SWK 301 Chapter Notes - Chapter 11-13,15: Aarp, Senescence, Ageism

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Intro to Social Work Chapters 11, 12, 13, 15
Aging and Social Work
Senescence
o Biological process of aging
o Gradual decline of all organ systems
Gerontological SW may address
o Health, housing, and Social Security issues
o Helping manage issues of chronic illness, financial and social
stress, death, and dying
Aging: Process of change in an organism over its lifespan
Ageism: Age discrimination and prejudice
Gerontology: Comprehensive study of aging and problems of older
adults; SW who specialize in this population may be called
“gerontologists”
Older Adults
Meanings of “Old”
o Age 50: AARP membership
o Age 65: Eligibility for social security
Individuals experience aging differently
80% of older adults have chronic health condition
Stages of Older Adulthood:
o Young-old: 65-74; may choose to work, enjoy good health
o Middle-old: 75-84; no longer work, may self-identify as old,
mobility issues
o Oldest-old; 85+; may need help with personal care, serious health
conditions
o Centenarians: 100+
o Supercentenarians: 110+
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2
Aging Populace
Increasing percentage of population
o Increase in life expectancy
o Birth rates and death rates are declining
o 10,000 people will turn 65 every day until 2030
o Significant increase in vulnerable populations (“oldest-old,”
unmarried women, women who live alone with no children or
siblings, older racial minorities living along with no nearby kin.)
Gerontological VS Geriatric SW
Gerontological social work
o Biopsychosocial-spiritual knowledge of aging
o Enhance developmental, problem solving, coping abilities of
older people, and family members
Geriatric social work
o Older adults who have health concerns
o Physiological changes in aging, health care
o Social workers focus on family caregiving
Approximately 80% of the care for older adults is provided
by informal support systems
Roles: Gerontological Social Workers
Conduct assessments
Provide clinical counseling
Provide education and training about aging and older adulthood
Conduct support groups
Interpret medical diagnoses and prescriptions
Deliver counseling and case management services
Advocate for environmental and legislative changes
Develop intergenerational programs
Provide referrals
Assist with insurance
Support relationships that older clients have with their family members,
nurses, and doctors
Link clients with home health care
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3
Active aging: become older but still active in community, family,
society
Successful aging: continuing active engagement, avoiding
disease/disability
Benefit Programs
MedicareParts A, B, C, and D
o For adults 65+
o Provides coverage for hospital stays, home health, and end-of-life
care
o Prescription benefits optional and available through Part D
Medicaidbased on income level
Supplemental Security Income (SSI):
o Recipients can be assisted in applying for Medicaid
o Provides funds for food, clothing, shelter
Additional Programs:
o Food stamps
o Home health services
o Meals on wheels
o Nutrition programs
o ETC.
Biological and Physiological
4 D’s of aging
o Death
o Dementia
o Depression
o Disability
Chronic conditions
o May or may not interfere with ADLs
o Approximately 80% of older adults will have at least one
Physiological issues
o Vision impairment
o Incontinence
o Depression
o Hearing loss
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