{"id":27332,"date":"2011-01-11T08:22:39","date_gmt":"2011-01-11T13:22:39","guid":{"rendered":"https:\/\/today.uconn.edu\/?p=27332"},"modified":"2011-05-31T12:40:27","modified_gmt":"2011-05-31T16:40:27","slug":"improving-the-quality-of-life-for-older-adults","status":"publish","type":"post","link":"https:\/\/today.uconn.edu\/2011\/01\/improving-the-quality-of-life-for-older-adults\/","title":{"rendered":"Improving the Quality of Life for Older Adults"},"content":{"rendered":"<p>When his 76-year-old mother Jean wandered away from home one day,  W. Brewster Earle &#8217;80 (CLAS) knew it was time to get help. But entering  the maze of Medicare seemed overwhelming.<\/p>\n<p>&#8220;All of a sudden having to get immersed in it was daunting,&#8221; says  Earle. He found the assistance his mother needed through UConn&#8217;s <a href=\"http:\/\/www.uconn-aging.uchc.edu\/\" target=\"_blank\">Center on Aging<\/a>, part of the UConn Health Center, where  specialists diagnosed his mother with dementia and quickly connected the  family with 24-hour at-home care.<\/p>\n<figure id=\"attachment_27359\" aria-describedby=\"caption-attachment-27359\" style=\"width: 270px\" class=\"wp-caption alignright\"><a href=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2010\/12\/mary-carroll1_t.jpg\"><img decoding=\"async\" class=\"size-full wp-image-27359 img-responsive lazyload\" title=\"Mary Carroll Root\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2010\/12\/mary-carroll1_t.jpg\" alt=\"&lt;p&gt;Mary Carroll Root helps participants during a Powerful Aging exercise class at the Avon Senior Center.&lt;\/p&gt;\" width=\"270\" height=\"270\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2010\/12\/mary-carroll1_t.jpg 270w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2010\/12\/mary-carroll1_t-150x150.jpg 150w\" data-sizes=\"(max-width: 270px) 100vw, 270px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 270px; --smush-placeholder-aspect-ratio: 270\/270;\" \/><\/a><figcaption id=\"caption-attachment-27359\" class=\"wp-caption-text\">Mary Carroll Root, a certified personal trainer, helps participants during a Powerful Aging exercise class at the Avon Senior Center.<\/figcaption><\/figure>\n<p>Earle says that Michael Isaac, a geriatrics fellow at the Center on Aging who treated his mother, often scheduled Jean as his last  appointment of the day to take extra time with her.<\/p>\n<p>&#8220;Dr. Isaac has exhibited extraordinary compassion as well as  follow-up to my Mom&#8217;s case,&#8221; says Earle. &#8220;His obvious caring about my mother the  person, and his availability to help at any time, has been refreshing.&#8221;<\/p>\n<p>Like Earle, many other caregivers will be seeking help for a family  member in need of geriatric care. With the first wave of baby boomers  beginning to turn 65 next year, the number of Americans aged 65 and  older is estimated to nearly double in the next 20 years. Yet currently fewer than 1 percent of all physicians in the country are certified in  geriatrics, according to Gail Sullivan, a professor at the UConn School of  Medicine and associate director for education at the Center on  Aging.<\/p>\n<p>The American Geriatrics Society predicts that the existing  shortfall will only worsen, with about one geriatrician for every 7,665  older Americans by the year 2030.<\/p>\n<p>Ranking among the &#8216;oldest&#8217; states is Connecticut, which the U.S.  Census Bureau anticipates will have the nation&#8217;s ninth highest percentage  of population aged 65 and older in 2010, making the demand on health  care services across the state even greater in coming years.<\/p>\n<p>With its multifaceted mission \u2013 to provide clinical care for older  adults; to educate the next generation of leaders in geriatrics; and to  carry out research to improve older adults&#8217; independence, function, and  quality of life \u2013 the UConn Center on Aging plays a crucial role in  addressing such challenges.<\/p>\n<p>&#8220;Aging isn&#8217;t a field where being multidisciplinary seems merely  desirable and cutting-edge \u2026 When it comes to the care of older adults,  it&#8217;s essential,&#8221; says Professor <a href=\"http:\/\/www.agingnet.uchc.edu\/bios\/kuchel.html\" target=\"_blank\">George Kuchel<\/a>, director of the UConn Center on Aging. Kuchel is also Citicorp Chair in Geriatrics and Gerontology and chief of the Division of Geriatric Medicine  at the UConn Health Center.<\/p>\n<p><strong>Quality, Not Quantity<\/strong><\/p>\n<p>Caring for older patients poses special challenges: While most remain  quite healthy and independent, many others are at great risk of  falling, developing dementia, and experiencing depression and anxiety.  