class 1 introduction to aging

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NURSING 1263 Introduction to Aging

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Page 1: Class 1 Introduction to Aging

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Overview 

Explore the impact of societal myths andattitudes related to older adults

Understand the concept of population aging

Discuss the demographics of an agingCanadian population

Examine the impact of an aging population

on health care costs

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 Aging and Older Adults: Why Pay 

 Attention?

Brainstorm

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 Aging and Older Adults: Why Pay 

 Attention?

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Population Aging: Adding Years to Life

Life Expectancy

The average number of years a person is expectedto live

Life expectancy has increased in the last 50 yearsand is still projected to continue to increase

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Population Aging: Adding Years to Life

Life expectancy is influenced by many factors

Culture

Geography

Gender

Ethnicity

Race

Education Personal health practices

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Population Aging 

Increase in our aging population

Increased life expectancyDecreased birth rates

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Population Aging 

Discussion:

What implications does the concept of an agingpopulation have on society and how does itinfluence our social construction of theelderly?

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 Attitudes, Myths and Stereotypes

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Implications

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 Ageism

Definition:

Negative attitudes towards older adults resulting in the belief that they cannot or 

should not participate in societal activities or be given the same opportunities as other members of a population (Hollan-Bell &

Brummel-Smith, 1999)

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 Ageism: Why Does it Occur?

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 Ageism

Consequences:

Potentially altered treatment and access to care

Decreased sense of power, control and dignity

Loss of hope as valuable contributing members ofsociety

Negative influence on policy and care decisions

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 Ageism: Take a Hard Look!

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Combating Ageism: Strategies

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Combating Ageism: Strategies

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Demographic Trends: Population

Projections

Older Canadians are living longer and withfewer disabilities than previous generations

Population projections:

2011 - ~15% of population

2021- ~18% of population

2031- ~23% to 25%

2056- ~ 25% to 30% of population(Statistics Canada, 2010)

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Demographic Trends: Population

Projections

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Demographic Trends: Community vs

Institutional Living 

Over 90% of older Canadians live independently in thecommunity and want to live there

Presently ~7% of older Canadians live in long-termcare settings-those below age 74

14% older Canadians, >75 years, live in long-term

care settings

(Public Health Agency of Canada, 2006)

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Demographic Trends: Ethnicity 

2001: 19.4% of the immigrant population inCanada was over 65, while the nationalaverage was 13%

Aboriginal seniors make up a small proportionof the population, but the number of

Aboriginal seniors is expected to triplebetween 1996 and 2016

(Government of Canada, 2002)

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Demographic Trends: Gender

Men who survive to age 65 can expect to livean additional 17.4 years; women can expectto live an additional 20.8 years (Statistics

Canada, 2005)Approximately 57% of Canadian seniors are

female

Approximately 70% of Canadian seniors aboveage 85 are female (Health Canada, 2002)

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Demographic Trends: Chronic Illness

81% of seniors living in the community have at least 1chronic condition and 33% have 3 or more(compared with 12% of younger adults)

Most chronic diseases represent a combination ofmodifiable and non-modifiable risk factors

Key modifiable risk factors include diet, physicalactivity, and tobacco use

(Gilmore & Park, 2006)

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Demographic Trends: Chronic Illness

The underlying causes of chronic disease are areflection of the social, economic andphysical environments that impact health and

healthy aging (WHO, 2005)

Senior women are more likely than men to

have arthritis, glaucoma and back problems(Gilmore & Park, 2006)

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Demographic Trends: Chronic Illness

Senior men have higher rates of heart disease,diabetes, cancer, stroke, and Alzheimer’s

disease (Gilmore & Park, 2006)

Between 10 and 15 percent of seniors living inthe community suffer from depressive

symptoms (Conn, 2002)

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Demographic Trends: Chronic Illness

Late life dementias, including Alzheimer’s affect

8% of seniors over 65 and 25% of seniorsover age 80 (Canadian Study of Health & Aging Working Group, 1994)

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Health Care Costs of Aging 

Diagnosing, treating and managing chronicconditions are expensive

In 2003, seniors health care needs accountedfor more tan 44% of all provincial governmenthealth spending (CIHI, 2005)

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Health Care Costs of Aging 

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Health Care Costs of Aging: Trends

Better Health NowCompared to 20 YearsAgo

Less need for long term care Reduced length of disability

Better quality of life

Better Health Today

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Health Care Costs of Aging: Trends

Shift to Providing More Services in Outpatientand Community Settings

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Improving Population Aging 

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Improving Population Aging 

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Healthy Aging 

Film: The Art of Aging