Friday, November 19, 2010

Older Persons and Physical Disability

As of 2006, there were about 500 million people aged 65 and older, and there is predicted to be over 1 billion people in this age bracket by the year 2030 (Weir, Meisner, & Baker, 2010).  Since becoming an older person is such a ubiquitous topic, there is no reason or excuse for not having resources and accessibility that provide older persons with the ability to live independently and healthy.

I am currently visiting with a women who is almost 90 through my volunteer organization, who is having a difficult time being on her own.  She is managing, but there are many challenges she is currently facing.  Many of the people she was connected with; her husband, her parents, and most of her siblings, had passed away.  She constantly struggles with being lonely, but there is not much available to her in Winnipeg to help.  She has told me numerous times that she has trouble getting groceries because none of the grocery delivery services will let her order over the phone.  They will delivery groceries to her, but she has to come and pick them out at the store first, which is not an option for someone with a physical disability.  There is also the option of ordering online, but she does not have access to a computer, or even know how to use one.

Since having a physical disability affects so many aspects of a persons life, such as being active, independent, connected with others, etc., physical disability is the biggest factor for lowering life satisfaction in older persons (Mollaoglu, Tuncay & Fertelli, 2010).  This seems like a really big problem because the risk of having a physical disability increases with age.  But this should be encouraging for society to make their communities accessible for everyone, and everyone's life satisfaction will be increased.  It should be easy for older persons to order groceries, communicate with others, and be involved in the community, but so far Winnipeg is not quite there.


In one study, the authors found the best way to increase life satisfaction in older persons was for them to be busy with activities that "give happiness to individuals.  Feeling worthless, nonfunctional and powerless is the greatest handicap in obtaining life satisfaction" (Mollaoglu, Tuncay & Fertelli, 2010, p. 118). 

I completely agree with these statements because I have heard and seen the differences in older persons first hand.  I used to work at the hospital in Gimli in the Adult Day Program (ADP).  The program takes place Monday to Friday from nine in the morning until two in the afternoon, offered to any adults that wish to attend.  Most of the people who attend are older persons without much family support, and usually have physical disabilities.  Much like a school bus, the Handi-van bus picks them up and drops them off whenever they wish to attend.  Working at this job made me very aware of the difficulties older persons face everyday.  The program and hospital were very accessible for people with physical disabilities, as most of the ADP attendants used walkers or wheelchairs.  However, organizing field trips was often the difficult task.  For example, we were going to go for lunch on the River Rouge because it is wheelchair accessible.  But we noticed that many of the women did not sign their name on the attending list.  These women did not feel comfortable going somewhere like this because they do not know if the bathroom is accessible.  Many older persons have had bad experiences with places being wheelchair accessible as to let people with wheelchairs in, but not to accommodate them to every aspect of their organization, such as bars, patios, or in some cases, the bathroom.

The ADP program provides seniors with something to look forward to each week, social support, activities such as crafts, games, exercises, field trips, lunch and snacks, a sense of belonging, and many other benefits.  It just goes to show that with the right program available to older persons, and the accessibility to get there and back without feeling like a burden, older persons can and want to do the same thing everyone else in the world wants; an enjoyable life.  I think Winnipeg needs a lot more services similar to the Adult Day Program that is available in Gimli in order to improve older persons lives.

References:

Mollaoglu, M., Tuncay, F. O., & Fertelli, T. K. (2010). Mobility disability and life satisfaction in elderly people. Archives of Gerontology and Geriatrics, 51, 115-119.

Weir, P. L., Meisner, B. A., & Baker, J. (2010). Successful aging across the years : Does one model fit everyone? Journal of Health Psychology, 15(5), 680-687.

-Avery F

15 comments:

  1. This blog was very informational. I realized that older persons with physical disabilities were struggling in society but I didn't realize to what extent.
    There should definatly be programs set up to help aid these people in there daily functions. Grocery shopping? That should be an activity that everyone should be able to do. People should realize that older persons with physical disabilitys need help doing this and someone should be hired to do help.
    Its great that your helping out! Even one person helping should make a difference. I think the governement should aid in helping this situation. Since we have the majority of the population aging at the same time we are going to be running into a lot more problems with this.
    Great job on this. I feel like there is information I can take away from this.

    - Samantha G 7637608

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  2. That was a really great blog Samantha! I can’t imagine how many more problems we are going to have in 2030. I hear your frustration, because this summer I also worker with elders. One of the gentlemen that I was working with talked to me a lot about the hurt that he felt because he felt that he had done his part in society. He was extremely frustrated, and felt like society had left him to die quietly. Which is not how we want our older persons to feel. The fact that women in the group that you were working with didn’t want to go on the field trip because they didn’t know if the bathroom would be accessible, I think shows that society is failing older persons. It would be great if we could get more ADP programs, or other programs like it to give our older person’s something to look forward to and want to be apart of!

    Alyssa V

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  3. I completely agree! It is really sad that older persons do not want to do some of the things they enjoy because they have to worry about things like how close the bathroom will be and if they can get there.
    About the man you were talking about Alyssa, that is how many older persons think about society, they want to help out but it is not as easy as it is for other people. This makes people think they can't or don't want to help out, so they just give up because that is what's expected from them. All communities can benefit from older persons contributions, we just have to give them the opportunities. Thanks for the comments girls!

