Preventing and Delaying ADL/IADL Disability in Older Adults
Presented by Pamela E. Toto
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Difficulty or inability to complete daily activities in older adults leads to adverse outcomes, including injury, institutionalization, and even death. Changing trends in demographics, healthcare costs, and improved community resources offer older adults greater opportunities to maximize their independence and safety, thereby preventing or delaying the onset of disability. Understanding of facilitators and barriers for a preventive approach in skilled service delivery can position occupational therapy practitioners (OTPs) to be essential in current and new models of service delivery for this population. OTPs in all settings can increase their distinct value by strengthening their preventive approach skills to address difficulties in daily activities with older adult clients. This course will provide OTPs with evidence-based assessments, resources, and key strategies to effectively prevent and delay disability in their older adult clients.
Meet your instructor
Pamela E. Toto
Pamela Toto is an occupational therapist and is an assistant professor of occupational therapy and the program director of the Clinical Science Doctorate in Occupational Therapy program at the University of Pittsburgh. She is board certified in gerontology and is a fellow of the American Occupational Therapy Association…
Chapters & learning objectives
1. Describing Preclinical Disability and Disability Through a Preventive Approach
This chapter will define preclinical disability and discuss evidence and trends to support a preventive approach for addressing disability in older adults. Exemplars will offer guidance on the potential role of occupational therapy in a preventive model. Facilitators and barriers to implementing preventive services for older adults will be summarized.
2. Assessment Tools and Resources for Identification of Preclinical and Early-Stage Disability and Goal Setting
This chapter will provide instruction on how to screen for preclinical disability, selection of evidence-based occupational therapy assessment tools to best assess for preclinical disability, and use of readiness for change in determining intervention strategies. Common areas for intervention will be reviewed along with tips for effective goal setting in preventive models.
3. Intervention Approaches and Strategies for Preventing and Delaying Disability in Older Adults
This chapter will analyze benefits of various occupational therapy intervention approaches in prevention of disability and the effects of select personal and environmental contextual factors of influence on service delivery. Examples of proximal and distal outcomes will be discussed as measures of impact for program adoption and sustainability across practice settings.
