Supporting People with Developmental Disabilities 支持残疾人发展.pptVIP

Supporting People with Developmental Disabilities During the Aging Process Prepared and funded through collaboration between:The Developmental Disabilities Council of Washington,The University of Washington Center on Human Development and Disability,  Northwest Center, and Washington State Division of Developmental Disabilities Project Staff Sharan Brown, JD, EdD Principal Investigator Kathleen Watson, PhD, RN Project Director/Trainer and Parent Esther Moloney Project Assistant and Parent Effects on Health During the Aging Process Normal aging process Lifestyle choices Genetic effects Environment Aging With a Developmental Disability Support During the Aging Process Need to document current level of function. Consider PCAD assessment Recognition of changes that need attention, especially in non-verbal residents. e.g., dementia vs. more treatable problems Agency plan for aging in place or alternative care. End-of-life planning. End-of-life care. Vision Changes of Aging Loss of acuity. Loss of accommodation (presbyopia). Decrease in light transmission. Changes in color perception (esp greens, blues, violets). Decrease in dark adaptation. Less able to adapt to glare. Decreased visual field. Symptoms of a Problem Rubbing eyes. Squinting. Shutting or covering one eye. Tilting or thrusting head forward. Redness of eye or area around eyes. Changes in Function Stumbling. Hesitancy on a step or curb. Holding page or object closer to eyes. Refusing to participate in previous activities. Sitting close to TV. Eye Diseases Dry eyes - scratchy, irritated Blepharitis - red, itchy lids, person may rub too much. Age-related macular degeneration (ARMD). Cataracts - gradual clouding of lens. Diabetic retinopathy -damage to retina leading to blindness. Glaucoma – gradual tunnel vision, then blindness. Keratoconus – disease of eye surface (cornea). More common in persons with Down Syndrome. Types of Vision Loss Loss of central vision Blind spot for central fiel