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WELCOME
To The
Magic Kingdom
Aging   substance abuse- mh - chronic pain
Aging   substance abuse- mh - chronic pain
Dedicated To
Dorothy Louise Schwartz
Widow x 2
Early Childhood Trauma
Family History MH. Suicide
Heavy Drinking Throughout
Life
Parkinsons

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Louise A. Stanger Ed.D, LCSW, CDWF, CIP
Substance Abuse- Mental Health-
Process Disorders and Medical
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Objectives
Demonstrate, Recognize, Define & Identify what we mean by
“AGING”
Identify special considerations for this population including :
Substance Abuse (Alcohol & Opioids) Mental Health (Depression
& Anxiety), Grief and Loss,( loss of a loved one or function) ,
Suicide
Other Physical Maladies -Chronic Pain-Knees, Hips, Shoulders ,
(Heart Diabetes, Hypertension, Cataracts, Glaucoma , Dementia,
Alzheimers
Problematic Gambling, Financial Issues
Objectives
Differentiate Specific Needs of An Aging Population
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Meet Dr. Louise Stanger
Clinician-Educator-Blogger - Thrive
Global, Huffington, Addiction Blog,
Counselor Magazine, The Sober
World etc
Interventionist
Author-Falling Up A Memoir of
Renewal -Amazon
The Definitive Guide to Addiction
Interventions-CIS (in press Rutledge)
Senior, Baby Boomer, Widow, Wife,
Mother. Grandmother, Soul Cycler,
Adventurer
Welcome
To Aging !
How Old Is Old ?
How Old Do You Feel?
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George Burns
“You Can’t Help
Getting Older ……
But you do not Have
to Get OLD!”
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This document discusses ethics in behavioral healthcare. It begins by defining ethics as beliefs about proper behavior and standards of conduct. It notes that ethics are not the same as laws or morality. Several ethical principles are described like autonomy, non-maleficence, beneficence, and justice. Ethical issues can occur at the individual, group, organizational and societal levels. Top concerns in behavioral healthcare ethics include patient brokering, improper billing, kickbacks, unqualified staff, and lack of standardization. The document outlines an 8-step model for ethical decision making and provides numerous resources on ethics codes and guidelines.

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Residents
will be 65 or
older
Ken Dychtwald PHD -
CEO The Age Wave-
Quest for longevity is not a new idea-Think
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Throughout 99% pf history growing old did not
occur-people died young. People living past 65
is still a novelty
Old is the new Young 65 was designated as
old in 1880 by Otto von Bismarck where
average life expectancy was 45
Today at 77 John Glenn went back in space.
Its Time To Retire Retirement
Fellow of World Economic Forum
American Society on Aging Award
American Demographics honored him as the
single most influential marketer to baby
boomers
Geriatric Care Services 916.31 Billion in 2017 &
by 2023 1,390.63 Billion
Zion Market Research 2018
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old?Generatively- Basic Trust
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Substance Use Facts
Older AdultsNumber of Older Americans with
SUD expected to go from 2.8
million in 2006 to 5.7 million
14,230 admissions age 65 or older
to SA Programs 9 29 admissions
per day for alcohol , 6 admissions
for heroin and other opiates
Drug Warning Network on an
average day 2011 2,056 drug
related ER visits of those 290
were for illegal drug use,
nonmedical use of
pharmaceuticals or alcohol
combined with other drugs
Total number of ER Visits was
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Folks age 65 represent
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and 30% of all medications
prescribed in the US
Dramatic Statistics
2.5 million older adults
experience AOD problem
6-11% of hospital admissions
result of AOD, 14% of ER
admissions and 205 of
psychiatric admits
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rate of alcoholism in US
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residents have alcohol related
problems
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women increasing faster then in
men
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as for heart attacks
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Why the Increase?
Loneliness- Isolation
Children Grow Up Leave
Home
Retirement
Death of Partner and Friends
Physical Health Fails
Financial Changes
Signs of Alcohol Abuse
Solitary or Secretive Drinking
Ritual of Drinking before, with , after
dinner
Loss of interest in hobbies
Immediate & Frequent use of
Tranquilizers
Slurred Speech, empty liquor
bottles, smell of alcohol on breath
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complaints Memory loss ,
Confusion
Hostility or Depression
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Adults
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Dad happy
Mom is old, what difference will it make
She/He will never change
Treatment Wont Work
Grandpa has nothing better to do, so
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Only young People Experience
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Chronic Pain
There are 133 million people in the US with
Chronic Pain
That is 1 in 5 adults globally
Physical pain increases when there is an
emotional factor -Anger-Anxiety-
Depression
65% of all Americans see care for
persistent pain at some point in their lives
Opioids are frequently prescribed and over
prescribed
75% of all Heroin Users Started With
Prescriptions Drugs (JAMA Psychiatry
2014 Theodore Cicero University of
Washington)
Aging   substance abuse- mh - chronic pain
Chronic Pain
Lasts for several weeks,
months and years and can
cause its own disease
Pain signals are sent to the
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With Chronic pain brain
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This document discusses mental health and mental illness. It begins by defining mental health and describing common and less common mental health problems. It then discusses the significance of mental health, noting that nearly half of people worldwide experience mental illness. The document outlines stigma associated with mental illness and describes experiences of stigma. It discusses etiology and contributing factors of mental illness, classification of mental disorders, signs and symptoms, prevention, and treatment including medication, psychotherapy, electroconvulsive therapy, hospitalization, and community support programs. It provides an overview of mental health services and programs in India.

