1. A N I NTRODUCTION T O E MPOWERING O LDER A DULTS W ITH A SSISTIVE T ECHNOLOGY TO S HOP, C OOK AND E AT COACH Project Funded by the USDA-CSREES Grant # 2007 – 04890 awarded to Oklahoma State University (W. Brosi, J. Johnston, J. Hermann, L. Jaco) Educator Name, CO. & contact info.

2. A GING I N T HE US 1 in 5 US citizens will be over 65 by 2030. The largest surge of growth will be among those 85+.

3. A GING I N THE US

4. A GING I N O KLAHOMA 17.8 percent of the population is 60+ 6.1 percent of the population is between 55 – 59 1 in 4 Oklahoma households include someone 65+ Oklahoma’s minority segment within the 60+ age group (2.6%) is significantly higher than the national average (0.6%).

5. N UMBER OF R ESIDENTS 65+ W ITH A D ISABILITY

6. K EY I SSUES Oklahoma ranks 15 th in the nation for it’s dependency ratio (# of older adults who rely on younger adults for care) Oklahoma ranks 6 th in the nation for the proportion of grandparents responsible for grandchildren. The amount of funding allocated to senior programs increased a mere ½ % from 2005 to 2007. There will be an increasing reliance on informal caregivers and informal local community resources.

7. A GING I N Y OUR C OUNTY

8. O VERVIEW O F T HE C URRICULUM / L ESSON C ONTENT Aging & associated changes Importance of nutrition in later life The role of shopping, cooking, and eating on the physical and social well-being of adults Value of AT and older adult quality of life Meet Ida

9. M EET I DA : A G ENERAL I NTRODUCTION

10. E XPLANATION OF N ORMATIVE AND N ON -N ORMATIVE A GING Typical and Atypical experiences Normal changes vs. Disease Physical Changes Psychological Changes There are three dimensions that relate to changes that might affect Shopping, Cooking, and Eating Sensory, dexterity/strength/stamina, mobility, etc.

11. P OSITIVE N UTRITION AND H EALTHY A GING : T HE I NDIVIDUAL A PPROACH Physical Fitness Emotional Well-Being Mental Awareness Social Support

12. G UIDING N OTION Engagement + Informal Support + Formal Support (older adult) (family) (community) = Empowerment = Positive outcomes for using AT to shop, cook, & eat for positive health

13. T HE W HOLE P ERSON A PPROACH T O H EALTHY A GING

14. W ITHIN T HE I NDIVIDUAL, F AMILY AND C OMMUNITY Individual Key Influences Interaction between key influences Broader Influences Societal Influences

15. I MPORTANCE OF N UTRITION I N A GING Healthy eating and physical activity can improve quality of life Help keep the body healthy Lower the risk of some disease conditions

16. N UTRIENT N EEDS O F O LDER A DULTS Although the nutritional needs of older adults are about the same as for younger adults, there are a few differences As a result, older adults need to pay attention to the quality of their diet

17. N UTRIENT N EEDS OF O LDER A DULTS Water Calories Protein Fat Fiber Vitamins and Minerals

18. W ATER Older adults need 6-8, 8 oz cups of water daily Older adults are at increased risk for dehydration Body water decreases with age Many medications increase water loss Thirst mechanism is not as effective with age Many older adults self limit fluid intake Fear of incontinence Decreased mobility to reach fluids

19. C ALORIES Calorie needs decline with age due to decreased: Physical activity Muscle mass Metabolism Older adults need to plan meals carefully to get adequate nutrients in fewer calories

20. P ROTEIN Protein needs do not decrease with age, in fact protein needs may slightly increase Adequate protein is especially important to: Maintain and repair the body Sustain the immune system to help fight infections Prevent muscle wasting

21. F AT Although fat is important in the diet, many adults eat more fat than they should. High fat diets are a risk for heart disease, cancer, and becoming overweight. By increasing the risk of overweight, high fat diets may also increase the risk of diabetes and high blood pressure.

22. F IBER Dietary fiber is helpful for many conditions Constipation Diarrhea Diverticulitis Heart disease Colon cancer Diabetes Foods are the best way to increase fiber intake

23. V ITAMINS AND M INERALS Although most vitamin and mineral needs stay the same, some changes occur with age Decreased need Vitamin A Iron Increased need Vitamin D Calcium Decreased bioavailability Vitamin B12

24. M EETING N UTRIENT N EEDS The USDA Daily Food Plan is the best tool to help older adults get the variety and amount of nutrients they need every day

25. USDA D AILY F OOD P LAN The amount of food recommended from each USDA Daily Food Plan food groups is based on calorie needs Calorie needs for older adults vary widely from 1,600 to 2,600 calories per day based on gender, age and activity level Personalized nutrition recommendations based on gender, age and activity can be found at www.choosemyplate.gov

26. USDA D AILY F OOD P LAN A CTIVITY Think about using IDA as an example….. Breakfast Lunch Snack Dinner

27. S HOPPING, C OOKING & E ATING Many physical, psychological, sociological, and economic factors may affect older adults’ abilities to shop, cook, and eat. Older adults who have difficulty with shopping, cooking, and eating are at higher nutritional risk.

