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GRT3110 (21)

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Arne Stinchcombe

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GRT 3110 NotesLecture 1 January 17 2013History of Gerontologystudy of ageing is rooted in biologythBacon suggested life expectancy could be extended if health practice could be improved 13 C1903term gerontology coined seniors were housed in poor houses prior to WWIIhad no one to rely onpost WWII poor houses replaced with health careprovincial and federal plans introduced prior to this 23 of people in the poor houses were seniors1940ssoldiers returned home and started having babies 1960s massive cohortproject forward they would require assistance when they retiresolutions included health care pensions housing and replacing work force1970s in Canadastarted importing geriatricians physicians trained to work with older adults from Europe they trained our young doctors home care also made available to seniors in 1970s also research from Federal governmentNACAfederally funded advisory board composed mainly of seniors spoke out on seniors issues and advised federal government on policies also introduced New Horizons programmade federal funds available to communities to undertake programming for older adults1990s major milestonestart of Canadian study on health and aginglongitudinal study of 10000 older adults across Canada establish prevalence and risk factors for dementia significant and large scale studysince 2000CIHR Institute of Aging federally funded to support research in health specifically in health and aging established the need for a broad longitudinal research platform set aside funds to support the Canadian Longitudinal study of health and ageingGerontologyGerontology is the study of biological psychological and social aspects of ageingGeriatrics is the branch of medicine specialized in treating preventing and managing diseases of ageinggerontology is broadencompasses many health practitioners and researchersTypes of ageingchronological ageing based on a persons years from birth biological ageing physical changes that reduce the efficiency of an organ system aka functional ageing system functionphysical activity levelspsychological ageing changes that occur in sensory and perceptual processes mental functioning adaptive capacity and personalitysocial ageing changing roles and relationships as we ageAgeingwe think of it as starting at age 40 or 50ageing changes that take place in the organism throughout the life spanchanges can be good enhanced linguistic ability neutral changing of hair color or bad memory declinesenescence normal and gradual decline in organ systems reduces viability of bodily systemsincreases vulnerability to diseasefinal stage in development of the organism Senescence vs Diseasesenescence is universal biological feature of all organismsit is the progressive cumulative deterioration of functionloss of physiological capacity associated with greater chronological ageit is not disease it can make someone more vulnerable to diseaseEg reduction in lean muscle mass associated with ageing vs muscle wasting seen with some diseasesage related change vs diseasedecreased reserve and reduced resistance to stressorsputs the body at risk for disease and poor recovery from disease Ageing populationsSocieties are age gradeddifferent roles opportunities status constraints based on ageCohort groups of people who were born at approximately the same time and therefore share many common experiences individuals within a cohort are not all the sameheterogeneous population people age at very different ratesold age does not have a biological definition only a social one Graph when is a woman considered oldlinear relationshipolder adulthood rated as older than the raters themselves depends on your position in terms of chronological ageGraph functional capacity people improve then at adult life there is a decline range of functional capacity becomes greater and greater with age greatest in the oldestold category Age as a social constructiondifferent terminology older adults dont like the term seniorelder connotes respect generally referring to those age 65Five profiles of ageing Gillick 19941Robust Elder physically vigorous mentally acute at least some chronic conditions frequent health care use but lack of disability2Frail Elder impairments in multiple domains rendering them vulnerable3Elder with dementia4Dying Elder period closest to death require sense of autonomy5Compensating Adaptive Elder declining abilities the need to maintain function despite growing old aware of impending death
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