This chapter discusses theories of person-environment interactions and how they relate to where older adults live. It describes models of competence/environmental press and congruence and how they influence decisions about living arrangements. Options discussed include aging in place with home modifications, adult day care, congregate housing, assisted living, and nursing homes. Special care units are designed to provide extra support for those with cognitive impairments. The goal is finding the best fit between an individual's abilities and the demands of their environment.
The following slides talks about the half way home which is meant for psycho- social rehabilitation of the mentally ill patients. the concept of half way home is contemporary in India and confined to metropolitan areas, mass need awareness of such model and the rights of the mentally ill, the topic itself covers many aspects and it is hard to assemble under one title.
Quantified Wellness and Assisted LivingJustin Lawler
New digital devices allowing self-tracking of health are gaining popularity. This ‘self-monitoring’ approach is changing how health care delivery is managed, and how health related information is shared with others and used.
In this session, we will discuss issues and demonstrate technology pertaining to monitoring and evaluating wellness for older people with different levels of ability and care support, domicile in diverse community settings (home, assisted living community, residential home).
In aged care, the point of reference for monitoring, evaluating and reporting on wellness can be usefully extended to include other actors (care assistants, nurses, family members) and sensors.
Critically, wellness monitoring and evaluation should span all three pillars of wellness (i.e. physical, psychological and social).
The following slides talks about the half way home which is meant for psycho- social rehabilitation of the mentally ill patients. the concept of half way home is contemporary in India and confined to metropolitan areas, mass need awareness of such model and the rights of the mentally ill, the topic itself covers many aspects and it is hard to assemble under one title.
Quantified Wellness and Assisted LivingJustin Lawler
New digital devices allowing self-tracking of health are gaining popularity. This ‘self-monitoring’ approach is changing how health care delivery is managed, and how health related information is shared with others and used.
In this session, we will discuss issues and demonstrate technology pertaining to monitoring and evaluating wellness for older people with different levels of ability and care support, domicile in diverse community settings (home, assisted living community, residential home).
In aged care, the point of reference for monitoring, evaluating and reporting on wellness can be usefully extended to include other actors (care assistants, nurses, family members) and sensors.
Critically, wellness monitoring and evaluation should span all three pillars of wellness (i.e. physical, psychological and social).
A presentation from Tevor Hopkins from Asset Based Consulting (http://www.assetbasedconsulting.co.uk) on an Asset Based Approach to mapping Health and Wellbeing. This presentation was organised by the LGA to support West Midlands Health and Wellbeing Boards.
Why Are We Here?
• Discuss the biopsychosocial model of healthcare
• Explore its application to clinical rehabilitation (OT) practice
• Review relevant literature and research
health education, audio-visual aids, methods of health education, individual approach, group approach, demonstrations, group discussions, panel discussion, symposium, workshop, conference, role play, mass approach, billboards, health exhibition, folk media, thank you.
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
Psychiatric Rehabilitation, definition, indication, principles, approaches, steps, advantages, types, rehabilitation team and role of nurse in rehabilitation.
This was released as Episode 342 of Counselor Toolbox Podcast. You can find specific episodes and CEU courses based on the podcasts at https://allceus.com/counselortoolbox You can also subscribe on your favorite podcast app like Apple Podcasts, Google Play or Castbox.
It is a treatment approach to improve the lives of people with disabilities by teaching emotional,social and cognitive skills to work independently in the community.
A Public Health Approach to Mental Health Care: Taking Transformation to ScaleMHTP Webmastere
This presentation was given by Kathryn Power, Director, Center for Mental Health Services at SAMHSA, at the May 13, 2008 Prevention Policy Summit. Transcript of Kathryn Power\'s opening remarks.
A presentation from Tevor Hopkins from Asset Based Consulting (http://www.assetbasedconsulting.co.uk) on an Asset Based Approach to mapping Health and Wellbeing. This presentation was organised by the LGA to support West Midlands Health and Wellbeing Boards.
Why Are We Here?
