aging

CNN.com put out an article today on older adults and the dangers of polypharmacy (see "Is Grandma Drugged Up?"). It includes several links to websites where you can find lists of medications that often cause problems for older adults, check drug interactions, and find professionals who review medications. While these resources can help older adults and their caregivers become more informed, obviously, no changes in medication should be made without consulting a physician.

Today marks the beginning of Older Americans' Mental Health Week. The purpose of this week is to spread the message that mental illness (e.g., depression, anxiety) is not a normal part of aging.

I saw "Young @ Heart" recently, which is a documentary film that follows a choir of seniors who sing rock and punk music. What I liked most about the film was that it illustrated how one can still find meaning and joy in life in the face of physical decline and death. I also liked how the main "characters" defied almost every negative stereotype of aging.

One of my clinical rotations at the CU Aging Center this year was in the Memory Clinic. The Memory Clinic provides brief cognitive screening for individuals who may be experiencing problems with their memory. This type of testing is less extensive than a standard neuropsychological assessment and can determine whether an individual's cognitive abilities are within a "normal" range for their age, if clear cognitive impairment is present, or if further testing is indicated.

As it turns out, most of the clients who I've assessed this year have had emotional problems that were contributing to their memory difficulties, rather than dementia. This is good news in the sense that depression, anxiety, and sleep problems are potentially treatable. Other individuals were having no memory problems, but wanted a baseline measure of their functioning in case they experience a decline in the future (a current fear of thousands of baby-boomers).

If you are in the vicinity of Colorado Springs and are interested in a memory assessment, you can contact the CU Aging Center at 719-471-4884 to schedule an appointment.

The current issue of the monthly APA Monitor features geropsychology as one example of an area where psychologists are currently in demand. The main article describes an overview of what geropsychologists do and provides a few helpful links for finding out more about psychology and aging.

Also featured in this issue is Merla Arnold, Ph.D., who describes her work in assisted living settings.

It took me a while to realize it, but I believe one of the reasons for why I enjoy working with older adults is that I've grown up knowing my older relatives. I've been lucky enough to know three great-grandparents, four grandparents, and many great aunts and uncles in my lifetime. In a society that largely views aging with fear, disgust, or indifference, I've had the privilege of watching my older relatives age successfully.

My grandmother was one of those elders who inspired me to pursue my work with older adults. She passed away five years ago after a long struggle with cancer, but I still think of her often. Today would have been her 83rd birthday. A few things that I admire about my Grandma Hansen...

- her lifelong commitment to development and learning: in her youth, women either married and raised a family or chose a career, she chose marriage and returned to school after her children were grown

- her appreciation for the "little" things: a bird in the window, spring flowers in the woods near my parents' home

- her creativity: she was an accomplished rosemaler, sewer, and quilter

- her ability to express her pride in me: she was very supportive of my swimming career and working toward a master's degree in counseling

She provided me with a wonderful example of how to age well and I hope someday to be half as successful as she was.

The UCCS Gerontology Center sponsors a seminar series for students, faculty, and community members. Today, David McCabe, Ph.D. of Colorado State University presented the results of a study on memory and executive functioning across the lifespan.

Dr. McCabe used the analogy, "age is to memory as time is to rust." Basically, age does not cause memory loss, rather memory loss is caused by some underlying variable (associated with age). A few hypotheses for why episodic memory (memory for events) decines with age include reduced working memory capacity, processing speed, executive function, and general fluid intelligence.

The findings of Dr. McCabe's study suggest that tests of executive function and working memory capacity measure a common construct, which he calls "Executive Attention." Executive attention was found to be more closely related to episodic memory than processing speed or general fluid intelligence, implying that problems with episodic memory are due to executive dysfunction in older adults.

The scientific study of "successful aging" is still relatively new and the precise ways in which individuals manage to thrive as older adults is not very well understood. Recently, the results from the first study on aging visual artists in New York City were released by the Research Center for Arts and Culture at Teachers College, Columbia University.

The aim of the project was to document the survival skills and social support of aging artists in New York City's five boroughs. The study found that the artists in this sample rank high in life satisfaction, have high self-esteem as a person and an artist, communicate daily or weekly with other artists, and are very satisfied with their careers. The authors of the report made several recommendations for both redefining "work" and "old age" and policy changes that would improve the lives of this hardy group of seniors.