Examination of Factors Related to Driving, Travel Patterns and Falls in Retirement Living Seniors

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ISBN 13 :
Total Pages : 242 pages
Book Rating : 4.:/5 (892 download)

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Book Synopsis Examination of Factors Related to Driving, Travel Patterns and Falls in Retirement Living Seniors by : Spencer Edward Gooderham

Download or read book Examination of Factors Related to Driving, Travel Patterns and Falls in Retirement Living Seniors written by Spencer Edward Gooderham and published by . This book was released on 2014 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: To date, there has been little research on driving or transportation use in retirement living seniors or the associations with quality of life, including staying active, socially engaged and connected with the outside community. This thesis is part of a larger project being conducted by a team of researchers at the University of Waterloo to examine these issues in collaboration with the Schlegel-UW Research Institute for Aging, the Schlegel Villages and Luther Village on the Park. Purpose: The primary objectives of this thesis were to: 1) examine the actual driving practices and other modes of travel in relation to functional abilities and other characteristics; 2) examine associations between driving and other modes of travel with community engagement; 3) examine fall status and compare fallers and non-fallers; and 4) compare current drivers to a sample of former drivers with respect to falls, balance confidence, depression, activity levels in and out of Village (engagement) and travel patterns. Methods: A convenience sample of 55 drivers (mean age 81.9 ± 6.2, 49% male) from five retirement villages located in Southern Ontario were assessed between February and October, 2013. Participants completed questionnaires (background and driving history, activities inside and outside the village), scales (depression, well-being, self-reported driving restrictions, perceived driving abilities, balance and driving confidence) and assessments of cognition and executive function, lower body mobility and contrast sensitivity. In addition, participant vehicles were equipped with two electronic data logging devices (vehicle diagnostics and GPS) for two weeks, while they concurrently kept trip logs (for driving trips) and travel diaries (for non-driving trips). Falls were assessed through both self-report and incident reports from the villages. Similar data (from scales, questionnaires, travel diaries, falls) previously collected on a sample of 20 former drivers from these retirement villages was merged into the database to permit statistical comparisons between current and former drivers. Primary Results: Overall, the sample reported driving less after moving to the villages. Compared to prior studies with community seniors, older drivers living in the retirement villages had more restricted driving practices. Residents who were considering driving cessation were not only restricting their driving, but had diminished functional abilities, were more likely to fall, had worse balance and driving confidence, and were less engaged with the community. Compared to current drivers, former drivers were more likely to have fallen in the past year, had lower balance confidence, and were less active outside the village, although they were equally socially engaged. Level of independent living (townhomes versus apartments or suites, versus assisted living rooms) emerged as a significant predictor of community engagement. When level of independent living was controlled for, greater community engagement was associated with younger age, being able to walk 1/4 mile and better balance confidence scores. Driving status approached significance with higher community engagement scores associated with being a current (versus former) driver. Conclusions: The results indicate that although residents of retirement villages may not drive as much as community living seniors, continuing to drive enables them to stay more connected to the broader community. Although few had considered driving cessation prior to relocation, about half the sample were now considering this transition. Retirement living may make the transition to driving cessation easier, particularly for those who take advantage of village shuttle buses and retain the ability to walk to shops and services in the area. Alternate modes of transportation are critical as older adults retire from driving to ensure continued mobility and independence, as well as to maintain productive community and social engagement.

Examination of Driving Practices, Well-being and Community Engagement in Retirement Living Seniors

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ISBN 13 :
Total Pages : 253 pages
Book Rating : 4.:/5 (875 download)

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Book Synopsis Examination of Driving Practices, Well-being and Community Engagement in Retirement Living Seniors by : Sarah Sousa

