ERIC Educational Resources Information Center

    Bloesch, Emily K.; Abrams, Richard A.

    2010-01-01

    Action integration is the process through which actions performed on a stimulus and perceptual aspects of the stimulus become bound as a unitary object. This process appears to be controlled by the dopaminergic system in the prefrontal cortex, an area that is known to decrease in volume and dopamine functioning in older adults. Although the…

  4. Lead toxicity in older adults.

    PubMed

    Vig, E K; Hu, H

    2000-11-01

    Recent studies have shown that lead, even at relatively low levels of exposure, has the potential to harm not only the young and the occupationally-exposed, but also older people. Because they have been alive for a longer period of time, older adults have had more potential exposures to lead. They may have been exposed to lead while working in unregulated occupations, or they may have encountered more lead in the environment on a daily basis. Several large epidemiological studies have found that older people have higher blood and bone lead levels than younger adults. Additionally, sporadic clusters of acute lead exposure among older adults as a result of activities such as ceramic glaze hobby work and consumption of moonshine whiskey continue to be reported. After lead enters the body, it circulates in the blood reaching the soft tissues and bone. Researchers have learned that lead can hibernate within bone for decades. Although lead within bone is of uncertain toxicity to bone tissue, conditions of bone resorption, such as osteoporosis, can cause bone lead to reenter the bloodstream where it can then re-expose the soft tissue, and, potentially, exert delayed deleterious effects. Evidence is emerging that blood and bone lead levels, reflecting relatively modest exposures, are associated with hypertension, renal insufficiency, and cognitive impairment. Medical treatments that now exist to slow the rate of bone resorption may maintain lead within bones. On-going studies evaluating the relationship between body lead stores and both cognitive and renal impairment, as well as the potential modifying effect of bone resorption, will help determine whether bone resorption should be retarded specifically to preserve organ function. Physicians should be aware of potential past and present lead exposures among their older patients. Ongoing lead exposure should be prevented. In the future, treatment of osteoporosis may be undertaken not only to improve bone health but also to

  5. Vision Loss in Older Adults.

    PubMed

    Pelletier, Allen L; Rojas-Roldan, Ledy; Coffin, Janis

    2016-08-01

    Vision loss affects 37 million Americans older than 50 years and one in four who are older than 80 years. The U.S. Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in adults older than 65 years. However, family physicians play a critical role in identifying persons who are at risk of vision loss, counseling patients, and referring patients for disease-specific treatment. The conditions that cause most cases of vision loss in older patients are age-related macular degeneration, glaucoma, ocular complications of diabetes mellitus, and age-related cataracts. Vitamin supplements can delay the progression of age-related macular degeneration. Intravitreal injection of a vascular endothelial growth factor inhibitor can preserve vision in the neovascular form of macular degeneration. Medicated eye drops reduce intraocular pressure and can delay the progression of vision loss in patients with glaucoma, but adherence to treatment is poor. Laser trabeculoplasty also lowers intraocular pressure and preserves vision in patients with primary open-angle glaucoma, but long-term studies are needed to identify who is most likely to benefit from surgery. Tight glycemic control in adults with diabetes slows the progression of diabetic retinopathy, but must be balanced against the risks of hypoglycemia and death in older adults. Fenofibrate also slows progression of diabetic retinopathy. Panretinal photocoagulation is the mainstay of treatment for diabetic retinopathy, whereas vascular endothelial growth factor inhibitors slow vision loss resulting from diabetic macular edema. Preoperative testing before cataract surgery does not improve outcomes and is not recommended. PMID:27479624

  6. Vision Loss in Older Adults.

    PubMed

    Pelletier, Allen L; Rojas-Roldan, Ledy; Coffin, Janis

    2016-08-01

    Vision loss affects 37 million Americans older than 50 years and one in four who are older than 80 years. The U.S. Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in adults older than 65 years. However, family physicians play a critical role in identifying persons who are at risk of vision loss, counseling patients, and referring patients for disease-specific treatment. The conditions that cause most cases of vision loss in older patients are age-related macular degeneration, glaucoma, ocular complications of diabetes mellitus, and age-related cataracts. Vitamin supplements can delay the progression of age-related macular degeneration. Intravitreal injection of a vascular endothelial growth factor inhibitor can preserve vision in the neovascular form of macular degeneration. Medicated eye drops reduce intraocular pressure and can delay the progression of vision loss in patients with glaucoma, but adherence to treatment is poor. Laser trabeculoplasty also lowers intraocular pressure and preserves vision in patients with primary open-angle glaucoma, but long-term studies are needed to identify who is most likely to benefit from surgery. Tight glycemic control in adults with diabetes slows the progression of diabetic retinopathy, but must be balanced against the risks of hypoglycemia and death in older adults. Fenofibrate also slows progression of diabetic retinopathy. Panretinal photocoagulation is the mainstay of treatment for diabetic retinopathy, whereas vascular endothelial growth factor inhibitors slow vision loss resulting from diabetic macular edema. Preoperative testing before cataract surgery does not improve outcomes and is not recommended.

  7. Lead toxicity in older adults.

    PubMed

    Vig, E K; Hu, H

    2000-11-01

    Recent studies have shown that lead, even at relatively low levels of exposure, has the potential to harm not only the young and the occupationally-exposed, but also older people. Because they have been alive for a longer period of time, older adults have had more potential exposures to lead. They may have been exposed to lead while working in unregulated occupations, or they may have encountered more lead in the environment on a daily basis. Several large epidemiological studies have found that older people have higher blood and bone lead levels than younger adults. Additionally, sporadic clusters of acute lead exposure among older adults as a result of activities such as ceramic glaze hobby work and consumption of moonshine whiskey continue to be reported. After lead enters the body, it circulates in the blood reaching the soft tissues and bone. Researchers have learned that lead can hibernate within bone for decades. Although lead within bone is of uncertain toxicity to bone tissue, conditions of bone resorption, such as osteoporosis, can cause bone lead to reenter the bloodstream where it can then re-expose the soft tissue, and, potentially, exert delayed deleterious effects. Evidence is emerging that blood and bone lead levels, reflecting relatively modest exposures, are associated with hypertension, renal insufficiency, and cognitive impairment. Medical treatments that now exist to slow the rate of bone resorption may maintain lead within bones. On-going studies evaluating the relationship between body lead stores and both cognitive and renal impairment, as well as the potential modifying effect of bone resorption, will help determine whether bone resorption should be retarded specifically to preserve organ function. Physicians should be aware of potential past and present lead exposures among their older patients. Ongoing lead exposure should be prevented. In the future, treatment of osteoporosis may be undertaken not only to improve bone health but also to

  8. Thyroid Disease in the Older Patient

    MedlinePlus

    ... these patients, without treatment unless they are symptomatic. HYPOTHYROIDISM IN THE OLDER PATIENT Hypothyroidism is very common ... is given. TREATMENT OF THE OLDER PATIENT WITH HYPOTHYROIDISM As with the younger patient, pure synthetic thyroxine ( ...

  9. Changing Medical Students' Attitudes toward Older Adults

    ERIC Educational Resources Information Center

    Gonzales, Ernest; Morrow-Howell, Nancy; Gilbert, Pat

    2010-01-01

    Given the growth in the number of older adults and the ageist attitudes many in the health care profession hold, interventions aimed at improving health professionals' attitudes toward older adults are imperative. Vital Visionaries is an intergenerational art program designed to improve medical students' attitudes toward older adults. Participants…

  10. Language Acculturation among Older Vietnamese Refugee Adults.

    ERIC Educational Resources Information Center

    Tran, Thanh V.

    1990-01-01

    Examined English language acculturation among older Vietnamese refugees (aged 40 and older). Found that age, sex, education in Vietnam, health, and length of residence in United States had some significant relationships with language acculturation. Older Vietnamese people had more problems with language acculturation than younger counterparts, and…

  11. Unjust Desserts: Financial Realities of Older Women.

    ERIC Educational Resources Information Center

    Estrine, Judith

    This brochure presents the facts about the financial situation of older women. It explains the vital role of Social Security (SS) for women and offers suggestions to improve their financial outlook. A true/false checklist tests knowledge about women growing older and remaining financially secure. These reasons for poorer older women are outlined:…

  12. Nutrition Goals for Older Adults: A Review.

    ERIC Educational Resources Information Center

    Horwath, Caroline C.

    1991-01-01

    Discusses specific goals of nutrition education for older adults and high-risk groups within the elderly population through review of three crucial areas: current knowledge of eating patterns, nutrient intake, and supplement use of older adults; existing information on multiple influences on eating habits of older adults; and potential benefits…

  13. Interface Design and Engagement with Older People

    ERIC Educational Resources Information Center

    Hawthorn, D.

    2007-01-01

    The current paper examines the design process that led to an unusually successful interactive tutorial for older people. The paper describes the issues that make designing for older people different. These include differences between the designer and the target population and the difficulty that older people have in interacting with low-fidelity…

  14. Older Siblings Influence Younger Siblings' Motor Development

    ERIC Educational Resources Information Center

    Berger, Sarah E.; Nuzzo, Katie

    2008-01-01

    Evidence exists for two competing theories about the effects of having an older sibling on development. Previous research has found that having an older sibling has both advantages and disadvantages for younger siblings' development. This study examined whether and how older siblings influenced the onset of their own younger siblings' motor…

  15. Stereotypes of Older Lesbians and Gay Men

    ERIC Educational Resources Information Center

    Wright, Sara L.; Canetto, Silvia Sara

    2009-01-01

    This study examined stereotypes of older lesbians and gay men. Key findings are that older lesbians and gay men were perceived as similar to older heterosexual women and men with regard to aging stereotypes, such as being judicious. At the same time, sexual minorities were targets of unique stereotypes. Consistent with the implicit inversion…

  16. Learning from Older Citizens' Research Groups

    ERIC Educational Resources Information Center

    Munn-Giddings, Carol; McVicar, Andy; Boyce, Melanie; O'Brien, Niamh

    2016-01-01

    This article adds to an ongoing conversation in gerontology about the importance of training and involving older people in research. Currently, the literature rarely distinguishes between the one-off involvement of older citizens in research projects and the development of research groups led by older people that sustain over time as well as the…

  17. Older Adults and Gambling: A Review

    ERIC Educational Resources Information Center

    Ariyabuddhiphongs, Vanchai

    2012-01-01

    This paper uses the social cognitive theory model to review the literature on older adult gambling, and related personal and environment characteristics. Results show that lottery is the kind of gambling most frequently played by older adults, followed by casino games. Older adults take trips to casinos to socialize, find excitement, and win…

  18. Understanding the lives of older gay people.

    PubMed

    Kean, Reb

    2006-09-01

    Ten research articles were examined with the aim of increasing our understanding of the lives of older gay people. It is clear from the literature that nurses must not rely on stereotypes of older gay people to inform their professional practice. It is also important for nurses to appreciate that older homosexuals have different health and social care needs from their heterosexual contemporaries.

  19. Empowering the Older Adult through Folklore

    ERIC Educational Resources Information Center

    Warner, Dorothy Anne

    2006-01-01

    An opportunity exists for those working with older adults in nursing homes to significantly encourage independence in the older adult using a creative approach. The use of folklore is suggested as a means for assisting the older adult toward a reconnection with the individuation process.

  20. Older Job Seekers and Occupational Information.

    ERIC Educational Resources Information Center

    Adams, Leonard D.; Anderson, W. Michael

    Help Elderly Locate Positions (HELP), sponsored by the Emerald Empire Council on Aging and funded by the Administration on Aging, is a non-profit employment referral service for older workers, 55 and older, that has helped 1,206 elderly workers find jobs. A major area of involvement at HELP focused on exposing the older job seeker to the…

  1. Older Voters and the 2008 Election

    ERIC Educational Resources Information Center

    Binstock, Robert H.

    2009-01-01

    Purpose: In the 2008 presidential election, a majority of older persons voted for John McCain, the loser. The purposes of this report are to help illuminate why older voters were the only age-group that gave a majority to McCain and to delineate some ongoing issues in the analysis of older persons' voting behavior. Methods: Analysis was undertaken…

  2. Hearing loss in older adults.

    PubMed

    Walling, Anne D; Dickson, Gretchen M

    2012-06-15

    Hearing loss affects approximately one-third of adults 61 to 70 years of age and more than 80 percent of those older than 85 years. Men usually experience greater hearing loss and have earlier onset compared with women. The most common type is age-related hearing loss; however, many conditions can interfere with the conduction of sound vibrations to the inner ear and their conversion to electrical impulses for conduction to the brain. Screening for hearing loss is recommended in adults older than 50 to 60 years. Office screening tests include the whispered voice test and audioscopy. Older patients who admit to having difficulty hearing may be referred directly for audiometry. The history can identify risk factors for hearing loss, especially noise exposure and use of ototoxic medications. Examination of the auditory canal and tympanic membrane can identify causes of conductive hearing loss. Audiometric testing is required to confirm hearing loss. Adults presenting with idiopathic sudden sensorineural hearing loss should be referred for urgent assessment. Management of hearing loss is based on addressing underlying causes, especially obstructions (including cerumen) and ototoxic medications. Residual hearing should be optimized by use of hearing aids, assistive listening devices, and rehabilitation programs. Surgical implants are indicated for selected patients. Major barriers to improved hearing in older adults include lack of recognition of hearing loss; perception that hearing loss is a normal part of aging or is not amenable to treatment; and patient nonadherence with hearing aids because of stigma, cost, inconvenience, disappointing initial results, or other factors. PMID:22962895

  3. Older Adults and Food Safety

    MedlinePlus

    ... Administrative Forms Standard Forms Skip Navigation Z7_0Q0619C0JGR010IFST1G5B10H1 Web Content Viewer (JSR 286) Actions ${title} Loading... / Topics / ... Safety / Older Adults and Food Safety Z7_0Q0619C0JGR010IFST1G5B10H3 Web Content Viewer (JSR 286) Actions ${title} Loading... Z7_ ...

  4. The older woman's body image.

    PubMed

    Price, Bob

    2010-02-01

    Body image is an important concept that has a significant effect on a person's self-esteem and self-confidence. Appreciating how the older body is perceived by a woman is an important first step to understanding how nurses might support patient dignity. This article reviews the latest literature on ageing and body image and suggests practical dialogues that nurses and patients can share.

  5. [Substance abuse in older adults].

    PubMed

    Bitar, Raoul; Dürsteler, Kenneth M; Rösner, Susanne; Grosshans, Martin; Herdener, Marcus; Mutschler, Jochen

    2014-09-01

    In respect of demographic change, the number of older patients with substance abuse and addiction is on the raise. In this review we present important clinical and therapeutic aspects of substance abuse and addiction in the elderly and focus on alcohol, benzodiazepines and opioids. Daily and risky alcohol consumption is common among older people. They also have an increased risk getting alcohol-related complications. For early detection, laboratory parameters and questionnaires such as the AUDIT-C are suitable. Therapeutically brief interventions have been proved successful. Also, abuse of benzodiazepines, especially low-dose addiction, is widespread among older persons, although often overlooked, and patients often do not recognize their addiction. The physician has to know the correct indication, adequate dosage and pharmacological interactions. A slow-dose reduction is recommended in case of addiction. Thanks to opioid substitution therapy, patients with an opioidaddiction can reach a higher age. Age influences the effects of the substitute, which may require an adjustment of the dosage. Treatment of elderly patients should be based on their needs and resources and is usually very effective.

  6. Eating disorders in older women.

    PubMed

    Podfigurna-Stopa, Agnieszka; Czyzyk, Adam; Katulski, Krzysztof; Smolarczyk, Roman; Grymowicz, Monika; Maciejewska-Jeske, Marzena; Meczekalski, Blazej

    2015-10-01

    Eating disorders (EDs) are disturbances that seriously endanger the physical health and often the lives of sufferers and affect their psychosocial functioning. EDs are usually thought of as problems afflicting teenagers. However, the incidence in older women has increased in recent decades. These cases may represent either late-onset disease or, more likely, a continuation of a lifelong disorder. The DSM-5 classification differentiates 4 categories of eating disorder: anorexia nervosa, bulimia nervosa, binge-eating disorders and other specified feeding and eating disorders. The weight loss and malnutrition resulting from EDs have widespread negative consequences for physical, mental and social health. The main risk factors for developing long-term consequences are the degree of weight loss and the chronicity of the illness. Most of the cardiac, neurological, pulmonary, gastric, haematological and dermatological complications of EDs are reversible with weight restoration. EDs are serious illnesses and they should never be neglected or treated only as a manifestation of the fashion for dieting or a woman's wish to achieve an imposed standard feminine figure. Additionally, EDs are associated with high risk of morbidity and mortality. The literature concerning EDs in older, postmenopausal women is very limited. The main aim of this paper is to ascertain the epidemiology and prognosis of EDs in older women, and to review their diagnosis and management. PMID:26261037

  7. Dry mouth and older people.

    PubMed

    Thomson, W M

    2015-03-01

    Dry mouth is more common among older people than in any other age group. Appropriate definition and accurate measurement of dry mouth is critical for better understanding, monitoring and treatment of the condition. Xerostomia is the symptom(s) of dry mouth; it can be measured using methods ranging from single questions to multi-item summated rating scales. Low salivary flow (known as salivary gland hypofunction, or SGH) must be determined by measuring that flow. The relationship between SGH and xerostomia is not straightforward, but both conditions are common among older people, and they affect sufferers' day-to-day lives in important ways. The major risk factor for dry mouth is the taking of particular medications, and older people take more of those than any other age group, not only for symptomatic relief of various age-associated chronic diseases, but also in order to reduce the likelihood of complications which may arise from those conditions. The greater the number taken, the greater the associated anticholinergic burden, and the more likely it is that the individual will suffer from dry mouth. Since treating dry mouth is such a challenge for clinicians, there is a need for dentists, doctors and pharmacists to work together to prevent it occurring.

  8. Eating disorders in older women.

    PubMed

    Podfigurna-Stopa, Agnieszka; Czyzyk, Adam; Katulski, Krzysztof; Smolarczyk, Roman; Grymowicz, Monika; Maciejewska-Jeske, Marzena; Meczekalski, Blazej

    2015-10-01

    Eating disorders (EDs) are disturbances that seriously endanger the physical health and often the lives of sufferers and affect their psychosocial functioning. EDs are usually thought of as problems afflicting teenagers. However, the incidence in older women has increased in recent decades. These cases may represent either late-onset disease or, more likely, a continuation of a lifelong disorder. The DSM-5 classification differentiates 4 categories of eating disorder: anorexia nervosa, bulimia nervosa, binge-eating disorders and other specified feeding and eating disorders. The weight loss and malnutrition resulting from EDs have widespread negative consequences for physical, mental and social health. The main risk factors for developing long-term consequences are the degree of weight loss and the chronicity of the illness. Most of the cardiac, neurological, pulmonary, gastric, haematological and dermatological complications of EDs are reversible with weight restoration. EDs are serious illnesses and they should never be neglected or treated only as a manifestation of the fashion for dieting or a woman's wish to achieve an imposed standard feminine figure. Additionally, EDs are associated with high risk of morbidity and mortality. The literature concerning EDs in older, postmenopausal women is very limited. The main aim of this paper is to ascertain the epidemiology and prognosis of EDs in older women, and to review their diagnosis and management.

  9. Safety, immunogenicity, and tolerability of three influenza vaccines in older adults: results of a randomized, controlled comparison.

    PubMed

    Scheifele, David W; McNeil, Shelly A; Ward, Brian J; Dionne, Marc; Cooper, Curtis; Coleman, Brenda; Loeb, Mark; Rubinstein, Ethan; McElhaney, Janet; Hatchette, Todd; Li, Yan; Montomoli, Emanuele; Schneeberg, Amy; Bettinger, Julie A; Halperin, Scott A

    2013-11-01

    To determine if newer influenza vaccines can safely improve seroprotection rates of older adults, we compared three licensed trivalent inactivated vaccines (TIVs) in a randomized, controlled trial with evaluator blinding. Participants were non-frail adults ≥ 65 y old, annually TIV-immunized. Study vaccines included intradermal (IDV), MF59-adjuvanted (ADV) and subunit (TIV) formulations of equal potency and strain composition. Blood was obtained before vaccination (V1) and 21 (V2) and 180 d (V3) afterward and tested by hemagglutination inhibition (HAI) assay. Safety diaries were completed daily by participants and specific tolerability questions were posed regarding injections and symptoms. In total, 911 participants were immunized and 887 (97.4%) completed V3. Groups had similar demographics. General symptom rates post-vaccination were similar among groups. Rates of injection site redness after IDV/ADV/TIV were 75%/13%/13% and rates of pain were 29%/38%/20%, respectively, but each vaccine was well tolerated, with symptoms causing little bother. Baseline antibody titers did not differ significantly among groups but B/Brisbane titers were too high for meaningful response assessments. At V2, seroprotection rates (HAI titer ≥ 40) were highest after ADV, the rate advantage over IDV and TIV being significant at 11.8% and 11.4% for H3N2 and 10.2% and 12.5% for H1N1, respectively. At day 180, seroprotection rates had declined ~25% and no longer differed significantly among groups. While IDV and TIV were also well tolerated, ADV induced modestly higher antibody titers in seniors to influenza A strains at 3 weeks but not 6 mo post-vaccination. Immune responses to IDV and TIV were similar in this population.

  10. Cochlear Implantation in Older Adults

    PubMed Central

    Lin, Frank R.; Chien, Wade W.; Li, Lingsheng; Niparko, John K.; Francis, Howard W.

    2012-01-01

    Cochlear implants allow individuals with severe-to-profound hearing loss access to sound and spoken language. The number of older adults in the United States who are potential candidates for cochlear implantation is approximately 150,000 and will continue to increase with the aging of the population. Should cochlear implantation (CI) be routinely recommended for these older adults, and do these individuals benefit from CI? We reviewed our 12 year experience with cochlear implantation in adults ≥60 years (n = 445) at Johns Hopkins to investigate the impact of CI on speech understanding and to identify factors associated with speech performance. Complete data on speech outcomes at baseline and 1 year post-CI were available for 83 individuals. Our results demonstrate that cochlear implantation in adults ≥60 years consistently improved speech understanding scores with a mean increase of 60. 0% (S. D. 24. 1) on HINT sentences in quiet . The magnitude of the gain in speech scores was negatively associated with age at implantation such that for every increasing year of age at CI the gain in speech scores was 1. 3 percentage points less (95% CI: 0. 6 – 1. 9) after adjusting for age at hearing loss onset. Conversely, individuals with higher pre-CI speech scores (HINT scores between 40–60%) had significantly greater post-CI speech scores by a mean of 10. 0 percentage points (95% CI: 0. 4 – 19. 6) than those with lower pre-CI speech scores (HINT <40%) after adjusting for age at CI and age at hearing loss onset. These results suggest that older adult CI candidates who are younger at implantation and with higher preoperative speech scores obtain the highest speech understanding scores after cochlear implantation with possible implications for current Medicare policy. Finally, we provide an extended discussion of the epidemiology and impact of hearing loss in older adults. Future research of CI in older adults should expand beyond simple speech outcomes to take into

  11. Preserving mobility in older adults.

    PubMed Central

    Buchner, D M

    1997-01-01

    Age-related loss of strength contributes to impaired mobility and increases the risk of falls. Recent research has focused on 2 approaches to preventing age-related loss of strength--promoting physical activity and exercise (especially strength training) and using trophic factors to enhance muscle performance. Epidemiologic evidence strongly supports a role of regular physical activity in successful aging by preserving muscle performance, promoting mobility, and reducing fall risk. Randomized controlled trials provide convincing evidence that strength and endurance training improve muscle performance in older adults. Evidence is rapidly accumulating from randomized trials that endurance, strength, and balance training promote mobility and reduce fall risk, though exercise effects differ according to the type of exercise, details of the exercise program, and the target group of older adults. Because lifetime regular physical activity is recommended for all older adults, a reasonable strategy (especially for weak adults) is an activity program that includes strength training. In contrast, insufficient evidence exists to recommend the long-term use of trophic factors to preserve muscular performance. An intervention that merits additional study is avoiding the use of psychoactive drugs because drugs like benzodiazepines appear to be risk factors for inactivity and may have unrecognized direct effects on muscular performance. Because chronic illness is a risk factor for inactivity and disuse muscle atrophy, randomized trials comparing strength training with other interventions would be useful in understanding whether strength training has advantages in preserving muscle performance and improving health-related quality of life in a variety of chronic illnesses such as depressive illness. PMID:9348757

  12. Underactive Bladder in Older Adults.

    PubMed

    Chuang, Yao-Chi; Plata, Mauricio; Lamb, Laura E; Chancellor, Michael B

    2015-11-01

    Overactive bladder is one of the most common bladder problems, but an estimated 20 million Americans have underactive bladder (UAB), which makes going to the bathroom difficult, increases the risk of urinary tract infections, and even leads to institutionalization. This article provides an overview of UAB in older adults, and discusses the prevalence, predisposing factors, cause, clinical investigations, and treatments. At present, there is no effective therapy for UAB. A great deal of work still needs to be done on understanding the pathogenesis and the development of effective therapies. PMID:26476113

  13. Underactive Bladder in Older Adults.

    PubMed

    Chuang, Yao-Chi; Plata, Mauricio; Lamb, Laura E; Chancellor, Michael B

    2015-11-01

    Overactive bladder is one of the most common bladder problems, but an estimated 20 million Americans have underactive bladder (UAB), which makes going to the bathroom difficult, increases the risk of urinary tract infections, and even leads to institutionalization. This article provides an overview of UAB in older adults, and discusses the prevalence, predisposing factors, cause, clinical investigations, and treatments. At present, there is no effective therapy for UAB. A great deal of work still needs to be done on understanding the pathogenesis and the development of effective therapies.

  14. The older adult experiencing sepsis.

    PubMed

    Englert, Nadine C; Ross, Carl

    2015-01-01

    Sepsis is a potentially fatal response to infection affecting patients across the life span. Sepsis can progress from systemic inflammatory response to severe sepsis and septic shock if not recognized promptly and managed effectively. Risk factors for sepsis include age, gender, the presence of invasive devices (eg, urinary catheters), and chronic medical conditions (eg, chronic obstructive pulmonary disease). Sepsis awareness is essential and includes identification of population-focused risk factors, recognition of clinical signs and symptoms, and timely implementation of interventions. The purpose of this article was to examine sepsis in older adults, including prevalence, atypical presentation of the condition, and considerations for sepsis management in the elderly population.

  15. Sarcopenia, Frailty, and Diabetes in Older Adults

    PubMed Central

    2016-01-01

    Populations are aging and the prevalence of diabetes mellitus is increasing tremendously. The number of older people with diabetes is increasing unexpectedly. Aging and diabetes are both risk factors for functional disability. Thus, increasing numbers of frail or disabled older patients with diabetes will increase both direct and indirect health-related costs. Diabetes has been reported as an important risk factor of developing physical disability in older adults. Older people with diabetes have lower muscle mass and weaker muscle strength. In addition, muscle quality is poorer in diabetic patients. Sarcopenia and frailty have a common soil and may share a similar pathway for multiple pathologic processes in older people. Sarcopenia is thought to be an intermediate step in the development of frailty in patients with diabetes. Thus, early detection of sarcopenia and frailty in older adults with diabetes should be routine clinical practice to prevent frailty or to intervene earlier in frail patients. PMID:27098509

  16. Older Norwegians' understanding of loneliness

    PubMed Central

    Hauge, Solveig; Kirkevold, Marit

    2010-01-01

    This interpretive study explored older people's understanding of loneliness and what they considered appropriate and effective ways of dealing with it. Thirty elderly people were interviewed in-depth; 12 described themselves as “lonely” and 18 as “not lonely.” We found a striking difference in the way “lonely” and “not lonely” people talked about loneliness. The “not lonely” participants described loneliness as painful, caused by the person's negative way of behaving and a state they should pull themselves out of. The “lonely” participants also described loneliness as painful, and gave more detailed descriptions of loneliness as disconnection from others, from their former home and from today's society. The “lonely” participants were more reserved and subdued in trying to explain loneliness, attributing it partly to themselves, but mostly to the lack of social contact with important others. Some felt able to handle their loneliness, while others felt unable to cope. This study underlines the importance of subjective experiences in trying to understand a phenomenon like loneliness and of developing support for lonely older people unable to cope on their own. PMID:20640024

  17. Cancer Screening in Older Patients.

    PubMed

    Salzman, Brooke; Beldowski, Kathryn; de la Paz, Amanda

    2016-04-15

    Although cancer is the second leading cause of death among persons 65 years and older, there is a paucity of clinical trial data about the effectiveness and harms of cancer screening in this population. Given the heterogeneous nature of the older population, cancer screening in these patients should not be based on age alone. Studies suggest that a life expectancy of at least 10 years is necessary to derive a survival benefit from screening for breast and colorectal cancers; therefore, screening for these cancers is not recommended in those with a life expectancy of less than 10 years. Prostate cancer screening, if performed at all, should not be performed after 69 years of age. Cervical cancer screening may be stopped after 65 years of age if the patient has an adequate history of negative screening results. An individualized approach to cancer screening decisions involves estimating life expectancy, determining the potential benefits and harms of screenings, and weighing those benefits and harms in relation to the patient's values and preferences.

  18. Health in older women athletes.

    PubMed

    Meczekalski, Blazej; Katulski, Krzysztof; Czyzyk, Adam; Podfigurna-Stopa, Agnieszka

    2014-12-01

    Physical activity has been identified as a protective factor against a wide spectrum of diseases, but little is known about the link between older women's health and their professional involvement in sport in the past. The aim of this narrative review is to characterize and summarize the available data concerning the influence of physical activity on morbidity and mortality in former female athletes. Concerning bone health, it seems that physical activity in the past can be protective against osteoporosis in postmenopausal women, but these data come from observational studies only. Also the cardiovascular system appears to benefit in older women from regular sport in the past. This refers mainly to better heart efficiency, and improved endothelial function and metabolic profile. The incidence of different types of neoplasms, especially breast cancer, is also decreased in former athletes. Professional sport, on the other hand, acts negatively on the pelvic floor and is a risk factor for urinary incontinence. The overall effect on mortality is difficult to assess, because of many parameters, such as the sport's intensity, variety of the sport and exposure to extreme danger in some disciplines. Also, caution should be kept in interpretation of the data because of the shortage of well-designed studies.

  19. Everyday Cognition in older adults

    PubMed Central

    Farias, Sarah Tomaszewski; Park, Lovingly Quitania; Harvey, Danielle J.; Simon, Christa; Reed, Bruce R.; Carmichael, Owen; Mungas, Dan

    2013-01-01

    The recently developed Everyday Cognition scales (ECog) measure multiple cognitively-relevant functional domains (e.g. Everyday Memory, Everyday Language, Everyday Visuospatial abilities and three everyday executive domains). The present study further evaluated the validity of the ECog by examining its relationship with objective measures of neuropsychological function, and neurobiological markers of disease as reflected by structural neuroimaging. Participants included 474 older adults (244 normals, 142 with MCI, 88 with dementia). The neuropsychological domains measured were episodic memory, semantic memory, spatial ability, and executive functioning. Brain MRI volumes included total brain (BV), hippocampus (HC) and dorsolateral prefrontal cortex (DLPFC). Neuropsychological measures of episodic memory and executive function were most consistently related to the ECog domains; spatial abilities had a specific relationship to the Everyday Visuospatial ECog domain. HC and BV volumes were related to most ECog domains, while DLPFC volume was independently related to two everyday executive domains (Everyday Planning and Everyday Organization). The pattern of associations varied somewhat as a function of diagnosis. Episodic memory and HC had more consistent associations with the ECog domains in older adults with MCI/dementia than in cognitively normal elderly. PMID:23369894

  20. Older Workers' Perspectives on Training and Retention of Older Workers: National Finance Sector Survey. Support Document

    ERIC Educational Resources Information Center

    Lundberg, David; Marshallsay, Zaniah

    2007-01-01

    Older workers' perspectives are examined in a national survey of the finance sector and case studies of aged care and construction workers. The majority of older workers intend to work beyond retirement age, to achieve a better lifestyle. With training, older workers could mentor younger workers. This support document includes a national survey of…

  1. Smiling makes you look older.

    PubMed

    Ganel, Tzvi

    2015-12-01

    People smile in social interactions to convey different types of nonverbal communication. However, smiling can potentially change the way a person is perceived along different facial dimensions, including perceived age. It is commonly assumed that smiling faces are perceived as younger than faces carrying a neutral expression. In the series of experiments reported here, I describe an unintuitive and robust effect in the opposite direction. Across different experimental conditions and stimulus sets, smiling faces were consistently perceived as older compared to neutral face photos of the same persons. I suggest that this effect is due to observer failure to ignore smile-associated wrinkles, mainly along the region of the eyes. These findings point to a misconception regarding the relationship between facial smile and perceived age and shed new light on the processes underlying human age perception.

  2. Flashbulb memories in older adults.

    PubMed

    Cohen, G; Conway, M A; Maylor, E A

    1994-09-01

    In this study of age differences in flashbulb memory, groups of young and older adults gave detailed accounts of how they heard the news of the resignation of the British Prime Minister Margaret Thatcher. They were tested within 14 days after the event and again 11 months later. They also gave ratings for the encoding variables (surprise, emotion, importance, knowledge, and interest) and for frequency of rehearsal. Memories that met a strict criterion of consistency between the original and delayed responses were classified as flashbulb memories. Although 90% of young Ss had flashbulb memories, only 42% of the elderly met the criterion. The age groups also differed in the type of details remembered and in the relationship between the encoding and rehearsal variables and the occurrence of flashbulb memory. The age-related deficit in flashbulb memory is related to source amnesia and to a deficit in memory for context.

  3. [Functional decline in older people].