Mental Health and Aging
20% of all people age 55 or
older experience some type
of mental health
Anxiety
Cognitive Impairment
Mood Disorders -Depression
-Bipolar
Depression in and of Itself is Not A Fact of Life for
Folks Over 65 CDC Behavioral Risk Questionnaire
Frequent Mental
Distress
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Life Satisfaction
Ability To Maintain Household
Physical Exercise
Lifetime Diagnosis of
Depression or Anxiety
Physical Health
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Suicide and Aging
Older adults have highest suicide rate
in Country. Plan more carefully and
use more deadly methods
Those over 85 highest attempt-75-84
second highest
Those who have just been released
from nursing homes
1 Suicide for every 4 attempts
compared to 1 Suicide for every 20
attempts other age groups
Depressed Mood, Health problems,
Isolation
Aging   substance abuse- mh - chronic pain
Gambling Addiction &
SeniorsGaming Centers as the new Senior
Center
Casinos supply scooters, wheelchairs
oxygen and wheel chairs.
Bathrooms have boxes to throw away
diabetic needles
Remember Birthdays- Celebrate the
Senior
Provide Entertainment, Connection and
Food
Distraction from what ails one
Allows for Excitement and a sense of
belonging
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Learn about Treatment Without Walls. We help individuals AND families navigate life’s challenges. We work in home – to provide support in the family’s environment. We create healthy long-term dynamics. We tailor programs that work toward results-oriented living. We are fully bespoke. We are there for you and your family, wherever and whenever. We collaborate with the best behavioral health specialists and centers across the globe.

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At the end of the presentation, you will be able to: Identify, Describe and Discuss, How Clients and Families Come to your Practice Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves Identify how Growing Up in An Alcoholic Family can effect one Review evidence based strategies Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic Identify and Describe Addiction per ASAM new definition Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story

trauma
Risks & Signs
Seniors have money to spend and
some burn through savings
Seniors cannot make up losses
Impaired cognition may make poor
decisions and reduced aversion to
risk
Medications dopamine antagonist s
for Parkinson or other movement
disorders may put one at higher risk
Early signs of Dementia or
Alzheimers
Depression- Shame _ Anxiety
Are Loved ones asking for loans
Are there more Dr. Visits or ER Visits
Hobbies or other recreational hobbies
Change in Hygiene
Less Food in their refrigerator
Past due Utilities
Poor Decision Making Skills
Aging   substance abuse- mh - chronic pain
Meet Sally

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Exploring how anxiety and trauma can find us at any age and how we can learn to thrive with them in our lives.

