Ageing and Society

Question 1

Which diseases do we expected to see signficiantly hihger rates of in the elderly population by 2035

Answer 1

Cancer and diabetes

Question 2

How do we expectanc tlife expectancy and morbidity to change by 2035

Answer 2

Life expectancy will increase

which means more time will be spent with multimorbidity (2+

Question 3

How do we expect support needs to change by 2035

Answer 3

more older people, but more of them lviing independently over 65+

Question 4

what issues may oler people internationally face

Answer 4

Majority work but have no regular income (family care)

very few have pensions, state support or healthcare

Question 5

Globally what is the trend with older people and healthy life expectancy

Answer 5

Overall life expectancy is increasing faster than healthy life expectancy

increase in chronic non communicabel disease

Question 6

How do we see ageism in society?

Answer 6

Portrayal in the media of older people being a burden

and ‘anti-ageiing advertisements

Question 7

How much do older people represent of those going to AE

Answer 7

numbers of older people attending AE is disproportionate to there population size

older people likely os spend m ore time in AE and more likely to be admitteed (reduction or barrir to alternartive services and complex presentation/comorbidity)

Question 8

What system challenges do we face in improving care of elderly?

Answer 8

single system conditions- rather thamn multimorbidity

research and guidlines based on signle conditions in younger people (older people excluded from trials)

lack of guidance and evidance base relations to older people

more emphassi on multimorbidity managment needed

Question 9

Describe the outcomes of the kings fund 2014

Answer 9

Question 10

What will a comprehensiev geriatic assessment cover?

Answer 10

MDT- truly hollisitc assessment

Question 11

Describe the NHS long term plan (2018)

Answer 11

Prioritise prevention (smoking, alcohol, air pollution , inequalities, screening)

community based MDT teams

same day emergency care

Question 12

Describe ‘shape of training’ 2013 changes to work force planning

Answer 12

Need for generalisation and shift to community

recognised limitiations on speciality based system (for patients and doctor)

intenral medicine training 3 yrs now rather than 2 , before specialising

Question 13

desctribe how older people have been excluded from clinical reasearch

Answer 13

disproportionate concern over ‘risk’ so most trials carried out on younger adults often male with signle disease and minimal comorbdiity