    PubMed

    Wada, Taizo

    2013-10-01

    World Health Organization(WHO) proposed to be used as an index of the health of elderly independence of functioning. Basic activities of daily living (BADL), such as bathing, dressing, toileting, transferring, continence, and feeding are well known as the functioning of the elderly. However, not only BADL, there are a variety of levels, such as the ability to play a social role, intellectual activities and instrumental activities of daily living (IADL), which are components of the Tokyo Metropolitan Institute of Gerontology Index of Competence(TMIG-IC). Functional decline in older people is associated with age, gender, depression, up and go test and manual dexterity. Smoking, body-mass index, and exercise patterns in midlife and late adulthood are predictors of subsequent disability. PMID:24261199

  4. Like a Deer in the Headlights: The Paralysis of Stuckness

    ERIC Educational Resources Information Center

    Anderson-Nathe, Ben

    2008-01-01

    When describing how they experience moments of not-knowing, youth workers often talk about a sense of paralysis, as though their uncertainty becomes physically constraining. This chapter describes the first of five themes associated with youth workers' experiences of not knowing what to do: the paralysis of stuckness. In addition to describing and…

  5. 49 CFR 229.125 - Headlights and auxiliary lights.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... set forth in this paragraph: a single incandescent PAR-56, 200-watt, 30-volt lamp; a single halogen PAR-56, 200-watt, 30-volt lamp; a single halogen PAR-56, 350-watt, 75-volt lamp, or a single lamp... in this paragraph (a)(2): A single incandescent PAR-56, 200-watt, 30-volt lamp; a single halogen...

  6. 49 CFR 229.125 - Headlights and auxiliary lights.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... set forth in this paragraph: a single incandescent PAR-56, 200-watt, 30-volt lamp; a single halogen PAR-56, 200-watt, 30-volt lamp; a single halogen PAR-56, 350-watt, 75-volt lamp, or a single lamp... in this paragraph (a)(2): A single incandescent PAR-56, 200-watt, 30-volt lamp; a single halogen...

  7. Health promotion for older Americans.

    PubMed

    Heckler, M M

    1985-01-01

    As American lifespans increase, there is greater concern for the quality of those longer lives. The Department of Health and Human Services, through its many component agencies, has inaugurated a major initiative to promote health and fitness among older Americans to improve life quality and to reduce health care costs. The older population is a fertile ground for such an initiative, because studies indicate that the elderly are extremely health-conscious and very willing to adopt habits that will maintain good health. Investigation disclosed six target areas of concentration at which the health promotion initiative could be aimed: fitness-exercise, nutrition, safe and proper use of drugs and alcohol, accident prevention, other preventive services, and smoking cessation. The initiative includes cooperative programs with States; dissemination of printed information; nutritious meals for the elderly; a Food and Drug Administration consumer education program; Centers for Disease Control programs on accident prevention; a special task force to deal with Alzheimer's disease; and, in cooperation with states, a media campaign of health promotion for the elderly. At least three national health and senior citizens organizations are working closely with HHS agencies on the initiative. A separate Department effort involves the encouragement of fast-growing health maintenance organizations to promote health and prevention for their Medicare members and the persuasion of Medicare beneficiaries generally to seek second medical or surgical opinions. State and local government and the private sector, responding to Department initiatives, have also been developing programs for the aging. Their interest and participation ensures that special health promotion and disease prevention efforts directed toward elderly Americans will continue and proliferate.

  8. Alcohol-Related Problems of Older Persons.

    ERIC Educational Resources Information Center

    Staples, Pamela A.

    The study of older adults is relatively new for the social sciences. There is a growing awareness of the alcohol-related problems in this population. Between 2 and 10 percent of older social drinkers present severe alcohol-related problems of different kinds. Three terms describe the major consequences of "too much" alcohol: intoxication,…

  9. Bender Gestalt Performance of Normal Older Adults.

    ERIC Educational Resources Information Center

    Lacks, Patricia; Storandt, Martha

    1982-01-01

    Provides normative data on the Bender Gestalt Test (BGT) with a sample of 334 normal older adults. Showed that these older adults do not perform on the BGT in a manner that can be called brain damaged. Use of the cut-off score developed with younger persons appears appropriate. (Author)

  10. Textile Recycling, Convenience, and the Older Adult.

    ERIC Educational Resources Information Center

    Domina, Tanya; Koch, Kathryn

    2001-01-01

    Results of a study to examine the recycling practices and needs of older adults (n=217) indicated that older adults do recycle traditional materials, but need accommodations for physical limitations. They report textile recycling as time consuming and difficult and used donations to religious organizations as their principal means of textile…

  11. Older Students in the Open University.

    ERIC Educational Resources Information Center

    Clennell, Stephanie, Ed.; And Others

    A British study compared the characteristics of Open University students 60 years and older with those of a random sample of younger students. Data collection involved obtaining demographic information from the student database, questionnaire responses from 831 out of 1,042 older students and 884 out of 1,418 students younger than 60, and…

  12. Older Adults Have Difficulty in Decoding Sarcasm

    ERIC Educational Resources Information Center

    Phillips, Louise H.; Allen, Roy; Bull, Rebecca; Hering, Alexandra; Kliegel, Matthias; Channon, Shelley

    2015-01-01

    Younger and older adults differ in performance on a range of social-cognitive skills, with older adults having difficulties in decoding nonverbal cues to emotion and intentions. Such skills are likely to be important when deciding whether someone is being sarcastic. In the current study we investigated in a life span sample whether there are…

  13. Older Adults' Acceptance of Information Technology

    ERIC Educational Resources Information Center

    Wang, Lin; Rau, Pei-Luen Patrick; Salvendy, Gavriel

    2011-01-01

    This study investigated variables contributing to older adults' information technology acceptance through a survey, which was used to find factors explaining and predicting older adults' information technology acceptance behaviors. Four factors, including needs satisfaction, perceived usability, support availability, and public acceptance, were…

  14. Testimony on Physical Fitness for Older Persons.

    ERIC Educational Resources Information Center

    President's Council on Physical Fitness and Sports, Washington, DC.

    Collected here are fourteen statements on the beneficial effects of physical fitness programs for older persons presented at hearings before the Subcommittee on Aging of the Committee on Labor and Public Welfare, U.S. Senate. Areas discussed include: What research tells us regarding the contribution of exercise to the health of older people;…

  15. Managing chronic pain in older people.

    PubMed

    Schofield, Patricia

    This article presents the results of a collaborative project between the British Pain Society and British Geriatric Society to produce guidelines on the management of pain in older adults. The guidelines are the first of their kind in the UK and aim to provide best practice for the management of pain to all health professionals working with older adults in any care setting.

  16. Saskatchewan Older Adult Literacy Survey. Final Report.

    ERIC Educational Resources Information Center

    Regina Univ. (Saskatchewan). Univ. Extension. Seniors Education Centre.

    The Saskatchewan Older Adult Literacy Survey involved 16 literacy programs offered by the regional colleges, public libraries, and technical institutes throughout the province of Saskatchewan, Canada. The 2-month survey acquired information for an overview of the current state of older adults and literacy in Saskatchewan through mailed…

  17. Learning Choices, Older Australians and Active Ageing

    ERIC Educational Resources Information Center

    Boulton-Lewis, Gillian M.; Buys, Laurie

    2015-01-01

    This paper reports on the findings of qualitative, semistructured interviews conducted with 40 older Australian participants who either did or did not engage in organized learning. Phenomenology was used to guide the interviews and analysis to explore the lived learning experiences and perspectives of these older people. Their experiences of…

  18. Working with Older People. A Resource Kit.

    ERIC Educational Resources Information Center

    Ohio State Commission on Aging, Columbus.

    This resource kit for working with older people consists of an instructor's guide, a package of simulation training materials, and performance-based teacher education modules. Topics covered in the instructor's guide are understanding the common problems of working with older people, selecting problem areas for trainees, developing plans for using…

  19. Project LOVE (Let Older Volunteers Educate).

    ERIC Educational Resources Information Center

    Powers, Sally; Weinrich, Martin C.

    The effect of contact with older adult volunteers on the attitudes of elementary school students was investigated by twice administering questionnaires to all first-, third-, and fourth-grade students at Chapin Elementary School, Chapin, South Carolina. Teachers first administered the questionnaire before the older adults began volunteer work in…

  20. Education: A Possibility for Empowering Older Adults

    ERIC Educational Resources Information Center

    Kump, Sonja; Krasovec, Sabina Jelenc

    2007-01-01

    Educating older adults (in the so-called third age) is becoming an increasingly important activity for the elderly, above all because it empowers them, while at the same time reducing their social exclusion. The aim of this paper is to closely examine the actual state of affairs and the education possibilities for older adults in Slovenia. The…

  1. Death, Suicide, and the Older Adult.

    ERIC Educational Resources Information Center

    Kastenbaum, Robert

    1992-01-01

    Notes characteristics of older adults at high risk for suicide (male, living alone, living in low-income transient urban area, depression). Provides converging perspectives on death and suicide from standpoints of external observer and older adult. Interprets statistical pattern and critiques current policy proposals for limiting society's…

  2. 75 FR 23559 - Older Americans Month, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-04

    ... thirty-fourth. (Presidential Sig.) [FR Doc. 2010-10573 Filed 5-3-10; 8:45 am] Billing code 3195-W0-P ...;#0; ] Proclamation 8506 of April 28, 2010 Older Americans Month, 2010 By the President of the United... past and help us meet the challenges of the present. During Older Americans Month, we show our...

  3. 77 FR 26651 - Older Americans Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... two hundred and thirty-sixth. (Presidential Sig.) [FR Doc. 2012-11021 Filed 5-3-12; 2:00 pm] Billing...;#0; ] Proclamation 8809 of May 1, 2012 Older Americans Month, 2012 By the President of the United... Americans Month, ``Never Too Old to Play,'' celebrates the accomplishments of older Americans and...

  4. 78 FR 26225 - Older Americans Month, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... States of America the two hundred and thirty- seventh. (Presidential Sig.) [FR Doc. 2013-10753 Filed 5-2...;#0; ] Proclamation 8971 of April 30, 2013 Older Americans Month, 2013 By the President of the United... together to honor older Americans in a special way during the month of May. We carry that tradition...

  5. Health Contract with Sedentary Older Adults

    ERIC Educational Resources Information Center

    Haber, David; Rhodes, Darson

    2004-01-01

    Purpose: Health educators used health contracts with sedentary older adults for the purpose of increasing exercise or physical activity. Design and Methods: Two health educators helped 25 sedentary older adults complete health contracts, and then they conducted follow-up evaluations. The percentage of scheduled exercise sessions successfully…

  6. Older Adult Women Learners in Transition

    ERIC Educational Resources Information Center

    Wolf, Mary Alice

    2009-01-01

    This chapter examines the potential for personal growth, development, and learning of older adult women who will have many productive years in the workforce. What implications are there for adult education communities who will interact with these older women? How do they adapt to the educational environment, and what social support will enable…

  7. How To Manage Older Workers. [Revised.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC. Work Force Programs Dept.

    This publication focuses on the challenges to management of dealing with older workers. Section 1 addresses motivating older workers who may perceive that their opportunities for promotion and increased earnings are limited. Six principles to guide this motivation are discussed: needs can be powerful motivators; to motivate, link need satisfaction…

  8. Exploring Older Adults' Health Information Seeking Behaviors

    ERIC Educational Resources Information Center

    Manafo, Elizabeth; Wong, Sharon

    2012-01-01

    Objective: To explore older adults' (55-70 years) health information-seeking behaviors. Methods: Using a qualitative methodology, based on grounded theory, data were collected using in-depth interviews. Participants were community-living, older adults in Toronto, Canada who independently seek nutrition and health information. Interview transcripts…

  9. Intimate Partner Violence in Older Women

    ERIC Educational Resources Information Center

    Bonomi, Amy E.; Anderson, Melissa L.; Reid, Robert J.; Carrell, David; Fishman, Paul A.; Rivara, Frederick P.; Thompson, Robert S.

    2007-01-01

    Purpose: We describe the prevalence, types, duration, frequency, and severity of intimate partner violence ("partner violence") in older women. Design and Methods: We randomly sampled a total of 370 English-speaking women (65 years of age and older) from a health care system to participate in a cross-sectional telephone interview. Using 5…

  10. Training Older Adults to Access Health Information

    ERIC Educational Resources Information Center

    Bertera, Elizabeth M.; Bertera, Robert L.; Morgan, Russell; Wuertz, Ellen; Attey, Alfred M. O.

    2007-01-01

    Many older adults do not use health information available on the Internet. Older adults residing in affordable housing were taught to use the NIHSeniorHealth.gov Web site. Participants were predominantly African American women with limited education and income (N = 42). Outcomes included changes in computer and health Web site navigation skills.…

  11. Student Nurse-Older Person Communication.

    ERIC Educational Resources Information Center

    Tuohy, Dympna

    2003-01-01

    Observations and interviews of eight student nurses in clinical placements with older patients yielded four themes: task- and nontask-related communication, need for verbal and nonverbal communication, communication hindrances and enhancers, and students' approach to communicating with older persons. A person-centered approach to elder care and…

  12. Cardiopulmonary Resuscitation and Older Adults' Expectations.

    ERIC Educational Resources Information Center

    Godkin, M. Dianne; Toth, Ellen L.

    1994-01-01

    Examined knowledge, attitudes, and opinions of 60 older adults about cardiopulmonary resuscitation (CPR). Most had little or no accurate knowledge of CPR. Knowledge deficits and misconceptions of older adults should be addressed so that they may become informed and active participants in CPR decision-making process. (BF)

  13. Older Learners and IT: Challenge for Inclusion.

    ERIC Educational Resources Information Center

    Stephenson, Maureen

    2002-01-01

    Surveys of 22 older adult neophyte computer users, 15 participants in a Universities of the Third Age computer group, and 69 elderly nonusers, quitters, or computer users determined what motivates older adults to learn about computers and what they find helpful/unhelpful in instruction. Support in the early stages of learning and understanding of…

  14. Assessing suicide risk in older adults.

    PubMed

    Diggle-Fox, Barbara Suzy

    2016-10-20

    Suicide in older adults is continuing to rise and, as the older population increases, so will the rate of suicide. By learning more about the risk factors, assessment areas to explore, and ways to improve treatment, primary care providers can help decrease the incidence of suicidal behaviors in this population. PMID:27623296

  15. Older Adults' Knowledge of Internet Hazards

    ERIC Educational Resources Information Center

    Grimes, Galen A.; Hough, Michelle G.; Mazur, Elizabeth; Signorella, Margaret L.

    2010-01-01

    Older adults are less likely to be using computers and less knowledgeable about Internet security than are younger users. The two groups do not differ on trust of Internet information. The younger group shows no age or gender differences. Within the older group, computer users are more trusting of Internet information, and along with those with…

  16. [Appropriate medication prescribing in older people].

    PubMed

    Blain, H; Rambourg, P; Le Quellec, A; Ayach, L; Biboulet, P; Bismuth, M; Blain, A; Boulenger, J-P; Celton, B; Combe, B; Dauvilliers, Y; Davy, J-M; Geny, C; Hemmi, P; Hillaire-Buys, D; Jalabert, A; Jung, B; Leclercq, F; Léglise, M-S; Morel, J; Mourad, G; Ponrouch, M-P; Puisieux, F; Quantin, X; Quéré, I; Renard, E; Ribstein, J; Roch-Torreilles, I; Rolland, Y; Rosant, D; Terminet, A; Thuret, R; Villiet, M; Deshormières, N; Bourret, R; Bousquet, J; Jonquet, O; Millat, B

    2015-10-01

    Drug-induced adverse effects are one of the main avoidable causes of hospitalization in older people. Numerous lists of potentially inappropriate medications for older people have been published, as national and international guidelines for appropriate prescribing in numerous diseases and for different age categories. The present review describes the general rules for an appropriate prescribing in older people and summarizes, for the main conditions encountered in older people, medications that are too often under-prescribed, the precautions of use of the main drugs that induce adverse effects, and drugs for which the benefit to risk ratio is unfavourable in older people. All these data are assembled in educational tables designed to be printed in a practical pocket format and used in daily practice by prescribers, whether physicians, surgeons or pharmacists.

  17. Recommended routine vaccinations for older adults.

    PubMed

    Planton, Jonathan; Meyer, Jennifer O; Edlund, Barbara J

    2012-07-01

    A goal of primary prevention is to avoid the development of disease. Immunizations are one of several strategies used by clinicians in primary prevention. Influenza and pneumococcal disease--both preventable--cause significant morbidity and mortality in older adults who have an altered immune system, often have several chronic health problems, and are at higher risk for complications. Tetanus, while not as common in older adults, carries a high mortality rate in those 65 and older. These infections are associated with significant disability that results from hospitalizations for congestive heart failure, hip fracture, stroke, and pneumonia. The goal of immunizing older adults is to decrease functional decline and disability, as well as potential hospital admissions linked to these preventable diseases, which often exacerbate underlying health problems. Age-defined recommendations are available to guide clinicians on the appropriate vaccinations and schedules for administration to older adults. PMID:22715960

  18. Housing concerns of vulnerable older Canadians.

    PubMed

    Weeks, Lori E; LeBlanc, Kristal

    2010-09-01

    Preparing for the future housing needs of older adults is imperative in countries with an aging population, but little is known about these issues among vulnerable older adults. This study used a qualitative approach to identify key housing concerns in this group. A total of 84 vulnerable older adults including Aboriginal elders, those with various disabilities, and ethnic minorities participated in 10 focus groups. The Canadian Mortgage and Housing Corporation's (CMHC's) standards of core housing need provided a framework for data analysis, along with the identification of additional key housing themes across and within groups of vulnerable older adults. The results provide insight into preferred housing characteristics, regardless of housing form. Additionally, the results provide insight into how to support vulnerable older adults who choose to remain in their homes and communities and how to help ensure that appropriate housing is developed that meets the needs of this diverse population. PMID:20712917

  19. Circadian temperature rhythms of older people

    NASA Technical Reports Server (NTRS)

    Monk, T. H.; Buysse, D. J.; Reynolds, C. F. 3rd; Kupfer, D. J.; Houck, P. R.

    1995-01-01

    This collection of studies had the aim of exploring whether older (77+ years) men and women have circadian body temperature rhythms different from those of younger adults. A total of 20 older men and 28 older women were compared with either 22 young men or 14 middle-aged men in four protocols; all but the first protocol using a subset of the sample. The four protocols were: 1) 24 h, and 2) 72 h data collections on a normal laboratory routine (sleeping at night); 3) between 36 h and 153 h of field data collection at home; and 4) 36 h of a constant conditions routine (wakeful bedrest under temporal isolation) in the laboratory. There was some evidence for an age-related phase advance in temperature rhythm, especially for the older men on a normal routine, though this was not present in the constant conditions protocol, where 5 of the older subjects showed major delays in the timing of the body temperature trough (10:00 or later). There was no statistically significant evidence from any of the protocols that older subjects generally had lower temperature rhythm amplitudes than younger adults. Only when older men were compared with younger men in 24-h rhythm amplitude by simple t-test did any comparison involving amplitude achieve statistical significance (p < 0.05).

  20. Oxytocin improves emotion recognition for older males.

    PubMed

    Campbell, Anna; Ruffman, Ted; Murray, Janice E; Glue, Paul

    2014-10-01

    Older adults (≥60 years) perform worse than young adults (18-30 years) when recognizing facial expressions of emotion. The hypothesized cause of these changes might be declines in neurotransmitters that could affect information processing within the brain. In the present study, we examined the neuropeptide oxytocin that functions to increase neurotransmission. Research suggests that oxytocin benefits the emotion recognition of less socially able individuals. Men tend to have lower levels of oxytocin and older men tend to have worse emotion recognition than older women; therefore, there is reason to think that older men will be particularly likely to benefit from oxytocin. We examined this idea using a double-blind design, testing 68 older and 68 young adults randomly allocated to receive oxytocin nasal spray (20 international units) or placebo. Forty-five minutes afterward they completed an emotion recognition task assessing labeling accuracy for angry, disgusted, fearful, happy, neutral, and sad faces. Older males receiving oxytocin showed improved emotion recognition relative to those taking placebo. No differences were found for older females or young adults. We hypothesize that oxytocin facilitates emotion recognition by improving neurotransmission in the group with the worst emotion recognition.

  1. Diagnostic challenges in the older patient

    PubMed Central

    2012-01-01

    Older patients often present with a long, complex history and a clinical picture that frequently includes co-morbidities. It is essential that health professionals caring for older patients become familiar with common age-related changes, and the specific clinical factors that complicate the diagnostic process. A case-based approach is taken in this article to explore the diagnostic challenges in caring for older patients. Three areas of focus are used: a) polypharmacy, b) cognitive issues such as delirium, dementia and depression, and c) increased odds of pathologies and chronic illnesses. PMID:22950718

  2. Sensory Impairment Among Older US Workers

    PubMed Central

    Davila, Evelyn P.; Caban-Martinez, Alberto J.; Muennig, Peter; Fleming, Lora E.; Ferraro, Kenneth F.; LeBlanc, William G.; Lam, Byron L.; Arheart, Kristopher L.; McCollister, Kathryn E.; Zheng, Diane; Christ, Sharon L.

    2009-01-01

    We used 1997–2004 National Health Interview Survey data to evaluate the prevalence of sensory impairment among US workers 65 years and older. Hearing impairment prevalence was 3 times that of visual impairment (33.4% vs 10.2%), and 38% of older workers reported experiencing either impairment. Farm operators, mechanics, and motor vehicle operators had the highest prevalence of sensory impairment. Workplace screening and accommodations, including sensory protection devices for older workers, are warranted given the greater risk for injuries among the sensory impaired. PMID:19542042

  3. Employment Hardship Among Older Workers: Does Residential and Gender Inequality Extend Into Older Age?

    PubMed Central

    Slack, Tim; Jensen, Leif

    2008-01-01

    Objectives. The realities of a rapidly aging society make the employment circumstances of older workers an increasingly important social issue. We examine the prevalence and correlates of underemployment among older Americans, with a special focus on residence and gender, to provide an assessment of the labor market challenges facing older workers. Methods. We analyzed data from the March Current Population Surveys for the years 2003, 2004, and 2005. We used descriptive statistics to explore the prevalence of underemployment among older workers and developed multivariate models to assess the impact of age, residence, and gender on the likelihood of underemployment, net of other predictors. Results. We found clear disadvantages for older workers relative to their middle-aged counterparts, and particular disadvantages for older rural residents and women. Multivariate models showed that the disadvantages of older age held net of other predictors. The results also indicated that much of the disadvantage faced by older rural workers and women was explained by factors other than age, particularly education. Discussion. In an aging society, underemployment among older workers comes at an increasing social cost. Policies aimed at supporting older workers and alleviating employment hardship among them are increasingly in the public interest. PMID:18332197

  4. Falls Prevention: Unique to Older Adults

    MedlinePlus

    ... Prevention Sleep Problems Stroke Join our e-newsletter! Aging & Health A to Z Falls Prevention Unique to ... difficulties. Optimizing Management of Congestive Heart Failure and COPD Congestive Heart Failure (CHF) Many older people develop ...

  5. Parental Bonding in Older-Child Adoptions.

    ERIC Educational Resources Information Center

    Ward, Margaret

    1981-01-01

    Examines various factors (such as periods of high emotion, ritual and claiming behaviors and positive interaction) in the attachment process between adoptive parents and older children. Shows that most components parallel those of bonding in biological parents. (Author/RH)

  6. Medication Adherence among Older Adults with Schizophrenia

    PubMed Central

    Leutwyler, Heather C.; Fox, Patrick J.; Wallhagen, Margaret

    2014-01-01

    Older adults with schizophrenia are a growing segment of the population yet their physical and mental health status is extremely poor. The paper presents findings from a qualitative study that explored the understanding older adults with schizophrenia have of their physical health status. The study was conducted among 28 older adults with schizophrenia from a variety of settings using semi-structured interviews and participant observation. Self-management of psychiatric and non-psychiatric medications and its affect on their health status was one of the central themes that emerged from the study. Different styles of medication adherence were identified and factors associated with each style are presented. The findings provide insights into the design of clinical interventions aimed at promoting medication adherence among older adults with schizophrenia. PMID:23327119

  7. Dealing with Persistent Pain in Older Adults

    MedlinePlus

    ... Pain Management Related Documents PDF Dealing with Persistent Pain in Later Life Download Join our e-newsletter! Resources Dealing with Persistent Pain in Older Adults Tools and Tips Printer-friendly ...

  8. Four Medication Safety Tips for Older Adults

    MedlinePlus

    ... Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products For Consumers Home For Consumers Consumer Updates Four Medication Safety Tips for Older Adults Share Tweet Linkedin Pin ...

  9. Hearing Loss Widespread, 'Progressive' in Older Americans

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_160985.html Hearing Loss Widespread, 'Progressive' in Older Americans Rates accelerate especially ... 2016 (HealthDay News) -- A new study finds widespread hearing loss among elderly Americans, with an especially high rate ...

  10. Senior Health: Older Adults and Newer Technology

    MedlinePlus

    ... Medical Director Senior Health: Older Adults and Newer Technology Volume 15 · Issue 6 · November/December 2005 Text ... adults who struggle to stand and walk. New technology includes knee units, shock-absorbing pylons, and other ...

  11. The Labor Market Problems of Older Workers.

    ERIC Educational Resources Information Center

    Roner, Philip L.

    1983-01-01

    This study concludes that older workers do not have especially high unemployment rates, but when they become unemployed, they are less likely to find a job and more likely to leave the labor force in discouragement. (Author/SSH)

  12. Is cancer vaccination feasible at older age?

    PubMed Central

    Gravekamp, Claudia; Jahangir, Arthee

    2014-01-01

    Age-related defects of the immune system are responsible for T cell unresponsiveness to cancer vaccination at older age. Major immune defects at older age are lack of naïve T cells, impaired activation pathways of T cells and antigen-presenting cells (APC), and age-related changes in the tumor microenvironment (TME). This raises the question whether cancer vaccination is feasible at older age. We compared various cancer vaccine studies at young and old age, thereby focusing on the importance of both innate and adaptive immune responses for cancer immunotherapy. These analyses suggest that creating an immune-stimulating environment with help of the innate immune system may improve T cell responses in cancer vaccination at older age. PMID:24509231

  13. Medication adherence among older adults with schizophrenia.

    PubMed

    Leutwyler, Heather C; Fox, Patrick J; Wallhagen, Margaret

    2013-02-01

    Older adults with schizophrenia are a growing segment of the population, yet their physical and mental health status is extremely poor. This article presents findings from a qualitative study that explored the understanding older adults with schizophrenia have of their physical health status. The study was conducted among 28 older adults with schizophrenia from a variety of settings using semi-structured interviews and participant observation. Self-management of psychiatric and non-psychiatric medications and its effect on participants' health status was one of the central themes that emerged from the study. Different styles of medication adherence were identified and factors associated with each style are presented. The findings provide insights into the design of clinical interventions aimed at promoting medication adherence among older adults with schizophrenia.

  14. Dietary factors and depression in older people.

    PubMed

    Williamson, Claire

    2009-10-01

    Depression is one of the most prevalent mental health conditions and can affect people of all ages, but it is becoming more common among the older population with increasing life expectancy. Observational studies have found poor micronutrient status (particularly folate and vitamin B12) to be associated with an increased risk of depression in older people. Supplementation with folic acid has been shown to enhance anti-depressant drug treatment and there is preliminary evidence that supplementation with certain micronutrients may help improve depressive symptoms in older patients. There has also been a lot of interest in the role of long-chain omega-3 fatty acids in depression. However, the evidence from randomized controlled trials is limited and difficult to evaluate owing to considerable variability between studies. The research highlights the importance of a healthy diet and lifestyle to help maintain good mental health into old age and health professionals should try to support older people in trying to achieve this.

  15. Not yet equal: employment experience of older women and older men.

    PubMed

    Kahne, H

    Women age forty-five and over are an important component of all working women and of the older labor force. They make up almost 30 percent of the female civilian labor force. Of the older labor force, 40 percent are women. Yet contrary to societal values about equality in the market place, employment-related experience of older women is not only different from that of men but frequently disadvantaged. This article examines the growing importance of the issue of market equality of older working women. It then considers six ways in which their employment-related experience differs from that of men: labor force participation rates; occupational distribution; earnings; unemployment; poverty; and retirement income. The article concludes with suggested policy directions that would improve the status of older women. Some of these would assist, as well, employment needs of older men.

  16. Older and Younger Adults’ Accuracy in Discerning Health and Competence in Older and Younger Faces

    PubMed Central

    Zebrowitz, Leslie A.; Franklin, Robert G.; Boshyan, Jasmine; Luevano, Victor; Agrigoroaei, Stefan; Milosavljevic, Bosiljka; Lachman, Margie E.

    2015-01-01

    We examined older and younger adults’ accuracy judging the health and competence of faces. Accuracy differed significantly from chance and varied with face age but not rater age. Health ratings were more accurate for older than younger faces, with the reverse for competence ratings. Accuracy was greater for low attractive younger faces, but not for low attractive older faces. Greater accuracy judging older faces’ health was paralleled by greater validity of attractiveness and looking older as predictors of their health. Greater accuracy judging younger faces’ competence was paralleled by greater validity of attractiveness and a positive expression as predictors of their competence. Although the ability to recognize variations in health and cognitive ability is preserved in older adulthood, the effects of face age on accuracy and the different effects of attractiveness across face age may alter social interactions across the life span. PMID:25244467

  17. Connecting Socially Isolated Older Rural Adults with Older Volunteers through Expressive Arts.

    PubMed

    MacLeod, Ann; Skinner, Mark W; Wilkinson, Fay; Reid, Heather

    2016-03-01

    Employing a participatory arts-based research approach, we examined an innovative program from rural Ontario, Canada, designed to address social isolation among older people. Older socially isolated adults were matched to trained volunteers, where in dyads, the eight pairs created expressive art in their home setting over the course of 10 home visits. With thematic and narrative inquiry, we analysed the experiences and perceptions of the program leader, older participants, and older volunteers via their artistic creations, weekly logs, evaluations, and field notes. The findings reveal a successful intervention that positively influenced the well-being of older adult participants and older volunteers, especially in regards to relationships, personal development, and creating meaning as well as extending the intervention's impact beyond the program's duration. We also discuss opportunities for similar programs to inform policy and enable positive community-based health and social service responses to rural social isolation. PMID:26934547

  18. Nutrition in Older Adults on Peritoneal Dialysis.

    PubMed

    Johansson, Lina

    2015-11-01

    Nutrition in older adults on peritoneal dialysis is an important aspect of a patient's clinical management as well as being influenced by their overall well-being, both mental and physical. This is especially pertinent as individuals age, since the potential impact of life changes and physical changes contribute to the development of protein-energy wasting and potentially exacerbating sarcopenia and wasting. This article provides an outline of the nutritional issues to consider in older adults on peritoneal dialysis (PD).

  19. Advice on healthy eating for older people.

    PubMed

    Fisher, Karen

    As part of its Food and Health Action Plan, the Department of Health is working with the food industry, and with other stakeholders, to establish a coherent national plan to help people in England improve their diets. Maintaining a healthy diet is important for all age groups, but healthy older people have particular needs. Karen Fisher describes the specific nutritional issues affecting healthy older people and suggests advice that nurses can offer people during opportunistic consultations in primary care.

  20. Dental implants in the older adult.

    PubMed

    Jones, John D; Partida, M Norma; Turkyilmaz, Ilser

    2012-01-01

    A need for dental implant treatment in the older population is recognized considering the prevalence of partial and complete edentulism and the positive predictability of implant therapy. Even with a number of barriers to overcome for the older adult seeking implant care, dental implants provide stabilizing support for removable dental appliances and have been shown to be successful in that population. In this paper, we describe quality of life, systemic, surgical, and prosthodontic considerations of this prosthetic treatment along with maintenance challenges.

  1. Cycling strategies of young and older cyclists.

    PubMed

    Bulsink, Vera E; Kiewiet, Hielke; van de Belt, Dorien; Bonnema, G Maarten; Koopman, Bart

    2016-04-01

    This study concentrates on the cycling strategies of older cyclists (54-62year olds) in comparison to young cyclists (20-30year olds). While cycling in a safe laboratory set-up, controlled lateral perturbations are applied to the rear of the bicycle. Three possible strategies to keep balance are analysed for a young and older aged group: steering, lateral trunk movement and outward knee movement. Older subjects appear to rely more on knee movement as a control mechanism than young subjects. Furthermore, the frequency domain analysis revealed that the older adults need more effort to counteract high frequency perturbations. Increased inter-individual variation for the older adults subject group suggests that this group can be seen as a transition group in terms of physical fitness. This explains their increased risk in single-sided bicycle accidents (i.e. accidents involving the cyclist only). Therefore, older cyclists could benefit from improving the stability of cycling at lower speeds. PMID:26796419

  2. Estimating Glomerular Filtration Rate in Older People

    PubMed Central

    Fusco, Sergio; Corica, Francesco; Marino, Antonio; Maggio, Marcello; Mari, Vincenzo; Corsonello, Andrea

    2014-01-01

    We aimed at reviewing age-related changes in kidney structure and function, methods for estimating kidney function, and impact of reduced kidney function on geriatric outcomes, as well as the reliability and applicability of equations for estimating glomerular filtration rate (eGFR) in older patients. CKD is associated with different comorbidities and adverse outcomes such as disability and premature death in older populations. Creatinine clearance and other methods for estimating kidney function are not easy to apply in older subjects. Thus, an accurate and reliable method for calculating eGFR would be highly desirable for early detection and management of CKD in this vulnerable population. Equations based on serum creatinine, age, race, and gender have been widely used. However, these equations have their own limitations, and no equation seems better than the other ones in older people. New equations specifically developed for use in older populations, especially those based on serum cystatin C, hold promises. However, further studies are needed to definitely accept them as the reference method to estimate kidney function in older patients in the clinical setting. PMID:24772439

  3. Comprehension of Health-Related Written Materials by Older Adults

    ERIC Educational Resources Information Center

    Liu, Chiung-Ju; Kemper, Susan; Bovaird, James A.

    2009-01-01

    This study examined how Flesch Reading Ease and text cohesion affect older adults' comprehension of common health texts. All older adults benefited when high Flesh Reading Ease was combined with high cohesion. Older adults with small working memories had more difficulty understanding texts high in Flesch Reading Ease. Additionally, older adults…

  4. Recognition of Rapid Speech by Blind and Sighted Older Adults

    ERIC Educational Resources Information Center

    Gordon-Salant, Sandra; Friedman, Sarah A.

    2011-01-01

    Purpose: To determine whether older blind participants recognize time-compressed speech better than older sighted participants. Method: Three groups of adults with normal hearing participated (n = 10/group): (a) older sighted, (b) older blind, and (c) younger sighted listeners. Low-predictability sentences that were uncompressed (0% time…

  5. Acceptance and Commitment Therapy with Older Adults: Rationale and Considerations

    ERIC Educational Resources Information Center

    Petkus, Andrew J.; Wetherell, Julie Loebach

    2013-01-01

    Older adults are the fastest growing segment of the population. With these changing demographics, mental health professionals will be seeing more older clients. Additionally, older adults are an underserved population in that most older adults in need of mental health services do not receive treatment. Thus, it is essential that treatments for…

  6. 'Older people have lived their lives': first year nursing students' attitudes towards older people.

