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  1. University of Arkansas for Medical Sciences
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Arkansas State University

Creating a Gerontology-focused Health Fair

New CNHP ASU Logo Jonesboro

by Jessica E. Camp, MSN, APRN, AGCNS; Addie N. Fleming, MNSc, RN, CCRN; Valerie Fielder, BS, CDP, and Samantha M. Hollis, BSN, RN, CDP
Edited by Dr. Susan Hanrahan and Dr. Linda Tate
Arkansas State University, UAMS Center on Aging Northeast & Schmieding Home Caregvier Training Program, St. Bernards Medical Center

 

The committee designed a health screening event for older adults, their caregivers, and professionals that provide care to older adults.  Northeast Arkansas has a large number of elderly, care givers, and a large variety of professional services. The event was designed to bring everyone together. It was planned for November to increase attendance by avoiding other area events and in conjunction with National Family Caregiver Month. The Fair gathered more than 200 patients and 90 vendors from the community. This article shares the successes of the event and the opportunities for next year.

Advisory Panel
The Center on Aging had a vision for the event. The mission and vision were shared with the team during recruitment and revisited at the initial meeting.  An advisory panel consisted of the many health professionals, community members, university faculty and leaders from services for older adults in the area was invited to participate.

Health Screenings
The local university, ASU, provided a great foundation for creating a health screening event.

The physical therapy department provided “timed up and go” (TUG) screenings aimed at identifying balance issues and risk for falling. Social work faculty provided anxiety and depression screenings. Communication Disorders students provided hearing screens in a private room.  Nursing students provided blood pressure checks, height, and weight and body mass index screenings.  Dietary Approaches to Stop Hypertension (DASH) diet education was given verbally and in writing to persons at risk for or currently experiencing hypertension. Exercise, weight loss and the DASH diet can help control chronic illnesses, such as heart disease and diabetes, making it important information to share with older adults and their caregivers (Cash & Glass, 2015, p. 1047).

The Arkansas Department of Health provided vaccinations based on the Center for Disease Control and Prevention (CDC) recommendations for adults and older adults (Cash & Glass, 2015, pp.18-21). Hilltop Eye Care and Southern Eye Associates provided vision screenings and education on cataracts and glaucoma. St. Bernard’s Imaging Center conducted bone density screenings as well as total cholesterol, anemia, and glucose laboratory screenings. Higginbotham Family Dental provided dental screenings. Additional professionals were invited and provided services or information about services.

Transportation
Transportation for the public was not available to the event. This was noted by some persons unable to attend as a barrier.  Requests to public transportation and local churches to enlist transportation assistance were not met.  For the 2018 event, negotiations are in process.

Communication
Some screening groups left before the event ended which participants complained about.  Critical conversations with the voluntary service professional groups will need to take place early in the planning of the 2018 event to ensure the professionals stay for the whole event, which could include shortening the event.

A secondary communication issue was not being able to hear announcements made at the event stage. With exciting activities such as the mayor’s appearance and a physician’s panel, it was difficult for the audience to hear anywhere past the first row of vendors. This is an opportunity that can be corrected for the 2018 Senior Expo (Larsen, 2018).

Professionals
Health professionals, caregivers, and patients were targeted to receive education during the event. Several vendors voiced a desire to attend the planned educational sessions, but were unable because they were also manning a booth at the event. In post-event discussions, it was decided that a separate educational event targeting health professionals could be a solution.

Vendors
While the volume of local vendors involved in the first annual event surpassed the goal, there were still challenges. Discussions with leaders of another local annual health fair shared tactics that prevented vendors from leaving their event early, such as imposing fines or not inviting them to future events.

In summary, these services met the needs of many older adults. Senior Health Fairs bring value to the intended audience. Targeted health fairs, such as this one, provide more opportunities for older adults to interact with health professionals in the community. With the success of the first event, the 2nd Annual UAMS Center on Aging Northeast’s Senior Expo is scheduled for November 9, 2018.

 

References:

Cash, J. C. & Glass, C. A. (2016). Adult-gerontology practice guidelines. New York: Springer Publishing Company.

Larsen, P. (2018). Lubkin’s chronic illness: Impact and illness. Burlington, MA: Jones & Bartlett Publishing.

Rhoads, J. & Peterson, P. S. (2018). Advanced health assessment and diagnostic reasoning (3rd ed.). Burlington, MA: Jones & Bartlett Publishers.

Filed Under: AGEC, Arkansas State University

Does the use of hearing aids improve balance — fact or fiction?

New CNHP ASU Logo

by D. Mike McDaniel, Professor of Communication Disorders / Arkansas State University

Recently, a team of researchers from a prestigious medical school published the results of a study in which they reported that hearing aid use apparently resulted in improved balance within an elderly sample of hearing impaired individuals (Rumalla, Karim, and Hullar, 2015). These findings were subsequently summarized in a second tier publication favored by, and directed at those, who dispense hearing aids. A recent internet search using “hearing aids” and “improved balance” as key words resulted in an alarming number of sites across the country that dispense hearing aids citing the article and its claims as a marketing tool. Given the fact that the elderly have the greatest risks for falls, which are the leading cause of injury and death in the elderly, and the elderly exhibit the largest incidence for hearing impairment, if the use of hearing aids do improve balance then certainly this information should be disseminated from within the scientific community following extensive clinical trials.

The method by which the medical school chose to assess and report balance was primitive and did not represent current state-of-the-art technology. Fortunately, the Arkansas State University Physical Therapy Department does have computerized posturography which is assessed via a sensory organization testing device. The device is a NeuroCom Balance Master. Through the combined effort of the Communication Disorders and Physical Therapy Departments, researchers were able to replicate the original study. Researchers used a similar population of adult experienced hearing aid users, the same research design, and the more sophisticated NeuroCom Balance Master.

The recent abstract of the AState replication project is as follows:
“The purpose of this study was to evaluate the balance of experienced adult hearing aid users with and without their hearing aids via Computerized Posturography (CP). CP was accomplished by employing the Sensory Organization Test (SOT) on the NeuroCom Balance Master. The SOT assessed each participant’s balance and the strategy used to maintain balance in six progressively challenging conditions. Twenty two adults using bilateral at-the-ear hearing aids participated in the study. All participants completed all SOT protocols with and without their hearing aids. No statistically significant differences in participants’ balance were identified regardless of the presence or absence of their hearing aids during SOT. These results failed to support previous research, which indicated that amplification of auditory input could benefit balance in individuals with hearing and balance disorders. Further research utilizing randomized controlled trials is needed to resolve the disparity between the current results and those of previous studies.”

Clearly, the results of this replication study did not support those from the original research report. In short, researchers were unable to demonstrate any statistical relationship between balance and the use of hearing aids from this group of participants. Findings do support the need for a comprehensive clinical trial before claims of improved balance from hearing aid use can be made.

References:

Rumalla, K., Karim, A. M., & Hullar, T. E. (2015). The effect of hearing aids on postural stability.
The Laryngoscope, 125, 720-723. doi: 10.1002/lary.24974

 

Filed Under: Arkansas State University

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