scholarly journals 106 How do Geriatricians View Their Future Old Age?

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i34-i36
Author(s):  
E Braithwaite ◽  
D Thomas ◽  
S Ninan

Abstract Introduction Despite, being a specialty intimately acquainted with growing old, there has been little research on how geriatricians view ageing in the terms it might affect themselves in the future. We wished to survey geriatricians as to how they viewed their own futures as they grew older. Methods We constructed a short survey using survey monkey and sent it to all BGS members, electronically. We also tweeted links to the survey from our personal accounts publicly. Only geriatricians were asked to reply. The survey was open between 25th March and 26th June 2019. Results 143 people responded to the survey49% agreed or strongly agreed that they were looking forward to old age65% agreed or strongly agreed that they were worried about the thought of being frail70% agreed or strongly agreed that they were worried about developing dementia Despite these responses89% agreed or strongly agreed that old age will be an enjoyable time of life76% agreed or strongly agreed that they promoted a positive image of older age to friends and colleagues85% agreed or strongly agreed that they would be enthusiastic about life in older age74% agreed or strongly agreed that they looked forward to the social life they would have in older age Themes that arose in the free text responses regarding greatest fears for old age included dependence, physical disability and frailty, dementia, loneliness, bereavement, financial difficulties and the future of society. Respondents hopes for old age included independence and health, enjoying relationships, having more time, and contributing to society. Conclusions Despite, or perhaps because of, looking after frail older people as part of their profession, geriatricians have mixed feelings towards growing old themselves. Despite most agreeing that old age will be enjoyable, only half of respondents were looking forward to older age. Dementia, dependency and loneliness were common fears for geriatricians. Geriatricians’ experience of older age is often in the form of looking after the people who are the frailest of their age group, with the most marked disease burden. Strategies for geriatricians to consider the breadth and variety of old age might come through engagement with the field of medical humanities, reflective practice and spending more time with older people who have less disease burden.

Author(s):  
Garrett Hardin

An enduring problem of social life is what to do about the future. Can we predict it? Can we control it? How much sacrifice are we willing to make in the present for the promise of a better future? The questions are harrowing, and agreement comes hard. The year 1921 was a time of famine in some parts of the newly formed Soviet Union. An American journalist, visiting a refugee camp on the Volga, reported that almost half of the people had died of starvation. Noticing some sacks of grain stacked on an adjacent field, he asked the patriarch of the refugee community why the people did not simply overpower the lone soldier guarding the grain and help themselves. The patriarch impatiently explained that the seed was being saved for next season's planting. "We do not steal from the future," he said. It would be too much to claim that only the human animal is capable of imagining what is yet to come, but it is difficult to believe that any other animal can have so keen an appreciation of the demands of the future. Alfred Korbzybski (1879- 1950) called man "the time-binding animal." Binding the future to the present makes sense only if understandable mechanisms connect the two. This understanding was notably missing in the writings of the anarchist-journalist William Godwin. Unlike Malthus, he could make no sense of the fluctuations of human numbers. "Population," he said, "if we consider it historically, appears to be a fitful principle, operating intermittedly and by starts. This is the great mystery of the subject.. .. One of the first ideas that will occur to a reflecting mind is, that the cause of these irregularities cannot be of itself of regular and uniform operation. It cannot be [as Malthus says] 'the numbers of mankind at all times pressing hard against the limits of the means of subsistence.'" Rather than trying to see how appearances might be reconciled with natural laws, Godwin simply said there were no natural laws. His proposal to replace law with "fhfulness" led one of his critics to comment: "Perhaps Godwin was simply carrying his dislike of law one step farther. Having applied it to politics (1793) and to style (1797), he now applied it to nature (1820). He deliberately placed a whole army of facts out of the range of science."


1986 ◽  
Vol 6 (3) ◽  
pp. 313-331 ◽  
Author(s):  
Sidney Jones

ABSTRACTDrawing upon evidence from Britain, this paper advances the proposition that new generations of older people are experiencing a healthier, materially better off and more satisfying old age. It is argued that both popular and scientific images of later life are out-dated and unduly negative. In advancing this analysis, attention is given to key areas of personal experience and social life: education, leisure and holidays, retirement, voluntary activity, spirituality, economic status, health and political involvement. A re-construction of the societal position of older people is indicated.


2021 ◽  
Vol 10 (1) ◽  
pp. 47-54
Author(s):  
Michal Koricina

Pre-Senior Education will be one of the main pillars of active ageing policy in the future. Requirements on adult educators, lecturers, trainers of older people, grow. In the paper author presents theoretical starting points of competencies of educator of pre-senior preparation, deals with general competencies defined in Slovak national documents and indicates specific requirements on older adult educator. He also talk about aspects as relational competence and charizma of lecturer which are important elements of quality of educational event. The article is the output of author within the project VEGA no.1/0001/18 called Preparation for ageing and old age – possibilities of andragogical intervention.


