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Physical activity for older adults essay
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Introduction: In recent years, western civilization has adopted Tai Chi as not only a physical activity, but also a highly recommended rehabilitation method. Within physical therapy, Tai Chi is looked upon as an intervention to improve balance and reduce the risk of falls.1 Since the aging adult experiences a decline in balance and more than one-third of those 65 years and older experience a fall related incident each year, it is logical to purport that regular participation in Tai Chi may be an ideal exercise program for the geriatric population.2 However, is Tai Chi physically and cognitively suitable for all elderly individuals? What factors should the Physical Therapist consider before recommending Tai Chi? Though the initial idea seems ideal for the geriatric population to improve these deficits, are all geriatric patients truly suitable to partake in this group activity? Background: Today, most modern styles of Tai Chi Chuan trace their development to at least one of the four traditional schools: Chen, Yang, Wu, or Sun.3 The most common style of Tai Chi currently practiced in the states is Tai Chi Chuan.4 This type of Tai Chi comes from the definitions: Tai Chi- meaning infinity, the absolute. It contains dynamic and static movement: it is the mother of Yin and Yang, of everything male and female. It is the root of motion, which is division, and of stillness, which is union.5 Chuan- or fist, is the symbol of unity between body and mind.4 Tai Chi Chuan must neither be overdone nor underdone: it must be exact. Comprehension comes from growing an understanding, plus effort and this leads one gradually to full enlightenment.4 According to Cheng, the Eastern culture views Tai Chi Chuan as having 4 purposes, and it is when yo... ... middle of paper ... ... 2012;20(1):37-58. 9. Gregory H, Watson MC. The effectiveness of Tai Chi as a fall prevention intervention for older adults: a systematic review. International Journal of Health Promotion & Education. 2009;47(3):94-100. 10. Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. The Cochrane database of systematic reviews. 2012;9:CD007146. 11. Leung DPK, Chan CKL, Tsang HWH, Tsang WWN, Jones AYM. Tai chi as an intervention to improve balance and reduce falls in older adults: a systematic and meta-analytical review. Alternative Therapies in Health and Medicine. 2011(1):40. 12. Sattin RW, Easley KA, Wolf SL, Chen Y, Kutner MH. Reduction in fear of falling through intense Tai Chi exercise training in older, transitionally frail adults. Journal of the American Geriatrics Society. 2005;53(7):1168-1178.
Peel, N. M., Travers, C., Bell, R. R., & Smith, K. (2010). Evaluation of a health service delivery intervention to promote falls prevention in older people across the care continuum. Journal Of Evaluation In Clinical Practice, 16(6), 1254-1261. doi:10.1111/j.1365-2753.2009.01307.x
Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis. Archives of gerontology & geriatrics, 56(3), 407-415. doi:10.1016/j.archger.2012.12.006
The prevention of falls in the long term care facility is one of the most important interventions the health care team can do to ensure the safety of loved ones under their care. According to the Summary Data of Sentinel Events Reviewed by the Joint Commission (2016), there were 806 falls between 2004-2015 with 95 of those occurring in 2015 . As health care providers, we have a responsibility to incorporate interventions that will help protect the patient while under our care. Interventions as simple as ensuring the use of a gait belt by any team member that transfers the patient, to making sure all team members are aware of the medications that can make certain patients more of a fall risk, will help in the prevention of falls.
Fatigue, decreased mobility and impaired balance from the rheumatoid and osteoarthritis pain also increases the risk of falls (Stanmore et al., 2013). Age related changes such as sarcopenia causes muscle tone and strength to decrease, especially in the lower limbs and as a result, balance and gait become impaired (Culross, 2008). These factors significantly influence the risk of falls and also affect the ability to carry out daily activities therefore, with a physiotherapists assistance, the nurse could introduce a personalised exercise regime to enhance muscle tone and strength (Culross, 2008). According to Neuberger et al (1997), exercise lessens fatigue and improves muscle tone and balance in older people. Recommending an exercise programme for Mrs Jones that incorporates strength training exercises and aerobics, could potentially improve muscle tone and strength and as a result improve mobility, balance and lessen the risk of falls (Bird, Pittaway, Cuisick, Rattray & Ahuja, 2013). The nurse could also suggest safety precautions such as advising Mrs Jones to use a mobility aid (Gooberman-Hill & Ebrahim,
New religious movement When I review the FLG movement and find that the qigong boom and FLG were inseparable, the explosion of qigong is one of the most significant cultural phenomena in the modern history of China. In the 1940s, modern qigong, on the one hand, was created as a part of a movement to modernize, institutionalise and popularise traditional medical and health technologies that created a boom. On the other hand, the marketization of qigong was considerable towards increased commodification and commercialisation, the entrepreneurial business practices of the qigong masters triggered controversies over ‘fakes’ as well as its traditions stripped of the dross of feudalism and superstition. Indeed, the growing diversity of Chinese society, various religious and mystical sects in the qigong boom posed new challenges to the CCP’s authority and such issues highly drew the concerns from the Chinese government. In addition, qigong has been considered as a response to the ideological vacuum of the 1980s, and it was intensely connected with the political, social and cultural realities of the surrounding society.
Registered Nurses’ Association of Ontario (RNAO). (2005). Prevention of falls and fall injuries in the older adult. Retrieved from http://rnao.ca/sites/rnao-ca/files/Prevention_of_Falls_and_Fall_Injuries_in_the_Older_Adult.pdf
Taoism has been a major influence in China throughout much of its history and The Joy Luck Club, by Amy Tan, reflects this influence through its infusion of Taoist principals. One of the fundamental concepts within Taoism is that of Wu-hsing. Wu-hsing is a way of understanding a matter by dividing it into five and is often represented by five phases, elements of directions. This is an unfamiliar concept to a western perspective, which tends to divide things into four. Understanding this fifth additional element, however, is essential to understanding The Joy Luck Club.
