Environmental Press and Adaptation to Disability in Hospitalized Live-Alone Older Adults

Lichtenberg, Peter A.; MacNeill, Susan E.; Mast, Benjamin T.

doi:10.1093/geront/40.5.549

Cited by 38 publications

(29 citation statements)

References 44 publications

(51 reference statements)

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“…They reported more difficulties in the IADL skills of transportation and shopping. The findings concurred with those of Lichtenberg, MacNeill, and Mast (2000). In their study of the living-alone status of older adults (m = 73.75 years old) who were three and six months' posthospital discharge, the strongest predictor of living situation was functional independence, particularly IADL.…”

Section: Discussionsupporting

confidence: 82%

Self-Caring of Women With Osteoarthritis Living at Different Levels of Independence

Baird

2003

Health Care for Women International

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Successful management of chronic conditions such as osteoarthritis (OA) may improve health and quality of life and foster independence. Health professionals need to understand what women do to manage their OA by self-caring in order to support the improvement of health in older adults. A descriptive study of difficulties of living with and self-caring of OA was conducted. Sixty women over 65 years old who lived in homes in the community, in assisted living (AL) apartments, and in long-term care (LTC) facilities participated in interviews. Data were the reports of symptoms and self-caring behaviors. Descriptive, Kendall tau-b and tau-c, and chi-square analyses revealed that there were similarities and differences among the women. All of the women used a variety of self-caring techniques. Differences included that community-residing women reported more often that they had pain, moved too slowly, and had sleep disturbances. Community-residing women reported more negative emotions, while reporting significantly more often that they used a wide range of positive coping methods. By anticipating severe physical and functional problems of living with OA and difficulties in self-caring, health care providers may help women maintain an independent lifestyle.

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Section: Discussionsupporting

confidence: 82%

Self-Caring of Women With Osteoarthritis Living at Different Levels of Independence

Baird

2003

Health Care for Women International

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“…A possible explanation for these findings is that healthy widowed men live alone, but experience problems in IADLs, and those having more severe problems (mobility or BADL disability) live with others, because they need help performing ADLs. Also, from earlier studies, it is known that people with more disabilities more often live with others, 26,27 but some other studies showed better health in those living with others than those living alone. 28,29 Although those results and the results of the present study seem contradictory, differences in the order of causality might explain the differences; those who are already dependent in several activities might start living with others (present study), whereas those who already live with others will develop fewer health problems than those living alone.…”

Section: Discussionmentioning

confidence: 99%

Effect of Widowhood on Disability Onset in Elderly Men from Three European Countries

Brink

Tijhuis

Bos

et al. 2004

J American Geriatrics Society

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“…If persons are to live successfully in the community after hospitalization for a disabling illness, projections of their eventual functionality must occur within the contexts of their home architecture and available social supports. Providing meaningful consultation and developing an individualized plan of care for those who receive care in an inpatient rehabilitation facility will be particularly challenging for people who will be living alone [42]. …”

Section: The Biopsycho-ecological Modelmentioning

confidence: 99%

The Biopsycho‐ecological Paradigm: A Foundational Theory for Medicine

Stineman

Streim

2010

PM&R

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The current biomedical and psychosocial frameworks that form the conceptual basis of medicine today are insufficient to address the needs of the medically complex and environmentally challenged populations of patients often cared for by physical medicine and rehabilitation specialists. The expanded biopsycho-ecological model of health, illness, injury, and disability operating through mechanisms of Health Environmental Integration (HEI) encourages a more complete understanding of illness, injury, activity limitation, and participation restriction as arising at the interface between the person and the environment. HEI recognizes complex interacting multilevel functional hierarchies beginning at the cellular level and ending at the individual’s experience of the environment. Although the foci of illness and injury are within the body and mind, the physical and social environments contain elements that can cause or exacerbate disease and barriers that interact in ways that lead to injuries and disabilities. Furthermore, these environments hold the elements from which treating agents, facilitators, and social supports must be fashioned. The highly integrative biopsycho-ecological framework provides an expanded basis for understanding the objective causes and subjective meanings of disabilities. Disabilities are reduced through HEI by seeking to maximally integrate the body and mind (the self) with both the surrounding physical environment and other people in society. HEI offers mechanisms for interdisciplinary research, an expanded framework for education and empowerment, and a blueprint for optimizing day-to-day clinical care at both the individual patient and treatment population levels in the ever-changing scientific, political, and policy environments.

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Environmental Press and Adaptation to Disability in Hospitalized Live-Alone Older Adults

Abstract: The increased understanding of adaptation in live-alone older adults with a new-onset disability is particularly timely given the increase in live-alone older adults and the dire consequences associated with change in living arrangement (i.e., mortality and morbidity) in this group.

Cited by 38 publications

References 44 publications

Self-Caring of Women With Osteoarthritis Living at Different Levels of Independence

Self-Caring of Women With Osteoarthritis Living at Different Levels of Independence

Effect of Widowhood on Disability Onset in Elderly Men from Three European Countries

The Biopsycho‐ecological Paradigm: A Foundational Theory for Medicine

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