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Aging in Place: An Occupational Therapy and CAPS Perspective Over the next 15 years, according to a report from Harvard University's Joint Center for Housing Studies, households whose members are 65 and older are expected to account for a third of U.S. housing needs, with households in their 80s growing fastest of all. Executive dysfunction is a cognitive factor that predicts falls (Manning & Wolfson, 2017). Tai chi was shown to be the most effective exercise in decreasing the number of falls in a randomized control study discussed in the Karlsson et al. Our site uses cookies to improve your experience. In a 12-month cohort study with community-dwelling older adults 70 and older in Canada, Davis et al(2017). This is a very important area for OTs to get involved. Easy to follow with great information. Single component interventions addressed a single fall risk, such as exercises. The clinician can educate Luke and his wife about the various smart home technologies available that control devices such as light switches, thermostats, and appliances. Listen to the Bylines podcast to hear from authors of stories, books, and articles covering aging. Warning against 'race-based quotas,' 13 Republican attorneys general have taken aim at company diversity programs, including Microsoft's 2020 pledge to double Black leaders and suppliers . At Women's Age Lab, Dr. Savage leads research focused on promoting social . This course can be an elective for the Master CSP and CGA designations. She is board-certified in gerontology through the American Occupational Therapy Association (AOTA) and Certified Aging in Place Specialist (CAPS) through the National Association of Home Builders (NAHB). Justice in Aging www.justiceinaging.org 2 Healthier Homes - Aging in Place: The budget approves $12.5 million to establish the Healthier Home - Age in Place Nursing Program in eight counties across the state to provide grant funds to hire registered nurses and community health workers to deliver health education, navigation, and It increased my knowledge and renewed my interest in pursuing this certification. In their prospective analysis, Insausti et al(2019) performed a prospective cohort study of 2,464 men and women ages 60 years or older recruited between 2008-2010 and followed up through 2012. Staying in your own home as you get older is called "aging in place." This article contains suggestions to help you find the help you need to continue to live independently. Useful information with huge potential for OT. CDC twenty four seven. Clinicians need to stay updated regarding the evidence supporting fall prevention programs. (2011). To learn more and control what cookies are used, go to Manage Cookies. In their study, Horowitz et al. You could tell she really loves her job! Appreciate this class so much! In their article, Chien and Guo (2014) discussed a literature review that found vitamin D supplements for individuals with lower vitamin D levels resulted in fewer falls in community-dwelling individuals at risk for falling. (Peek et al., 2015) study also surmised that community-based older adults were unaware that technology could benefit them, and interventions need to consider the adults' social, personal, and physical environment. Aging in place - Wikipedia This is your ongoing Certified Aging in Place Specialist training. Another study mentioned in the Chase et alreview found interventions involving five sessions provided by an OT who assessed home environmental hazards and a PT who addressed strengthening and balance, resulting in program participants having less difficulty with ADLs and IADLs reduced fear of falling and home hazards. Chien, M. and Guo, H. (2014). If you have questions, requests, or would like to report an accessibility-related issue, please email accessibility@continued.com. In their scoping review, Blaylock and Vogtle (2017) examined 17 publications for evidence of community-based fall prevention interventions that "appear inclusive of or accessible to individuals with low vision" (Blaylock & Vogtle, 2017, p 140). Single people are more likely than married people to need care from a paid provider. The clinician would complete a thorough home safety and fall assessment using a standardized or non-standardized assessment. Limited mobility can result in and . Polypharmacy is defined as the regular use of five or more drugs and has increased fall risks among older adults (Zia et al., 2016). Eat a healthy diet. It is estimated that between 2010-2050 the number of Americans age 85 and older will triple (Lehning et al., 2017). Linda was recently diagnosed with hypertension and started taking medications to manage her hypertension. Receipt of your certificate indicates successful completion of . This course has sparked an interest in utilizing my skill set for home modifications as possibly an independent consultant. Additionally, an inaccessible or unsafe home and an individual experiencing a fall or a series of falls in their home can prevent them from AIP. 2018 May 17;13(5):e0197792]. The AGS and BGS also found no support for interventions for vision, as a systematic review indicated insufficient evidence supporting recommendations for vision assessments and interventions in reducing falls (AGS, 2011). Would like to see examples of various conditions and what solutions are available for them, with visuals. Use the STEADI Our Staff for Fall Prevention [PPT 4 MB]slide deck to train healthcare providers and clinic