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University of Toronto Scarborough
Health Studies
Anna Walsh

HLTB01H3Y: Health, Aging and the Life Cycle Department of Health Studies University of Toronto at Scarborough Summer 2010 Instructor: Anna Walsh. Term: Summer 2010 Mondays 10 a.m.-12 p.m. Lecture Room: SW 319. July 122010. Functional Health and Social Support. A&G: Chapter 8 Functional Health, Health Promotion and Quality of Life N A persons state of health is more than the simple sum of physical illness and problems. N After age 65, rare to find someone that doesnt have some aches or pains and they have some form of chronic illness N Functional health refers to the ability to take care of personal needs such as bathing, toileting, and dressing, as well as being able to engage in everyday tasks, including shopping, paying bills, using the telephone, and navigating the physical and social environment. N N Normative aging changes do not interfere with everyday functioning of the older adult N There is an increased chance of developing a disability in later life, especially among those over 85 years of age and older. N In advanced stages, chronic diseases affect many of the everyday activities of the older person. Assessing Functional Health N Two of the most frequent ways of assessing functional health include: measures of daily living skills i.e. activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Gait, balance and cognitive function can be assessed as well. Activities of Daily Living N First ADL scale to measure persons ability to complete 6 basic functions: bathing, dressing, toileting, transferring from bed to chair, continence and eating N In general, ADLs are measured by asking either the person or the caregiver whether a task can be completed i.e. Can you dress yourself? At other times, it is more appropriate to observe the person completing a task. N More limitations in this increase with age, especially among women N Older people will need most help with bathing o Govts initiative in providing homecare services, they get on average one bath or shower a week N Occupational therapist looks at the patients ability to do this o Do they need assistance? Safe for them to be left alone? o Do assessment of functional ability 1 www.notesolution.com
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