GERONTOLOGY
GERONTOLOGY
CENTENARIAN - 100 years old (662 Filipinos DSWD) 18TH CENTURY ENLIGHTENMENT:
- By mid 21st century, old people will be out - The Enlightenment era brought about a shift
numbered young for the first time in history towards valuing reason and rationality.
- IMMANUEL KANT – emphasized importance
of personal growth and self-improvement
OVERVIEW OF AGING throughout life.
- Aging was sometimes viewed as a decline in
ANCIENT PERSPECTIVES ON AGING physical abilities, but older adults were still
valued for their intellectual contribution.
- EARLY VIEWS – Aging seen as a natural,
inevitable process 19THCENTURY BIRTH OF MODERN GERONTOLOGY
- PHILOSOPHERS – Socrates and Plato
- EARLY PIONEERS: Elie Metchnikoff coined
discussed aging, Plato viewed it as a time of
the term “gerontology” in 1903.
spiritual and intellectual fulfillment.
- FOCUS: Shift towards studying aging
scientifically and improving health care for
the elderly.
19TH CENTURY AND INDUSTRIALIZATION DEMOGARPHICS AND AGING
- The rise of industrialization and urbanization - In Philippines 2000, there were 4.6 million
led to changes in family structures. Older senior citizens (60 years or older),
adults were often separated from their representing about 6% of the total
families as younger generations moved to population.
urban areas for work. - In two decades, this has grown to 9.4 million
- Improved living conditions and medical older people or about 8.6% of the total
advancements during this time led to an population.
increase in life expectancy. - The World Population Prospects 2019
projects that by 2050, older people will make
20th CENTURY : ESTABLISHMENT OF GERONTOLOGY
up around 2 billion of the total population.
AS A FIELD
- The global population is aging due to
- Organizations: Establishment of the increased life expectancy and declining birth
Gerontological Society of America (1945). rates.
- Key Studies: Baltimore Longitudinal Study of
Aging (1958) – one of the longest running SIGNIFICANT PERSONS:
studies on human aging.
LATE 20TH CENTURY AND AGEISM: - ROBERT BUTLER (1927 – 2010) Coining the
term “Gerontology” and for emphasizing the
- In the latter half of the 20 th century, the
importance of interdisciplinary collaboration
concept of ageism gained recognition.
in understanding aging.
Ageism refers to the discrimination or
prejudice against individuals based on their
- IGNATZ NASCHER – “Father of Geriatrics”
age.
for his pioneering work in developing the
- Activists and researchers began to address
field of geriatrics.
ageism’s negative impact on older adults and
advocated for more inclusive attitudes and
- ALEX COMFORT (1920-2000) – An English
policies.
physician and author, is best known for his
EARLY 2OTH CENTURY: groundbreaking book "The Joy of Sex."
However, he also contributed to the study of
- The early 20th century saw the emergence of aging and sexuality.
gerontology as a formal field of study,
encompassing various disciplines such as - ELAINE CUMMING (1920-1987) AND
biology, psychology and sociology. WILLIAM HENRY "W.H." CUMMING (1922-
- Researchers began to study the biological, 2010): This husband-and-wife team of
psychological and social aspects of aging in sociologists conducted influential research
more systematic ways. on aging and the social aspects of aging.
21ST CENTURY AND GLOBAL AGING
- BERNICE NEUGARTEN (1916-2001) An
- Advances in healthcare and technology have American psychologist and gerontologist,
contributed to increased life expectancy and known for her research on the psychological
changed the demographics of many aspects of aging and developed "continuity
societies, resulting in aging populations. theory"
- The 21st century has brought attention to the - AUBREY DE GRAY (1963) a British biologist
challenges and opportunities posed by global and advocate for rejuvenation
aging, including issues related to healthcare, biotechnology.
retirement and intergenerational
relationships.
- LAURA L. Carstensen (Born 1959): known - AGNES JONES - a wealthy Nightingale
for her socioemotional selectivity theory. trained nurse in 1864 was sent to Liverpool
This theory posits that as people age, they Infirmary’
become more focused on seeking emotional - LAVINIA DOCK - and other early leaders in
satisfaction and maintaining meaningful nursing addressed, in the American Journal
relationships, rather than pursuing future- of Nursing (AJN), the needs of the elderly
oriented goals. chronically ill in almshouses.
