Search Results for 'think piece'

Preventive health care in elderly people needs rethinking

This sounds like it could be an interesting think-piece. Unfortunately, BMJ no longer gives free access to articles the first year. [this article was subsequently made available to the public for discussion.]

I don’t know what they mean by elderly, the oldest olds? The age group was 70-82. See comments.

BMJ 2007;335:285-287 (11 August), doi:10.1136/bmj.39241.630741.BE1
Analysis by
Dee Mangin, senior lecturer in general practice1, Kieran Sweeney, honorary clinical senior lecturer in general practice2, Iona Heath, general practitioner3

1 Christchurch School of Medicine, University of Otago, Christchurch New Zealand, 2 Peninsula Medical School, Royal Devon and Exeter Hospital, Exeter EX2 5DW, 3 Caversham Group Practice, London NW5 2UP

Dee Mangin, Kieran Sweeney, and Iona Heath argue that, rather than prolonging life, preventive treatments in elderly people simply change the cause of death—the manner of our dying

The first 150 words of the full text of this article appear below.

Summary points

* Single disease models should not be applied to preventive treatments in elderly people
* Preventive treatments in elderly people may select cause of death without the patient’s informed consent
* Preventive use of statins shows no overall benefit in elderly people as cardiovascular mortality and morbidity are replaced by cancer
* A more sophisticated model is needed to assess the benefits and harms of preventive treatment in elderly people

Preventive health care aims to delay the onset of illness and disease and to prevent untimely and premature deaths. But the theory and rhetoric of prevention do not deal with the problem of how such health care applies to people who have already exceeded an average lifespan. In recent years, concerns about equity of access to treatments have focused on ageism. As a result, preventive interventions are encouraged regardless of age, and this can be harmful to the patient and expensive for the health . . .

[Full text of this article via paid subscription only] The full text is now available.
http://www.bmj.com/cgi/content/short/335/7614/285?etoc

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Liz Taylor takes comments

One of the best reads ever on aging deliberately is Liz Taylor–
Her series has been mentioned previously –

I just discovered that the columns published at Kitsap Sun Stories: Liz Taylor: Aging Deliberately allow comments (registration required) and have an RSS feed . This is so much more convenient and useful than the Seattle Times venue. I’m not sure which is the primary home for Liz’s work, however, and Kitsap may not carry all her columns. At the Seattle Times I have to subscribe by E-mail to their health series (once a week e-mail, all health stories which are interesting) to get notice of her columns. Otherwise I have a Google News Alert for Liz Taylor+ aging, which sometimes brings in notice of National Velvet. [the colors behind some items below mean nothing except straightening out the code remains to be done.]

Liz Taylor began her career as a federal consumer-fraud investigator and was appointed by Elizabeth Dole in 1976 to direct a nationwide investigation of the nursing-home industry. She’s worked in the aging field ever since.

In the 1980s, Liz became one of the first geriatric care managers in the Pacific Northwest, working with thousands of families and older adults to find high-quality services. In 2000, she founded Aging Deliberately, a business that teaches people how to prepare for their aging so they’ll have more control over what happens to them. In 2005, she served as a delegate to the White House Conference on Aging. She’s won the American Geriatrics Society’s 2007 Aging Awareness Media Award and the Washington Association of Homes and Services for the Aging’s Excellence in Media Award. http://seattletimes.nwsource.com/html/growingolder/

It’s relatively easy to age successfully if you’re wealthy. Money can’t buy happiness, but it certainly allows you to buy the things that make life more comfortable at any age. 1/26/2008 11:00 PM
In my last column, I wrote about a growing problem: what to do when an older person who has dementia hasn’t named anyone she trusts to make decisions for her. This week I’ll tackle a tougher issue: what to do when the person she names does a poor job. 11/17/2007 11:00 PM
My e-mail has had a repeated theme recently: An older person with dementia, such as Alzheimer’s disease, isn’t paying bills, preparing meals, bathing, and other important tasks — but refuses to allow anyone to help.
11/3/2007 09:00 PM |
There’s a certain uniformity to finding a physician under Medicare these days. Rich or poor, if you’re 65 or older, you’re likely to have similar slim pickings (more so if you’re poor and on Medicare and Medicaid). 10/20/2007 11:00 PM |
Most of us want to live a long time, but nobody wants to grow old. The irony is, most of us will — live a long time and grow old. It’s easy to do — all it takes is letting the days roll by. As long as you’re healthy, getting old is a piece of cake.
10/6/2007 11:00 PM |
It’s easy as pie to age well when you’re healthy. The friction comes when you become frail. Sometimes it’s self-inflicted, the product of isolation, poor eating habits, lack of physical activity and falls — all common problems for people who age in their homes but don’t plan it correctly. 9/22/2007 11:00 PM |
A woman in her late 70s, a good friend, is pondering her options. Her home is two stories (or three, including the basement), with many stairs to her bedroom, bathroom and the washing machine. 9/8/2007 11:00 PM
Dad is 87, fun and funny, with moderate dementia. He lived “on the edge” in his own home for years while we kids worried sick. 7/28/2007 11:00 PM
When I was growing up in the 1950s and ’60s, cars were sort of round and later sort of square. My dad wore a hat to work and took the bus.
7/14/2007 11:00 PM
I’m 75 and have lived in an assisted-living facility for a year.
7/8/2007 02:00 AM
Older people are not simply younger people with wrinkles our bodies change dramatically as we age, both inside and out; some parts wear out before others, sometimes several at once.
6/17/2007 02:00 AM
Whether you live at home, in a retirement community, or in a yurt on top of a mountain, as you age, you want to do it consciously.
6/3/2007 02:00 AM

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Jigsaw puzzles Stave off ageism

Stave puzzle, Tiffany lamp

I’m not sure what the proportion of grey hair or hairlessness triggers the attraction of older people to jigsaw puzzles. At a certain point, old people can’t do anything else except weekly BINGO (housie). Set out a puzzle or two and watch clients congregate.

To make life more challenging for elders, senior centers often use only the most beloved puzzles, with a couple of pieces missing.

Jigsaws are an especially valued activity for the senior center itself because if it does get visitors, the visitors will tell others– “They always look so busy up there!” And it keeps them quiet. 😉

But I don’t know why we have to get stuck with the same old-fashioned, simplistic ones that younger people choose. I think Dover Publishing offers 3-D towers and other structures and Brentano’s used to sell them, too.

The 2-D puzzles manufactured by Stave Puzzles are luscious to look at and while simple, are hardly simplistic.

http://www.stavepuzzles.com/

Let’s add them to the wish-list!

https://theelderlies.wordpress.com/2005/07/18/improve-our-community-by-better-serving-the-older-people/

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