Digital Commons Network^™

Implementation Of A Primary Care Toolkit To Improve Dementia Diagnosis And Management In A Rural Setting, Meredith George-Wieland

Doctor of Nursing Practice Scholarly Projects

BACKGROUND: There are six million people with dementia living in the United States and this number is expected to rise exponentially due to the aging population. In the United States, it is estimated that only two thirds of dementia cases are recorded during primary care visits and an estimated, one third of cases have been either missed or disregarded.

LOCAL PROBLEM: In a remote primary care clinic on Kodiak Island, off the southeastern coast of Alaska, there is a lack of dementia and related cognitive diagnoses in the primary care setting due to patients’ and families lack access to the …

Implementation Of Delirium Bundle On A Hospital Medical/Surgical Unit To Help Decrease The Prevalence Of Delirium, Sanusi Mohammed

Doctor of Nursing Practice Scholarly Projects

Description of the Problem: Delirium is defined as a constellation of symptoms that includes disturbance in attention or awareness, change in cognition, language and perceptual disturbances that develops over a short period of time. Delirium mostly affects adult patients with risk factors including history of dementia, early cognitive impairment, dehydration, and infections. This quality improvement project was implemented on one hospital unit at a large tertiary hospital in the Boston area. This unit has one highest rate of delirium in the entire hospital system. Delirium is associated with high rate of morbidity and mortality. Also, this syndrome leads to longer …

Social Security Benefits Continue To Fall Short Of Covering Cost Of Basic Needs For Older Americans, 2021, Jan Mutchler, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

Social Security benefits fall short of what is required to cover the basic cost of living across the United States, according to new estimates based on the Elder Index, a county-by-county measure of the income older adults need to secure an independent lifestyle. Nationally, the average Social Security benefit covers just 68% of basic living expenses of housing, food, transportation, and health care for a single renter in 2021, and 81% for an older couple. The gap between Social Security benefits and what it takes to get by is especially problematic for older adults who rely largely or entirely on …

Aging In Hull: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Hull Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hull’s residents age 55 or older. The contents of this report are meant to inform the Town of Hull, the Hull Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Hull for the purposes of planning and coordination of services. The report will …

Aging In Hull: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Hull Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hull’s residents age 55 or older. The contents of this report are meant to inform the Town of Hull, the Hull Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Hull for the purposes of planning and coordination of services. The report will …

Aging In Hamilton: Planning For The Future, A Community Needs Assessment, Caitlin Coyle, Mary Krebs, Shayna Gleason, Nidya Velasco Roldan

Center for Social and Demographic Research on Aging Publications

Like many communities across Massachusetts, the population in the Town of Hamilton is aging. According to projections created by the Donahue Institute at the University of Massachusetts, a trend toward an older population is expected. Donahue Institute vintage projections suggest that by 2035, more than one out of each three Hamilton residents will be age 60 or older—32% of the Town’s population will be between the ages of 60 and 79, with an additional 9% age 80 and older. As the demographics of Hamilton shift toward a population that is older and living longer, the demand for programs and services …

Arlington: An Age And Dementia Friendly Action Plan, Caitlin Coyle, Beth Rouleau, Nidya Velasco-Roldán, Rebecca Mailman

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Arlington and the Arlington Council on Aging. This plan was created uniquely for Arlington, with input from residents, community partners, local businesses, government leaders and aging experts. Surveys were conducted, focus groups were held and feedback was collected both pre and post-pandemic to create a plan that reflects the dynamic environment that we are all living in. Using collected data, survey results, feedback and input, this plan was …

Senior Center Response To Covid-19: Involvement With Vaccine Distribution, Ceara Somerville, Caitlin Coyle, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

In early 2021, access to a COVID-19 vaccine was prioritized for older adults and people with multiple co-morbidities. Between high demand and emerging supply, and new systems for booking a vaccine appointment, many people had challenges getting an appointment. Senior centers across the state became a crucial resource for access to the vaccine and additional information about its efficacy and safety.

