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dimensions of attachment to home
centering, permanence, ownership, responsibility, control, self-expression, refuge, belonging, comfort (familiarity), emotional affiliation
Aging in place
the ability to live in one home wherever that might be for as long as confidently and comfortably possible
not having to move from ones present residence in order to secure necessary support services in response to changing need
advantages of AIP
familiarity of the setting and routine
established support system (neighbors)
ownership of residence
emotional attachments enhances sense of wellbeing
disadvantages of AIP
reduced access of services when one cannot get out
isolation as neighbors move out
difficulty in maintaining a home as capabilities decline
parts of home may become difficult to access
assistive technology
any thing that can help a person who is experiencing functional decline and does not need to include digital technology
low tech
devices or equipment that does not require much training, may be less expensive, and do not have complex or mechanical features
high tech
the most complex devices or equipment that have digital or electrical components and may be computerized
self help
keeping healthy
exercise programs
closely monitoring health
setting up informal community
environmental modifications
home modifications in anticipation of retirement
installation of surveillance technologies
smart homes and AAL (ambient assisted living)
universal design
the design of products and environments to be useable by all people to the greatest extent possible
formal support
defined by the Older Americans act of 1965
ex. senior centers, adult day cares, chore services, and home care. legal services, meals on wheels.
informal support
roles of family and friends
who else can help a person in AIP?
social networks and instrumental and emotional support
two types of social networks
proximal and distal
activities of daily living
eating, bathing, dressing, toileting, grooming, transferring
instrumental activities of daily living
use phone, shopping, food prep, laundry, housekeeping, basic finances
The long-term care continuum
care, learned dependence, caregiving
an array of approaches
adult day services
provide health, social, and therapeutic activities
provides social activities, transportation, personal care, and therapeutic activates
home care
non-medical, homemakers/ companions- light housekeeping, meal preparation, transportation
home health care
medical components that may help with iADLs and ADLs
assisted living communities
bridges the gap between home health care and nursing homes
do not need the round-the-clock care
services offered in assisted living communities
care management and moderating
help w/ iALDs and ADLS
housekeeping and laundry
medication and management
recreational activities
security
transportation
two or more meals per day
nursing homes/ skilled nursing facilities
provides residents with a room, meals, personal care, nursing care and medical services
residents may have chronic conditions or need short-term acute recovery periods after hospitalization
short-term vs. permanent stay
services provided at nursing homes typically include
room and board
nursing care
medication management
personal care (assistance with ADLS and iADLs)
social and recreational activities
continuing care retirement communities (CCRCs)
range of living options
independent to nursing care
allows residents to remain within one community as they age
naturally occurring retirement communities (NORCs)
communities, neighborhoods or one or more buildings in which residents band together to develop access to services to “age in place”
they live in own homes