traumaanxiety
2 year old Falls Out of
Grandmother’s Golf Cart
Meet Nick
72 Years old High Powered
Executive
Car accident-Hurt Neck
Popping Pills
Speech Slurred , Memory
Poor
Stopped taking Grandchildren
out
Stayed in bed -Grumpy.
Meet Helen - 62 y.o
FemaleHip replacement
Knee replacement’
Shoulder
Constant pain-anxiety
Cancer survivor
Tried to commit suicide
Angry Husband & Family
Addicted
IN THE
BEGINNING
Not able to take breaths -
use of Heart Math
Self Esteem was missing
Smile was gone
Only memories of what
once was

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I Have Lost
Relationships
Money
Self Esteem
Ability to Walk
Smile
Strategies
15 day detox- Pain still 20% due to
Hyperalgesia
Education
Cognitive Behavioral Therapy
Mindfulness
Mediation
Yoga etc - Canoeing- walking
Peer Support
Meet Dr. R
The Sweetheart Scam
Lonely
Divorced
Recently Retired
Gambled
Checked out Dating Site
Possible Early Onset
Dementia
Had Money

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Meet Joel & Norman
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There Is Time For
There’s Time for Laughter
Theres Time for Tears
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For Creativity
For Love
For Forgiveness
For Moving On
For Starting Over
For Making Amends
For Coloring Outside The Lines
For Making A Difference
For Communicating With The Cosmos
For Spirituality
For Curiosity
For Imagination
For Bravery
For Falling Up !
Successful Aging
Accomplishments
Enjoyment of Diet
Financial Security
Neighborhood
Physical Appearance
Productivity
Successful Aging
Sense of Humor
Sense of Purpose
Spirituality or
Being Consistent With Your
Values
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Aging
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wellbeing
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Personal Growth Learning
New Things
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Functioning-Independent
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RETINAL ARTERY OCCLUSIONS CRAO BRAO CLRAO
RETINAL ARTERY OCCLUSIONS  CRAO   BRAO   CLRAORETINAL ARTERY OCCLUSIONS  CRAO   BRAO   CLRAO
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cherry red spotretinal edemabox carring
Theoretical Definitions of
Aging
Psychological Characteristics
and resources- Perceived
Autonomy, Control,
Independence, Adaptability,
Self-Esteem, Positive
Outlook, Goals, Sense of Self
Social, Community, Leisure
Activities, Integration &
Participation
Social Networks, Support,
Participation, Activity
Making LifeSpan Equal
HeathSpan- Ken Dychtwald
PHDLongevity-Ready Health Professionals
There are over 12o medical schools in US only 13 depts. of gerontology
-(5% of all doctors will not of taken an elective in geriatric medicine
Wellness Marketplace- People over 50 are 44% of adult population and
account for 52% of personal care sales, 55% of all PT sessions and 63%
of all Surguries
“The Wellness marketplace needs to be re conceptualized to be inclusive
and respectful to elders
Crowdsource Solutions- Alzheimers X Prize
Aging   substance abuse- mh - chronic pain
Resources
Ramirez , V ., Nov.9, 2017 .The Age Wave is
Transforming Longevity and It’s Just the beginning.
Singularity Hub
Age Wave From Baby Boom to Age
Wave.https://agewave.com
Lidz, T. (1968) The Person. Basic
https://www.amazon.com/Person-Development-
throughout-Cycle-1968/dp/B009QL6544