Wolf, S. L., Barnhart, H. X., Kutner, N. G., McNeely, E., Cooler, C., Xu, T. (1996). Reducing fraility and falls in older persons: an investigation of Tai Chi and computerized balance training. Journal of American Geriatrics Society, 44, 489-497.
“Life is a series of natural and spontaneous changes. Don't resist them - that only creates sorrow. Let reality be reality. Let things flow naturally forward in whatever way they like” (Lau Tzu). Born into a life of noodles and relaxation Po, a chubby panda, always wanted to be a Kung Fu master. Out of nowhere an opportunity arises to have his dream become reality. Po, like any normal panda snatches up this once in a lifetime opportunity and runs with it. But when the going gets tough, he doesn’t know if this is the life he was meant to live. While the film was meant for enjoyment, DreamWorks has incorporated clear examples of the three major Chinese Schools of Thought: Confucianism, Taoism, and Buddhism.
A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and the danger of falling rises with escalating age or frailty. Falls of hospitalized older adults are one of the major patient safety issues in terms of morbidity, mortality, and decreased socialization (Swartzell et al. 2013). Because the multi-etiological factors contribute to the incidence and severity of falls in older society, each cause should be addressed or alleviated to prevent patient’s injuries during their hospital stay (Titler et al. 2011). Therefore, nursing interventions play a pivotal role in preventing patient injury related to hospital falls (Johnson et al. 2011). Unfortunately, the danger of falling rises with age and enormously affect one third of older people with ravages varying from minimal injury to incapacities, which may lead to premature death (Johnson et al. 2011). In addition, to the detrimental impacts on patient falls consequently affect the patient’s family members, care providers, and the health organization emotionally as well as financially (Ang et al. 2011). Even though falls in hospital affect young as well as older patients, the aged groups are more likely to get injured than the youth (Boltz et al. 2013). Devastating problems, which resulted from the falls, can c...
When taking steps to analyze and apply intervention strategies for falls, we must examine the factors that cause these occurrences. There are numerous reasons that falls occur, such as intrinsic and or extrinsic risk factors. Intrinsic risk factors for falls may be due to changes that are part of the normal aging process and acute or chronic conditions. According to Zheng, Pan and Hua et al. (2013), about 35-45 percent of individuals who are usually older than 65 years and other 50 percent of the elderly individuals report cases of fall every year. Extrinsic factors are those related to physical environment such as lack of grab bars, poor condition of floor surfaces, inadequate or improper use of assistive devices (Currie). Patient falls is not an easy thing to eliminate. With many clinical challenges, there’s no easy answer to the challenges posed by patient falls; howe...
Tai Chi Chuan (TCC) is a time-honored Chinese philosophy, one that required special selection by a Master to impart the traditions and be taught to a gifted student. The art of Tai chi has evolved throughout generations and Chinese history and has become a widely practiced exercise in the United States where membership is not as difficult to attain. Chang San Feng was a 13-century Taoist Monk who studied at the Shaolin Monastery in China. It was a Chan Buddhist temple since the 5th century and Mahayana tradition was its practice and philosophy teachings. The Taoist communities were protective environments located deep in the forests and mountains where they monks could devote their life to explore nature, the cosmos, and the inner realms of the human experience (Jahnke, 2002, p. 10). Change San Feng studied the art of Shaolin Kung Fu, Taoist mediation, Yin and Yang, and Mahayana traditions. He was also very intrigued and captivated by animals in nature. He was inspired by the way animals played and danced with objects. He integrated all the disciplines learned with his observations at the Saholin Monastery to create the philosophy and practice of Tai Chi Chuan (Dwyer, 1995, p. 3).
- - -. “Taoist Tai Chi Society .” ABC-CLIO eBook Collection. N.p., n.d. Web. 16 Feb. 2012. .
Even though Taoism and many other folk religions have shaped the Chinese mind, Confucianism remains, by any historical measure, its chief mentor” (Novak 113). Therefore, since the two religions grew up together, there are similarities, such as their views on humans, attempting to find harmony in life and in nature, and serve as guides for their followers through self-cultivation and improvement techniques. Confucianism believes that their congregation should have human conduct over the idea of God in their lives, whereas Taoism is formed on the belief that its congregation should create a relationship with nature. This is pointed out by Smith in Experiencing the World’s Religions, “Confucius represents the classical, Lao Tzu the romantic; Confucius stresses social responsibility, Lao Tzu praises spontaneity and naturalness; Confucius focus is on the human, Lao Tzu’s on what transcends the human” (Smith 218).
A form of low-to-moderate exercise that was suggested for cardiovascular risk management programs includes Tai Chi for those with CAD. According to the Harvard Medical School Gide to Tai Chi by Wayne & Fuerst (2013), Tai Chi is a mind-body exercise rooted in various Asian tradition including martial arts, traditional Chinese medicine, and philosophy. Tai Chi training integrates slow, deliberate movement with breathing and cognitive skills. It aims to strengthen, relax, and combine the physical body and mind, and enhances the natural flow of qi and improves health, personal development, and self-defense. Tai Chi is made up of multiple components including many physical, cognitive, and psychosocial ingredients. According to their studies over the years, it is suggested that participating in Tai chi could be a safe option for patients with a CAD. There is a total of 8 active ingredients of Tai Chi: awareness, intention, structural integration, active relaxation, strengthening and flexibility, natural breathing, social support, and embodied