Download or read book Examination of Driving Practices, Well-being and Community Engagement in Retirement Living Seniors written by Sarah Sousa and published by . This book was released on 2013 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Almost all the research on transportation use and travel patterns of older adults has been confined to community-dwelling seniors. This multi-phase project was initiated to gain a better understanding of transportation modalities (including driving) and travel patterns of seniors living in retirement complexes. The current study, Phase IV of the project, focused on residents who were still driving. Previous phases included surveys to determine driving status (Phase I) and general transportation use (Phase II), as well as an in-depth examination of residents 65+ who had recently stopped driving in the past two years (Phase III). Purposes: The primary objective of this study was to examine the actual driving practices of older drivers living in retirement communities, including associations with driver characteristics, perceptions of driving comfort and abilities, indicators of well-being, and extent of activity and group participation inside and outside the villages. This study also examined travel patterns outside the village, in addition to driving themselves. Methods: A convenience sample of 38 drivers (mean age 81.9 [plus or minus] 5.6, range 70 to 91, 42% male) from five urban retirement villages located across Southern Ontario (Kitchener, Waterloo, Guelph, Etobicoke and Whitby), were assessed between February and July, 2013. Participant vehicles were equipped with two electronic data logging devices (one with GPS) for two weeks, during which time they also filled out trip logs (for each driving trip) and daily travel diaries (for non-driving trips). Participants also completed questionnaires (background and driving history, activities inside and outside the village) and scales to assess depression, well-being, perceptions of driving comfort and abilities and balance confidence. Interviews were conducted to examine their experiences over the two week period, as well as gather feedback on transportation at the retirement facilities. Results: Overall, the sample was highly educated, reported being in good health and not depressed. They were also considerably older and had a greater proportion of females than most community studies. Driving data were obtained for 32 participants. Participants drove an average of three days a week (range 0.5 to 6.5 days/week), and only eight (32%) drove at night. Consistent with findings on older drivers living in the community, driving trips were most often for shopping and errands (65% of total trip segments), followed by social and entertainment purposes (18%). The sample showed more restricted driving patterns when compared to prior studies with community seniors; driving substantially less at night (trips and distance). Most of the sample (73%) did not drive on days with bad weather. Driving perceptions (particularly night comfort) were significantly (p

Driving Cessation and Relocation to Retirement Villages

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Publisher :
ISBN 13 :
Total Pages : 154 pages
Book Rating : 4.:/5 (86 download)

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Book Synopsis Driving Cessation and Relocation to Retirement Villages by : Courtney Janssen-Grieve

Download or read book Driving Cessation and Relocation to Retirement Villages written by Courtney Janssen-Grieve and published by . This book was released on 2013 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Mobility is critical for independence, social engagement and quality of life, which for many seniors equates with driving. Driving cessation has been associated with depression, isolation and decreased social and community engagement. However, apart from a few studies in the United States, research on the impacts of driving cessation and transportation use in general has been restricted to community dwelling seniors. It is estimated that 40,000 seniors in Ontario alone currently live in retirement facilities; a number expected to increase. Purposes: The aim of the wider project is to gain a better understanding of the transportation patterns and needs of older adults living in retirement homes. The specific aims of this study, which focused on residents who recently stopped driving (in the past two years), were to examine: 1) events leading to driving cessation, impacts (including depression), and possible associations with relocation; 2) transportation use, including how frequently they left the Village; and 3) connections with family and friends, and activity engagement in and outside the Villages.

Chart Supplement, Pacific

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ISBN 13 :
Total Pages : 324 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Chart Supplement, Pacific by :

Download or read book Chart Supplement, Pacific written by and published by . This book was released on 2010 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Falls in Older Persons

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ISBN 13 :
Total Pages : 212 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Falls in Older Persons by : Rein Tideiksaar

Download or read book Falls in Older Persons written by Rein Tideiksaar and published by . This book was released on 1998 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: "In both hospitals and long-term care facilities it's the older patients and residents who are most prone to falling and most vulnerable to serious injury from a fall. Staff must constantly be on the alert for hazardous situations and know how to deal with falls. This easy-to-read guide provides just the right amount of information needed by health care staff to prevent and manage this common problem among older adults." "This book presents a wealth of practical recommendations, modifications, equipment, and resources that will improve the health and safety of older adult patients and long-term care residents."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

Aging, Place, and Health

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Publisher : Jones & Bartlett Learning
ISBN 13 : 1284145026
Total Pages : 378 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Aging, Place, and Health by : William A. Satariano

Download or read book Aging, Place, and Health written by William A. Satariano and published by Jones & Bartlett Learning. This book was released on 2017-03-03 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: Aging, Place, and Health: A Global Perspective examines the interplay of biological, social, and environmental factors affecting the health and well-being of aging individuals, their families, and communities. With a strong interdisciplinary focus, this book provides a clear, coherent structure to address the diversity of topics in this increasingly vital field. The second edition maintains the ecological approach using the same framework as in the first edition. The ecological model serves as a template for the organization of the book. The new edition provides a more global focus and introduces new topics such as the impact of technology. This edition also introduces a new co-editor as well as specific chapters prepared by leading experts in the field.

