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HBS The Quality of Life with Advancing Age Discussion

 

the discussion was about Research on Physical Health, Aging and Sociology . The question was  summarize the key concepts and findings gained from the study you selected.  (Bonus if you identify the theory informing the research and the type of research design they used!)  Be sure to discuss how the findings might be used to improve the lives of older adults (e.g. programs, policies, practices, etc.); be specific.My post:   Physical Illness Lead to increased Suicidal Cases among the Elderly In the developed economies, suicidal cases among the elderly is most prevalent. Suicide is considered an immoral behaviour and is unacceptable among many societies. Despite mental illnesses and changes is social environment, a study by Conejero et al. (2018) reveal that physical illness is a factor contributing to the increase of suicide rates among the aged. Elderly men have four times suicidal rate than women. The main focus of the study was to evaluate the specific factors that led to increased suicidal rate among the aged. Euthanasia and physically assisted death was also investigated.  Conejero et al. (2018) conducted a literature review on articles focusing on suicidal cases among the elderly. They used the PubMed database to identify credible articles and cases. They did not focus a systematic review, rather, they aimed at displaying the most recent image of suicide among the aged. The results of the study revealed that physical illness and pain, psychological torture and social factors were leading factors of suicide among the elderly. To resolve these cases, the authors emphasize on integration of stress factors such as decision making, social disconnectedness, chronic illness and pain in suicide prevention initiatives. In addition, chronic care should be adapted among those suffering from chronic diseases to elevate treatment of depressive conditions. References Conejero, I., Olié, E., Courtet, P., & Calati, R. (2018). Suicide in older adults: current perspectives. Clinical interventions in aging, 13, 691. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC59162… My two classmates post that you need to reply to them 1- Ailin Vela: The article I chose explores the correlation between Cardiovascular disease (CVD) and frailty in older adults. It explains frailty as “a state of vulnerability due to an age-related decline in many physiological systems.” ( Kleipool, E. E. ., Hoogendijk, E. O., Trappenburg, M. C., Handoko, M. L., Huisman, M., Peters, M. J. ., & Muller, M., 2018, p.490). Frailty can lead to falling, disabilities, and hospitalization. The longitudinal study conducted focused on whether CVD led to frailty or frailty led to CVD. Data was collected from 1432 older adults aged 65 and older who were followed for 17 years. The nature of their health was determined through reports, medication use, and medical records. CVD diseases that were assessed throughout the study were angina pecortis, myocardial infarction, heart failure (HF), stroke, and peripheral artery disease. Frailty in older adults was determined by utilizing Fried’s frailty criteria. Fried’s frailty criteria characterizes frailty with five variables: weakness, slowness, exhaustion, low physical activity, and unintentional weight loss. (Alves, Teixeira, Ribeiro, Paúl, 2020). The study concluded that older adults with history of heart failure had an increased risk of frailty, but frail adults were not at risk for CVD. With this conclusion it can be determined that cardiac rehabilitation programs for older adults with CDV are highly significant to prevent frailty. Preventing frailty can improve the quality of life for older adults and improve life expectancy. Cardiac rehabilitation can help prevent heart failure and help create healthy heart habits for individuals. Rehabilitation programs can consist of physical training, nutritional education, and emotional support. Emphasizing the importance in rehabilitation programs for older adults with CVD can not only help reduce frailty but programs can an also help reduce deaths from heart diseases.Write reply… 

2- Michelle Monette: In the article, “BMI and Health-Related Quality of Life in Adults 65 Years and Older,” a study was conducted in order to determine health-related quality of life based on the body mass index (BMI) of older individuals aged 65 and older. More specifically, this study focused on examining health perception, bodily pain, physical role limitations, energy/fatigue, physical functioning, and social functioning in four groups including underweight, normal weight, overweight, and obese older adults. The sample included 3981 males and 3099 female respondents with a 60 percent respond rate. The research method included mailing out a health status of the aged questionnaire to all surviving participants, which asked them to classify their approximate weight range rather than their exact weight. Once adjusting age, race, alcohol intake, education, and smoking, the results were recorded. The findings of this study demonstrated that obesity was associated with lower health perception and poorer physical and social functioning in both men and women. Only overweight women were shown to have impaired physical well-being and both underweight men and women reported physical and social impairment. When comparing results of older adults with normal weight, overall findings demonstrated that both underweight and obese older adults had impaired quality of life, more specifically worse physical well-being and physical functioning. All of these associations were independent of age, race, alcohol intake, education, and smoking. Ultimately, the findings of this study stress the importance of normal body weight for older adults aged 65 and older (Yan et al., 2004). When considering the findings of this study, it is apparent that underweight, overweight, and obese older adults struggle with physical impairment. Programs that might be used to improve the lives of older adults are those that help older adults perform physical activity by exercising daily. For instance, a program that includes strength training and flexibility in older adults would help maintain morbidity (quality of life) and mortality (death rates). Programs can teach aerobic, muscle-strengthening, bone strengthening, and stretching to help fight obesity. Programs could also help with dieting, as it is shown that treating food as fuel helps prevent obesity. More specifically, eating fewer calories, reducing sugar intake, consuming nutrient-rich foods, and increasing water intake can help fight obesity in older adults. With that being said, programs must assist with these particular eating patterns in order to help improve older adults’ lives. Incorporating these in older adults’ daily routines can help improve their ability to perform activities of daily living (ADLs), or instrumental activities of living (IADLs). If programs help assist the elderly with healthy eating habits and physical exercise, not only will it help with obesity, but it will also help with preventing heart disease, along with other chronic health problems.Write reply….. 

For your TWO replies (click the reply button underneath a peer’s contribution), compare and contrast your research with the research your peer posted.  How are they similar?  Different?  How might the knowledge gained for your study and the author’s study be used together, if at all?  Discuss your peer’s suggestions for how the research might be used to improve the lives of older adults–are there other implications? 

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