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The uroculturome indicates the profile of culturable microbes inhabiting the urinary tract, and it is often required to do a urine culture to find an effective antimicrobial to treat UTIs. This study targeted to understand the profile of culturable pathogens in the urine of apparently healthy (128) and humans with clinical UTIs (161). In urine samples from UTI cases, microbial counts were 1.2×104 ± 6.02×103 colony-forming units (cfu)/ mL, while in urine samples from apparently healthy humans, the average count was 3.33± 1.34×103 cfu/ mL. In eight samples (six from UTI cases and two from apparently healthy people) of urine, Candida (C. albicans 3, C. catenulata 1, C. krusei 1, C. tropicalis 1, C. parapsiplosis 1, C. gulliermondii 1) and Rhizopus species (1) were detected. Candida krusei was detected only in a single urine sample from a healthy person and C. albicans was detected both in urine of healthy and clinical UTI cases. Fungal strains were always detected with one or more types of bacteria. Gram-positive bacteria were more commonly (OR, 1.98; CI99, 1.01-3.87) detected in urine samples of apparently healthy humans, and Gram -ve bacteria (OR, 2.74; CI99, 1.44-5.23) in urines of UTI cases. From urine samples of 161 UTI cases, a total of 90 different types of microbes were detected and, 73 samples had only a single type of bacteria. In contrast, 49, 29, 3, 4, 1, and 2 samples had 2, 3, 4, 5, 6 and 7 types of bacteria, respectively. The most common bacteria detected in urine of UTI cases was Escherichia coli detected in 52 samples, in 20 cases as the single type of bacteria, other 34 types of bacteria were detected in pure form in 53 cases. From 128 urine samples of apparently healthy people, 88 types of microbes were detected either singly or in association with others, from 64 urine samples only a single type of bacteria was detected while 34, 13, 3, 11, 2 and 1 samples yielded 2, 3, 4, 5, 6 and seven types of microbes, respectively. In the urine of apparently healthy humans too, E. coli was the most common bacteria, detected in pure culture from 10 samples followed by Staphylococcus haemolyticus (9), S. intermedius (5), and S. aureus (5), and similar types of bacteria also dominated in cases of mixed occurrence, E. coli was detected in 26, S. aureus in 22 and S. haemolyticus in 19 urine samples, respectively. Gram +ve bacteria isolated from urine samples' irrespective of health status were more often (p, <0.01) resistant than Gram -ve bacteria to ajowan oil, holy basil oil, cinnamaldehyde, and cinnamon oil, but more susceptible to sandalwood oil (p, <0.01). However, for antibiotics, Gram +ve were more often susceptible than Gram -ve bacteria to cephalosporins, doxycycline, and nitrofurantoin. The study concludes that to understand the role of good and bad bacteria in the urinary tract microbiome more targeted studies are needed to discern the isolates at the pathotype level.

urobiomeuroculturomemdr
Resources
The CBHSQ Report :A Day in the Life Of Older Adults
Substance Use Facts . SAMHSA (May 11,2017)
Parker, P. (2009How Old Is Old Age. New York
Times
More Older Women are Drinking Hard.
https://www.cbsnews.com/news/more-older-women-
baby-boomers-binge-drinking/ March 29, 2017
Resources
The State of Mental Health and Aging in
americahttps://www.cdc.gov/aging/pdf/mental_health.pdf
Geriatric Care Services Market by Service Type (Home Care,
Adult Day Care, & Institutional Care ) : Global Industry
Perspective, Comprehensive, Analysis and Forecast 2017-2023.
Zion Market Research. May, 2018.
Gerontology Data by Degrees
https://datausa.io/profile/cip/3011/#institutions
Few Doctors Are Training To Care For US Elderly, July 3.2016.
NPR All Things Considered.
Resources
10 Facts About Mental Health and Aging
http://www.lifeseniorservices.org/seniorline/10_Facts_
About_Mental_Health_and_Aging.asp
15 Most Common Health Concerns For Seniors .
Everyday Health
Suicide Prevention Resource Center
https://www.sprc.org/populations/older-adults
Resources
Substance Use and SUD in LGBT
https://www.drugabuse.gov/related-topics/substance-
use-suds-in-lgbt-populations
STD’s Hit All Time High Says CDC.Oct, 3, 2017
STDS Never GET OLD
https://www.youtube.com/watch?v=wMFRM1bkEDg

