June 2207 Class Agenda

1
June 22/07 - Class Agenda

• Online Final Exam Posting
• Exit Report Feedback
• Submit Observation Reports
• Physical Activity Program Development for Older
  Adults
• Five (5)Verbal Observations Reports
• Exit Report

2
Physical Activity and Aging
Physical Activity Program Development for Older
Adults
3
Development of Physical Activity and Exercise
Programs for Aging Adults
What factors do we need to considerwhen
planning physical activity and exercise programs
for older adults?
4
The Business of Physical Activity Program
Development

• The proportion of older adults is increasing such
  that they will be the majority age group.
• Older adults are increasing more affluent.
• Business recognizes the spending power of older
  adults and responds to capitalize by providing
  exercise programs for the aged.
• e.g. International Racquet Sport Association of
  fitness clubs, identified the over 40 age group
  as an important area for marketing.

5
Potential Areas of Emphasis

• General - Interaction and physical activity
• Remedial - to meet diverse needs
• Sports - Instruct, Participate, Compete
• Fitness - maintain optimal functioning

6
Degrees of Community Care

• Home care
• Nutrition services (meals on wheels)
• Friendly visits
• Telephone contacts
• Respite care
• Adult day care
• Senior Citizens Centres provide educational,
  recreational, health, and nutritional programs
  for the old.

7
Program Planning

• Pre-program considerations (planning)
• Administrative considerations (organizing)
• Program considerations (implementing)
• Post-Program Considerations

8
Preprogram Planning

• Is there a need for the program?
• Are there appropriate facilities?
• What equipment is required?
• Are there available qualified personell?

9
Program Philosophy

• What is the philosophy governing the operation of
  the program?
• What is the purpose of the program?
• Segregated or inclusive program?
• Intergenerational Programs?

10
Programming Principles

• Older adults
• are adults first and old second
• have a diverse history of physical activity.
• are variable on physical activity participation.
• exhibit marked decrements.
• exhibit less motivation to sustained
  participation in physical activity.

11
Programming Recommendations

• Physical Activity Programs should
• provide choice of activities
• provide choice of intensity
• include realistic performance expectations
• be individualized
• be functional and relevant
• be adapted
• be progressive
• be monitored
• include activity counseling
• Other

12
Facilities Factors

• Location
• Transportation
• On site Accessible
• Inviting
• Comfortable
• Appropriate floor surface

13
Equipment

• Developmental apparatus
• Non-developmental apparatus
• Developmental apparatus fosters skill and fitness
  development and maintenance
• Non-developmental apparatus fosters enjoyment
  with little fitness or skill benefits.

14
Appropriate Equipment

• Does equipment invite participation?
• Does the equipment promote success?
• Smaller, lighter equipment is appropriate
• Match equipment to size, strength, mobility
• Choice of equipment sizes and weights
• Variety of types and set-up

15
Equipment Storage and Care

• Equipment storage space and transport
• Equipment care and maintenance
• Ease of set up and storage
• Portability
• Use your participants to assist

16
Program Personnel

• Qualified committed leaders
• University course-based
• Program administrators
• Organizational details
• Participant recruitment
• Leader recruitment
• Leader preparation)
• Program leaders (direct activities)
• Volunteer leaders

17
Administrative Considerations

• Pre-program survey
• Health status, medication, etc. (what else?)
• Program advertisement and promotion
• Registration
• Orientation
• Safety
• Cancellation procedures
• Transportation

18
Program Advertisement

• Surveying need and interest
• Target individuals and institutions
• Personal visits to invite participation
• State purpose of the program
• Design program flyers
• Local newspapers
• State age range of participants
• State meeting times, location
• State registration procedures, fees
• Contact and phone number for inquiries

19
Program Registration

• Program flyer can include registration form
• Include section on program information
• Include section for enrolment application
• Relevant medical information section
• State registration fee
• Process and acknowledge registrations
• State clothing and footwear requirements

20
Program Orientation

• Keeping all informed
• Review program philosophy
• Review purpose
• Review program procedures
• Explain cancellation procedures
• Communication network Web page
• Opportunities for questions and discussion

21
Cancellation Procedures

• Recognize the potential for cancellation
• Inclement weather announcements
• Communication procedures

22
Program Safety

• Know the participants and risks
• Be aware of participant level of functioning
• First aid kit
• Procedures for emergencies
• Emergency phone numbers
• Contacts for emergencies

23
Transportation Needs

• Pre-determined access point
• Arranged transportation
• Parking

24
Program Administration

• Maintain files
• Computer use
• Participant involvement/input

25
Program Content

• Preprogram assessments
• Structured program environment
• Use of activity stations
• Include opportunities for rest stations
• Program breaks for refreshments
• Self-paced activities
• Choice of activities and time
• Instill participant ownership of program
• Participant self-monitoring

26
Program Instruction

• Primacy-Recency theory/Millers Principle
• Demonstrations
• Visual aids
• Review
• Feedback

27
CV Education Aspects of Programs

• Role of Exercise and the CV system
• Risk factors
• Nutrition awareness
• Diet and weight reduction
• Stress management
• Smoking cessation
• Cardiopulmonary Resuscitation (CPR)

28
Post-Program Considerations

• Opportunity for feedback (formative, summative).
• Program evaluation
• Update and maintain records
• Consider program changes
• Post program celebration

29
Roles of Grandparents

• Formal grandparent provides treats to
  grandchildren but respects parental roles.
• Fun seeker maintains a playful and informal
  relationship with the grandchildren with the
  emphasis on mutual interaction.
• Surrogate parent provides childcare.
• Reservoir of wisdom special skills or resources.
• Distant figure sees grandchildren on special
  occasions.