Senior Center Response To Covid-19: Mid-Year Operations 2021, Ceara Somerville, Caitlin Coyle, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

Senior centers/COAs in Massachusetts remained largely operational through the height of the COVID-19 pandemic, and continued to assist older adults in the community. With the introduction of a vaccine, return to ‘normal’ operations has become more feasible. By mid-2021, senior centers were returning to some in-person operations and continued adaptations for safety, including mask-wearing, limiting capacity, fewer walk-ins, and increased hand sanitization availability.

Senior Center Response To Covid-19: Social Engagement And Outreach, Ceara Somerville, Saralyn Collins, Caitlin Coyle, Jan Mutchler, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

Social isolation can have devastating effects on an individual’s mental and physical wellbeing. The COVID-19 outbreak has put older adults at greater risk of isolation and has pushed efforts to address isolation to the forefront of public health in Massachusetts. Senior centers have been working to end isolation in their communities long before COVID-19 and have continued that work in the face of a global pandemic. This fact sheet describes what Massachusetts senior centers are doing during the pandemic to address isolation among older community members.

Senior Center Response To Covid-19: Technology, Ceara Somerville, Saralyn Collins, Caitlin Coyle, Jan Mutchler, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

The COVID-19 pandemic has made the use of technology critical to remain socially connected with others while remaining physically distance. Senior centers in Massachusetts have had to think outside of the box and adapt their programs and services to be provided remotely, by phone, email, social media, and video calls. Moreover, senior centers have become responsible for helping older adults overcome their hesitations with using technology to keep them engaged and connected while physical gathering spaces have been closed.

Senior Center Response To Covid-19: Nutrition, Ceara Somerville, Saralyn Collins, Caitlin Coyle, Jan Mutchler, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

Older adults across the U.S. are at risk of malnutrition, which can have lasting effects on health. Councils on Aging (COAs) are at the forefront of meeting the nutritional needs of older adults in their communities. The COVID-19 pandemic has not only limited older adults’ access to food, but it has also affected COAs’ abilities to get nutritious food out to seniors. Despite the hurdles presented by the global pandemic, Massachusetts COAs have continued their efforts to meet the nutritional needs of older adults.

Age Friendly North Reading: A Community Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

By the year 2030, 35% of North Reading residents will be age 60 and older1. In response to this demographic shift as well as in response to the desire of most residents to remain living in their community, the resident leaders of North Reading, with support of the Town, have embarked on the journey to become a more age friendly community. The Age-Friendly North Reading initiative means to ensure that North Reading is, and remains, a place where older adults can comfortably and safely age in place. This report describes research undertaken by the Center for Social & Demographic Research …

Late-Life Gender Disparities In Economic Security In The Context Of Geography, Race And Ethnicity, And Age: Evidence From The 2020 Elder Index, Jan Mutchler, Nidya Velasco Roldán, Yang Li

Center for Social and Demographic Research on Aging Publications

New estimates from the 2020 Elder Index illustrate the elevated risk of economic insecurity experienced by older women, especially those living alone. We compare annual household incomes to the Elder Index for adults aged 65 years or older living in one- and two-person households to calculate the percentage of older adults with annual incomes that do not support economic security. National averages suggest that 54% of older women living alone, along with 45% of older men living alone, have annual incomes below the Elder Index. In addition, 24% of older adults living in couple households have annual incomes below the …

The Elder Index At Work: How A Data Resource Is Making A Difference In Service And Advocacy For Older Adults, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

The Elder Index is being put to work across the country. This compilation of articles describes some of this work. Successful campaigns to save important property tax relief programs in New Jersey and greatly expand Medicare Savings Programs access in Massachusetts, both rely on the Elder IndexTM to provide critical context and factual support. An area agency on aging in San Antonio uses the Elder Index to show how the rural cost of living for older adults in the vast ranching and farming counties surrounding the city isn’t the bargain some think. A legal advocacy organization in Washington State employs …

Aging In The 100 Largest Metropolitan Areas: How Do Older Adults Fare?, Jan Mutchler, Yang Li

Center for Social and Demographic Research on Aging Publications

New estimates from the 2020 Elder Index show that living expenses are high in metropolitan areas across the U.S., and many older singles and couples lack the resources needed to get by in their communities. Focusing on the 100 largest metropolitan areas, we compare the 2020 Elder Index to household incomes among adults aged 65 years or older living in one- and two-person households. Based on this comparison, we find that in each of the 100 largest metro areas, at least 37% of older singles are at risk of being unable to afford basic needs and age in their own …