28. T HE I MPORTANCE O F & D EFINITION OF AT AT is any device or piece of equipment that is used to increase, maintain, or improve functional capability. AT tools exist to assist individuals with sensory, dexterity, and mobility, along with other dimensions. Guidelines for selecting AT

29. G UIDELINES F OR S ELECTING A SSISTIVE T ECHNOLOGY Determine the goal Complete assessments Choose a device/system Select a vendor Seek funding Determine training needs Conduct Follow-up

30. W HY A SSISTIVE T ECHNOLOGY ? Many individuals have needs that go unmet. This compromises: Safety Independence For example… Results: Empowerment Increased quality of life And many other benefits

31. I DA V IGNETTE FOR S HOPPING, C OOKING & E ATING 1

32. I DA V IGNETTE FOR S HOPPING, C OOKING, & E ATING 2

33. I VAN V IGNETTE FOR S HOPPING, C OOKING, & E ATING

34. E XAMPLES OF AT T OOLS AND G ADGETS

35. C ALCULATOR - LARGE BUTTON Description: Easy to see numbers Large keys Tilt-angle display Assists With: Sensory Strength, dexterity, stamina Pre-shopping During shopping

36. L OW V ISION KIT ( WRITING GUIDES, 20/20 PEN, BOLD PAPER, BUMPS ) Description: Writing tools for adults with vision problems Assists With: Sensory Strength, dexterity, stamina Pre-shopping During shopping

37. L EVERON D OOR O PENER Description: Install over any standard doorknob Eliminates difficulty twisting a round, small doorknob Glow in the dark Assists With: Strength, dexterity, stamina Pre-shopping Post-shopping

38. R EACHER EZ 30” F OLDING Description: Circular rubber tips Secure hand grips Able to hold objects up to 4 lbs. Folds for easy storage Assists With: Strength, dexterity, stamina Mobility During Shopping Pre-shopping & Post-shopping

39. W RITING B IRD Description: Eases hand pain during writing Hand comfortably rests over it while pen glides over paper For left or right hand Assists With: Strength, dexterity, stamina Pre-shopping During shopping

40. F OLDING S HOPPING C ART Description: Heavy-gauge, water-repellent vinyl cart with smooth rolling wheels Ideal for toting books, groceries, laundry, beach supplies, etc. Assists With: Strength, dexterity, stamina Mobility During shopping Post-shopping

41. EZ C ARRY H ANDLE Description: Arthritis friendly handle Designed to carry grocery bags, shopping bags, etc. Can hold up to 50 lbs. Assists With: Strength, dexterity, stamina Mobility During shopping Post-shopping

42. M AKE N T AKE : EZ C ARRY H ANDLE

43. K ITCHEN R OLL -A BOUT Description: Ideal for those with weakness in hands/fingers or painful wrists/forearms For one-handed users who find lifting difficult Assists With: Strength, dexterity, stamina Mobility Cooking

44. M AKE N T AKE : R OLL A BOUT

45. R OCKING T-K NIFE W /C ASE Description: Large, wooden handle Stainless steel, double-edged blade Makes cutting food easier, requiring less strength & dexterity Assists With: Strength, dexterity, stamina Mobility Cooking Eating

46. D IGITAL P ROGRAM 24- HR. P LUG Description: Digital timer has two on/off settings Large LCD display Easy to program Assists With: Sensory Environmental Adaptation Cooking

47. S AFETY W ALL P LATE Description: Easily remove plug without touching outlet Assists With: Strength, dexterity, stamina Environmental adaptation Cooking

48. C ONSIDERATIONS F OR F UNDING AT Types Public, private, low-interest loans Factors that are considered when qualifying Age Disability Income Is it for education? Work? A medical need? Information needed before calling Oklahoma ABLE Tech 800-257-1705 or 888-885-5588

49. I MPORTANCE O F S UPPORT Individual Family Communication Active listening Shared goals Decision making Community Engagement

50. T HANK Y OU Educator Name, County, & Contact Information Oklahoma ABLE Tech 800-257-1705 OR 888-885-5588 http://okabletech.okstate.edu