021704 © 2008 SCAN Health Plan. All Rights Reserved.

32
021704 © 2008 SCAN Health Plan. All Rights Reserved.

Transcript of 021704 © 2008 SCAN Health Plan. All Rights Reserved.

Page 1: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

021704

© 2008 SCAN Health Plan.  All Rights Reserved.

Page 2: 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

Page 3: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

3

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

Page 4: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

4

Meet a Few SCAN Centenarians!!

Page 5: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

5

At 86, At 86,

Great-Great-

GrandmotherGrandmother

Marjorie Marjorie Newlin Newlin

pumps ironpumps iron

Page 6: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

6

Appearances can be deceiving

Page 7: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

7

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.

Page 8: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

8

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

Page 9: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

9

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

Page 10: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

10

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%

Page 11: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

11

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+

Page 12: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

12

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

Page 13: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

13

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.

Page 14: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

Hearing ExperienceHearing Experience

Page 15: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

15

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)

Page 16: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

The “Unfair” Hearing The “Unfair” Hearing TestTest

Page 17: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

17

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

Page 18: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

Vision ExperienceVision Experience

Page 19: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

19

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)

Page 20: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

20

Medical Conditions of the Eye

Macular Degeneration

CataractsDiabetic Retinopathy

Glaucoma

Page 21: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

21

Page 22: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

22

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

Page 23: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

Disability ExperienceDisability Experience

Page 24: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

Memory ExperienceMemory Experience

Page 25: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

25

Betty

Catherine

HelenEdward

James William

Page 26: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

4 5

2 3

6

1William Helen Edward

Betty Catherine James

Page 27: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

27

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

Page 28: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

Review: Helpful Tips

Page 29: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

29

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

Page 30: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

30

Moderate pace

Keep statements/questions simple

Provide written materials to reinforce verbal info

Remember it’s important to change your behavior

Memory Impairment

Page 31: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

31

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

Page 32: 021704 © 2008 SCAN Health Plan. All Rights Reserved.

32

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