iPATH: Individual Pathways for Active Health-Enjoying Age-Appropriate Physical Activity

Saturday, 29 October 2011

Shirley M. Tuller, MSN, APRN-BC, GNP, ANP
Clinic, Carol Woods Retirement Community - CCRC, Chapel Hill, NC

Learning Objective 1: Describe the goals, processes, and projected outcomes of the iPATH: Individual Pathways for Active Health initiative of Carol Woods Retirement Community.

Learning Objective 2: List potential personal motivations for enjoying physical activity in young-older adults and functional gait activities that can be used to satisfy those motivations.

Through a partnership between the John A. Hartford Foundation and Sigma Theta Tau International, the Geriatric Nurse Leadership Academy (GNLA) provides fellowship opportunities for emerging nurse leaders to develop skills within three domains:  individual leadership development, advancement of inter-professional gerontological practice, and expansion of organizational influence.

This poster presents work derived from one GNLA Fellow’s project related to the above aims, including: 1) the goals, processes, and expected outcomes of the iPATH initiative at one CCRC, 2) the resident generated range of motivations that make physical activity desirable and an activity selection instrument that helps elders respond to those motivations, and 3) the functional gait self-evaluation tool designed by the organizations’ interdisciplinary teams and one resident representative.

For independent community elders, falls prevention programs often do not prevent falls.  Furthermore, such programs fail to promote enjoyable age-appropriate physical activities that support active health.

The long-term goal for this project is to engage young-older residents (aged 60-74) living in a continuing care retirement community (CCRC) in assessments of their physical activity motivations and functional gait self-evaluations prior to their annual health exam. A co-decision making process between providers and residents will aim to improve and/or sustain optimal age-appropriate physical function and enjoyment of physical activity. 

The development and integration of each resident’s iPATH: Individual Pathways for Active Health will occur over the next 1-2 years and become part of the electronic medical record. Over time, the database can be used for future research to determine the perceived and measurable benefits for promoting physical activity when young-older adults 1) identify personal motivations for enjoying physical activity; 2) engage in co-evaluating their strength, balance, and coordination; and 3) are offered choices for age-appropriate physical activities that are both enjoyable and promote functional health.