Mobility disability & Healthy aging Mobility disorders / - - PowerPoint PPT Presentation
Promoting healthy ageing among people who already have mobility disabilities I dont have any conflict of interest in relation with the topic of my today lecture Mobility disability & Healthy aging Mobility disorders /
I don’t have any conflict of interest in relation with the topic of my today lecture
Self-reports of a lot of difficulties or inability to
without sitting and within time limit of 15 minutes
VESTERGAARD S et al J Am Geriatr Soc 2009;57:260-5 GILL TM et al J Am Geriatr Soc JAGS 2006; 54: 248–54 FRIED L et al J Am Geratr Soc 1997; 45: 92-100
“PERFORMANCE BASED MOBILITY DISABILITY”
=
inability to increase your walking speed > 0.4m/s
severely disabled and would require a mobility aid (walker, mobility scooter, wheelchair or crutches ) to walk in the community
https://ung.edu/student-disability-services/_uploads/files/disabilities/Mobililty-Disorders.pdf
vs.
Number of scientific papers published on:
«HEALTHY» AGEING
2016 > 3’000 2017 (September 19) > 2’400
«SUCCESSFUL» AGEING
2016 > 500 2017 (September 19) > 380
MICHEL JP et al JAMDA 2017; 18: 460-4
Ego integrity vs despair
(1950)
Index of ADL
(1963)
Active ageing
(2002)
Successful ageing & diseases (2009) Activity theory
(1961)
Ageing successfully
(1972)
Civic engagement
(2004)
Cognitive and emotional aspects of successful ageing
(2010)
Disengagement theory
(1961)
Successful ageing
(1987; 1998)
Gerotranscendence
(2005)
Healthy & active ageing
(2011)
Successful ageing
(1961)
Selective optimization with compensation (1990) Healthy ageing
(2006)
Resilient Ageing
(2014)
Successful ageing
(1963)
Productive ageing
(1990)
Cultural aspects of “good ageing” (2007) WHO Healthy ageing
(2015)
vs.
Number of scientific papers published on:
Havighurst cluster:
1’146 publications + 3’946 citation links
Perspectives of
Katz cluster:
609 publications + 1,682 citation links
Perspectives of measurements
KUSUMASTUTI S et al Maturitas 2016; 93: 4-12
1902 - 2015 «HEALTHY» AGEING
2016 > 3’000 2017 (September 19) > 2’400
«SUCCESSFUL» AGEING
2016 > 500 2017 (September 19) > 380
Havighurst cluster Katz cluster
Bibliometric Networks visualizing the 100 most cited publications on “Healthy / Successful Ageing”
Use of the CitNetExplorer software within the Web of Science Core Collection Database KUSUMASTUTI S et al Maturitas 2016; 93: 4-12
Havighurst cluster Katz cluster
Bibliometric Networks visualizing the 100 most cited publications on “Healthy / Successful Ageing”
Use of the CitNetExplorer software within the Web of Science Core Collection Database
Across the lifespan, the Havighurst cluster highlights the importance
processes, adults undergo to modify their goals in the face of losses that are often gradual Katz cluster views ageing primarily from the perspective of measurements determined by researchers:
KUSUMASTUTI S et al Maturitas 2016; 93: 4-12
Self report quality of the ageing process Measurement
by researchers WHO 2015 Healthy Ageing
Margaret CHAN, WHO General Director 2016
WHO, World report on Healthy Ageing, WHO Geneva, 30 September 2016
FUNCTIONAL ABILITY Intrinsic capacity Environment
WHO, World report on Healthy Ageing, WHO Geneva, 30 September 2015
FUNCTIONAL ABILITY = made up of intrinsic capacity of the individual, ENVIRONMENTAL characteristics and interactions between them
Environment
Individual
INTRINSIC CAPACITY
INDIVIDUAL = composite of all the physical and mental capacities Health determinants
WHO, World report on Healthy Ageing, WHO Geneva, 30 September 2015
Access to affordable health care Supportive environment Education & life long learning High and stable capacity Declining capacity Significant loss of capacity Supporting the building & maintenance of intrinsic capacity
Psychosocial adaptation
Social system
Functional ability Enabling
people at need to do the things that “are important to them” +++
WHO, World report on Healthy Ageing, WHO Geneva, 30 September 2015
Access to affordable health care Supportive environment Education & life long learning High and stable capacity Declining capacity Significant loss of capacity Supporting the building & maintenance of intrinsic capacity
Psychosocial adaptation
Social system
Functional ability Living in FUNCTIONAL INDEPENDENCE within our
until the end of life
+++
Global Age-friendly Cities: A Guide – WHO Geneva 2007
Political entreprising mind Academic defender Public health prospects Administrative wish Training of MDs Training of the HCWs Financial & social supports Geriatric/Rehab leaders
Senior friendly hospitals Family contact Confidence in care Advance care directives Dignified death Secure/stress less
Hospital / Institution of Care Informal care at home Formal care at home Hospital stay
HOSPITAL READMISSIONSHospital discharge to HOME
Aged Patient
Pre-graduate teaching Post-graduate teaching
Conti tinuing educati tion
Life long achievement
“Healthy ageing” domains tested in 10 recent studies
in case of mobility disorders in case of mobility disorders
MICHEL JP et al JAMDA 2017; 18: 460-4
Different “Healthy ageing” domains tested in 10 recent studies
MICHEL JP et al JAMDA 2017; 18: 460-4
in case of mobility disorders
Different “Healthy ageing” domains tested in 10 recent studies
MICHEL JP et al JAMDA 2017; 18: 460-4
in case of mobility disorders Across the lifespan, the Havighurst cluster highlights the importance of the continuous, adaptive processes, that adults undergo to modify their goals in the face of losses that are often gradual
Mobility disorders «Healthy Ageing»
Mobility disorders Which definition
«Healthy Ageing» are you using ? Wellbeing & society integration