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Table 2 Tasks and challenges in community settings that have become more difficult with age

From: Beyond 50. challenges at work for older nurses and allied health workers in rural Australia: a thematic analysis of focus group discussions

Tasks impacted by age-related factors

Reported reasons why each is more difficult

1. Work involving vehicles

Age-related factors specific to these tasks -

In particular:

â–ª Arthritis, sore joints, backaches - caused or exacerbated by vehicles and driving

â–ª General driving during the day

   - Less flexibility, manoeuvrability for getting in and out of cars

â–ª Reversing vehicles

   - Harder to turn around to look behind/harder to see out of cars

â–ª Getting in and out of cars and the 'Day Care' bus

â–ª More fatigued for report writing, after driving around during the day

â–ª Carrying equipment to/from vehicles and homes eg. baby scales

Exacerbated by:

 

â–ª Ergonomics of smaller and lower cars ("green policy")

 

   - Hard to get in and out of, not comfortable, poor seating

 

â–ª 'Day Care' bus, bumping up and down along the road

 

â–ª Tight time frames, rushing

 

â–ª General safety issues related to night and long-distance driving - vision, fatigue, time allowed

2. Work involving home visits

Age-related factors specific to these tasks -

In particular:

â–ª Musculoskeletal changes - strength, tone, flexibility, pain and stiffness, backache - caused/exacerbated by vehicles and driving

â–ª Carrying equipment to/from vehicles and homes eg. baby scales

â–ª Manoeuvring, mobility and stability on feet (with clutter) more difficult when older

â–ª Moving around and manoeuvring in cluttered houses

Exacerbated by:

 

â–ª Home clutter and trip hazards

 

â–ª Manoeuvrability of equipment

 

â–ª Home ergonomics and design - narrow bathrooms and doors that don't allow room for manoeuvring