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Health Literacy for Elderly Residents of New Albany Housing Authority

This project aims to improve health literacy among elderly residents of New Albany Housing Authority by providing resources, information, and support. The focus is on addressing the needs and concerns related to Medicare, chronic diseases, isolation, and emergency preparedness.

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Health Literacy for Elderly Residents of New Albany Housing Authority

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  1. Health Literacy for Elderly Residents of New Albany Housing Authority Amber Crawford Ashley Brown Betsy Starkey Emily Conklin Kayla Duke

  2. Resources • NAHA • Willa B., Lisa D., Heidi W., Cora H., Linda B., Sally T. (kitchen) • Autumn Woods • Marcia, Linda • Medicare information • Matt V., Janet M. (Lifespan) • Adaptive • Maleah B., RN • Residents • Janet W., Mary S., Maddie

  3. Assessment

  4. Expert Interview (the first of many…) • Linda B.- Case Manager • Cora H.- Finance and Compliance • Willa B.- Transportation and Coordination • Heidi W.- Intern • Pam W. and Linda W.F.- Clinical Professors

  5. Expert Interview (the first of many…) Elderly population Elderly Population Women and Children ??? Women and Children ??? Elderly Population

  6. Flu Shots at Mark Elrod • September flu shots • Still unsure of our population • Hint: Medicare • Population unofficially established

  7. Interview with Lisa D., Senior Case Manager at New Albany Housing Authority • Reaffirmed our decision to work the elderly at NAHA • Target population officially established • A hint of their needs also established at this time

  8. Windshield SurveyResidents

  9. Windshield Survey Recreation

  10. Windshield SurveyExterior

  11. Windshield SurveyInterior

  12. How many of you feel like you could teach a class of 20 people about Medicare and its parts? That’s how we felt too!

  13. Medicare with Matt • Expert • Matt V. • Medicare and Healthcare Reform Advisor • Medicare information

  14. Flu shots and community assessment Medicare Referrals Plan D ??? Brochures ??? Medicare fair

  15. SURVEY

  16. Survey Results • 54% of residents surveyed. • Majority worried about Medicare coverage. • Majority sought care despite cost. • Majority wanted to learn more.

  17. Health Status and Risk Factors • Low income • Elderly • Independent • Managing chronic diseases • Diabetes • Hypertension • Mobility issues • Isolated

  18. Community Gaps Mark Elrod Tower Population • Isolation leading to increased risk for falls, depression, and substance use • Anticipated budget cuts • Lack of computer literacy • High risk for chronic disease • Disaster preparedness

  19. Nursing Diagnosis High risk of injury among the residents at Mark Elrod Tower r/t - Decreased mobility - Age related changes - The living environment - Increase in chronic diseases - Side effects from medications or other substances - Isolation -Lack of emergency and disaster preparedness AEB - 1/3 of the residents using wheelchairs or walkers - Median age of Mark Elrod is 75 - Residents stating that they are scared of being trapped in their apartment

  20. Data Analysis

  21. Data AnalysisPopulation • 106 residents • 83 females • 23 males • Primarily white • Low-income individuals • Median age: 75 • Increase in health risks (chronic diseases) • Independent • Social/ambulatory

  22. Data AnalysisGeography and Environment • New Albany, IN • River Valley • Pollutants • Allergies • Access to healthcare • Safety plan for weather disasters • 96/106 live alone • Clean, tidy, organized • Utilities included • Air conditioning and heat • Safe, fluoridated water • Sewage and waste disposal • Security system • Nonsmoking facility • Second hand smoke • Oxygen • Pets

  23. Data AnalysisIndustry • Retired • Low wage jobs

  24. Data AnalysisEducation Higher education • Floyd County: 20.4% • Indiana: 19.4% • Nation: 30.4% • Computer training • Sex education

  25. Data AnalysisPublic Services • Floyd County Sheriff’s Department • NAPD • 3 fire stations • Floyd Memorial • 4 ambulance services • Center for Women and Families

  26. Data AnalysisTransportation • Provided by NAHA • Willa Banet • Autumn Woods • Parks and Recreation • Horseshoe Casino • Family members • Church vans • TARC

  27. Data AnalysisPolitical Organization • Voting • 56,421 residents registered • 52% Republicans • 46% Democrats • 1% Libertarians • Implications

  28. Data AnalysisSocial Problems • High school dropout rate of 16% in Floyd County • Unemployment 8.6% > than in Indiana • Drinking and safety concerns caused by isolation • Depression is higher in Floyd county • Increased arson, meth use, and gangs in New Albany, but not in Mark Elrod Tower area

  29. Data AnalysisHealth Organizations • 9% in Floyd county do not have insurance • 276 beds/100,000 people • 16 elderly specific organizations

  30. Data AnalysisManpower • Midwives (focus on maternal care) • Infant mortality 7.6% IN; 6% US; Floyd 8% (-) • Dental: 15-100,000 people (-) – dentures, oral cancer screenings, smoking

  31. Data AnalysisHealth Statistics in Floyd County • Infant Mortality • Critical indicator of the overall health of a population • Indiana 7.6 per 1,000 births VS United States 6 per 1,000 births • www.healthrankings.org • Indiana reports high prevalence of smoking • Leading cause of death in Indiana in 2011 = HEART DISEASE

