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SUCCESSFUL AGING
dr. Kristina Visagurskiene
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Currently we need new approaches andsolutions to the demo ra hic shift towards
an older population. Ageing is a majorsocial, economic, political anddevelopment issue for the 21st century,as the current world population of thoseaged over 60yrs will increase from 900
million today to 2.4 billion by 2050.
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MAIN EUROPEAN DEMOGRAPHIC TRENDSAND DATA
Projections for EU's population (EU-25) trend 2005-2050
% changes 2005-2050 2005-2010 2010-2030 2030-2050
Children
(0-14)
-18.6% -3.1% -8.5% -8.2%
Young people
(15-24)
-24.3% -4.1% -12.0% -10.2%
Young adults(25-39)
-25.0% -3.9% -15.6 % -7.5%
Adults (40-54) -19.0% 4.1% -9.8% -13.8%
Older workers(55-64) 9.1% 9.5% 15.3% -13.6%
Elderlypeople (65-79)
44.5% 3.4% 37.3% 1.8%
Frail elderly(80+)
171.6% 16.5% 54.0% 50.8%
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Why does population grow?
The simple answer, "too many kids," isonly partially correct.
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This demographic grow and ageing is
the outcome of a number ofsimultaneous demographic trends:
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1. the average number of children perwoman, which stands at 1.5 children inthe EU whereas the o ulation
Demographic trends
replacement level is 2.1. The rateprojected by the EU for 2030 is 1.6
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2. the decline in fertility ("baby crash")which followed the baby boom is the
Demographic trends
cause of the large proportion of 45-65year-olds in Europe's population, andposes a number of problems in terms of
pension funding;
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Demographic trends
3. life expectancy (which rose by eight
years between 1960 and 2006) couldcontinue to increase by a further five
thus result in a larger proportion ofpeople surviving to the ages of 80 and 90
an age when their health situation canoften be delicate;
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Demographic trends
4. immigration(1.8 million immigrants intothe EU in 2004, 40 million in 2050
'offset the effects of low fertility andextended life expectancy.
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In order to be able to seriously considerworking longer, people must not be faced
w scr m na ory pre u ces, ey mushave been prepared to update and makethe most of the skills they have gained
with experience and have access to moreflexible retirement schemes,
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and they must not only be in good physicaland mental health but also have good
prospects of remaining so for a long timeto come.
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Ageing is a process which no individualcan esca e.
However, the impact of ageing can varydepending not only on genetic factors but
also reflecting a range of characteristics,such as profession, income, lifestyle orquality of life.
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http://europa.eu/ey2012/ey2012main.jsp?catId=1003&langId=lt&videosId=2577&vl=es&f
urtherVideos=yes
NEVER TOO OLD TO
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Increases in life expectancy at birthachieved over the previous century,combined with medical advances,
British Medical Journal
esca at ng ea t an soc a care costs,and higher expectations for older age, haveled to international interest
in how to promote a healthier old ageand
how to age successfully.
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Successful ageing. What it means?
what do you think?
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Biomedical theories
Biomedical theories define successful
ageing largely in terms of the optimisationof life expectancy while minimising
disability.
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Biomedical theories
They focus on: the
absence of chronicdisease and of risk
health; and high levels ofindependent physical
functioning, performance,mobility, and cognitivefunctioning.
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Psychosocial approachessocio-psychological models emphasise life
satisfaction, social participation andfunctioning, and psychological resources,includin ersonal rowth.
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Psychosocial approaches
Suggested psychological resources forsuccessful ageing include a positive
,
sense of control over life, autonomy andindependence, and effective coping and
adaptive strategies in the face of changingcircumstances.
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Psychosocial approachesFor example, when some activities are limited (say,
because of ill health) strategies need to be activated tofind new activities and to maximise ones reserves.
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Successful ageingis seen
as a dynamic process, as
the outcome of onesdevelopment over the life
,
to grow and learn by using
past experiences to cope
with present circumstanceswhile maintaining a realistic
sense of self.
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The most commonly mentioned definition
of successful ageing, in response to openended questioning, was having good
,
rarely mentioned in isolation, and mostpeople mentioned more than one
definition.
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Most common definitions of successful ageing givenby 854 people
aged 50 in Britain
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Typical comments were:
[Successful ageing is to] go out a lot andenjoy life, take it day by day, and enjoy
-
more important than anything else. Keepactive - while your legs are moving get outon them.
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Typical comments were:
[Its] good health. Well, if youre fit and ableto do more active ou contribute
to society and get actively involved.
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Typical comments were:
Its your outlook on life to start with. I thinkI have been an active person. Its your
.
keep fit? I dont think about getting old. Ijust dont feel old and act accordingly.
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Less commonly, successful ageing wasdefined in terms of social ca ital, as
retiring in a safe neighbourhood, and withgood community facilities.
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It is very important later in life to
realize their experience and skills.
