exercise for aging adults a guide for practitioners
LINK 1 ENTER SITE >>> Download PDF
LINK 2 ENTER SITE >>> Download PDF
File Name:exercise for aging adults a guide for practitioners.pdf
Size: 4431 KB
Type: PDF, ePub, eBook
Category: Book
Uploaded: 26 May 2019, 22:46 PM
Rating: 4.6/5 from 629 votes.
Status: AVAILABLE
Last checked: 14 Minutes ago!
In order to read or download exercise for aging adults a guide for practitioners ebook, you need to create a FREE account.
eBook includes PDF, ePub and Kindle version
✔ Register a free 1 month Trial Account.
✔ Download as many books as you like (Personal use)
✔ Cancel the membership at any time if not satisfied.
✔ Join Over 80000 Happy Readers
exercise for aging adults a guide for practitionersThis book provides practical strategies that can be implemented immediately in the common settings in which practitioners care for adults. The format includes key points and case examples which showcase the strong evidence supporting exercise by older adults as a key tool to enhance health, prevent serious outcomes, such as hospitalization and functional loss, and as part of the treatment plan for diseases that are common in older adults. Written by experts in the field of exercise in older persons, this book is a guide to maintaining quality of life and functional independence from frail to healthy aging adults. Strategies and exercises are discussed for specific care settings and illustrated via links to video examples, to ensure readers can immediately apply described techniques. Exercise for Aging Adults: A Guide for Practitioners is a useful tool for physicians, residents in training, medical students, physical therapists, gerontology advance practice nurse practitioners, assisted living facility administrators, directors of recreation, and long-term care directors. She teaches geriatrics to medical and other trainees and sees patients through the UConn Health Center’s Geriatrics Associates’ practice. Dr. Sullivan has presented at regional, national and international meetings on various geriatric medicine topics, such as Geriatric Educational Strategies; Medical Education Research; The Approach to the Older Patient; Exercise in Older Persons; and Pharmacology. Dr. Sullivan is also Editor-in-Chief of the Journal of Graduate Medical Education. A fellow of the American College of Physicians and the American Geriatrics Society, Dr. Sullivan is listed in “Best Doctors in America,” “Best Doctors for Women” (Connecticut Magazine), and “Top Doctors in the Greater Hartford Area” (Hartford Magazine). Dr. Alice Pomidor is a family practice geriatrician who has taught a variety of topics in geriatrics for over 25 years.http://www.kotlovoi.ru/userfiles/farris-psv-manual.xml
- Tags:
- exercise for aging adults a guide for practitioners, exercise for aging adults a guide for practitioners, exercise for aging adults a guide for practitioners free, exercise for aging adults a guide for practitioners 2017, exercise for aging adults a guide for practitioners, exercise for aging adults a guide for practitioners book.
