scholarly journals Family Assistance for Older Adults in Puerto Rico

10.18060/3809 ◽  
2013 ◽  
Vol 14 (1) ◽  
pp. 276-288 ◽  
Author(s):  
Paul-Jesús Fericelli
Keyword(s):  
Older Adults ◽  
Puerto Rico ◽  
Public Assistance ◽  
Adult Population ◽  
Well Being ◽  
The Elderly ◽  
Family Assistance ◽  
A Value ◽  
Older Adult Population ◽  
Government Initiative

Global aging is a growing issue in most countries, including Puerto Rico. The well being of the older adult population depends mainly on a collaborative government initiative that uses both public assistance and the engagement of family members. Puerto Rican policymakers are searching for alternatives to care for the expanding elderly population as well as to protect the country’s economy, avoid the financial cliff, and reduce the high cost of public assistance. The purpose of this article is to analyze The Act for the Improvement of the Family Assistance and for the Support of the Elderly, Act No. 193 of 2002, under the criteria-based model (Gallagher & Haskins, 1984) with a value-critical appraisal (Chambers & Wedel, 2009). I suggest Act No. 193 of 2002 as a model for policymakers who are seeking ways to improve assistance for older adults, by promoting the following values: fairness, familism, fraternity, and accountability.

The Use of Yoga for Physical and Mental Health Among Older Adults: A Review of the Literature

2009 ◽  
Vol 19 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Donna Wang
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Scientific Evidence ◽  
Adult Population ◽  
Well Being ◽  
Preliminary Evidence ◽  
Physical And Mental Health ◽  
Mental Health Benefits ◽  
Improve Sleep Quality ◽  
Older Adult Population

The older adult population may greatly benefit from the practice of Yoga. This article reviews the scientific evidence supporting the use of Yoga with older adults. Nine studies were identified that examined either physical or mental health outcomes in older adults following a Yoga intervention. There is growing evidence that Yoga can improve physical well-being, including balance, range of motion, blood pressure, pain, fatigue, and general health. There is less evidence available that examines the cognitive and mental health benefits of Yoga for older adults. However, there is preliminary evidence that Yoga can improve sleep quality and depression. Only three of the reviewed studies were randomized controlled trials, and more studies of high methodological quality are needed. Implications for further research and practice are offered.

scholarly journals Transitions in Loneliness Among Older Adults: A 5-Year Follow-Up in the National Social Life, Health, and Aging Project

2017 ◽  
Vol 40 (4) ◽  
pp. 365-387 ◽  
Author(s):  
Louise C. Hawkley ◽  
Masha Kocherginsky
Keyword(s):  
Older Adults ◽  
Social Life ◽  
Adult Population ◽  
Functional Limitations ◽  
Well Being ◽  
The United States ◽  
Functional Factors ◽  
Older Adult Population ◽  
Health And Well Being

A substantial portion of the older adult population suffers from frequent feelings of loneliness, but a large proportion remains relatively unscathed by loneliness. To date, research examining both protective and risk factors for loneliness has not included data from the United States. The present study used the first two waves of data from the National Social Life, Health, and Aging Project to examine sociodemographic, structural, and functional factors thought to be associated with loneliness in older adults. Functional limitations and low family support were associated with an increase in loneliness frequency (as were more strained friendships) and with transitioning from nonlonely to lonely status. Better self-rated health, higher levels of socializing frequency, and lower family strain were associated with transitioning from lonely to nonlonely status. Interventions that target these factors may be effective in preventing and reducing loneliness and its effects on health and well-being in older adults.

Speaker, tell me a joke: The feasibility of using smart speaker technology for health and well-being in an older adult population (Preprint)

2021 ◽  
Author(s):  
Rachel Faulkenberry McCloud ◽  
Carly Perez ◽  
Mesfin Awoke Bekalu ◽  
Kasisomayajula Viswanath
Keyword(s):  
Older Adults ◽  
Adult Population ◽  
Well Being ◽  
Lower Socioeconomic ◽  
Study Staff ◽  
Health Related ◽  
Study Participants ◽  
Older Adult Population ◽  
Additional Explanation ◽  
Health And Well Being