    PubMed

    Henderson, Julie; Xiao, Lily; Siegloff, Lesley; Kelton, Moira; Paterson, Jan

    2008-08-01

    A survey was conducted with 262 commencing nursing students at a South Australian university, during a compulsory orientation week lecture prior to the first week of their nursing degree, to determine their attitudes towards older people and to working with older people. The survey provides baseline data to evaluate the efficacy of the Partnerships in Aged Care (PACE) Action Research project, the focus of which is developing aged care curriculum and placements with aged care industry partners. The survey will be replicated when this cohort completes their nursing degree. The results of this initial survey show that while commencing students generally have positive attitudes towards older people they do not aspire to work with them. The reasons cited for a lack of interest in working with older people include: poor experiences of providing care for older people; an inability to relate to or communicate with older people and a perception that the work is depressing and boring. Underpinning a negative perception of working with older people is the association of ageing with disability. Ageing for this cohort, is associated with loss of mental and physical function; loss of independence and increasing reliance on others to meet self care needs. This is viewed as evidence of a biomedical view of ageing. Contrary to previous research, many students studied in this project, who have had experience of working with older people, demonstrate more positive attitudes to older people and are less likely to express stereotypical attitudes towards ageing suggesting that positive exposure to older people can challenge ageist views. The PACE project seeks to demonstrate that strategies which may promote a positive attitude to ageing such as development of educational content which promotes a quality of life rather than a biomedical approach to ageing and supported clinical placements can impact positively on nursing students perception of ageing and of working with older people.

  7. Exercise physiology of the older horse.

    PubMed

    McKeever, Kenneth Harrington

    2002-12-01

    Surveys indicate that up to 15% of the equine population in the United States is older than 20 years of age, with many of these animals performing various athletic activities well into their 20s. As is the case with their human counterparts, these geriatric equine athletes have the ability to continue to perform in athletic events. Unfortunately, many horse owners continue to train their active older animals using exercise training protocols that, although appropriate for a younger animal, may not be appropriate for the older equine athlete. Studies in aged human beings have led to a fine-tuning of exercise prescription for the older human athlete so as to prevent the adverse and potentially dangerous effects of excessive work. Published results have led to new and improved programs to promote fitness for the growing population of older adults. Unfortunately, limited data exist regarding the exercise capacity of the aged horse. Future studies on the effects of aging on exercise capacity in equine athletes need to take a few major directions. One question to be answered is at what age does physiologic function first begin to decline in the horse? In human beings, this age varies with training, but noticeable changes in aerobic capacity are first seen in 40- to 50-year-olds. Second, data are needed to determine what levels of exercise enhance the health and well-being of the older horse without harm. Lastly, studies are needed to determine the physiologic mechanisms associated with the onset of aging-induced decreases in physiologic function in the horse. The ultimate goal of all these studies should be to adjust exercise levels to meet the needs of the growing population of athletically active older equine athletes.

  8. Electrophysiological entropy in younger adults, older controls and older cognitively declined adults.

    PubMed

    Hogan, Michael J; Kilmartin, Liam; Keane, Michael; Collins, Peter; Staff, Roger T; Kaiser, Jochen; Lai, Robert; Upton, Neil

    2012-03-22

    The current study examined electrophysiological entropy in younger adults, older adults, and older cognitively declined adults across four experimental conditions - eyes closed, eyes open, and during both encoding and recognition of words in a memory task. We hypothesised reduced entropy in older declined adults relative to both older controls and younger adults, with the largest group differences in entropy expected during the encoding and recognition phases of the experiment. We also hypothesised greater hemispheric asymmetry in younger adults compared with older controls and older declined adults. Results revealed significant increases in entropy from eyes closed to eyes open to task. Young adults showed higher entropy in the right relative to the left hemisphere in the temporal lobe and higher entropy in the left relative to the right hemisphere in the parietal lobe. Old cognitively declined adults showed no significant differences between right and left hemisphere entropy. There was a trend whereby older declined adults showed lower entropy than older controls in the frontal lobe, this difference being largest in the left hemisphere during the encoding phase of the experiment. Results indicate that measures of entropy are sensitive to information processing demands and that higher cognitive performance may not be a simple function of entropy level, but rather a combination of level and range, or differentiated range of entropy states across the brain.

  9. Empowering the Older Job Seeker: Experimental Evaluation of the Older Worker Job Club.

    ERIC Educational Resources Information Center

    Gray, Denis

    Because older job seekers have been shown to exhibit less job search motivation and competence than other groups, a job club program based on learning and self help principles was developed to empower the older job seeker. Of persons (N=48) who requested assistance from a local area agency on aging, half entered the job club program and half were…

  10. Attitudes toward Older People and Coworkers' Intention to Work with Older Employees: A Taiwanese Study

    ERIC Educational Resources Information Center

    Lu, Luo

    2010-01-01

    The aim of this research was to examine attitudinal barriers to the employment of Taiwanese older workers (aged 60 and above). Face-to-face interviews were conducted to collect data using structured questionnaires from a sample of full-time employees (N = 258). We found that: (1) positive attitudes toward older people in general, perceived…

  11. Attitudes towards Older People and Managers' Intention to Hire Older Workers: A Taiwanese Study

    ERIC Educational Resources Information Center

    Lu, Luo; Kao, Shu-Fang; Hsieh, Ying-Hui

    2011-01-01

    The aim of this research was to examine attitudinal barriers to the managerial intention to hire older workers (aged 60 and above). Structured questionnaires were used to collect data from a sample of managers with hiring power (N = 305). We found that (a) positive attitudes towards older people in general, perceived subjective norm, personal…

  12. Older Learners Online. An Evaluation of Internet Courses for Isolated Older Persons.

    ERIC Educational Resources Information Center

    Swindell, Richard; Vassella, Ken

    Two pilot Internet courses for isolated older adults were developed by the University of the Third Age of the Australian Capital Territory (U3A ACT) in Canberra, Australia, and were offered to 29 older adults selected from a pool of 64 initial registrants from across Australia. Student and tutor input regarding the courses was collected from the…

  13. Association of dietary patterns and weight change in rural older adults 75 years and older

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Little is known about the relationship between weight change and dietary patterns (DP) in older adults, especially in those of advanced age (_75 years). We examined the association of DP with obesity and five-year weight change in community-dwelling older adults (n=270; mean±SD age: 78.6±3.9 years)....

  14. BALANCE TRAINING FOR THE OLDER ATHLETE

    PubMed Central

    Page, Phil; Takeshima, Nobuo

    2013-01-01

    As the older adult population increases in size, the number of older adults participating in sport activities will also likely increase proportionally with a concomitant increase in musculoskeletal injuries. Age-associated functional declines in muscle strength and the sensory systems, in addition to several other issues, contribute to reductions in balance that may increase fall risk There are a variety of ways to evaluate balance and fall-risk, and each older adult should be regularly screened in order to evaluate any changes in the ability to maintain postural stability. Balance training is a useful intervention in rehabilitation of postural stability impairments as well as in training programs for performance enhancement. One scientifically-based approach is Sensorimotor Training (SMT) which can be characterized as a progressive balance training program using labile surfaces to provide adequate and safe challenges to the older athlete's balance. SMT addresses both static and dynamic components of balance as well as the multitude of systems that control balance in order to train effective strategies and elicit automatic postural responses in order to enhance postural stability. The authors believe that SMT should become part of the regular training regimen for the aging athlete. For the sport and orthopedic healthcare professional, an understanding of the physiologic changes that occur with age, the means by which balance can be assessed, and how SMT programs can be developed and implemented is crucial in addressing the growing number of older athletes that they will see. Level of Evidence: 5 PMID:24175135

  15. The Right to Health of Older People.

    PubMed

    Baer, Britta; Bhushan, Anjana; Taleb, Hala Abou; Vasquez, Javier; Thomas, Rebekah

    2016-04-01

    A focus on the right to the enjoyment of the highest attainable standard of health (hereinafter, "the right to health") draws attention to the health needs of older people, including the most marginalized among them. Many factors that influence vulnerability or impede the enjoyment of health and access to quality services result from an inability to freely exercise these human rights. A human rights approach can help to address the legal, social, and structural barriers to good health for older persons, clarifying the legal obligations of State and non-State actors to uphold and respect these rights. However, despite growing impetus for action, this area has historically received limited attention. Drawing on practice examples from different regions, this article unpacks the meaning of the right to health and other related human rights of older people in practice, covering both health care and underlying determinants of their health. Questions of availability, accessibility, acceptability, and quality are highlighted from the perspective of older people's health and well-being. The article brings together knowledge, principles, norms, and standards from the human rights law, health, and ageing arenas. By making links between these arenas, it is hoped that the article fills a gap in thinking on how to achieve the progressive realization of the right to health of older people and the effective promotion and protection of their other related human rights, which are crucial for the enjoyment of health. PMID:26994261

  16. Bilateral leg edema in an older woman.

    PubMed

    Thaler, H W; Pienaar, S; Wirnsberger, G; Roller-Wirnsberger, R E

    2015-01-01

    Bilateral leg edema is a frequent symptom in older people and an important concern in geriatric medicine. Further evaluation is frequently not performed and simple therapy with diuretics is prescribed. Particularly in older patients, long-term use of diuretics can lead to severe electrolyte imbalances, volume depletion, and falls. In this case report we want to focus the physicians' attention on the necessity to determine the cause and show a correspondingly effective treatment for bilateral leg edema in older people. A thorough approach is required to recognize diseases and to avoid adverse drug events as geriatric patients often show an atypical presentation or minor symptoms. The cause of swollen legs is often multifactorial; therefore, the patient's individual history and an appropriate physical examination are important. Depending on the clinical symptoms, evaluation including basic laboratory tests, urinalysis, chest radiography, and echocardiogram may be indicated. The most probable cause of bilateral edema in older patients is chronic venous insufficiency. Heart failure is also a common cause. Other systemic causes such as renal disease or liver disease are much rarer. Antihypertensive and anti-inflammatory drugs can frequently cause leg edema, but the incidence of drug-induced leg swelling is unknown. With the help of this special case we tried to develop an approach to the diagnosis of symmetric leg edema in older patients, a problem frequently neglected in geriatric medicine.

  17. The Right to Health of Older People.

    PubMed

    Baer, Britta; Bhushan, Anjana; Taleb, Hala Abou; Vasquez, Javier; Thomas, Rebekah

    2016-04-01

    A focus on the right to the enjoyment of the highest attainable standard of health (hereinafter, "the right to health") draws attention to the health needs of older people, including the most marginalized among them. Many factors that influence vulnerability or impede the enjoyment of health and access to quality services result from an inability to freely exercise these human rights. A human rights approach can help to address the legal, social, and structural barriers to good health for older persons, clarifying the legal obligations of State and non-State actors to uphold and respect these rights. However, despite growing impetus for action, this area has historically received limited attention. Drawing on practice examples from different regions, this article unpacks the meaning of the right to health and other related human rights of older people in practice, covering both health care and underlying determinants of their health. Questions of availability, accessibility, acceptability, and quality are highlighted from the perspective of older people's health and well-being. The article brings together knowledge, principles, norms, and standards from the human rights law, health, and ageing arenas. By making links between these arenas, it is hoped that the article fills a gap in thinking on how to achieve the progressive realization of the right to health of older people and the effective promotion and protection of their other related human rights, which are crucial for the enjoyment of health.

  18. The secrets of highly active older adults.

    PubMed

    Franke, Thea; Tong, Catherine; Ashe, Maureen C; McKay, Heather; Sims-Gould, Joanie

    2013-12-01

    Although physical activity is a recognized component in the management of many chronic diseases associated with aging, activity levels tend to progressively decline with increasing age (Manini & Pahor, 2009; Schutzer & Graves, 2004). In this article we examine the key factors that facilitate physical activity in highly active community-dwelling older adults. Using a strengths based approach, we examined the factors that facilitated physical activity in our sample of highly active older adults. Twenty-seven older adults participated in face-to face interviews. We extracted a sub-sample of 10 highly active older adults to be included in the analyses. Based on a framework analysis of our transcripts we identified three factors that facilitate physical activity in our sample, these include: 1) resourcefulness: engagement in self-help strategies such as self-efficacy, self-control and adaptability; 2) social connections: the presence of relationships (friend, neighborhood, institutions) and social activities that support or facilitate high levels of physical activity; and 3) the role of the built and natural environments: features of places and spaces that support and facilitate high levels of physical activity. Findings provide insight into, and factors that facilitate older adults' physical activity. We discuss implications for programs (e.g., accessible community centers, with appropriate programming throughout the lifecourse) and policies geared towards the promotion of physical activity (e.g., the development of spaces that facilitate both physical and social activities). PMID:24300060

  19. Ovarian cancer in the older woman.

    PubMed

    Tew, William P

    2016-09-01

    Ovarian cancer is the seventh most common cancer in women worldwide and accounts for nearly 4% of all new cases of cancer in women. Almost half of all patients with ovarian cancer are over the age of 65 at diagnosis, and over 70% of deaths from ovarian cancer occur in this same age group. As the population ages, the number of older women with ovarian cancer is increasing. Compared to younger women, older women with ovarian cancer receive less surgery and chemotherapy, develop worse toxicity, and have poorer outcomes. They are also significantly under-represented in clinical trials and thus application of standard treatment regimens can be challenging. Performance status alone has been shown to be an inadequate tool to predict toxicity of older patients from chemotherapy. Use of formal geriatric assessment tools is a promising direction for stratifying older patients on trials. Elderly-specific trials, adjustments to the eligibility criteria, modified treatment regimens, and interventions to decrease morbidities in the vulnerable older population should be encouraged.

  20. Attitudes toward older people and coworkers' intention to work with older employees: a Taiwanese study.

    PubMed

    Lu, Luo

    2010-01-01

    The aim of this research was to examine attitudinal barriers to the employment of Taiwanese older workers (aged 60 and above). Face-to-face interviews were conducted to collect data using structured questionnaires from a sample of full-time employees (N= 258). We found that: (1) positive attitudes toward older people in general, perceived subjective norm, and traditional Chinese cultural values were all related to stronger intentions to work with older employees; (2) the model derived from the theory of reasoned action emerged the best model accounting for behavioral intention among competing structural models. The associations of positive attitudes and subjective norm with intention were found after controlling for demographics, cultural values, and personal contact experiences with older people. Our results highlight the importance and urgency of more concerted research to inform public and organizational policies to better promote and manage the careers of older employees in an aging, economically developing society.

  1. Attitudes toward older people and coworkers' intention to work with older employees: a Taiwanese study.

    PubMed

    Lu, Luo

    2010-01-01

    The aim of this research was to examine attitudinal barriers to the employment of Taiwanese older workers (aged 60 and above). Face-to-face interviews were conducted to collect data using structured questionnaires from a sample of full-time employees (N= 258). We found that: (1) positive attitudes toward older people in general, perceived subjective norm, and traditional Chinese cultural values were all related to stronger intentions to work with older employees; (2) the model derived from the theory of reasoned action emerged the best model accounting for behavioral intention among competing structural models. The associations of positive attitudes and subjective norm with intention were found after controlling for demographics, cultural values, and personal contact experiences with older people. Our results highlight the importance and urgency of more concerted research to inform public and organizational policies to better promote and manage the careers of older employees in an aging, economically developing society. PMID:21261137

  2. Social, Economic and Health Characteristics of Older American Indians (Part 2 of 2). Statistical Reports on Older Americans, June 1978.

    ERIC Educational Resources Information Center

    Williams, Blanch S.

    In 1970 the Indian population of all ages was 763,000; 148,600 were 45 years of age or older and 43,800 were 65 years of age or older. Two-thirds of all older American Indian women and slightly more than one-third of the older men were either single, widowed, or divorced. Half of the older Indians received incomes below $1,408; this was 24% below…

  3. Attitudes toward advertisements of the older adults.

    PubMed

    Estrada, M; Moliner, M A; Sánchez, J

    2010-01-01

    In this study we will analyze the attitude of older adults to advertisements, differentiating between advertisements that contain rhetorical figures (trope ads) and those that do not (explicit ads). We will also study their attitude toward the brand advertised according to their degree of involvement with the product. In the course of the empirical research, a total of 183 personal surveys were carried out with people aged over 65 taking as reference 2 products with different prices and durabilities. Analysis of the results indicated that in products involving little economic effort, older adults showed the same attitude toward both trope and explicit advertisements. However, with products requiring greater economic effort, older adults showed differences in their attitudes to trope ads and to explicit ads depending on their degree of involvement with the product. These differences had a strong effect on their attitudes to the brands of the products analyzed.

  4. [Treatment of older patients with dyslipidemia].

    PubMed

    González, David Fierro

    2014-05-01

    Elderly persons represent a growing percentage of the total population, and this tendency will become stronger in the coming years. To date, the little evidence available on primary and secondary prevention indicates that this population has high cholesterol levels, that few are under treatment, and that the degree of control requires improvement. Current guidelines recommend that treatment targets in older persons should be the same as those in younger patients. Nevertheless, it is important to remember certain characteristics in older persons, such as biological and metabolic changes or the higher incidence of atherogenic dyslipidemia, which will affect them. Moreover, quality of life and maintaining independence rather than mere survival are especially important in older individuals, as demonstrated by various surveys. Consequently, pravastatin -the most widely studied statin- seems to be the statin of choice for the control of triglycerides and residual risk, although fenofibrate is also useful.

  5. Depression and religiosity in older age.

    PubMed

    Pokorski, M; Warzecha, A

    2011-09-12

    We investigated the hypothesis that religious commitment could help counter general affective distress, accompanying depressive symptoms, in older age. A total of 34 older adults, all catholic believers, completed self-reported questionnaires on the presence of depressive symptoms, religiosity, health, worry, and the style of coping with stress. The depressive and non-depressive subgroups were then created. The prevalence of depressive symptoms was 50%, with the substantial predominance of females. Regression analyses indicate that health expectations and worry significantly worsen with increasing intensity of depressive symptoms. The results further show that religious engagement was not different between the depressive and non-depressive subgroups. Religiosity failed to influence the intensity of depressive symptoms or the strategy of coping with stress in either subgroup, although a trend was noted for better health expectations with increasing religious engagement in depressive subjects. We conclude that religiosity is unlikely to significantly ameliorate dysphoric distress accompanying older age.

  6. Health status of older immigrants to Canada.

    PubMed

    Newbold, K Bruce; Filice, John K

    2006-01-01

    Using the 2000/2001 Canadian Community Health Survey (CCHS), this paper examines the health status of the older (aged immigrant population relative to that of non-immigrants in order to identify areas where their health statuses diverge. First, we compare the health status of older immigrants (foreign-born) aged 55 and over in Canada to the Canadian-born in terms of age and gender using multiple measures of health status including self-assessed health. Second, we identify the factors associated with health status using the determinants of health framework. In both cases, the key questions are whether differences in health status exist and whether they are explained primarily by socio-economic, socio-demographic, or lifestyle factors that may point to problems with the Canadian health care system. Findings indicate that there is a relative comparability in the health status of older immigrants, even after controlling for age.

  7. Improved Cardiovascular Disease Outcomes in Older Adults

    PubMed Central

    Forman, Daniel E.; Alexander, Karen; Brindis, Ralph G.; Curtis, Anne B.; Maurer, Mathew; Rich, Michael W.; Sperling, Laurence; Wenger, Nanette K.

    2016-01-01

    Longevity is increasing and the population of older adults is growing. The biology of aging is conducive to cardiovascular disease (CVD), such that prevalence of coronary artery disease, heart failure, valvular heart disease, arrhythmia and other disorders are increasing as more adults survive into old age.  Furthermore, CVD in older adults is distinctive, with management issues predictably complicated by multimorbidity, polypharmacy, frailty and other complexities of care that increase management risks (e.g., bleeding, falls, and rehospitalization) and uncertainty of outcomes.  In this review, state-of-the-art advances in heart failure, acute coronary syndromes, transcatheter aortic valve replacement, atrial fibrillation, amyloidosis, and CVD prevention are discussed.  Conceptual benefits of treatments are considered in relation to the challenges and ambiguities inherent in their application to older patients. PMID:26918183

  8. Attitudes toward advertisements of the older adults.

    PubMed

    Estrada, M; Moliner, M A; Sánchez, J

    2010-01-01

    In this study we will analyze the attitude of older adults to advertisements, differentiating between advertisements that contain rhetorical figures (trope ads) and those that do not (explicit ads). We will also study their attitude toward the brand advertised according to their degree of involvement with the product. In the course of the empirical research, a total of 183 personal surveys were carried out with people aged over 65 taking as reference 2 products with different prices and durabilities. Analysis of the results indicated that in products involving little economic effort, older adults showed the same attitude toward both trope and explicit advertisements. However, with products requiring greater economic effort, older adults showed differences in their attitudes to trope ads and to explicit ads depending on their degree of involvement with the product. These differences had a strong effect on their attitudes to the brands of the products analyzed. PMID:20503807

  9. Older Adults' Perceptions of Home Telehealth Services

    PubMed Central

    Brenčič, Maja Makovec; Trkman, Peter; de Leonni Stanonik, Mateja

    2013-01-01

    Abstract The success of home telemedicine depends on end-user adoption, which has been slow despite rapid advances in technological development. This study focuses on an examination of significant factors that may predict the successful adoption of home telemedicine services (HTS) among older adults. Based on previous studies in the fields of remote patient monitoring, assisted living technologies, and consumer health information technology acceptance, eight factors were identified as a framework for qualitative testing. Twelve focus groups were conducted with an older population living in both urban and rural environments. The results reveal seven predictors that play an important role in perceptions of HTS: perceived usefulness, effort expectancy, social influence, perceived security, computer anxiety, facilitating conditions, and physicians' opinion. The results provide important insights in the field of older adults' acceptance of HTS, with guidelines for the strategic planning, developing, and marketing of HTS for the graying market. PMID:23931702

  10. [Treatment of older patients with dyslipidemia].

    PubMed

    González, David Fierro

    2014-05-01

    Elderly persons represent a growing percentage of the total population, and this tendency will become stronger in the coming years. To date, the little evidence available on primary and secondary prevention indicates that this population has high cholesterol levels, that few are under treatment, and that the degree of control requires improvement. Current guidelines recommend that treatment targets in older persons should be the same as those in younger patients. Nevertheless, it is important to remember certain characteristics in older persons, such as biological and metabolic changes or the higher incidence of atherogenic dyslipidemia, which will affect them. Moreover, quality of life and maintaining independence rather than mere survival are especially important in older individuals, as demonstrated by various surveys. Consequently, pravastatin -the most widely studied statin- seems to be the statin of choice for the control of triglycerides and residual risk, although fenofibrate is also useful. PMID:25263639

  11. The impact of resilience among older adults.

    PubMed

    MacLeod, Stephanie; Musich, Shirley; Hawkins, Kevin; Alsgaard, Kathleen; Wicker, Ellen R

    2016-01-01

    The purpose of this literature review was to provide an overview of resilience for the purpose of informing potential intervention designs that may benefit older adults. While numerous reviews have focused on various specific aspects of resilience, none have provided the necessary information required to design an effective resilience intervention. Research examining resilience suggests that older adults are capable of high resilience despite socioeconomic backgrounds, personal experiences, and declining health. Thus opportunities to inform interventions in this area exist. Research studies have identified the common mental, social, and physical characteristics associated with resilience. High resilience has also been significantly associated with positive outcomes, including successful aging, lower depression, and longevity. Interventions to enhance resilience within this population are warranted, but little evidence of success exists. Thus this review provides an overview of resilience that may aid in the design of resilience interventions for the often underserved population of older adults.

  12. Intergenerational talk and communication with older people.

    PubMed

    Giles, H; Coupland, N; Coupland, J; Williams, A; Nussbaum, J

    1992-01-01

    A program of research conducted within an anti-agism paradigm demonstrates that young people process and respond to the speech of older people in stereotypical ways. Such conclusions result from studies using a variety of research methods. Experimental studies demonstrate that older-sounding speech triggers age schematic responses and that young people tend to use agist strategies of information seeking and compliance gaining from older people, while interactive studies explore how stereotypes and age identities are co-produced by young and old people in conversation. We use lifespan and intercultural perspectives to argue that the communicative patterns we observe in our studies are in some senses and contexts counterproductive in both the long and short term, in that they can reproduce negative attitudes toward aging as well as inhibit successful aging. PMID:1607216

  13. Modified MyPyramid for Older Adults.

    PubMed

    Lichtenstein, Alice H; Rasmussen, Helen; Yu, Winifred W; Epstein, Susanna R; Russell, Robert M

    2008-01-01

    In 1999 we proposed a Modified Food Guide Pyramid for adults aged 70+ y. It has been extensively used in a variety of settings and formats to highlight the unique dietary challenges of older adults. We now propose a Modified MyPyramid for Older Adults in a format consistent with the MyPyramid graphic. It is not intended to substitute for MyPyramid, which is a multifunctional Internet-based program allowing for the calculation of individualized food-based dietary guidance and providing supplemental information on food choices and preparation. Pedagogic issues related to computer availability, Web access, and Internet literacy of older adults suggests a graphic version of MyPyramid is needed. Emphasized are whole grains and variety within the grains group; variety and nutrient density, with specific emphasis on different forms particularly suited to older adults' needs (e.g. frozen) in the vegetables and fruits groups; low-fat and non-fat forms of dairy products including reduced lactose alternatives in the milk group; low saturated fat and trans fat choices in the oils group; and low saturated fat and vegetable choices in the meat and beans group. Underlying themes stress nutrient- and fiber-rich foods within each group and food sources of nutrients rather than supplements. Fluid and physical activity icons serve as the foundation of MyPyramid for Older Adults. A flag to maintain an awareness of the potential need to consider supplemental forms of calcium, and vitamins D and B-12 is placed at the top of the pyramid. Discussed are newer concerns about potential overnutrition in the current food landscape available to older adults. PMID:18156396

  14. Communication barriers between older women and physicians.

    PubMed Central

    Root, M J

    1987-01-01

    Communication barriers between health care providers and older women are multifaceted and complex. The acute care, hospital-based orientation of the health care system tends to bypass the characteristic problems of older women who need services. Breakdown in communication originates both with the provider and the recipient. Some inherent changes of aging due to sensory loss may be a major factor. Decline in vision, hearing, and touch make communication difficult for both parties. Other deficits may occur due to disease processes such as diabetes and hypertension. A frequently ignored problem is that of the language barrier between laywomen and physicians. Use of jargon and a nonempathic interviewing style by the doctor tend to discourage free exchange of information. A third consideration is the many psychosocial factors which affect the behavior of older women and their relationship with providers. One element is the belief in negative stereotypes of women in general, and older women in particular. Fear of being labeled a "hypochondriac," a "nuisance," or a "crabby old woman" inhibits accurate reporting by patients. Attitudes toward doctors, especially male doctors, make some older women timid and fearful. Physician and patient alike may accept signs and symptoms of disease as a normal part of aging and may cause medically treatable problems to be overlooked. Finally, patient and physician priorities may differ widely. The belief by either party that wellness, prevention, and health promotion are not realistic goals for the older women may push the individual patient into premature frailty and disability which could otherwise be postponed. PMID:3120214

  15. Modified MyPyramid for Older Adults.

    PubMed

    Lichtenstein, Alice H; Rasmussen, Helen; Yu, Winifred W; Epstein, Susanna R; Russell, Robert M

    2008-01-01

    In 1999 we proposed a Modified Food Guide Pyramid for adults aged 70+ y. It has been extensively used in a variety of settings and formats to highlight the unique dietary challenges of older adults. We now propose a Modified MyPyramid for Older Adults in a format consistent with the MyPyramid graphic. It is not intended to substitute for MyPyramid, which is a multifunctional Internet-based program allowing for the calculation of individualized food-based dietary guidance and providing supplemental information on food choices and preparation. Pedagogic issues related to computer availability, Web access, and Internet literacy of older adults suggests a graphic version of MyPyramid is needed. Emphasized are whole grains and variety within the grains group; variety and nutrient density, with specific emphasis on different forms particularly suited to older adults' needs (e.g. frozen) in the vegetables and fruits groups; low-fat and non-fat forms of dairy products including reduced lactose alternatives in the milk group; low saturated fat and trans fat choices in the oils group; and low saturated fat and vegetable choices in the meat and beans group. Underlying themes stress nutrient- and fiber-rich foods within each group and food sources of nutrients rather than supplements. Fluid and physical activity icons serve as the foundation of MyPyramid for Older Adults. A flag to maintain an awareness of the potential need to consider supplemental forms of calcium, and vitamins D and B-12 is placed at the top of the pyramid. Discussed are newer concerns about potential overnutrition in the current food landscape available to older adults.

  16. Using informatics to capture older adults’ wellness

    PubMed Central

    Demiris, George; Thompson, Hilaire J.; Reeder, Blaine; Wilamowska, Katarzyna; Zaslavsky, Oleg

    2014-01-01

    Purpose The aim of this paper is to demonstrate how informatics applications can support the assessment and visualization of older adults’ wellness. A theoretical framework is presented that informs the design of a technology enhanced screening platform for wellness. We highlight an ongoing pilot demonstration in an assisted living facility where a community room has been converted into a living laboratory for the use of diverse technologies (including a telehealth component to capture vital signs and customized questionnaires, a gait analysis component and cognitive assessment software) to assess the multiple aspects of wellness of older adults. Methods A demonstration project was introduced in an independent retirement community to validate our theoretical framework of informatics and wellness assessment for older adults. Subjects are being recruited to attend a community room and engage in the use of diverse technologies to assess cognitive performance, physiological and gait variables as well as psychometrics pertaining to social and spiritual components of wellness for a period of eight weeks. Data are integrated from various sources into one study database and different visualization approaches are pursued to efficiently display potential correlations between different parameters and capture overall trends of wellness. Results Preliminary findings indicate that older adults are willing to participate in technology-enhanced interventions and embrace different information technology applications given appropriate and customized training and hardware and software features that address potential functional limitations and inexperience with computers. Conclusion Informatics can advance health care for older adults and support a holistic assessment of older adults’ wellness. The described framework can support decision making, link formal and informal caregiving networks and identify early trends and patterns that if addressed could reduce adverse health events

  17. Pressure ulcer prevention in frail older people.

    PubMed

    Barry, Maree; Nugent, Linda

    2015-12-16

    Pressure ulcers are painful and cause discomfort, have a negative effect on quality of life, and are costly to treat. The incidence and severity of preventable pressure ulcers is an important indicator of quality of care; it is essential that healthcare providers monitor prevalence and incidence rates to ensure that care strategies implemented are effective. Frail older people are at increased risk of developing pressure ulcers. This article discusses the complexities of preventing pressure ulcers in frail older people and emphasises the importance of structured educational programmes that incorporate effective clinical leadership and multidisciplinary teamwork.

  18. Evaluation of Syncope in Older Adults.

    PubMed

    Hogan, Teresita M; Constantine, Stephen Tyler; Crain, Aoko Doris

    2016-08-01

    The older adult patient with syncope is one of the most challenging evaluations for the emergency physician. It requires clinical skill, patience, and knowledge of specific older adult issues. It demands care in the identification of necessary resources, such as medication review, and potential linkage with several multidisciplinary follow-up services. Excellent syncope care likely requires reaching out to ensure institutional resources are aligned with emergency department patient needs, thus asking emergency physicians to stretch their administrative talents. This is likely best done as preset protocols prior to individual patient encounters. Emergency physicians evaluate elders with syncope every day and should rise to the challenge to do it well. PMID:27475017

  19. Erectile Dysfunction in the Older Adult Male.

    PubMed

    Mola, Joanna R

    2015-01-01

    Erectile dysfunction (ED) in the older adult male is a significant problem affecting more than 75% of men over 70 years of age in the United States. Older men have an increased likelihood of developing ED due to chronic disease, comorbid conditions, and age-related changes. Research has demonstrated that while the prevalence and severity of ED increases with age, sexual desire often remains unchanged. This article discusses the clinical picture of ED, including relevant pathophysiology, clinical presentation, and evaluation and treatment options. PMID:26197627

  20. Older women and cosmetic tattooing experiences.

    PubMed

    Armstrong, Myrna L; Saunders, Jana C; Roberts, Alden E

    2009-01-01

    Aging for the older women in the 21st century is more than medical issues. In this study, 62 women (ages 51-81+) obtained a total of 97 permanent makeup procedures. Procurement cues included self-improvement and friend's appearance, consistent with internal, external, and appearance perspectives of body image. Poor eyesight was also of concern (14/23%). Actual benefits included saving makeup time and money (external), while achieving personal goals (internal). This study seems to confirm that for these older women, body image remains important, especially qualities of the face. They did not shed their internal, external, nor appearance concerns associated with body image, as they aged.

  1. Older Hispanics' explanatory model of depression.

    PubMed

    Sadule-Rios, Nohemi; Tappen, Ruth; Williams, Christine L; Rosselli, Monica

    2014-08-01

    Cultural variations in the perception of depression make it difficult to recognize the disorder resulting in older Hispanics not being diagnosed and not receiving appropriate treatment. This study used a mixed-method design to explore older Hispanics' explanatory model of depression. Depression was recognized as the result of life stressors and personal weaknesses. Terms used for depressed people included "crazy, worry, bored, and nerves." These culturally coded terms may confound diagnosis among many Hispanics who find depression a shameful condition. Findings can be used to inform the adaptation of culturally relevant approaches to better serve the Hispanic community in this country.

  2. Management of Colorectal Cancer in Older Adults.

    PubMed

    Hubbard, Joleen M

    2016-02-01

    Treatment for colorectal cancer should not be based on age alone. Pooled analyses from clinical trials show that fit older adults are able to tolerate treatment well with similar efficacy as younger adults. When an older adult is considered for treatment, the clinical encounter must evaluate for deficits in physical and cognitive function, and assess comorbidities, medications, and the degree of social support, all which have may affect tolerance of treatment. Based on the degree of fitness of the patient, multiple alternatives to aggressive treatment regimens and strategies exist to minimize toxicity and preserve quality of life during treatment.

