Thursday, October 2, 2014

How the elderly are treated around the world


In countries like Korea and China, you can expect to be taken care of by your family. In America and England, not so much
By Karina Martinez-Carter | July 23, 2013



A new "Elderly Rights Law" passed in China wags a finger at adult children, warning them to "never neglect or snub elderly people" and mandates that they visit their elderly parents often, regardless of how far away they live. The law includes enforcement mechanisms, too: Offspring who fail to make such trips to mom and dad face potential punishment ranging from fines to jail time.


If the Elderly Rights Law is any indication, Chinese parent-child relationships have become a bit complicated lately. Eastern cultures like China's adhere to the Confucian tradition of "filial piety," which prioritizes the family unit and values elders with the utmost respect. But China's rapid industrialization has forced people to flock to urban areas for work, causing many adult children to move farther away from their parents, who often remain in rural areas and are unfit to pick up and move.


How cultures view and treat their elderly is closely linked to their most prized values and traits. Here, a sampling of the experience of aging in different cultures around the world:


Korea: Celebrating old ageNot only do Koreans respect the elderly, but they also celebrate them. For Koreans, the 60th and 70th birthdays are prominent life events, which are commemorated with large-scale family parties and feasts. As in Chinese culture, the universal expectation in Korea is that roles reverse once parents age, and that it is an adult child's duty — and an honorable one at that — to care for his or her parents.


Japan: An elderly predicamentLike the Chinese and the Koreans, the Japanese prize filial piety and expect children to dutifully tend to their parents. But Japan also faces the unique problem of tending to an increasingly elderly population. According to Social Gerontology: A Multidisciplinary Perspective, 7.2 percent of the Japanese population will be 80 or older in 2020 (compared to 4.1 percent in the U.S.), which will likely lead to a host of new problems for the country. Adult diapers are already outselling baby diapers, and the pension system is on course to dry up.


The U.S. and U.K.: Protestantism at playWestern cultures tend to be youth-centric, emphasizing attributes like individualism and independence. This relates back to the Protestant work ethic, which ties an individual's value to his or her ability to work — something that diminishes in old age. Anthropologist Jared Diamond, who has studied the treatment of the elderly across cultures, has said the geriatric in countries like the U.K. and U.S. live "lonely lives separated from their children and lifelong friends." As their health deteriorates, the elderly in these cultures often move to retirement communities, assisted living facilities, and nursing homes.


France: Parents also protected by lawIt's difficult to imagine such an Elderly Rights Law being a legislative priority in many Western cultures. France did, however, pass a similar decree in 2004 (Article 207 of the Civil Code) requiring its citizens to keep in touch with their geriatric parents. It was only enacted following two disturbing events, though: One was the publication of statistics revealing France had the highest rate of pensioner suicides in Europe, and the other was the aftermath of a heat wave that killed 15,000 people — most of them elderly, and many of whom had been dead for weeks before they were found.


The Mediterranean and Latin culture: One big, happy familyMediterranean and Latin cultures place similar priority on the family. In both cultures, it's commonplace for multiple generations to live under one roof, (à la My Big Fat Greek Wedding) sharing a home and all the duties that come with maintaining one. In the contemporary iteration of this living arrangement, the oldest generation often is relied on to assist with caring for the youngest, while the breadwinners labor outside the home. As such, the aged remain thoroughly integrated well into their last days.


Tell GAA your own experiences about this topic.




















Physical, social, and emotional engagement can help sustain independence in the golden years…




Journal supplement examines innovative strategies for healthy aging
(Eurekalert [American Association for the Advancement of Science], October 1, 2014).http://www.eurekalert.org/pub_releases/2014-10/sp-jse092914.php

Dear reader, these articles describe promising advances in research directed at the health and well-being of community-dwelling older adults. The articles address strategies for promoting mobility and physical activity, highlights of a workforce certificate program, community-based efforts and models, uses of technology, and analyses to better understand health disparities in minority populations.
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From the Journal of General Internal Medicine




Shared Decision Making: A Model for Clinical Practice

 

They propose that achieving SDM depends on tasks that help confer agency, where agency refers to the capacity of

individuals to act independently and to make their own free choices.27,28 SDM aims to confer agency by 1) providing information and 2) supporting the decision making process…

They describe three key steps of SDM for clinical practice, namely: choice talk, option talk and decision talk, where the

clinician supports deliberation throughout the process (Fig. 1 and Boxes 1, 2 and 3). Choice talk refers to the step of making sure that patients know that reasonable options are available.

 

 

Glyn Elwyn, PhD1,2, Dominick Frosch, PhD3,4, Richard Thomson, MD5,

Natalie Joseph-Williams, MSc1, Amy Lloyd, PhD1, Paul Kinnersley, MD1, Emma Cording, MB BCh1,Dave Tomson, BM BCh6, Carole Dodd, MSc7, Stephen Rollnick, PhD1, Adrian Edwards, PhD1, and Michael Barry, MD8,9

1Cochrane Institute of Primary Care and Public Health, Neuadd Meirionydd, Cardiff University, Cardiff, UK; 2The Dartmouth Center for Health

Care Delivery Science, Dartmouth College, New Hampshire, NH, USA; 3Department of Health Services Research, Palo Alto Medical

Foundation Research Institute, Palo Alto, CA, USA; 4Department of Medicine, University of California, Los Angeles, Los Angeles, CA, USA;

5Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK; 6Collingwood Health Group, New York Surgery, North Shields,

UK; 7Clinical Governance & Risk department, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK; 8General

Medicine Division, Massachusetts General Hospital, Boston, MA, USA; 9Informed Medical Decisions Foundation, Boston, MA, USA.

 

 Received August 22, 2011

Revised January 3, 2012

Accepted April 3, 2012

Published online May 23, 2012

JGIM

1361

Popular Content within this publication 


Shared Decision Making: A Model for Clinical PracticeElwyn, Glyn; Frosch, Dominick; Thomson, Richard; Joseph-Williams, Natalie; Lloyd, Amy; Kinnersley, Paul; Cording, Emma; Tomson, Dave; Dodd, Carole; Rollnick, Stephen; Edwards, Adrian; Barry, Michael