- She was appointed to Johns Hopkins School
- ILYA ILYICH MECHNIKOV- a 19th-century of Nursing as the assistant superintendent
biologist at the age of 58, founded the - During 1929, she contributed to the 19 th
science of gerontology and created the American Amendment, the rights of women
terminology. to vote during her time
- The word gerontology was introduced in - DAME DOREEN NORTON (1913–2007) was a
1903 by Nobel Laureate, ELIE METCHNIKOFF British nurse and healthcare pioneer who
(1845–1915), He proposed the concept of devoted much of her career to improving the
"germ theory of aging," suggesting that aging care and well-being of the elderly.
could be attributed to the toxic effects of - Doreen Norton is best known for developing
bacteria in the gut. He is often referred to as the "Norton Scale" (also known as the
the "father of natural immunity" "Norton Pressure Area Risk Assessment
Scale"), which is a widely used tool for
- JAMES BIRREN (1918–2016): A psychologist assessing the risk of pressure ulcers
and pioneer in the field of aging, made (bedsores) in patients.
significant contributions to the study of
cognitive aging, memory, and aging-related - MARJORY WARREN (1897 - 1960) The
changes in sensory perception Mother of British Geriatric Medicine
- She was a surgeon to start with, and yet she
- MATILDA WHITE RILEY (1911–2004): she created geriatrics out of medicine. She
made significant contributions to the study advocated practicing geriatrics as a
of aging as a dynamic and multidimensional specialist, and yet she emphasized the
process. importance of generalist training.
- ERIK Erikson (1902–1994): While primarily - DR. DORIS SCHWARTZ- was a nurse,
known for his work in developmental educator, and researcher ,played a pivotal
psychology, Erikson's "psychosocial stages of role in shaping the way nursing care is
development" theory”. provided to older adults and advancing the
understanding of their unique healthcare
- CLARENCE Northcott (1881–1968): An needs.
American physician, played a role in the early
development of geriatric medicine.
PROFESSIONALIZATION OF
GERONTOLOGICAL NURSING
- Presidential Proclamation No. 1048, Series - Republic Act No. 10911 - An Act Prohibiting
of 1999, declaring a “Nationwide Observance Discrimination Against Any Individual in
in the Philippines of the International Year of Employment on Account of Age and
Older Persons”. Providing Penalties Therefor (Anti-Age
Discrimination in Employment Act).
-Republic Act No. 11332 - Mandatory intergenerational dynamics, retirement, and the role
Reporting of Notifiable Diseases and Health of older adults in society.
Events of Public Health Concern Act, which
GERIATRIC MEDICINE - is a medical specialty that
includes the elderly in its special
focuses on the health and healthcare of older adults.
SUBFIELD OF GERONTOLOGY
consideration.
It covers the diagnosis, treatment, and prevention of
age-related diseases and conditions.
GEROSCIENCE - Research into the relationship
ENVIRONMENTAL GERONTOLOGY - This subfield
between biological aging and age-related disease at
examines the physical and built environment's
the molecular level.
impact on older adults' well-being. It considers
GENETICS - Study the role of genes in aging and try factors such as housing design, accessibility, and
to identify which genes are relevant. community planning for an aging population.
BIOGERONTOLOGY - This subfield focuses on the DEMENTIA CARE - Specialized care and study of
biological aspects of aging, including the study of dementia and Alzheimer's disease
cellular and molecular changes that occur with age,
END-OF-LIFE CARE - Study and provision of care at
genetic influences on aging, and strategies to
the end of life
promote healthy aging
OCCUPATIONAL GERONTOLOGY - The impact of
PSYCHOGERONTOLOGY - examines the psychological
aging on work and retirement
and cognitive aspects of aging, including memory,
cognitive decline, mental health, personality REHABILITATION GERONTOLOGY - Rehabilitation
changes, and psychological well-being in later life. therapies for older adults.
CLINICAL GERONTOLOGY - Focuses on the PUBLIC HEALTH GERONTOLOGY - Public health
healthcare of elderly patients. policies and practices related to aging populations.
