Maximizing Quality of Life

109 - Maximizing Quality of Life: Hearing and Sensory Disorders: All Ears & New Frontiers for Hearing and Sensory Impairment Research and the Significant Impact of Medically Tailored Meals for Elderly Adults

Monday, July 16
4:15 PM - 5:30 PM
Location: Diplomat Room-Lobby Level

Elena Remillard, MS-Understanding User Needs for Individuals Aging with Mobility or Sensory Impairment
Lisa Zullig, MS, RDN, CSG, CDN-Food Is Medicine and Prevention: Medically Tailored Meals for Older, Severely Ill Adults
Christina Roup, PhD-Improving Quality of Life and Communicative Function Through Audiologic Rehabilitation in Aging Adults with Hearing Loss
Jennifer Deal, PhD-Hearing Loss and the Aging Brain

All Ears & New Frontiers for Hearing and Sensory Impairment Research and the Significant Impact of Medically Tailored Meals for Elderly Adults

Hearing Loss and the Aging Brain
Jennifer A. Deal, PhD, Johns Hopkins University.

Novel approaches are urgently needed to reduce risk of age-related cognitive decline, Alzheimer’s disease (AD), and other dementias in older adults. The consistent relationship with hearing loss and accelerated cognitive decline and incident dementia has been increasingly recognized, and treatment of hearing loss in mid-to-late life could possibly prevent 8% of dementia cases. This presentation will review our current understanding of the cognitive consequences of hearing loss in older adults and will discuss future research directions with a focus on prevention. We will present results from large, population-based studies of the relationship of hearing loss with cognitive function and with rates of brain atrophy as measured using structural magnetic resonance imaging. We will also discuss the design of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) Study, the first randomized controlled trial to test the efficacy of a best practices hearing (vs. successful aging) intervention on reducing cognitive decline in older adults with hearing loss.

Maximizing hearing-related quality of life through audiologic rehabilitation
Christina Roup, PhD, The Ohio State University

Hearing loss is the third most prevalent chronic condition among aging adults. Approximately 46% of adults above the age of 48 years have measurable hearing loss, and this percentage rises to approximately 90% for adults above the age of 80 years (Cruickshanks et al., 1998). Hearing loss poses a threat to quality of life for aging adults in that untreated hearing loss is associated with depression, anxiety, fatigue, social isolation (The National Council on the Aging, 1999), and the risk of developing dementia (Lin et al. 2011). This presentation will present results from a research study demonstrating the importance of context in successful communication. In addition, this presentation will describe our clinical approach to maximizing quality of life through a three-day intensive group audiologic rehabilitation program for hearing-impaired adults and their primary communication partner.

Understanding User Needs for Individuals Aging with Mobility or Sensory Impairments
Elena T. Remillard, MS, Georgia Institute of Technology

Advances in healthcare, rehabilitation, and technology are enabling individuals with impairments to live longer than ever before. Technology holds great potential to support older adults with long-term impairments, said to be “aging with disability”, in maintaining activities and living as independently as possible. To be effective, technology solutions must be driven by an in-depth understanding of support needs. This presentation will provide an overview of the ACCESS study, highlighting initial findings on participants’ challenges with managing health. Case-study examples convey some of the unique difficulties experienced by these individuals with activities such as exercising, managing medications, and accessing health information.

Food is Medicine and Prevention: Medically Tailored Meals for Older, Severely Ill Adults
Lisa Zullig, MS, RDN, CSG, CDN, God's Love We Deliver

Older adults face unique social and nutritional issues associated with both age and illness. The subset of older adults who experience limitations on their activities of daily living (ADL) caused by illness are often eligible for SNAP and other community and home-delivered nutrition programs, but struggle to use the benefits because of their complicated medical situations/nutritional needs. As a result, this high need population is at increased risk for hospitalization/readmission, ED use, and placement in a facility rather than aging in place. Through a systematic review of the literature in the field, this presentation will describe the risk factors that align for malnutrition & institutionalization for older, severely ill patients. Through case studies and research, attendees will understand the significant impact medical nutrition Therapy & Medically Tailored Meals have on keeping elderly patients in their home, adherent to medications and preventing recidivism.