  3. Sex, intimacy, and the older woman.

    PubMed

    Renshaw, D C

    1983-01-01

    Elderly women have normal romantic and sexual fantasies. Bodies age but dreams and feelings may remain forever young. That is every person's privilege at any age. Intimacy is a joy that has many levels, only one of which is sexual but all aspects are open to aware older women who refuse to be disenfranchised by our commercial emphasis on youth. Older women continue to care and to share, they also recognize the barriers to, the benefits of, and the lasting ways to attain closeness into late age.

  4. Older Hispanics' explanatory model of depression.

    PubMed

    Sadule-Rios, Nohemi; Tappen, Ruth; Williams, Christine L; Rosselli, Monica

    2014-08-01

    Cultural variations in the perception of depression make it difficult to recognize the disorder resulting in older Hispanics not being diagnosed and not receiving appropriate treatment. This study used a mixed-method design to explore older Hispanics' explanatory model of depression. Depression was recognized as the result of life stressors and personal weaknesses. Terms used for depressed people included "crazy, worry, bored, and nerves." These culturally coded terms may confound diagnosis among many Hispanics who find depression a shameful condition. Findings can be used to inform the adaptation of culturally relevant approaches to better serve the Hispanic community in this country. PMID:25017557

  5. Mammography screening behavior in older women caregivers.

    PubMed

    Chang, B L; Sarna, L; Carter, P A

    2001-01-01

    The purposes of this study are to explore older caregivers' mammography participation and the facilitators and barriers to mammography screening. Of the 52 older female caregivers with a mean age of 65 years (range 50-90) interviewed by telephone, 80.8% had had a mammogram within 12 months. Significant facilitators included health care provider recommendation and beliefs in the efficacy of treatment. Significant barriers included health care providers' failure to recommend mammograms, caregiver procrastination, fear of pain, and lack of symptoms. Caregivers with higher burden reported less frequent self- and provider-conducted breast examinations.

  6. Detecting dehydration in older people: useful tests.

    PubMed

    Hooper, Lee; Bunn, Diane

    Dehydration is common in older people, leading to longer hospital stays and increased disability and mortality. Health professionals can diagnose water-loss dehydration by taking a blood sample and measuring serum osmolality, but a less-invasive test would be useful. Evidence that tests, clinical signs or questions tested to date are useful when screening for dehydration in older people is limited. This article looks at known risk factors, signs and test for dehydration, and outlines evidence on how useful they have proven to be. Part 2 describes how a care home has used a multicomponent strategy to improve hydration. PMID:26455128

  7. Excessive Body Weight in Older Adults.

    PubMed

    Porter Starr, Kathryn N; Bales, Connie W

    2015-08-01

    The health challenges prompted by obesity in the older adult population are poorly recognized and understudied. A defined treatment of geriatric obesity is difficult to establish, as it must take into account biological heterogeneity, age-related comorbidities, and functional limitations (sarcopenia/dynapenia). This retrospective article highlights the current understanding of the optimal body mass index (BMI) in later life, addressing appropriate recommendations based on BMI category, age, and health history. The findings of randomized control trials of weight loss/maintenance interventions help one to move closer to evidence-based and appropriately individualized recommendations for body weight management in older adults.

  8. Nutritional Management of the Older Horse.

    PubMed

    Argo, Caroline McG

    2016-08-01

    Leisure animals now comprise the majority of working horses in industrialized nations; a shift that has decreased workloads yet improved veterinary care and lifetime health. Although many horses now progress well into their 20s without any requirement for dietary modification, age-related changes are insidious, and older animals benefit from regular veterinary monitoring to identify, address, and ameliorate the inevitable onset of age-related "disease." Basal metabolic rate decreases with age; older animals expend less energy on controlled exercise, and there can be an increased propensity toward the development of obesity, which needs to be recognized and managed. PMID:27329493

  9. Young and Older Adults' Reading of Distracters.

    PubMed

    Kemper, Susan; McDowd, Joan; Metcalf, Kim; Liu, Chiung-Ju

    2008-06-01

    We used eye-tracking technology to examine young and older adults' performance in the reading with distraction paradigm. One-, 2- and 4-word distracters that formed meaningful phrases were used. There were marked age differences in fixation patterns. Young adults' fixations to the distracters and targets increased with distracter length, suggesting that they were attempting to integrate the distracters with the sentence and had more and more difficulty doing so as the distracters increased in length. Young adults did have better comprehension of the sentences than older adults and also better recognition memory for target words and distracters.

  10. The Cygnus Loop: An Older Supernova Remnant.

    ERIC Educational Resources Information Center

    Straka, William

    1987-01-01

    Describes the Cygnus Loop, one of brightest and most easily studied of the older "remnant nebulae" of supernova outbursts. Discusses some of the historical events surrounding the discovery and measurement of the Cygnus Loop and makes some projections on its future. (TW)

  11. Transnational Older Adults and Their Families

    ERIC Educational Resources Information Center

    Treas, Judith

    2008-01-01

    This qualitative study explores the international migration patterns and the family lives of older adults. Informants (N = 54) reported that they came to the United States to help out their grown children with housekeeping, child care, and domestic economizing. They described how they strategically navigated U.S. immigration laws choosing to…

  12. Current Psychopathology in Previously Assaulted Older Adults

    ERIC Educational Resources Information Center

    Acierno, Ron; Lawyer, Steven R.; Rheingold, Alyssa; Kilpatrick, Dean G.; Resnick, Heidi S.; Saunders, Benjamin E.

    2007-01-01

    Older adult women age 55+ years (N = 549) were interviewed as part of a population-based epidemiological research study of lifetime experiences with physical and sexual assault and current mental health problems. Although overall rates of psychopathology were low, producing very small cells for comparison, women who reported experiencing physical…

  13. Sexual Assault of Older Women by Strangers

    ERIC Educational Resources Information Center

    Lea, Susan J.; Hunt, Laura; Shaw, Steve

    2011-01-01

    This study examines victim, offender, and offence characteristics associated with sexual assaults by strangers of older women compared to those against younger women. Cases are obtained from the Serious Crime Analysis Section of the United Kingdom National Policing Improvement Agency (NPIA; formerly Centrex). All possible cases of rape, attempted…

  14. Nutritional strategies for frail older adults.

    PubMed

    Posthauer, Mary Ellen; Collins, Nancy; Dorner, Becky; Sloan, Colleen

    2013-03-01

    The objectives of this continuing education article are to analyze the aging process and its effect on the nutritional status of frail older adults; determine how sarcopenia, anorexia, malnutrition, and Alzheimer disease increase the risk for pressure ulcer development and impact the healing process; and to apply evidence-based nutrition guidelines and implement practical solutions for wound healing.

  15. Attitudes toward Advertisements of the Older Adults

    ERIC Educational Resources Information Center

    Estrada, M.; Moliner, M. A.; Sanchez, J.

    2010-01-01

    In this study we will analyze the attitude of older adults to advertisements, differentiating between advertisements that contain rhetorical figures (trope ads) and those that do not (explicit ads). We will also study their attitude toward the brand advertised according to their degree of involvement with the product. In the course of the…

  16. FHA/HERO and the Older Generation.

    ERIC Educational Resources Information Center

    Mower, Pauline G., Ed.

    The booklet describes a sampling of projects and activities carried out by Future Homemakers of America (FHA) and Home Economics Related Occupations (HERO) chapters to indicate how they are concerned for, working with, and learning from older citizens in their respective communities. Projects range from a simple act of friendship to learning…

  17. Historical Terminology Used to Represent Older People.

    ERIC Educational Resources Information Center

    Covey, Herbert C.

    1988-01-01

    Semantically traced, over time, terms used to represent old people, aging, and effects of aging. Major themes found included differences between terms used for old men and old women; ambiguity of terms; older people subjected to more pejoratives than in past; and terms characterizing the old being focused on negative and debilitative effects of…

  18. Services for Older Adults: Curriculum Guide.

    ERIC Educational Resources Information Center

    Mumme, Debbie

    This curriculum guide contains materials for a course that provides occupationally specific training designed to develop knowledge and skills for employment in the area of services for older adults. Contents include an introduction, the Texas Essential Knowledge and Skills (TEKS) covered; sample course outlines; instructional strategies organized…

  19. Income Fact Sheet on Older Hispanics.

    ERIC Educational Resources Information Center

    Lacayo, Carmela G.

    This brief income fact sheet presents information on the poverty of elderly Hispanics compiled from Bureau of the Census data. The report notes that Hispanics over 65 are more than twice as likely to be poor as elderly whites. Poverty has increased by 13,000 among Hispanics while decreasing by 102,000 for all older Americans. Approximately one out…

  20. Managing the Environment for Older Students.

    ERIC Educational Resources Information Center

    Gelwicks, Louis E.; Weinstock, Ruth

    1980-01-01

    The environmental adjustments required to make campuses responsive to the needs of older persons are seen as tending to fall in the realm of environmental management. Security, orientation, sight, sound, ambient temperature, seating, time, transportation, lounges, and campus residence halls are some environmental needs which are discussed. (MLW)

  1. Skyline Older Adult Program: A Developing Concept.

    ERIC Educational Resources Information Center

    Valeau, Edward J.

    The philosophy, background, objectives, and offerings of Skyline College's Older Adult Program (SOAP) are described in this report. After stressing Skyline's commitment to lifelong learning, the report provides background to SOAP's development. This section explains how Skyline's Senior Citizen Advisory Committee was established to provide…

  2. Dynamics of Volunteering in Older Europeans

    ERIC Educational Resources Information Center

    Hank, Karsten; Erlinghagen, Marcel

    2010-01-01

    Purpose: To investigate the dynamics of volunteering in the population aged 50 years or older across 11 Continental European countries. Design and Methods: Using longitudinal data from the first 2 waves of the Survey of Health, Ageing and Retirement in Europe, we run multivariate regressions on a set of binary-dependent variables indicating…

  3. Districts Adjust to Growth in Older Population

    ERIC Educational Resources Information Center

    Sparks, Sarah D.

    2012-01-01

    The 1,000-student Allegheny Valley district in Pennsylvania boasts generations of alumni and a community so involved with the schools that high school graduation becomes an open celebration in downtown Springdale Borough. Yet the district hasn't asked for a tax increase in three years, and it is pushing out a message to older residents about…

  4. Skills Development for a Diverse Older Workforce

    ERIC Educational Resources Information Center

    Ferrier, Fran; Burke, Gerald; Selby Smith, Chris

    2008-01-01

    In the context of aging populations, governments in Australia and in other Western nations fear that slower growth in the numbers of people of working age (15-64 years) will have a dampening effect on economic growth. They are thus considering how to encourage older workers to remain in the workforce beyond the point at which many currently…

  5. Determinant Behavior Characteristics of Older Consumers.

    ERIC Educational Resources Information Center

    Tongren, Hale N.

    1988-01-01

    The behavior variables in 67 studies of marketing and consumer behavior were analyzed; significant variables relevant to satisfying the needs of older consumers were identified. Meta analysis revealed such factors as price consciousness, use of information sources, habituated shopping, and age-related concerns useful in predicting the consumer…

  6. Older People as Consumers of Education.

    ERIC Educational Resources Information Center

    Knox, Alan

    Socio-psychological variables that influence the extent to which older people (age: 50+) will be consumers of education are examined to arrive at criteria for programs appropriate to the developmental needs of this group. Research indicates that two primary influences are changes in learning abilities and interests. Secondary influences include…

  7. Managing constipation in older people in hospital.

    PubMed

    Wessel-Cessieux, Elizabeth

    Constipation is a distressing disorder that is common among older patients in hospital. It is often underdiagnosed and undertreated, and can lead to increased morbidity and prolonged hospital stays. In most cases this common problem can be treated successfully if the correct management plan is adopted. This article reviews the prevention and management strategies available to address the issue.

  8. Frail Older People as Participants in Research

    ERIC Educational Resources Information Center

    Peel, Nancye M.; Wilson, Cecilia

    2008-01-01

    This article describes the experience of interviewing frail older people in a research project investigating hip fracture risk factors. Specific methodological strategies to maximize participation and data quality and to facilitate the interview process related to participant inclusion criteria, initial approach, questionnaire format, and…

  9. ICT and Older People: Beyond Usability

    ERIC Educational Resources Information Center

    Hernandez-Encuentra, Eulalia; Pousada, Modesta; Gomez-Zuniga, Beni

    2009-01-01

    This study examined the use that older, regular users of computers make of information and computer technology in their daily lives. Opinions from such users were obtained regarding what they want these technologies to offer them in the future. By means of a discussion group and an online questionnaire, our critical case examined a group of mature…

  10. Unemployment Insurance and the Older American.

    ERIC Educational Resources Information Center

    Hamermesh, Daniel S.

    This monograph reports on an inquiry into the likely distributional effects of recent reductions in the payment of unemployment insurance to recipients of pension and social security benefits and its potential effects on labor market and consumption behavior of older people. An introductory chapter provides facts about unemployment insurance and…

  11. Evaluation of Verbal Behavior in Older Adults

    ERIC Educational Resources Information Center

    Gross, Amy C.; Fuqua, Wayne; Merritt, Todd A.

    2013-01-01

    Approximately 5% of older adults have a dementia diagnosis, and language deterioration is commonly associated with this disorder (Kempler, 2005). Several instruments have been developed to diagnose dementia and assess language capabilities of elderly adults. However, none of these instruments take a functional approach to language assessment as…

  12. Psychosocial Impact of Epilepsy in Older Adults

    PubMed Central

    Manacheril, Rinu; Faheem, Urooba; Labiner, David; Drake, Kendra; Chong, Jenny

    2015-01-01

    Objective: The purpose of our study was to describe the quality of life of older adults with seizures or epilepsy and compare its psychosocial impact between those who were new diagnosed and those diagnosed before the age of 65. Methods: In-depth face to face interviews with open ended questions were conducted with two participant groups: Incident group: 42 older adults (>65 years) with new onset or newly diagnosed after age of 65; and Prevalent group: 15 older adults (>65 years) diagnosed before age of 65. Interviews were reviewed and coded using a list of themes and results were compared between the two groups. Eight topics were selected from the participants’ responses to questions about the psychosocial impact of epilepsy and seizures. The topics were then analyzed and compared between the two groups. Results: The topics analyzed were: Emotional and physical impact, significant life changes, co-morbidities, information gathering, stigma, AED side effects, changes in relationships and attitude toward diagnosis. Conclusion: We concluded that the age at onset and duration does seem to have a negative correlation with health related quality of life. However, the perceived health status of older adults with chronic epilepsy was significantly better and reflected in their more positive approach to the diagnosis of seizures or epilepsy probably because they have had a longer opportunity to learn to cope with their diagnosis. PMID:27417823

  13. Older Women's Career Development and Social Inclusion

    ERIC Educational Resources Information Center

    McMahon, Mary; Bimrose, Jenny; Watson, Mark

    2010-01-01

    This paper considers women's career development and the potential contribution of career development theory, research, practice and policy in advancing a social inclusion agenda. In particular, the paper focuses on older women in the contexts of an ageing population, labour market shortages and Australia's social inclusion agenda. Supporting young…

  14. Survival Strategies of Older Homeless Men.

    ERIC Educational Resources Information Center

    Cohen, Carl I.; And Others

    1988-01-01

    Examined how 281 homeless men aged 50 and older living on skid row were able to procure basic necessities such as money, food, shelter, and health care. Found men had and used informal supports to survive. Inability to fulfill needs was primarily associated with physical health, depression, lack of contacts with institutions and agencies, and…

  15. Re-Training of Older Workers.

    ERIC Educational Resources Information Center

    Iron and Steel Industry Training Board, London (England).

    Designed to assist training staff in the planning and implementation of training for older workers, this guide indicates: the main problem areas; the extent and importance of the various requirements; some industrial experience in dealing with such problems; and some further resources of information on particular aspects of training of adults. The…

  16. Satisfaction with Social Contacts of Older Europeans

    ERIC Educational Resources Information Center

    Bonsang, Eric; van Soest, Arthur

    2012-01-01

    This paper analyses the determinants of an important component of well-being among individuals aged 50 years or older in eleven European countries: satisfaction with social contacts. We use data from the Survey of Health, Ageing and Retirement in Europe and anchoring vignettes to correct for potential differences in responses scales across…

  17. Blueberry supplementation improves memory in older adults

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The prevalence of dementia, in particular Alzheimer’s disease, is increasing with the expansion of the older adult population. In the absence of effective therapy, preventive approaches are essential to mitigate this public health problem. Blueberries contain polyphenolic compounds, most prominent...

  18. Epidemiology of Falls in Older Age

    ERIC Educational Resources Information Center

    Peel, Nancye May

    2011-01-01

    Worldwide, falls among older people are a public health concern because of their frequency and adverse consequences in terms of morbidity, mortality, and quality of life, as well as their impact on health system services and costs. This epidemiological review outlines the public health burden of falls and fall-related injuries and the impact of…

  19. Chronic Eccentric Exercise and the Older Adult.

    PubMed

    Gluchowski, Ashley; Harris, Nigel; Dulson, Deborah; Cronin, John

    2015-10-01

    Eccentric exercise has gained increasing attention as a suitable and promising intervention to delay or mitigate the known physical and physiological declines associated with aging. Determining the relative efficacy of eccentric exercise when compared with the more conventionally prescribed traditional resistance exercise will support evidence-based prescribing for the aging population. Thus, original research studies incorporating chronic eccentric exercise interventions in the older adult population were included in this review. The effects of a range of eccentric exercise modalities on muscular strength, functional capacity, body composition, muscle architecture, markers of muscle damage, the immune system, cardiovascular system, endocrine system, and rating of perceived exertion were all reviewed as outcomes of particular interest in the older adult. Muscular strength was found to increase most consistently compared with results from traditional resistance exercise. Functional capacity and body composition showed significant improvements with eccentric endurance protocols, especially in older, frail or sedentary cohorts. Muscle damage was avoided with the gradual progression of novel eccentric exercise, while muscle damage from intense acute bouts was significantly attenuated with repeated sessions. Eccentric exercise causes little cardiovascular stress; thus, it may not generate the overload required to elicit cardiovascular adaptations. An anabolic state may be achievable following eccentric exercise, while improvements to insulin sensitivity have not been found. Finally, rating of perceived exertion during eccentric exercise was often significantly lower than during traditional resistance exercise. Overall, evidence supports the prescription of eccentric exercise for the majority of outcomes of interest in the diverse cohorts of the older adult population.

  20. [Approach to hypertension in the older population].

    PubMed

    Roca, Francisco Valls

    2014-05-01

    Hypertension is one of the most frequent causes for seeking primary care attention and its prevalence increases with age, affecting 68% of people older than 60 years. Data indicate that the prevalence of hypertense individuals older than 65 years has increased from 48% in 2002 to 58% in 2010. High blood pressure is related to 1 out of every 2 deaths from cardiovascular causes in the Spanish population ≥ 50 years and causes 13.5% of premature deaths worldwide, both in persons with hypertension and in those with high-normal blood pressure. Although few clinical trials have been performed in the older population, especially in the very old, there is evidence that diastolic and systolic blood pressure control reduces cardiovascular morbidity and mortality in older hypertense individuals. Consequently, the updates of the various clinical practice guidelines continue to include among their objectives-with some nuances-good blood pressure control in this population group. The present article reviews new evidence on the approach to hypertension in the elderly, which has modified some of the recommendations made in the clinical practice guidelines of several scientific societies.

  1. Clinical Assessment Research with Older Adults.

    ERIC Educational Resources Information Center

    La Rue, Asenath; Markee, Taryn

    1995-01-01

    Methodological issues in geropsychological assessment research are discussed and illustrated through recent investigations. Cross-sectional studies are needed to extend and diversify age norms, and short-term longitudinal studies should be planned to assess the predictive validity of test outcomes and diagnostic profiles of older adults. (SLD)

  2. Older Workers and VET. At a Glance

    ERIC Educational Resources Information Center

    Dawe, Susan

    2009-01-01

    Australia, in common with many industrialised countries, must adjust in the coming years to an ageing population. The labour force participation rate is projected to fall and there will be a record number of older people who have retired from work. Thus, there will be fewer workers as a share of the population to generate the income needed to…

  3. Fordham Eases Way for Older Students

    ERIC Educational Resources Information Center

    Williams, Lena

    1977-01-01

    The Fordham College at Sixty Program is intended as a bridge into Fordham's liberal arts college, with an outlook and curriculum designed specifically for older students. One of the program's founders, Dr. Robert W. Adamson, discusses the course of study and how students feel about going back to college at the "retirement" stage of life.…

  4. Older adults have difficulty in decoding sarcasm.

    PubMed

    Phillips, Louise H; Allen, Roy; Bull, Rebecca; Hering, Alexandra; Kliegel, Matthias; Channon, Shelley

    2015-12-01

    Younger and older adults differ in performance on a range of social-cognitive skills, with older adults having difficulties in decoding nonverbal cues to emotion and intentions. Such skills are likely to be important when deciding whether someone is being sarcastic. In the current study we investigated in a life span sample whether there are age-related differences in the interpretation of sarcastic statements. Using both video and verbal materials, 116 participants aged between 18 and 86 completed judgments about whether statements should be interpreted literally or sarcastically. For the verbal stories task, older adults were poorer at understanding sarcastic intent compared with younger and middle-aged participants, but there was no age difference in interpreting control stories. For the video task, older adults showed poorer understanding of sarcastic exchanges compared with younger and middle-aged counterparts, but there was no age difference in understanding the meaning of sincere interactions. For the videos task, the age differences were mediated by the ability to perceive facial expressions of emotion. Age effects could not be explained in terms of variance in working memory. These results indicate that increased age is associated with specific difficulties in using nonverbal and contextual cues to understand sarcastic intent. (PsycINFO Database Record PMID:26501728

  5. Older Adults and Volunteering: A Symbiotic Association.

    ERIC Educational Resources Information Center

    Battaglia, Anne Marie; Metzer, Jacques

    2000-01-01

    A survey of 157 older adult volunteers suggests that volunteering provides substantial benefits such as maintaining a sense of identity and self-esteem, meeting the need to belong to a group, and affording opportunities to undertake new learning challenges. Volunteer organizations should attempt to meet these needs as a way to retain volunteers.…

  6. OLDER ADULTS: AN ENVIRONMENTALLY SUSCEPTIBLE POPULATION

    EPA Science Inventory

    The baby boom generation is quickly becoming the geriatric generation. The over-65 age bracket hit 13% of Americans in 1997, and is expected to reach 20% by 2030 accounting for 73 million Americans. World-wide the total number of older people (>60years) is expected to double from...

  7. Older Worker Attitudes toward Change and Challenge.

    ERIC Educational Resources Information Center

    Donchin, Gwyneth G.

    A task force from a high technology company recently conducted a nine-month study to determine the attitudes of older workers toward work, management, technological change, and productivity. Data were gathered from personnel files; an age audit was undertaken, and 4,000 employees were randomly interviewed. The workers were asked to offer opinions…

  8. THE OLDER ADULT DRIVER WITH COGNITIVE IMPAIRMENT

    PubMed Central

    Carr, David B.; Ott, Brian R.

    2010-01-01

    Although automobiles remain the transportation of choice for older adults, late life cognitive impairment and dementia often impair the ability to drive safely. There is, however, no commonly utilized method of assessing dementia severity in relation to driving, no consensus on the assessment of older drivers with cognitive impairment, and no gold standard for determining driving fitness. Yet, clinicians are called upon by patients, their families, other health professionals, and often the Department of Motor Vehicles (DMV) to assess their patients' fitness-to-drive and to make recommendations about driving privileges. Using the case of Mr W, we describe the challenges of driving with cognitive impairment for both the patient and caregiver, summarize the literature on dementia and driving, discuss evidenced-based assessment of fitness-to-drive, and address important ethical and legal issues. We describe the role of physician assessment, referral to neuropsychology, functional screens, dementia severity tools, driving evaluation clinics, and DMV referrals that may assist with evaluation. Finally, we discuss mobility counseling (eg, exploration of transportation alternatives) since health professionals need to address this important issue for older adults who lose the ability to drive. The application of a comprehensive, interdisciplinary approach to the older driver with cognitive impairment will have the best opportunity to enhance our patients' social connectedness and quality of life, while meeting their psychological and medical needs and maintaining personal and public safety. PMID:20424254

  9. Are Healthier Older Adults Choosing Managed Care?

    ERIC Educational Resources Information Center

    Jensen, Gail A.; Morrisey, Michael A.

    2004-01-01

    Purpose: We attempt to determine whether older workers and early retirees avoid managed care plans and to explore whether health plan choices are linked to the health status of workers or their spouses. Design and Methods: We use the responses of those born between 1931 and 1941 to the 1994 and 1998 waves of the Health and Retirement Survey. We…

  10. Mobility in Older Adults: A Comprehensive Framework

    ERIC Educational Resources Information Center

    Webber, Sandra C.; Porter, Michelle M.; Menec, Verena H.

    2010-01-01

    Mobility is fundamental to active aging and is intimately linked to health status and quality of life. Although there is widespread acceptance regarding the importance of mobility in older adults, there have been few attempts to comprehensively portray mobility, and research has to a large extent been discipline specific. In this article, a new…

  11. Report on Education for Older Citizens.

    ERIC Educational Resources Information Center

    Hendrickson, Andrew; Aker, George F.

    This second of three institutes for developing and improving educational programs for older persons was composed of 45 administrators, teachers, and counselors from universities, community colleges, and public school systems. Addresses presented were: "Aging--The Need for a Choice" by Dr. Thomas Rich; "The Physiology of Aging" by Dr. Fred B.…

  12. Are Young People Biased against Older Teachers?

    ERIC Educational Resources Information Center

    Peterson, Candida C.

    1980-01-01

    Elementary school students and university students indicated they preferred younger male and female (under 35) to older teachers. Personality and competence were given as reasons for their preferences by sixth graders and university students. Younger children gave no explanation nor did they indicate teacher appearance or resemblance to well-known…

  13. Older nurses embrace hospice & home care.

    PubMed

    Macdonald, N Jean

    2004-05-01

    Older nurses who have "done their time" in hospital wards sometimes find home health or hospice nursing a welcome and rewarding change of pace. While their maturity often gives them the empathy and compassion that can bring comfort to their patients, their extensive experience supplies them with the knowledge they need to work confidently in an independent setting. PMID:15168577

  14. Intergenerational Talk and Communication with Older People.

    ERIC Educational Resources Information Center

    Giles, Howard; And Others

    1992-01-01

    Overviews evolving program of interdisciplinary, multimethod research concerned with intergenerational communication. Concludes from studies that young people process and respond to speech of older people in stereotypical ways. Uses lifespan and intercultural perspectives to argue that communicative patterns observed in studies are sometimes…

  15. Worry in Older Community-Residing Adults

    ERIC Educational Resources Information Center

    Brock, Kaye; Clemson, Lindy; Cant, Rosemary; Ke, Liang; Cumming, Robert G.; Kendig, Hal; Mathews, Mark

    2011-01-01

    With rising longevity, increasing numbers of older people are experiencing changes in their everyday family and social life, changes in their financial status, and a greater number of chronic conditions affecting their health. We took the opportunity to explore these relationships with worry in a group of volunteer community-living elderly (n =…

  16. Community College Older Adult Program Development Guidelines.

    ERIC Educational Resources Information Center

    Getskow, Veronica

    This guide provides information and suggestions for developing programs that meet the needs of older adults at community colleges. Recommended procedures are presented for the following stages of program development: (1) leadership influences, highlighting the process of hiring effective leaders, key leadership skills, and leaders'…

  17. Safety for Older Consumers. Home Safety Checklist.

    ERIC Educational Resources Information Center

    Consumer Product Safety Commission, Washington, DC.

    A home safety checklist geared to the needs of older adults is presented in this document. The beginning of the checklist highlights potential hazards which may need to be checked in more than one area of the home, such as electric cords, smoke detectors, rugs, telephone areas, and emergency exit plans. The rest of the checklist is organized…

  18. Dental hygiene students' perceptions of older adults.

    PubMed

    Wiener, R Constance; Shockey, Alcinda Trickett; Long, D Leann

    2014-12-01

    Geriatric education is an important component of the dental hygiene curriculum because, in it, students acquire skills and attitudes to help provide quality care to older adults. The purpose of this study was to determine if off-site exposure to nursing home residents with supervised oversight had the potential to improve dental hygiene students' attitudes toward older adults. Senior dental hygiene students at one school completed a pre-nursing home experience questionnaire. A series of geriatric lectures and discussions, which included discussions about students' anxieties of working with institutionalized older adults, were held prior to the nursing home experience. The students then participated in two supervised four-hour nursing home experiences, were debriefed after the experiences, and completed a second questionnaire. Of thirty-nine potential participants in the study, thirty-two took part in the pre-nursing home experience questionnaire (82.1 percent). They had a mean split Fabroni score of 34.2 (95 percent confidence interval: 32.2, 36.3). The thirty participants in the post-experience questionnaire (76.9 percent of total) had a mean split score of 32.7 (95 percent confidence interval: 30.1, 35.3). This study failed to reject the null hypothesis of no mean difference between the pre- and post-nursing home experience; however, the post-experience mean score was lower than the pre-nursing home experience mean score, indicating a more positive attitude toward older adults after the experience.

  19. Vitamin D recommendations for older adults

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Many randomized, controlled trials indicate that vitamin D will lower falls and fractures, so it was reasonable for Sanders et al. to hypothesize that a single annual 500,000 IU oral dose of vitamin D3 would be effective in reducing falls and fractures in older women with one or more risk factors fo...

  20. Education for Older People in Italy

    ERIC Educational Resources Information Center

    Principi, Andrea; Lamura, Giovanni

    2009-01-01

    This article provides information on trends in formal and informal adult education in Italy, with a particular focus on the older learners (over 65). Main providers, programs, objectives/motivations, and financial and legal framework are described. In general, over-65-year-old people were found to be underrepresented in participation. They were…

  1. Effective Teaching and Programming for Older Adults.

    ERIC Educational Resources Information Center

    Von Hahn, Margaret; Riddell, Gail

    This booklet is intended as a guide for community educators on planning and teaching educational programs for older adults. Chapter 1, Getting Started, discusses the program plan which identifies the sponsoring agency, advisory committee, and ways of determining needs and interests. Chapter 2, Designing the Program, focuses on the participants,…

  2. The Legal ABCs of Hiring Older Workers.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    This article explains briefly how the Age Discrimination in Employment Act (ADEA) of 1967 applies to certain hiring practices. The four sections of the paper cover the following: (1) the scope of the ADEA, including coverage, prohibited conduct, and legal remedies for workers who feel they have suffered discrimination; (2) hiring older workers,…

  3. Is the Older Worker Inherently Incompetent?

    ERIC Educational Resources Information Center

    Baugher, Dan

    1978-01-01

    The article summarizes findings on age-related changes in intelligence, cognitive performance, and personality that may affect older work performance, concluding that age-related declines are slight except in physically demanding jobs. Altering occupational or training tasks is suggested where necessary. (MF)

  4. Adverse perinatal outcome in the older primipara.

    PubMed

    Dollberg, S; Seidman, D S; Armon, Y; Stevenson, D K; Gale, R

    1996-01-01

    Delayed childbearing has become common and has raised the awareness of the possible risks for the mother and the newborn infant. The increased maternal and neonatal risks have been attributed largely to the lack of proper prenatal care. The aim of this study was to assess whether advanced maternal age is a significant risk factor in mothers who receive good prenatal care. We matched 161 cases 1:1 according to the following criteria: maternal and paternal ethnic origin, chronic diseases, marital status, and smoking during pregnancy. Our results show that the older women had babies with a significantly higher incidence of low birth weight (< 2500 gm, p = 0.001), prematurity (< 37 weeks, p = 0.02), intrauterine growth retardation (p = 0.001), abruptio placentae (p = 0.002), and cesarean section (p < 0.001). The average hospital stay for the babies of the older mothers was longer than that for babies of the younger mothers (8.4 vs 6.1 days, p = 0.003), and the incidence of hospitalization for more than 3 days in the neonatal intensive care unit was increased (10.3% vs 2.2%). Logistic regression did not support maternal age of 35 years and older as being the single significant risk factor for adverse neonatal and maternal outcome. We conclude that maternal age older than 35 years entails a higher risk for the mother and her newborn infant, even when good prenatal care is taken.

  5. Delirium and older people: repositioning nursing care.

    PubMed

    Neville, Stephen

    2006-06-01

    Aims.  To critically examine the nursing care offered to older people who have been delirious. Background.  Delirium occurs as a result of physiological imbalances resulting in an alteration in consciousness and cognitive impairment. Delirium is a prevalent and serious cognitive disorder experienced by older people. While there is a vast number of studies published utilizing quantitative methods, there remains a dearth of research relating to delirium in older people from a qualitative perspective. Design.  A qualitative research design that utilized a critical gerontological framework underpinned this study. This framework drew on aspects of postmodernism and Foucault's understanding of discourse. Methods.  Data sources included published documents on delirium, semi-structured taped interviews with people over the age of 65 years who had been delirious (as well as their clinical notes), family members, Registered Nurses and a hospital doctor. A postmodern discourse analytic approach was used to interrogate the 20 sets of data collected. Findings.  Textual analysis revealed the presence of two major discourses impacting on being an older person with delirium. These were identified as a nursing discourse of delirium and a personal discourse of delirium. A nursing discourse of delirium was largely focussed on the biomedical processes that resulted in a delirious episode. Conversely, a personal discourse of delirium highlights that there are other ways of 'knowing' about delirium through considering the narratives of older adults, and their families, when offering a nursing service to this group of people. Relevance to clinical practice.  Nursing needs to critically examine all aspects of nursing care as it applies to older people who have delirium to ensure the rhetorical claims of the profession become the reality for consumers of health services. The use of critical gerontology provides nurses with the tools to challenge the status quo and uncover the

  6. Child's play: the creativity of older adults.

    PubMed

    Capps, Donald

    2012-09-01

    In this article, I discuss Paul W. Pruyser's view presented in his article "An Essay on Creativity" (Pruyser in Bull Menninger Clin 43:294-353, 1979) that creative persons manifest early childhood qualities of playfulness, curiosity, and pleasure seeking and that adaptation is itself a form of creativity. I then discuss his article "Creativity in Aging Persons" (Pruyser in Bull Menninger Clin 51:425-435, 1987) in which he presents his view that aging itself is a potentially creative process, that creativity among older adults is not limited to the talented few, and that older adulthood has several specific features that are conducive to creativity. Significant among these features are object loss (especially involving human relationships) and functional loss (due to the vicissitudes of aging). Noting his particular emphasis on object loss and its role in late-life creativity, I focus on functional loss, and I emphasize the importance of adaptation in sustaining the creativity of older adults who experience such loss. I illustrate this adaptation by considering well-known painters who in late life suffered visual problems common to older adults. I suggest that in adapting to their visual problems these artists drew on the early childhood qualities (playfulness, curiosity and pleasure seeking) that all creative persons possess and that they are therefore illustrative for other older adults who are experiencing functional losses. I conclude with Erik H. Erikson's (Toys and reasons: stages in the ritualization of experience, W. W. Norton, New York, 1977) and Paul W. Pruyser's (Pastor Psychol 35:120-131, 1986) reflections on the relationship between seeing and hoping.

