CARE ABOUT PHYSICAL ACTIVITY IN OLDER ADULTS

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B725080
Module Leader Jo Booth
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • B (January start)
  • A (September start)
  • C (May start)

Summary of Content

This theory based module aims to develop the knowledge, skills and attitudes required when working with frailer older people, and those transitioning to frailty, to improve their health and wellbeing. Students will study and explore guidelines and recommendations which promote physical activity, along with the theory and practice of promoting 'less sitting' and 'moving more often', within the full range of physical and mental health and functional ability that is encountered working with this heterogeneous population. Students will also gain an understanding of the development of activity programmes in a wide range of settings (community based befriending and care at home schemes, sheltered housing, care homes) and with a wide range of older people, including function-focused activity. Finally students will gain an understanding and experience of community engagement and develop motivational skills for work with frail older adults.

Syllabus

All topics will cover the functional/health range seen in older adults and will cover those living independently but receiving care in the home and those living in residential settings (sheltered and nursing care) or hospital settings. The Physical Activity (PA) Guidelines for older people's health and interpretation across the functional range of older adults (Actives, those In Transition, Frailer older adults) . Health benefits (and risks) of PA and effects of prolonged sitting/Sedentary Behaviour (SB) . Frailty, sarcopenia, cachexia and what this means for PA . The context of SB and strategies to help interrupt SB . Barriers/Motivators to uptake and adhere to PA /interrupt SB . Syndromes of Ageing and Multiple Co-morbidities - effects on engagement in PA/SB . Motivation techniques and support strategies for engaging/promoting/documenting activity . PA and Exercise to reduce frailty and falls - the evidence and key factors for success . The roles of nurses, different AHPs and others working with older adults - Inter-professional working (delivered by Physio/OT/Nurse/Radiographer/Podiatrist/Psychologist/Social Work) .

Learning Outcomes

On successful completion of the module the student should be able to:1. Analyse the evidence linking physical activity and sedentary behaviour to specific health and functional benefits in older and frailer older adults with multiple co-morbidities.2. Appraise the facilitators and barriers to engaging in physical activity in different care contexts and the influence of gatekeepers, including family members.3. Analyse the policy context for physical activity and ageing and the key strategic documents that will guide intervention.4. Define and explain the role of different multidisciplinary team members, volunteers, family and significant others in the emgagement and motivation of older people to be more active.5. Explore different interventions to help change activity behaviour and use the evidence to design and deliver an appropriate intervention.

Teaching / Learning Strategy

This module will be delivered using a blended learning approach involving face to face learning accompanied by online activities, seminars, tutorials and discussion boards. Students will also be supported in their self-directed learning, to achieve the above outcomes. A range of experts, including clinical academic practitioners from a number of relevant disciplines and partners from the Care Inspectorate, will contribute to the delivery of the module and support the learning activities. The module syllabus will include new developments in research and practice in physical activity, ageing, frailty and health. Lectures will be used to present key terminology and theoretical arguments, and will offer the opportunity to develop knowledge and understanding of the concepts and ideas associated with the topic area. Lectures will be accompanied by activities designed to enhance understanding. Online seminars will be used to supplement learner understanding of lecture materials using more interactive methods of learning, including small-group discussions and presentations to peers. Such sessions will provide opportunities for students to reflect on learning, as well as assessment in both a formative (group presentation) and summative nature.

Indicative Reading

Skelton DA, Martin FC. Chapter 21: Physical Activity and Exercise in Later Life . In: ABC of Sports and Exercise Medicine , Fourth Edition. Eds: GP Whyte, M Loosemore, C Williams. Published 2015 by JohnWiley & Sons, Ltd. ISBN: 978-1-118-77752-7. Skelton DA, McAloon M, Gray L. Promoting Physical Activity with Older People . In: Tolson D, Booth J, Schofield I, Eds. Evidence Informed Nursing with Older People. Wiley Blackwell Publishers, Chichester. 2011. Fjellman-Wiklund A, Nordin E, Skelton DA, Lundin-Olsson L. Reach the Person behind the Dementia - Physical Therapists' Reflections and Strategies when Composing Physical Training. PLoS One . 2016 Dec 1;11(12):e0166686. Waterman H, Ballinger C, Brundle C, Chastin S et al. A feasibility study to prevent falls in older people who are sight impaired: the VIP2UK randomised controlled trial. Trials . 2016 Sep 26;17(1):464. doi: 10.1186/s13063-016-1565-0. Leask CF, Sandlund M, Skelton DA et al. Modifying older adults' daily sedentary behaviour using an asset-based solution. AIMS Public Health 2016, 3(3): 542-554. de Jong LD, Peters A, Hooper J, Chalmers N, Henderson C, Laventure RME, Skelton DA. The Functional Fitness MOT Test Battery for Older Adults: Protocol for a Mixed-Method Feasibility Study. JMIR Res Protoc 2016; 5 (2): e108. Bruce J, Lall R, Withers EJet al on behalf of PreFIT Study Group. A Cluster Randomised Controlled Trial of Advice, Exercise or Multifactorial Assessment to Prevent Falls and Fractures in Community Dwelling Older Adults: The Prevention of Falls Injury Trial (PreFIT). BMJ Open . 2016 Jan 18;6(1):e009362. Kojima G, Iliffe S, Morris RW, Taniguchi Y, Kendrick D, Skelton DA, Masud T, Bowling A. Frailty predicts trajectories of quality of life over time among British community-dwelling older people. Qual Life Res . 2016 Jul;25(7):1743-50. Heseltine R, Morris R, Kendrick D, Skelton DA et al for the ProAct65+ research team. "Keeping Moving": Factors associated with sedentary behaviour among older people recruited to an exercise promotion trial in general practice. BMC Fam Pract . 2015 May 28;16:67. Sandlund M, Skelton DA, Pohl P et al. Gender perspectives on views and preferences of older people on exercise to prevent falls: a systematic mixed studies review . BMC Geriatr. 2017 Feb 17;17(1):58. Harvey JA, Chastin SFM, Skelton DA. How sedentary are older people? A systematic review of the amount of sedentary behavior. J Aging Phys Act . 2015 Jul;23(3):471-87.

Transferrable Skills

Work in a self-directed manner, taking responsibility for own learning, personal development and practice competence. ICT skills - Written and oral communication skills. Oral presentation skills. Group working skills and multidisciplinary team working skills.

Module Structure

Activity Total Hours
Seminars (PT) 12.00
Assessment (PT) 20.00
Independent Learning (PT) 144.00
Lectures (PT) 12.00
Tutorials (PT) 12.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 1 n/a 100.00 40% Individual Case Study (3000 words)