Enhancing Mobility

Outdoor mobility in old age is a complex phenomenon. On the one hand, it is a basic human need and means the physical ability to move. On the other, it means the realization of all types of trips out-of-doors, either by foot or by means of transportation. In addition, societal and individual necessities, modern values and economic interests mutually reinforcing each other have resulted in mobility as an ever more important precondition of ensuring the ability to lead an autonomous life and participate actively in society according to one's individual needs. Mobility also promotes healthy ageing, delays the onset of disabilities, and postpones frailty, thereby contributing to subjective well-being and life satisfaction. With advancing age, however, maintaining mobility may become jeopardized because of the increasing risk of physical and sensory impairments. This book includes information on older people's actual out-of-home mobility, on the transportation tools used, the prevalence of typical problems associated with out-of-home mobility, the impact of health, social networks, the home and neighbourhood environments, and psychological aspects on their mobility and activities, differences between urban and non-urban areas, and age and gender differences. In addition, a new model of mobility is suggested and the relation between mobility and quality of life is analysed. The book concludes with implications for social and transport policies, urban planning, and industrial pursuits for meeting the mobility needs of ageing adults.

This digest presents the results of TCRP Project J-6 Task 74, which was conducted by Westat, Rockville, Maryland in association with J.M. Rubino Consulting, St. Augustine, Florida. The digest was prepared by Jon E. Burkhardt, Joseph M. Rubino, and Joohee Yum.

In New Mobilities: Smart Planning for Emerging Transportation Technologies, transportation expert Todd Litman examines 12 emerging transportation modes and services that are likely to significantly affect our lives: bike- and carsharing, micro-mobilities, ridehailing and micro-transit, public transit innovations, telework, autonomous and electric vehicles, air taxis, mobility prioritization, and logistics management. Public policies around New Mobilities can either help create heaven, a well-planned transportation system that uses new technologies intelligently, or hell, a poorly planned transportation system that is overwhelmed by conflicting and costly, unhealthy, and inequitable modes. His expert analysis will help planners, local policymakers, and concerned citizens to make informed choices about the New Mobility revolution.

Pain is an epidemic. It prevents you from performing at your best because it robs you of concentration, power, and peace of mind. But most pain is preventable and treatable, and healing is within your grasp. Hundreds of thousands of people around the globe have taken life “by the balls” and circumvented a dismal future of painkillers, surgeries, and hopelessness by using Jill Miller’s groundbreaking Roll Model Method. The Roll Model gives you the tools to change the course of your life in less than 5 minutes a day. You are a fully equipped self-healing organism, and this book will guide you through easy-to-perform self-massage techniques that will erase pain and improve your performance in whatever activities you pursue. The Roll Model teaches you how to improve the quality of your life no matter your size, shape, or condition. Within these pages you will find: • Inspiring stories of people just like you who have altered the course of their lives by using the Roll Model Method • Accessible explanations of how and why this system works based on the science of your body and the physiological effects of rolling • Step-by-step rolling techniques to help awaken your body’s resilience from head to toe so that you have more energy, less stress, and greater performance Whether you’re living with constant discomfort, seeking to improve your mobility, or trying to avoid medication and surgery, this book provides empowering and effective solutions for becoming your own best Roll Model.

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.