BLOG #3 Physical Activity

Ever since I was a child, I always enjoyed being active in sports, games, and other kinds of physical activity. I consider myself an advocate for preventative health and taking care of yourself through physical activity. It is extremely important to not only stay active when you are young, but also when your are older. Physical activity or exercising has many benefits. It can help prevent and treat heart disease, hypertension, type II diabetes, obesity, respiratory diseases, osteoporosis, arthritis, low back pain, cancer, and depression. As you can see, it can greatly benefit elders. Isn't that amazing?

There are so many advantages to physical activity for elders. When I reach my goal in becoming a physician, I look forward to educating my elderly patients and others of the great importance of exercising and staying active to improve their health. It can be something so simple as walking with a friend for 30 minutes a day to joining a gym and working on strength training. I understand it can be difficult for elderly people to start exercising or maintain physical activity, but I feel there are many resources to achieve that goal. Having a support system, workout buddy, or just following a workout routine on TV can greatly help elders stay active. Physicians can actually write out an exercise prescription for their elderly patients which can greatly help motivate and guide them towards a workout routine.

I felt sad to learn that the activity level is especially low in elders and they were actually poorly educated about the importance of health and exercise. However, there is hope for the elderly because beliefs about exercise have changed. Instead of telling them that they need to slow down, they are now encouraged from health care professionals to increase their physical activity. I am happy that my mother stays active so that when she is older, she will keep active as to help her stay healthier and happier. I hope we all can help educate and encourage elders to stay active and provide a specific exercise routine (after consulting their physician), so they have a goal that they can achieve.

Elder Drivers

Have you ever encountered an unsafe driver on the road and realized it was an elderly person? I cannot help but feel a mixture of frustration and sadness when witnessing them drive in a terrible manner. It is understandable to be frustrated and worrisome of unsafe drivers on the road when one is trying their best to be safe. Where I grew up, in St. Pete Beach, it was quite common to encounter many of these unsafe, elderly drivers on a daily basis. Many elderly people move there when they retire. The majority of these elderly drivers proceeded to almost cause accidents even while driving under the speed limit. It is scary to think that the leading cause of accidental death of elders, whose ages range from 65 to 74, are from motor vehicles.

Something should be done. Florida definitely needs to adopt mandatory testing of drivers 65 and older. In my initial blog, I talked about my family's friend, Tom, who is over 80 years old. His daughters have begged him not to drive anymore, but he refuses to listen because he likes his independence. It took him about 6 tries to pass a driver's test after recovering from a stroke. I am sure he does not realize that motor vehicles are the second leading cause of accidental death for those over 75 years!

After witnessing and encountering unsafe elderly drivers, I realize how important and dangerous this issue is. It is not only dangerous to innocent safe drivers on the road, but dangerous to the unsafe, elderly drivers. After reading certain chapters in Health in the Later Years, 4^th Edition (Ferrini, A. & Ferrini R. 2008), I understand that as we all get older, we tend to develop problems with hearing, sight, and motor skills. This should be even more of a reason to implement some sort of test to determine if those 65 and older are capable of driving safely for the sake of themselves and others. I understand that there are many elderly people who still want their freedom of driving, but feel that if they are not able to be safe enough drivers then they should not be driving at all.

Aging Stereotypes

According to Wikipedia, the word "stereotype" is defined as "a type of logical oversimplification in which all the members of a class or set are considered to be definable by an easily distinguishable set of characteristics". Stereotypes regarding older people are prevalent in our society. I have heard of many common stereotypes which range from elderly people being bad drivers, wise, hoarders, or forgetful. Unfortunately, stereotypes usually carry a negative undertone and do not necessarily hold a true meaning.

One of the very first elderly people I have ever gotten to know well is my grandma, “Oma”. She grew up in Germany and had an extremely harsh childhood. She ran away from home because of an abusive step-mother, endured poverty and World War II. If I was a stranger looking from an outside perspective, my grandma would be perceived as not friendly, not very active, and set in her ways. Not all of those things are true. After visiting her a lot in Canada, I have learned that she is very friendly and has a great sense of humor. She loves to garden and crochet with her friends to stay active. When I would visit her, the basement would always be filled with unnecessary things that she would hoard. Looking back, I realized that because of her living in poverty and enduring WWII that the only way she knew how to survive was to hoard food and other items. It is so wonderful that she accepts help from my mother to clear out her clutter. Despite all of my mother’s help, my grandma still cannot resist a great bargain at the local thrift store!

As I was volunteering at Florida Hospital East as a Patient Companion I learned that every elderly person is different. I realized that just because they are elderly does not mean they are unfriendly and lonely. Many of the patients that I cared for were extremely talkative, wise, and had many friends. Some came from wealthy families and some were very poor. After spending individual time with many elderly patients, I learned that they were open to new ideas of treatment and were mentally sharp. However, it was sad to see the ones suffering from Alzheimer’s disease.

Many of us have probably experienced that terrible driver who seemed to forget there were other people on the road and proceeded to cut us off at 30 miles an hour on a busy road. As they pass us, we realize they look like they are 95 years old. This is something I have experienced many times. A common stereotype that people have is that elderly people are bad drivers. My family’s friend, Tom is 85 years old and still drives. His daughter believes he should not be driving anymore because his driving skills are getting worse. From his perspective, he still thinks he is a great driver even though it takes him over 6 times to pass his driver’s test!

Tom also matches the stereotype that old people do not bathe. First, I did not understand, but after spending time with him and his family they explained that he thinks that if he shaves his face, that he is clean. Someone who is not aware of this explanation might think Tom is crazy or weird, but I learned that just like anyone else in this world, some elderly people have their ways of rationalizing things. To counteract this stereotype, another family friend, Dorothy, who is 85 years old is a great driver and bathes on a daily basis. So, it really depends on the person!

I was guilty of believing in some of these stereotypes, but after volunteering in a hospital, shadowing doctors, and spending time with elderly friends and family I learned to erase these stereotypes and be more understanding of elderly people. Even though some of these stereotypes may be true, they are not true for every elderly person. Whether our society thinks elderly people are hoarders, mentally slow, unfriendly, or smelly, it is important to be open-minded and kind to them.