Learning Objectives:

Elena Remillard, MS

Research Scientist II
Georgia Institute of Technology

Mrs. Remillard is a Research Scientist at the Center for Assistive Technology and Environmental Access (CATEA) at the Georgia Institute of Technology. She currently serves as both the project coordinator and an investigator for the Rehabilitation Engineering Research Center (RERC) on Technologies to Support Successful Aging with Disability (TechSAge), funded by National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). Her research interests include design and technology for aging in place, technology acceptance among older adults, and aging with disability. She has a Master’s of Science in Gerontology from the University of Southern California.


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Lisa Zullig, MS, RDN, CSG, CDN

Director of Nutrition Services
God's Love We Deliver

Lisa Zullig, MS, RDN, CSG, CDN is the Director of Nutrition Services at God’s Love We Deliver in New York City, a food and nutrition program for people living with serious illnesses. Lisa is a Registered Dietitian Nutritionist, Certified Dietitian/Nutritionist, Certified Specialist in Gerontological Nutrition, a graduate of the Natural Gourmet Institute’s Chef Training Program and holds a Master's degree in Nutrition from Brooklyn College.


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Christina Roup, PhD

Associate Professor
The Ohio State University

Christina earned her Ph.D. in Communicative Disorders (Audiology) from the University of Wisconsin-Madison in 2002. She earned her M.A. in 1995 and B.A. in 1993, both in Communicative Disorders from California State University Long Beach.

Christina M. Roup is currently an Associate Professor in the Department of Speech & Hearing Science at The Ohio State University. She teaches undergraduate and graduate level audiology courses and is the Chair of the Audiology Oversight Committee. Her research interests are in the area of speech percpetion and aging. Prior to joining the faculty at OSU, Christina spent 6 years working as both a research and clinical audiologist with the Department of Veteran's Affairs.


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Jennifer A. Deal, PhD

Assistant Scientist
Johns Hopkins University

Jennifer A. Deal is an epidemiologist and gerontologist with expertise in cognitive aging. She is an Assistant Scientist of Epidemiology and Otolaryngology-Head & Neck Surgery at the Johns Hopkins University, and Associate Faculty with the Johns Hopkins Center on Aging and Health and with the Welch Center for Prevention, Epidemiology, and Clinical Research. Trained in the epidemiology of aging, Dr. Deal studies how hearing loss and vascular factors influence cognitive function, in order to inform strategies for the primary prevention of cognitive decline and dementia in older adults.


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Courtney Schrock, MPH

Health Communication & eHealth ORISE Fellow
Office of Disease Prevention and Health Promotion

Courtney Schrock attended Washington and Jefferson College, where she received a BA in Sociology with a minor in French. After completing her undergraduate coursework, Courtney joined the Peace Corps where she served for two years as a Youth Development Volunteer in Ukraine. After returning to the United States, Courtney decided to further her education by pursing a graduate degree. She graduated from the University of South Carolina with a Masters of Public Health in Health Promotion, Education, and Behavior and a Certificate of Graduate Study in Health Communication in May 2016. Courtney went on to work for the National Cancer Institute where she gained valuable experience in the fields of cancer prevention and health IT. Presently, Courtney is an ORISE Fellow in the Division of Health Communication and eHealth within the Office of Disease Prevention and Health Promotion at the Office of the Assistant Secretary for Health. She is passionate about implementing health literacy best practices to improve patient/provider interactions as well as the quality of care and preventive services.


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109 - Maximizing Quality of Life: Hearing and Sensory Disorders: All Ears & New Frontiers for Hearing and Sensory Impairment Research and the Significant Impact of Medically Tailored Meals for Elderly Adults


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