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Ventilation Perfusion Ratio, Physiological dead space and physiological shunt
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In this insightful lecture, Dr. Faiza, an esteemed Assistant Professor of Physiology, delves into the essential concept of the ventilation-perfusion ratio (V˙/Q˙), which is fundamental to understanding pulmonary physiology. Dr. Faiza brings a wealth of knowledge and experience to the table, with qualifications including MBBS, FCPS in Physiology, and multiple postgraduate degrees in public health and healthcare education. The lecture begins by laying the groundwork with basic concepts, explaining the definitions of ventilation (V˙) and perfusion (Q˙), and highlighting the significance of the ventilation-perfusion ratio (V˙/Q˙). Dr. Faiza explains the normal value of this ratio and its critical role in ensuring efficient gas exchange in the lungs. Next, the discussion moves to the impact of different V˙/Q˙ ratios on alveolar gas concentrations. Participants will learn how a normal, zero, or infinite V˙/Q˙ ratio affects the partial pressures of oxygen and carbon dioxide in the alveoli. Dr. Faiza provides a detailed comparison of alveolar gas concentrations in these varying scenarios, offering a clear understanding of the physiological changes that occur. The lecture also covers the concepts of physiological shunt and dead space. Dr. Faiza defines physiological shunt and explains its causes and effects on gas exchange, distinguishing it from anatomical dead space. She also discusses physiological dead space in detail, including how it is calculated using the Bohr equation. The components and significance of the Bohr equation are thoroughly explained, and practical examples of its application are provided. Further, the lecture examines the variations in V˙/Q˙ ratios in different regions of the lung and under different conditions, such as lying versus supine and resting versus exercise. Dr. Faiza analyzes how these variations affect pulmonary function and discusses the abnormal V˙/Q˙ ratios seen in chronic obstructive lung disease (COPD) and their clinical implications. Finally, Dr. Faiza explores the clinical implications of abnormal V˙/Q˙ ratios. She identifies clinical conditions associated with these abnormalities, such as COPD and emphysema, and discusses the physiological and clinical consequences on respiratory function. The lecture emphasizes the importance of understanding these concepts for medical professionals and students, highlighting their relevance in diagnosing and managing respiratory conditions. This comprehensive lecture provides valuable insights for medical students, healthcare professionals, and anyone interested in respiratory physiology. Participants will gain a deep understanding of how ventilation and perfusion work together to optimize gas exchange in the lungs and how deviations from the norm can lead to significant clinical issues.

physiologyclinicalphysiologyhumanphysiology
Few Drs to Care for
Elderely
The US has 13o Geriatric
Fellowships, with 368
positions . In 2016 only 192
were filled
Average medical student
graduates with $183,000 in
debt
West Virginia has the third
largest aging community ,
right behind Maine and
Florida
Aging   substance abuse- mh - chronic pain
DegreesIn Gerontology
TOTAL DEGREES
AWARDED IN 2016
1,449
GROWING 10.4%
MEDIAN IN-STATE
PUBLIC TUITION
$7,248
GROWING 2.66%
MEDIAN OUT-OF-STATE
PRIVATE TUITION
$29,705
GROWING 0.78%
AVERAGE WAGE
$64,216
GROWING 7.29%
PEOPLE IN WORKFORCE
373,871
GROWING 8.19%
AVERAGE EMPLOYEE AGE
39.3
GROWING 0.72%

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Aging substance abuse- mh - chronic pain