GERONTOLOGICAL EDUCATION - Teaching and EARLY INFLUENCES IN GERONTOLOGY
training related to aging and elderly care.
In the medieval Islamic world, several physicians
LIFESPAN DEVELOPMENT - The study of wrote on issues related to Gerontology.
development from birth to old age.
Avicenna's The Canon of Medicine (1025) offered
ETHICAL GERONTOLOGY - Ethical issues of aging. instruction for the care of the aged, including diet
Ethical dilemmas in geriatric care, end-of-life and remedies for problems including constipation
decisions, autonomy and consent.
Arabic physician Ibn AL-JAZZAR AL-QAYRAWANI
GERONTOLOGICAL NURSING is a specialized field of wrote on the aches and conditions of the elderly . His
nursing focused on the care and treatment of older scholarly work covers sleep disorders, forgetfulness,
adults. Gerontological nurses work in various how to strengthen memory and causes of mortality
settings, including hospitals, long-term care facilities,
community health organizations, and patients' ISHAQ IBN HUNAYN (DIED 109) also wrote works on
homes. the treatments for forgetfulness.
SOCIAL GERONTOLOGY - explores the social MICHEL EUGÈNE CHEVREUL who himself lived to be
dimensions of aging, including topics such as social 102, believed that aging itself should be a science to
relationships, social support networks, be studied.
SOCIAL AND ECONOMIC IMPLICATIONS: An aging
population has significant social and economic
implications, including changes in pension systems,
retirement policies, and healthcare systems.
17TH AND 19TH CENTURIES
PSYCHOLOGICAL WELL-BEING Aging can bring about
psychological changes, and studying gerontology
ELIE METCHNIKOFF posit germ theory of aging helps us understand how to support mental health in
BENJAMIN FRANKLIN (1706–1790) An American older adults.
polymath, wrote about the benefits of a healthy PROMOTING HEALTHY AGING Gerontology
lifestyle in old age and proposed various strategies emphasizes preventive measures and lifestyle
for maintaining health and longevity. choices that promote healthy aging.
GERTY CORI (1896–1957): A biochemist, Cori's work LONG-TERM CARE AND SUPPORT As people age,
on carbohydrate metabolism earned her the Nobel they may require long-term care and assistance.
Prize in Physiology or Medicine. Her research laid the
foundation for understanding metabolic changes in CAREER OPPORTUNITIES As the aging population
aging. grows, there is a rising demand for professionals
with expertise in gerontology.
ROBERT J. Havighurst (1900–1991): A psychologist,
gerontologist and educator, developed the "activity
theory," which suggests that older adults should stay
active and engaged to maintain well-being and
satisfaction in life.
GERONTOLOGY IS IMPORTANT:
- providing emotional support, guidance, and - Patient Rights Ensures that the rights of
therapeutic communication to older adults, older adults are respected, including the
helping them navigate psychological right to informed consent and autonomy.
challenges and promote mental well-being - Access to Services Helps patients access
within the context of aging. necessary healthcare services, resources,
- address issues such as grief, loneliness, and and support systems.
cognitive changes while fostering a trusting - Effective Communication: Uses clear,
and empathetic relationship with their empathetic, and culturally sensitive
elderly patients. communication to interact with older adults
and their families.
NURSE AS CAREGIVER - Listening Skills Practices active listening to
- Direct Patient Care: Provides hands-on care, understand the concerns and needs of
including activities of daily living (ADLs) such patients.
as bathing, dressing, and feeding. NURSE AS SUPPORTER
- Emotional Support: Provides emotional require more time to process information or
support to older adults and their families, articulate their thoughts.
helping them cope with the challenges of
aging.
- Counseling: Offers counseling and guidance
on issues like grief, loss, and adjusting to - Support Systems Recognize the role of
changes in health status. support systems in the patient’s well-being
and involve them in care decisions.
NURSE AS REHABILITATOR
- Psychosocial Support Address emotional and
- Post-Surgery Care Assists older adults in psychological needs. Offer counseling or
their recovery and rehabilitation following support groups if needed.
surgeries or medical procedures.
- Therapeutic Exercises Guides patients
through therapeutic exercises and activities
to regain strength and mobility.
STANDARDS OF PRACTICE
Assessment
Diagnosis
Outcomes Identification
Planning
Implementation