Module 5 · Part 1 of 5
In this module we'll take a brief look at issues relating to ageing — an introduction to each topic, not a comprehensive examination. We hope it stimulates you to follow up in more detail in the Handbook, and other sources online (relevant government sites and professional support groups will generally be authoritative).
Over recent years there's been a significant shift from regarding ageing as people becoming "more and more useless," to recognising that older people can have a lot to offer, and can benefit from being very active in their lives. While this is an excellent shift, it needs to be tempered with the realities of people ageing physically, psychologically and socially — a balance between understanding gradual degeneration, and making the most of what for many is increased time and healthier living. This module seeks to address that balance.
One important thing about interacting with older friends is that they enjoy narrative — telling stories. A special aspect of this for us is learning to use their storytelling to explore their spirituality.
Those who do what is right will grow like a palm tree. They will grow strong like a cedar tree in Lebanon. Their roots will be firm in the house of the Lord. They will grow strong and healthy in the courtyards of our God. When they get old, they will still bear fruit. Like young trees they will stay fresh and strong.
— Psalm 92:12–14
It's important to remember that spiritual care is something we do all the time, not just in hospital or an aged care home. The principles of spirituality and effective communication are just as important, no matter where we have an opportunity to care.
Ageing is normal. The body's cells gradually become depleted as those that deteriorate aren't replaced. There are distinct physical changes as we get older, which on their own don't lead to ill health — the extent and effect vary greatly between individuals. An elderly person can expect some or all of the following:
At the same time, a normally ageing person does not necessarily:
Some memory loss is normal in ageing and doesn't indicate dementia. Different conditions cause dementia, the most common being Alzheimer's disease, which affects 5% of people at age 65, and 20% of people over 80. Ageing is a normal part of the life cycle, not a disease, and most aged people live full, independent lives — but many diseases and debilitating conditions occur more frequently in older people, and should be recognised and treated, not accepted as "just part of growing old."
Around 90% of Australians over 60 are free of any significant disability requiring help with personal care or getting about; about 60% are free of any disability which handicaps them or prevents them looking after themselves. Often, illnesses that aren't life-threatening cause the most handicap — conditions that reduce mobility are a major problem. Major causes of handicap in older people are:
Continue to the next part of Module 5.