  32. Data AnalysisHealth Services in Floyd County • 2 acute care hospitals in Floyd County • FMHHS • Physicians Medical Center LLC • 6 nursing homes • Autumn Woods Health Campus • 2 mental health facilities • LifeSpring • VA Hospital • > 330 ambulatory care clinics • At least 1 board certified MD in geriatric medicine • Accepts Medicare, Medicaid, and most private insurance

  33. Data AnalysisHealth Services and Assistance in Floyd County, Indiana • Medicare & Medicaid • SNAP (Supplemental Nutrition Assistance Program) • 60% of NAHA residents receive SNAP • TANF (Temporary Assistance for Needy Families) • Applications and criteria online at IN.gov

  34. Data AnalysisDisaster Planning in Floyd County • Floyd County: • Floyd County Emergency Management • Alert system • American Red Cross • Mark Elrod Tower: • Fire evacuation plan posted on each floor • Designated tornado shelter

  35. Data AnalysisCommunity Resources Specific to NAHA • NAHA partners with over 40 community service providers • Most services are free or discounted • Every resident of NAHA has access to a computer lab • www.newalbanyhousingauthority.org

  36. Data AnalysisCommunity Resources Specific to NAHA • Services/Programs offered: • Family Self-Sufficiency Program (FSS) • Counseling services • “Money Habitudes” • Zumba • Recovery counseling services and support groups • Metro United Way 2-1-1 Get Help Line • Many other classes/services/programs

  37. Data AnalysisCommunity Resources Available to Mark Elrod Tower • Activities printed on monthly calendar • Kroger on Wednesday for senior day • Bingo several times a month • Blood pressure and blood glucose screenings • Wal-Mart trip every month • Movie day once a month • Horseshoe Casino trip

  38. Review of Literature

  39. Literature ReviewChronic Diseases and the Increased Risk of Falls in the Elderly • Elderly • Increased risk for chronic diseases • Increased risk for falling • Major diseases associated with falling • Circulatory disease • COPD • Arthritis • Depression • Which is a better predictor of falls? • Chronic disease? • Taking multiple medications?

  40. Literature Review Affording treatment of Chronic Illness to prevent crisis of falls and safety • Skipping medications can lead to complications of disease which compromise safety (look up article about how much medication skipping starts to affect diabetes) • During survey, most people claimed they took meds despite costs, but research indicates otherwise. • Two highest ranking concerns were falls/safety and diabetes. • Medicare needs increase over time. • Diabetes is the medication most likely to be skipped between diabetes, heart medications, and cholesterol medications. Effects of Medicare Part D Coverage Gap on Medication Adherence Previously Unrecognized trends in Diabetes Consumption Clusters in Medicare

  41. Literature ReviewDisaster Preparedness in the Elderly • Hurricane Katrina in 2005 • Major issues? • 1. Preparedness before the storm • “Older people are less likely than younger people to evacuate their homes” (Jenkins, Laska, & Williamson, 2007). • 2. Inadequate response during the storm • Lack of resources and supplies • Absence of social network • Perception and preparedness can minimize the impact of disasters (Loke, Lai, & Fung, 2010)

  42. Literature ReviewMental Health and Health Literacy 1st Article More than Words: Promoting Health Literacy in Older Adults. • Health education for older adults. • Problems associated with teaching the elderly. • Multiple approach in morning using respectful communication. 2ndArticle • Psychosocial Interventions for the Promotion of Mental Health among Older Adults. • Effective interventions for prevention of depression. • Psychosocial interventions have positive effects. • Interventions need at least three months to work. • Let elderly choose their preferred intervention.

  43. Literature ReviewPreventing Falls in the Elderly • 1st article • Commonly identified extrinsic factors associated with increased falls of elderly include: • Poor lighting • Irregular or slippery floor surfaces • Unsafe stairways • Failure to use assistive devices • Inadequate bathroom support fixtures • Loose carpeting or throw rugs • Cluttered walkways • (Guelich, M., 1999) • 2nd article • Factors that put elderly most at risk for falls include: • Fall history • Poor vision • Use of antipsychotic drugs • (Iinattiniemi, S., Jokelainen, J., & Luukinen, H., 2009)

  44. Literature ReviewSummary • Article topics • Medicare gaps • Preventing falls in the elderly • Promoting mental health in the elderly • Promoting health literacy in older adults • Chronic diseases related to increased risk of falls • Disaster preparedness in the elderly • We tried to address most of these at our health fair.

  45. Healthy People 2020 • Improve access to comprehensive quality health care. • Create social and physical environments that promote good health to all.

  46. Objectives • Provide education on Medicare, falls and safety, blood pressure monitoring, and blood sugar checks and make available to all residents. • Give all residents an opportunity for socialization.

  47. Advertisement Methods of Advertisement: • Utilization of boards • Personal hand-outs • Mailboxes • Word of mouth • Special thanks to Willa, Sally, Janet, and Mary

  48. Budget • Planning for 40 people • $50 total • $10 from each student • Food and Drink • $25 • Door prizes • $15 • Decorations • $10

  49. Social Objective

  50. Social Objective • Food • NAHA • Turkey • Marks Feed Store • Potato salad and green beans • My grandmother • Cole slaw, corn, and stuffing/dressing • Willa B. • Chicken and dumplings • The clinical group • Dinner rolls, soft drinks, paper plates, cups, silverware, etc. • Residents • Dessert

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