Physician's Guide to Assessing and Counseling Older Drivers

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ISBN 13 :
Total Pages : 235 pages
Book Rating : 4.:/5 (699 download)

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Book Synopsis Physician's Guide to Assessing and Counseling Older Drivers by : American Medical Association

Download or read book Physician's Guide to Assessing and Counseling Older Drivers written by American Medical Association and published by . This book was released on 2010 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Social Isolation and Loneliness in Older Adults

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Publisher : National Academies Press
ISBN 13 : 0309671035
Total Pages : 317 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Social Isolation and Loneliness in Older Adults by : National Academies of Sciences, Engineering, and Medicine

Download or read book Social Isolation and Loneliness in Older Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-14 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

Pathy's Principles and Practice of Geriatric Medicine

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Publisher : John Wiley & Sons
ISBN 13 : 1119954142
Total Pages : 3453 pages
Book Rating : 4.1/5 (199 download)

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Book Synopsis Pathy's Principles and Practice of Geriatric Medicine by : Alan J. Sinclair

Download or read book Pathy's Principles and Practice of Geriatric Medicine written by Alan J. Sinclair and published by John Wiley & Sons. This book was released on 2012-03-13 with total page 3453 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." —Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM

The Future of Disability in America

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Publisher : National Academies Press
ISBN 13 : 0309104726
Total Pages : 619 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Future of Disability in America by : Institute of Medicine

Download or read book The Future of Disability in America written by Institute of Medicine and published by National Academies Press. This book was released on 2007-10-24 with total page 619 pages. Available in PDF, EPUB and Kindle. Book excerpt: The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.

Communities in Action

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Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Making Eye Health a Population Health Imperative

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Publisher : National Academies Press
ISBN 13 : 0309439981
Total Pages : 587 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Making Eye Health a Population Health Imperative by : National Academies of Sciences, Engineering, and Medicine

Download or read book Making Eye Health a Population Health Imperative written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-01-15 with total page 587 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.

Creating Aging-friendly Communities

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Publisher : Oxford University Press
ISBN 13 : 0199379580
Total Pages : 289 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Creating Aging-friendly Communities by : Andrew E. Scharlach

Download or read book Creating Aging-friendly Communities written by Andrew E. Scharlach and published by Oxford University Press. This book was released on 2016 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Creating Aging-Friendly Communities examines the need to redesign America's communities to respond to our aging society. What differentiates it from other books is its breadth of focus, evidence-based consideration of key infrastructure characteristics, and examination of the strengths and limitations of promising approaches for fostering aging-friendly communities.

Transportation in an Aging Society

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Publisher : Transportation Research Board
ISBN 13 : 0309077451
Total Pages : 339 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Transportation in an Aging Society by :

Download or read book Transportation in an Aging Society written by and published by Transportation Research Board. This book was released on 2004 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Third Nationwide Outdoor Recreation Plan: Assessment

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Publisher :
ISBN 13 :
Total Pages : 282 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Third Nationwide Outdoor Recreation Plan: Assessment by : United States. Heritage Conservation and Recreation Service

Download or read book The Third Nationwide Outdoor Recreation Plan: Assessment written by United States. Heritage Conservation and Recreation Service and published by . This book was released on 1979 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Role of Human Factors in Home Health Care

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Publisher : National Academies Press
ISBN 13 : 0309156297
Total Pages : 322 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Role of Human Factors in Home Health Care by : National Research Council

Download or read book The Role of Human Factors in Home Health Care written by National Research Council and published by National Academies Press. This book was released on 2010-11-14 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research-the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

Backpacker

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ISBN 13 :
Total Pages : 140 pages
Book Rating : 4./5 ( download)

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Book Synopsis Backpacker by :

Download or read book Backpacker written by and published by . This book was released on 2007-09 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Backpacker brings the outdoors straight to the reader's doorstep, inspiring and enabling them to go more places and enjoy nature more often. The authority on active adventure, Backpacker is the world's first GPS-enabled magazine, and the only magazine whose editors personally test the hiking trails, camping gear, and survival tips they publish. Backpacker's Editors' Choice Awards, an industry honor recognizing design, feature and product innovation, has become the gold standard against which all other outdoor-industry awards are measured.