{"title":"衰老和孤独。孤独地变老意味着什么?","authors":"Laura Gold","doi":"10.24894/bf.2011.04018","DOIUrl":null,"url":null,"abstract":"not all elderly people suffer from loneliness and some may recover from it. A 2009 publication [2] found that loneliness speeds the effects of aging and motor function decline in older adults. The study analysed the relationship between participation in social activities and motor function decline in 906 older adults without dementia, Parkinson’s disease or stroke, followed for about 5 years. The results showed that each point decrease in a person’s social activity score was associated with a 33% faster rate of motor function decline and a 65% higher risk of disability as well as a 40% increase risk of death. My collaborators and I, a multidisciplinary team including doctors, nurses, nursing assistants, social workers, physiotherapists, occupational therapists, a dietician and psychologists, have the privilege of developing caring relationships with these patients. Not only treating their medical problems but also helping them deal with other aspects of aging, such as loneliness and social isolation among others. We either provide regular care at home or in our day hospital where patients not only participate in therapeutic groups (mobility, memory, nutrition, management of substance dependency) but have the opportunity to develop relationships with their peers. Finally, we also enable them, if possible, to die at home if they so wish, providing them with comprehensive care until the end of their lives. It is a deep satisfaction for loved ones to have been able to respect their wishes in the best circumstances possible. Loneliness and social isolation are major determinants of global health status in any age group, particularly the older adult. Health care policies should integrate this concept into the traditional medical model of disease.","PeriodicalId":263926,"journal":{"name":"Bioethica Forum","volume":"12 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Aging and loneliness. What does it mean to grow old alone?\",\"authors\":\"Laura Gold\",\"doi\":\"10.24894/bf.2011.04018\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"not all elderly people suffer from loneliness and some may recover from it. A 2009 publication [2] found that loneliness speeds the effects of aging and motor function decline in older adults. The study analysed the relationship between participation in social activities and motor function decline in 906 older adults without dementia, Parkinson’s disease or stroke, followed for about 5 years. The results showed that each point decrease in a person’s social activity score was associated with a 33% faster rate of motor function decline and a 65% higher risk of disability as well as a 40% increase risk of death. My collaborators and I, a multidisciplinary team including doctors, nurses, nursing assistants, social workers, physiotherapists, occupational therapists, a dietician and psychologists, have the privilege of developing caring relationships with these patients. Not only treating their medical problems but also helping them deal with other aspects of aging, such as loneliness and social isolation among others. We either provide regular care at home or in our day hospital where patients not only participate in therapeutic groups (mobility, memory, nutrition, management of substance dependency) but have the opportunity to develop relationships with their peers. Finally, we also enable them, if possible, to die at home if they so wish, providing them with comprehensive care until the end of their lives. It is a deep satisfaction for loved ones to have been able to respect their wishes in the best circumstances possible. Loneliness and social isolation are major determinants of global health status in any age group, particularly the older adult. Health care policies should integrate this concept into the traditional medical model of disease.\",\"PeriodicalId\":263926,\"journal\":{\"name\":\"Bioethica Forum\",\"volume\":\"12 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1900-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bioethica Forum\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.24894/bf.2011.04018\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bioethica Forum","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24894/bf.2011.04018","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Aging and loneliness. What does it mean to grow old alone?
not all elderly people suffer from loneliness and some may recover from it. A 2009 publication [2] found that loneliness speeds the effects of aging and motor function decline in older adults. The study analysed the relationship between participation in social activities and motor function decline in 906 older adults without dementia, Parkinson’s disease or stroke, followed for about 5 years. The results showed that each point decrease in a person’s social activity score was associated with a 33% faster rate of motor function decline and a 65% higher risk of disability as well as a 40% increase risk of death. My collaborators and I, a multidisciplinary team including doctors, nurses, nursing assistants, social workers, physiotherapists, occupational therapists, a dietician and psychologists, have the privilege of developing caring relationships with these patients. Not only treating their medical problems but also helping them deal with other aspects of aging, such as loneliness and social isolation among others. We either provide regular care at home or in our day hospital where patients not only participate in therapeutic groups (mobility, memory, nutrition, management of substance dependency) but have the opportunity to develop relationships with their peers. Finally, we also enable them, if possible, to die at home if they so wish, providing them with comprehensive care until the end of their lives. It is a deep satisfaction for loved ones to have been able to respect their wishes in the best circumstances possible. Loneliness and social isolation are major determinants of global health status in any age group, particularly the older adult. Health care policies should integrate this concept into the traditional medical model of disease.