Digital Commons Network^™

Real-Time Locating Systems (Rtls) To Improve Fall Detection, Mary E. Bowen, Jeffrey Craighead, Chadwick A. Wingrave, William D. Kearns

Rehabilitation and Mental Health Counseling Faculty Publications

Objective To determine whether a Real Time Locating System (RTLS) can be used to accurately detect a fall and discuss the application of RTLS as a fall detection system in the home and health care environments. Methods Phase I used a mannequin to determine the feasibility of RTLS to detect a fall from three positional conditions of: standing, seated in a wheelchair, and laying on a bed. Phase II used a human subject to be an ecologically valid simulation of a fall from these conditions. Ten trials of each of these three conditions were conducted across subjects. The observed time …

Nursing Home Organizational Characteristics And Utilization Of Cancer-Related Medical Services, Chun-Chieh Lin

Theses and Dissertations

Cancer is the second leading cause of death in the U.S and is more common among the elderly. Since frailty and other age related conditions put the elderly at risk for nursing home care, nursing homes may be the site of care and death for many elderly cancer patients. However, there is a large gap in knowledge concerning cancer treatment of elderly nursing home residents. Since residents rely heavily on their nursing facilities, nursing homes might influence them in their treatment decisions. After controlling for resident and nursing home market characteristics, this study applies Andersen’s Behavioral Model to examine whether …

Older People With Complex Health Needs Desire For Change: A Qualitative Study, Diane Jorgensen, David R. Thoman, Matthew Parsons

The Qualitative Report

As a sub study of another study we examined older people with complex health and disability support needs' desire for change. The aim was to compare this across different ages, residence, and gender. Semi-structured interviews were held with 129 participants and the data were analyzed using a General Inductive Approach. Six themes emerged, Health, No Change, Personal Changes, Family, Housing, and Services. The two most popular themes were a desire for health changes and to have no change. Health professionals might note that older people in their 80s with significant health and disability impairments have a decrease in both the …

An Evolving Practice Model In The Development Of Lifelong Education For Senior Citizens, Wai Chuen Shum

APIAS Monograph 專題論文

Promoting productive and successful aging has gradually become a main concern for society at large, in particular, public policy makers, gerontologists and social workers in ageing societies. In Hong Kong, the population aged 60 years and above has increased from 745,500 (13% of the total population) in 1991 to 1,004,400 (14.8%) in 2001 (Census & Statistics Department 2005). This figure will increase to about 2.2 million representing 27.7% of the population by 2023 within a span of about twenty years (Census & Statistics Department 2004). With this rapid growth of the elderly population, greater efforts are urgently needed to prepare …

The Elderly: A Descriptive Study Of The Perceptions Of The Elderly And Their Driving Abilities, Kimberly Pine

Social Work Theses

This study advances the understanding of older driver’s perceptions on their driving abilities. It focuses on examining a deeper and more detailed understanding of the different challenges the elderly are experiencing, in respect to driving and retention of their license. Additionally, it is important for others (such as family, doctors, social workers etc.) to interact with the elderly and assist them in receiving services if they are no longer capable of driving a vehicle, as well as talk with them if they are struggling with giving up their license and consequently their independence. Specifically, the analysis focuses on which gender …

Offering And Accepting Forgiveness: How The Aged Do It, Kathleen Hughes Brighton

Master of Arts Theses

No abstract provided.

The Effect Of Social Support On Native American Elder Exercise, Nutrition, And Overall Health, Scott D. Johnson

Theses and Dissertations

No abstract provided.

Correlates Of Attitudes Toward Behavioral Health Services Among Older Primary Care Patients, Nancy Bridger Lynn

USF Tampa Graduate Theses and Dissertations

Research suggests that more than ten percent of older adults experience behavioral health problems (including mental health problems and/or substance abuse). However, very few actually receive care from a behavioral health care provider or even a primary care provider. One major barrier to accessing and receiving care is the feeling of perceived stigma commonly associated with behavioral health problems. The present study examined the relationships among attitudinal variables, feelings of stigma, and behavioral health outcomes over time in an elderly population with the secondary analysis of data collected for a previously implemented research study, the Primary Care Research in Substance …

Test Of A Multidisciplinary Health Behavior Model Of Medicare Elders' Antihypertensive Acquisitions, Ann Marie Kopitzke