  7. Living with Multiple Health Problems: What Older Adults Should Know

    MedlinePlus

    ... PDF Living With Multiple Health Problems: What Older Adults Should Know Download Join our e-newsletter! Resources Living With Multiple Health Problems: What Older Adults Should Know Tools and Tips Printer-friendly PDF ...

  8. Older Adults and Drinking | NIH MedlinePlus the Magazine

    MedlinePlus

    ... page please turn JavaScript on. Feature: Rethinking Drinking Older Adults and Drinking Past Issues / Spring 2014 Table of ... quickly than when they were younger. Drinking puts older adults at greater risk for falls, car crashes, and ...

  9. Ten Warning Signs Your Older Family Member May Need Help

    MedlinePlus

    ... Friendly Online Chat 10 Warning Signs Your Older Family Member May Need Help Changes in physical and ... difficult to detect—for older adults and their family members, friends, and caregivers. To help in determining ...

  10. Preventing Elder Abuse and Neglect in Older Adults

    MedlinePlus

    ... Share Glossary previous page Related Documents PDF Preventing Elder Abuse and Neglect in Older Adults Download Join our e-newsletter! Resources Preventing Elder Abuse and Neglect in Older Adults Tools and Tips ...

  11. Older Workers in the European Community, Japan, and Canada.

    ERIC Educational Resources Information Center

    Drury, Elizabeth; And Others

    1993-01-01

    Includes "Older Workers in the European Community: Pervasive Discrimination, Little Awareness" (Drury); "Aging Workers in Japan: From Reverence to Redundance" (Takada); and "Canada's Labor Market: Older Workers Need Not Apply" (David). (JOW)

  12. Older Americans 2016: Key Indicators of Well-Being

    MedlinePlus

    ... Subject Area Contacts FAQ Search X Home | Data Data Current Report Older Americans 2016: Key Indicators of ... or by email agingforum@cdc.gov . Downloading the Data Older Americans 2016 is divided into several sections. ...

  13. Older Surgery Patients Should Be Screened for Frailty

    MedlinePlus

    ... html Older Surgery Patients Should Be Screened for Frailty: Study Warning signs such as exhaustion increase the ... 2016 (HealthDay News) -- Screening older surgery patients for frailty could improve their outcomes and chances for survival, ...

  14. Bewitched, Bothered, and Bored: Harry Potter, The Movie.

    ERIC Educational Resources Information Center

    Nel, Philip

    2002-01-01

    Explores the Harry Potter phenomenon with college students in a university course. Compares the first book with the first movie. Presents an in-depth discussion of the movie and how it relates to the book. (SG)

  15. Breath Testing for Small Intestinal Bacterial Overgrowth: Should We Bother?

    PubMed

    Pimentel, Mark

    2016-03-01

    The hydrogen breath test is based on following breath hydrogen levels after the administration of a carbohydrate (most commonly lactulose) to a patient with suspected small intestinal bacterial overgrowth. The test is based on the interaction between the administered carbohydrate and the intestinal bacteria. The resulting fermentation produces hydrogen. A positive breath test is based on a breath hydrogen rise prior to the expected arrival time in the highly microbial cecum. Despite renewed enthusiasm for breath testing in recent years due to associations with conditions such as irritable bowel syndrome, breath testing poses many challenges. In this argument against breath testing, several pitfalls that complicate breath testing will be described. PMID:26902227

  16. On the psychophysics of workload - Why bother with subjective measures?

    NASA Technical Reports Server (NTRS)

    Gopher, D.; Braune, R.

    1984-01-01

    Psychophysical functions describe the relationship between variations in the amplitude of a defined physical quantity and the psychological perception of these changes. Examples are brightness, loudness, and pain. The regularities of these relationships have been formulated into psychophysical laws. The measurement methodology of psychophysical scaling has been refined by the Harvard group led by Stevens (1957 and 1966), who proposed a power function as a general form for such laws. It is argued here that a similar scaling approach can be adapted to the measurement of workload and task demands based upon subjective estimates. The rationale is that these estimates, like other psychophysical judgments, reflect the individual's perception of the amount of processing resources that the subject invests to meet the demand imposed by a task. This approach was successfully applied to the assessment of 21 experimental conditions given to a group of 60 subjects. The paper discusses the main results of this effort and their implications to theory and application in human performance.

  17. Why bother? Death, failure, and fatalistic withdrawal from life.

    PubMed

    Hayes, Joseph; Ward, Cindy L P; McGregor, Ian

    2016-01-01

    The current research examines the conditions under which death contemplation will reduce, rather than increase, goal directed activity. By employing a goal-regulation perspective on the problem of death, we hypothesized that death awareness precipitates withdrawal from the goal for continued life when life is experienced as dissatisfying and hope for the future appears bleak. In Study 1, participants with low life satisfaction who contemplated goal failure responded to mortality salience with reduced desire for continued life. Studies 2-4 examined general goal motivation. Consistent with the idea that withdrawal from life precipitates a general state of reduced goal motivation, parallel effects were observed on the willingness to delay gratification for future outcomes (Study 2), orientation toward the future (Study 3), and behavioral activation system (BAS) sensitivity (Study 4). Moreover, Study 3 showed that these effects were mediated by a generally pessimistic attitude toward life. Finally, Study 5 assessed felt uncertainty and state depression, revealing that withdrawal from life was associated with reduced uncertainty but increased depression. Discussion is focused on implications for theories of threat and defense, and applications for understanding depression and suicide.

  18. Must We Bother with Competency-Based Teacher Education?

    ERIC Educational Resources Information Center

    Riechard, Donald E.

    1976-01-01

    The basic issue of competency-based teacher education (CBTE) is presented. Characteristics of the groups (new occult and old ostrich) representing the two extreme positions are identified. The magnitude of the CBTE movement at the national, state, and institutional level is assessed. States possessing competency-based certification requirements…

  19. Raising the Question #4: Why Bother Attending Conferences?

    ERIC Educational Resources Information Center

    Hickson, Mark, III

    2006-01-01

    The convention is the professional equivalent of the "Thanksgiving Dinner". Several generations of the "family" come together year after year and share meals, news, successes, and failures. They talk about those who could not attend, and reminisce about those who are no longer among them. Conventions are flames in the den's fireplace: without…

  20. Why Bother with the Scholarship of Teaching and Learning?

    ERIC Educational Resources Information Center

    Draeger, John

    2013-01-01

    This paper argues that the scholarship of teaching and learning (SoTL) matters on at least six interrelated levels. First, SoTL matters because learning matters, and SoTL can help students learn more effectively. Second, it offers professors the tools to more effectively share their disciplinary passions. Third, it offers faculty an avenue for…

  1. Emergency department enlargement in China: exciting or bothering

    PubMed Central

    Li, Yan; Li, Chen; Xu, Jun; Zhang, Hui; Zheng, Liangliang; Yao, Dongqi; Fu, Yangyang; Zhu, Huadong; Guo, Shubin; Wang, Zhong; Walline, Joseph

    2016-01-01

    Background Emergency department (ED) enlargement became a trend with its development. However, there came some problems such as ED overcrowding and increasing medical disputes. Here we did a survey about the development tendency of EDs in 3A grade hospitals in China, analysed the problems we facing and rendered some solutions combining some special characteristics in China. Methods We randomly selected 17 3A grade general hospitals from 12 provinces from the 50 members of Chinese College of Emergency Physician. A questionnaire survey was conducted. The basic information and problems of EDs were collected and analysed. Results The gross area, the number of beds and the attention paid by the hospitals of EDs increased during the development, so did the patients admitted to EDs, also more doctors and nurses devoted into emergency medicine. But it had become more difficult for doctors to admit ED patients to inpatient wards. Besides the problem of increasing crowding degree, EDs faced more medical disputes and complains during the development. Conclusions ED expanding was the result of emergency medicine development, but the enlargement of ED should be more rational. We should improve our doctors’ medical skills, optimize the health system, pay more attention to preventive medicine and push hard for health-care reform instead of forcing ED enlargement to satisfy the need for ED. PMID:27162657

  2. The concept of self-organizing systems. Why bother?

    NASA Astrophysics Data System (ADS)

    Elverfeldt, Kirsten v.; Embleton-Hamann, Christine; Slaymaker, Olav

    2016-04-01

    Complexity theory and the concept of self-organizing systems provide a rather challenging conceptual framework for explaining earth systems change. Self-organization - understood as the aggregate processes internal to an environmental system that lead to a distinctive spatial or temporal organization - reduces the possibility of implicating a specific process as being causal, and it poses some restrictions on the idea that external drivers cause a system to change. The concept of self-organizing systems suggests that many phenomena result from an orchestration of different mechanisms, so that no causal role can be assigned to an individual factor or process. The idea that system change can be due to system-internal processes of self-organization thus proves a huge challenge to earth system research, especially in the context of global environmental change. In order to understand the concept's implications for the Earth Sciences, we need to know the characteristics of self-organizing systems and how to discern self-organizing systems. Within the talk, we aim firstly at characterizing self-organizing systems, and secondly at highlighting the advantages and difficulties of the concept within earth system sciences. The presentation concludes that: - The concept of self-organizing systems proves especially fruitful for small-scale earth surface systems. Beach cusps and patterned ground are only two of several other prime examples of self-organizing earth surface systems. They display characteristics of self-organization like (i) system-wide order from local interactions, (ii) symmetry breaking, (iii) distributed control, (iv) robustness and resilience, (v) nonlinearity and feedbacks, (vi) organizational closure, (vii) adaptation, and (viii) variation and selection. - It is comparatively easy to discern self-organization in small-scale systems, but to adapt the concept to larger scale systems relevant to global environmental change research is more difficult: Self-organizing systems seem to form nested hierarchies, and on different hierarchical levels self-organizing and externally driven subsystems might occur simultaneously. - Traditional geomorphological concepts such as sensitivity to change, and intrinsic or extrinsic thresholds are compatible with the concept of self-organizing system, and these concepts are even enriched in their explanatory power when viewed in the larger framework of self-organization. The conceptual step to acknowledge self-organizing system change within earth system sciences thus can be regarded as relatively small. The concept of self-organization suggests a change of focus for earth system change research: a shift from input-output relations toward the inner organization of systems, since external controls rather limit the degrees of freedom of a system instead of triggering changes. Many systems might in fact be rather autonomous, and the specific and observable external trigger might be less important than the intrinsic system state. Hence, neither gradual nor catastrophic system changes necessarily need an external driver. The concept of self-organization provides important caveats to generally attributing environmental change to external drivers, and it encourages a frank admission of ignorance in the face of complexity.

  3. Are sharks even bothered by a noisy environment?

    PubMed

    Casper, Brandon M; Halvorsen, Michele B; Popper, Arthur N

    2012-01-01

    Elasmobranch fishes have been around for hundreds of millions of years with very little evolutionary changes, yet our understanding of their hearing abilities is limited to only a few of the hundreds of extant species. Our general understanding suggests a relatively narrow hearing range with relatively poor sensitivity, particularly compared with many teleosts. This lack of knowledge makes it difficult to evaluate the potential effects that could be associated with exposure to anthropogenic noise. However, given the combination of the worldwide increase in anthropogenic aquatic noise as well as the drastic population decline in many species of elasmobranch fishes, it is imperative that noise-exposure studies be conducted to determine whether these fishes are being further threatened by our noise pollution. PMID:22278457

  4. Should We Bother Improving Students' Attendance at Seminars?

    ERIC Educational Resources Information Center

    Gbadamosi, Gbolahan

    2015-01-01

    This study uses action research intervention to improve students' attendance at seminars. Specifically, the study asks the question: will students' attendance improve if they drive their own learning by running their own seminars? Records of lecture and seminar attendance at a module and comparative ones were used. Focus group interviews…

  5. Education for Older Adults: A Synthesis of Significant Data.

    ERIC Educational Resources Information Center

    Ventura-Merkel, Catherine; Worthy, Edmund H., Jr.

    Despite the record numbers of older learners today and the probable future growth of these numbers, older people today are underrepresented in adult education. Furthermore, a significant segment of older people has serious educational deficiencies hindering their ability to cope in the contemporary world. Surveys show that the characteristics that…

  6. Older Women: A Population at Risk for Mental Health Problems.

    ERIC Educational Resources Information Center

    Wisniewski, Wendy; Cohen, Donna

    The expanding population of older women relative to older men or the "feminization of aging" is a significant demographic trend with important implications for the future. Older women are at risk for extended years of widowhood, living alone, institutionalization, poverty, and mental health problems. Although the dementias of late life appear to…

  7. Effects of a Forgiveness Intervention for Older Adults

    ERIC Educational Resources Information Center

    Allemand, Mathias; Steiner, Marianne; Hill, Patrick L.

    2013-01-01

    The authors' aim in the present study was to examine the effects of a brief forgiveness intervention for older adults. The psychoeducational group intervention consists of (a) established core components of previous forgiveness interventions and (b) additional components considering specific needs of older adults. Seventy-eight older adults (mean…

  8. Quality of Life in Group Homes and Older Persons' Homes

    ERIC Educational Resources Information Center

    Higgins, Laura; Mansell, Jim

    2009-01-01

    Older people with intellectual disabilities sometimes live in older people's homes rather than homes for people with intellectual disabilities. Little is known about their quality of life in these homes. A non-equivalent comparison group design was used to compare the quality of life of 59 people in three groups; older people without an…

  9. Cultural Diversity Among Older Adults: Addressing Health Education

    ERIC Educational Resources Information Center

    Haber, David

    2005-01-01

    The diversity of the older adult population is increasing, and health professionals need to learn new knowledge and skills to improve the adherence of older ethnic clients to their health recommendations. Much of the existing research literature on diversity in gerontology concludes that ethnic older adults are at a health disadvantage. Few if any…

  10. Designing Effective Web Forms for Older Web Users

    ERIC Educational Resources Information Center

    Li, Hui; Rau, Pei-Luen Patrick; Fujimura, Kaori; Gao, Qin; Wang, Lin

    2012-01-01

    This research aims to provide insight for web form design for older users. The effects of task complexity and information structure of web forms on older users' performance were examined. Forty-eight older participants with abundant computer and web experience were recruited. The results showed significant differences in task time and error rate…

  11. The Capacity to Consent to Research among Older Adults

    ERIC Educational Resources Information Center

    Lee, Minhong

    2010-01-01

    The aim of this study was to develop and validate an assessment tool for research consent competence in older participants. A four-item instrument was developed to assess the capacity of the older adults to consent to research. Data were obtained from 203 nursing home residents from two facilities and 201 community-dwelling older adults in a…

  12. Data Sources Available for Modeling Environmental Exposures in Older Adults

    EPA Science Inventory

    This report, “Data Sources Available for Modeling Environmental Exposures in Older Adults,” focuses on information sources and data available for modeling environmental exposures in the older U.S. population, defined here to be people 60 years and older, with an emphasis on those...

  13. Career Aspirations of Older Workers: An Australian Study

    ERIC Educational Resources Information Center

    Pillay, Hitendra; Kelly, Kathy; Tones, Megan

    2006-01-01

    Global challenges associated with the ageing workforce include lower levels of education and negative attitudes of older workers towards learning and covert age discrimination in the workplace. This report discusses initial findings from a survey of older workers employed in regional areas in Australia. The older workers surveyed were…

  14. New Challenges to Korean Universities: Increase of Older Students

    ERIC Educational Resources Information Center

    Chae, Jae-Eun

    2010-01-01

    This article explores the implications of the recent increase in older students at Korean universities dominated by younger students. A case study design is used to gain an in-depth understanding of experiences of older students in a Korean university. Semi-structured interviews of twelve older students, three professors, two administrators, and…

  15. Assertiveness by Older Adults with Visual Impairment: Context Matters

    ERIC Educational Resources Information Center

    Ryan, Ellen Bouchard; Anas, Ann P.; Mays, Heather

    2008-01-01

    Within a communication predicament of aging and disability framework, this study examined the impact of two types of contextual variation on perceptions of older adult assertiveness within problematic service encounters. Young (N = 66) and older (N = 66) participants evaluated conversational scenarios in which a visually-impaired older woman…

  16. Long-term Toxicity of Cancer Treatment in Older Patients.

    PubMed

    Shahrokni, Armin; Wu, Abraham J; Carter, Jeanne; Lichtman, Stuart M

    2016-02-01

    With earlier cancer diagnosis among older patients with cancer, the possibility of curing cancer increases. However, cancer treatment may have a long-lasting impact on older cancer survivors. It is vital to screen, diagnose, and properly manage the long-term toxicities of cancer treatment in order to maintain the quality of life of older cancer survivors. PMID:26614861

  17. Organizational Support and Volunteering Benefits for Older Adults

    ERIC Educational Resources Information Center

    Tang, Fengyan; Choi, Eunhee; Morrow-Howell, Nancy

    2010-01-01

    Purpose: This study tested a theoretical model of volunteering benefits and examined the mechanism through which volunteering benefits older adults. Design and Methods: This is a 2-wave study of 253 older adult volunteers serving in 10 volunteer programs. Older volunteers completed the mailed surveys in 2005 and 2006. Structural equation modeling…

  18. Older Characters in Teen Movies from 1980-2006

    ERIC Educational Resources Information Center

    Robinson, Tom; Callister, Mark; Magoffin, Dawn

    2009-01-01

    Although children as young as age three have already begun to manifest negative stereotypes toward older adults, attitudes toward older adults likely crystallize during late childhood and adolescence and become entrenched by the time an individual reaches young adulthood. Studies have shown that young people view older people in general as…

  19. Older Adults and E-Learning: Opportunities and Barriers

    ERIC Educational Resources Information Center

    Githens, Rod P.

    2007-01-01

    E-learning and distance education can play a role in helping older adults become integrated with the rest of society. As demographic and cultural changes affect the place of older adults in society, online learning programs become increasingly appealing to older adults. In this article, I discuss (1) the changing notion of work and learning in…

  20. Resilience in Rural Community-Dwelling Older Adults

    ERIC Educational Resources Information Center

    Wells, Margaret

    2009-01-01

    Context: Identifying ways to meet the health care needs of older adults is important because their numbers are increasing and they often have more health care issues. High resilience level may be one factor that helps older adults adjust to the hardships associated with aging. Rural community-dwelling older adults often face unique challenges such…

  1. The Market for Community Services for Older People.

    ERIC Educational Resources Information Center

    Hereford, Russell W.

    The Supportive Services Program for Older Persons is designed to demonstrate that a private market for home and community-based health related services can be developed in response to the demand expressed by older people and their families. The objective of the program is to expand the service options available to older people by letting market…

  2. Backwards and Forwards: An Approach to Understanding the Older Learner.

    ERIC Educational Resources Information Center

    Wolf, Mary Alice

    At each age learning is a complex interaction of motivation, cognition, and development. In older adults, motivation is often related to a lifelong personality construct or personal meaning that an older individual will seek to play out when given the opportunity in late life. The needs of the older adult learner can be discussed in terms of…

  3. Approach to skin ulcers in older patients.

    PubMed Central

    Frank, Christopher

    2004-01-01

    OBJECTIVE: To provide family physicians with an approach to managing skin ulcers in older patients. SOURCES OF INFORMATION: Clinical practice guidelines and best practice guidelines were summarized to describe an evidence-based approach. MAIN MESSAGE; Preventing ulcers is important in frail older patients. Using guidelines can help prevent ulcers in institutions. Clarifying the cause and contributing factors is the first step in management. Pressure and venous ulcers are common in elderly people. Poor nutrition, edema, arterial insufficiency, and anemia often impair wound healing. Adequate debridement is important to decrease risk of infection and to promote healing. There are guidelines for cleaning ulcers. Choice of dressings depends on the circumstances of each wound, but dressings should provide a moist environment. Options for dressings are summarized. CONCLUSION: Family physicians can manage skin ulcers effectively by applying basic principles and using readily available guidelines. PMID:15648380

  4. Worry in older community-residing adults.

    PubMed

    Brock, Kaye; Clemson, Lindy; Cant, Rosemary; Ke, Liang; Cumming, Robert G; Kendig, Hal; Mathews, Mark

    2011-01-01

    With rising longevity, increasing numbers of older people are experiencing changes in their everyday family and social life, changes in their financial status, and a greater number of chronic conditions affecting their health. We took the opportunity to explore these relationships with worry in a group of volunteer community-living elderly (n = 310). Findings showed that that those people under 75 years of age had a higher risk of worrying (OR = 1.8, 95% CI = 1.0-3.1) compared to the older age groups. Women worried more than men and an important finding was that those with chronic health conditions such as arthritis of the hip and knee were more prone to worry than those who were healthy or had acute conditions (OR = 3.5, 95% CI = 1.4-8.9). This latter finding suggests the importance placed on the role of the hip and knee in maintaining functional capacity to perform life skills. PMID:21977675

  5. Design Principles to Accommodate Older Adults

    PubMed Central

    Farage, Miranda A.; Miller, Kenneth W.; Ajayi, Funmi; Hutchins, Deborah

    2012-01-01

    The global population is aging. In many industrial countries, almost one in five people are over age 65. As people age, gradual changes ensue in vision, hearing, balance, coordination, and memory. Products, communication materials, and the physical environment must be thoughtfully designed to meet the needs of people of all ages. This article summarizes normal changes in sensory function, mobility, balance, memory, and attention that occur with age. It presents practical guidelines that allow design professionals to accommodate these changes and better meet the needs of older adults. Designing for older adults is inclusive design: it accommodates a range of physical and cognitive abilities and promotes simplicity, flexibility, and ease of use for people of any age. PMID:22980147

  6. Eye Conditions in Older Adults: Diabetic Retinopathy.

    PubMed

    Kirsch, Scott; Iroku-Malize, Tochi

    2016-06-01

    Diabetic retinopathy is related to neovascularization of the retina stimulated by an elevated blood glucose level. This can lead to macular edema, vascular hemorrhage, retinal detachment, and neovascular glaucoma. Diabetic retinopathy is a leading cause of blindness in the United States, and is estimated to affect between 28% and 40% of patients older than 40 years. Significant visual deficit from diabetic retinopathy can lead to social isolation of older individuals by limiting driving, the ability to leave the home or remain in the home safely, and the ability to watch television or read. Primary and secondary prevention includes adequate control of A1c levels. Screening is important for early detection of ocular damage and intervention. Retinal benefits of therapy may predict cardiovascular benefits over a longer period. PMID:27348530

  7. [Management of older adults with COPD].

    PubMed

    Hattori, Kumiko; Kida, Kozui

    2016-05-01

    In older adults, the clinical condition of COPD is complicated and treatment often becomes difficult, because of existence of multimorbidity, such as nutritional deficiencies, thinness, sarcopenia, osteoporosis, cardiovascular disease, depression and cognitive impairment. Consideration based on each of coexistence is needed in the management of older adults with COPD. In end period of COPD, sleep disorder, depressive state and decline of ADL are often shown, in addition to the respiratory symptoms, such as dyspnea, cough and sputum. Financial strain for the nursing cost and medical equipment cost tend to become big year by year, utilization of social resources (i.e. application of respiratory disabilities and an insurance of the elderly care) is need to be considered. PMID:27254959

  8. Do older professional musicians have cognitive advantages?

    PubMed

    Amer, Tarek; Kalender, Beste; Hasher, Lynn; Trehub, Sandra E; Wong, Yukwal

    2013-01-01

    The current study investigates whether long-term music training and practice are associated with enhancement of general cognitive abilities in late middle-aged to older adults. Professional musicians and non-musicians who were matched on age, education, vocabulary, and general health were compared on a near-transfer task involving auditory processing and on far-transfer tasks that measured spatial span and aspects of cognitive control. Musicians outperformed non-musicians on the near-transfer task, on most but not all of the far-transfer tasks, and on a composite measure of cognitive control. The results suggest that sustained music training or involvement is associated with improved aspects of cognitive functioning in older adults.

  9. Soft tissue problems in older adults.

    PubMed

    Holland, N W; Gonzalez, E B

    1998-08-01

    This article describes common soft tissue problems encountered in older adults, including fibromyalgia, selected bursitis/tendinitis syndromes, nerve entrapment syndromes, and miscellaneous topics such as Dupuytren's contractures, trigger fingers, palmar fasciitis, and reflex-sympathetic dystrophy. Clinical presentations, diagnosis, and treatment are emphasized. These are conditions that are frequently encountered but are generally diagnosed as arthritis or normal age-related problems. This article will hopefully enlighten the reader in distinguishing between these conditions.

  10. Chronic use of benzodiazepines among older adults

    PubMed Central

    Alvarenga, Jussara Mendonça; Giacomin, Karla Cristina; de Loyola, Antônio Ignácio; Uchoa, Elizabeth; Firmo, Josélia Oliveira Araújo

    2014-01-01

    OBJECTIVE To analyze the perception of and motivation for the chronic use of benzodiazepine among older adults. METHODS A qualitative study was conducted on 22 older adults living in Bambuí, MG, Southeastern Brazil, who were taking benzodiazepines and had the clinical and cognitive ability to respond to interview questions. The collected data were analyzed on the basis of the “signs, meanings, and actions” model. RESULTS The main reasons pointed out for the use of benzodiazepines were “nervousness”, “sleep problems”, and “worry” due to family and financial problems, everyday problems, and existential difficulties. None of the interviewees said that they used benzodiazepines in a dose higher than that recommended or had been warned by health professionals about any risks of their continuous use. Different strategies were used to obtain the prescription for the medication, and any physician would prescribe it, indicating that a bond was established with the drug and not with the health professional or healthcare service. Obtaining and consuming the medication turned into a crucial issue because benzodiazepine assumes the status of an essential food, which leads users to not think but sleep. It causes a feeling of relief from their problems such as awareness of human finitude and fragility, existential difficulties, and family problems. CONCLUSIONS Benzodiazepine assumes the characteristics of polyvalence among older adults, which extrapolate specific clinical indications, and of essentiality to deal with life’s problems in old age. Although it relieves the “nerves”, the chronic use of benzodiazepines buffers suffering and prevents older adults from going through the suffering. This shows important difficulties in the organization and planning of strategies that are necessary for minimizing the chronic use in this population. PMID:26039388

  11. Principles of Antimicrobial Therapy in Older Adults.

    PubMed

    Bradley, Suzanne F

    2016-08-01

    Antibiotic use is common in older adults, and much of it is deemed unnecessary. Complications of antibiotic use may occur as a consequence of changes in age-related physiology and dosing with resulting drug toxicity and secondary infection. Knowing when it is appropriate to initiate antibiotics may help reduce unnecessary antibiotic use and prevent adverse drug events. Careful attention to antibiotic selection, dosing adjustments, and drug-drug interactions may also help prevent antibiotic-related adverse events.

  12. Chronic use of benzodiazepines among older adults.

    PubMed

    Alvarenga, Jussara Mendonça; Giacomin, Karla Cristina; Loyola Filho, Antônio Ignácio de; Uchoa, Elizabeth; Firmo, Josélia Oliveira Araújo

    2014-12-01

    OBJECTIVE To analyze the perception of and motivation for the chronic use of benzodiazepine among older adults. METHODS A qualitative study was conducted on 22 older adults living in Bambuí, MG, Southeastern Brazil, who were taking benzodiazepines and had the clinical and cognitive ability to respond to interview questions. The collected data were analyzed on the basis of the "signs, meanings, and actions" model. RESULTS The main reasons pointed out for the use of benzodiazepines were "nervousness", "sleep problems", and "worry" due to family and financial problems, everyday problems, and existential difficulties. None of the interviewees said that they used benzodiazepines in a dose higher than that recommended or had been warned by health professionals about any risks of their continuous use. Different strategies were used to obtain the prescription for the medication, and any physician would prescribe it, indicating that a bond was established with the drug and not with the health professional or healthcare service. Obtaining and consuming the medication turned into a crucial issue because benzodiazepine assumes the status of an essential food, which leads users to not think but sleep. It causes a feeling of relief from their problems such as awareness of human finitude and fragility, existential difficulties, and family problems. CONCLUSIONS Benzodiazepine assumes the characteristics of polyvalence among older adults, which extrapolate specific clinical indications, and of essentiality to deal with life's problems in old age. Although it relieves the "nerves", the chronic use of benzodiazepines buffers suffering and prevents older adults from going through the suffering. This shows important difficulties in the organization and planning of strategies that are necessary for minimizing the chronic use in this population.

  13. Dental Hygiene Students’ Perceptions of Older Adults

    PubMed Central

    Wiener, R. Constance; Shockey, Alcinda Trickett; Long, D. Leann

    2015-01-01

    Geriatric education is an important component of the dental hygiene curriculum because, in it, students acquire skills and attitudes to help provide quality care to older adults. The purpose of this study was to determine if off-site exposure to nursing home residents with supervised oversight had the potential to improve dental hygiene students’ attitudes toward older adults. Senior dental hygiene students at one school completed a pre-nursing home experience questionnaire. A series of geriatric lectures and discussions, which included discussions about students’ anxieties of working with institutionalized older adults, were held prior to the nursing home experience. The students then participated in two supervised four-hour nursing home experiences, were debriefed after the experiences, and completed a second questionnaire. Of thirty-nine potential participants in the study, thirty-two took part in the pre-nursing home experience questionnaire (82.1 percent). They had a mean split Fabroni score of 34.2 (95 percent confidence interval: 32.2, 36.3). The thirty participants in the post-experience questionnaire (76.9 percent of total) had a mean split score of 32.7 (95 percent confidence interval: 30.1, 35.3). This study failed to reject the null hypothesis of no mean difference between the pre- and post-nursing home experience; however, the post-experience mean score was lower than the pre-nursing home experience mean score, indicating a more positive attitude toward older adults after the experience. PMID:25480277

  14. REPORTING PEAK EXPIRATORY FLOW IN OLDER PERSONS

    PubMed Central

    Vaz Fragoso, Carlos A.; Gahbauer, Evelyne A.; Van Ness, Peter H.; Gill, Thomas M.

    2009-01-01

    Background Peak expiratory flow (“peak flow”) predicts important outcomes in older persons. Nevertheless, its clinical application is uncertain because prior strategies for reporting peak flow may not be valid. We thus determined the frequency distribution of peak flow by the conventional strategy of percent predicted (%predicted) and by an alternative method termed standardized residual (SR) percentile, and evaluated how these two metrics relate to health status in older persons. Methods Participants included 754 community-living persons aged ≥ 70 years. Data included chronic conditions, frailty indicators, and peak flow. Results Mean age was 78.4 years, with 63.7% reporting a smoking history, 17.4% chronic lung disease, and 77.1% having one or more frailty indicators. Peak flow ≥ 80 %predicted was recorded in 67.5% of participants, whereas peak flow ≥ 80th SR-percentile was only noted in 15.9%. A graded relationship was observed between peak flow and health status, but %predicted yielded health risk at peak flows currently considered normal (80–100 %predicted), whereas SR-percentile conferred health risk only at severely reduced peak flows (< 50th SR-percentile). Conclusions Peak flow expressed as SR-percentile attains a frequency distribution more consistent with the characteristics of our elderly cohort, and establishes health risk at more appropriate levels of reduced peak flow. These findings establish the need for longitudinal studies based on SR-percentile to further evaluate the use of peak flow as a risk assessment tool in older persons, and to determine if pulmonary function, in general, is better reported in older persons as SR-percentile, rather than as %predicted. PMID:17921429

  15. The Teacher's Perspective in Older Education: The Experience of Teaching in a University for Older People in Spain

    ERIC Educational Resources Information Center

    Villar, Feliciano; Celdran, Montserrat; Pinazo, Sacramento; Triado, Carme

    2010-01-01

    The aim of this study was to explore university lecturers' descriptions of their teaching experience with older students. Twelve teachers of the Nau Gran (a university program for older people [UPOP] in Valencia, Spain) were interviewed. We analyzed their responses to questions about their experience of teaching older adults, the rewarding aspects…

  16. Older Workers' Perspectives on Training and Retention of Older Workers: South Australian Construction Industry Study. Support Document

    ERIC Educational Resources Information Center

    Lundberg, David; Marshallsay, Zariah

    2007-01-01

    Older workers' perspectives are examined in a national survey of the finance sector and case studies of aged care and construction workers. The majority of older workers intend to work beyond retirement age, to achieve a better lifestyle. With training, older workers could mentor younger workers. This support document includes a national survey of…

  17. Older Workers' Perspectives on Training and Retention of Older Workers: Victorian Aged Care Workers Survey. Support Document

    ERIC Educational Resources Information Center

    Lundberg, David; Marshallsay, Zariah

    2007-01-01

    Older workers' perspectives are examined in a national survey of the finance sector and case studies of aged care and construction workers. The majority of older workers intend to work beyond retirement age, to achieve a better lifestyle. With training, older workers could mentor younger workers. This support document includes a national survey of…

  18. Older Workers' Perspectives on Training and Retention of Older Workers: South Australian Aged Care Workers Study. Support Document

    ERIC Educational Resources Information Center

    Lundberg, David; Marshallsay, Zariah

    2007-01-01

    Older workers' perspectives are examined in a national survey of the finance sector and case studies of aged care and construction workers. The majority of older workers intend to work beyond retirement age, to achieve a better lifestyle. With training, older workers could mentor younger workers. This support document includes a national survey of…

  19. Immune Checkpoint Inhibitors in Older Adults.

    PubMed

    Elias, Rawad; Morales, Joshua; Rehman, Yasser; Khurshid, Humera

    2016-08-01

    Cancer is primarily a disease of older adults. The treatment of advanced stage tumors usually involves the use of systemic agents that may be associated with significant risk of toxicity, especially in older patients. Immune checkpoint inhibitors are newcomers to the oncology world with improved efficacy and better safety profiles when compared to traditional cytotoxic drugs. This makes them an attractive treatment option. While there are no elderly specific trials, this review attempts to look at the current available data from a geriatric oncology perspective. We reviewed data from phase III studies that led to newly approved indications of checkpoint inhibitors in non-small cell lung cancer, melanoma, and renal cell cancer. Data were reviewed with respect to response, survival, and toxicity according to three groups: <65 years, 65-75 years, and >75 years. Current literature does not allow one to draw definitive conclusions regarding the role of immune checkpoint inhibitors in older adults. However, they may offer a potentially less toxic but equally efficacious treatment option for the senior adult oncology patient. PMID:27287329

  20. Ethnic identity of older Chinese in Canada.

    PubMed

    Lai, Daniel W L

    2012-06-01

    In Canada's multicultural society, ethnic identity is important to the elderly and can influence areas such as access to services, health promotion and care. Often, the complex nature of ethnic identity is underestimated when looking at cultural groups. This study aims to: (a) validate the factor structure of a Chinese ethnic identity measure for older Chinese in Canada, (b) examine the level of ethnic identity of the participants, and (c) examine the correlates of ethnic identity in these older individuals. Using data from a large, national research project on the elderly Chinese in Canada, this study analyzed the results gathered from a total of 2,272 participants. Principal component analysis, maximum-likelihood confirmatory factor analysis, and multiple regression analysis were performed. The results indicated that ethnic identity of the older Chinese is a multi-dimensional construct made up of three factors: (a) culture related activities, (b) community ties, (c) linkage with country of origin, and (d) cultural identification. The findings have provided a better understanding of how ethnic identity can be measured among the aging Chinese population in Canada.

