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PFP Page 34

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PFP

MODULE five – AGEING

You can click here to open the Handbook and refer to the full, relevant section.

Some topics for this module

Bullet  What is active ageing?

Bullet  Social, physical, and psychological aspects of ageing;

Bullet  Spiritual aspects of ageing;

Bullet  Dementia, anxiety, depression, palliative care

Bullet  Entering and aged care home.

Module scope

In this module we will be having a brief look at issues relating to ageing. It will be an introduction to each of the topics - certainly not a comprehensive examination of all the issues. We hope it will stimulate you to follow up the topics in more detail in the Handbook, and also refer to other sources on the internet. A search on the internet should provide you with more detailed information.
By and large, relevant government sites and professional support groups will be generally authoritative.

What is Active Ageing?

Over recent years there has been a significant shift from regarding the ageing process as something that involves people becoming more and more useless, to recognition that older people can have a lot to offer and can benefit from being very active in their lives.

While this might be seen as an excellent quantum shift, the recognition needs to be tempered with the realities of people who are ageing physically, psychologically and socially.  There needs to be a balance between understanding the realities of gradual degeneration but making the most of what for many is increased time and more healthy living. This module seeks to try to address this balance.

One of the important things about interaction with older friends is that they enjoy narrative – telling stories. One special aspect of this for us is that we learn to use this aspect of their life to explore their spirituality.

The process of ageing

Those who do what is right will grow like a palm tree. They will grow strong like a cedar tree in Lebanon. Their roots will be firm in the house of the Lord. They will grow strong and healthy in the courtyards of our God. When they get old, they will still bear fruit. Like young trees they will stay fresh and strong. Psalm 92:12-14

It is important to remember that spiritual care is something we do all the time; it’s not just something we do in hospital or in an aged-care home. The principles of spirituality, and effective communication, are just as important no matter where we have an opportunity to care.

What is ageing?

Ageing is normal. In the process, the body’s cells gradually become depleted because those that deteriorate are not replaced. There are distinct physical changes which occur as we get older. These changes, on their own, do not lead to ill health. The extent and effect of the changes will vary greatly between individuals.

An elderly person can expect some or all the following:

Bullet  to need less sleep;

Bullet  to need less food (but will still need nutritious food);

Bullet  to have difficulties with digestion (can be improved significantly by correct diet);

Bullet  to be more susceptible to infections (depending on how healthy the person is);

Bullet  to be less strong (can be negligible in a fit and healthy person);

Bullet  to be more forgetful of recent events (not to be confused with Dementia);

Bullet  to take longer to work out complex problems;

Bullet  to have difficulties with sight or hearing; and,

Bullet  to want less fluid and/or to have difficulty excreting fluid.

At the same time, a normally ageing person does not necessarily:

Bullet  become incontinent;

Bullet  become senile or demented or stop functioning sexually;

Bullet  get sick a lot or be ill all the time; and,

Bullet  feel depressed, useless or lonely.

Although some loss of memory is normal in an ageing person, it does not indicate dementia. There are different conditions which cause dementia, the most common being Alzheimer's Disease, which affects 5% of people at age 65, and 20% of people over 80.

Ageing is a normal part of the life cycle. It is not a disease and most aged people live full, independent lives. However, many diseases and debilitating conditions occur more frequently in older people. These conditions should be recognised and treated, not accepted as ‘just part of growing old’.

Ageing and disability

Around 90% of Australians over the age of 60 are free of any significant disability for which they need help with personal care or getting about. About 60% are free of any disability which handicaps them or prevents them looking after themselves.

Often illnesses which are not life-threatening cause the most handicap. In older people conditions that reduce mobility are a major problem. Major causes of handicap in older people are:

Bullet  problems with bones and muscles (e.g. arthritis);

Bullet  incontinence;

Bullet  heart disease;

Bullet  dementia;

Bullet  foot problems;

Bullet  sight problems;

Bullet  hearing problems; and,

Bullet  dental problems.

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