One way might be a lifelong learning
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Lithuanian Third Age Universityof Sport and Wellness
Lithuanian Third Age University of Sportand Wellness (LTAUSW) was established
on October 25, 2013.
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The mission of Lithuanian Third AgeUniversity of Sport and Wellness is to
promote easier integration of elderlypeople into the social community,
,
meaningful lifestyle maintaining theirworking capacity, physical activity, and
raising their awareness of healthylifestyles and the cultural levels.
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University invites all 50-year-old and olderpersons to be students who want tocontribute to this remarkable idea and do it
LTAUSW
by acquiring new knowledge and skills inwellness and sport.
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There are 144 students. The studentswere offered 15 modules. In one year thestudents can choose three modules.
LTAUSW
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Average of age 63-65 yrs, the youngest 45 yrs, the oldest 83 yrs.
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Modules Numbers of
students
Indoor, Outdoor and Aquatic Recreational Activities 87
Applied Psychology 52
Foreign Language 43
Healthy Lifestyle: Secrets of Longevity 40
Modern Neurorehabilitation 39
Organization of Tourism and Leisure Services 30
Basics of Computer Literacy 28
Physiotherapy for Orthopaedic, Traumatological and Rheumatologic
Patients 25
Adapted Physical Activity 24
Basics of Nursing and Physical and Functional Rehabilitation of Elderly
Persons with Disabilities 12
Sports Games 11
Project Management 5
Regular Economy 4
Injury Prevention of Middle Aged and Elderly People 3
Sports and Health Sociology 0
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The modules are taught by 21 lecturersfrom Lithuanian Sports University and 4visiting lecturers on voluntary basis.
Students have lectures and practicesessions several times a month.
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They also have extra activities that can be
attended by all participants of the ThirdAge University:
and Nordic Walking (every Thursday).
These activities are assisted by LSU
students (9 volunteers at present).
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https://www.youtube.com/watch?v=Jn2Pweovzfg
At 86 she is amazing
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It allows people to realize their potentialfor wellbeing throughout their lives andto participate in society according to
Definition of active ageing
their needs, desires and capabilities,while providing them with adequate
protection, security and care when they
need assistance.
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Definition of active ageing
This definition includes the notion
part c pat on o o er peop e n soc ety.
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7 recommendations
for successfulaging
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1. Stay active Get involved with a social group so you
get out of the house at least two days aweek. It has completely changed life.
2 Know your
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2. Know your
pharmaceuticalsMake sure that all of the doctors, nurses,
pharmacists and others who care for yourloved one are all communicating with each
.
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3. List your daily needs Work with the health care team to evaluate the
needs of your loved ones daily living activities(everything from dressing and bathing totransportation and meal preparation). Determine
,
create a schedule of who can help them witheach one. Many times, an elderly patientsdecline is related less to the medical conditionsthemselves than to the basic daily activitiesneeded to maintain a persons functional status.
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4. Consider the risks Talk openly and honestly with your health care
provider about the true risks and benefits of allmedical interventions. Many times, treatmentsthat seem standard for most patients start tohave higher risks for elderly people that begin tooutweigh the benefits. This is the case forcholesterol therapy, strict control of diabetes andpreventative tests for colon or breast cancer.
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5. Keep moving Exercise, exercise, exercise!
A sedentary lifestyle in older age isparticularly dangerous as it puts you at
decline.
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6. Start the conversation Begin to talk about end of life issues
openly and honestly with your family andyour doctor.
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7. Stay social If youve determined your loved one
needs to go into a nursing home, makesure it offers plenty of social and cultural
.
activities are as least as important as themedical care they receive.
Main constituents of
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successful / unsuccessful ageing
Longer life
expectancy
Life satisfaction and
wellbeing (includes
Early death
Dissatisfaction withlife and depression
happiness andcontentment)
Good mental and
psychological health,cognitive function
en a ness
(Alzheimer's disease,dementia and
memory loss
symptoms, )
Main constituents of
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successful / unsuccessful ageing
Personal growth, learning
new things
Good physical health andfunctioning, independent
Indifference and isolation
Poor physical health andfunctioning, dependence
The lack of psychological
Psychologicalcharacteristics and
resources, includingperceived autonomy,control, independence,
adaptability, coping, selfesteem, positive outlook,
goals, sense of self
resources, poor adaptation,poor self-esteem, negativeoutlook )
Main constituents of
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successful / unsuccessful ageing
Social, community,
leisure activities,
integration andparticipation
Lack of social support,
poor social life Insularity and isolation
Social networks,support, participation,
activity
conditions
Main constituents of successful ageing
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Main constituents of successful ageing
Additional lay definitions
Accomplishments Enjoyment of diet
u y
Neighbourhood Physical appearance
Productivity and contribution to life
Sense of humour Sense of purpose
Spirituality
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http://europa.eu/ey2012/ey2012main.jsp?catId=1003&langId=lt&videosId=2589&vl=
STILL GOING STRONG
Do you want to know more?
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y
Read this article!