Who Will Care for Us Seniors?
January 20, 2020
Recently, an article appeared in the national press highlighting the shortage of geriatric medical doctors, called Geriatricians, who specialize in the diseases of older people– folks typically sixty-five and over, who suffer from a variety of diseases. Thoughtful friends sent me the article, several asking for my opinion. Today, I would like to offer my opinion in print.
First the really good news: according to the federal model, 70% of people over sixty-five do not see a geriatrician. The 30% who do often fall into the over eighty-five category and suffer from three or more chronic conditions. These statistics tell me that there are millions of fairly healthy seniors out there, and research backs this up. I find these numbers very encouraging, and believe these folks are more aware of healthy practices, and so take better care of themselves. That’s where gerontologists like me, and some MDs, come in because we promote ways to keep the aging body and mind healthy and free of disease. Prevention and retention are the most important words when it comes to getting older. Every time I put fingers to the keyboard my dominant thought is, how can I offer advice, or highlight research, which will help prevent decline and retain or enhance our precious facilities for our entire lives?
The truth is it’s easier to add things, whether they be supplements, healing foods, better self-care, regular sleep, and exercise, and greater attention to filling our lives with joy, especially when we are still quite healthy and mobile, than to fight our way back to health after developing a chronic condition. This, I believe is the future of the best practice of healthcare: preventative choices we can add into our day and so develop deep reserves which will keep us healthy and vibrant as we get older.
Should we need health care professionals, I love the action Dr. Mary Tinetti, Chief of Geriatrics at the Yale School of Medicine endorses by having “geriatricians to serve as ‘a small, elite work force’ who help train whole institutions in the specifics of care for older adults.” These other fields include nurse-practitioners, PAs, and pharmacists, all who become the foot soldiers for geriatricians. This extension of knowledge and care through different avenues will, I hope, serve those 30% well, as these medical professionals add their expertise to that of the geriatric specialists.
Why I like this idea so much stems from the unacceptable stereotype: ageism. The more fields (and the many people in those fields) that embrace and deal with aging, the less ageism will exist. My hope is that one day soon the general public will view aging issues without prejudice, but rather like pediatrics, just another part of human healthcare. With the help of those 70% of seniors who are doing well, the sea change is coming.
Until next time…Be Vibrant!
Summary: January 20, 2020—Geriatricians and Gerontologists
A shortage of geriatric medical doctors, called Geriatricians, who specialize in the diseases of older folks may exist, but the good news is that 70% of seniors do not require specialized care. Trained nurse practitioners, PAs, and pharmacists, can become the foot soldiers for geriatricians. This extension of knowledge and care through different avenues will, I hope, serve all seniors, as these medical professionals add their expertise to that of the geriatric specialists, hopefully decreasing ageism prejudice.