Aging

Dignity counts when caring for older people

old and young hands

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Older people feel that their health problems pose a challenge to their sense of independence, dignity and identity and sometimes the health care they are given makes things worse.

According to research funded by UK Research Councils’ New Dynamics of Ageing programme (NDA), healthcare providers must avoid taking a ‘blanket view’ of how to help older people cope with the ageing process.

The study carried out by Dr Liz Lloyd and her colleagues found that people were often surprised by the impact that illness and growing old had on their lives. Their sense of ‘self’ was affected by the limitations imposed by their age and illnesses. “Growing old and coming to terms with illnesses is complex and demanding at times – physically, mentally and emotionally,” Dr Lloyd said. “When health goes, it can come as quite a shock.”

The research shows that older people work hard at maintaining their health and independence, while coming to terms with becoming dependent on others. The participants’ views show how, with the struggle to maintain day-to-day activities, their dignity can quickly and easily be lost. One participant, Mary, told researchers:

“Inside I feel as though I ought to be able to do things. But I’m not and it’s hard to accept.”

While some were positive about making changes, others found it harder to adjust their day-to-day routines. All participants made great efforts to find new activities or adapt old ones. For example several learnt to use computers and others took art classes at day centres. All tried to maintain their health in a variety of ways.

Dr Lloyd believes the research shows there are significant differences in the way that people define dignity and independence, and that these are influenced by their relationships, abilities and  life experiences. She states, ”

You can’t impose a blanket view of what dignified care is. Of course, there are certain standards that should apply in all circumstances but enhancing dignity needs a lot more than guaranteeing minimum standards.”

“In old age when your health fails, it affects your sense of self. Understanding that from an older person’s perspective is crucially important. Care and support can enhance dignity or it can worsen the loss of it if not given in the right way.  Good support is essential in terms of how people make the adjustments they need to make.”

Dr Lloyd highlights that the relationship between dignity, identity and independence is complex. “Loss of independence involves a change in your identity and is a challenge to your dignity,” she states. “It is through the support of others that individuals are able to rebuild their sense of identity in their changed circumstances.”

Support and care need to be responsive to what people are going through and to see things from the perspective of the person on the receiving end of care. “Older people are going through enormous changes and the people who are helping them need to be aware of these.”
Source: Economic and Social Research Council

older driver hands

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Why are older drivers, especially those over 70, involved in crashes primarily at intersections? You may tend to attribute this to cognitive or physical decline, such as slower reaction time or poor sight. These factors are undoubtedly part of the problem; however new research by some University of Massachusetts Amherst researchers have come up with another explanation – older drivers acquire bad habits, and those habits can be unlearned. “The effectiveness of our training program indicates that at least a major part of older drivers’ problems can be remediated,” says psychologist Alexander Pollatsek, who authored the article with Mathew R. E. Romoser, and Donald L. Fisher after analyzing two earlier studies. “A large percentage of not attending [to the hazards at intersections] is due to some strategy or mindset they’ve gotten into, rather than some problem with the brain,” he continues. “It’s a software problem, not a hardware problem.” The findings appear in Current Directions in Psychological Science, a journal of the Association for Psychological Science.

In the first study, older drivers (over 70) were compared with younger experienced drivers (25 to 55) who were both navigating an actual vehicle through a simulated world projected on displays outside the vehicle. Drivers approached three different intersections and had to turn. In one, a hill across the main street intersection obscured a possibly approaching car. In the others—turning from a side street onto a main street or vice-versa—trees and curves blocked views of other oncoming cars. The older drivers scanned the danger zone (the region from which a plausible threat could emerge) less often and for significantly shorter times both while approaching and completing the turn —compromising safety. [continue reading…]

depressed old man

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Researchers involved in the Mayo Clinic Study of Aging reported today that more than 6 percent of Americans age 70 to 89 develop mild cognitive impairment (MCI) every year. Also, the condition appears to affect men and those who only have a high school education more than women and those who have completed some higher education. People with MCI are at the stage between suffering the normal forgetfulness associated with aging and developing dementia, such as that caused by Alzheimer’s disease.

People with MCI have mild problems with thinking and memory that do not interfere with everyday activities, although their forgetfulness is often apparent to them and their friends and family. While not everyone with MCI develops dementia, an estimated 5 to 10 percent do.


About mild cognitive impairment

Symptoms of MCI include:

  •  Difficulty learning and remembering new information
  •  Difficulty solving problems or making decisions
  •  Forgetting recent events or conversations
  •  Taking longer to perform complex or difficult mental activities.

[continue reading…]

Understanding why we get happier as we age?

senior adults looking happy thumbs up

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Older people tend to be happier. But why do older people view life in a sunnier light than the young? Have older folks come to terms with loss, change, and the ability to let it go–at least when it comes to body images and family attachments? Are young people more or less attached to family than older people? Is it really the opportunities that existed with lower unemployment statistics between 1945 and 1965 and the cheaper prices of homes, cars, and college education or vocational training that makes the silent generation so much more happier than today’s twenty-somethings?

Or is it that older people, no matter how they struggled in life and pain, in the golden years say, “all is forgiven,” and it’s time to be happy? [continue reading…]