1. Shea Sims OTS Spalding University 01/24/2014 sheasims_81@hotmail.com

2. To examine “the what” and “the why” of functional decline within the elderly community To discuss “the why” and “the how” the topic and literature is important to OT practice To discuss practice experience, implementing literature and knowledge into our profession

4. Physiological Changes Psychological Changes

5.  The Environment

6. THE NEEDTHE IMPORTANCE Aging population is progressive Elderly community becoming increasing more independent with life skills Increase in depression and disability A more supportive environment  Occupational therapist can help this population maintain or regain independence Assess and evaluate appropriate needs for the elderly to remain in their home Incorporate guiding principles of occupational therapy practice Assure relevant intervention planning

7. Occupational Performance Using the Occupational Therapy Intervention Process Model (OTIPM) was shown to have a positive effect in ADL motor and ADL processing status sooner than non occupation based intervention approaches.

8. Depression and Disability Using Problem Adaption Therapy (PATH) was shown to reduce depression and disability when therapist utilized the elderly participants ecosystem. This method was shown to be effective for elders who have limited success in antidepressant treatment

9. Environmental factors( aging in place) Using The Community Aging in Place, Advancing Better Living for Elders (CAPABLE) was shown to decrease functional difficulty when considering home repair in conjunction with intrinsic factors

10. Multifactorial Collaboration is key My guidance means their success

12.  1.) Fisher, A. G., Atler, K., & Potts, A. (2007). Effectiveness of occupational therapy with frail community living older adults. Scandinavian Journal of Occupational Therapy, 14, 240-249. doi: 10.1080/11038120601182958  2.) Gitlin, L. N., Hauck, W. W., Dennis, M. P., Winter, L., Hodgson, N., & Schinfeld, S. (2009). Long-term effect on mortality of a home intervention that reduces functional difficulties in older adults: results from a randomized trial. Journal of the Amercian Geriatrics Society, 57 (3), 476-481. doi: 10.1111/j.1532-5415.2008.02147.x  3.) Kiosses, D. M., Teri, L., Velligan, D. I., & Alexopoulos, G. S. (2010). A home delivered intervention for depressed, cognitively impaired, disabled elders. International Journal of Geriatric Psychiatry, 26, 256-262. doi: 10.1002/gps.2521  4.) Sanford, J. A., Griffiths, P. C., Richardson, P., Hargraves, K., Butterfield, T., & Hoenig, H. (2006). The effect of in-home rehabilitation on task self-efficacy in mobility-impaired adults: a random clinical trial. Journal of the American Geriatrics Society, 54 (11), 1641-1648. doi: 10.1111/j.1532-5415.2006.00913.x  5.) Schoene, D., Lord, S. R., Delbaere, K., Severino, C., Davies, T. A., & Smith, S. T. (2013). A randomized controlled pilot study of home-based step training in older people using videogame technology. PLOS ONE, 8 (3), doi: 10.1371/journal.pone.0057734  6.) Silsupadol, P., Shumway-Cook, A., Lugade, V., Donkelaar, P., Chou, L., Mayr, U., & Woolacott, M. (2009). Effects of single-task versus dual-task training on balance performance in older adults: a double-blind randomized controlled trial. Archives of Physical Medicine & Rehabilitation, 90 (3), 381-387. doi: 10.1016/j  7.) Szanton, S. L., Roland, T. J., Boyd, C., Tanner, E. K., Leff, B., Agree, E.,. Qian-Li, X. (2011). Community aging in place, advancing better living for elders: a bio-behavioral-environmental intervention to improve function and health-related quality of life in disabled older adults. J ournal of the American Geriatrics Society, 59 (12), 2314-2320. doi: doi:10.1111j./1532- 5415.2011.03698.x