Health Services Research Dissertations

This study examined the relative utility of the enhanced Health Belief Model as compared to the proposed Pharmaceutical Acquisition Model for Medicare Elders (PAMME) in describing antihypertensive acquisition with usage intentions for Medicare elders (65 years or older) in Southeastern Virginia. Data collection included record reviews to identify hypertensive Medicare elders. Consenting Medicare elders were randomly selected for invitation, with consenting Medicare elders contacted by telephone or in-person interviews. The survey instrument utilized open and closed ended questions. The target population for this study is Southeastern Virginia Medicare elders enrolled in a Part D plan and prescribed at least one …

Aging In Place In Suburbia: A Qualitative Study Of Older Women, Marian L.G. Knapp

Antioch University Dissertations & Theses

This research explored "aging in place" among women age 65 and older living in Newton, Massachusetts. Study goals were to understand: the "places" that comprise the environment of "aging in place"; the factors that enable "aging in place"; "aging in place" in a suburb; and to refine definitions of "aging in place" Interviews with women used open-ended questions about women‘s early years in Newton and the changes they experienced in personal status, and places over time. Themes emerged using modified grounded theory with inductive and deductive approaches, and which acknowledged "sensitizing concepts". Six places comprised the "aging in place" environment: …

Kajian Keamanan Pemakaian Obat Anti-Hipertensi Di Poliklinik Usia Lanjut Instalasi Rawat Jalan Rs Dr Sardjito, Zullies Ikawati

Majalah Ilmu Kefarmasian

Increasing age is generally followed by increasing chronic diseases so that the elderly needs much therapy using drugs for therapy of numerous diseases they have. Hyper-tension is one of diseases of which its prevalence increases along with increasing age. Most of the elderly diagnosed as having hypertension finally take therapy using anti-hypertension drugs. Physiological changes that happen to the elderly lead to use of drugs for side effect diseases of which their consumption should be considered while having anti-hypertension drugs. Changes in biological system to the elderly will af-fect the process of drug molecular interaction, which finally affects clinical efficacy …

Aging With Identity: Integrating Culture Into Senior Housing, Christine Sanchez

USF Tampa Graduate Theses and Dissertations

There is an underlying hope that those whom are elderly can exist in a place of happiness, comfort, security and familiarity; and can do so by aging in a place which complies with an understanding of their needs as older adults. However, along with aging comes a negative association of dependence and deterioration. Therefore, it is intuitive to have a connection between both the aging process and the design process. Creating a product which brings a positive association with senior housing and aging in place is the underlying goal within the project and overall design.

With the increasing population of …

The Multinomial Regression Modeling Of The Cause-Of-Death Mortality Of The Oldest Old In The U.S., Dudley L. Poston Jr., Hosik Min

Journal of Modern Applied Statistical Methods

The statistical modeling of the causes of death of the oldest old (persons aged 80 and over) in the U.S. in 2001 was conducted in this article. Data were analyzed using a multinomial logistic regression model (MNLM) because multiple causes of death are coded on death certificates and the codes are nominal. The percentage distribution of the 10 major causes of death among the oldest old was first examined; we next estimated a multinomial logistic regression equation to predict the likelihood of elders dying of one of the causes of death compared to dying of an “other cause.” The independent …

Lost In Appalachia: The Unexpected Impact Of Welfare Reform On Older Women In Rural Communities, Debra A. Henderson, Ann R. Tickamyer

The Journal of Sociology & Social Welfare

A primary goal of welfare reform was to overcome welfare dependency through the promotion of work and the setting of lifetime limits. While atf irst blush thisg oal may have appearedr easonablef or young recipients, it does not address the needs of older recipients, particularly women. Based on in-depth interviews with welfare recipients in four impoverished rural Appalachian counties over a four year time span (1999-2001; 2004), this paper evaluates the experiences of older women as they confront the changes brought on by welfare reform legislation. Findings suggest that impoverished older women in isolated rural communities experience multiple crises as …

Reasons For Physical Activity And Exercise Participation In Senior Athletes, Deborah Lynne Fife