    -Avery F

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  5. Your blog gave me greater perspective of the struggles older adults face. I know keeping busy is the main task at hand, but it seems difficult to find tasks that aren’t work related. I think it would benefit the older adults to all come together as a group and talk about their experiences. Being an older person has its challenges, but having a physical disability would make it even harder to get out there and socialize. It’s important for us to look at the person’s abilities, rather than their disabilities. I enjoyed your personal stories.
    -Valene

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  7. Yes I agree very informative post. Avery, similarly to the ADP program you mentioned, is a program called 'Seniors Day Out'. The Seniors Day Out program in Pilot Mound is an opportunity for seniors to socialize with others, play games, make crafts, go on field trips, along with suitable intellectually challenging aspects as well. I hear where you are coming from; my mother organized the Seniors Day Out program for thirteen years. As I recall, the last year or two were a little stressful for her because she would be referred older adults to the program who could hardly participate in any activities because of physical ailments. Unfortunately, this left my mother scrounging to find exercises everyone in the group could participate in. I don't know what would be the appropriate route to take in regards to the issues mom was experiencing. On the whole, I thought the Seniors Day Out Program was beneficial to the majority of seniors, but in the case of my mom’s dilemma, I do not know what the right course of action would be. From my point of view, the older adults with the most severe physical restraints were passed around like hot potato, until someone settled with them, insinuating they are a drain on society.

    -Brooke D.

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  8. Avery, it was good to hear of your story, personal experience with seniors who often have physical disabilities. It gives insight to what seniors with physical difficulties have to consider every time they want to go out or do something. This limits their lives immensely and hence, their quality of life. Still more programs such as you have mentioned is still invaluable to seniors otherwise they may be left to inactivty and have little interaction with others which can lead to other things like depression.

    -Priscilla

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  9. Seniors Day Out sounds like a great program as well! But yes, I can imagine the limitations your Mom went through in her program.

    Interestingly enough, I am actually applying for a job position right now that pertains to this issue. It is a job position in Winnipeg for the Government of Manitoba that involves keeping track of these exact types of program to make sure they are working efficiently and what aspects of the program needs improvement. So there are programs available to give your Mom a hand when dealing with issues with Seniors Day Out. Hopefully I can use the knowledge learned in this class to help programs like this improve and help others.

    -Avery F

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  10. Mobility is an important link to independence for seniors. I shared your experience working in a seniors care facility and found it disheartening to see the extent to which it impacts people. I thought you may be interested to know, if you don't already, about Handi-Transit now extending to people who suffer with dementia;
    "In a report released Friday, city administrators note that an estimated 700 additional people would become eligible for Handi-Transit if a change were approved"

    Read more: http://www.cbc.ca/canada/manitoba/story/2010/11/19/mb-handi-transit-alzheimers-winnipeg-101119.html#ixzz167dOP1mo

    Holly L

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  11. That is great Avery. I am sure your experience and involvement in this class has formed some ideas on aspects of programs that are, for the most part successful and which aspects need improvement. It would be interesting to hear from the perspective of the Government of Manitoba to see how they intend to improve older aged programs. Also, it would be interesting to see the impediments you face working in a system like the Government of Manitoba in trying to revive old age programs.

    -Brooke D.

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  12. You make very good points Brooke. I am also very interested to see how active a role that job position involves, and if it is actually contributing to society and senior programs.

    Like Holly mentioned, I think everyone should have some experience working with the elder, or all minority groups, to help understand how certain features of society and government are affecting these groups. It is the sort of experience we are learning from these blogs, except on a much more personal, and undeniable level.

    -Avery F

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  13. Good post! I work in a seniors home and I to realize that some of these older people have a really hard time doing every day tasks. Getting groceries for them is a very challenging task. At the home I work at, once a month the seniors get a chance to sign up for a shopping trip where they get transported to the mall for the day. They can order their groceries and shop for anything else they may need and then the bus comes to pick them up when they are all done. I think that this service should be available at any elderly home in the city. This service is a fantastic one and it lets the elderly get out and about for a day with out having to worry about transportation or having issues with carrying heavy groceries. -Brittany L

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  14. Hello Avery, I really enjoyed reading this post because it’s something I completely agree with and an area I feel strongly about. I also volunteered at a place where I visited a senior who was experiences many of the barriers you had motioned in your blog. That quote you had in your blog about increasing one’s life by staying happy and involved really stood out to me because that is one of the key things I learned by doing my volunteering. It decreased the social isolated that is experienced my many elderly in our society. I think it really important to make sure that all elderly should have the proper services and supports to provide them with a good quality life. Lastly, I didn’t realize that wheelchair accessible places were not all fully accessible (bathrooms) which is something I thought would be automatic. It is awful that our world is set up in a way that people with disabilities have to think twice about or are not able to do things that able bodied people are able to do without thinking about it.

    Nicole G

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  15. Really good post Avery! It was very informative and I like the way you incorporated your own experience with the subject. I think that older persons do not always have the option of mobility and as you said, have physical disabilities and are unable to really get around, like to the grocery store. It is unfortunate that there are not more services provided to them to aid them with these daily obstacles. I do wish that the government will put more time and money into elderly care. Another thing to consider however, is that as the elderly population begins to rise so dramatically, we need to take into consideration the long-term health care of these people. We need to be prepared for the senior citizens to more then double in the next 20 years.

    -Marina R

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