The relationship between sensory impairment and functional independence among elderly

Raina, Parminder; Wong, Micheline; Massfeller, Helen

doi:10.1186/1471-2318-4-3

Cited by 57 publications

(46 citation statements)

References 18 publications

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“…For example, 73.9 percent of individuals with NSI reported visiting friends, while the numbers were 70.9 percent for those with HI, 66. [48]. The data showed that individuals with DSI reported the most restrictions conducting instrumental activities of daily living (e.g., shopping, housework, personal care, meal preparation), followed by those with VI alone and then those with HI alone.…”

Section: Effectmentioning

confidence: 93%

Blast exposure and dual sensory impairment: An evidence review and integrated rehabilitation approach

Saunders¹,

Echt²

2012

JRRD

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Abstract-Combat exposures to blast can result in both peripheral damage to the ears and eyes and central damage to the auditory and visual processing areas in the brain. The functional effects of the latter include visual, auditory, and cognitive processing difficulties that manifest as deficits in attention, memory, and problem solving-symptoms similar to those seen in individuals with visual and auditory processing disorders. Coexisting damage to the auditory and visual system is referred to as dual sensory impairment (DSI). The number of Operation Iraqi Freedom/Operation Enduring Freedom Veterans with DSI is vast; yet currently no established models or guidelines exist for assessment, rehabilitation, or service-delivery practice. In this article, we review the current state of knowledge regarding blast exposure and DSI and outline the many unknowns in this area. Further, we propose a model for clinical assessment and rehabilitation of blast-related DSI that includes development of a coordinated team-based approach to target activity limitations and participation restrictions in order to enhance reintegration, recovery, and quality of life.

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Section: Effectmentioning

confidence: 93%

Blast exposure and dual sensory impairment: An evidence review and integrated rehabilitation approach

Saunders¹,

Echt²

2012

JRRD

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“…Compared with persons who reported no sensory impairment, individuals who reported DSI had approximately 10% lower rates of participation in activities such as visiting friends, telephoning colleagues, going to movies, and attending church. With regard to self-reported health and limitations in activities of daily living (ADL), 16 Studies showing the effect of DSI on functional independence include a study by Raina et al 26 In this study, 16 613 individuals older than 66 years completed the 1991 Health and Activities Limitation Survey in interview format. Data on ability to conduct instrumental ADLs (IADLs) such as shopping, meal preparation, money management, and home maintenance were collected.…”

Section: Effects Of Dsimentioning

confidence: 99%

An Overview of Dual Sensory Impairment in Older Adults: Perspectives for Rehabilitation

Saunders

Echt

2007

Trends in Amplification

137

132

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and visual impairment. Herein, we focus on the difficulties experienced by those who have acquired hearing and vision loss associated with age-related changes and pathologic conditions. Most individuals with age-related DSI experience gradual onset of mild to moderate sensorineural hearing loss and vision loss. Awareness of late-onset DSI among older individuals is increasing, presumably because the size of this population is growing rapidly. However, there is almost no research on rehabilitation for this population; therefore, there is a tremendous imperative to develop and test rehabilitation strategies.Although there are clear definitions of degrees of vision impairment and hearing impairment, definitions of DSI are lacking, and determination of a standardized definition is complex. Proposed definitions are functional in nature and tend to be nonspecific, with few implications for clinical practice. For instance, Davenport 5 suggests that DSI is "any combination of hearing and vision loss that interferes with access to communication and the environment and requires interventions beyond those necessary for hearing or vision loss alone." This generality is in part due to the fact that there is an unknown, and presumably variable, interaction between the two impairments. As D ual sensory impairment (DSI) refers to the presence of both hearing loss and vision loss. According to the Centers for Disease Control and Prevention, 1 at least 1.7 million people report DSI. Studies show that between 9% and 21% of adults older than 70 years have some degree of DSI [2][3][4] and that the prevalence increases with age. As pointed out by Desai et al, 1 as the population ages, so will the number of individuals with DSI.Individuals with DSI can be classified into the following 4 groups: congenital deafblindness, congenital visual impairment with acquired hearing impairment, congenital hearing impairment with acquired visual impairment, and acquired hearing Dual sensory impairment (DSI) refers to the presence of both hearing loss and vision loss. The occurrence of DSI is particularly prevalent among the aging population, with studies showing between 9% and 21% of adults older than 70 years having some degree of DSI. Despite this, there is little direction regarding recommended clinical practice and rehabilitation of individuals with DSI. It is assumed that the problems encountered by individuals with DSI are considerably greater than the effects of vision impairment or hearing impairment alone, because when these two sensory impairments are combined, the individual is seriously deprived of compensatory strategies that make use of the nonimpaired sense. In this article, the literature available regarding DSI is summarized, and research needs regarding rehabilitation strategies are outlined and discussed. Simple suggestions for addressing DSI are provided that use available tools and technology.

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“…Because the U.S. population of older adults is increasing, the prevalence of low vision conditions is also expected to increase (NEI, n.d.). Studies have indicated that vision loss diminishes personal safety, interferes with engagement in activities of daily living (ADLs), and increases risk of falls and fractures (Cox et al, 2005;Dahlin Ivanhoff, Sonn, Lundgren-Lindquist, Sjörstrand, & Steen, 2000;Dhital, Pey, & Stanford, 2010; National Organization on Disability, 2000; Raina, Wong, & Massfeller, 2004). Despite such concerns, many older adults with low vision have a strong desire to live independently in their own homes (Girdler, Packer, & Boldy, 2008).…”

mentioning

confidence: 99%

Perspectives on Home Safety: Do Home Safety Assessments Address the Concerns of Clients With Vision Loss?

Barstow

Bennett²,

Vogtle

2011

The American Journal of Occupational Therapy

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PURPOSE. We explored the occupational performance and home safety perspectives of older adults with vision loss. Our study focused on the person–environment interaction to ascertain whether participants’ concerns are addressed by three commonly used home safety assessments. METHOD. Twenty-two older adults with vision loss participated in face-to-face interviews regarding their perspectives on home safety. We compared categories generated from a content analysis of the data with the contents of three standardized home safety assessments. RESULTS. Five categories of home safety emerged from the analysis: (1) lighting, (2) contrast, (3) visual distractions, (4) glare, and (5) compensation strategies. Comparisons of content in the three home safety assessments with emerged categories revealed that study participants had specific concerns about home safety that were not thoroughly addressed in the selected assessments. CONCLUSION. The findings provide preliminary content areas that should be included in the development of a home assessment specific to the low vision population.

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The relationship between sensory impairment and functional independence among elderly

Cited by 57 publications

References 18 publications

Blast exposure and dual sensory impairment: An evidence review and integrated rehabilitation approach

Blast exposure and dual sensory impairment: An evidence review and integrated rehabilitation approach

An Overview of Dual Sensory Impairment in Older Adults: Perspectives for Rehabilitation

Perspectives on Home Safety: Do Home Safety Assessments Address the Concerns of Clients With Vision Loss?

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