Comparison Study: The Impact of On-site Comprehensive Service Access on Self-Reported Health and Functional Status of Older Adults

2009 ◽  
Vol 10 (3) ◽  
pp. 167-173 ◽  
Author(s):  
Yuchi Young ◽  
Linda S. Spokane ◽  
Benjamin A. Shaw ◽  
Mark A. Macera ◽  
John A. Krout
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Service Access ◽  
Comparison Study ◽  
Comprehensive Service ◽  
Reported Health ◽  
The Impact

Environment and ageing biology

2017 ◽  
pp. 317-322
Author(s):  
Arun S. Karlamangla ◽  
Teresa E. Seeman
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Functional Status ◽  
Life Events ◽  
Allostatic Load ◽  
The Body ◽  
Major Life Events ◽  
Major Life ◽  
The Life Course ◽  
The Impact

Psychosocial factors over the life course and major life events are associated with the health, functional status, and survival of older adults. This chapter discusses the biological mechanisms through which these influences are thought to operate, and how life stresses might accelerate the usual ageing of biological systems. It starts with a brief description of psychosocial determinants of health and functioning before elaborating on the allostatic mechanisms by which the body adapts its internal physiological milieu in response to perceived stressors. The price paid for frequent and recurring adaptation is eventual dysregulation of the mediators of allostasis, or allostatic load. We close with a brief discussion of allostatic load links to health outcomes in older adults and potential interventions that might ameliorate the impact of psychosocial adversities on health.

scholarly journals Impact of COVID-19 on Older Adults: Changes in Health Access, Health, Socialization and Adaptive Coping Activities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 731-731
Author(s):  
Judith Scott ◽  
Sara Qualls ◽  
Stacy Yun
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Service ◽  
Health Behaviors ◽  
Physical Health ◽  
Service Access ◽  
Adaptive Coping ◽  
Health Service Access ◽  
The Impact ◽  
Mental And Physical Health

Abstract Indirect effects of stay-at-home guidelines may negatively affect mental health by reducing health self-care behaviors and engagement in social participation. This study reports on the impact of the COVID-19 pandemic on community-dwelling older adults’ perceived physical and mental health and everyday health behaviors. 126 older adults participated in a county-wide telephone survey during June-July of 2020, asking about changes in mental and physical health, and adaptations in health behaviors. We investigated the effects of three negative everyday health behavior changes during the pandemic (changes in health services access, perceived changes in health, and increased social isolation) as well as two positive everyday health behaviors (adherence to stay-at-home guidelines to reduce risk, and adaptive coping activities) on mental health and COVID-related distress. Examples of active coping strategies were stockpiling resources, spiritual practices, or outreach to others. Descriptive statistics, bivariate correlations, and multiple regressions characterized the impact of COVID-19 on perceived mental health. Descriptive data included changes in health service access, changes in mental and physical health, reduced social engagement, increased adherence to guidelines, and increased adaptive coping activities. Significant predictors of mental health impact of the pandemic were changes in health service access (β = .18, p < .05), health changes (β = .25, p < .01), and adaptive coping activities (β = .21, p < .05). Findings suggest COVID-19 distress may be alleviated with improved health care access and increased social contact. Mental health challenges may also benefit from increased engagement in adaptive coping activities.

The impact of acute myeloid leukemia and its treatment on quality of life and functional status in older adults

2007 ◽  
Vol 64 (1) ◽  
pp. 19-30 ◽  
Author(s):  
Shabbir M.H. Alibhai ◽  
Marc Leach ◽  
Husnain Kermalli ◽  
Vikas Gupta ◽  
Matthew E. Kowgier ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Acute Myeloid Leukemia ◽  
Functional Status ◽  
Myeloid Leukemia ◽  
The Impact ◽  
Acute Myeloid

Living with a Chronic Disabling Illness and Then Some: Data from the 1998 Ice Storm

2003 ◽  
Vol 22 (3) ◽  
pp. 249-259 ◽  
Author(s):  
Monique A.M. Gignac ◽  
Cheryl A. Cott ◽  
Elizabeth M. Badley
Keyword(s):  
Older Adults ◽  
Psychological Health ◽  
Physical Illness ◽  
Stressful Events ◽  
Ice Storm ◽  
Chronic Physical Illness ◽  
Physical And Psychological Health ◽  
Reported Health ◽  
The Impact ◽  
Area Data

ABSTRACTThis study examined the impact of the 1998 Canadian ice storm on the physical and psychological health of older adults (age > 55 years) living with a chronic physical illness, namely osteoarthritis and/or osteoporosis. Although disasters are relatively rare, they are a useful means of examining the impact of a single stressor on a group of individuals. Specifically, we took advantage of a natural experiment to compare the responses of a group of 59 ice storm victims to those of 55 matched controls living outside the ice storm area. Data on disability, pain, self-reported health, helplessness, depression, and independence were assessed prior to the ice storm and approximately 17 months later. Older adults who reported greater helplessness and lost independence prior to the storm reported significantly greater ice storm stress and rumination and were more likely to report that the storm affected their condition. In addition, participants exposed to the ice storm reported significant changes in disability and pain nearly a year and a half later, compared to matched controls. These results suggest that older adults with chronic physical illness may be particularly vulnerable when faced with additional stressful events.

scholarly journals Perceptions of Family Caregivers of People With Dementia Regarding Symptom Management and the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 154-155
Author(s):  
Melissa Harris ◽  
Marita Titler
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Community Services ◽  
Community Dwelling ◽  
Care Recipient ◽  
Future Research ◽  
Service Access ◽  
Psychological Responses ◽  
People With Dementia ◽  
The Impact

Abstract Nearly 98% of older adults with Alzheimer’s disease and related dementias (ADRD) experience behavioral and psychological symptoms of dementia (BPSD). Although BPSD are linked to caregiver burden, perceptions of family caregivers on the impact of BPSD and their experiences addressing them in the home are unclear, and little is known about the impact of the pandemic on these experiences. Study aims were to explore: 1) the experiences of family caregivers of community dwelling older adults with ADRD regarding BPSD and how they manage BPSD in the home, and 2) how the pandemic impacted family caregivers’ experiences, BPSD of their relatives, and BPSD management. A qualitative, exploratory approach was used; 21 family caregivers were interviewed virtually. Content analysis and constant comparative methods were used. Ten major themes emerged: 1) Emotional and psychological responses of caregiver, 2) Loss, 3) Anticipation, 4) Reliance, 5) Learning to caregive, 6) Rewarding, 7) Emotional and psychological responses of care recipient 8) Cognition of care recipient, 9) Care strategies, 10) Caregiver perspectives. Caregivers did not use terms “behaviors” or “symptoms”, instead they described their relatives’ and their own experiences interdependently. Caregiving challenges presented before the pandemic (e.g. equivocal effects of medications, increasing care demands), many of which were compounded by the pandemic. Future research should explore the experiences of caregivers from a range of backgrounds. Findings illustrate communication barriers exist between clinicians, community services, people with ADRD and their families which may be addressed through clinician education, family-centered care planning, and policies to expand support service access.

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