Her areas of expertise cover a myriad of older adult topics, including older adult driving, physical activity, health literacy, and falls prevention. Her research interests include innovated educational tools, such as educational video games and technology to teach geriatric concepts. She is a former fellowship director and served previously as a division chief of geriatrics, as well as a medical director at multiple retirement and long-term care communities. In addition to her work as a researcher and educator, Dr. Pomidor dedicates herself to numerous community activities and serves on the Board of the local Alzheimer's Project. She is a member of the Safe Mobility for Life Coalition in Florida and a former president of the Florida Geriatrics Society. She is also the chair of the Public Education Committee and a Fellow of the American Geriatrics Society, and offers her clinical services at the Wound Healing Center in Tallahassee. Please try again.Please try again.Please try again. This book provides practical strategies that can be implemented immediately in the common settings in which practitioners care for adults. Exercise for Aging Adults: A Guide for Practitioners is a useful tool for physicians, residents in training, medical students, physical therapists, gerontology advance practice nurse practitioners, assisted living facility administrators, directors of recreation, and long-term care directors. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. This book provides practical strategies that can be implemented immediately in the common settings in which practitioners care for adults. Exercise for Aging Adults: A Guide for Practitioners is a useful tool for physicians, residents in training, medical students, physical therapists, gerontology advance practice nurse practitioners, assisted living facility administrators, directors of recreation, and long-term care directors.http://51hangkou.com/userfiles/1602369675.xmlShe teaches geriatrics to medical and other trainees and sees patients through the UConn Health Center’s Geriatrics Associates’ practice. She is also the chair of the Public Education Committee and a Fellow of the American Geriatrics Society, and offers her clinical services at the Wound Healing Center in Tallahassee. Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. The 13-digit and 10-digit formats both work. Please try again.Please try again.Please try again. Used: Like NewShip direct from Amazon!Something we hope you'll especially enjoy: FBA items qualify for FREE Shipping and Amazon Prime. Learn more about the program. This book provides practical strategies that can be implemented immediately in the common settings in which practitioners care for adults. Exercise for Aging Adults: A Guide for Practitioners is a useful tool for physicians, residents in training, medical students, physical therapists, gerontology advance practice nurse practitioners, assisted living facility administrators, directors of recreation, and long-term care directors. Age-related alterations in the neuromuscular and cardiovascular systems may have the greatest impact on physical function. Disability and aerobic physical frailty are related and have profound effects upon outcomes important to older adults, such as nursing home residence and mortality. Physiologic aging mimics “disuse” syndromes. Exercise reverses many physiological changes commonly associated with aging. Disuse may actually be a key cause of primary aging. View 1 Recommendation Benefits of Exercise for Older Adults Chapter Jan 2015 Exercise for Aging Adults pp.13-27 Ph.D.http://www.statcardsports.com/node/10896 Melissa J. Benton M.S.N. Exercise improves important outcomes for older adults, including functional status, longevity, and healthcare costs. Exercise can be used to prevent, treat, or palliate chronic conditions commonly experienced by older adults, including heart disease, diabetes, osteoarthritis, falls, and depression. The greatest benefits are seen in sedentary older adults who begin a moderate-level exercise program. View Risks of Exercise for Older Adults Chapter Jan 2015 Exercise for Aging Adults pp.29-39 Liza Stathokostas Gareth R Jones The benefits of exercise greatly outweigh the risks related to being physically inactive. The majority of older adults can safely take up light to moderate exercise, such as walking, with medical clearance suggested before starting vigorous exercise. An older adult at high risk for or diagnosed with heart disease, or whose weight is categorized as obese, should consult with a health care professional prior to becoming more physically active. Older adults are not at an increased risk for musculoskeletal injuries. Tips to avoid injury include: begin slowly with low-intensity exercises, warm up with low-intensity exercises at the start of an exercise bout, be aware of your surroundings, and choose a safe environment. Older adults should take precautions or avoid exercising outdoors in very warm or very cold weather. Prescreening and exercise consultation to identify and provide modifications for age-related issues allows older adults to safely participate in exercise. View Types of Exercise: Flexibility, Strength, Endurance, Balance Chapter Jan 2015 Exercise for Aging Adults pp.41-58 Lynn Panton Ashley Lynn Artese Different