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Clinical Corner

The Experience of Aging: Part I

Published November 4, 2008 1:30 PM by Carol Kleinman

As people age, there is a gradual slowing of physical and mental capabilities. Joints become worn, making them susceptible to conditions such as arthritis, bursitis, and tendinitis. The skin loses its elasticity and moisture, making it more friable and susceptible to injury. Lung capacity decreases as does blood flow to the brain. Decreased mobility contributes to poor circulation and the gradual loss of muscular strength and tone. Changes in physical and mental acuity, including hearing deficiencies and visual impairments, lead to a diminution of functional ability.

Growing older also means facing a number of irreversible and stress-producing life changes like retirement, relocation, and the loss of a life partner. These losses are permanent, as opposed to losses earlier in life from which we are more likely to recover. In addition, the losses come with increasing frequency, providing less time to adjust between events. Chronic illness and functional limitations create greater dependency on others and often trigger depression and anxiety about the future.

As life spans increase, the number of people requiring long-term health care is also increasing. Many people find themselves in a long term care facility for rehabilitation after an accident or injury or to convalesce after a serious illness. Older adults, however, may live out their lives confined to care facilities. These men and women may be unable to care of themselves or they may suffer from a chronic illness and need ongoing medical attention and nursing care. Care from a family member may not be an option because there is no one available or because family members are unable to provide the care that is needed.

This series of blogs will focus on the some issues faced by older adults and will highlight important issues relevant to those in the long term care environment.

posted by Carol Kleinman
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