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Lecture 2

KINE 3350 Lecture 2: Jan 10th

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Kinesiology & Health Science
KINE 3350
Kathy Broderick

Jan 10 and 12 th PA and Aging - Gerontology: Branch of knowledge dealing with aging – aging affects the individual and impacts - Geriatrics: branch of medicine dealing with the disease of aging - Stereotypes: We think that they are forgetful; they get tired fast, they aren’t active and they become invisible – they lose their social status and lose their social role in a society. To maintain their social role they need to stay relevant – calling themselves by their profession i.e. Dr. so that people pay attention to them. They keep their old clothes because it makes them feel young. They may be mean to other old people. They aren’t really afraid of pain because they are used to it. They probably aren’t afraid of old age but they are afraid of becoming dependent or a burden. They aren’t necessarily afraid or death, they accept it. Oscar the cat can tell when someone is going to die in a geriatrics hospital. Do older women stay mean girls if they were in that clique when they were younger? They did research on older women and found that in Baycrest (an old people home), a new patient would be frozen out by the other women when she came in. But if the new woman had a husband she wouldn’t be. Positive stereotypes is that they cook well, they are wise, they are sweet with kids etc - Ageism: 1968; we shouldn’t have negative attitudes towards older people just because they are old. Ageism in birthday cards (rude comments that make fun of peoples age and what happens to them when they get older). Ageism is experienced as ill treatment in hospitals, on social media, in restaurants etc - Age Grading: As you get older you get more prestige; but when you get into the 65+ ages range you loose that prestige. It becomes harder for older people to find a job because people question their ability and not competent enough. Sometimes they get too much responsibility, like when the kids leave their children with the 83-year-old mother and that’s too much for her. When you are old people take away things from you (“you cant do this”) and people start to take away their responsibilities that they are used to - Age norms: We expect older people to dress in a certain way and we find it odd when they deviate from it. They are “supposed” to act and dress in a certain way - Cohort: Many of them have gone through World wars, depression, then went through the technology age and now live in a completely different era. A cohort is all those people born during some specific period or passing through age related changes at approximately the same time in history. The older generation may find it difficult to interact with other cohorts because of how different they are and that they experienced such different things - Values: different age groups have different values and this may result in conflict – younger people vary in money spending, marriage etc. As you age, values change from money and luxury to health and family. Old people always exaggerate the hardships they went through because they see how easy it was for their grandkids and children - Ethnicity: in the 50s-70s many people started to immigrate to Canada; and now we are into the 3 of 4 generation of ethnic groups. There are 2 groups of elderly in Canada. Those who were born here because their parents either immigrated or their grandparents did. The other older population are those who their kids have brought them over to live with them in Canada; so they came to Canada later on in their lives - Culture: Where they share a way of life in the same time and place. Do older people maintain their own culture or do they mix in with Canadian culture? Lacrosse, snow, hockey, toboggans, Bombardier, Canadian cuisine – Tim Horton’s, poutine, pancakes and maple syrup etc. Canada doesn’t really promote our culture as much as they should. Do people find it hard to assimilate themselves into Canadian culture especially older people? Those people who don’t assimilate into the culture find it hard to find jobs and merge in with society. Those people who came earlier and maintained their culture are those who lived close with people who are exactly like them like in China Town or Little Italy where they may have not needed to learn Canadian culture because they were constantly around people like themselves.  Care for the elderly from different ethnic backgrounds: - Not speaking English is a big deal, getting hospital care is hard because they can’t communicate to the Dr. to tell them how they feel nor do they understand what is being said. By 2017 we will have 170 languages spoken in the hospital - Family care: some ethnicities believe it is rude to send your parents to a home so the family needs to keep care of them. It hard though because everyone works and no one ends up giving the older parents the proper care. – Nursing home care: Only 8% of the elderly are in homes rn but soon there needs to be more homes because not everyone is able to provide that care. Homes that are culture specific is great for the elderly because it wont be so much of a culture shock for them. - Activities of Daily living (ADL’s): determines the person’s level of independence; can they live on their own or do they need help with everything. 5 characteristics: TDWTF 1) Toileting: can they go on their own, do they have the strength to go on their own? They may need to wear a diaper which means they need someone to help them change etc 2) Washing: are they capable of bathing on their own, will they remember to shower, in the bathroom accessible for them, cutting their nails (can they bend down, do they have the flexibility etc) combing their hair 3) Feeding: can they prepare their own food, can they eat on their own, what do they eat 4) Dressing: can they get dressed in the morning on their own, can they pull up their pants, can they wear their shoes, can they dress appropriately for the weather 5) Transition: moving around; can they move around their house, can they go out to the yard or go to the bathroom on their own at night etc Functional independence - Can they do their ADLs to keep their independence despite the physical and mental relapses? - Seniors being able to do the activities of daily living that will allow as great level of independence as possible - They try to change their regular way of doing things so that they can do it themselves if its too hard the regular way Active living - Any physical, social, mental, emotional or spiritual activity that supports indv. Well-being and quality of life. - It emphasizes the links btw mind body and spirit and the interaction with others Historical approaches to aging Hunting and gathering society - Old age was 20 years old - They were highly respected and were knowledgeable, wise and taught the younger people their wisdom on things, they had special roles - When they were a burden, they were expected to either kill them selves or the caravan just left them Agricultural society - The elderly tended to their land and they did it till they were too weak and then gave the land to the kids - Family oriented: the special roles were given to the elders because they had the power (status and money) and the land Modern industrial society - They lived longer because of hygiene - They lived longer so they wouldn’t give up the land; the rural life ended because the younger people moved to the cities for jobs - The special role of the elders diminished because land wasn’t that important anymore, the younger people went to the cities for jobs not farming jobs - The status of older people decreases with increases in modernization – Cowgil and Holmes 1972 - Status refers to rank and power not love and respect for the elderly Factors affecting high status of older persons 1) Ownership of property: owning a home gives status 2) Monopoly of special knowledge: the younger people have more knowledge on this era then they do so they lose status when they don’t know as much as everyone does 3) High value placed on tradition: now a days we are a disposable society and tradition isn’t as values as before; people still hold on the traditions of holidays as long as the grandparents are there but when they are gone the tradition dies with them. 4) Society organized around extended family: With more divorces; extended family isn’t as close so they may lose their existing role as head of the family, as usually the grandpa has a major role in family affairs 5) Small stable communities: smaller rural cities aren’t as common, most elderly live in the city 6) Dependence on group members: farmers live in the city and go to their farms only on the weekend so the community there. People are more isolated they don’t depend on their neighbors or anything. When you are dependent on someone you feel like you always owe them; this how old people feel 7) Small number of older people 8) Special role for the aged: their kids don’t want to take their parents business anymore. They are usually burdened/given the job of keeping care of their grandchildren Types of aging (PBSC) - Chronological aging: calendar year; limited to explaining an older person, it doesn’t tell you anything other than their age. 65 is the legal age to get their pension and in some places, 65 means mandatory retirement, and they are now “seniors” - Biological aging: Changes to the body that affects their behavior; affects their longevity (wont live as long), also affects their risk of getting age related diseases like arthritis. (Healthy or diseased?) - Psychological aging: co
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