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HLTC22H3 (110)
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chapter 8.doc

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Health Studies
Dan Silver

Functional Health and Social Support Chapter 8Functional Health Health Promotion and Quality of LifeFunctional health refers to the ability to take care of personal needs as well as being able to engage in everyday tasks and navigating the physical and social environmentSensory problems make it difficult to hear or see impairing mobility and social interactionsCognitive problems can limit peoples ability to complete simple tasksCongestive heart failure can limit the person in making their beds or lifting heavy bagsArthritis and Osteoporosis limit people when driving their carsFunctional decline can also result from the cumulative effects of multiple organ dysfunctions even modest losses if they occur in multiple sites can add to the stress load on the body Assessing Functional HealthTwo of the most frequent ways of assessing functional health include measures of daily living skills ie activities of daily living ADLs and instrumental activities of daily living IADLsGait balance and cognitive function can be assessed as wellActivities of Daily LivingAnswerscan be categorized to three thingsoAbility to perform the task independentlyoAbility to perform with some assistanceoInability to perform the task even with assistanceAlthough few older adults have ADL limitations these numbers increase with age especially for womenIn general older people are more likely to need assistance with bathing than any other ADLInstrumental Activities of Daily LivingTo complete IADLs a person has to have the physical and mental abilities to perform a task as well as motivationBasic tasks involved using the phone shopping food preparation housekeeping laundry independent travel taking scheduled medications being able to handle financesQuestions related to IADLs are generally worded Can you go shopping for groceriesResponses include 1 without help 2 with some help 3 completely unableReasons why they cant perform the tasks physical limitations environmental barriers social constraints and cognitive impairment or mental illnessesThere are age and gender difference in IADL performancesFrom 4 in 1982 to 3 in 1999 those unable to perform ADLs decreasedReasons better health care more userfriendly environment slowing of the of progression of chronic degenerative diseases Decrease in nursing home residencydue to increased home health caregrowth of assistedliving industryBalance and Gait
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