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Updated: Jun 7, 2026

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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
An assisted living community environment that optimizes function: housing enabler assessment
1College of Nursing, New York University, New York, NY, USA.
Summary
The environment significantly impacts older adults
Area of Science:
- Gerontology
- Environmental Psychology
- Human Factors Engineering
Background:
- The physical and temporal environment profoundly influences older adults' functional capacity and well-being.
- Older adults possess a unique temporal perspective on their environment, affecting adaptation to aging and chronic conditions.
- Individual differences in motivation, cognition, and physical abilities dictate how older adults utilize environmental features to enhance quality of life.
Purpose of the Study:
- To explore the intricate relationship between the environment and the functional capabilities of older adults.
- To understand how environmental factors can either support or hinder the well-being and adaptive responses of the aging population.
- To examine the application of Lawton's ecological theory of aging in the context of environmental demands and individual competencies.
Main Methods:
- Conceptual analysis based on Lawton's ecological model of aging.
- Review of literature on environmental influences on older adults' function and well-being.
- Exploration of the interplay between personal competencies and environmental demands.
Main Results:
- Environmental characteristics can be optimized to preserve or impede older adult function.
- Older adults' use of environmental features is individualized, driven by personal needs, abilities, and quality-of-life goals.
- Lawton's model provides a framework for understanding the person-environment transaction in aging.
Conclusions:
- Environmental design and adaptation are crucial for supporting older adults' independence and quality of life.
- Understanding the person-environment fit is essential for promoting positive aging outcomes.
- Future research should further investigate specific environmental interventions to optimize aging in place.
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