staff on using the STEADI initiative to prevent falls. Details and Solutions for Livable Homes and Aging in Place (CAPS III) In their study, Tinetti et al(2014) found that antihypertensive medications increased the risk of a serious fall, especially among individuals with previous fall injuries. Universal Design Essentials - NAHB Shoes with high heels, worn soles, or shoes that are unbuckled or untied increase the risk of falling, as can wearing slippers, walking barefoot, or wearing only socks (Ambrose et al., 2013). With this training, STEADI: Empowering Healthcare Providers to Reduce Fall Risk, you can make fall prevention a part of your clinical practice. Join Now or take a free course Enhance your knowledge with this five-part virtual conference, featuring courses organized by guest editor Pamela E. Toto, PhD, OTR/L, BCG, FAOTA. This content was presented very well by the presenter. (2016) findings were affirmed in the longitudinal study by Laveda et al., a meta-analytic review by Schepens, Sen, Painter, and Murphy (2018) on fall-related efficacy and activity in community-dwelling older adults. However, the same research found that multifactorial interventions did not reduce the number of individuals who fell (Karlsson et al., 2013). Steve Hoffacker CAPS has been teaching the Certified Aging In Place Specialist program since 2007 and believes that occupational and physical therapists . Occupational Therapy Fall Prevention Interventions for Community-Dwelling Older Adults: A Systematic Review. An example of a no-tech solution is placing frequently used items near users to prevent them from using a step ladder to retrieve items. The Impact of the "Village" Model on Health, Well-Being, Service Access, and Social Engagement of Older Adults. concise information, wish the CAPS courses were still online. The consumption of two or more fall risk-increasing drugs rather than polypharmacy is associated with falls. Primitive Reflexes: Why Are They Important? a. A French study involving elderly community-dwellers found that poor nutritional status was associated with a higher risk of falling and fractures in elderly French community-dwellers (Torres et al., 2015). The Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative was developed in response to this . While exercise-only interventions have research to support their use, they may not address quality of life concerns, which affect AIP and home safety for community-dwelling older adults. Clear and concise information with real-life examples. In their longitudinal study, Chien and Guo (2014) found that the nutritional status of community-dwelling older adults age 53 and older in Taiwan was a predictor of falls. This includes physical therapists, interior designers, real estate agents, contractors, architects, and several others. Journal of Housing and the Built Environment, All rights reserved.. Marketing and Communicating with the Aging in Place Client (CAPS I). What are some areas a clinician could assess and address regarding Linda's overall health and home safety concerns? . Knowledgeable and informative speaker. ANCC Provider number #P0274. Fall prevention is a vast topic that requires clinicians to remain abreast of the latest evidence. Very nice overview of the CAPS certification and the governing agencies and resources. social work Evaluating Problems With Footwear in the Geriatric Population. The content was well-organized and straightforward. Passing an online exam and completing a course evaluation will be required to earn continuing education credit. Research has demonstrated that the use of technology for home care support is beneficial in helping older adults remain independent while reducing fall risks, medication errors, and caregiver stress (Stanley, 2015). A informative and concise introduction to AIP and CAPS and specific tools to apply as well as pursue additional training as an OT interested in expanding practice. These interventions can consist of one primary focus area or multiple areas. Clinicians can educate older adults about strategies to open their medication containers, simplify medication routines, and help clients adhere to their medication timelines (OT, 2017). AT, like fall prevention and medication management tools, automatic home lighting, and smart home innovations, have positively impacted health outcomes and the quality of life of older adults living independently in their communities (Stanley, 2015). Today on the Academic Minute: Rachel Savage, assistant professor at the Institute of Health Policy, Management and Evaluation at the University of Toronto, examines how we might best care for an aging population. After completing this continuing education course, the participant will be able to meet the following objectives: One in five Americans will be 65 or older by 2030 (Lehning et al., 2017). This course truly highlights the unique skill set that occupational therapy practitioners possess & that can be applied to Aging in Place. OccupationalTherapy.com is a NBCOT Professional Development Provider. Specifically, 800 international units (IUs) per day of vitamin D supplements are recommended for older adults with Vitamin D deficiency and should be considered for individuals suspected of having the deficiency or who are at high risk for falling (AGS, 2011). I currently work in a SNF and sending people home, either alone or with family with services. