Journal of Alzheimers & Neurodegenerative Diseases Category: Clinical Type: Commentary
Shopping Activities for Preventing Housebound
- Yuki Hayashi1*, Akinori Abe2
- 1 Graduate School Of Science And Engineering, Chiba University, Japan
- 2 Faculty Of Letter, Chiba University, Japan
*Corresponding Author:Yuki Hayashi
Graduate School Of Science And Engineering, Chiba University, Japan
Received Date: Aug 30, 2019 Accepted Date: Sep 20, 2019 Published Date: Sep 27, 2019
PROBLEMS AROUND ELDERLY PERSONS
Type1: An elderly person hardly goes outdoors alone but he/she has some social interactions.
Type2: An elderly person hardly goes outdoors alone and he/she has no social interactions.
Type3: An elderly person rarely goes outdoors alone but he/she has some social interactions.
Type4: An elderly person rarely goes outdoors alone and he/she has no social interactions.
Housebound may influence on many aspects of daily activities so it has been necessary in Japan to consider how to prevent housebound. Ministry of Health, Labor and Welfare showed a manual for preventing housebound and supporting the elderly persons . In this manual, several factors of housebound were shown, that is, physical factor, psychological factor and social/environmental factor (Figure 1).
There are several risks related to housebound state. For examples, it may cause a decline of BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living) or cognitive functions. BADL includes walking, bathing or excreting and IADL shopping, washing, money management or medicine management .
Mizuno pointed out an importance of purpose of going outdoors in addition to a way of going outdoors . According to her survey (Figure 2), many of elderly persons wanted to visit unordinary places, “Resort or tourist spot” or “Cultural or amusement facility”, which maybe obvious. However, when they visit there, their companions, their physical abilities or transportation will become restrictions for them. According to the other survey “The Influence of Incontinence on Daily Life” conducted by Unicharm Corporation, more than 60% of 60’s and 70’s with experience of incontinence answered that they had felt anxiety about a long time trip.
We consider it is quite di?cult to encourage elderly persons to unordinary places, which are usually far from their living areas. According to Figure 2, they also wanted to visit ordinary places, “The place for meeting or club activities” or “The place for shopping”. Following Figure 3 too, to prevent housebound, we can see it is important to encourage elderly persons to visit ordinary places in their daily life.
We focused on a shopping activity because we considered it was more natural, essential and intellectual activity than the other IADL activities. Even in urban areas in Japan, it has recently become a big problem to deal with shopping refugees, who are not able to conduct their shopping activity by themselves. In the following chapter, we’ll review several researches for preventing housebound.
SHOPPING ACTIVITIES FOR PREVENTING HOUSEBOUND
Shopping Rehabilitation® (Figure 4) was developed by Hikari Project Inc.  this service aims to activate elderly persons, commercial facilities and local governments. As for the first one, 5 aspects of shopping activities would improve physical and psychological aspects of participants.
Figure 4: The process of Shopping Rehabilitation ® (with English translation by author).
- It will enhance participants’ physical strength.
- It will train participants’ judgment abilities.
In addition to the above e?ects, Inoue pointed out that shopping would become a chance for going outdoors. Elderly persons usually have few chances to be depended by other people. So if we ask elderly persons to visit a grocery store and purchase some items, we may encourage them to go outdoors with less physical and psychological stress through shopping activities.
Shopping care program
According to this program, the only thing which the greater part of participants was not able to achieve was “Bringing a shopping basket and walking around to shopping” because they did not have a practice of using a shopping basket in their youth. In addition, cognitive functions were not examined particularly in this program.
However, the approaches shown in this paper were not so easy to conduct especially for non-specialist (including family member). We should consider easier way to encourage shopping activities. In addition, the intellectual aspects of shopping activities were not shown su?ciently. We should consider how to evaluate the intellectual aspect of a shopping activity for preventing housebound.
- Hatono Y, Tanaka H, Furukawa K, Masuda K (2001) Housebound of Elderly Individuals in the Community and Its Background Factors, Journal of Japan Academy of Community Health Nursing 3: 26-31.
- Watanabe M, Watanabe T, Matsuura T, Kawamura K, Kono K (2005) Incidence of Disability in Housebound Elderly People Living in a Rural Community. Nihon Ronen Igakkai Zasshi 42: 99-105.
- Ministry of Health, Labor and Welfare (2012) A Manual for Preventing Housebound and Supporting the Elderly Persons. A Manual for Preventive Care (Revised Edition) 2012: 97-111.
- Eto F, Tanaka M, Chishima M, Igarashi M, Mizoguchi T, et al. (1992) Comprehensive Activities of Daily Living (ADL) Index for the Elderly. Nihon Ronen Igakkai Zasshi 29: 841-848.
- Ohashi M (2016) To Encourage Elderly Persons to Go Out: Motivation and Relieving Concern, The Nikkei, Evening paper, 14th December (2016).
- Eiko M (2004) About Elderly Person’s Travel Behavior, Life Design Report, Dai-ichi Life Research Institute Inc.
- Kida C (2016) Shopping Rehabilitation: Co-op Kobe Supports Their Customers, The Mainichi, Morning paper, 14th July (2016).
- Machida K, Uchida Y, Kotani Y (2006) Behavior Characteristics in Shopping and a Money Management of Dementia Senior Citizens. Kitakanto Med J 56: 225-230.
Citation: Hayashi Y, Abe A(2019) Shopping Activities for Preventing Housebound. J Alzheimers Neurodegener Dis 5: 029.
Copyright: © 2019 Yuki Hayashi, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.