  1. The Mental Health of Older LGBT Adults.

    PubMed

    Yarns, Brandon C; Abrams, Janet M; Meeks, Thomas W; Sewell, Daniel D

    2016-06-01

    There are approximately one million older lesbian, gay, bisexual, and transgender (LGBT) adults in the USA. Their mental health issues result from interactions between genetic factors and stress associated with membership in a sexual minority group. Although advancements in acceptance and equal treatment of LGBT individuals have been occurring, sexual minority status remains associated with risks to physical and mental well-being. Older LGBT adults are more likely to have experienced mistreatment and discrimination due to living a majority of their lives prior to recent advancements in acceptance and equal treatment. All LGBT adults experience one common developmental challenge: deciding if, when, and how to reveal to others their gender identity and/or sexual orientation. LGBT individuals have higher rates of anxiety, depression, and substance use disorders and also are at increased risk for certain medical conditions like obesity, breast cancer, and human immunodeficiency virus (HIV). Improved education and training of clinicians, coupled with clinical research efforts, holds the promise of improved overall health and life quality for older LGBT adults.

  2. Managing Status Epilepticus in the Older Adult

    PubMed Central

    Legriel, Stephane; Brophy, Gretchen M.

    2016-01-01

    The aim of this systematic review was to describe particularities in epidemiology, outcome, and management modalities in the older adult population with status epilepticus. There is a higher incidence of status epilepticus in the older adult population, and it commonly has a nonconvulsive presentation. Diagnosis in this population may be difficult and requires an unrestricted use of EEG. Short and long term associated-mortality are high, and age over 60 years is an independent factor associated with poor outcome. Stroke (acute or remote symptomatic), miscellaneous metabolic causes, dementia, infections hypoxemia, and brain injury are among the main causes of status epilepticus occurrence in this age category. The use of anticonvulsive agents can be problematic as well. Thus, it is important to take into account the specific aspects related to the pharmacokinetic and pharmacodynamic changes in older critically-ill adults. Beyond these precautions, the management may be identical to that of the younger adult, including prompt initiation of symptomatic and anticonvulsant therapies, and a broad and thorough etiological investigation. Such management strategies may improve the vital and functional prognosis of these patients, while maintaining a high overall quality of care. PMID:27187485

  3. Sexual Consent Capacity Assessment with Older Adults.

    PubMed

    Syme, Maggie L; Steele, Debora

    2016-09-01

    Many healthcare providers have a limited knowledge of sexual and intimate expression in later life, often due to attitudinal and informational limitations. Further, the likelihood of an older adult experiencing cognitive decline increases in a long-term care (LTC) setting, complicating the ability of the providers to know if the older adult can make his or her own sexual decisions, or has sexual consent capacity. Thus, the team is left to question if and how to support intimacy and/or sexuality among residents with intimacy needs. Psychologists working with LTC need to be aware and knowledgeable about sexual consent capacity in older adulthood to be prepared to conduct evaluations and participate in planning care. Limited research is available to consult for best practices in sexual consent capacity assessment; however, models of assessment have been developed based on the best available evidence, clinical judgment, and practice. Existing models will be discussed and an integrated model will be illustrated via a case study. PMID:27480989

  4. The Mental Health of Older LGBT Adults.

    PubMed

    Yarns, Brandon C; Abrams, Janet M; Meeks, Thomas W; Sewell, Daniel D

    2016-06-01

    There are approximately one million older lesbian, gay, bisexual, and transgender (LGBT) adults in the USA. Their mental health issues result from interactions between genetic factors and stress associated with membership in a sexual minority group. Although advancements in acceptance and equal treatment of LGBT individuals have been occurring, sexual minority status remains associated with risks to physical and mental well-being. Older LGBT adults are more likely to have experienced mistreatment and discrimination due to living a majority of their lives prior to recent advancements in acceptance and equal treatment. All LGBT adults experience one common developmental challenge: deciding if, when, and how to reveal to others their gender identity and/or sexual orientation. LGBT individuals have higher rates of anxiety, depression, and substance use disorders and also are at increased risk for certain medical conditions like obesity, breast cancer, and human immunodeficiency virus (HIV). Improved education and training of clinicians, coupled with clinical research efforts, holds the promise of improved overall health and life quality for older LGBT adults. PMID:27142205

  5. A Female Therapist's Perspective on Growing Older.

    PubMed

    Fodor, Iris

    2015-11-01

    As an older woman therapist, I find that my life experience grounds me in my work with people of all ages and backgrounds as they deal with life crises, aging issues, and loss. People with whom I work in therapy appreciate the fact that I am older and have had varied life experiences. Gender issues are still central to my work with clients whether I am working with a man or a woman. I am an integrative therapist, with a background in cognitive-behavioral therapy and gestalt therapy. Therapists need to help clients to identify less with their aging bodies and our culture's view of attractiveness, shifting instead to a paradigm that values life experience and the cultivation of wisdom. We need to find ways of embracing what we have learned about life instead of extolling youthful values. As I get older, I more fully appreciate a constructivism framework and life-cycle perspective, focusing on making sense of clients' life narratives. Storytelling and memoirs have both provided a framework for working with clients on coping with the many changes and challenges of life that bring them to therapy and added another layer to my integrative therapeutic work. PMID:26394219

  6. Physical activity is medicine for older adults

    PubMed Central

    Taylor, Denise

    2014-01-01

    There is evidence from high quality studies to strongly support the positive association between increased levels of physical activity, exercise participation and improved health in older adults. Worldwide, around 3.2 million deaths per year are being attributed to inactivity. In industrialised countries where people are living longer lives, the levels of chronic health conditions are increasing and the levels of physical activity are declining. Key factors in improving health are exercising at a moderate-to-vigorous level for at least 5 days per week and including both aerobic and strengthening exercises. Few older adults achieve the level of physical activity or exercise that accompanies health improvements. A challenge for health professionals is to increase physical activity and exercise participation in older adults. Some success in this has been reported when physicians have given specific, detailed and localised information to their patients, but more high quality research is needed to continue to address this issue of non-participation in physical activity and exercise of a high enough level to ensure health benefits. PMID:24255119

  7. Immune Checkpoint Inhibitors in Older Adults.

    PubMed

    Elias, Rawad; Morales, Joshua; Rehman, Yasser; Khurshid, Humera

    2016-08-01

    Cancer is primarily a disease of older adults. The treatment of advanced stage tumors usually involves the use of systemic agents that may be associated with significant risk of toxicity, especially in older patients. Immune checkpoint inhibitors are newcomers to the oncology world with improved efficacy and better safety profiles when compared to traditional cytotoxic drugs. This makes them an attractive treatment option. While there are no elderly specific trials, this review attempts to look at the current available data from a geriatric oncology perspective. We reviewed data from phase III studies that led to newly approved indications of checkpoint inhibitors in non-small cell lung cancer, melanoma, and renal cell cancer. Data were reviewed with respect to response, survival, and toxicity according to three groups: <65 years, 65-75 years, and >75 years. Current literature does not allow one to draw definitive conclusions regarding the role of immune checkpoint inhibitors in older adults. However, they may offer a potentially less toxic but equally efficacious treatment option for the senior adult oncology patient.

  8. Older Women Doing Home Care: Exploitation or Ideal Job?

    PubMed Central

    Butler, Sandra S.

    2013-01-01

    The increased need for both personal assistance workers and meaningful employment opportunities for older workers results in growing numbers of older home care aides. This study examined lifetime financial security and perceived advantages of older age in this field through interviews with 31 older home care aides. Study participants experienced high levels of financial insecurity and perceived older workers as particularly well suited to the home care job. The consequences of this low-wage, low-status work are explored along with implications for social workers to advocate for improved conditions for these workers providing essential care to frail elders. PMID:23600600

  9. Health professionals' attitudes toward older people and older patients: a systematic review.

    PubMed

    Liu, Yun-e; While, Alison E; Norman, Ian J; Ye, Wenqin

    2012-09-01

    Attitudes toward older people and older patients among healthcare professionals are of concern throughout the world, but there are no recent systematic reviews which have examined and compared the attitudes across the various healthcare professionals who provide healthcare to older people. A comprehensive literature search (2000-2011) was undertaken on electronic databases (CINAHL, MEDLINE, EMBASE, British Nursing Index, PsycINFO, Chinese Biomedical database, China Medical Academic Conference and China Academic Journal) using a combination of terms. We identified 2179 articles indexed with these terms. Initial screening was undertaken by two researchers and then checked by a third researcher. In total, the reviewers selected 117 articles which, on the basis of their abstracts, appeared to meet the criteria for inclusion. We obtained the full texts and two reviewers assessed each full text paper to further examine whether it met all the criteria. The final review identified 51 studies. Publications over the last 10 years show that attitudes towards older people and older patients range from neutral to positive among healthcare professionals and highlight the need for well-designed studies of both qualified and student healthcare professionals recruiting random samples across multiple sites and utilizing validated instruments consistently to permit comparison over time and across countries. PMID:22780579

  10. Trust and trustworthiness in young and older adults.

    PubMed

    Bailey, Phoebe E; Slessor, Gillian; Rieger, Matthias; Rendell, Peter G; Moustafa, Ahmed A; Ruffman, Ted

    2015-12-01

    In a series of 1-shot economic trust games in which participants could make real monetary profits, but also risked losing money, 2 studies compared young and older adults' trust (amount invested with trustees) and trustworthiness (amount returned to investors by trustees). In Study 1, young (n = 35) and older (n = 32) participants acted as investors, and the age of simulated trustees (young, older) was manipulated. In Study 2, young (n = 61) and older (n = 67) participants acted in real life as both investors and trustees. They completed 2 face-to-face trust games with same- and other-age partners, and 3 anonymous trust games with same-, other-, and unknown-age partners. Study 1 found that young and older participants rate older trustees as appearing more trustworthy than young trustees, but neither group invest more with older than young trustees. Rather, older participants were more likely than young participants to invest money averaged across trustee age. In Study 2, there were no age-related differences in trust, but older adults were more trustworthy than young adults in anonymous games with same- and unknown-age partners. It was also found that young adults demonstrate greater reputational concerns than older adults by reciprocating more trust when face-to-face than anonymous. We discuss the complex influences of age on trust game investing and reciprocation, as well as the implications for older adults' wellbeing and financial security.

  11. Nitrogen Balance and Protein Requirements for Critically Ill Older Patients

    PubMed Central

    Dickerson, Roland N.

    2016-01-01

    Critically ill older patients with sarcopenia experience greater morbidity and mortality than younger patients. It is anticipated that unabated protein catabolism would be detrimental for the critically ill older patient. Healthy older subjects experience a diminished response to protein supplementation when compared to their younger counterparts, but this anabolic resistance can be overcome by increasing protein intake. Preliminary evidence suggests that older patients may respond differently to protein intake than younger patients during critical illness as well. If sufficient protein intake is given, older patients can achieve a similar nitrogen accretion response as younger patients even during critical illness. However, there is concern among some clinicians that increasing protein intake in older patients during critical illness may lead to azotemia due to decreased renal functional reserve which may augment the propensity towards worsened renal function and worsened clinical outcomes. Current evidence regarding protein requirements, nitrogen balance, ureagenesis, and clinical outcomes during nutritional therapy for critically ill older patients is reviewed. PMID:27096868

  12. Attitudes and stereotypes regarding older women and HIV risk.

    PubMed

    Beaulaurier, Richard; Fortuna, Karen; Lind, Danielle; Emlet, Charles A

    2014-01-01

    Persons aged 50 years and over will soon disproportionately represent the future of the HIV/AIDS epidemic. It is estimated that by 2015 older adults will represent 50% of persons living with HIV in the United States. Despite the HIV/AIDS growing population among older adults, attitudes, beliefs, and stereotypes toward older adults that exist in general society have affected HIV prevention, education, and care. Specifically, ageist attitudes about the sexuality of older adults in general and older women in particular, low clinical HIV suspicion among healthcare providers, lack of knowledge about risk among older women, and differentials in power related to negotiating sexual practices all lead to heightened concerns for the prevention, identification, and treatment of HIV disease in mature women. This article examines common attitudes, beliefs, and stereotypes that exist within general society as well as health and social service providers that place older women at a disadvantage when it comes to HIV prevention, education, and treatment.

  13. Getting Older Women Pregnant: Contemporary Thoughts.

    PubMed

    Allahbadia, Gautam N

    2016-10-01

    For women of advanced age with abnormally increased FSH levels, standardized hormonal stimulation often represents a cost-intensive procedure with a low success rate. It is well established now that with mild ovarian stimulation, there is a greater percentage of good-quality eggs (although a smaller number) than with higher-dose conventional stimulation. Mild stimulation protocols reduce the mean number of days of stimulation, the total amount of gonadotropins used and the mean number of oocytes retrieved. The proportion of high-quality and euploid embryos seems to be higher compared with conventional stimulation protocols, and the pregnancy rate per embryo transfer is comparable. Moreover, the reduced costs, the better tolerability for patients and the less time needed to complete an IVF cycle make mild approaches clinically and cost-effective over a given period of time. The low number of embryos available for transfer poses a great challenge in the management of older women going in for IVF. A potential management of these older women is to create a sufficient pool of embryos by accumulating vitrified good-grade embryos over several minimal stimulation and natural cycles. At the end of the accumulation process, these embryos can be subjected to a preimplantation genetic screening using next-generation sequencing and then the pool would have only chromosomal normal embryos with maximal chances of implantation. This would potentially make the chances of success for older women similar to normal responders. This management, however, is unthinkable without an outstanding vitrification program. The option of accumulating embryos has become a promising reality with the advent of vitrification technologies. PMID:27486273

  14. Memory impairment in older adults’ diversionary thoughts

    PubMed Central

    Alves, Fátima; Resende, Flávia; Salomé Pinho, Maria

    2015-01-01

    The diversion paradigm was created in the context of explaining the effect of the instruction to forget some recently encoded material in the list-method of the directed forgetting paradigm. The current study of healthy older adults employed the diversion paradigm with two main goals: to determine whether thinking about an autobiographical memory interferes with the recall of recently encoded information and to explore whether the degree of forgetting depends on the temporal distance created by the diversionary thought. Ninety non-institutionalized Portuguese older adults (47 females and 43 males), aged 65–69 years, with education levels of between 3 and 6 years participated in this study. The exclusion criteria were as follows: presence of depressive symptomatology (assessed with the Geriatric Depression Scale-30) and global cognitive deterioration (assessed with the Mini–Mental State Examination). Concerning the diversion paradigm, one group was instructed to think about an autobiographical event (remembering one’s childhood home or the last party that one had attended) after studying one word list (List 1) and before viewing the second word list (List 2). After a brief distraction task, the participant had to recall the words from both of the studied lists. In the control group, the procedure was the same, but the diversionary thought was substituted by a speed reading task. The obtained results showed the amnesic effect of diversionary thought but did not show a greater degree of forgetting when the autobiographical events in the diversionary thoughts were temporally more distant. Considering the practical implications of these results, this study alerts us to the importance of promoting strategies that enable older adults to better remember important information and effectively forget irrelevant information. PMID:26539106

  15. Treating sarcopenia in older and oldest old.

    PubMed

    Martone, Anna Maria; Lattanzio, Fabrizia; Abbatecola, Angela Marie; Carpia, Domenico La; Tosato, Matteo; Marzetti, Emanuele; Calvani, Riccardo; Onder, Graziano; Landi, Francesco

    2015-01-01

    The presence of sarcopenia is not only rapidly rising in geriatric clinical practice and research, but is also becoming a significant concept in numerous medical specialties. This rapidly rising concept has encouraged the need to identify methods for treating sarcopenia. Physical activity measures using resistance training exercise, combined with nutritional interventions (protein and amino acid supplementation) have shown to significantly improve muscle mass and strength in older persons. Moreover, resistance training may improve muscle strength and mass by improving protein synthesis in skeletal muscle cells. Aerobic exercise has also shown to hold beneficial impacts on sarcopenia by improving insulin sensitivity. At the moment, the literature indicates that most significant improvement in sarcopenia is based on exercise programs. Thus, this type of intervention should be implemented in a persistent manner over time in elders, with or at risk of muscle loss. At the same time, physical training exercise should include correcting nutritional deficits with supplementation methods. For example, in older sarcopenic patients with adequate renal function, daily protein intake should be increased to >1. 0 grams of protein per kilogram of body weight. In particular, leucine, - hydroxy β-methylbutyrate (HMB), creatine and some milk-based proteins have been shown to improve skeletal muscle protein balance. In addition, it is also recommended for adjustment of for vitamin D deficiency, if present, considering the crucial role of vitamin D in the skeletal muscle. In this review, we provide evidence regarding the effects of different physical exercise protocols, specific nutritional intervention, and some new metabolic agents (HMB, citrulline malate, ornithine, and others) on clinical outcomes related to sarcopenia in older adults. PMID:25633117

  16. Hyposalivation and xerostomia in dentate older adults

    PubMed Central

    Wiener, R. Constance; Wu, Bei; Crout, Richard; Wiener, Michael; Plassman, Brenda; Kao, Elizabeth; McNeil, Daniel

    2010-01-01

    Background Older adults are susceptible to reduced saliva production related to certain medications, radiation and chronic conditions. Many of these people have many physical and oral health problems and limited access to dental care. The use of effective screening tools for xerostomia and hyposalivation would be helpful in identifying those at risk. The authors conducted a study to investigate the association between three measures of oral dryness: hyposalivation (low unstimulated salivary flow), self-reported xerostomia and clinically assessed dry mouth. Methods The authors included a convenience sample of 252 nondemented and dentate West Virginia participants 70 years and older who were part of a larger study on oral health and cognition among older adults. Participants completed a self-reported xerostomia index, provided an unstimulated salivary sample and underwent an oral assessment for the study. Results Twenty-eight (11.1 percent) had hyposalivation, eight of whom reported having xerostomia (sensitivity = 28.6 percent). Of the 43 participants who reported having xerostomia, only eight had hyposalivation (positive predictive value = 18.6 percent). Hyposalivation and self-reported xerostomia were not significantly related. Clinically assessed dry mouth correlated modestly, but significantly, with hyposalivation and self-reported xerostomia. Conclusions Obtaining routine unstimulated salivary flow rates in addition to self-reported information and oral evaluations may increase early detection of oral dryness, which would assist in implementing early interventions to improve patients’ quality of life. Clinical Implications Visually inspecting oral tissues for dryness and asking a patient if his or her mouth is dry are insufficient measures for clinicians to use to determine if the patient has hyposalivation. The authors recommend that clinicians determine the patients’ unstimulated salivary flow rate. PMID:20194383

  17. Perceptions of disaster preparedness among older people in South Korea.

    PubMed

    Yoo, Myoungran; Lee, Mijung; Tullmann, Dorothy

    2016-03-01

    Older people are a major vulnerable population. During disasters, given their physical frailty, lower social status, loss of medications and medical care, the vulnerability of older people increases. The purpose of this study was to examine the perceptions of older people in Korea on various aspects of disaster preparedness to better understand their special needs and to facilitate appropriate disaster planning. The study was qualitative and used focus group interviews with 12 older people in one major city and one rural area of South Korea. Four themes were identified by the analysis of the interviews: defenceless state, reality of accepting limitations, strong will to live, importance of disaster preparedness governmental efforts for the older people. Findings indicated that preparation of shelters and transportation was critical to help older people survive in times of disasters and suggested that there should be active involvement of the government in terms of disaster planning, managing and preparing older people for disasters. In addition, healthy older people can be assets to disaster relief efforts by providing practical and emotional support for the most fragile older people. Older people can also provide knowledge of their special needs to the government to improve their disaster response policy.

  18. Clinical Features of Infection in Older Adults.

    PubMed

    Norman, Dean C

    2016-08-01

    The impact of infectious diseases on older adults is far greater than on younger adults because of significantly higher morbidity and mortality caused by infection. The reasons for this greater impact include factors such as lower physiologic reserve due to age and chronic disease, age-related changes in host defenses, loss of mobility, higher risk for polypharmacy and adverse drug reactions, and being on drugs that increase the risk for infection (e.g., anticholinergic and other sedating medications increase the risk for pneumonia). PMID:27394015

  19. Screening for Malnutrition in Older People.

    PubMed

    Guyonnet, Sophie; Rolland, Yves

    2015-08-01

    Malnutrition risk increases with age and level of care. Despite significant medical advances, malnutrition remains a significant and highly prevalent public health problem of developed countries. Earlier identification and appropriate nutrition support may help to reverse or halt the malnutrition trajectory and the negative outcomes associated with poor nutritional status. A nutrition screening process is recommended to help detect people with protein-energy malnutrition (PEM) or at malnutrition risk. Evidence supports that oral nutritional supplements and dietary counseling can increase dietary intake and improve quality of life in elderly with PEM or at malnutrition risk. This article examines nutritional screening and assessment tools designated for older adults. PMID:26195101

  20. Assessing and managing depression in older people.

    PubMed

    Thomas, Hywel

    Depression is the most common mental health condition in people aged 65 and over. It can have a detrimental effect on quality of life and reduce patients' ability to manage their health. Nurses caring for older people with physical health problems are in an ideal position to identify depression; this article outlines how general receive the appropriate mental health care. nurses can do so and ensure their patientsepression can occur as a result of major life changes. It affects an estimated two million people over the age of 65 in the UK and is the most common mental illness

  1. Managing agitated behaviour in older people.

    PubMed

    King, Camille

    2012-09-01

    Older people diagnosed with dementia can have complex needs, especially when they exhibit agitated behaviour. Patients with agitated behaviour challenge the delivery of health care. Often the behaviour is a symptom of unmet needs in this population (Dewing 2010). It is important for nurses to understand the underlying causes and apply evidence-based interventions in their nursing practice to promote health, safety and the highest quality of life possible. This article defines and classifies agitated behaviours, discusses implications for their management and then presents evidence-based interventions nurses can use. The interventions are categorised according to each of the five senses.

  2. Preparing for a healthier older age.

    PubMed

    Jefferson, Angie

    2006-01-01

    People are living longer and if they are to enjoy a healthier old age it is important that they start preparing themselves for this during middle age. Many diseases are at least partly preventable by diet and exercise, so understanding the practicalities of good nutrition and the need to achieve and maintain a healthy weight is vital. Health professionals should use every opportunity to get this message across in their contacts with middle aged and older people. This article explains the key nutritional and physiological points and includes specific practical tips for burning off calories and reducing calorie intake. PMID:16550807

  3. Screening for Malnutrition in Older People.

    PubMed

    Guyonnet, Sophie; Rolland, Yves

    2015-08-01

    Malnutrition risk increases with age and level of care. Despite significant medical advances, malnutrition remains a significant and highly prevalent public health problem of developed countries. Earlier identification and appropriate nutrition support may help to reverse or halt the malnutrition trajectory and the negative outcomes associated with poor nutritional status. A nutrition screening process is recommended to help detect people with protein-energy malnutrition (PEM) or at malnutrition risk. Evidence supports that oral nutritional supplements and dietary counseling can increase dietary intake and improve quality of life in elderly with PEM or at malnutrition risk. This article examines nutritional screening and assessment tools designated for older adults.

  4. Medicare, health care reform, and older adults.

    PubMed

    McCracken, Ann L

    2010-12-01

    Nurses will play a key role in health care reform, educating and engaging consumers, providing input into and monitoring implementation, and assisting organizations with transition to new policies. As the largest group of professional health care providers, nurses must be key players in the actualization of health care reform. This article addresses how The Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 will affect the solvency of Medicare, what older adults will gain, effects on quality and effectiveness of care, cost reduction, changes in taxes, and the key provisions of special interest to nurses.

  5. Recognition of dementia in hospitalized older adults.

    PubMed

    Maslow, Katie; Mezey, Mathy

    2008-01-01

    Many hospital patients with dementia have no documented dementia diagnosis. In some cases, this is because they have never been diagnosed. Recognition of Dementia in Hospitalized Older Adults proposes several approaches that hospital nurses can use to increase recognition of dementia. This article describes the Try This approaches, how to implement them, and how to incorporate them into a hospital's current admission procedures. For a free online video demonstrating the use of these approaches, go to http://links.lww.com/A216. PMID:18156858

  6. Caring for older people. Community services: health.

    PubMed

    Pushpangadan, M; Burns, E

    1996-09-28

    Many frail or disabled elderly people are now being maintained in the community, partially at least as a consequence of the Community Care Act 1993. This paper details the work of the major health professionals who are involved in caring for older people in the community and describes how to access nursing, palliative care, continence, mental health, Hospital at Home, physiotherapy, occupational therapy, equipment, and optical, dental, and dietetic services. In many areas, services are evolving to meet needs and some examples of innovative practice are included.

  7. Acute myeloid leukemia in the older adults.

    PubMed

    Almeida, Antonio M; Ramos, Fernando

    2016-01-01

    AML is an aggressive hematological malignancy with highest incidence in the older adults. The adverse features of AML in the elderly, and the frailties and comorbidities frequently present in them, make their management a particularly difficult therapeutic challenge. In this context, it is important to assess carefully patient- as well as disease-associated prognostic features with validated tools. The fittest patients should be considered for curative therapy, such as bone marrow transplantation, whereas low intensity options may be more appropriate for frail patients. Here we review how to assess patients with elderly AML and the treatments options available for them. PMID:27408788

  8. Communicating with older ethnic minority patients.

    PubMed

    Likupe, Gloria

    2014-06-10

    In a time of increasing cultural diversity, it is essential that healthcare professionals respond by providing culturally competent care. Healthcare professionals must recognise the diverse needs of people from ethnic minority communities to ensure that they receive equal standards of care. This is particularly pertinent when providing care for older ethnic minority patients who may not be fluent in English. This article focuses on the need to communicate effectively with this group of patients to meet their health and social care needs, with the ultimate aim of improving patient outcomes. PMID:24894254

  9. Exercise and Rehabilitation of Older Horses.

    PubMed

    McKeever, Kenneth Harrington

    2016-08-01

    An increasing percentage of the equine population is more than 15 years old, many performing various athletic activities into their 20s. Studies of aged humans have led to a fine tuning of exercise prescription to promote fitness while preventing adverse and potentially dangerous effects of excessive exercise. However, limited data exist regarding the exercise capacity of aged horses. This article presents an overview of published studies on aging-induced decreases in physiologic function and exercise capacity in the horse. The information presented can be used as a guide for exercise prescription for the growing population of active older equine athletes. PMID:27449392

  10. Labor-Force Dynamics at Older Ages

    PubMed Central

    Zissimopoulos, Julie M.; Karoly, Lynn A.

    2012-01-01

    Labor-market transitions toward the latter parts of workers’ careers can be complex, with movement between jobs and classes of work and in and out of retirement. The authors analyzed factors associated with the labor-market transitions of older workers to self-employment from unemployment or disability, retirement, or wage and salary work using rich panel data from seven waves of the Health and Retirement Study (HRS). They found evidence that (prior) job characteristics and liquidity constraints are important predictors of movements to self-employment for workers and nonworkers, while risk aversion is a significant predictor only for workers. PMID:23049149

  11. Older Students in Europe. A Survey of Older Students in Four European Countries.

    ERIC Educational Resources Information Center

    Clennell, Stephanie, Ed.

    A survey of older students received responses from 4,461 people aged 60 or over in four European countries: United Kingdom, West Germany, France, and Belgium. The questionnaire had three sections: students' background; information on study methods, time spent, organization of work, and use of study aids; and Approaches to Study Inventory (ASI).…

  12. Career Development and Older Workers: Study Evaluating Adaptability in Older Workers Using Hall's Model

    ERIC Educational Resources Information Center

    Strate, Merwyn L.; Torraco, Richard J.

    2005-01-01

    This qualitative case study described the development of adaptive competence in older workers using a Model of Adaptability and Adaptation developed by Dr. Douglas T. Hall (2002). Few studies have focused on the development of adaptability in workers when faced with change and no studies have focused on the development of adaptability in older…

  13. Taking older people's rights seriously: the role of international law.

    PubMed

    Tang, Kwong-leung

    2008-01-01

    Older people face many difficult challenges that amount to a deplorable violation of their basic human rights (poverty, discrimination, denial of social services, etc.). However, the world has been slow to react. Factors that limit global responses to the challenges of aging include: limited political will, the prevalence of neo-liberalism, and NGOs' longstanding advocacy for other seemingly "more" disadvantaged groups. Such oppression of and discrimination against older people require a concerted world-wide response. We contend that the introduction of an international convention on the human rights of older people is most relevant. Reinforced by a potent international monitoring system, the convention should contain comprehensive and legally binding provisions that require participating states to promote older people's rights. It is argued that international law would be a powerful force in defending and protecting older persons, operating as a baseline for establishing underlying values for national aging policies and linking older persons' concerns with other segments of society. PMID:18198162

  14. Fruit and vegetable intake among older adults: a scoping review.

    PubMed

    Nicklett, Emily J; Kadell, Andria R

    2013-08-01

    Older adults are the fastest growing segment of the world population. Older adults are also at heightened risk of chronic conditions (such as diabetes, heart disease, and cancer) and specific geriatric conditions (such as cognitive impairment, frailty, and falls). Research studies have examined the relationship between fruit and vegetable intake and subsequent health outcomes and the correlates of fruit and vegetable intake in the U.S. population. However, relatively few studies have specifically examined health impacts and correlates of fruit and vegetable intake among older adults, who have unique biophysical and socioeconomic circumstances. Evidence is reviewed to (1) describe findings related to consumption and chronic, geriatric, and other health outcomes among older adults and (2) describe patterns in fruit and vegetable consumption among older adults and how these patterns vary within and among populations. This review addresses specific barriers faced by older adults in obtaining and consuming fruits and vegetables in community settings. Recommendations for practice and policy are discussed.

  15. Blood Pressure in Older Adults: the Importance of Frailty.

    PubMed

    Odden, Michelle C; Beilby, Pamela R; Peralta, Carmen A

    2015-07-01

    The importance of high blood pressure (BP) and the effect of BP lowering in older adults remain controversial due to the mixed evidence in this population. Frailty status may resolve the apparently conflicting findings and identify subpopulations who share common risk. Emerging evidence demonstrates that low BP is associated with poor outcomes in older frail adults or those with poor functional status. In contrast, in non-frail older adults, low BP appears beneficial. Frail older adults may be at increased risk of hypotension, serious fall injuries, and polypharmacy. Additionally, peripheral BP may not be the best prognostic measure in this population. The majority of clinical practice guidelines give little recommendation for frail older adults, which is likely due to their systematic underrepresentation in randomized controlled trials. Future studies need to consider modifications to safely include frail older adults, and guidelines should consider inclusion of evidence beyond randomized controlled trials.

  16. Older people as resources in South Africa: Mpumalanga households.

    PubMed

    Kimuna, Sitawa R; Makiwane, Monde

    2007-01-01

    The extended family used to be relied upon to provide subsistence and care for older people in sub-Saharan Africa. However, recently South Africa has seen a reversal of roles, where older people now provide subsistence and care to younger generations; this role reversal is being accelerated by HIV/AIDS deaths among young adults. In most rural households, the non-contributory old age pension (OAP) that is means-tested is an important factor in making older people breadwinners. Using data from the 2004 Mpumalanga Older People's Survey, we examined the changing role of older people, which has been influenced mainly by changes in household structure and old age pension. Findings show that in 63% of matrifocal, multigenerational households, 76% of older people are the sole providers of household necessities, caring for the sick and grandchildren in increasingly skip-generation households. PMID:17347119

  17. Chemotherapy-related cognitive impairment in older patients with cancer

    PubMed Central

    Loh, Kah Poh; Janelsins, Michelle C.; Mohile, Supriya G.; Holmes, Holly M.; Hsu, Tina; Inouye, Sharon K.; Karuturi, Meghan S.; Kimmick, Gretchen G.; Lichtman, Stuart M.; Magnuson, Allison; Whitehead, Mary I.; Wong, Melisa L.; Ahles, Tim A.

    2016-01-01

    Chemotherapy-related cognitive impairment (CRCI) can occur during or after chemotherapy and represents a concern for many patients with cancer. Among older patients with cancer, in whom there is little clinical trial evidence examining side effects like CRCI, many unanswered questions remain regarding risk for and resulting adverse outcomes from CRCI. Given the rising incidence of cancer with age, CRCI is of particular concern for older patients with cancer who receive treatment. Therefore, research related to CRCI in older patients with cancers is a high priority. In this manuscript, we discuss current gaps in research highlighting the lack of clinical studies of CRCI in older adults, the complex mechanisms of CRCI, and the challenges in measuring cognitive impairment in older patients with cancer. Although we focus on CRCI, we also discuss cognitive impairment related to cancer itself and other treatment modalities. We highlight several research priorities to improve the study of CRCI in older patients with cancer. PMID:27197918

  18. Taking older people's rights seriously: the role of international law.

    PubMed

    Tang, Kwong-leung

    2008-01-01

    Older people face many difficult challenges that amount to a deplorable violation of their basic human rights (poverty, discrimination, denial of social services, etc.). However, the world has been slow to react. Factors that limit global responses to the challenges of aging include: limited political will, the prevalence of neo-liberalism, and NGOs' longstanding advocacy for other seemingly "more" disadvantaged groups. Such oppression of and discrimination against older people require a concerted world-wide response. We contend that the introduction of an international convention on the human rights of older people is most relevant. Reinforced by a potent international monitoring system, the convention should contain comprehensive and legally binding provisions that require participating states to promote older people's rights. It is argued that international law would be a powerful force in defending and protecting older persons, operating as a baseline for establishing underlying values for national aging policies and linking older persons' concerns with other segments of society.

