ROTARY’S PROGRAM ABOUT AGEING
by Al Blake
As seniors are fully aware, ageing is challenging and a fact of life. To help understand these challenges, Les Holve and Barbara Spangler prepared a program on ageing for their fellow members of the Valley of the Moon Rotary Club. Les, a retired doctor, began by saying that the key to successful ageing is handling of health issues, enjoying life, being cheerful, realistic, open to new ideas, and maintaining utility with a sense of humor and, accepting what has been.
There are certain aspects of life over which we have no control, such as our genetic inheritance and predispositions. Family history is key in determining our physical and cognitive makeup. Longevity runs in families, as do such things as our physical characteristics, obesity, diabetes, glucose levels, high blood pressure and so on. Additionally, we do not have control over our early environment, such as the size of our family, its wealth or lack of it, or our early education.
By age five or six we begin to be aware of good environmental practices – cleanliness, balanced diet, vigorous play (exercise), enough sleep – but we still must rely on our parents’ guidance. By adolescence we learn to depend more on ourselves to know right from wrong and to interrelate with our peers and parents; we are responsible for our own behavior.
As adults we learn to manage our lives separate from our parents. We are responsible for determining our ethical, spiritual, and physical and mental practices and how these interact with our genetic factors. During our lifetime there will be new ways to live, new health management choices,. but also there will be physical and emotional setbacks that we must cope with.
There are physical changes that occur in the body as we age. These include decreased body water, decreased weight and muscle mass, increased fatty tissue, decreased tolerance to medications, and reduced organ functions. In today’s pharmaceutical practices, the proliferation of prescription drugs is an increasing problem which is further complicated by the use of over the counter drugs and herbal remedies. Of persons 65 or older, 83% take at least one drug daily and 30% take eight daily.
There are many life changes that lead to substance misuse, such as loss of friends and family, bereavement, loneliness, adjustment to retirement, conflicts/estrangement, depression, and peer pressure. Also life changes can be caused by medical problems: physical distress, chronic pain, insomnia, hearing and/or vision loss, anxiety, cognitive impairment, multiple doctors. There are many causes for substance misuse: unawareness, proliferation of drugs (the multiplicity of products resulting in adverse reactions), forgetfulness, guilt, marginalizing the elderly, pressure to follow the doctors’ orders, history of taking illegal drugs.
Summarizing, successful ageing is the culmination of the juxtaposition of our lifetime choices and our genetic makeup; it is the interplay between nature and nurture. We must be active and socially involved and actively involved with our doctors to limit our prescriptions only to what is necessary in minimum doses and only for as long as needed. We should eat a nutritionally sound and balanced diet according to our ages, and we should exercise regularly to maintain body mass and strength in addition to cardio/vascular well being.
Les and Barb are available to groups that would like to hear the full lecture, including visual aids. To arrange for this, call Les Holve at 539-6840. .
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