021704 © 2008 SCAN Health Plan. All Rights Reserved.
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Transcript of 021704 © 2008 SCAN Health Plan. All Rights Reserved.
021704
© 2008 SCAN Health Plan. All Rights Reserved.
2
Goals:
o Foster insightinsight into the life of an older adult
o SensitizeSensitize participants to the concerns and perspectives of older adults
o Encourage understandingunderstanding of the challenges and dilemmas encountered by older adults
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What we know about AGING
o It occurs at different rates
o Experience more losses in a shorter period of time
o It increases susceptibility to many conditions
People over 65 are a diverse groupPeople over 65 are a diverse group
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Meet a Few SCAN Centenarians!!
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At 86, At 86,
Great-Great-
GrandmotherGrandmother
Marjorie Marjorie Newlin Newlin
pumps ironpumps iron
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Appearances can be deceiving
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What is our point?
Seniors today are a lot different than they were just a generation ago. Like the rest of us, they want to remain active and involved, independent and self-reliant as much as their health permits.
Most of all, seniors want to be relevant.
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Right Now…
The “Age Wave”“Age Wave” is ushering in a dramaticdramatic shift in the population of individuals age 65 and
older
Art sculpture crafted by SCAN member Daniel
Gluck, 72
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Older Adult Fast FactsFast Facts
The population of 65+ will increase by 15 million in 10 years, from 40 million in 2010 to 55 million in 2020
The population of 85+ will increase from 5.7 million in 2010 to 6.6 million in 2020
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Aging in Arizona In 2008 13% of
Arizonans were 65+
8.7% lived below the poverty level
By 2020 older Arizonans will make up 1/4 of our population
By 2020 Arizona’s 85+ population will increase by 141%
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o Older adults experience a succession of losses, both gradual and sudden
o More than 1/2 of all Americans 65+ have some type of disability; 1/3 of those 65+ have severe disabilities
General Facts
Falls affect 1/3 of Americans 60+
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o Hospital admits due to adverse drug reactions are 6 times greater than the general population
o Eighty percent of people who are 65 and older live with at least one chronic disease
o Depression recurrence rates are as high as 40%
General Health Facts
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Trading Ages
As we age there are changes, both physical and cognitive, and experiences that we all share.
Today, we are going to focus on “walking in the shoes” of seniors in order to gain a better understanding and perspective on what it means to experience aging.
Hearing ExperienceHearing Experience
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Types of Hearing Loss
Sensorineural Loss
Sound waves reach the inner ear, but aren’t transmitted to the brain
Conductive
Sound waves are not transmitted to inner ear and are perceived as muffled or faint
Presbycusis
Loss of high frequency sounds (most common)
The “Unfair” Hearing The “Unfair” Hearing TestTest
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Hearing Loss Tips
o Do not cover your mouth
o Speak at normal rate, lower pitch, enunciate
o Reduce background noiseReduce background noise
o Reword if necessary
Wha
t You
Can
Do
o Get person’s attention
o Ask if you are clearly heard
o Face the individual. Speak slightly louder, but don’t shout
Vision ExperienceVision Experience
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Common Changes in Vision
Decrease in…
o ability to judge distances
o ability to discriminate between certain colors
o ability to function in low light levels and adapt to darkness
o ability to adapt to glare
o sharpness of vision (especially details and fine print)
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Medical Conditions of the Eye
Macular Degeneration
CataractsDiabetic Retinopathy
Glaucoma
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Helpful Tips-Vision
Well litWell lit, , glare freeglare free waiting areas, hallways, and rooms.
Clearly stated instructionsClearly stated instructions
EnvironmentEnvironment
-- Color contrast for doorway/walls
-- Mark the edge of steps
-- Directional signs with large type
Disability ExperienceDisability Experience
Memory ExperienceMemory Experience
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Betty
Catherine
HelenEdward
James William
4 5
2 3
6
1William Helen Edward
Betty Catherine James
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Wha
t You
Can
Do Communication with
Confused Older Adults
o Get their attention-eye/touch
o Identify yourself-use older person’s name frequently
o Be clear about expectations-specific/short
o Give feeling you assume they can and do what you expect
Review: Helpful Tips
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Control glare and have adequate lighting
Use large print documents, books, puzzles
Use color contrast in printed materials
Reduce background noise - radio, TV, music
Slow down and lower pitch
Allow individual to see lips and expressions
Vision
Hearing
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Moderate pace
Keep statements/questions simple
Provide written materials to reinforce verbal info
Remember it’s important to change your behavior
Memory Impairment
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Enunciate
Lower pitch of voice
Avoid talking down
Reduce background noise by asking the member to lower their TV or radio volume
On the PhoneAvoid non-essential phone communication with the severely impaired
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o Being aware of clues to a senior’s cognitive and physical limitations
o Being patient, listening carefully, using empathy statements
o Promoting independence
o Asking yourself if your work processes pass the senior sensitivity test
o Remembering the senior cannot change their impairment- YOU must change YOUR behavior
Senior Sensitivity Means