Promising Little Things To Strengthen Social Connections, Caitlin Coyle, Setarreh Massihzadegan

Center for Social and Demographic Research on Aging Publications

Unlike “best practices”, promising practices only require the successful implementation of a program or activity and some level of information that suggests a positive outcome for participants. One key advantage of using promising practices is that they can be adapted and there is flexibility in implementation styles and environments. As well, starting with a promising practice can help solve community problems, and save the trouble of reinventing the wheel. If someone has already found an effective way to resolve an issue or advance the cause, it makes sense to use it. The intention of this document is to alert those …

Envisioning An Age Friendly Stoneham, Caitlin Coyle, Mary Krebs

Center for Social and Demographic Research on Aging Publications

Tucked between two major highways, about nine miles from Boston, the Town of Stoneham is currently home to more than 22, 000 residents, 27% of which are age 60 and older. According to projections created by the Donahue Institute at the University of Massachusetts, a trend toward an older population in Stoneham is expected in future decades. Donahue Institute vintage projections suggest that by 2035, more than one out of each three Stoneham’s residents will be age 60 or older—28% of the town’s population will be between the ages of 60 and 79, with an additional 10% age 80 and …

Aging Strong For All: Examining Aging Equity In The City Of Boston, Jan Mutchler, Caitlin Coyle, Nidya Velasco Roldán, Paul Watanabe, Cedric Woods, Lorna Rivera, Quito Swan, Elena Stone, Laurie Nsiah-Jefferson

Center for Social and Demographic Research on Aging Publications

The experience of being and becoming older differs substantially based on one’s race, ethnicity, and gender. In the City of Boston, it has never been more critical to strategically pursue greater equity in the aging experience of residents. According to data from the US Census Bureau, the number of Boston residents aged 60 or older increased by more than a third just since 2010 and persons of color now make up half of Boston’s older adults. As well, stakeholders share a growing recognition of the powerful ways in which inequity, racism and discrimination shape health outcomes and the aging experience, …

The Gap Remains: Social Security Benefits Continue To Fall Short Of Covering Basic Cost Of Living For Older Americans, 2015-2020, Jan Mutchler, Yang Li

Center for Social and Demographic Research on Aging Publications

Older Americans rely heavily on Social Security to support an independent lifestyle. Recent estimates suggest that among adults aged 65 years or older, more than half rely on Social Security for at least 50% of their family income, while nearly a quarter depend on Social Security for 90% or more of their family income.

Despite this substantial reliance on Social Security among older adults, Social Security benefits fall short of what is required to cover a basic cost of living across the United States, according to new estimates based on the Elder Index, a county-by-county measure of the income older …

Envisioning An Age-Friendly Norwood, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

Nestled just outside the I-95 beltway, the Town of Norwood, Massachusetts is a community southwest of Boston that takes pride in the history of residents staying in, or returning to, the community across the lifespan. Projections indicate that by 2035, about one out of three Norwood residents will be age 60 or older—24% of the Town’s population will be between the ages of 60 and 79, with an additional 8% age 80 and older (see Appendix A). The desire to stay and a growing older adult population lends to many multi-generational families within the community, creating a sense of supportive …

How To Track Down Your Lost 401(K), Pension Action Center, University Of Massachusetts Boston

Pension Action Center Publications

This fact sheet was produced by the Pension Action Center at the University of Massachusetts Boston in conjunction with the COVID-19 Rapid Response Systems Summer Institute, a joint partnership of Justice Catalyst, the People’s Parity Project, and the Systemic Justice Project.

Protect Your 401k When You Leave Your Job, Pension Action Center, University Of Massachusetts Boston

Pension Action Center Publications

This fact sheet was produced by the Pension Action Center at the University of Massachusetts Boston in conjunction with the COVID-19 Rapid Response Systems Summer Institute, a joint partnership of Justice Catalyst, the People’s Parity Project, and the Systemic Justice Project.