1999 ◽  
Vol 23 (3) ◽  
pp. 149-153 ◽  
Author(s):  
Jane Garner

Aims and MethodsThis report was prepared as the basis for wider consultation within the Old Age Faculty and the College. Some literature and practice is reviewed and practical suggestions made for the future in this area.ResultsAlthough older patients are less likely to be refused for psychological intervention attitudes are slowly changing.Clinical implicationsThe clinical implications of this development include a greater consideration of the unique emotional life of each of our patients and an improved understanding of our reluctance to engage in psychotherapeutic work with older people.


2011 ◽  
Vol 2 (3) ◽  
pp. 100-103
Author(s):  
Eric Rooney

Older people are living longer, keeping their teeth for longer but increasingly facing diseases associated with ageing, including dementia. The ability of older people to maintain good oral health, and the ability of dental professionals to maintain their heavily restored dentitions, presents a challenge in planning services for the future. There needs to be a focus on personal prevention for those who will move into old age over the next 20 years. We must also develop services which address the complexity of delivering professional prevention and treatment to those who need to be supported in their later years.


2016 ◽  
Vol 1 (1) ◽  
pp. 28-30
Author(s):  
Yasuyuki Gondo

Abstract. The population of older people has been increasing in the last few decades in Japan. This larger demographical shift provided new business opportunities to companies. Innovative technologies and services for older people have been developing. Some of these are already at work; further technological revolution seems to promise “successful” aging for the future super-aging society. This report provides an overview of technologies currently applied with older people and introduces some examples of new technologies developing in Japan.


Author(s):  
Jane Pearce

This chapter introduces Family Therapy (Systemic Therapy) as a psychotherapeutic approach which explores the patient’s problems in relational terms rather than treating them as if they reside in the patient alone. The focus is upon the dynamic, interactive connections between people and their wider social context and the history of evolving ideas and practices is summarised. The evidence of effectiveness of family therapy in adults is discussed and the implication drawn that there is evidence to support clinical application including older age populations. The chapter illustrates the range of ideas that have been found applicable and helpful in work with older people and illustrates some of these approaches with practice based scenarios from old age psychiatry.


2008 ◽  
Vol 28 (8) ◽  
pp. 1133-1158 ◽  
Author(s):  
COLIN DUNCAN

ABSTRACTThis paper presents a critique of both the concept of age equality and of the limited scope it offers as a means for challenging old-age prejudice. The equality constructs that feature in anti-ageism initiatives and in current discourses on intergenerational equity have proved susceptible to political and ideological manipulation, which has led to the illegitimate dissociation of ageism from older age and promoted damaging notions of age equivalence. The consequence has been that old-age prejudice has been de-prioritised, and older people have been de-legitimised socially and as a welfare constituency. The corrective is best sought outside the confines of age equality frameworks, although legal remedies may play a useful role if human dignity is incorporated as an equality criterion. This paper also assesses other approaches to tackling old-age prejudice that avoid the constraints of equality constructs and engage more firmly with its roots. The notion of the ‘third age’ with new social roles merits reconsideration as an affordable alternative to current policies of work obligation and pension retrenchment. Radical interventions in the labour market in favour of older people may also be needed. Age activism and advocacy will increasingly influence policy on prejudice and well-being in older age, but changed emphases are needed, as from defensive strategies and the ideologies of generational interdependence and solidarity, towards the promotion of organisational, financial and social autonomy in older age.


2021 ◽  
pp. 2507-2512

The article notes the relevance of looking out for the theoretical and methodological designs explaining the new realities in the field of education and perspectives for the development of post-industrial education in the condition of non-linearity of social life, and radical transformation of the problems faced by the people. The study of the education’s post-industrial development perspectives allowed the author to conclude that the consideration of socio-cultural factors and the convergence of education systems will become crucial in the future. The author substantiates his conclusion that the convergence of education values, the issue of forecasting and development of new complementing each other forecasting methods in education will become relevant issues in the future


2019 ◽  
pp. 165-189
Author(s):  
Jennie Bristow

This chapter argues that the idea that older people, who have ‘already lived their lives’, should have no say in the future of our society, expresses the toxic impact of generationalism on political debate. In their determination to present political conflicts as a clash of interests between old and young, generation warriors promote a version of citizenship that is as anti-democratic as it is anti-social. A tangled web is woven from dubious statistics, barely veiled prejudices, and contradictory arguments, to promote a particular kind of political and policy agenda. Here, the ‘youth vote’ has become a symbolic vehicle for pushing through a certain set of values, by a section of the elite that finds itself on the defensive and lacking in popular support. The flipside of this artificial promotion of the youth vote is the denigration of the ‘senior’ vote — and the people who cast it.


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