Strategies for Successful Aging. Steve Swedlund, MD Program Director,Geriatric Fellowship WSUBSOM. ‘Strategies for Successful Aging’ Learning objectives. The learner shall: Describe trends in aging in US, and World.
Steve Swedlund, MD
Program Director,Geriatric Fellowship
The learner shall:
The number of older adults is increasing faster in developing countries than in more developed countries
Between 2006 and 2030, projected to increase by 140% vs. 50%, respectively
Individuals ≥80 yr are the fastest-growing age group in the world
Increasing at a rate of 3.8% per year
Number of people 65 yr, in millions
If the pace of increase in life expectancy in developed countries over the past two centuries continues, most babies born since 2000 will celebrate their 100th birthdays.
The Lancet, 3 October 2009
NIH State-of-the-Science Conference Statement on Preventing Alzheimer’s Disease and Cognitive Decline—April 26-28, 2010.
Definition - the internal and external resources the person can bring to assess and interpret the stress- mediators shape the person’s response to stress.
Personal Qualities such as self-efficacy and coping
External Resources such as a social network and formal services
Strong self efficacy beliefs:
(MacArthur Study of successful aging)
WHY USE ANTICIPATORY GUIDANCE?
The psychosocial aspects of aging have broad ramifications for health treatment.
Appreciating the stressors associated with retirement, and understanding the patient’s behavioral or emotional response, improves the physician’s ability to treat the patient.
The physician can help the patient with:
*proven by many research studies
(Constitution of World Health Organization, 5th edition, 1952.)
Successful aging: minimal interruption of usual function although minimal signs and symptoms of chronic disease may be present.
(Using this definition, about 50% of older adults age successfully.)
Aging Well: Surprising Guideposts to a Happier Life from the Landmark Harvard Study of Adult DevelopmentGEORGE VAILLANT
Pulls together data from 3 separate longevity studies (beginning in their teens, following 824 individuals for more than 50 years):
The book beginswith an all-inclusive definition of aging that suggests decay,change, and continued growth. It ends with an admonition thatthe final "task of Integrity is acceptance of one’s oneand only life cycle as something that is to be and that permitsno substitutions."
" Landmark Harvard Study of Adult DevelopmentOwning an old brain, you see, is rather like owning an old car.... Careful driving and maintenance are everything."GEORGE VAILLANT
AGING WITH GRACE: What the Nun Study Teaches Us About Leading Longer, Healthier, and More Meaningful LivesDAVID SNOWDON, PH.D.
Major factors in avoiding dementia or Alzheimer's:
Suggests that living a fulfilling and worthwhile life and altering our own lifestyles and those of our children so that old age need not be an inevitable slide into ill health and mental confusion, but instead, years of productivity in which intellectual and spiritual vigor and good health are retained.