LDER ADULTS WITH SOME DEGREE OF SENSORY
IMPAIRMENT EXPERIENCE A NUMBER OF CHALLENGES
IN THEIR DAILY LIVING. A range of educational resources are
available to help nursing students understand the challenges
brought about by age-related physical and psychological changes
and appreciate how environmental modifications may result in
improved safety and function and greater independence for older
adults. Some of these resources are sophisticated, high-tech, and
expensive. This article describes use of the “Sensory Kit,” an inex-
pensive collection of items contained in a small plastic bag. When
used as part of a guided learning activity, the kit provides opportu-
nities for active learning while helping students understand some
of the sensory changes that many older adults experience.
Hi-Tech/Low-Tech Resources A number of resources
have clear value, but their use with large numbers of students is
limited due to costs and availability. For example, the
Massachusetts Institute of Technology AgeLab’s Age Suit is a
state-of-the-art, hi-tech resource (2011). The suit allows a user to
experience age-related functional changes by approximating the
physiological state of persons in their mid-70s. With the
University of New England College of Osteopathic Medicine’s
Learning by Living
©
program, medical students become nursing
home residents for two weeks and experience the daily life of res-
idents, which involves eating pureed foods and receiving assis-
tance with the activities of daily living
(Taggersell, 2009).
To meet the learning needs of large groups,
low-fidelity simulation activities may offer cost-
effective alternatives. Using only paper-based
scenarios or relatively simple teaching tools,
such activities can be effective for teaching
complex concepts. One such resource is “Into
Aging,” an interactive game that helps students
and health care professionals experience age-
related physical and social changes (Hoffman &
Dempsey-Lyle, 2003). Activities include eating
thickened liquids, having one’s teeth brushed by
another person, and being addressed in elder-
speak, a way of talking to older people that
assumes cognitive impairment requiring the use
of slow, simplified speech most often used with
children (Pacala, Boult, & Hepburn, 2006).
Several authors have described low-fidelity experiential activ-
ities simulating age-related functional changes. Examples include
encouraging students to apply elastic wraps to restrict knee or
elbow movement; taping fingers to decrease dexterity; and simu-
lating other functional restrictions using neck braces, goggles, or
wheelchairs (Prathibha, Chutka, & Lesnick, 2006; Wood, 2003).
Pacala et al. (2006) wrote about such strategies as using small
pieces of colored candy to simulate the need for complex, multi-
medication regimens; confining students to bed or to a wheel-
chair; and forcing mobility restriction by having students use
canes or walkers.
These activities, when followed by student reflection or dis-
cussion, were especially powerful for understanding the ramifi-
cations age-related changes have on daily life. However, wide-
spread use can be hindered by a lack of available resources and
equipment, the costs of supplies, or the time required to prepare
the activity.
The Sensory Kit In keeping with Kolb’s theory of experiential
learning (1984), use of the Sensory Kit provides opportunities for
reflection, discussion of the significance of the experience, and
actions that should be taken based on the experience. Many of its
components have been used individually to teach students about dis-
crete sensory changes in older adults. When gathered together, the
items represent an inexpensive, portable, experiential learning activ-
ity that can provide a comprehensive learning experience. Faculty
can prepare these kits in advance for use in the classroom. (See Table
for items and suggested sources; see also www.geronursinged.org/
documents/SChandout.pdf for a photo of a sample kit.)
The Sensory Kit is most effective when used with a classroom
presentation about age-related sensory changes, in-classroom
activities, and out-of-classroom follow-up exercises. Its use could
be combined with other experiential learning activities such as the
“Unfair Hearing Test,” a resource providing participants with com-
THE “SENSORY KIT”: Teaching About Sensory Changes in Older Adults
CATHERINE VAN SON AND CYNTHIA FITZGERALD
O
Table. Contents of the Sensory Kit with Sources
May / June 2012 Vol.33 No.3 201