  19. The role of chiropractic care in older adults

    PubMed Central

    2012-01-01

    There are a rising number of older adults; in the US alone nearly 20% of the population will be 65 or older by 2030. Chiropractic is one of the most frequently utilized types of complementary and alternative care by older adults, used by an estimated 5% of older adults in the U.S. annually. Chiropractic care involves many different types of interventions, including preventive strategies. This commentary by experts in the field of geriatrics, discusses the evidence for the use of spinal manipulative therapy, acupuncture, nutritional counseling and fall prevention strategies as delivered by doctors of chiropractic. Given the utilization of chiropractic services by the older adult, it is imperative that providers be familiar with the evidence for and the prudent use of different management strategies for older adults. PMID:22348431

  20. An intervention to help older adults maintain independence safely.

    PubMed

    Ganong, Lawrence H; Coleman, Marilyn; Benson, Jacquelyn J; Snyder-Rivas, Linley A; Stowe, James D; Porter, Eileen J

    2013-05-01

    Older adults who live alone are at risk for problems (e.g., falling, sudden illness). To maintain themselves safely at home they may benefit from planning to prevent problems. The purpose of this study was to evaluate an intervention designed to train family members or friends as to how to help older adults who were living alone make plans to maintain independence safely in their homes and to make behavioral and household changes to enhance safety. Support network members of 19 older adults randomly assigned to the intervention group were taught to use multiple segment vignettes to assist the older adults in creating plans for living safely. Older adults in the control group (n = 21) were asked to engage in an unstructured discussion about home safety with their network members. Older adults in the intervention group developed safer plans and made more household and behavioral changes than did control group adults.

  1. Older patients’ experiences during care transition

    PubMed Central

    Rustad, Else Cathrine; Furnes, Bodil; Cronfalk, Berit Seiger; Dysvik, Elin

    2016-01-01

    Background A fragmented health care system leads to an increased demand for continuity of care across health care levels. Research indicates age-related differences during care transition, with the oldest patients having experiences and needs that differ from those of other patients. To meet the older patients’ needs and preferences during care transition, professionals must understand their experiences. Objective The purpose of the study was to explore how patients ≥80 years of age experienced the care transition from hospital to municipal health care services. Methods The study has a descriptive, explorative design, using semistructured interviews. Fourteen patients aged ≥80 participated in the study. Qualitative content analysis was used to describe the individuals’ experiences during care transition. Results Two complementary themes emerged during the analysis: “Participation depends on being invited to plan the care transition” and “Managing continuity of care represents a complex and challenging process”. Discussion Lack of participation, insufficient information, and vague responsibilities among staff during care transition seemed to limit the continuity of care. The patients are the vulnerable part of the care transition process, although they possess important resources, which illustrate the importance of making their voice heard. Older patients are therefore likely to benefit from more intensive support. A tailored, patient-centered follow-up of each patient is suggested to ensure that patient preferences and continuity of care to adhere to the new situation. PMID:27274204

  2. Maintaining older brain functionality: A targeted review.

    PubMed

    Ballesteros, Soledad; Kraft, Eduard; Santana, Silvina; Tziraki, Chariklia

    2015-08-01

    The unprecedented growth in the number of older adults in our society is accompanied by the exponential increase in the number of elderly people who will suffer cognitive decline and dementia in the next decades. This will create an enormous cost for governments, families and individuals. Brain plasticity and its role in brain adaptation to the process of aging is influenced by other changes as a result of co-morbidities, environmental factors, personality traits (psychosocial variables) and genetic and epigenetic factors. This review summarizes recent findings obtained mostly from interventional studies that aim to prevent and/or delay age-related cognitive decline in healthy adults. There are a multitude of such studies. In this paper, we focused our review on physical activity, computerized cognitive training and social enhancement interventions on improving cognition, physical health, independent living and wellbeing of older adults. The methodological limitations of some of these studies, and the need for new multi-domain synergistic interventions, based on current advances in neuroscience and social-brain theories, are discussed. PMID:26054789

  3. Financial inequality and gender in older people.

    PubMed

    Vlachantoni, Athina

    2012-06-01

    Gender inequalities in the financial resources in later life result from the combined effect of women's atypical life courses, which include interrupted employment records and periods of care provision, and the fact that pension systems have generally been slow in mitigating 'diversions' from continuous and full-time working lives. Gender differentials in financial resources can often result in a greater likelihood of facing poverty for older women compared to older men, and such risk can be experienced for longer periods for women, as a result of their higher life expectancy on average. For example, across the EU-27, 16% of men compared to 23% of women aged 65 and over faced a poverty risk, and at age 65, men can expect to live another 17 years on average, while women another 21 years. Although modern pension systems are increasingly recognising the diversity of women's patterns of paid and unpaid work, for example by accounting for periods of childcare in the calculation of the state pension, research continues to show a 'penalty' for women who have spent significant periods of their life providing care to children or dependent adults in and outside the household. Reducing such penalty is particularly important as population ageing and an increasing demand for formal and informal care are likely to present challenges with critical policy implications for societies and individuals alike. PMID:22445280

  4. Neighborhood amenities and mobility in older adults.

    PubMed

    Rosso, Andrea L; Grubesic, Tony H; Auchincloss, Amy H; Tabb, Loni P; Michael, Yvonne L

    2013-09-01

    Diversity of neighborhood amenities may promote the mobility of older adults. A 2010 community-based sample of 510 adults aged ≥65 years in Philadelphia, Pennsylvania, and geospatial data from the Esri Business Analyst database (Esri, Inc., Redlands, California) were used to assess associations of neighborhood amenity diversity with mobility. Neighborhoods were defined by census tract, and diversity of amenities was derived by using the Leadership in Energy and Environmental Design's neighborhood development index (US Green Building Council, Washington, DC). Generalized estimating equations adjusted for demographic, socioeconomic, and neighborhood characteristics were used to estimate differences in mobility score by tertile of amenity diversity. Analyses were stratified by participants' routine travel habits (stayed at home, stayed in home zip code, or traveled beyond home zip code). We found that for those who spent most of their time in their home neighborhoods, mobility scores (from the Life-Space Assessment, which ranges from 0 to 104 points) were 8.3 points higher (95% confidence interval: 0.1, 16.6) among those who lived in neighborhoods with the most amenity diversity compared with those who lived in neighborhoods with the least amenity diversity. No significant associations between amenity diversity and mobility were observed for those who did not leave home or who regularly traveled outside their neighborhoods. Neighborhoods with a high diversity of amenities may be important promoters of mobility in older adults who do not routinely travel outside their neighborhoods.

  5. Change in Cognitive Abilities in Older Latinos.

    PubMed

    Wilson, Robert S; Capuano, Ana W; Marquez, David X; Amofa, Priscilla; Barnes, Lisa L; Bennett, David A

    2016-01-01

    The aim of this study was to compare patterns of cognitive decline in older Latinos and non-Latinos. At annual intervals for a mean of 5.7 years, older Latino (n=104) and non-Latino (n=104) persons of equivalent age, education, and race completed a battery of 17 cognitive tests from which previously established composite measures of episodic memory, semantic memory, working memory, perceptual speed, and visuospatial ability were derived. In analyses adjusted for age, sex, and education, performance declined over time in each cognitive domain, but there were no ethnic group differences in initial level of function or annual rate of decline. There was evidence of retest learning following the baseline evaluation, but neither the magnitude nor duration of the effect was related to Latino ethnicity, and eliminating the first two evaluations, during which much of retest learning occurred, did not affect ethnic group comparisons. Compared to the non-Latino group, the Latino group had more diabetes (38.5% vs. 25.0; χ2[1]=4.4; p=.037), fewer histories of smoking (24.0% vs. 39.4%, χ2[1]=5.7; p=.017), and lower childhood household socioeconomic level (-0.410 vs. -0.045, t[185.0]=3.1; p=.002), but controlling for these factors did not affect results. Trajectories of cognitive aging in different abilities are similar in Latino and non-Latino individuals of equivalent age, education, and race. (JINS, 2016, 22, 58-65).

  6. [Treatment of older persons with diabetes].

    PubMed

    Fernández, Margarita Alonso

    2014-05-01

    The prevalence of diabetes increases with age. In Spain, almost a third of persons older than 75 years have diabetes, and 10% of cases are undiagnosed. The approach in this age group is influenced by the coexistence of comorbidities and geriatric syndromes, as well as by the polypharmacy found in these patients. All the clinical practice guidelines recommend that glycemic control be individually tailored according to such factors as disease duration, the presence of complications, functional status, life expectancy, and the patient's environment, among other elements. In general, the therapeutic approach in older persons does not differ from that recommended in the younger population: it should be multifactorial, considering lifestyle modifications and control of hyperglycemia and the remaining cardiovascular risk factors. The main limitation is hypoglycemia, which is the most common and severe factor in this age group. Therapeutic recommendations in elderly persons with diabetes are based on expert opinion, since these patients are usually excluded from clinical trials. Consequently, clinical judgment is required to optimize the treatment of diabetes, with an emphasis on interventions to prevent symptoms and improve quality of life. DPP-4 inhibitors can be used, due to their low risk of hypoglycemias and safety. Before any treatment is started, its risk/benefit ratio should be evaluated, along with the patient's functional and cognitive status.

  7. Depressive symptoms in institutionalized older adults

    PubMed Central

    Santiago, Lívia Maria; Mattos, Inês Echenique

    2014-01-01

    OBJECTIVE To estimate the prevalence of depressive symptoms among institutionalized elderly individuals and to analyze factors associated with this condition. METHODS This was a cross-sectional study involving 462 individuals aged 60 or older, residents in long stay institutions in four Brazilian municipalities. The dependent variable was assessed using the 15-item Geriatric Depression Scale. Poisson’s regression was used to evaluate associations with co-variables. We investigated which variables were most relevant in terms of presence of depressive symptoms within the studied context through factor analysis. RESULTS Prevalence of depressive symptoms was 48.7%. The variables associated with depressive symptoms were: regular/bad/very bad self-rated health; comorbidities; hospitalizations; and lack of friends in the institution. Five components accounted for 49.2% of total variance of the sample: functioning, social support, sensory deficiency, institutionalization and health conditions. In the factor analysis, functionality and social support were the components which explained a large part of observed variance. CONCLUSIONS A high prevalence of depressive symptoms, with significant variation in distribution, was observed. Such results emphasize the importance of health conditions and functioning for institutionalized older individuals developing depression. They also point to the importance of providing opportunities for interaction among institutionalized individuals. PMID:24897042

  8. Transthyretin cardiac amyloidoses in older North Americans.

    PubMed

    Dharmarajan, Kumar; Maurer, Mathew S

    2012-04-01

    The amyloidoses are a group of hereditary or acquired disorders caused by the extracellular deposition of insoluble protein fibrils that impair tissue structure and function. All amyloidoses result from protein misfolding, a common mechanism for disorders in older persons, including Alzheimer's disease and Parkinson's disease. Abnormalities in the protein transthyretin (TTR), a serum transporter of thyroxine and retinol, is the most common cause of cardiac amyloidoses in elderly adults. Mutations in TTR can result in familial amyloidotic cardiomyopathy, and wild-type TTR can result in senile cardiac amyloidosis. These underdiagnosed disorders are much more common than previously thought. The resulting restrictive cardiomyopathy can cause congestive heart failure, arrhythmias, and advanced conduction system disease. Although historically difficult to make, the diagnosis of TTR cardiac amyloidosis has become easier in recent years with advances in cardiac imaging and more widespread use of genetic analysis. Although therapy has largely involved supportive medical care, avoidance of potentially toxic agents, and rarely organ transplantation, the near future brings the possibility of targeted pharmacotherapies designed to prevent TTR misfolding and amyloid deposition. Because these disease-modifying agents are designed to prevent disease progression, it has become increasingly important that older persons with TTR amyloidosis be expeditiously identified and considered for enrollment in clinical registries and trials. PMID:22329529

  9. Management of fibromyalgia in older adults.

    PubMed

    Fitzcharles, Mary-Ann; Ste-Marie, Peter A; Shir, Yoram; Lussier, David

    2014-10-01

    Fibromyalgia (FM) is a pain syndrome characterized by dysregulation of pain-processing mechanisms. FM may arise de novo or evolve following nervous system sensitization after an identifiable triggering event or related to a peripheral pain generator such as osteoarthritis. Although the focus symptom of FM is generalized body pain, patients may also experience sleep and mood disturbance, fatigue, and other somatic symptoms leading to the concept of a polysymptomatic condition. In view of prevalent other comorbidities in older patients, FM may be overlooked and management may be neglected, thereby contributing to poor well-being. Pertinent to the older patient is to ensure that the diagnosis of FM is correct and that other conditions are not misdiagnosed as FM. Whereever possible, treatment strategies should emphasize non-pharmacologic interventions that encompass healthy lifestyle habits, with attention to adequate physical activity in particular. Drug treatments should be tailored to the individual needs of the patient, with knowledge that they may offer only a modest effect, but with caution to ensure that adverse effects do not overshadow therapeutic effects.

  10. Maintaining older brain functionality: A targeted review.

    PubMed

    Ballesteros, Soledad; Kraft, Eduard; Santana, Silvina; Tziraki, Chariklia

    2015-08-01

    The unprecedented growth in the number of older adults in our society is accompanied by the exponential increase in the number of elderly people who will suffer cognitive decline and dementia in the next decades. This will create an enormous cost for governments, families and individuals. Brain plasticity and its role in brain adaptation to the process of aging is influenced by other changes as a result of co-morbidities, environmental factors, personality traits (psychosocial variables) and genetic and epigenetic factors. This review summarizes recent findings obtained mostly from interventional studies that aim to prevent and/or delay age-related cognitive decline in healthy adults. There are a multitude of such studies. In this paper, we focused our review on physical activity, computerized cognitive training and social enhancement interventions on improving cognition, physical health, independent living and wellbeing of older adults. The methodological limitations of some of these studies, and the need for new multi-domain synergistic interventions, based on current advances in neuroscience and social-brain theories, are discussed.

  11. How I treat glioblastoma in older patients.

    PubMed

    Mohile, Nimish A

    2016-01-01

    Glioblastoma, a WHO grade IV astrocytoma, is the most common primary malignant brain tumor in adults. It is characterized by molecular heterogeneity and aggressive behavior. Glioblastoma is almost always incurable and most older patients survive less than 6 months. Supportive care with steroids and anti-epileptic drugs is critical to improving and maintain quality of life. Young age, good performance status and methylation of the methyl guanyl methyl transferase promoter are important positive prognostic factors. Several recent clinical trials suggest that there is a subset of the elderly with prolonged survival that is comparable to younger patients. Treatment of glioblastoma in older patients includes maximal safe resection followed by either radiation, chemotherapy or combined modality therapy. Recent advances suggest that some patients can avoid radiation entirely and be treated with chemotherapy alone. Decisions about therapy are individual and based on a patient's performance status, family support and molecular features. Future work needs to better determine the role for comprehensive geriatric assessments in this patient population to better identify patients who may most benefit from aggressive therapies. PMID:26725536

  12. Transthyretin Cardiac Amyloidoses in Older North Americans

    PubMed Central

    Dharmarajan, Kumar; Maurer, Mathew S.

    2011-01-01

    The amyloidoses are a group of hereditary or acquired disorders caused by the extracellular deposition of insoluble protein fibrils that impair tissue structure and function. All amyloidoses result from protein misfolding, a common mechanism for disorders in older persons including Alzheimer's disease and Parkinson's disease. Cardiac amyloidoses in the elderly are most often caused by abnormalities in the protein transthyretin (TTR), a serum transporter of thyroxine and retinol. Mutations in TTR can result in familial amyloidotic cardiomyopathy, and wild-type TTR can result in senile cardiac amyloidosis. These underdiagnosed disorders are much more common than previously thought. The resulting restrictive cardiomyopathy can cause congestive heart failure, arrhythmias, and advanced conduction system disease. Although historically difficult to make, the diagnosis of TTR cardiac amyloidosis has become easier in recent years with advances in cardiac imaging and more widespread use of genetic analysis. While therapy to this point has largely involved supportive medical care, avoidance of potentially toxic agents, and rarely organ transplantation, the near future brings the possibility of targeted pharmacotherapies designed to prevent TTR misfolding and amyloid deposition. As these disease modifying agents are designed to prevent disease progression, it has become increasingly important that older persons with TTR amyloidosis be expeditiously identified and considered for enrollment in clinical registries and trials. PMID:22329529

  13. Perspective: transforming chronic care for older persons.

    PubMed

    Boult, Chad; Christmas, Colleen; Durso, Samuel C; Leff, Bruce; Boult, Lisa B; Fried, Linda P

    2008-07-01

    The size and impending morbidity of the aging baby boom generation could soon overwhelm the U.S. health care system. Transforming chronic care for older persons to avert this calamity will require rapid increases in the number of physicians who are skilled in providing chronic care and prompt adoption of new models for providing high-quality, cost-effective chronic care. The authors propose a new approach for attaining these objectives, recommending that today's leaders of academic medicine help transform geriatrics into a collaborative discipline of clinicians with advanced skills in leading educational, organizational, and research-related initiatives; that they support the collaboration of geriatrics with primary care and specialty disciplines in preparing physicians to practice effectively in new models of chronic care for older persons; and that they energetically promote rigorous training in chronic care at all levels of medical education. Implementing this strategy would require firm commitment by the Association of American Medical Colleges, specialty boards, accrediting organizations, academic institutions, the Centers for Medicare and Medicaid Services, legislators, and business leaders. Although garnering such support would be challenging and controversial, this approach could leverage the expertise of geriatric educator-leaders to help transform chronic care in the United States and to make high-quality, cost-effective chronic care accessible to most chronically ill Americans within 20 years.

  14. Older African Americans' Beliefs about Pain, Biomedicine, and Spiritual Medicine.

    PubMed

    Booker, Staja Q

    2015-01-01

    Persistent (chronic) pain prompts older African Americans (AAs) to utilize a combination of biomedicine (BM) and spiritual medicine (SM)for pain management. Because less is known about how older AAs use these pain management interventions, healthcare providers are unable to provide holistic care and optimal pain management. Using a Christian and Afrocentric perspective, this article reviews older AAs use of BM and SM, offering reconmendations on how to integrate BM and SM for pain management.

  15. Neuropsychological status in older adults influences susceptibility to false memories.

    PubMed

    Meade, Michelle L; Geraci, Lisa D; Roediger, Henry L

    2012-01-01

    In 2 experiments we examined the influence of frontal lobe function on older adults' susceptibility to false memory in a categorized list paradigm. Using a neuropsychological battery of tests developed by Glisky, Polster, and Routhieaux (1995), we designated older adults as having high- or low-frontal function. Young and older adults studied and were tested on categorized lists using free report cued recall and forced report cued recall instructions, with the latter requiring participants to produce responses even if they had to guess. Under free report cued recall instructions, frontal lobe function was a strong predictor of false memories in older adults: Older adults who scored low on tests of frontal functioning demonstrated much higher levels of false recall than younger adults, whereas levels of false recall in high-frontal older adults were more similar to those of young adults. However, after forced report cued recall, high- and low-frontal older adults performed similarly to each other, and both demonstrated higher levels of false recall than young adults. On a final recognition test, high-frontal older adults in both the free report cued recall and forced report cued recall conditions were more successful than low-frontal older adults in using source information to reduce memory errors. The results indicate that older adults show higher levels of false recall than younger adults, but type of test (free report or forced report) and neuropsychological status of older adults mediate these effects. Low-frontal older adults are particularly susceptible to producing false memories on free report tests that entail source monitoring. PMID:23350303

  16. Treatment of Muscle-Invasive Bladder Cancer in Older Patients.

    PubMed

    Skinner, Eila C

    2016-01-01

    Treatment of muscle-invasive bladder cancer in older patients is challenging. Definitive therapy of localized disease requires either surgery or radiation therapy, ideally combined with systemic chemotherapy. However, current population data suggest that less than half of patients older than age 70 are offered such treatments. We will review tools available to assess the fitness of older patients for surgery, alternatives, and tips for perioperative patient treatment.

  17. Modification of Concept Identification Performance in Older Adults

    ERIC Educational Resources Information Center

    Sanders, Jo Ann Clawson; And Others

    1975-01-01

    A sequential training procedure combining operant and cumulative learning hierarchy principles was found effective in reducing the decrement in concept identification performance typically observed in older adults. (JMB)

  18. Correlates of, and barriers to, Internet use among older adults.

    PubMed

    Chang, Janet; McAllister, Carolyn; McCaslin, Rosemary

    2015-01-01

    Older adults constitute the group with the greatest increase in Internet usage in the past decade; however, usage varies greatly within this population. Services to older adults require a current understanding of Internet-use trends. This study utilized a quantitative survey method to examine correlates of, and barriers to, current Internet use in a demographically diverse county in Southern California. Findings indicate that the presence of a computer at home, a job requiring computer use, age, education, and ethnicity are important factors in predicting Internet use in older adults. Implications for social work practice with older adults is discussed.

  19. Hypnosis for pain management in the older adult.

    PubMed

    Cuellar, Norma G

    2005-09-01

    Pain is a physical, emotional and psychologic phenomenon that is often ignored in older adults causing depression and poor quality of life. Older adults report the use of complementary and alternative medicine in some form with 80% of these users reporting improvement in their health conditions. Although physical pain in the older adult is usually managed with pharmacologic interventions, methods that may reduce the use of prescription drugs may decrease adverse effects that can compromise the physiologic state of the older adult. Hypnosis has continued to gain acceptance within mainstream medicine as an appropriate treatment and can be integrated safely with conventional medicine as an effective treatment for a variety of conditions in the older adult. It is an intervention that can be used for relaxation and pain control, especially when conventional pharmacologic regimens have failed. The purpose of this article is to review the concepts related to pain in older adults; the use of complementary and alternative medicine in the older adult; hypnosis and the older adult (i.e., background, definition, benefits, research, mechanism of action, hypnotizability, and the process); and the implications of using hypnosis for pain management in the older adult. PMID:16129381

  20. Challenges with Diagnosing and Managing Sepsis in Older Adults.

    PubMed

    Clifford, Kalin M; Dy-Boarman, Eliza A; Haase, Krystal K; Maxvill, Kristen; Pass, Steven E; Alvarez, Carlos A

    2016-01-01

    Sepsis in older adults has many challenges that affect rate of septic diagnosis, treatment, and monitoring parameters. Numerous age-related changes and comorbidities contribute to increased risk of infections in older adults, but also atypical symptomatology that delays diagnosis. Due to various pharmacokinetic/pharmacodynamic changes in the older adult, medications are absorbed, metabolized, and eliminated at different rates as compared to younger adults, which increases risk of adverse drug reactions due to use of drug therapy needed for sepsis management. This review provides information to aid in diagnosis and offers recommendations for monitoring and treating sepsis in the older adult population.

  1. CPR - adult and child 9 years and older

    MedlinePlus

    Cardiopulmonary resuscitation - adult; Rescue breathing and chest compressions - adult; Resuscitation - cardiopulmonary - adult; Cardiopulmonary resuscitation - child 9 years and older; Rescue breathing ...

  2. Older LGBT adult training panels: an opportunity to educate about issues faced by the older LGBT community.

    PubMed

    Rogers, Anissa; Rebbe, Rebecca; Gardella, Chanel; Worlein, Mary; Chamberlin, Mya

    2013-01-01

    Older lesbian, gay, bisexual, and transgender (LGBT) adults face unique issues that can impede their well-being. Although many advances have helped address these issues, there is a need for education efforts that raise awareness of service providers about these issues. This study explores evaluation data of training panels provided by older LGBT adults and the views of training participants on issues faced by the older LGBT community after attending the panels. Participants were 605 students and professionals from over 34 education and communication settings. Implications for trainings on participants and older LGBT trainers are discussed.

  3. Older LGBT adult training panels: an opportunity to educate about issues faced by the older LGBT community.

    PubMed

    Rogers, Anissa; Rebbe, Rebecca; Gardella, Chanel; Worlein, Mary; Chamberlin, Mya

    2013-01-01

    Older lesbian, gay, bisexual, and transgender (LGBT) adults face unique issues that can impede their well-being. Although many advances have helped address these issues, there is a need for education efforts that raise awareness of service providers about these issues. This study explores evaluation data of training panels provided by older LGBT adults and the views of training participants on issues faced by the older LGBT community after attending the panels. Participants were 605 students and professionals from over 34 education and communication settings. Implications for trainings on participants and older LGBT trainers are discussed. PMID:23905835

  4. [Frequency of cancer at older ages].

    PubMed

    Hill, Catherine; Doyon, Françoise

    2008-05-28

    The dependency between the risk of death and age is analysed, and the contribution of cancer to the overall risk of death is evaluated as a function of age. The frequency of the different cancer sites is described in different age groups. Lastly cancer mortality trends are presented by age. The risk of death from cancer increases markedly with age, but the risk of a death from a cardiovascular disease increases even more rapidly, consequently the importance of cancer as a cause of death decreases with age. In the male population, lung and head and neck cancers are the most frequent cancers before age 65, whereas prostate and colorectal cancers are more frequent at older ages. In the female population, breast and colorectal cancers are the most frequent cancers except for mortality before age 65 where lung cancer is the second killer after breast cancer. The risk of cancer death decreases in recent years for all age groups.

  5. Healthy Aging in Community for Older Lesbians

    PubMed Central

    Putney, Jennifer M.; Shepard, Bonnie L.; Sass, Samantha E.; Rudicel, Sally; Ladd, Holly

    2016-01-01

    Abstract Purpose: In Boston and Outer Cape, Massachusetts, we explored the expectations of lesbians 60 years and older regarding healthy aging and community importance. Methods: Focus groups were conducted with participants after completing an anonymous demographic questionnaire. Thematic analysis was used to generate themes and identify how they varied by urban versus rural settings. Results: Group discussions focused on community, finances, housing, and healthcare. Primary concerns included continued access to supportive and lesbian communities as a source of resilience during aging. Conclusion: Concerns about discrimination and isolation mirror themes found in national research. The study findings suggest a need for more research into the housing and transportation needs of lesbians approaching later life, with a focus on how those needs relate to affordability, accessibility, and proximity to social support and healthcare. These findings also suggest the need for substantial investments in strengthening the LGBT-related cultural competence of providers of services for the elderly. PMID:27046541

  6. Additional potential for older, Antrim Shale wells

    SciTech Connect

    Frantz, J.H. Jr.; Hopkins, C.W.; Hill, D.G.

    1995-09-01

    The Gas Research Institute (GRI) has been performing evaluations to estimate the recompletion and restimulation potential in older, Antrim Shale wells. The recompletion potential is two-fold: (1) wells that can be deepened to the productive Norwood interval, and (2) wells with Upper Antrim potential. There are also numerous restimulation candidates due to sand flowback and/or other problems. The Antrim Shale is an organic-rich naturally fractured formation which produces both gas and water. Operators today typically complete the Lachine and Norwood intervals but many older wells were not drilled deep enough to encounter to Norwood. We performed an evaluation to determine the optimal deepening method using actual and simulated data. We estimate there are over 500 deepening candidates with total potential reserve additions of 50 Bscf. The Upper antrim formation can be added in approximately 1,500 existing wells throughout several counties. This interval is uphole from the Lachine and Norwood. In this phase of the project, we collected production and reservoir data from several Upper Antrim tests across the basin. We estimate the Upper Antrim could add total new reserves of 100 to 200 Bscf from al the recompletion candidates across the basin. In the restimulation evaluation, we developed a novel injection test unit to help operators identify the best restimulation candidates in a cost effective manner. The injection test determines if an effective hydraulic fracture is connected to the wellbore. Based on 60 test wells, we estimate the restimulations could add 50 to 200 Bscf of future reserves from the 500 to 1,000 candidate wells.

  7. Memory training plus yoga for older adults.

    PubMed

    McDougall, Graham J; Vance, David E; Wayde, Ernest; Ford, Katy; Ross, Jeremiah

    2015-06-01

    Previous tests of the SeniorWISE intervention with community-residing older adults that were designed to improve affect and cognitive performance were successful and positively affected these outcomes. In this study, we tested whether adding yoga to the intervention would affect the outcomes. Using a quasiexperimental pre-post design, we delivered 12 hours of SeniorWISE memory training that included a 30-minute yoga component before each training session. The intervention was based on the four components of self-efficacy theory: enactive mastery experience, vicarious experience, verbal persuasion, and physiologic arousal. We recruited 133 older adults between the ages of 53 and 96 years from four retirement communities in Central Texas. Individuals were screened and tested and then attended training sessions two times a week over 4 weeks. A septuagenarian licensed psychologist taught the memory training, and a certified yoga instructor taught yoga. Eighty-three participants completed at least 9 hours (75%) of the training and completed the posttest. Those individuals who completed made significant gains in memory performance, instrumental activities of daily living, and memory self-efficacy and had fewer depressive symptoms. Thirteen individuals advanced from poor to normal memory performance, and seven improved from impaired to poor memory performance; thus, 20 individuals improved enough to advance to a higher functioning memory group. The findings from this study of a memory training intervention plus yoga training show that the benefits of multifactorial interventions had additive benefits. The combined treatments offer a unique model for brain health programs and the promotion of nonpharmacological treatment with the goals of maintaining healthy brain function and boosting brain plasticity.

  8. Carotenoids and health in older people.

    PubMed

    Woodside, Jayne V; McGrath, Alanna J; Lyner, Natalie; McKinley, Michelle C

    2015-01-01

    As the proportion of older people increases, so will chronic disease incidence and the proportion of the population living with disability. Therefore, new approaches to maintain health for as long as possible in this age group are required. Carotenoids are a group of polyphenolic compounds found predominantly in fruit and vegetables that have been proposed to have anti-inflammatory and antioxidant effects. Such properties may impact on the risk diseases which predominate in older people, and also ageing-related physiological changes. Working out the effect of carotenoid intake versus fruit and vegetable intake is difficult, and the strong correlation between individual carotenoid intakes also complicates any attempt to examine individual carotenoid health effects. Similarly, research to determine whether carotenoids consumed as supplements have similar benefits to increased dietary intake through whole foods, is still required. However, reviewing the recent evidence suggests that carotenoid intake and status are relatively consistently associated with reduced CVD risk, although β-carotene supplementation does not reduce CVD risk and increases lung cancer risk. Increased lycopene intake may reduce prostate cancer progression, with a potential role for carotenoids at other cancer sites. Lutein and zeaxanthin have a plausible role in the maintenance of eye health, whilst an association between carotenoid intake and cognitive and physical health appears possible, although research is limited to date. Given this accruing evidence base to support a specific role for certain carotenoids and ageing, current dietary advice to consume a diet rich in fruit and vegetables would appear prudent, and efforts maintained to encourage increased intake.

  9. Coping styles of older adults with ostomies.

    PubMed

    Reynaud, Sheila Normand; Meeker, Bonnie Juve'

    2002-05-01

    Various clinical studies throughout the years have shown that individuals with ostomies are a unique group facing adjustment demands. One of the most important challenges for an individual with an ostomy is coping with the physiological and psychological changes. The purpose of this study was to describe coping styles of older adults after undergoing ostomy surgery and to explore its helpfulness in dealing with the stressors related to having an ostomy. Lazarus and Folkman's theory on stress and coping was used as the framework to guide this study. A sample of 27 participants ranging from age 50 to 84 years was obtained from an ostomy association in southeastern Louisiana. Participants were asked to complete a demographic data form and the Revised Jalowiec Coping Scale. This revised scale measured eight coping styles related to Use and Effectiveness. Findings revealed significant differences existed among the means of the eight measures for both Use and Effectiveness at p < .01. Results demonstrated that the optimistic and self-reliant styles of coping were the most frequently used as effective styles for coping with an ostomy. This indicated a positive outlook and dependence on oneself rather than dependence on others when coping with the stressors of having an ostomy. There were no statistically significant differences related to gender or ostomy type. Also, aging did not appear to be a factor when considering coping styles of older adults with ostomies. The nursing role should include assessment of the individual preoperatively to identify fears, concerns, and stressors related to having an ostomy. Also, nurses can provide education on disease management, assist with identification of ineffective coping mechanisms, and promote effective coping skills and stress management techniques.

  10. Longitudinal Increase in Anisometropia in Older Adults

    PubMed Central

    Haegerstrom-Portnoy, Gunilla; Schneck, Marilyn E.; Lott, Lori A.; Hewlett, Susan E.; Brabyn, John A.