BACKGROUND Although smart speaker technology is poised to help improve the health and well-being of older adults through offering services such as music, medication reminders, and connection to others, more research is needed to determine how older adults from lower socioeconomic position (SEP) accept and use this technology. OBJECTIVE The purpose of this study is to serve as a feasibility study for using smart speakers for improving the health and well-being of older low SEP adults. METHODS Forty nine adults between the age of 65 to 85 who lived in a subsidized housing community were recruited to take part in a three-month study. Participants had a smart speaker into their home and were given a brief orientation to its use. Over the course of the study, participants were given weekly check-in calls to help assist with any problems and newsletters with tips on how to use the speaker. Participants received a pretest and posttest to gauge comfort with technology, well-being, and perceptions of and use of the speaker. Study staff also maintained detailed process notes of interactions with participants over the course of the study, including a log of all issues reported. RESULTS At the end of the study period, 38% of the participants indicated using the speaker daily, and 38% reported using it several times per week. Seventy-two percent of the participants indicated that they wanted to continue using the speaker after the end of the study. The majority (63%) indicated that the speaker was useful, and approximately half of participants felt that the speaker gave them another voice to talk to (51%) and connected them with the outside world (47%). Although common uses were using the speaker for weather, music, and news, fewer reported using it for health-related questions. Despite initial challenges participants experienced with framing questions to the speaker, additional explanation by study staff addressed these issues in the first weeks of the study. CONCLUSIONS Results from this study indicate that there is promise for smart speaker technology with older low SEP adults, particularly to connect them to music, news, and reminders. Future studies will need to provide more up-front training on query formation, as well as develop and promote more specific options for older adults, particularly in the area of health and well-being. INTERNATIONAL REGISTERED REPORT RR2-10.2196/jmir.4375

scholarly journals “Conviv\^{e}ncia” Groups: Building Active and Healthy Communities of Older Adults in Brazil

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Tânia R. Bertoldo Benedetti ◽  
Eleonora d'Orsi ◽  
Andiara Schwingel ◽  
Wojtek J. Chodzko-Zajko
Keyword(s):  
Older Adults ◽  
Adult Population ◽  
Social Groups ◽  
Well Being ◽  
Social Programs ◽  
Crucial Component ◽  
Older Adult Population ◽  
The Impact ◽  
Health And Well Being

In old age, social groups can be a crucial component for health and well-being. In 2009-2010, a follow-up survey was carried out in Florianópolis, Brazil to understand the impact of a variety of programs established since 2002 that were designed to enhance social activities among the older adult population. This study employed two surveys within the population of older adults in Florianópolis. The first survey interviewed a total of 875 older adults in 2002, and the second survey involved 1,705 older adults between 2009 and 2010. By 2010, many new programs were offered in the community and the enrollment of older adults in social programs followed similar trends. “Convivência” groups stood out as extremely popular social groups among this population. This paper discusses some of the potential outcomes associated with participation in “convivência” groups.

scholarly journals Companionship and Sexual Issues in the Aging Population

2021 ◽  
pp. 025371762110456
Author(s):  
Abhishek Ramesh ◽  
Thomas Gregor Issac ◽  
Shiva Shanker Reddy Mukku ◽  
Palanimuthu T. Sivakumar
Keyword(s):  
Older Adults ◽  
Adult Population ◽  
The Elderly ◽  
Cultural Dimensions ◽  
Sociocultural Factors ◽  
Systematic Research ◽  
Novel Technologies ◽  
Increased Risk ◽  
Significant Public Health ◽  
Older Adult Population

Loneliness and social isolation are significant public health crises in older adults. The issues about companionship have many psychosocial and cultural dimensions, which is further compounded by the current COVID-19 pandemic. In modern-day India, there is a significant increase in the number of older adults left to live alone because of sociocultural changes in our society. Companionship in late life is known to promote the quality of life and decrease the mental health morbidity. There is an increasing role of pets as companions to the elderly. Novel technologies such as artificial intelligence in the form of robots are being explored to support the elderly. Sexuality is another complex issue related to older adults that is often ignored. The sexuality and sexual functioning in older adults largely depend on physiological, psychological, and sociocultural factors. The principles of ageism have influenced sexuality in older adults. Sociocultural issues and the aging-related pathophysiological changes can contribute to an increased risk for legal issues related to sexuality in this population. There is a need for more systematic research into the multifaceted concept of companionship and sexuality in the older adult population. This review article addresses these two distinct subjects separately.

