Published on November 26, 2008
Working with Dependent Older People towards Promoting Movement and Physical Activity : Working with Dependent Older People towards Promoting Movement and Physical Activity Chris Beech Nurse Consultant Services for Older People Slide 2: Background What does the research say Consequences What can we do Key challenges Definition : Definition Physical activity is a general term and there are many types Exercises Sport Play Dance Active living Slide 4: Physical activity is the term used to describe movement of the body that uses energy. Doesn’t have to be strenuous Ordinary daily routines can have a significant training effect on many older people Domestic activities can be important in maintaining physical fitness Background : Background Common myth that inactivity is natural part of ageing process Health of 2/3 Scottish adult population at risk from physical inactivity Physical inactivity has been called the “silent killer of our time” Vast majority of care home residents classed as inactive Approx 50% in Local Authority care homes never/only very rarely take trips outside the home What does the research say? : What does the research say? Lost fitness can be regained with regular physical activity Greatest health benefits happen when the least active people become moderately active Regular physical activity is associated with enhanced health, self esteem and sleep and reduced risk of all cause mortality Exercise can also improve gait, balance, coordination, proprioception, reaction time and muscle strength Physical activity has been shown to positively influence mood change by reducing anxiety and stress What can we do? : What can we do? Understand the barriers and opportunities for physical activity Social influences Self efficacy Attitudes Slide 8: Multidisciplinary approach Ascertain beliefs and concerns Include progressive resistance training Supported to remain active Recreational activity Asses and counsel all patients Information provision Individually adapted programmes Emphasise social rewards Motivation Why Falls? : Why Falls? 1/3 of people over 65 will fall over a year Increases to 50% of those aged 80 More than 50% of those in an institutional setting will fall 1/2 of all people who fall, do so recurrently 5-10% falls result in injury Slide 10: Falls are the leading cause of death from injury among 75+ Falls account for 10% visits to A&E Over 95% of all hip fractures in older people occur as result of fall Approx 20% of people with hip fracture die within 1 year Key Challenges : Key Challenges Raising the profile of structured activity and making it the concern of everyone Prioritising physical activity within a person’s day Challenging the perception that physical activity can be harmful to chronic health Identifying suitable training programmes for staff Conclusion : Conclusion “ Regular programmes of moderate exercise is a very important recommendation for almost all adults, moreover there is no known pharmacological remedy that can so safely and effectively reduce a person’s biological age and enhance his or her quality adjusted life expectancy” Shephard 1997
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