    2014-01-01

    Purpose Anisometropia shows an exponential increase in prevalence with increasing age based on cross-sectional studies. The purpose of this study was to evaluate longitudinal changes in anisometropia in all refractive components in older observers and to assess the influence of early cataract development. Methods Refractive error was assessed at two time points separated by ~12 years in 118 older observers (ages 67.1 and 79.3 years at the two test times). Anisometropia defined as ≥1.00 D was calculated for all refractive components. The subjects had intact ocular lenses in both eyes throughout the study. Lens evaluations were performed at the second test using LOCS III. Results All refractive components approximately doubled in prevalence of anisometropia. Spherical equivalent anisometropia changed from 16.1% to 32.2%. Similar changes were found for spherical error (17% to 38.1%), primary astigmatism (7.6% to 17.8%) and oblique astigmatism (14.4% to 29.7%). Many who did not have anisometropia at the first visit subsequently developed anisometropia (for ex. 26.3% for spherical error and 22.9% for oblique cylinder). The onset of anisometropia occurred at all ages within the studied age range with no particular preference for any one age. A small number lost anisometropia over time. Individual comparisons of refractive error changes in the two eyes in combination with nuclear lens changes showed that early changes in nuclear sclerosis in the two eyes could account for a large proportion of anisometropia (~40%) but unequal hyperopic shift in the spherical component in the two eyes was the primary cause of the anisometropia. Conclusions Anisometropia is at least 10 times more common in the elderly than in children and anisometropia develops in all refractive components in the oldest observers. Clinicians need to be aware of this common condition that could lead to binocular vision problems and potentially cause falls in the elderly. PMID:24276578

  11. Memory training plus yoga for older adults.

    PubMed

    McDougall, Graham J; Vance, David E; Wayde, Ernest; Ford, Katy; Ross, Jeremiah

    2015-06-01

    Previous tests of the SeniorWISE intervention with community-residing older adults that were designed to improve affect and cognitive performance were successful and positively affected these outcomes. In this study, we tested whether adding yoga to the intervention would affect the outcomes. Using a quasiexperimental pre-post design, we delivered 12 hours of SeniorWISE memory training that included a 30-minute yoga component before each training session. The intervention was based on the four components of self-efficacy theory: enactive mastery experience, vicarious experience, verbal persuasion, and physiologic arousal. We recruited 133 older adults between the ages of 53 and 96 years from four retirement communities in Central Texas. Individuals were screened and tested and then attended training sessions two times a week over 4 weeks. A septuagenarian licensed psychologist taught the memory training, and a certified yoga instructor taught yoga. Eighty-three participants completed at least 9 hours (75%) of the training and completed the posttest. Those individuals who completed made significant gains in memory performance, instrumental activities of daily living, and memory self-efficacy and had fewer depressive symptoms. Thirteen individuals advanced from poor to normal memory performance, and seven improved from impaired to poor memory performance; thus, 20 individuals improved enough to advance to a higher functioning memory group. The findings from this study of a memory training intervention plus yoga training show that the benefits of multifactorial interventions had additive benefits. The combined treatments offer a unique model for brain health programs and the promotion of nonpharmacological treatment with the goals of maintaining healthy brain function and boosting brain plasticity. PMID:25943999

  12. Draw a Young and an Older Person: Schoolchildren's Images of Older People

    ERIC Educational Resources Information Center

    Villar, Feliciano; Faba, Josep

    2012-01-01

    The goal of this study was to explore stereotypes of older people as expressed in drawings by a sample of primary school children. Sixty children from fourth to sixth grades (30 boys and 30 girls aged 9 to 12 years) were asked to draw a young man, a young woman, an old man, and an old woman. The drawings were content analyzed. Children in our…

  13. Cohort Change in Images of Older Adults, 1974-1981.

    ERIC Educational Resources Information Center

    Ferraro, Kenneth F.

    1992-01-01

    Examined images of older people held by adults of all ages in 1974 (n=4,254) and 1981 (n=3,427). Cohort changes in such perceptions over time were examined. Multivariate analysis indicated that social class and health status evaluations of older adults declined between the two surveys, principally because of the assessment by more recent cohorts.…

  14. Preventing Falls in Older Adults Who Live in Community Settings

    MedlinePlus

    ... Preventing Falls in Older Adults Who Live in Community Settings: U.S. Preventive Services Task Force Recommendation Summaries ... full report is titled “Prevention of Falls in Community-Dwelling Older Adults: U.S. Preventive Services Task Force ...

  15. Older Workers' Learning within Organizations: Issues and Challenges

    ERIC Educational Resources Information Center

    Findsen, Brian

    2015-01-01

    As increasing numbers of older adults stay in the workforce or engage in encore careers, they are subjected to diverse issues and challenges. The new dynamics of the workplace in a global market exert pressure on older workers and employers alike in which training and development has a potentially significant function for achieving greater…

  16. "Lost Ladies": Lifelong Learning and Community Participation for Older Women

    ERIC Educational Resources Information Center

    Jackson, Susan

    2012-01-01

    This article will explore lifelong learning and community participation for older women. In doing so, it will draw on empirical work undertaken with the National Federation of Women's Institutes in England and Wales in the UK; and the Sydney Older Women's Network in Australia. The article will briefly outline something of the policies and…

  17. Cognitive Control and Lexical Access in Younger and Older Bilinguals

    ERIC Educational Resources Information Center

    Bialystok, Ellen; Craik, Fergus; Luk, Gigi

    2008-01-01

    Ninety-six participants, who were younger (20 years) or older (68 years) adults and either monolingual or bilingual, completed tasks assessing working memory, lexical retrieval, and executive control. Younger participants performed most of the tasks better than older participants, confirming the effect of aging on these processes. The effect of…

  18. An Exploration of Personality Traits in Older Adult Amateur Musicians

    ERIC Educational Resources Information Center

    Coffman, Don D.

    2007-01-01

    The primary research question for the study was, "Will older adult amateur musicians' personality profiles reflect the traits found in professional musicians?" Participants (N = 58, ages 52 to 79) recruited from a New Horizons Institute "band camp" for older adult amateur musicians completed a musical background questionnaire and the Cattell…

  19. The Susceptibility of Older Adults to Environmental Hazards

    EPA Science Inventory

    This rapid growth in the number of older Americans has many implications for public health, including the need to better understand the health risks posed by environmental exposures to older adults. This paper describes the need to link environmental exposures, the processing of...

  20. Changing Students' Stereotypes of Older Adults

    ERIC Educational Resources Information Center

    Wurtele, Sandy K.; Maruyama, LaRae

    2013-01-01

    Research suggests that university students tend to hold negative attitudes about older adults. However, there is some evidence to suggest that these ageist attitudes can be challenged and changed through curricular intervention. The current study was designed to determine whether the "Activities of Older Adults" exercise as part of a…

  1. Older Adults' Motivation to Learn in Higher Education

    ERIC Educational Resources Information Center

    Lin, Yi-Yin

    2011-01-01

    A limited amount of literature has discussed older adults in formal education, especially their motivations to learn in higher education. This study aims to understand older adults' learning in the context of higher education. Specifically, this study argues that higher education can function as a stimulating learning environment that helps older…

  2. Older Adults' Memory for Verbally Presented Medical Information

    ERIC Educational Resources Information Center

    Bankoff, Sarah M.; Sandberg, Elisabeth Hollister

    2012-01-01

    Previous research demonstrates that patients typically have difficulty remembering information presented during healthcare consultations. This study examined how older adults learn and remember verbally presented medical information. Healthy older adults were tested for recall in experimental and field settings. Participants viewed a five-minute…

  3. The Meaning of Older Adults' Peer Teaching: A Phenomenological Study

    ERIC Educational Resources Information Center

    Choi, Ilseon

    2009-01-01

    This study investigated older adults' peer teaching experiences at a Lifelong Learning Institute through interviews with eight teachers and observations of their classes. Thematic analysis revealed themes of peer-to-peer teaching, volunteer teaching, and explorative teaching. Discussion of the themes examines the meaning of older adults' peer…

  4. Motivation to Learn among Older Adults in Taiwan

    ERIC Educational Resources Information Center

    Chang, Dian-Fu; Lin, Sung-Po

    2011-01-01

    This study analyzed the survey on adults administered by the Ministry of Education in Taiwan in 2008, and logistic regression analysis showed a close relationship between learning motivations of older adults. The finding revealed that the higher age or the lower education attainment of older adults, the lower their learning motivation. The…

  5. Older Adults: What Every Paediatric Nurse Should Know

    ERIC Educational Resources Information Center

    Barba, Beth Ellen; Tesh, Anita Starr; Cowen, Kay; Hancock, Debbie; Moore, Catherine

    2010-01-01

    Older adults have always been important parts of children's lives, playing a variety of roles including grandparent, caregiver, friend, and neighbour. Grandparents also play a variety of roles in families. Often a child's first encounter with serious illness or death involves a grandparent or other older adult. Grandparents are also increasingly…

  6. Institutional Facilitation in Sustained Volunteering among Older Adult Volunteers

    ERIC Educational Resources Information Center

    Tang, Fengyan; Morrow-Howell, Nancy; Hong, Songiee

    2009-01-01

    As more nonprofit organizations rely on older adult volunteers to provide services, it is important to retain volunteers for an extended period of time to ensure service quality and the beneficial outcomes of volunteering. Nonprofit organizations are positioned to facilitate older adult volunteers' role performance. Based on an institutional…

  7. Older adults experiences of rehabilitation in acute health care.

    PubMed

    Atwal, Anita; Tattersall, Kirsty; Murphy, Susana; Davenport, Neil; Craik, Christine; Caldwell, Kay; McIntyre, Anne

    2007-09-01

    Rehabilitation is a key component of nursing and allied healthcare professionals' roles in most health and social care settings. This paper reports on stage 2 of an action research project to ascertain older adult's experience of rehabilitation. Twenty postdischarge interviews were conducted and the interview transcripts were analysed using thematic content analysis. All older adults discharged from an acute older acute rehabilitation ward to their own homes in the community were eligible to participate. The only exclusion criterion was older adults who were thought to be unable to give consent to participate by the nurse in charge and the researcher. Whilst 92 older adults were eligible to participate in this research study, only 20 were interviewed. The findings from this study suggest that older adults valued communication with health professionals but were aware of their time constraints that hindered communication. This study suggests that both nurses and allied health professionals are not actively providing rehabilitative services to promote health and well-being, which contradicts the focus of active ageing. Furthermore, there was evidence of unmet needs on discharge, and older adults unable to recall the professions that were involved in their interventions and the rationale for therapy input. It is suggested that further research is needed to explore the effectiveness of allied health rehabilitation in the acute setting. This study highlights the need for further research into older adults' perceptions of the rehabilitation process in the acute setting.

  8. Older Adults: Community College Students of the 1990s.

    ERIC Educational Resources Information Center

    Craig, Ford M.

    With a declining pool of youth to draw from, community colleges need to be concerned about what can be done to serve the needs of a burgeoning older adult population. Recent research on the educational needs of older adults reveals that they are interested in: (1) information on such personal business and financial topics as social security…

  9. FACILITATION AND INTERFERENCE IN THE OLDER ADULT LEARNER. FINAL REPORT.

    ERIC Educational Resources Information Center

    MCCRYSTAL, THOMAS J.

    THIS STUDY IS CONCERNED WITH THE DEGREE TO WHICH OLDER AND YOUNGER ADULTS ARE SUBJECT TO THE INTERFERING EFFECTS OF PAST HABITS. TO DETERMINE THE EXTENT TO WHICH HYPOTHESES BASED ON ASSUMPTIONS OF CONTEMPORARY INTERFERENCE THEORY HOLD FOR THE OLDER ADULT POPULATION, THESE HYPOTHESES WERE TESTED IN A NEGATIVE TRANSFER TASK, WHERE INCOMPATIBLE…

  10. Collaborative Learning among Older Married Couples: An Exploratory Study

    ERIC Educational Resources Information Center

    Vrkljan, Brenda H.

    2011-01-01

    Collaboration with a married partner has been suggested as a potential strategy to help acquire and retain new skills in older adulthood. Yet, few studies have evaluated how older married couples work together when problem-solving through cognitive-based tasks. The present study involved a usability analysis of the performance and interaction of…

  11. Work and Retirement: Options for Continued Employment of Older Workers.

    ERIC Educational Resources Information Center

    Vavrichek, Bruce

    A study analyzed the changing nature of older persons in the labor force, factors that may affect their work decisions, and policy changes that could facilitate their continuation or reentry into the work force beyond the normal retirement age. Data examined during the survey indicate that while the number of people aged 65 and older is continuing…

  12. Evaluation of a Medicine Information Training Program for Older People.

    ERIC Educational Resources Information Center

    Quine, Susan

    1998-01-01

    Australian older adults were trained to act as advocates and role models to inform peers on effective use of medicines. Trainees reported difficulties experienced by older learners when training is too concentrated. Many noted increased self-esteem and personal growth as a result of their involvement. (SK)

  13. Managing depression in older people with visual impairment.

    PubMed

    Watkinson, Susan

    2011-10-01

    The author describes the management of depression in older people with visual impairment. The concept of depression is defined, and the main classifications are outlined. The signs and symptoms of depression are presented and approaches to treatment are discussed. The role of the nurse in managing depression in older people with sight loss is discussed.

  14. A Drama Project about Older People's Intimacy and Sexuality

    ERIC Educational Resources Information Center

    Hafford-Letchfield, Trish; Couchman, Wendy; Webster, Maxine; Avery, Peter

    2010-01-01

    This paper describes an intergenerational project developed in partnership between a social work degree program and an Older People's Theatre group. Bringing together a small group of students, older actors, and film makers, methods from drama and the arts were utilised to explore the topic of intimacy and sexuality in later life. The project…

  15. Using Observation for Reflective Practice with Older People

    ERIC Educational Resources Information Center

    Hughes, Mark; Heycox, Karen

    2008-01-01

    This article discusses the use of observation for reflective practice with older people, particularly the benefits and challenges of this learning tool. It outlines a study with 26 third-year Bachelor of Social Work students who undertook an elective course on reflective practice with older people. Using qualitative document analysis, the authors…

  16. Older Adult Inmates: The Challenge for Social Work

    ERIC Educational Resources Information Center

    Snyder, Cindy; van Wormer, Katherine; Chadha, Janice; Jaggers, Jeremiah W.

    2009-01-01

    Older adult inmates have grown both in proportion and in number due to the confluence of a number of factors. This aging of the prison population has created a host of policy and practice issues that encompass justice considerations, cost containment issues, and biopsychosocial care needs. The older prisoner's physical, social, and psychological…

  17. Media portrayal of older people as illustrated in Finnish newspapers

    PubMed Central

    Koskinen, Sanna; Salminen, Leena; Leino-Kilpi, Helena

    2014-01-01

    Media portrayals of older people, such as those in newspapers, both inform and reflect public attitudes. By becoming aware of culturally influenced attitudes about older people, and how these attitudes are reflected in the ways older people are viewed, treated, and cared for in society, the healthcare profession can better understand how to provide high-quality care. By applying an ethnographic approach in textual reality, this paper explores how newspaper articles focusing on health portray older people in society, using Finland as an example. The data consist of articles selected from three of the main Finnish daily newspapers during a 3-month period in the spring of 2012. The findings show that, overall, the society regards older people and their care as important. However, there were suggestions of paternalistic attitudes towards older people. Furthermore, the perceptions regarding different groups of older people could lead to the possibility of inequality. The media portrayals of older people worldwide seem to share similarities, although the findings of this study are particularly in accordance with the cultural attributes of the Nordic countries and societies. PMID:25261872

  18. Midlife and Older Women in Latin America and the Caribbean.

    ERIC Educational Resources Information Center

    American Association of Retired Persons, Washington, DC.

    Part I of this publication contains a background paper, "The Health and Socioeconomic Situation of Midlife and Older Women in Latin America and the Caribbean" (Sennott-Miller). Part II includes and introduction and the following presentations: "Opening Statement" (Crooks); "Empowering Older Women: An Agenda for the '90s" (de Alvarez);…

  19. Climate Change and Older Americans: State of the Science

    PubMed Central

    Hurley, Bradford J.; Schultz, Peter A.; Jaglom, Wendy S.; Krishnan, Nisha; Harris, Melinda

    2012-01-01

    Background: Older adults make up 13% of the U.S. population, but are projected to account for 20% by 2040. Coinciding with this demographic shift, the rate of climate change is accelerating, bringing rising temperatures; increased risk of floods, droughts, and wildfires; stronger tropical storms and hurricanes; rising sea levels; and other climate-related hazards. Older Americans are expected to be located in places that may be relatively more affected by climate change, including coastal zones and large metropolitan areas. Objective: The objective of this review is to assess the vulnerability of older Americans to climate change and to identify opportunities for adaptation. Methods: We performed an extensive literature survey and summarized key findings related to demographics; climate stressors relevant to older adults; factors contributing to exposure, sensitivity, and adaptive capacity; and adaptation strategies. Discussion: A range of physiological and socioeconomic factors make older adults especially sensitive to and/or at risk for exposure to heat waves and other extreme weather events (e.g., hurricanes, floods, droughts), poor air quality, and infectious diseases. Climate change may increase the frequency or severity of these events. Conclusions: Older Americans are likely to be especially vulnerable to stressors associated with climate change. Although a growing body of evidence reports the adverse effects of heat on the health of older adults, research gaps remain for other climate-related risks. We need additional study of the vulnerability of older adults and the interplay of vulnerability, resilience, and adaptive responses to projected climate stressors. PMID:23033457

  20. The Use of Older Volunteers as Peer-Counselors.

    ERIC Educational Resources Information Center

    Becker, Francoise M.; Zarit, Steven H.

    While research usually emphasizes the decrements of older persons, increases in human relations skills may be among the observable gains of aging. The present study, conducted in the Counseling Center of the Andrus Gerontology Center, evaluates the potential of using older volunteers as peer counselors. Subjects were 11 persons from a larger pool…

  1. Our Own: Adopting and Parenting the Older Child.

    ERIC Educational Resources Information Center

    Maskew, Trish

    Children adopted when they are older come with histories, fully formed personalities, and intense anger over what they have lost. Drawing on stories of families who have adopted older children, as well as research, interviews with professionals, and opinions of adults who were adopted as children, this book explores the joys and challenges of…

  2. Health-Related Variables and Functional Fitness among Older Adults

    ERIC Educational Resources Information Center

    Wilkin, Linda D.; Haddock, Bryan L.

    2010-01-01

    This study assesses the functional fitness of a convenient sample of older adults (greater than 70 years), to examine correlations between functional fitness and several other health-related variables and to compare with criterion performance data as established by Rikli and Jones (2001). One hundred and seven community-dwelling older adults with…

  3. Listeriosis Prevention for Older Adults: Effective Messages and Delivery Methods

    ERIC Educational Resources Information Center

    Cates, Sheryl C.; Kosa, Katherine M.; Moore, Christina M.; Jaykus, Lee-Ann; Ten Eyck, Toby A.; Cowen, Peter

    2007-01-01

    Individuals aged 60 years and older are at an increased risk for listeriosis and other foodborne illnesses. They can reduce their risk by following recommended food safety practices. A total of 8 focus groups were conducted to characterize older adults' food safety knowledge and practices, their impressions of educational materials on listeriosis…

  4. Self-Report Measure of Psychological Abuse of Older Adults

    ERIC Educational Resources Information Center

    Conrad, Kendon J.; Iris, Madelyn; Ridings, John W.; Langley, Kate; Anetzberger, Georgia J.

    2011-01-01

    Purpose: This study tested key psychometric properties of the Older Adult Psychological Abuse Measure (OAPAM), one self-report scale of the Older Adult Mistreatment Assessment (OAMA). Design and Methods: Items and theory were developed in a prior concept mapping study. Subsequently, the measures were administered to 226 substantiated clients by 22…

  5. Labour Force Participation Rates of Older Persons: An International Comparison.

    ERIC Educational Resources Information Center

    Clark, Robert L.; Anker, Richard

    1990-01-01

    Using data from 151 countries, labor force participation of older men and women was analyzed and related to economic, demographic, and policy variables. Reduced participation rates are related to increased income levels, structural changes, social security programs, and, for men, the ratio of older persons to persons of standard working age. (SK)

  6. The disaster flood experience: Older people's poetic voices of resilience.

    PubMed

    Miller, Evonne; Brockie, Lauren

    2015-08-01

    This paper explores the experiences of older community-dwelling Australians evacuated from their homes during the 2011 and 2013 Queensland floods, applying the novel creative methodology of poetic inquiry as an analysis and interpretative tool. As well as exploring how older adults managed during a natural disaster, the paper documents the process and potential of poetic inquiry in gerontological research. The first and second poems highlight the different social resources older people have to draw on in their lives, especially during a crisis. Poem 1 ("Nobody came to help me") illustrates how one older resident felt all alone during the flood, whereas Poem 2 ("They came from everywhere"), Poem 3 ("The Girls") and Poem 5 ("Man in Blue Shirt") shows how supported--from both family and the wider community--other older residents felt. Poem 4 ("I can't swim") highlights one participant's fear as the water rises. To date, few studies have explicitly explored older adult's disaster experience, with this paper the first to utilise a poetic lens. We argue that poetic presentation enhances understanding of older residents' unique experiences during a disaster, and may better engage a wider audience of policy-makers, practitioners, the general community and older people themselves in discussion about, and reflection on, the impact and experience of disasters.

  7. Cognitive Learning Applied to Older Adult Learners and Technology

    ERIC Educational Resources Information Center

    Chaffin, Amy J.; Harlow, Steven D.

    2005-01-01

    This article addresses the needs of older adults learning computer skills and the place of technology, especially the computer, in enhancing their lives. A model is discussed that illuminates the process used by older adults to learn computer skills. The model may be used to analyze and provide specific aid for common difficulties of the aged.…

  8. Barriers to Training for Older Workers and Possible Policy Solutions.

    ERIC Educational Resources Information Center

    Wooden, Mark; VandenHeuvel, Adriana; Cully, Mark; Curtain, Richard

    This report covers a study of barriers for older workers in obtaining and benefitting from training and innovative policies to remove them. After an introduction, Chapter 2 reviews literature on incidence and determinants of older workers' participation in training; barriers to training; and employer and government initiatives to enhance older…

  9. Literacy of Older Adults in America. Adult Literacy Fact Sheet.

    ERIC Educational Resources Information Center

    Kent State Univ., OH. Ohio Literacy Resource Center.

    As part of the National Adult Literacy Survey (NALS) of 1992, the National Center for Education Statistics published a separate study that focuses on the literacy skills of older adults (aged 60 years and older) from a variety of perspectives, such as age, sex, amount of education, race or ethnic background, income, and geographic region. Some of…

  10. Therapeutic Uses of Music with Older Adults. Second Edition

    ERIC Educational Resources Information Center

    Clair, Alicia Ann; Memmott, Jenny

    2008-01-01

    In this comprehensively updated second edition, written by Alicia Ann Clair and Jenny Memmott the extraordinary benefits of music therapy for older adults are detailed. "Therapeutic Uses of Music with Older Adults" not only examines these benefits but also clarifies the reasons that music is beneficial. This important book shows both informal and…

  11. Emotional Wellness Needs: Older Adults in Rural Communities

    ERIC Educational Resources Information Center

    Russ, Randall

    2009-01-01

    The importance of emotional wellness for rural older adults is a topic of growing significance. Older adults, now the fastest growing United States population sector, have special wellness needs. By the year 2030, about 70 million people will be over the age of 65. A low or declining sense of control over one's life increases depression. Emotional…

  12. Lifetime Trauma, Emotional Support, and Life Satisfaction among Older Adults

    ERIC Educational Resources Information Center

    Krause, Neal

    2004-01-01

    Purpose: The purpose of this study is to examine the relationships among lifetime exposure to traumatic events, emotional support, and life satisfaction in three cohorts of older adults. Design and Methods: Face-to-face interviews were conducted with a nationwide sample of 1,518 older people in 2003. Approximately 500 elders were interviewed in…

  13. Older Persons' Reasoning about Responsibility for Health: Variations and Predictions

    ERIC Educational Resources Information Center

    Kjellstrom, Sofia; Ross, Sara Nora

    2011-01-01

    With many Western societies structured for adults to live longer and take responsibility for their health, it is valuable to investigate how older persons reason about this demand. Using mixed methods, this pilot studied how older persons reason about responsibility for health and their responsibility as a patient. Interviews with a small Swedish…

  14. Learning among Older Professional Workers: Knowledge Strategies and Knowledge Orientations

    ERIC Educational Resources Information Center

    Fenwick, Tara

    2012-01-01

    A growing body of research and policy focused on "older workers" is attempting to address perceived concerns that older workers' skills are declining, along with their participation in employment and in employment-related learning opportunities. The discussion here seeks to contribute to this research. Its focus is the learning of older…

  15. Raising awareness of common problems in older cats.

    PubMed

    2016-08-13

    The need to actively look for signs of disease in older cats was discussed during a recent conference held by the International Society of Feline Medicine (ISFM) in Malta. Delegates heard that many older cats could be suffering from diseases associated with ageing but might show only subtle clinical signs. Suzanne Jarvis reports. PMID:27516559

  16. The Meaning of "Aging in Place" to Older People

    ERIC Educational Resources Information Center

    Wiles, Janine L.; Leibing, Annette; Guberman, Nancy; Reeve, Jeanne; Allen, Ruth E. S.

    2012-01-01

    Purpose: This study illuminates the concept of "aging in place" in terms of functional, symbolic, and emotional attachments and meanings of homes, neighbourhoods, and communities. It investigates how older people understand the meaning of "aging in place," a term widely used in aging policy and research but underexplored with older people…

  17. Cardiovascular Complications of Breast Cancer Therapy in Older Adults

    PubMed Central

    Klem, Igor; Crowley, Anna Lisa; Patel, Manesh R.; Winchester, Mark A.; Owusu, Cynthia; Kimmick, Gretchen G.

    2011-01-01

    Older adults frequently have pre-existing and cancer-related risk factors for cardiovascular toxicity from cancer treatment. In this review, we discuss the risk factors and strategies for prevention and management of cardiovascular complications in older women with breast cancer. PMID:21737575

  18. Practical Life for the Older Children in the Casa

    ERIC Educational Resources Information Center

    Soholt, Polli

    2013-01-01

    Polli Soholt writes about advanced practical life and demonstrates that adding more challenge and complexity for older children leads to more social cooperation. Activities such as washing dishes, polishing, sewing, and food preparation take the child beyond the need to refine basic skills. The older primary children find more reality in tasks…

  19. Perceptions of Older Adults: The Voices of Eldercare Employees

    ERIC Educational Resources Information Center

    Tailor, Megha; Zaturenskaya, Mariya; Iwamasa, Gayle Y.; Ferrari, Joseph R.

    2007-01-01

    Eldercare employees (73 women, 15 men) at rural and urban facilities in Australia responded to two open-ended questions related to perceptions of older adults. On average, employees assisted 62 adults per week, working at the facility for 19 years. Participants identified the following characteristics of an "independent older adult:" someone who…

  20. Recall in Older Cancer Patients: Measuring Memory for Medical Information

    ERIC Educational Resources Information Center

    Jansen, Jesse; van Weert, Julia; van der Meulen, Nienke; van Dulmen, Sandra; Heeren, Thea; Bensing, Jozien

    2008-01-01

    Purpose: Remembering medical treatment information may be particularly taxing for older cancer patients, but to our knowledge this ability has never been assessed in this specific age group only. Our purpose in this study was to investigate older cancer patients' recall of information after patient education preceding chemotherapy. Design and…

  1. Health Literacy Programs for Older Adults: A Systematic Literature Review

    ERIC Educational Resources Information Center

    Manafo, Elizabeth; Wong, Sharon

    2012-01-01

    Older adults make up the fastest growing age group in North America. This has demanded increased attention in supporting the health and well-being of this population and, in particular, the role of health information in promoting the health and well-being of older adults. Increased availability and accessibility of information as well as a greater…

  2. Medication Adherence in Older Adults: A Qualitative Study

    ERIC Educational Resources Information Center

    Holt, Elizabeth W.; Rung, Ariane L.; Leon, Kyla A.; Firestein, Catherine; Krousel-Wood, Marie

    2014-01-01

    To effectively address medication adherence and improve cardiovascular health among older adults, a deeper understanding is needed of the barriers that this age group faces and of approaches that would be most effective and feasible for improving adherence. We conducted a focus group study (n = 25) in a diverse population of older adults with…

  3. Formal Group Communication with Older Adults: A Research Imperative.

    ERIC Educational Resources Information Center

    Klinger-Vartabedian, Laurel C.

    1987-01-01

    Examines the "social interaction" of older adults as a communication phenomenon which influences self-concept. Explores older adult group processes, and gives specific applications of group methods. Suggests the importance of assessing and applying communication constructs to research on detection and prevention of social isolation through formal…

  4. Older Men as Learners: Irish Men's Sheds as an Intervention

    ERIC Educational Resources Information Center

    Carragher, Lucia; Golding, Barry

    2015-01-01

    To date, little attention has been placed on older men (aged 50+ years) as learners, with much of the literature on adult learning concerned with younger age-groups and issues around gender equity directed mainly at women. This article examines the impact of community-based men's sheds on informal and nonformal learning by older men in Ireland. It…

  5. On Older Listeners' Ability to Perceive Dynamic Pitch

    ERIC Educational Resources Information Center

    Shen, Jing; Wright, Richard; Souza, Pamela E.

    2016-01-01

    Purpose: Natural speech comes with variation in pitch, which serves as an important cue for speech recognition. The present study investigated older listeners' dynamic pitch perception with a focus on interindividual variability. In particular, we asked whether some of the older listeners' inability to perceive dynamic pitch stems from the higher…

  6. Professional Value Conflicts in Forcing Services on Resistant Older Clients.

    ERIC Educational Resources Information Center

    Hayes, Christopher L.

    Clinicians who work with at-risk older adults are often faced with the difficult decision to override their client's civil rights and force institutionalization. Many times the professional is pressured by police or a housing manager to "just do something" with the judgmentally impaired older client. Clinicians faced with these decisions may…

  7. A Literature Review of the Psychosocial Development of Older Adults

    ERIC Educational Resources Information Center

    Moon, Paul J.

    2005-01-01

    The purpose of this literature review is to examine existing models of psychosocial development of older adults especially framed around human mortality as a point of discussion that informs all aspects of human development in older adulthood. Well known, in addition to burgeoning, human psychosocial development models that considered older…

  8. Volunteerism, Health, and Civic Engagement among Older Adults

    ERIC Educational Resources Information Center

    Gottlieb, Benjamin H.; Gillespie, Alayna A.

    2008-01-01

    In North America, 40-50 per cent of older adults are actively involved as formal volunteers in providing diverse health and human services. We review empirical studies concerning older adults' motivations for volunteering, as well as the health and morale benefits they derive from this expression of altruism. Knowledge of the exact nature and…

  9. Employment and Older Adults. Overview: ERIC Fact Sheet No. 18.

    ERIC Educational Resources Information Center

    Beaudin, Bart

    This fact sheet provides an overview of the employment situation facing older adults. Statistics (Harris 1974 and 1979) are presented on the number of older Americans who are working, volunteering, or have an interest in working or volunteering; the attitudes of employers and employees about retirement and about working after age 65; and the…

  10. Education for Older People: Another View of Mainstreaming. Fastback 181.

    ERIC Educational Resources Information Center

    Heinrich, June Sark

    There is a strong case to be made for mainstreaming older people into regular classes and schools rather than segregating them in special, separate groups on the basis of age. Many older Americans are in need of elementary-secondary level training in order to become functionally literate. Similarly, the continually changing nature of work has…

  11. An Assessment-Prescriptive-Instructional Packet for Older Learners.

    ERIC Educational Resources Information Center

    Scales, Alice M.

    The purpose of this document is to suggest an assessment/prescriptive/instructional (API) process for working with older learners experiencing reading difficulties. Following a justification for the designing of materials specifically for older learners, the document explains how to collect data about learner's interests, attitudes, and reading…

  12. Lexical Attrition in Younger and Older Bilingual Adults

    ERIC Educational Resources Information Center

    Goral, Mira; Libben, Gary; Obler, Loraine K.; Jarema, Gonia; Ohayon, Keren

    2008-01-01

    Healthy monolingual older adults experience changes in their lexical abilities. Bilingual individuals immersed in an environment in which their second language is dominant experience lexical changes, or attrition, in their first language. Changes in lexical skills in the first language of older individuals who are bilinguals, therefore, can be…

  13. Higher Education and Older People: Some Theoretical Considerations, Part II.

    ERIC Educational Resources Information Center

    Covey, Herbert C.

    1983-01-01

    Describes disengagement, activity, lifespan, subcultural, and continuity theories of social gerontology in light of participation in higher education by older students. Argues that continuity theory holds the most promise in accounting for older students. Emphasizes the need to stress the positive roles of old age. (JAC)

  14. Religious Institutions as Sites of Learning for Older Adults

    ERIC Educational Resources Information Center

    Findsen, Brian

    2012-01-01

    This chapter focuses on religious institutions or the institutionalized church as an environment where older adults commonly engage as learners, primarily from a spiritual dimension but also within a secular context. It emphasizes the agency of older adults who learn in this specific cultural context in a range of modes for diverse purposes. While…

  15. Buried by Autism: Older Parents' Perceptions of Autism

    ERIC Educational Resources Information Center

    Hines, Monique; Balandin, Susan; Togher, Leanne

    2012-01-01

    In this study, we explored older parents' perceptions of their adult sons and daughters with autism in order to gain insights into how parents' beliefs about autism may influence their coping. Narrative analysis of in-depth interviews held with 16 parents aged 60 years and older of adults with autism revealed that these parents perceived that…

  16. Medication Management Assessment for Older Adults in the Community

    ERIC Educational Resources Information Center

    Orwig, Denise; Brandt, Nicole; Gruber-Baldini, Ann L.

    2006-01-01

    Purpose: The purpose of this study was to describe the Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) and to provide results of reliability and validity testing. Design and Methods: Participants were 50 older adults, aged 65 and older, who lived in the community, took at least one prescription medication, and were then…

  17. Interior of girder shop, from older section of shop showing ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Interior of girder shop, from older section of shop showing older (1880's) construction of roof trusses. Compare with earlier views in this series. - Phoenix Iron Company, Girder Shop No. 6, North of French Creek, west of Gay Street, Phoenixville, Chester County, PA

  18. Factors Associated with Job Content Plateauing among Older Workers

    ERIC Educational Resources Information Center

    Armstrong-Stassen, Marjorie

    2008-01-01

    Purpose: The purpose of this paper is to identify personal and work environment factors associated with the experience of job content plateauing among older workers. Design/methodology/approach: Two cross-sectional studies, each including two samples, were conducted. In each study, one sample consisted of a diverse group of older workers and the…

  19. Guidance for Older Workers in Denmark and Spain

    ERIC Educational Resources Information Center

    Plant, Peter; Lopez-Sanchez, Maria Jose

    2011-01-01

    Guidance has a role to play in helping older workers to lead meaningful and fruitful lives; inside, outside, on the edge of the labour market, or in voluntary work with examples from two very different European countries: Denmark and Spain. This paper aims to draw attention to older workers guidance from an economic policy approach. It will be…

  20. EVALUATING RISK IN OLDER ADULTS USING PHYSIOLOGICALLY BASED PHARMACOKINETIC MODELS

    EPA Science Inventory

    The rapid growth in the number of older Americans has many implications for public health, including the need to better understand the risks posed by environmental exposures to older adults. An important element for evaluating risk is the understanding of the doses of environment...