• Discuss the biopsychosocial model of healthcare
• Explore its application to clinical rehabilitation (OT) practice
• Review relevant literature and research
health education, audio-visual aids, methods of health education, individual approach, group approach, demonstrations, group discussions, panel discussion, symposium, workshop, conference, role play, mass approach, billboards, health exhibition, folk media, thank you.
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
Psychiatric Rehabilitation, definition, indication, principles, approaches, steps, advantages, types, rehabilitation team and role of nurse in rehabilitation.
This was released as Episode 342 of Counselor Toolbox Podcast. You can find specific episodes and CEU courses based on the podcasts at https://allceus.com/counselortoolbox You can also subscribe on your favorite podcast app like Apple Podcasts, Google Play or Castbox.
It is a treatment approach to improve the lives of people with disabilities by teaching emotional,social and cognitive skills to work independently in the community.
A Public Health Approach to Mental Health Care: Taking Transformation to ScaleMHTP Webmastere
This presentation was given by Kathryn Power, Director, Center for Mental Health Services at SAMHSA, at the May 13, 2008 Prevention Policy Summit. Transcript of Kathryn Power\'s opening remarks.
Fiókstruktúra - Marketing - Budapest Mini Meetup 2014 juli 17Istvan Maczko
Miért bukik el sok kezdeményezés, honlap, bolt már az elött, hogy elindult volna?
• Jártál már úgy, hogy nem tudtál bejelentkezni egy szolgáltatásba, mert elment a kolléga, akit tudta a jelszót?
• Kellett már a nulláról felépítenetek egy kampányt, mert nem volak meg a korábbi eredmények, szövegek, kreatívok?
• A Youtube-on már 5 céges csatornátok van, de fogalmatok sincs, hogyan kerültek oda és ki kezeli azokat?
A mostani meetup-on megtanulhatod, hogyan lehet egyszerűen (?) kezelni a szolgáltatásokat, jogosultságokat.
Hogyan alakítsuk ki a fiókjainkat (Google, Facebook, Linkedin), hogy kezelhetők maradjanak az eszközeink évek múlva is.
New digital devices allowing self-tracking of health are gaining popularity. This ‘self-monitoring’ approach is changing how health care delivery is managed, and how health related information is shared with others and used.
In this session, we will discuss issues and demonstrate technology pertaining to monitoring and evaluating wellness for older people with different levels of ability and care support, domicile in diverse community settings (home, assisted living community, residential home).
In aged care, the point of reference for monitoring, evaluating and reporting on wellness can be usefully extended to include other actors (care assistants, nurses, family members) and sensors.
Critically, wellness monitoring and evaluation should span all three pillars of wellness (i.e. physical, psychological and social).
Disruption of the 'usual' - rethinking behavior change and communication in n...craig lefebvre
Effective communication is an essential component in the mix of strategies used to effect behavior change in regard to healthy eating. But are nutrition educators using all the behavior change tools? Are we really communicating effectively? Is our communication passionate enough and inspired enough to be heard? How do we increase the likelihood of improving healthy nutrition behaviors? With so many voices and choices out there in so many mediums (i.e. social media, grocery and food packaging advertising, television commercials, radio, etc) we have constant competition. This topic is sure to get nutrition educators thinking about how they currently communicate and to consider new avenues and strategies for their programs.
The route to success in end of life care - achieving quality in care homes
16 June 2010 - National End of Life Care Programme
This guide follows the six steps of the pathway laid out in the national End of Life Care Strategy.
It includes questions staff and managers should ask about end of life care provided in their care home and the employees' role in that care.
The guide is linked to the End of Life Care Strategy Quality Markers.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Person centered care models with reference to dementia care, has demonstrated positive outcomes for behavioral disturbance. This presentation will increase awareness and understanding about person-centered care for people with dementia. Discussion includes complex needs of people with dementia, leading to compromised behavioral symptoms; including non-pharmacological approaches, sleep-wake-cycle disturbance, verbal outbursts and aggression. Further discussion encompasses evidence based outcomes with the use of person centered care that focuses on preserving the "personhood" of the individual.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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1. Adulthood and Aging, 6e
John C. Cavanaugh
Fredda Blanchard-Fields
Chapter five
Where People Live:
Person-Environment Interactions
2. Describing Person—Environment Interactions
Learning Objectives
• What is the competence and environmental press
model?