exercise components—flexibility, strength, endurance, and balance—provide different benefits to older adults. Prior to starting exercise, an assessment of current function and fitness is helpful.Although a multicomponent exercise program is optimal, it may overwhelm some beginning exercisers, who can start with one component and add others over time. View Motivational Interviewing for Older Adults Chapter Jan 2015 Exercise for Aging Adults pp.59-66 Kenneth Brummel-Smith Motivational interviewing is a technique used to explore ambivalence about a behavior, such as physical activity. Motivational interviewing uses open-ended questions, affirmations, reflections, and summarizations to help an older person self-analyze their behavior. Motivational interviewing leads to modest improvements in physical activity in people with chronic health conditions. There may be benefits to incorporating motivational interviewing into clinical practice. The effects of motivational interviewing may be greater if the clinician adheres to the core components of motivational interviewing. View Writing an Exercise Prescription for Older Adults Chapter Jan 2015 Exercise for Aging Adults pp.67-83 Debbie Rose Prescribing exercise for older adults is both a science and an art. Three senior-specific principles—functional relevance, challenge, and tailoring or adaptation—should guide the development of an exercise prescription. The exercise prescription for older adults should be multicomponent and include aerobic endurance, muscle strengthening, flexibility, and balance training. Adjustments to the environment, communication techniques, and number of different exercises can safely engage older adults with sensory losses or cognitive impairment in exercise programs. View Cultural Considerations for Exercise in Older Adults Chapter Jan 2015 Exercise for Aging Adults pp.85-96 Rosaly Correa-de-Araujo Awareness of cultural history, values, and beliefs allows tailoring of exercise recommendations to diverse older adults. Language and low literacy present barriers to understanding an exercise prescription. A culturally sensitive approach can elicit an older adult’s preferences and concerns about potential inhibitors and motivators to physical activity. Community-based participation, with strong emphasis on social supports and family values, is an effective approach for all racial and ethnic groups.View Exercises for Adults in Nursing Home and Assisted Living Facilities Chapter Jan 2015 Exercise for Aging Adults pp.97-109 Barbara Resnick PhD, CRNP, FAAN, FAANP Institutional older adults, in skilled nursing and rehabilitation settings, both short and long stay, benefit from participation in effective exercise programs. Exercise is safe although modifications are necessary, for institutionalized older adults. Effective strategies can be employed to motivate older adults with different conditions and diseases, in these settings. Transforming the philosophy of care to include exercise is possible in institutional settings. View Exercise for Hospitalized Older Adults Chapter Jan 2015 Exercise for Aging Adults pp.111-121 Gail Sullivan Older adults are at high risk for deconditioning as a result of bed rest during hospitalization. Deconditioning results in loss of function and discharge to higher levels of care, such as a nursing home, even after short or elective hospital stays. Older adults can participate in walking, resistance exercises, and early rehabilitation programs without increasing adverse events during acute hospitalization. Geriatric acute hospital units using comprehensive geriatric assessment, multidisciplinary teams, and interventions targeted to preserving function and mobility have the strongest evidence for reducing decline. Older adults for whom exercise may present significant risk or for whom exercise is not possible may benefit from passive range of motion and changes in position. System-wide interventions, such as changing the default activity order to out of bed, are recommended by experts yet require more study. View Frailty and Older Adults Chapter Jan 2015 Exercise for Aging Adults pp.123-129 Ellen Binder M.D. Frailty is a clinical syndrome that increases in prevalence with increasing age. Frailty is strongly associated with poor outcomes for older adults: functional loss, falls, hospitalization, and death. Screening tools, developed for research, may be adaptable for clinical settings. Frailty can be treated with exercise and thus may be reversible, if recognized. View Community-Based Exercise Programs for Older Adults Chapter Jan 2015 Exercise for Aging Adults pp.131-138 Jennifer S Brach Community-based programs are designed to reach people outside the traditional healthcare setting, in “real-world” settings. Community-based programs have been shown to increase the time and frequency of physical activity in older adults. Community partnerships are critical to the sustainability of a community-based program. Evidence-based programs increase the likelihood of a positive outcome, lead to efficient use of resources, and make it easier to justify funding. The RE-AIM framework is a useful, comprehensive framework for program planning and evaluation. Marketing evidence-based physical activity programs to potential delivery sites and practitioners is essential