China
Africa
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Aging in Place
Published in Goh Cheng Soon, Gerard Bodeker, Kishan Kariippanon, Healthy Ageing in Asia, 2022
Aging in place refers to the ability to remain living in the same environment without the need to relocate as a consequence of aging and accompanying physical or cognitive functional changes, if any. As the latter changes are common, it has been argued that successful aging describes those who have overcome any functional age-related changes and chronic diseases and limited disability to continue to lead productive lives, in line with the World Health Organization’s concept of healthy aging that encompasses physical, cognitive, psychological, and social well-being. Other than lifelong learning and healthy lifestyles, a healthy environment (physical, social, and economic) plays an important role (Morley, 2015). A prerequisite for aging in place is a mechanism to detect unmet needs. Many healthcare systems do not include systematic screening for such needs, in particular early identification of common geriatric syndromes, such as frailty, sarcopenia, anorexia, mild cognitive impairment, and depression. These conditions may predispose to a functional decline, hence the call for rapid geriatric assessments in the community. A recent survey among 2,400 older persons aged 60 years and over attending community centers in Hong Kong showed a high prevalence of unmet needs, with memory problems, chewing difficulties, and pre-frailty and frailty being the most common problems (74%, 63%, and 38% respectively), while approximately 20% reported low subjective well-being and had problems with instrumental activities of daily living as well as insufficient income (Cheung et al., 2018).
Understanding the Patient, Wellness, and Caregiving Work of Older Adults
Published in Rupa S. Valdez, Richard J. Holden, The Patient Factor, 2021
Abigail R. Wooldridge, Wendy A. Rogers
From a societal perspective, it is cost-effective to support aging-in-place. The median annual cost of a home health aide providing care at home is $33,540, whereas the median annual cost for a private room in a nursing facility is nearly $97,500 (Houser et al., 2018). Private residential living costs are estimated to be only 55% of the costs of full-time residential care (Tang & Venables, 2000). The burden and hardships of health care and aging are particularly high for those who have limited financial resources and limited family and community support (Felland et al., 2004). In 2016, 37% of older adults lived below 250% of poverty level, i.e. with an income of less than $29,700 for one person or less than $40,050 for a family of two (Houser et al., 2018).
Case study 6
Published in Emmanuel Tsekleves, John Keady, Design for People Living with Dementia, 2021
Emmanuel Tsekleves, John Keady
Enabling ageing-in-place through architectural and technological solutions in the home environment is an increasing aim in the developed world. Within this context in the development of dementia, living environments support independence, compensate for declining and vitality, and lower the burden of family care.
Late-life immigrants’ place integration through occupation
Published in Journal of Occupational Science, 2023
Sachindri Wijekoon, Debbie Laliberte Rudman, Carri Hand, Jan Polgar
Aging in place, or growing older in one’s home, is deemed important for maintaining independence, autonomy, and connection to social support (Black, 2008; Cutchin, 2003). However, the presumed stability or continuity of place, desire to stay in place, and place attachment underlying aging-in-place might not resonate with the physical and emotional experiences of older adults who immigrate. In an age of globalization, an increasing number of older adults are experiencing aging in a foreign environment, or aging out-of-place (Johansson et al., 2013; Treas, 2008). Late-life immigrants, defined as foreign-born adults who have immigrated to a non-native country at age 65 years and older within the last 10 years (Sadarangani & Jun, 2015), are propelled by diverse factors, such as retirement, failing health, lack of family support in the native country (Gupta, 2006; Rangaswamy, 2000), and opportunities for material comforts (Kalavar et al., 2005; Nandan, 2007; Treas, 2008). Late-life immigrants are mostly “invited elderly” (Choi, 2012), who leave the homes, communities, and countries with which they have formed deep-rooted attachments (Curtin et al., 2017), to respond to the exigencies of their immigrant adult children.
Older adults’ experiences and perceptions of living with Bomy, an assistive dailycare robot: a qualitative study
Published in Assistive Technology, 2022
Norina Gasteiger, Ho Seok Ahn, Christine Fok, JongYoon Lim, Christopher Lee, Bruce A. MacDonald, Geon Ha Kim, Elizabeth Broadbent
An aging global population presents new challenges for supporting the health requirements of older people. Older adults often experience difficulties living with age-related physical and cognitive disabilities. This can place physical, emotional and financial burdens on families and residential care services. Activities such as brain training, social engagement and aging-in-place may help to prevent cognitive decline and promote functioning (Clare et al., 2010; Klimova et al., 2017; Krueger et al., 2009). Self-supported aging-in-place or within aged-care communities has positive benefits for social connection, social inclusion and the quality of life for older people (Barrett et al., 2012; Horner & Boldy, 2008). This is because aging-in-place ensures continuity of environment and promotes independent-living within the community, but with some assistance (Barrett et al., 2012; Horner & Boldy, 2008).
A qualitative study exploring physical therapists’ views on the Otago Exercise Programme for fall prevention: a stepping stone to “age in place” and to give faith in the future
Published in Physiotherapy Theory and Practice, 2022
Sara Cederbom, Maria Bjerk, Astrid Bergland
One of the main goals of a society is to enable home-dwelling older adults to live at home as long as possible and to “age in place” (Wiles et al., 2011), which according to older adults, promotes independency and autonomy (Wiles et al., 2011). The present study revealed that the OEP seems to promote “age in place” in terms of improved physical function, mastering of everyday activities, improved self-efficacy, and a higher degree of independence. This finding is in line with that of a recently published study about an intervention focusing on exercise and behavior change for older adults living with chronic pain (Cederbom, Nortvedt, and Lillekroken, 2019). Promotion of “aging in place” is of high clinical relevance, as this is the main goal for all interventions that healthcare professionals conduct in their daily practice (Cederbom, 2014). Further, this goal must be remembered in the context of developing and planning new interventions to promote active aging and quality of life for this particular group of frail older adults.