Relocation to/Within a Retirement Community: Older Adults' Perceived Satisfaction With Transitioning

2019 ◽  
Vol 24 (1) ◽  
pp. 167-181
Author(s):  
Heather Peck ◽  
Anupama Jacob
Keyword(s):  
Older Adults ◽  
Adult Population ◽  
Transition Process ◽  
Well Being ◽  
Retirement Community ◽  
Grand Challenge ◽  
Aging Research ◽  
Factors Affecting ◽  
Perceived Satisfaction ◽  
Older Adult Population

The older adult population is exponentially increasing, and senior living communities are now the preferred lifestyle of the aging. Research finds that relocations for older adults can be extremely difficult. To inform how agencies can support a satisfactory transition for older adults, this study draws on survey data to explore factors affecting older adults' perceived satisfaction with relocating to or within a continuing care retirement community in Southern California. Results demonstrated that overall satisfaction with the transition process increased when older adults identified themselves as primary decision makers of the relocation and when they experienced a higher level of welcomeness at the facility. Results also displayed that residents identified staff visits as the most important support they received during their transition. Results address the Social Work Grand Challenge of Advancing Long and Productive Lives by informing agencies, educators, and practitioners about strategies to increase the well-being of transitioning older adults.

Alternative methods of pain management for the older adult population: Review of topical pain medications

2015 ◽  
Vol 5 (3) ◽  
pp. 109-122
Author(s):  
Candice Tavares
Keyword(s):  
Older Adults ◽  
Pain Management ◽  
Older Adult ◽  
Adult Population ◽  
The Elderly ◽  
The United States ◽  
Community Dwelling ◽  
Alternative Methods ◽  
Pain Medications ◽  
Older Adult Population

Abstract The older adult population is one of the fastest growing age groups in the United States. As this population continues to expand, determining the safest way to provide pain management has become increasingly important. More than 50% of community-dwelling older adults experience pain on a daily basis, and up to 83% of those in assisted living facilities experience persistent pain. Pain is exceedingly challenging to treat safely and effectively in the elderly because of the physiologic changes that occur as people age. In addition, many nonnarcotic medications with analgesic properties are listed in both the 2012 American Geriatrics Society Beers Criteria for Potentially Inappropriate Medication Use in Older Adults and the Pharmacy Quality Alliance high-risk medications lists. An approach to the growing challenge of managing pain in the elderly that is gaining popularity among community-dwelling patients is the use of topical pain medications. The goal of this article is to review some of the available literature regarding the use of various topical analgesics alone or in combination, and to discuss their known or theoretical mechanisms of peripheral pain modulation. Commercially available or compounded topical pain medications may be used to replace or augment doses of oral medications in an effort to decrease the risk of adverse drug events for older adult patients. When prescribing topical pain medications physicians should consider the nature of the pain targeted, the type of analgesia expected from each ingredient, the potential for systemic absorption, and related side effects.

scholarly journals Frailty transitions and cognitive function among South Korean older adults

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Fatima Nari ◽  
Bich Na Jang ◽  
Hin Moi Youn ◽  
Wonjeong Jeong ◽  
Sung-In Jang ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Daily Living ◽  
Mini Mental State Examination ◽  
Adult Population ◽  
Geriatric Syndrome ◽  
South Korean ◽  
Adl Disability ◽  
Older Adult Population ◽  
State Examination

