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Wednesday, September 28, 2011

Physical Activity and Thinking as We Age

         Yesterday, I returned home after spending four days with some close friends Don and Vivian at their home on Gabriola.  Aside from sitting out on their back porch gazing at the beautiful clouds, ocean, and trees, we went for long walks in the forest. It was excellent activity, contrasted with hours sitting reading novels and watching movies on TV. Don took a photo of the beach area near where they live and I intend to paint a picture using the photo as a reference. I’ll put it on my blog when I finish.
         Since I am now retired Psych Info is no longer available to me unless I am inside one of Kwantlen’s libraries. So I have been searching my new set of research date banks. With the help of a sympathetic Kwantlen librarian, I came across an interesting article[i] that deals with material have been doing. Recently I have been experiencing cognitive difficulty; particularly in remembering people’s names.  I found an article in which one of the authors’ specific goals was to find a more “…concrete measure in the cognitive memory domain.
         The research included sixteen persons, the majority of them women, who were participating in a six-month physical activity program.  The average age was 71 (which incidentally is how old I am). As usual their investigation is based on previous academic research. “Overall, the majority of research review seems to suggest that an active lifestyle and more specifically aerobic exercise can slow cognitive decline in old age, even slow the effects of Alzheimer’s.”  Further, “In general, more hours of participation in physical activities were associated with a slower rate of decline in cognitive function.”   And (how great!!) “In general, memory is one of the cognitive domains that seems to benefit from physical, aerobic exercise that provides cognitive stimulation.
         In the end the authors suggest that the “…interpretation of the data should be done with caution and should be confirmed with programs lasting over a longer span of time, in both the sampling and the training period, the results are consistent with previous studies that show the benefits of an active lifestyle--physically and intellectually—are with a lower risk of cognitive deterioration in the elderly.”   That’s it for this blog entry. I think I’ll go out for a walk.


[i] Martinez-Widal, A., Prada A. and Martinez-Patino M.J.(2011).  Effect of a             combined program, of physical activity and intellectual activity in the             cognivite functioning of the elderly, Journal of Sport and Exercise ISSN `            1988-5202, pp. 462-473.

Sunday, September 18, 2011

A Transportation Problem

Carl, an 82-year-old, retired company manager is slowly recovering from a fall that left his hip badly bruised. He finds it difficult to walk without the aid of a “walker”. In addition, he has problems with mid stage prostrate cancer.  Recently, while driving, he hit the curb and flattened one of his rear tires. He drove home with a flat tire because he wanted to hide the accident.  Next month he must take a drivers test to see if you can still drive properly.  He is determined to drive as long as he can and feels that it is part of his role as man of the family.
At home he as several times fallen off the couch and not been able to get up without help from his 76-year-old wife Helen.   Helen can’t drive and is dependent on Carl to drive her to do house needs such as shopping.  While she is frightened about Carl’s driving, she can’t see any other options.  She has come to you for advice about what to do.

Friday, September 9, 2011

Social Relationships and the Community

    Recently, I attended a meeting at a local Neighborhood House in Crescent Beach B.C.  The meeting was called to explore ways of increasing benefits to the community through the creation of an Older Adults Advisory Group. At the top of the list of goals provided by the organization was “Focus on volunteerism, knowledge sharing and social participation/meaningful contribution with older adults.  partly based on the fact that North American society will soon be experiencing a “boom” in the growth of our senior’s population
   While the Neighborhood House has existed for several years they still have a relatively small level of senior’s participation. In the process of seeking to find out more about their community Neighberhood House is applying for a Federal grant.  Their objectives are:
  • Promoting volunteerism among seniors and other generations
  • Engaging seniors in the community through mentoring others, and
  • Supporting the social participation and inclusion of seniors
              Our company Community Building: Research and Action, has also been looking for ways to investigate and encourage older peoples’ involvement with volunteer groups in their community. Finding out about this can also benefit the Langley Senior’s Resource Centre where I am on the Board.



Research 

First, I decided to find research that examines the level of seniors’ self views and levels of community participation.
I found two articles related to these ideas. The first explores Perceptions of Elderly Self-Neglect[i]. There has not been a lot of research studying older peoples’ self neglect. (After reading the article I can understand why.) First of all there is no universal definition of what behaviors of self-neglect mean except that they are a variety of neglect. The researchers’ first step was to design a survey of behaviors or situations that might describe self-neglect. Below are several items that relate to the general topic. As you read them remember that there is no universal agreement on the meaning of self-neglect. In the complete survey there are 22 items, most of which do not explicitly mention social connections. The ones below do:
·      An elderly individual avoids friends, family, or social events
·      An elderly individual has three or four alcoholic drinks at social occasions only.
·      An elderly individual who is not allowed in his or her children’s home


Social Isolation
What are some factors associated with of social isolation?  To clarify things the authors of the article acknowledge that older people can and do make “…crucial contributions” to the communities in which they reside.  The research challenge here is to find out how many seniors who live alone are vulnerable due to social isolation. It also looks at other factors such as poverty, disabilities and linguistic isolation. The research was carried out in New York City. All of the respondents were 75+ years old.
The researchers using the New York
Census found that:
  • 35% of those who were 75+ were living alone
  • 30% were living in poverty
  • In many census tracts, 88% of those over 65 are living with one or more disabilities.