• What is the congruence model?
• What are the major aspects of stress and coping
theory relating to person—environment
interactions?
• What are the common themes in the theories of
person—environment interactions?
4. Describing Person—Environment Interactions
Competence and Environmental Press
• Competence is the theoretical upper limit of
a person’s capacity to function.
• Environments can be classified on the basis
of the varying demands they place on the
person, a notion called environmental
press.
– Adaption Level: Where behavior and affect are
normal, slight increases in press improve
performance, slight decreases create a Zone of
Maximum Comfort.
5.
6. Describing Person—Environment Interactions
The Congruence Model
• According to Kahana’s (1982) congruence
model, people with particular needs search
for the environments that meet them best.
• Can you offer examples?
1. A person without personal transportation seeks a
house near a bus route.
2. A handicapped person needs a home adapted to
a wheelchair (no steps).
3. An elderly person may need to relocate to an
assisted-living facility.
7. Describing Person—Environment Interactions
Stress and Coping Framework
• Interaction with the environment can
produce stress (Lazarus, 1984).
• Evaluating one’s situation and surroundings
for potential threat value
– Harmful
– Beneficial
– Irrelevant
• If harmful, what is the coping mechanism
and response? Outcome positive or
negative?
8. Describing Person—Environment Interactions
Common Theoretical Themes and
Everyday Competence
• Everyday competence is a person’s
potential ability to perform a wide range
of activities considered essential for
independent living.
– Broader than just ADL or IADL
– Necessary determinate for whether an
elderly person can take care of themselves
9. The Ecology of Aging
Learning Objectives
• What is aging in place?
• How do people decide the best option?
• How can a home be modified to provide a
supportive environment?
• What options and services are provided in adult day
care?
• What is congregate housing?
• What are the characteristics of assisted living?
10. The Ecology of Aging
• Aging in Place
– Balancing environment press and competence
through selection and compensation.
– How a place becomes a home.
– Cluster housing.
12. The Ecology of Aging
• Deciding on the Best Option
– Does the individual have significant cognitive or
physical impairment requiring intervention?
• What is the severity?
– The individual needs to be an integral part of the
decision making.
– Get a physician’s diagnostic evaluation (required in
many states).
13. The Ecology of Aging
• Home Modification
– Helping people deal with tasks of daily living by
modifying the environment
• Hook for car keys near the door
• Hand rails in bathrooms
• Door handles that are easier to grasp
• Widening doorways
• Lowering countertops
• Wheelchair ramps
14. The Ecology of Aging
• Adult Day Care
– Designed to provide support, companionship, and
certain services during the day
– Goal is to delay placement in more formal care
setting.
– Three types of adult day care
• Social services, meals, recreation, and minor health
care
• More intensive health care, therapy, for serious medical
problems
• Specialize care for dementia or developmental
disabilities.
Profit (22%) or non-profit (78%)
15. The Ecology of Aging
• Congregate Housing
– Apartment complex for older adults
• Shared meals
• Affordable
– Differs from assisted living in level of services
– Residents must be capable of independent living
and:
• Not require continual medical care
• Know where they are and oriented to time
• No evidence of disruptive behavior
• Able to make independent decisions
• Be able to follow specific service plans
16. The Ecology of Aging
• Assisted Living
– Provides a supportive living arrangement for
people who need assistance with personal
care (bathing, taking medication) but are not
physically or mentally impaired to require 24-
hour care.
• Has three essential attributes
3. As much like a single family house as possible
4. Emphasizes personal control, choice, dignity, and autonomy
5. Should meet routine services and special needs
17. The Ecology of Aging
• Assisted Living (continued)
– Utilize check list to ensure the selected
facility meets specific requirements of the
individual
– Costs average about $35,000 per year.
– Not offset by Medicare
• Specialty Care Assisted Living
18. Living in Nursing Homes
Learning Objectives
• What are the major types of nursing homes?