AbstractFrailty is considered a multidimensional geriatric syndrome, manifested by the accumulation of age-associated deficits. The consequences of frailty transitions are still understudied. This study evaluated the influence of frailty transitions on cognitive function in the older adult population. We used data derived from the Korean Longitudinal Study of Aging (KLoSA) (2008–2018) on older adults aged ≥ 65 years. Frailty was assessed using a validated Korean frailty measure known as the frailty instrument (FI), and cognitive function was measured using the Korean version of the Mini-Mental State Examination (K-MMSE). Transitions in frailty and their relationship with cognitive function were investigated using lagged generalized estimating equations (GEE), t-tests, and ANOVA. Respondents who experienced frailty transitions (those with ameliorating frailty), those who developed frailty, and whose frailty remained constant, were more likely to have a lower cognitive function than those who were consistently non-frail. Older age, activities of daily living (ADL) disability, and instrumental ADL disability were more negatively associated with declining cognitive function, especially in the “frail → frail” group. Changes in all individual components of the frailty instrument were significantly associated with impaired cognitive function. The results suggest an association between frailty transitions and cognitive impairment. Over a 2-year span, the remaining frail individuals had the highest rate of cognitive decline in men, while the change from non-frail to frail state in women was significantly associated with the lowest cognitive function values. We recommend early interventions and prevention strategies in older adults to help ameliorate or slow down both frailty and cognitive function decline.

The Brief Odor Detection Test (B-ODT) for Very Early Diagnosis of Cognitive Decline: A Preliminary Study

2017 ◽  
Vol 18 (2) ◽  
pp. 197-210
Author(s):  
Dimitra Savvoulidou ◽  
Efthymia Totikidou ◽  
Chariklia Varvesiotou ◽  
Magda Iakovidou ◽  
Ourania Sfakianaki ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Adult Population ◽  
Detection Threshold ◽  
Community Dwelling ◽  
Odor Detection ◽  
Olfactory Impairment ◽  
Older Adult Population ◽  
Community Dwelling Older Adults

Olfactory impairment in older adults is associated with cognitive decline. This study describes the development of a Brief Odor Detection Test (B-ODT), and its pilot administration in community-dwelling older adults. The study aimed at examining whether the test could differentiate older adults with very mild cognitive impairment from their cognitively healthy counterparts. The sample consisted of 34 older adults (22 women), aged from 65 to 87 years. Participants were divided into two groups according to their general cognitive functioning. Odor detection was measured via vanillin solutions at the following concentrations: 150 mg/L, 30 mg/L, 15 mg/L, 3 mg/L, and .03 mg/L. The first condition of the test involved a scale administration of vanillin solutions. The second condition examined the change in air odour and it required vanillin solution of 30 mg/L and a metric ruler of 30 cm. The examiner had to place the solution at a specific distance point from each nostril. Odour identification sensitivity was secondarily measured. The results showed statistically significant differences in odour detection threshold between the two groups. In the unirhinal testing, left nostril differences of the two groups were definite. Hence, the B-ODT seems a promising instrument for very early cognitive impairment screening in older adult population.

Marijuana use among older adults in the U.S.A.: user characteristics, patterns of use, and implications for intervention

2010 ◽  
Vol 23 (5) ◽  
pp. 732-741 ◽  
Author(s):  
Diana M. DiNitto ◽  
Namkee G. Choi
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Social Service ◽  
Illicit Drugs ◽  
Service Providers ◽  
Adult Population ◽  
Marijuana Use ◽  
Well Being ◽  
Epidemiological Studies ◽  
Social Service Providers

ABSTRACTBackground: Epidemiological studies show that the number of older adults using marijuana is increasing. This study aimed to determine the correlates and patterns of marijuana use among older adults that might help health and social service providers better assist this group.Methods: Data are from the 2008 National Survey on Drug Use and Health conducted by the Substance Abuse and Mental Health Services Administration in the U.S.A. The sample consisted of 5,325 adults aged 50 years and older.Results: Of the sample, 2.8% were past-year marijuana users. Of them, 23% had used marijuana on at least half the days of the year. Past-year users were more likely to be younger (50–64 years old), black, and not married, and they had significantly higher psychological distress scores, but they did not rate their health as poorer than others in the sample, nor did they attribute many problems, including psychological problems, as being related to their marijuana use. Nevertheless, past-year users present a high-risk profile because, in addition to frequent marijuana use, they also are more likely to smoke cigarettes, engage in binge drinking, and use other illicit drugs.Conclusions: Health and social service providers should be alert to the small number of routine marijuana users among the younger members of the older adult population, especially those suffering significant psychological distress, so that these individuals can be encouraged to utilize services that will help alleviate this distress and promote a healthier lifestyle and increase general well being.

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