for beginning community programs. Federal resources are available to help practitioners identify, implement, disseminate, and sustain evidence-based programs for promoting physical activity. Older adult participants can use guided decision-making tools to safely participate in community-based physical activity programs. In the USA, numerous national efforts are underway to develop community programs to enhance physical activity for older adults, yet major challenges remain in reaching the majority of older adults. View 1 Recommendation Citations (4) References (0). A reduced risk for elderly persons (?65 years) is associated with participation in moderate to moderately vigorous PA; this translates to approximately 4 METs, or 60 VO2max (or heart rate equivalence), and can be accomplished by brisk or fast walking... Endurance exercise training increases important cellular functions, such as mitochondrial biogenesis, muscle oxidative capacity, mitochondrial content, oxidative enzyme activities, muscle protein synthesis rates, mitochondrial protein gene transcripts, and mitochondrial DNA copy number. 13 Resistance training may increase both muscle strength and muscle mass. Older adults respond to strength training, showing large gains in isometric and dynamic strength, power, and force control.. Prescription of exercise for older adults Recommendations for clinical practice Article Full-text available Feb 2021 Maria Tsekoura Sophia Stasi John Gliatis Vasiliki Sakellari Regular exercise and general daily activity provide substantial health benefits, improve quality of life and increase functionality in older adults. Elderly people often do not benefit fully from exercise prescription, however, because they receive vague or inappropriate instructions. This paper reviews the components of exercise prescription and the approaches to developing appropriate exercise prescription for older persons, which should be multi-component, including aerobic, muscle strengthening, balance and flexibility training. The elderly should be encouraged to participate in therapeutic exercise programs as primary or adjunctive therapy in the treatment of various chronic diseases associated with aging. View Show abstract. Considering the complexity of the modifications that can occur in the physical activity domain, international guidelines recommend that older adults engage in a combination of aerobic, strength, flexibility, and balance training to promote active ageing and maintain adequate health status. For this reason, virtual coaches must be designed to prescribe appropriate physical activity plans in each of the specific target sub-domain. Technological solutions based on wearable devices and digital games are promising can be the key to a successful system. This chapter describes the physiological bases and the technological approaches implemented by the NESTORE system to evaluate users’ functional abilities and to propose a comprehensive and individualised coaching plan in the physical activity domain according to the internationally recognised guidelines. The main technological NESTORE components, co-designed together with users to monitor their status and behaviour and coach them to perform effective physical activity, are (i) the NESTORE wristband that will assess the users’ performances and monitor the main physiological parameters during aerobic activity and (ii) the NESTORE Pocket Odyssey mobile game that will engage the users during physical activities in the strength, flexibility and balance domains. View Show abstract The Multi-domain Coaching Approach to Counteract Ageing Decline Chapter Jul 2021 Alfonso Mastropietro C. Roecke Simone Porcelli Giovanna Rizzo Based on the international guidelines on healthy lifestyles for older adults in different well-being domains, this chapter describes the general approach of personalized coaching proposed in NESTORE by the domain experts involved in the project. The coaching domains that are the basis of the NESTORE virtual coach include physical activity, nutrition, cognition and social behaviour. Each domain, although maintaining its peculiar characteristics and specific aspects, present a common personalization pathway, based on the actual status of the users. The coaching design approach used in NESTORE includes the identification of domain-specific targets and pathways to deal with the critical aspects of ageing. View Show abstract ResearchGate has not been able to resolve any references for this publication. Recommended publications Discover more Article Full-text available Relationship between physical and cognitive performance in community dwelling, ethnically diverse ol. Regular exercise training stimulates physiological adaptations to improve physical performance, reduce chronic disease risk, and slow age-related cognitive decline.These results could be used to guide exercise prescriptions with the goal of improving age-related cognitive performance. The purpose of this study was to investigate the relationship between physical performance measures and cognitive performance in a population of community dwelling, ethnically diverse older adults. Methods. Sociodemographic (age, sex, ethnicity, medication use, years of education) and anthropometric data were collected, physical activity was assessed with