1. Implications of Vision Loss in the Elder Population Laura Vittorioso, M.Ed, CVRT, CLVT Samantha Green, MA, CVRT

2. Expected increase of vision loss in older population Approximately 40,000 Mainers have some level of functional vision loss. Currently 24,000 are classified as visually impaired or blind. Demographics

3. Visually Impaired Legal Blindness Low Vision Total Vision Loss Definitions

4. Age-Related Macular Degeneration, Glaucoma Diabetic Retinopathy Head Injuries or Strokes. Common Eye Conditions

10. Hearing Loss Diabetes Heart disease Arthritis Secondary Disabilities

11. Medical Professionals Psycho-Social Professional Vision Rehabilitation Specialists Technology Specialist Community Agencies Multidisciplinary Approach

12. 12 Independent Living The Maine Division for the Blind and Visually Impaired (DBVI) provides services for older individuals who are blind and visually impaired.

13. 13 Vision Rehabilitation Therapist (VRT) Evaluates, instructs and guides persons with visual impairments to utilize adaptive skills

14. 14 Orientation and Mobility Specialist (O&M) Provides instruction and assists in the goal of being a safe and independent traveler.

15. 15 Adjustment Counselor (AC) Helps individuals process the losses from impaired vision.

16. 16 Adaptive Technology Specialist Evaluates and instructs adults who are visually impaired in assistive technology.

17. Low Vision Services Specially trained Eye Specialists, who evaluate and recommend magnification for people with visual diseases.

18. 18 Vision Rehabilitation Services Low Vision Optometry Maine DBVI Independent Living Services, O&M, VRT Computer Access The Iris Network VRT, AC, Low Vision Clinic

19. 19 Referrals How can I get these services?

20. Early intervention works best!

21. If you were visually impaired, which hallway would you rather walk down?

22. The hallway on the right has better contrast.

23. Contrast and Color Light and Dark Explore bold colors Use it EVERYWHERE! Adapting what you have

24. Where would you rather bathe?

25. The bathroom on the right has less glare.

26. Lighting and Glare Brighter is not always better Illuminating areas vs. Illuminating tasks Controlling Glare Enhancing visibility through color

27. Which stairs would you rather walk down?

28. The stairs on the right have better labeling.

30. Hallways, Stairways and Signage Use efficient Lighting Always use contrast Label stairs Display jumbo printed signs

31. Now that you have the tools, what changes would you make to this nursing home room?

32. Remember, environmental adaptations can be simple! Observe your residents Ask your residents Remember your tools Ask for an Environmental Assessment

33. 33 Questions and Answers