  • 4. Dedicated To Dorothy Louise Schwartz Widow x 2 Early Childhood Trauma Family History MH. Suicide Heavy Drinking Throughout Life Parkinsons
  • 5. The Silver Tsunami Louise A. Stanger Ed.D, LCSW, CDWF, CIP
  • 6. Substance Abuse- Mental Health- Process Disorders and Medical Maladies
  • 7. Objectives Demonstrate, Recognize, Define & Identify what we mean by “AGING” Identify special considerations for this population including : Substance Abuse (Alcohol & Opioids) Mental Health (Depression & Anxiety), Grief and Loss,( loss of a loved one or function) , Suicide Other Physical Maladies -Chronic Pain-Knees, Hips, Shoulders , (Heart Diabetes, Hypertension, Cataracts, Glaucoma , Dementia, Alzheimers Problematic Gambling, Financial Issues
  • 8. Objectives Differentiate Specific Needs of An Aging Population and Behavioral Health Care Needs Identify & Describe Collaboration of Services necessary for Effective physical, mental health,& substance abuse treatment Charge the Professional to Innovate and Create New Service Delivery Systems
  • 9. Meet Dr. Louise Stanger Clinician-Educator-Blogger - Thrive Global, Huffington, Addiction Blog, Counselor Magazine, The Sober World etc Interventionist Author-Falling Up A Memoir of Renewal -Amazon The Definitive Guide to Addiction Interventions-CIS (in press Rutledge) Senior, Baby Boomer, Widow, Wife, Mother. Grandmother, Soul Cycler, Adventurer
  • 10. Welcome To Aging ! How Old Is Old ?
  • 11. How Old Do You Feel?
  • 15. George Burns “You Can’t Help Getting Older …… But you do not Have to Get OLD!”
  • 21. 1 in 5 U.S. Residents will be 65 or older
  • 22. Ken Dychtwald PHD - CEO The Age Wave- Quest for longevity is not a new idea-Think Ponce DeLeon Fountain of Youth Throughout 99% pf history growing old did not occur-people died young. People living past 65 is still a novelty Old is the new Young 65 was designated as old in 1880 by Otto von Bismarck where average life expectancy was 45 Today at 77 John Glenn went back in space. Its Time To Retire Retirement Fellow of World Economic Forum American Society on Aging Award American Demographics honored him as the single most influential marketer to baby boomers
  • 23. Geriatric Care Services 916.31 Billion in 2017 & by 2023 1,390.63 Billion Zion Market Research 2018
  • 25. Theodore Lidz -The Person “Aging Is the Process of Growing Old. You are no longer that well oiled machine rather you creak and groan a bit”
  • 26. Gerontology Senescence- Biological aging Psychology- What does it mean to get old?Generatively- Basic Trust Sociological - Networks to Engage with Spiritually or Consistent With Ones Values
  • 28. Substance Use Facts Older AdultsNumber of Older Americans with SUD expected to go from 2.8 million in 2006 to 5.7 million 14,230 admissions age 65 or older to SA Programs 9 29 admissions per day for alcohol , 6 admissions for heroin and other opiates Drug Warning Network on an average day 2011 2,056 drug related ER visits of those 290 were for illegal drug use, nonmedical use of pharmaceuticals or alcohol combined with other drugs Total number of ER Visits was 105,982 that involved illicit drug use
  • 29. Prescription Drugs Folks age 65 represent about 13 % of the population and 30% of all medications prescribed in the US
  • 30. Dramatic Statistics 2.5 million older adults experience AOD problem 6-11% of hospital admissions result of AOD, 14% of ER admissions and 205 of psychiatric admits WIDOWERS-over 75 -highest rate of alcoholism in US Nearly 50% of nursing home residents have alcohol related problems
  • 31. Dramatic Statistics Binge drinking among older women increasing faster then in men Older adults are hospitalized as often for alcohol related problems as for heart attacks 17 million prescriptions for tranquilizers are prescribed for older adults Benzodiazepines most commonly misuse and abused prescription drug
  • 33. Why the Increase? Loneliness- Isolation Children Grow Up Leave Home Retirement Death of Partner and Friends Physical Health Fails Financial Changes