Theses and Dissertations

Research on physical activity and exercise in the elderly is limited. This study used the Participation Motivation Questionnaire for Older Adults (PMQOA) to assess reasons for engaging in regular physical activity of participants at the 2007 Huntsman World Senior Games. The 259 subjects ranged from ages 50 to 85 years and were divided into tertiles based on frequency of exercise, determined by self reported weekly exercise time and days for further comparison. The most commonly reported reasons for exercise were to stay healthy, keep physically fit, and stay in shape. A previously conducted factor analysis on the PMAOQ revealed six …

Spirituality And Symptom Self Management Of Osteoarthritis, Lois M. Kannan Phd

Dissertations

Healthcare providers need to identify holistic self-care techniques that are endorsed by patients as effective strategies for symptom management of osteoarthritis, which is the single most common cause of disability in older adults. Research in this area may direct the development of interventions to ensure that older adults are afforded every opportunity to remain active and productive, with an improved health related quality of life, despite age related musculoskeletal conditions. The purpose of this study was to describe the relationships among symptom experience, symptom management, and symptom outcome based on spiritual well-being. A quantitative, descriptive, correlational, and noninterventional study design, …

Counting Or Discounting Television Information: An Examination Of Viewer Perceptions About Old-Age From A Cognitive Processing Perspective Of Cultivation Effects, Lynda Pasteur

USF Tampa Graduate Theses and Dissertations

Cultivation theory (Gerbner & Gross, 1976) suggests that the cumulative effect of heavy exposure to television's underrepresentation and negative portrayal of people 65+ as sexless, insignificant, and comical can cause people to assume such television-like perceptions of the age group in the real world. This study's purpose was to explore not only television's cultivation effect on viewers' perceptions of the number and nature of people 65+, but also the psychological processes that are expected to mediate this effect. As an extension of Shrum, Wyer, and O'Guinn's (1998) study on the role of source discounting in cultivation, this quasi-experiment employed three …

Costs And Benefits Of Elderly Prescription Drug Coverage: Evidence From Veterans’ Health Care, Melissa Boyle

Economics Department Working Papers

This study tests the impact of a public prescription benefit on Medicare-eligible veterans, utilizing a mid-1990s benefit change in the VA health care system. Using data from the Medicare Current Beneficiary Survey, I compare prescription spending and utilization, as well as use of other health services and health outcomes for veterans and non-veterans before and after the VA insurance change. Results show that receipt of a publicly-provided prescription benefit leads to an increase in spending on prescriptions, and simultaneously, a decrease in spending on other medical services. On average, every $1 increase in drug spending is associated with a $6.50 …

Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns

Dissertations

Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a stable American nursing home (NH) population. A secondary aim was to determine any differences in mortality between the 2 sites. A sample of 191 residents of two NHs was analyzed in a retrospective, correlational cohort study, using data collected from the federal MDS database. Correlational statistics and logistic regression were …

Seniors And Information Technology: Are We Shrinking The Digital Divide?, Mark E. Mcmurtrey, Ronald E. Mcgaughey, James R. Downey

Journal of International Technology and Information Management

The “digital divide” has been present in the field of information technology (IT) since the inception of the digital computer. Throughout the course of history, one group (or more) has had better access to computer and information technology than another faction. For example: rich versus poor, young versus old, advanced societies versus less developed countries, etc. This disparity has existed for a variety of reasons, among them political, cultural, economic and even class or socioeconomic in nature. This paper examines one particular component of this phenomenon, the “gray divide” pertaining to the use of IT by our elderly, or senior …

Age And Gender Differences In Hip Extension And Flexion Torque Steadiness, Iveta Grunte

All ETDs from UAB

Purpose of this study was to compare age and gender differences in hip extension (HE) and flexion (HF) relative (5, 25, and 50% of maximal voluntary contraction [MVC]) and absolute (25 Nm) torque steadiness measured as standard deviation (SD) and coefficient of variation (CV) of torque fluctuations, and torque accuracy (TA). MVC and steadiness were assessed for 20 young (24.0 + 2.2 yrs) and 11 older (65.4 + 4.5 yrs) men and women. MVC was lower for HF, but HE had greater torque fluctuations. For HE, CV of 5% MVC was greater for older compared to young adults and women …

Depression In The Elderly: Does Family System Play A Role? A Cross-Sectional Study, Ather M. Taqui, Ahmed Itrat, Waris Qidwai, Zeeshan Qadri

Department of Family Medicine

Background

The most common geriatric psychiatric disorder is depression. The role of family systems in depression among the elderly has not been studied extensively. It has been suggested that urbanization promotes nucleation of family systems and a decrease in care and support for the elderly. We conducted this study in Karachi, a large urban city of Pakistan, to determine the relationship between the type of family system and depression. We also determined the prevalence of depression in the elderly, as well as correlation of depression with other important socio-demographic variables.

