Y2 Ageing Well Flashcards
What percentage of the world’s population is expected to be over 60 years old by 2050?
22%
What percentage of older people will live in lower and middle income countries in 2050?
80%
What is the fastest growing age group in the world?
80+ years
What are the health implications of the ageing population?
> More geriatricians and health professionals involved in care of the elderly will be needed
Increased facilities for elderly health care will be required
Care of many long term health conditions is moving from secondary to primary care
Specific health promotion campaigns aimed at the elderly
What are the social implications of the ageing population?
> Increasingly dependent on families and/or carers who are also ageing
Demand for home carers and nursing homes places is likely to increase
Increased emphasis for providing social activities for the elderly
Role of the elderly as grandparents is likely to change as more are in employment for longer
Housing demands are likely to change as more elderly people live alone
Elderly may remain in employment for longer so increased unemployment in the young
What are the economic implications of the ageing population?
> Retirement/pension age is increasing
Finding employment may be harder for a younger person
Proportionally there will be fewer people paying into tax and pension funds, making it increasingly difficult to obtain an adequate return from pension funds
Those elderly who have not contributed to private pension may find that the state pension is inadequate, resulting in poverty
Increasing cost of “free personal care for the elderly” policy
What are the political implications of the ageing population?
> Current decision making and workforce planning must take account of the ageing population
The increasing elderly population will potentially have the power to influence political decision making in relation to their specific concerns
What is multimorbidity defined as?
The co-existence of two or more long term health conditions in an individual
What are the options for care?
> Living in own home with support from family
Living in own home with support from social services
Sheltered housing
Residential home
Nursing home care
What are anticipatory care plans (ACP)?
Advance and anticipatory care planning, as a philosophy, promotes discussion in which individuals, their care providers and often those close to them, make decisions with respect to their future health or personal and practical aspects of care
When should an ACP be done?
At any time in life that seems appropriate
Continuously
What are the legal parts of an ACP?
Welfare power of attorney
Financial power of attorney
Guardianship
What are the personal parts of an ACP?
> Statement of wishes regarding treatment/advance directive
Next of kin
Consent to pass on information to relevant others
Preferences and priorities regarding treatment
Who else to consult/inform
Preferred place of death
Religious and cultural beliefs re death
Current level of support e.g. family/carers
What are the medical parts of an ACP?
> Potential problems > Home care package > Wishes re DNA CPR > Scottish Palliative Care Guidelines > Communication which has occurred with other professionals > Details of "just-in-case" medicines > Electronic care summary > Assessment of capacity/competence > Current aids and appliances (helps assess current functional level)
