Our Approach
Two models to help clients
extend healthspan and age in place.
- PEO: How the interaction between an individual's abilities and supports and barriers in the environment impact performance.
- Health & Wellness Coaching: Applying positive psychology, behavior change, and self-management to empower clients.
Client Factors
- Chronic health conditions
- Musculoskeletal function
- Respiratory function
- Cognitive function
- Sensory function
- Psychosocial wellbeing
- Values and beliefs
Contexts
- Physical - Supports & barriers in the home and community
- Temporal - Greater ability at certain times of day
- Social - Supports through family, friends, church, community
Broader Horizons
By the 1970s, a broader view of how humans function started taking hold with a focus on supports and barriers in the environment. The social model of disability argued that a person was unable to reach a second-floor office not because they were in a wheelchair but because the building had no elevator.
Creating supports and eliminating barriers in the environment is integral to maximizing one's ability to function. No amount of therapy will reverse joint degeneration in someone's shoulders. A lower cabinet height, on the other hand, will eliminate the need of overhead-reaching, supporting one's ability to make dinner with less pain. You are not broken, you just need to modify your environment.
Activities of Daily Living
Activities of Daily Living
Activities of Daily Living
- Bathing
- Grooming
- Dressing
- Toileting
- Feeding
- Transferring sitting <-> standing
- Navigating in your home
Instrumental ADL
Activities of Daily Living
Activities of Daily Living
- Maintaining your home
- Laundry
- Meal preparation
- Shopping
- Navigating your community
- Financial management
- Health maintenance
- Communication management
- Care of others including pets
Work & Education
Activities of Daily Living
- Employment
- Unpaid work
- Volunteering
- School
- Adult education
- Informal educational pursuits
Leisure
- Physical activity
- Play
- Quiet leisure
Social Participation
Social Participation
- Community
- Family
- Friends & peers
- In-person & virtual
Sleep & Rest
Social Participation
- Sleep hygiene
- Sleep performance
- Rest