It's The Little Things: A Community Resource For Strengthening Social Connections, Caitlin Coyle, Shayna Gleason, Cindy Bui

Center for Social and Demographic Research on Aging Publications

Now, more than ever, it is imperative that we prioritize connection for ourselves and the people around us. The global COVID-19 pandemic and the national reckoning with systemic racism has made people more aware and appreciative of their relationships and has made some painfully aware of how distant and disconnected they are. While the evidence is clear that social isolation is bad for health and well-being, the evidence base of solutions is far less so. Thus, this report sought to harness the energy, creativity, and progressive thinking of cities and towns in Massachusetts by documenting their efforts to keep people …

Responding To Covid-19: How Massachusetts Senior Centers Are Adapting, Ceara Somerville, Caitlin Coyle, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

The COVID-19 pandemic has swept the United States with force and speed. Massachusetts is one of the hardest hit states in nation, with over 120,000 cases and over 8,500 deaths to date. Local governments across the Commonwealth have had to work quickly to meet the needs of their constituents in a constantly changing environment. With older adults being at high risk of contracting COVID-19, having more severe symptoms, and at higher risk of dying from the disease, special efforts are warranted to ensure that they are supported in their efforts to maintain physical distance while meeting needs for food and …

Living Below The Line: Racial And Ethnic Disparities In Economic Security Among Older Americans, 2020, Jan Mutchler, Nidya Velasco Roldán, Yang Li

Center for Social and Demographic Research on Aging Publications

New estimates from the 2019 Elder Index^TM highlight the risk of economic insecurity experienced by older adults, a risk that is especially high for persons of color. The Gerontology Institute compares the household incomes for adults age 65 and above living in one- and two-person households to the 2019 Elder Index for each state and Washington, DC to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent older adults age 65 or older living in households with annual incomes that do not support economic security. National averages suggest that among people living alone, 48% of older people who …

Measuring The Impact Of Covid-19 On Older Adults In Massachusetts, Ceara Somerville, Jan Mutchler, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

The spread of COVID-19 across the United States has affected every facet of life since early 2020. According to the Centers for Disease Control and Prevention (CDC), there are currently over 4 million cases across the nation and over 146,000 deaths from the virus. Massachusetts has been one of the states hit hardest, with over 100,000 confirmed cases and more than 8,000 deaths to date. The Commonwealth currently trails only New York and New Jersey in number of deaths. While cases surge around the country, Massachusetts has seen some leveling out of positive cases since the beginning of July. Though …

Aging In The City Of Attleboro: A Community Needs Assessment, Caitlin Coyle, Mary Krebs

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Attleboro Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Attleboro’s residents age 60 or older. The contents of this report are meant to inform the City of Attleboro, the Attleboro Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Attleboro for the purposes of planning and coordination of services. The report will …

An Assessment Of Veteran’S Services In The Town Of Natick, Ma, Caitlin Coyle, Thomas Kane

Center for Social and Demographic Research on Aging Publications

UMass Boston’s Center for Social and Demographic Research on Aging, and the William Joiner Institute for the Study of War and Social Consequences agreed to assist the Council on Aging and the Veterans Service Office for the Town of Natick to assess the current situation, services, and current and future needs of veterans and their families. This study includes identifying the priority veteran service needs and addressing the challenges to find effective ways to reach more Natick veterans of different eras and sociodemographic backgrounds so they can access needed and desired services, programs, and activities.

Age-Friendly Chelmsford: A Livable Community For All Ages, Chelmsford Age-Friendly Action Plan, Jan Mutchler, Beth Rouleau, Ceara Somerville, Rebecca Mailman

Center for Social and Demographic Research on Aging Publications

Demographic patterns in Chelmsford indicate that the community will include more older residents moving forward. Projections suggest that by 2030, more than one out of three Chelmsford residents will be age 60 or older. Older residents represent an asset to the community and frequently take on disproportionate commitments to volunteer and civic engagements; capacity to take on these valued activities may be strengthened as the older population expands in number. At the same time, preparing for its aging population offers the opportunity for Chelmsford to re-evaluate its services, systems, and environmental features to ensure that they align with the needs …