the Physical Activity Scale for the Elderly (PASE), peak hand-grip strength, distance walked in the 6MWT, and heart rate pre-, during, and up to 5 min.Forward stepwise multiple regression analyses were performed with each cognitive measure as a dependent variable. Results and Discussion. Controlling for sociodemographic covariates, peak heart rate during the 6MWT (6MWT HR PEAK ) was positively correlated with performance in the 3MS ( p View full-text Article Prescription of physical activity is not sufficient to change sedentary behavior and improve glycemi. Physical activity levels at work or in leisure time were not modulated by the exercise prescription intervention. In accordance, no changes in body composition, glycemic control, medication use or risk factors for cardiovascular disease were observed. To investigate the clinical efficacy of 2 active interventions for patients with chronic low back pain. Manual therapy and exercise prescription are treatments frequently prescribed for patients with chronic low back pain. Three physiotherapists led the hour long group with a maximum of 10 patients. Questionnaires were completed, and physical measurements were taken by a blinded observer before randomization, at the completion of treatment, and at 6 months and 12 months after the completion of treatment. The intention-to-treat principle was used in data analysis. Eleven patients dropped out of the individual treatment sessions and 7 dropped out of the exercise group. There was a significant reduction (reduced disability) in the questionnaire score in both groups, and there were significant increases in range for all the physical movements tested in both groups. The exercise group was 40 more cost effective than the individual treatments. Both forms of intervention were associated with significant improvement. On-going clinical research is necessary to provide guidance as to the clinical efficacy of various forms of intervention. Musculoskeletal problems are common in professional orchestral musicians, and little is known about effective prevention strategies. Exercise is suggested to help in reducing work-related upper limb disorders and accordingly a trial of a specific exercise programme for this population was planned. Current preventative and rehabilitation models were reviewed including undergraduate curriculums, postgraduate training programmes, and opinion from academic and clinical physiotherapists. Five series of progressive exercises were developed as a result. These were reviewed by expert physiotherapists who were blinded to the proposed progression difficulty of the exercises. A revised draft was produced for further review. This final programme was pilot trialed and feedback from the participants and physiotherapist instructors were obtained. Results. No evidence-based literature regarding an exercise programme for professional orchestral musicians was found. An exercise programme was subsequently developed with progressive stages that followed an adapted exercise prevention and rehabilitation model. The blinded ranking of each exercise series produced varied results particularly in the abdominal and shoulder series. Feedback from the participants and instructors in the pilot study resulted in changes to the exercise difficulty, and the class format and structure. Conclusions. View full-text Article Perceived benefits, rationale and preferences of exercises utilized within Pilates group exercise pr. An estimated 29 of the population, around 17.8 million people, live with a musculoskeletal condition in the UK. Pilates exercise has positive benefits, including reducing pain and disability for people with musculoskeletal conditions. A qualitative approach was taken to both data collection and analysis, using a thematic framework. Data were collected via electronic questionnaires using open?ended questions. Participants included 15 Pilates?trained physiotherapists who regularly ran Pilates exercise classes within seven private physiotherapy clinics for people with a range of chronic musculoskeletal conditions. The results were organized into six main themes: Perceived benefits 1: Improved function and increased levels of activity. Perceived benefits 2: Improved ability to manage their musculoskeletal condition autonomously; Efficacy of group Pilates exercise; Optimum combination of exercises used within a class; Physiotherapist rationale for the most effective exercises; Precautions with specific exercises. The study was the first to investigate perceived benefits, rationale and preference for choice of exercise among Pilates?trained physiotherapists. Physiotherapists felt that the Pilates classes facilitated an active lifestyle and self?management approach. They used a combination of exercises in each class to address all the main muscle groups, but some had specific exercise preferences related to the patients' needs. Exercises were linked to evidence around neuromuscular control, direction preference and biomechanical principles. This uncontrolled before-after study (TargET-Knee-Pain) aims to test the principle that exercises targeted at the specific physical impairments of older adults with knee pain may be able to significantly improve those impairments. It is a first step towards testing the effectiveness of this more