  • 34. Signs of Alcohol Abuse Solitary or Secretive Drinking Ritual of Drinking before, with , after dinner Loss of interest in hobbies Immediate & Frequent use of Tranquilizers Slurred Speech, empty liquor bottles, smell of alcohol on breath Chronic unsupported health complaints Memory loss , Confusion Hostility or Depression
  • 35. Barriers to Addressing Substance Abuse in Older Adults Drinking is the only thing that makes Dad happy Mom is old, what difference will it make She/He will never change Treatment Wont Work Grandpa has nothing better to do, so what if he enjoys a few drinks Only young People Experience Addiction Shame & Stigma Misdiagnosis
  • 36. Senior Health Concerns Arthritis Heart Disease Cancer Respiratory Distress Alzheimers Osteoporosis Chronic Pain Medication Management STD’s
  • 37. Safe Sex Baby STDS Never GET OLD https://www.youtube.com/watch?v
  • 38. Chronic Pain There are 133 million people in the US with Chronic Pain That is 1 in 5 adults globally Physical pain increases when there is an emotional factor -Anger-Anxiety- Depression 65% of all Americans see care for persistent pain at some point in their lives Opioids are frequently prescribed and over prescribed 75% of all Heroin Users Started With Prescriptions Drugs (JAMA Psychiatry 2014 Theodore Cicero University of Washington)
  • 40. Chronic Pain Lasts for several weeks, months and years and can cause its own disease Pain signals are sent to the brain once the pain stops brain signals with acute pain stop With Chronic pain brain signals are sent to the brain and the signals do not stop
  • 44. More Health Concerns Diabetes Influenza & Pneumonia Falls Substance Abuse Obesity Oral Health Poverty Shingles
  • 45. Mental Health and Aging 20% of all people age 55 or older experience some type of mental health Anxiety Cognitive Impairment Mood Disorders -Depression -Bipolar
  • 46. Depression in and of Itself is Not A Fact of Life for Folks Over 65 CDC Behavioral Risk Questionnaire
  • 47. Frequent Mental Distress Social & Emotional Support Life Satisfaction Ability To Maintain Household Physical Exercise Lifetime Diagnosis of Depression or Anxiety Physical Health
  • 49. Suicide and Aging Older adults have highest suicide rate in Country. Plan more carefully and use more deadly methods Those over 85 highest attempt-75-84 second highest Those who have just been released from nursing homes 1 Suicide for every 4 attempts compared to 1 Suicide for every 20 attempts other age groups Depressed Mood, Health problems, Isolation
  • 51. Gambling Addiction & SeniorsGaming Centers as the new Senior Center Casinos supply scooters, wheelchairs oxygen and wheel chairs. Bathrooms have boxes to throw away diabetic needles Remember Birthdays- Celebrate the Senior Provide Entertainment, Connection and Food Distraction from what ails one Allows for Excitement and a sense of belonging
  • 53. Risks & Signs Seniors have money to spend and some burn through savings Seniors cannot make up losses Impaired cognition may make poor decisions and reduced aversion to risk Medications dopamine antagonist s for Parkinson or other movement disorders may put one at higher risk Early signs of Dementia or Alzheimers Depression- Shame _ Anxiety
  • 54. Are Loved ones asking for loans Are there more Dr. Visits or ER Visits Hobbies or other recreational hobbies Change in Hygiene Less Food in their refrigerator Past due Utilities Poor Decision Making Skills
  • 57. 2 year old Falls Out of Grandmother’s Golf Cart
  • 58. Meet Nick 72 Years old High Powered Executive Car accident-Hurt Neck Popping Pills Speech Slurred , Memory Poor Stopped taking Grandchildren out Stayed in bed -Grumpy.
  • 59. Meet Helen - 62 y.o FemaleHip replacement Knee replacement’ Shoulder Constant pain-anxiety Cancer survivor Tried to commit suicide Angry Husband & Family Addicted
  • 60. IN THE BEGINNING Not able to take breaths - use of Heart Math Self Esteem was missing Smile was gone Only memories of what once was
  • 61. I Have Lost Relationships Money Self Esteem Ability to Walk Smile
  • 62. Strategies 15 day detox- Pain still 20% due to Hyperalgesia Education Cognitive Behavioral Therapy Mindfulness Mediation Yoga etc - Canoeing- walking Peer Support
