Dementia Archives - LDOT - O.T.SERVICES INC.

Happy Holidays – Is your house visitable?

Happy Holidays – Is your house visitable?

At the recent National Institute of Aging conference held in Toronto, I was a speaker representing OSOT and the Home Modifications Canada Steering Group. The afternoon session was lead by a presentation by Jamie Shipley, a knowledge transfer consultant with the Canada Mortgage and Housing Corporation. He and I have done presentations together before about accessibility for seniors wishing to Age in Place.

Lesya Dyk

At the recent National Institute of Aging conference held in Toronto, I was a speaker representing OSOT and the Home Modifications Canada Steering Group. The afternoon session was lead by a presentation by Jamie Shipley, a knowledge transfer consultant with the Canada Mortgage and Housing Corporation. He and I have done presentations together before about accessibility for seniors wishing to Age in Place.

He asked that the members in the audience raise their hand if they were a “caregiver”. A few members of the audience raised their hands….

Then he asked how many of the audience help their family members (change in definition), and a significantly larger number of hands were raised.

Then, he asked that all the people who had their hands up, to keep their hands up, if those family members who needed care, were coming to their house over the holidays… and most of the hands went down…

The truth is, that most of us live in homes that are not “visitable” – what is visitable?

Visitable is now a term that encompasses adaptability, accessibility and inclusivity – it means that a home can be visited by almost anyone with no major impediments to access into the home or to the bathroom. Accessible is a concept that we as OT’s are more familiar with, but the drawback to this concept is that the issue is that it denotes that disability must exist. But age is not a disability – it is a normal life stage, and we in Canada are at the brink of a crisis….

According to statistics provided by the CMHC, by 2038, 24% of all Canadians will be seniors 65+, and 35% will be 55+. And to bring it back to today – a full third of Canadians now over 65 have some form of disability.

With all of us marching into this ageing cohort – where will we all live? There are no more Long Term Facilities that the province is building, and homes, townhomes and condominiums are being built all over without thought or incentive to making them spaces where we can easily and safely age…..

Many designers, architects, and contractors are now promoting “Inclusive or Universal Design Principles”. These include:

  • Equality
  • Flexibility
  • Simple and Intuitive
  • Easily perceived
  • Tolerance for error
  • Minimal effort
  • Size and space considerations for function

And where do we fit in? Well, Universal Design is not universal, and an OT has the knowledge skills and training to help a person function in their environments. The other issue, is that OT’s have their eye on function – and the client, and the future… This unique perspective is now being understood and valued.

To focus the lens just a bit more – Fall Prevention has been identified as the most important issue that we face and will be facing in healthcare when it comes to our ageing population. ( Tilak Dutta, PEng, Toronto Rehab)

According to Centre for Disease Control published study:

  • In 2012–2013, 55% of all unintentional injury deaths among adults aged 65 and over were due to falls.
  • From 2000 through 2013, the age-adjusted fall injury death rate among adults aged 65 and over nearly doubled from 29.6 per 100,000 to 56.7 per 100,000.
  • Falls cause more accidental deaths than all other causes COMBINED.
  • Over 3/4 of all falls occur in or near the home

And then, when we think about Dementia…

  • Dementia – mostly associated with confusion, reduced short term memory, reduced ability for new learning and later, motor coordination and visual perception difficulties
  • Alzheimer’s Dementia is most common seen in the elderly population
  • 20% over 80 years old have some form of dementia
  • Persons with Dementia who fall have 3 times the risk of death within one year than their counterparts without dementia

In order to prevent falls, the risks and risk factors need to be understood. As OT’s we can assess this, and provide a solution to meet the challenge. If it is low vision – then contrasting colours should be used. If it is reduced strength, then exercise may be indicated. If the issue is balance – is the underlying cause cardiac or neurological, or a change in medication? And what transfers are affected – how do we keep our clients from falls?

Best Practice…

Based on recommendations from the American Geriatric Society and British Geriatric Society (2010) updated in 2016 in: “Clinical practice Guideline: Prevention of Falls in Older Persons’, the summary of recommendations include:

“a home environment assessment carried out by a health care professional should be included in a multifactorial assessment and intervention for older persons who have fallen or who have risk factors for falling”

Although it does not specify Occupational Therapy, it is clear that this work is in our realm. We have the ability to assess the person, their environment, and their occupation, and make recommendations that make sense for our clients now, and in the future.

As we approach the Holiday Season, we the Board who serve OSOT on your behalf wish you all a safe, and happy holiday season, and a prosperous and healthy 2017.

As you begin to gather up your family and friends, start thinking of your own homes, your own spaces….your future selves and your own careers. This my colleagues, is where all our futures lie.

Home is where people want to age , they are happier and it is cheaper….

Prof. Barry Trentham,
O.T. Reg. (Ont) UofT

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Alzheimer’s a 360 Degree Treatment.

Alzheimer’s a 360 Degree Treatment.

alzheimer-360In this month’s series of blogs at Lesya Dyk O.T. Services – we are giving Alzheimer’s a 360 degree treatment. Occupational therapists have an important role in helping clients who have been diagnosed with Alzheimer’s dementia live their lives as functionally and productively as possible.

I dedicate this series to my uncle Hans (not his real name), who is defying the odds and is living with the disease, staving off the worst of the functional difficulties with exercise and activity. He is the reason that I am talking to some of the best resources that we have in the community to help us with answers to the tough questions.

As an Occupational Therapist, I have treated many people with Alzheimer’s Dementia, as well as other types of dementia’s, but never as the primary diagnosis. I have encountered individuals who have had a traumatic brain injury and whose Alzheimer’s dementia was subsequently accelerated. I have also encountered persons with Chronic Pain Syndrome who “drank the pain away”, and developed Korsakoff’s dementia as a result. And there have been other individuals who have had a fall and a fracture, and the subsequent lack of mobility and change in function, seemed to trigger a worsening in cognitive function that was already teetering on the edge.

Some Noteworthy statistics:

  • Dementia sufferer’s are twice as likely to fall as others in their age group
  • They have a three times greater mortality rate, three months after a fall as compared to others without dementia

In all cases, a thorough assessment by the treatment team was key to ensuring that the proper diagnosis was established, and all the treatment recommendations were properly implemented.  Maintaining function, including activities of daily living and exercise, was a key to slowing down the decline of cognitive functions and central to the OT intervention. And lastly, educating the family, especially the caregivers was important. Often the emotional sequelae of dementias come as a shock to family, and can be very hurtful. Knowing how to best support the family was often a role in helping the client stay home as long as possible.

We hope you find this informative – lets keep the awareness high because it is an issue for us all– Canada ranks 3rd in the world behind Finland and the U.S. for deaths related to Alzheimer’s. (World Health Ranking) And remember this: “Never give up hope. If you do, you’ll be dead already.–Dementia Patient, Rose (“The Inspired Caregiver”)

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