individually-tailored approach. We aim to recruit 60 participants from an existing observational cohort of community-dwelling older adults with knee pain. Participants will all have at least one of the three physical impairments of weak quadriceps, a reduced range of knee flexion and poor standing balance. Each participant will be asked to undertake a programme of exercises, targeted at their particular combination and degree of impairment(s), over the course of twelve weeks. Key secondary outcome measures will be self-reported levels of pain, stiffness and difficulties with day-to-day functional tasks (WOMAC). Outcome measures will be taken at three time-points (baseline, six weeks and twelve weeks) by a study nurse blinded to the exercise status of the participants. This study (TargET-Knee-Pain) is the first step towards exploring whether an impairment-targeted approach to exercise prescription for older adults with knee pain may have sufficient efficacy to warrant further testing. If warranted, future randomised clinical trials may compare this approach with more traditional one-size-fits-all exercise approaches. Current Controlled Trials ISRCTN61638364. Very simply, exercise is any activity that engages our muscles and increases oxygen delivery and uptake with the goal of improving cardiorespiratory health. For those individuals with neurological deficits such as stroke, the complexity of exercise prescription and training becomes significantly more difficult. Many questions come to mind such as what modality will work with various neuromuscular deficits, will the exercise response be normal or abnormal, and what types of exercise training will improve cardiovascular control and cardiorespiratory fitness. This dissertation explores the central and peripheral cardiovascular responses of an exercise training program using the hemiparetic limb after stroke. Two primary questions guided this dissertation project. First, does single limb exercise (SLE) training improve femoral artery blood flow in the hemiparetic limb. Second, what is the effect of SLE on the central and peripheral cardiovascular system. Before we could address these questions, we needed an exercise modality that would accommodate stroke-related deficits. Obtaining cardiorespiratory fitness values from a maximal effort graded exercise test has been challenging in the post-stroke population. Previous studies have reported that traditional modalities such as the cycle or treadmill prove difficult secondary to neuromuscular and balance deficits. To address these problems, we developed an exercise test for a total body recumbent stepper (TBRS) and assessed its validity and reliability in healthy individuals. Next, participants with stroke were recruited to examine the feasibility and validity of a modified version of this exercise test (mTBRS-XT). These individuals performed two exercise tests on separate days: one using the mTBRS-XT and one on the cycle ergometer. We reported that individuals post-stroke with varying levels of lower extremity motor performance could perform the mTBRS-XT. In addition, cardiorespiratory fitness values were higher using the all-extremity exercise test, implying a more accurate description of peak oxygen uptake. The cardiovascular system continually adjusts to changes in position and to meet the body's needs during dynamic movements and exercise. These vascular changes occur to maintain pressure and regulate blood flow based on the metabolic demands of the body (rest vs exercise). Previous literature suggests that decreased oxygen consumption combined with physical inactivity can alter the vascular composition and blood flow in the lower extremities. However, femoral artery adaptations such as reduced diameter, slower blood flow velocity and increased wall thickness in the hemiparetic limb in people post-stroke have not been previously investigated. Therefore, we sought to examine whether the hemiparetic lower extremity demonstrates vascular changes in the femoral artery when compared to the less affected side. To address this question, seventeen people with chronic stroke had Doppler ultrasound imaging to bilateral femoral arteries. Comparisons between the less affected and hemiparetic limb were interesting in that the femoral artery in the hemiparetic limb demonstrated vascular changes. This may be indicative of reduced oxygen consumption associated with decreased use. Next, we focused on an exercise intervention as a method for improving femoral artery blood flow. Human research in both healthy and clinical populations has reported increased arterial blood flow and diameter in response to exercise. Twelve people with stroke participated in a 4-week single limb exercise (SLE) training intervention using the hemiparetic limb. After SLE, the hemiparetic limb increased both femoral artery diameter and blood flow. No significant changes were observed in the non-trained limb. These data support previous literature that suggests an exercise intervention improves arterial blood flow. Submaximal performance was evaluated during Days 1 and 12 during SLE. VO2 peak was obtained during an all-extremity maximal effort graded exercise test using the mTBRS-XT. For the 12 participants, SLE had a greater effect on oxygen uptake during submaximal work than VO2 peak.