30
Intergenerational Programs

• Intergenerational programs combine different age
  groups.
• Helps to break down age barriers and age
  segregation and helps to blend and bridge the
  generation gap.
• Inter-generational programs like kinder-skills
  focus on physical activity for the young and old.

31
Adult Day Programs

• Any service provided during the day including
• Social and health care
• Home and hospital care
• Rehabilitation
• Physical and mental health care

32
Examples of Programs

• Masters Competitions, Senior Olympics
• Kinderskills program
• for grandparents and grand children
• Adult Day Care
• Integrated open programs
• Specialized interest programs

33
Types of Adult Daycare

• Day hospitals
• Social/health centres
• Psychosocial centres
• Social centres
• Exercise centres

34
Objectives of Day Program

• Therapeutic
• Preventive
• Rehabilitation
• Maintenance
• Combination

35
Adult Care andOpportunity for Activity

• Social, Activity, or Recreation Director
• Opportunity for exercise
• Varied program of activities
• Planned trips to social and activity events

36
Degrees of Health Care

• Long-term care is the ongoing medical and social
  care provided to those with needs.
• Formal health care is provided by health care
  professionals and physicians
• Informal care is health care provided by the
  family, friends or neighbours.
• Self-care are activities the individual engages
  in to promote or restore health.

37
Merrill Court Retirement Site

• Merrill Court is an apartment block housing 43
  retired people, mostly work class widowed women.
• Hochschild (1973) was the recreation director who
  did an analysis of the facility.
• She expected to find a group of disengaged,
  lonely individuals.

38
Merrill Court

• Merrill Court is a community of active, engaged
  older people satisfied with life.
• Much independence
• Much interaction
• Much visitation among residents
• Much visitation with families
• Many friendships
• Much communication
• Status equality
• No one is isolated

39
Fun City Retirement Site

• Fun City is a pseudonym for a planned retirement
  community of 6000 people, with an mean age of 71.
• It claims to promote an active way of life.
• It has an onsite activity center with 92 clubs
  available to residents.
• Seems like a good idea?

40
Fun City Retirement Reality

• In reality Fun City is a false paradise with many
  of problem associated with aged
• No public transportation
• No policy or security
• No health care facilities
• Geographically isolated
• lack of ties among residents
• dissatisfaction with life
• Fewer than 10 participation rate per day so
  Inactivity was the norm
• Those claiming to be satisfied had more finances,
  travel and visits from relatives

41
Recreation and Retirement Planning

• During middle age, individual should prepare,
  financially, socially, intellectually and
  physically for retirement.
• Develop new recreational interests, skills,
  hobbies, sport, fitness and cultural activities.
• Joining organizations
• Engaging in travel
• Taking leisure related classes and courses
• Initiate long term interests and projects.

42
Age Integration vs. Segregation

• Research supports both age Integrated and age
  segregation program models.
• Segregated settings met friendship and social
  needs
• Some prefer both settings.
• Activity levels varied
• Choice seems to be a big factor
• What are the relative merits of each setting in
  the context of physical activity?

43
RehFit Centre Facilities

• Field house with an indoor, 200 meter, 6-lane
  track (8 laps/mile or 5 laps/km)
• Fitness and Health Assesment
• New expansion in place (83,000 sq. feet)
• Spacious locker rooms, showers, sauna,
• Heart Rock Cafe (Heart healthy menu)
• Volleyball and Badminton courts
• Stair climbers, treadmills, bicycles, recumbent
  bicycles, rowing machines
• Cybex, Nautilus, Pulse and free weights

44
RehFit Centre Benefits

• Regular graded exercise tolerance test
• Cholesterol and lung function tests
• Anthropometric measurements and ratios
• Review and discussion of test/evaluation results
• Developing personalized exercise program
• Access to professional program staff as required
• Dietary counselling from a registered dietitian
• Massage therapy
• Educational information
• Skill development sessions
• Stretch and strength classes, exercise to music,
  aerobic classes, weight training sessions, etc.

45
Active Living Coalitionfor Older Adults

• Physical Activity and Aging

46
Active Living Coalitionfor Older Adults

• ALCOA encourages older Canadians to maintain and
  enhance their well-being and independence through
  a lifestyle that embraces daily physical
  activities.

47
ALCOA Vision

• The Active Living Coalition for Older Adults
  (ALCOA) envisions a society where all older
  Canadians are leading active lifestyles thereby
  contributing to their physical and overall
  well-being.

48
ALCOA Mission

• ALCOA, a partnership of organizations and
  individuals having interest in the field of
  aging, encourages older Canadians to maintain and
  enhance their well-being and independence through
  a lifestyle that embraces daily physical
  activities.

49
ALCOA Activities

• Promoting active living by and for older adults
• Promoting active living and healthy aging
• Coordinating active living/healthy aging
  initiatives
• Facilitating and communicating research
• Sharing examples of best practices
• Undertaking pilot or demonstration projects
• Organizing meetings for the exchange of ideas
• Communicating with its members
• Acting as an information and referral resource

50
Home-Based Exercise Programs

• Selected a dedicated attractive space
• Purchase a suitable cardiovascular unit
• As budget permits
• Quality and durable
• Lifetime warranty on parts
• Light weights for muscular endurance
• Install Fans, mirrors, music and TV (remote)

51
Aging Quote

• I am too old to curl and too young to golf.

52
June 22 Exit Report

• You have received a contract to organize a
  program of physical activity for a group of 25
  from physically fit to physically independent
  older adults who reside in the community. They
  have a diverse level of physical fitness and
  varying backgrounds in physical activity. All
  are healthy although there are those with
  osteoarthritis, diabetes, and obesity. What
  would you do to organize their weekly physical
  activity program?