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA. This was just what I was looking for in advancing my career to using my skills other than in a clinical setting. Blaylock and Vogtle (2017)implied that clinicians should be aware that all evidence-based interventions may not be effective for all older adults, and more research is needed to address fall prevention for older adults with low vision. Exercise interventions to address fall prevention were supported in a systematic review authored by Chase et al. 2023 Steve Hoffacker LLC | Privacy Policy | Contact Steve | Sitemap. STEADI: The Pharmacists Role in Older Adult Fall Prevention. July 25, 2023. Online WebinarThe ECHO model addresses the gap in provider knowledge by linking academic medical center specialists with community-based primary care providers in case-based learning. Enhance the client consulting process with effective needs assessment and communication techniques. Updated April 19, 2006. However, a 2012 scoping review article of OT in fall prevention indicated interventions involving home modification recommendations had varying effects on fall incidence, outcomes, and success rates. Marital status. Defining all certification abbreviations and identifying helpful assessments for aging in place. AGE-255 The Challenges of Aging in Place; AGE-265 Depression in the Elderly; AGE-395 Tales from the Trenches: When Deteriorating Health Meets Chronic Disorganization; AGE-375 The Brain, Cognition & Behavior; Some research may include the assessment of a home, while others consider home modification education. noted compared to canvas shoes, shoes with heels greater than 2.5 cm increase the likelihood of falls. Home modifications can also reduce the need for paid caregivers and reduce stress (Horowitz et al., 2016). Introduction: Defining the Concept of Aging in Place, Person: Who Are We Helping to Age in Place, Environment: Where and How We Promote Aging in Place, Occupation: What Interventions Do We Target to Promote Aging in Place, Aging Programming: Evidence-based Strategies for Aging in Place, Live webinar, video, text, & audio formats. Describe OTs role with AIP, provide examples of home assessment & evaluations, and discuss case studies on how to incorporate AIP into practice. Peek, S., Luijkx, K., Rijnaard, M., Nieboer, M., van der Voort, C., Aarts, S., van Hoof, J., Vrijhoef, H. and Wouters, E. (2015). The Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative was developed in response to this growing health threat. Will be useful going forward. Updated October 15, 2009. Very valuable information for both myself and those I'm caring for. I have also worked in Home Care and have come upon many cases where this information will be of great value to me. Bathroom safety and aging-in-place options should also be discussed with Luke and his wife. The World Health Organization defines a fall as an event that results in a person coming to rest inadvertently on the ground or floor or other lower-level (WHO, 2018). You must pass the final exam in all lessons with a score of 80% or higher AND complete the Evaluation Form in order to receive your Certificate of Completion. respiratory therapy CE Center - Design for Aging - BNP Media Published January 16, 2018. Individuals were considered exceptional if they were completely independent with their basic ADLs, had intact vision and hearing, and had excellent cognitive functioning. The results found that 21.2% of participants experienced at least one fall at the end of the study (Torres et al., 2015). Numerous intrinsic and extrinsic factors cause falls. SpeechPathology.com. Sneakers and wider and higher toe boxed shoes are examples of footwear that have been shown to evenly distribute plantar pressure, increase comfort, and promote appropriate balance and gait (Ikpeze et al., 2015). Steve presents on-demand courses to individuals and sales organizations (in-person and online) on building your remodeling, consulting, or aging in place business,including lead generation, follow-up, referrals, business planning, and strategies. Safety. Luke is also interested in learning more about how technology can assist him and his wife in AIP. Payette M, Blanger C, Lveill V, Grenier S. Fall-Related Psychological Concerns and Anxiety among Community-Dwelling Older Adults: Systematic Review and Meta-Analysis. Please contact Steve to discuss your particular needs. Falls are a common and serious health threat to adults 65 and older. Examples of low-tech solutions include motion-sensor lights and bath mats. Mid-tech AT devices/solutions may be operated electronically or by a battery, have some complex features, and require some training (Tools for Life, 2016). This was really a great course which opened my eyes to a starting point for new OT opportunities and advancement. Using the HSSAT as a component of a program to identify home hazards proved beneficial for community-based older adults who attended a senior center (Horowitz et al., 2016). The AGS and BGS recommend exercise as part of a multifactorial fall intervention program. The deadline to complete an application is May 29, 2023! Falls impact healthcare costs and can significantly affect the quality of life. While reflecting on this course content, CEUFast, Inc. would like you to consider your individual perspective and question your own biases. Options should be discussed with Luke and his wife, including strategies ranging from low to high-tech solutions that promote aging. Aging is changing. Sherrington C, Michaleff ZA, Fairhall N, et al. The information needed to provide a home modification and increase a person's time in home.