• Who is most likely to live in nursing homes?
• What are the key characteristics of nursing homes?
• What are special care units?
• How can a nursing home be a home?
• How should people communicate with nursing home
residents?
• How is decision-making capacity assessed?
• What are some new directions for nursing homes?
19. Living in Nursing Homes
Types of Nursing Homes
• Two levels of care are defined in
federal regulations.
– Skilled nursing care consisting of 24-hour care,
including medical and other health services
– Intermediate care also 24-hour but at a less
intensity
20.
21. Living in Nursing Homes
Who is Likely to Live in Nursing Homes?
• Characteristics of People Most Likely to Be
Placed in a Nursing Home
– Over age 85
– Female
– Recently admitted to a hospital
– Lives in retirement housing rather than being a
homeowner
– Widowed or divorced
– Has no children or siblings nearby
– Has some cognitive impairment
– Has one or more problems with IADL
22. Living in Nursing Homes
Who is Likely to Live in Nursing Homes?
• Health issues and functional impairment
– Average resident has significant mental and
physical problems
– Main reason for placement (80%)
– One third of residents have mobility, eating or
incontinence problems.
– 30 to 40% show signs of clinical depression.
23.
24. Living in Nursing Homes
Characteristics of Nursing Homes
• The competence-environmental press
model
– Goal is to find the optimal level of environmental
support for people of low levels of competence
– In selecting a nursing home relatives should keep the
following in mind:
• Level of skilled nursing care
• Be mindful if facility is primarily Medicare or Medicaid
• Is the director and upper staff fully licensed?
• Is the care plan put in place by professionals?
• Ask questions about staff educational levels and staff
turnover.
25. Living in Nursing Homes
Special Care Units
– Does the facility have well-designed special
care units for people with dementia?
– Special care units must have the right level of
environmental support to provide additional
care when the person’s competence level
continues to decline.
– Memory aids should be built into the unit.
– Special care for severely cognitive impairment
residents
26. Living in Nursing Homes
Can a Nursing Home Be a “Home?”
• What can be done to foster the sense of “home?”
– Being included in the decision and selection of a
specific nursing home
– Having prior knowledge of, and positive experience of a
specific facility
– Defining the home in terms of family and social
relationships rather than place, objects, or total autonomy
– Establish a continuity between home and nursing home
– Reminiscing about home may facilitate adjustment
28. Living in Nursing Homes
How Not to Communicate with Residents
• Patronizing speech
• Infantilization or baby “talk”
• Inappropriate use of first names
• Terms of endearment—“Honey,” “Sweetie”
• Assumption of greater impairment than may
be the case
• Cajoling to demand compliance
to persuade with flattery or gentle urging especially in the face of reluctance
29.
30. Living in Nursing Homes
Decision-Making Capacity and Individual
Choices
• How well can a nursing home resident
make decisions regarding their care?
– Cognitive impairment
– Patient Self-Determination Act (PSDA)
– Provide written information at time of admission
concerning their right to make treatment decisions
– Living will
– Patients normally give the decision to family
members.
31. Living in Nursing Homes
New Directions for Nursing Homes
• The Eden Alternative
– The ten principles of the Eden Alternative.
– Use of pets and other approaches seem to make
stronger associations between current and former
living situations.
• Research (Coleman et al. 2002) does not
support this view.
• Quality of Life difficult to assess using
traditional methods.
• Further research needed in this area.
32. Living in Nursing Homes
New Directions for Nursing Homes
• Green House Project
– Radical departure from the idea of large residential
facilities
– Encourages residents to participate in their care
through helping with daily tasks
– Personal dignity is maintained and quality of life is
improved.
33. Living in Nursing Homes
New Directions for Nursing Homes
• The Pioneer Network
– Similar values
– Older persons are valuable to society.
– Treating all people with dignity
– Everyone deserves that.
Editor's Notes
Figure 5.1 Behavior and emotional outcomes
Figure 5.2 Percentage of Medicare enrollees
Figure 5.3 Demographic characteristics of nursing home residents
Figure 5.4 Major factors influencing resident satisfaction