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Community Poster Presentation
32
Ageism in Amherst
By: Marlena Murphy and Allison Mullen
University of Massachusetts, Amherst College of Nursing
The Clark House
- 22 Lessey St, Amherst, MA 01002
- Low Income/Section 8 Housing: Under the voucher program, individuals or families with a voucher find and lease a unit (either in a specified complex or in the private sector) and pay a portion of the rent. Most households pay 30% of their adjusted income for Section 8 housing.
- Primarily Elderly and Disabled
- Primarily Caucasian, some African American and Hispanic residents as well
- more women than men
ASSESSMENT OF COMMUNITY NEEDS
ASSESSMENT
AGENCY
DATA FROM AGENCY
Professions: artist, writer, student, teacher, retired, full time mom, food service, unemployed, disabled
Income Limits:
Very Low Income (1 person): $10.950
Extremly Low income (1 person): $6,550
Very Low Income (2 people): $12,500
Extremely Low Income (2 People): $7,500
GOVERNMENT
DATA FROM THE GOVERNMENT
The population of older adults is drastically increasing and with it the rate of chronic disease and disability
As nurses we have to be aware of this population shift and be prepared to respectfully care for older clients with increasing numbers of diseases and disabilities
STAFF
STAFF
LISA WHITE
RN, PhD
- Lisa White, community health nurse whom runs the Weekly Wellness Clinic on Thursday Mornings in the Library of the Clark House
- Justine, the Clark House Assistant/Receptionist provides light refreshments
- Penny, a resident of the Clark House, leads a exercise group after the clinic
- Robin or Devon, handled the sign in sheet/order we would see the residents for the wellness clinic
Marlena Murphy
Allison Mullen
Student Nurse
Student Nurse
RESIDENTS
RESIDENTS
- We chatted with the residents before, during, and after the wellness clinic each week
- We asked them what they would be interested in learning about
- Ageism was a trending topic that had a high interest level from many residents
We found out this is a worldwide issue!
COMMUNITY DIAGNOSIS
Risk for Powerlessness: at risk for perceived lack of control over a situation and/or one's ability to significantly effect an outcome
RISK FACTORS
- Physiological:
- Chronic or acute illness or injury
- debilitating disease process
- aging
- Psychological:
- Lack of Knowledge of illness or healthcare system
- lifestyle of dependency with inadequate coping
- abscence of integrality
- decreased self- esteem
DESIRED OUTCOMES
- express sense of control over the situation and hopefulness about future outcomes
- make choices related to and be involved in care
- identify areas over which individual has control
- acknowledge reality and some areas are beyond the individual's control
INTERVENTION
PLAN & ACTION
- Open Discussion Group about Ageism and Discrimination
- Utilizing Adult Learning Theory and Transformational Learning Theory concepts
- Goals:
1. Empowerment for the residents
2. Education for the residents about active aging and livability
3. Create an open and comfortable environment for discussion of feelings and concerns
ADVERTISEMENT:
DISCUSSION QUESTIONS:
- Has anyone experienced ageism here in the Clark House or out in the greater community of Amherst? If you don't mind sharing, can you tell us about your experience?
- Has anyone experienced discrimination due to a disability or illness here at the Clark House or in the greater community of Amherst? If you don't mind sharing, can you tell us about your experience?
- Are their any areas lacking support for your needs that hinder your healthy aging? (Ex: transportation, access to healthcare, ability to exercise, access to food, emotional support)
Timeframe:
- April 5, 2018 @ 9:30am
- during weekly wellness clinic
- 20-30 minute discussion
Resources/Materials Needed:
- chairs
- light refreshments
- educational handout to pass around
- video equiptment
Evaluation:
- count number of participants
- assess level of involvement/interestconversation with the residents
- converstation with the resident after discussion to hear their thoughts and feedback
EVALUATION OF INTERVENTION
EVALUATION
- 15 residents attended the discussion
- the conversation lasted about 40 minutes
- most people spoke up to share their opinion
- it was evident that this was a topic of interest
- people thanked us afterward and said:
- "You did a great job facilitating the discussion"
- "This was a tough topic but I am glad you two decided to tackle it"
SUGGESTIONS & LESSONS LEARNED
SUMMARY
- this was very educational for the residents and ourselves
- we came up with some ideas for future interventions such as teaching the residents how to use the bus system in town
- when you enter the field: Be aware of how you treat your elderly patients
- Do not call them "Honey"
- Speak directly to them, they are the patient, not their family member
TAKEAWAY
SMALL CHANGES CAN MAKE A DIFFERENCE!
REFERENCES
REFERENCES
Ayalon, L., & Tesch-Römer, C. (2017). Taking a closer look at ageism: self- and other-directed ageist
attitudes and discrimination. European Journal Of Ageing, 14(1), 1-4.
doi:10.1007/s10433-016-0409-9
Teal Center Staff, (2011). Adult Learning Theories. Teaching Excellence in Adult Literacy, 11, Retrieved
from https://lincs.ed.gov/sites/default/files/11_%20TEAL_Adult_Learning_Theory.pdf
Bandura, Albert. (1977). Social Learning Theory. Retrieved from
http://www.instructionaldesign.org/theories/social-learning.html
Mezirow, Jack. (1991). Transformative Learning Theory. Retrieved from
http://www.instructionaldesign.org/theories/transformative-learning.html
Stochl, J., Mudrak, J., Slepicka, P., & Elavsky, S. (2016). Physical activity, self-efficacy, and quality of
life in older Czech adults. European Journal Of Ageing, 13(1), 5-14. doi:10.1007/s10433-015-0352-1