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Problems of the Elderly INTRODUCTION Background of the Stud

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Papalia and Olds (1995) report that by the year 2000, Americans aged 65 and older will constitute 13 percent of the country's total population; this as compared with 7 percent in 1950. By the year 2030, it is expected that the number of people 65 years and up will have risen to 20 percent; currently, about 30.4 million Americans are 65 years of age or older, making this the fastest-growing age group in the United States (Papalia & Olds, 1995).

Two basic reasons are commonly cited for the "graying" of the American population. According to Schneider and Guralnik (1990), these reasons are: (1) the high birthrates of the late 1800s and the early to mid 1900s (combined with high immigration rates); and (2) the extension in life expectancy that has arisen from advances in medicine and medical technology.

Although most older and elderly people are in relatively good health, both physical and mental health problems become more frequent with age (United States Department of Health and Human Services, 1990). And, while most older people live in the community (99 percent of people ages 65 to 75 and 80 percent of people over 85 years), there is a small percentage who suffer confusion, forgetfulness and personality changes that seriously impairs their ability to function. Regarding this percentage, Papalia and Olds (1995) report that:

The general term for such apparent intellectual deterioration is dementia. The word "senili

. . .
d memory and declining cognitive functioning as revealed by conditions such as aphasia (language disturbance), apraxia (inability to carry out motor activities despite intact comprehension and motor function), agnosia (failure to recognize or identify objects despite intact sensory function), and/or disturbances in planning, organizing and abstracting in thought processes. It is common for people with dementia to forget to finish tasks, or to be unable to recall the names of significant others, and past events. The condition is usually characterized by gradual onset and continuing cognitive decline (Read, 1991). In a comprehensive review of the literature on dementia, Agronin (1994) reported that the condition can range from very mild impairment to severe cognitive disfunction; however, Agronin notes that most prevalence research indicates that about 1.5 million Americans suffer from severe dementia with an additional 1 to 5 million having mild to moderate forms of the disorder. Although dementia is most often encountered in older and elderly populations, only a small fraction of older people actually develop the syndrome (Agronin, 1994; Dawe, Procter & Philpot, 1992). Specifically, about five percent of older people de
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Approximate Word count = 9475
Approximate Pages = 38 (250 words per page)

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