  • 64. The Sweetheart Scam Lonely Divorced Recently Retired Gambled Checked out Dating Site Possible Early Onset Dementia Had Money
  • 65. Meet Joel & Norman Alcohol- PTSD- Trauma
  • 67. Who would of ever thought Canoeing
  • 69. There Is Time For There’s Time for Laughter Theres Time for Tears Theres Time for Joy For Creativity For Love For Forgiveness For Moving On For Starting Over For Making Amends For Coloring Outside The Lines For Making A Difference For Communicating With The Cosmos For Spirituality For Curiosity For Imagination For Bravery For Falling Up !
  • 70. Successful Aging Accomplishments Enjoyment of Diet Financial Security Neighborhood Physical Appearance Productivity
  • 71. Successful Aging Sense of Humor Sense of Purpose Spirituality or Being Consistent With Your Values
  • 72. Theoretical Definitions of Aging Life Expectancy Life satisfaction and wellbeing Happiness & Contentment Personal Growth Learning New Things Physical Health and Functioning-Independent Functioning
  • 73. Theoretical Definitions of Aging Psychological Characteristics and resources- Perceived Autonomy, Control, Independence, Adaptability, Self-Esteem, Positive Outlook, Goals, Sense of Self Social, Community, Leisure Activities, Integration & Participation Social Networks, Support, Participation, Activity
  • 74. Making LifeSpan Equal HeathSpan- Ken Dychtwald PHDLongevity-Ready Health Professionals There are over 12o medical schools in US only 13 depts. of gerontology -(5% of all doctors will not of taken an elective in geriatric medicine Wellness Marketplace- People over 50 are 44% of adult population and account for 52% of personal care sales, 55% of all PT sessions and 63% of all Surguries “The Wellness marketplace needs to be re conceptualized to be inclusive and respectful to elders Crowdsource Solutions- Alzheimers X Prize
  • 76. Resources Ramirez , V ., Nov.9, 2017 .The Age Wave is Transforming Longevity and It’s Just the beginning. Singularity Hub Age Wave From Baby Boom to Age Wave.https://agewave.com Lidz, T. (1968) The Person. Basic https://www.amazon.com/Person-Development- throughout-Cycle-1968/dp/B009QL6544
  • 77. Resources The CBHSQ Report :A Day in the Life Of Older Adults Substance Use Facts . SAMHSA (May 11,2017) Parker, P. (2009How Old Is Old Age. New York Times More Older Women are Drinking Hard. https://www.cbsnews.com/news/more-older-women- baby-boomers-binge-drinking/ March 29, 2017
  • 78. Resources The State of Mental Health and Aging in americahttps://www.cdc.gov/aging/pdf/mental_health.pdf Geriatric Care Services Market by Service Type (Home Care, Adult Day Care, & Institutional Care ) : Global Industry Perspective, Comprehensive, Analysis and Forecast 2017-2023. Zion Market Research. May, 2018. Gerontology Data by Degrees https://datausa.io/profile/cip/3011/#institutions Few Doctors Are Training To Care For US Elderly, July 3.2016. NPR All Things Considered.
  • 79. Resources 10 Facts About Mental Health and Aging http://www.lifeseniorservices.org/seniorline/10_Facts_ About_Mental_Health_and_Aging.asp 15 Most Common Health Concerns For Seniors . Everyday Health Suicide Prevention Resource Center https://www.sprc.org/populations/older-adults
  • 80. Resources Substance Use and SUD in LGBT https://www.drugabuse.gov/related-topics/substance- use-suds-in-lgbt-populations STD’s Hit All Time High Says CDC.Oct, 3, 2017 STDS Never GET OLD https://www.youtube.com/watch?v=wMFRM1bkEDg
  • 81. Few Drs to Care for Elderely The US has 13o Geriatric Fellowships, with 368 positions . In 2016 only 192 were filled Average medical student graduates with $183,000 in debt West Virginia has the third largest aging community , right behind Maine and Florida
  • 83. DegreesIn Gerontology TOTAL DEGREES AWARDED IN 2016 1,449 GROWING 10.4% MEDIAN IN-STATE PUBLIC TUITION $7,248 GROWING 2.66% MEDIAN OUT-OF-STATE PRIVATE TUITION $29,705 GROWING 0.78% AVERAGE WAGE $64,216 GROWING 7.29% PEOPLE IN WORKFORCE 373,871 GROWING 8.19% AVERAGE EMPLOYEE AGE 39.3 GROWING 0.72%