Methods

A cross-sectional study was carried out in the premises …

Organizing The Baby Boomer Construct: An Exploration Of Marketing, Social Systems, And Culture, Jeremy Harris Lipschultz, Michael L. Hilt, Hugh J. Reilly

Communication Faculty Publications

Baby boomer trends are applied in the development of a conceptual framework that offers a social systems and cultural model for future studies. While there has been considerable recent attention paid to baby boomers, the studies lack a coherent theoretical base that would allow for more advanced and continuing research. Aging baby boomers heading into retirement present excellent research opportunities for scholars.

Gender Disparities In Living Arrangements Of Older People In Ghana: Evidence From The 2003 Ghana Demographic And Health Survey, Chuks J. Mba

Journal of International Women's Studies

In this study, the living arrangements of persons aged 60 years and older in Ghana are examined. The data for the study emanate from the household roster component of the most recent nationally representative sample survey, the 2003 Ghana Demographic and Health Survey. The focus is on socio-economic and demographic characteristics, as well as co-residential patterns, of the elderly persons. Additionally, use is made of the 1960-2000 census results of Ghana in order to through light on the emerging phenomenon of population ageing in the country. The results show that the proportion of persons aged 60 years or older in …

For Falls Sake: Older Carers' Perceptions Of Falls And Falls Risk Factors, Shylie Mackintosh, Caroline Fryer, Michele Sutherland

Internet Journal of Allied Health Sciences and Practice

Purpose: Older carers play an important role in falls prevention through their influence over their dependent’s actions and by their own behaviour. This study aimed to determine the perceptions of falls and fall-related risk factors by older carers in an Australian metropolitan community to inform the development of effective falls prevention strategies in this population. Method: A questionnaire was mailed to all members of a carers group in January 2003 and responses from carers aged 60 years or above were included in the study (n=121). Results: The majority of older carers (85%) understood that falls are a problem for their …

Senior Capstone Project : Share The Love : Implementing Animal Therapy In Long-Term Care Facilities, Laurie Trujillo

Capstone Projects and Master's Theses

The implementation and coordination of an animal therapy program in a skilled nursing facility to provide social interaction as part of the socially isolated and depressed patient's care plan.

Gendered Support Strategies Of The Elderly In The Gwembe Valley, Zambia, Lisa Cliggett

Anthropology Faculty Publications

No abstract provided.

Physical Activity And Physical Activity Adherence In The Elderly Based On Smoking Status., Theodore Cooper, M. Resor, C. Stoever, P. Dubbert

Departmental Papers (Psych)

No abstract provided.

Is It Time To Redesign Hospice? End-Of-Life Care At The User Interface, David J. Casarett

Center for Policy Research

Hospice is a system of end-of-life care that’s not used to its full potential. That is, hospice is not used in the way that would benefit patients and families as much as it could. My argument is that this is an issue of usability, or ergonomics—the science of design. I illustrate how to take what we have learned from the science of usability to make hospice more accessible and approachable, and to increase hospice use among those who would benefit from it. Underneath this discussion, though, there is a more fundamental question: Can we make hospice more usable or do …

Individual Differences In Well-Being In Older Breast Cancer Survivors, Elizabeth A. Perkins, Brent J. Small, Lodovico Balducci, Martine Extermann, Claire Robb, William E. Haley

Epidemiology: Faculty Publications (2002-2018)

Older women who survive breast cancer may differ significantly in their long-term well-being. Using a risk and protective factors model, we studied predictors of well-being in 127 women age 70 and above with a history of at least one year's survival of breast cancer. Mean post-cancer survivorship was 5.1 years. Using life satisfaction, depression and general health perceptions as outcome variables, we assessed whether demographic variables, cancer-related variables, health status and psychosocial resources predicted variability in well-being using correlational and hierarchical regression analyses. Higher age predicted increased depression but was not associated with life satisfaction or general health perceptions. Cancer-related …