Lifein general and the living conditions have been changing over theyears. Many people have been moving to urban areas in search foremployment opportunities and better living conditions. However,living in congested estates and slums in the urban areas isassociated with numerous challenges. One of the major challenges isthe exposure of the young people to substances, such as alcohol andother hard drugs (Wilcock & Hocking, 2015). It is quite easierfor one to meet with a peer who is abusing substances and getinfluenced in the urban areas than in the rural areas.
Povertyis characterized by a struggle for inadequate resources, which createan environment for civil as well as domestic violence (Williams &Mickelson, 2004). Poverty occurs when people, including those migrateinto the urban areas lack employment opportunities. For example,people who move to the cities to look for jobs end up living in slumswhen they fail to secure some occupation. In addition, poverty isassociated with a feeling of powerlessness, fear, and loneliness, andviolence becomes an alternative for the poor to express theirfeelings.
Theworking class in the urban areas engages less in physical activities.The nature of most of the jobs, especially the white collar jobs,available in the urban areas does not give employees the opportunityto exercise their bodies.
Someof the issues that should be prioritized by an occupational therapistworking in a geriatric setting include poverty, physical inactivity,and drug abuse. This is because working in a geriatric facilityrequires one to focus on the evaluation of medical, social, and thepsychological functioning of the older adults, which is an affectedmost by the three factors (Puts, Monette & Alibhai, 2012).Poverty and substance abuse can affect the social and psychologicalwell-being of older adults. The lack of physical exercise affectstheir physical wellbeing negatively.
Inconclusion, poverty, urbanization, substance abuse, violence, and thelack of physical activity are interrelated factors that affect thepsychological as well as the physical wellbeing of individuals.However, an occupational therapist working in a geriatric facilityshould focus more on poverty, substance abuse, and physicalactivities because they are likely to affect the health of olderadults significantly.
Puts,M., Monette, J. & Alibhai, S. (2012). Use of geriatric assessmentfor older adults in the oncology setting: A systematic review.Journalof the National Cancer Institute,104 (15), 1133-1163.
Wilcock,A., & Hocking, C. (2015). DominantConcepts and Contemporary Priorities. In An occupational perspectiveof health (Third ed.).New Jersey: SLACK Incorporated.
Williams,L. & Mickelson, D. (2004). The nexus of domestic violence andpoverty. ViolenceAgainst Women,10 (3), 283-293.