I need to acknowledge that there may be major differences between neighborhoods in BC’s Lower Mainland. Only research can tell.

Social Relationships 
Other questionnaires have also be designed to investigate                                                  
community involvement, Here is the first one

Community Involvement Survey #1

This community involvement survey, which has been designed to help quantify the impact members, have on the economic, social, and cultural health of the community;
This survey is designed to take just a few minutes to complete/
Thank you for your assistance

1. Are you currently involved in any community organizations/groups as a volunteer? Social Isolation
What are some factors associated with of social isolation?  To clarify things the authors of the article acknowledge that older people can and do make “…crucial contributions” to the communities in which they reside.  The research challenge here is to find out how many seniors who live alone are vulnerable due to social isolation. It also looks at other factors such as poverty, disabilities and linguistic isolation. The research was carried out in New York City. All of the respondents were 75+ years old.
The researchers using the New York
Census found that:
  • 35% of those who were 75+ were living alone
  • 30% were living in poverty
  • In many census tracts, 88% of those over 65 are living with one or more disabilities.

I need to acknowledge that there may be major differences between neighborhoods in BC’s Lower Mainland. Only research can tell.


Yes____ No____ (If no please go to question 7

2. How many community organizations/groups are you currently involved with as a volunteer?
1____   2_____  3_____    4______  5______ More_______

3.  What is the focus of the organizations/groups that you support through your volunteer work?  Check all that apply.

Arts____
Cultural_____
Education/school____
Healthcare___
International Aid____
Political___
Service Club ___
Sports/recreation___
Spiritual/Religious__
Other (please specify) ____________________________________
______________________________________________________________________________________________________________

4.  What is your role in your volunteer activities/ Check all that apply:
Coach
Consultant
Fundraiser
Member
Mentor/teacher
Special events
Other (please specify)

5. On the average how many total hours per month do you spend volunteering in community activities?
1-5 hours_____   6 to 10 hours_____   11-15 hours____

6.  Do you support community organizations through donations?  If yes, check all that apply.

Arts_____
Cultural___
Education/school___
Healthcare___
International aid___
Political__
Service Club___
Social Service___
Sports/ recreation___
Spiritual/Religious___
Other (please specify) _____________________________________
______________________________________________________________________________________________________________

7. If you are not currently volunteering are you planning to begin in the coming year?
Yes____
No ____

The next questionnaire asks for even more details:

Pre and Post Adventure Experience Community Involvement Questionnaire #2

(Revised)
For all questions, 1 represents strongly agree, 2 Agree, 3 Neutral, 4 Disagree, 5 Strongly Disagree

 1. I have a leadership role in a community organization.
1 2 3 4 5

2. I have made new friends as a result of participation in a community   group.
1 2 3 4 5

3. I believe my community is important.
1 2 3 4 5

4. I have mentored someone from my community.
1 2 3 4 5

5. I have received recognition for my contributions to my community.
1 2 3 4 5

6.  Someone from my community has mentored me.
1 2 3 4 5
" Constructed by Norm Staunton An exercise for KIN 900, UNH, fall 2001

Summary
           There is a lot we need to know about relationships between older persons and their relationship to their community.  Where do you fit in?

   




[i] S.N. San Filippo et al (2007) Perceptions of Elderly Self-Neglect: A Look at Culture and  Cohort,            
 Family and Consumer Sciences Research Journal
, Vol 35, 215-229

Saturday, September 3, 2011

Gina's Retirement


Gina had looked forward to retirement for many years.  The long awaited day finally came six months ago, complete with a party and farewell speeches.  For a while she was happy with her newfound freedom.  She could sleep in, and didn’t have to deal with, company meetings and the constant pressure of a large clothing design company that had dominated her life for the last 33 years.   Lately though, everything had changed.  Her husband Ben, who had retired three years earlier was anxious to start their journey in their mobile home which had been parked in the yard for a couple of years.  Trivial arguments seemed to have become the norm.  Somehow she missed the hustle and bustle of her old job.  No one came to her for decisions anymore.  They were both worried about being able to exist on fixed incomes.  Her body seemed to hurt in new places.  She felt isolated, alone and rudderless.   Her neighbors envied the couples leisure.  But that didn’t matter.  What should she do?