They find talking while walking difficult because of the attention talking demands. This is why less than 24% of trips were made by them without company. Researchers pointed to this as an important aspect of training mobility in disabled adults who travel with a companion and engage in multi-task conditions Furthermore, community mobility also requires many postural transitions, such as starts and stops, changing direction and reorienting the head accordingly, and reaching out for certain objects. These transitions are believed to be a basic part of mobility that exacts a lot from the balance control system beyond the requirement of steady walking. Disabled older adults were observed to take fewer postural transitions than those without disabilities. They make fewer transitions partly because of deficiencies in postural control mechanisms and partly because most of them have company when they shops and do the reaching out for distant objects for them (Cook). On the other hand, they must avoid collision. Avoiding with other people requires anticipating the travel path of another person and changing one's path by slowing down, speeding up or stopping. Although they possess less alertness to perform anticipatory moves, disabled older people walk more slowly than those around them and so are avoided, rather than the other way around (Cook).
Risks to secondary conditions have been adopted into the nation's public health agenda and the adoption should significantly expand the consideration of those in charge of disability and rehabilitation programs (Seekins 1994)..
The reviews made on the results of studies, however, continue to raise doubts as to the quality of care, prominently psychiatric and neurological, given to disabled older adults (Lewis 2002). These studies revealed that slightly more than only one in 10 of those receiving neuroleptics also received intraclass plypharmacy, a practice for which specific cautions have been made. And half of those receiving anticonvulsants were also taking penobarbital or phenytoin medications, which have been cautioned against for the use of those with developmental disabilities (Lewis).
The predominant service mode available to disabled older adults with developmental disabilities is community-based care (Lewis 2002). But current attitudes related to the provision of health promotion services, some physicians...
Add to these the lack of formal training and financial incentives in the delivery of such care. It is, thus seen that it may take time before the quality of this type of health delivery system improves. Likewise, efforts at improving such a system and implementing it are beyond the control of regional health centers but lie in the hands of the legislature to allocate adequate resources and the Department of Health Services to collaborate with the regional centers and the Department of Developmental Services in realistically improving the delivery of appropriate health services to disabled older adults (Lewis).
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