More than three-quarters develop at least one chronic medical condition \u2013  such as arthritis or diabetes \u2013 that requires ongoing care, according  to the Institute of Medicine. Often, these health issues affect  older adults&#8217; ability to care for themselves on a day-to-day basis, from  bathing and getting dressed to driving and taking medications.<\/p>\n<p>&#8220;We&#8217;re particularly interested in helping our patients remain as  independent as possible,&#8221; says professor of family medicine Patrick  Coll, associate director for the Center&#8217;s clinical programs. &#8220;We&#8217;re  emphasizing good nutrition, exercise, and social supports so that the  person has a better quality of life, not just quantity of life.&#8221;<\/p>\n<p>In seeking to help older adults delay disability and maintain  their autonomy over time, the Center on Aging provides elders with  healthy aging advice related to nutrition and disease prevention.  Outreach programs like Powerful Aging, an exercise series designed to  improve strength, endurance, mobility, and coordination in older adults,  teach the benefits of an active lifestyle. Supported by an externally  funded research portfolio that exceeds $30 million, the Center also  conducts a diverse range of clinical, laboratory, and community-based  research efforts, all ultimately intended to help older people function  independently. Studies touch on such aging issues as mobility, frailty,  dementia care, and incontinence, as well as hearing loss and stroke  prevention.<\/p>\n<p>Earlier this year, Kuchel brought a group of  interdisciplinary researchers together to focus on these issues with the  Center&#8217;s first university-wide Aging Research Day. The Center&#8217;s next annual Aging Research Day in April 2011 will  focus    on &#8220;Improving Clinical Outcomes in Older Adults Through  Research.&#8221;<\/p>\n<p>The Center&#8217;s clinical programs include outpatient primary care clinics  and geriatric hospitalist services to assure individualized care for  older patients who are admitted to the Health Center&#8217;s John Dempsey  Hospital. In addition, the Health Center has specialty care clinics that  address specific clinical conditions, such as dementia. For instance,  Coll leads the James E.C. Walker, MD, <a href=\"http:\/\/www.uconn-aging.uchc.edu\/patientcare\/memory\/index.html\" target=\"_blank\">Memory Assessment Program<\/a>, which  diagnoses and treats memory problems in older adults like Earle&#8217;s  mother while offering guidance to family caregivers.<\/p>\n<figure id=\"attachment_27360\" aria-describedby=\"caption-attachment-27360\" style=\"width: 300px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2010\/12\/mary-carroll2_lg.jpg\"><img decoding=\"async\" class=\"size-medium wp-image-27360 img-responsive lazyload\" title=\"Mary Carroll Root shows proper technique\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2010\/12\/mary-carroll2_lg-300x200.jpg\" alt=\"&lt;p&gt;Mary Carroll Root helps participants during an exercise class at the Avon Senior Center.&lt;\/p&gt;\" width=\"300\" height=\"200\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2010\/12\/mary-carroll2_lg-300x200.jpg 300w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2010\/12\/mary-carroll2_lg.jpg 700w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/200;\" \/><\/a><figcaption id=\"caption-attachment-27360\" class=\"wp-caption-text\">Mary Carroll Root helps participants during an exercise class at the Avon Senior Center.<\/figcaption><\/figure>\n<p>Memory disorders are common among the Center&#8217;s patients, whose  average age is 83. For those with memory problems, Coll says,  geriatricians are interested in determining how these disorders affect  patients&#8217; function.<\/p>\n<p>&#8220;For someone who lives alone, what do they do for grocery shopping?  Are they doing their own bills? Taking care of their own finances?  Driving a car? Are they taking their medications safely? Geriatrics  emphasizes these questions as part of the training,&#8221; he says.<\/p>\n<p>Coll himself received his training in geriatrics at UConn, as the  first fellow in the Center&#8217;s nationally known Geriatric Medicine  <a href=\"http:\/\/www.uchc.edu\/md\/geriatrics\/index.html\" target=\"_blank\">Fellowship Program<\/a>, which recruits physicians like Jean Earle&#8217;s doctor,  Michael Isaac, who have already specialized in internal or family  medicine and have interest in seeking advanced geriatrics training.<\/p>\n<p>With nearly 90 graduates of the fellowship program going on to  serve as leaders in administrative, education, program development, and  research roles in the field of geriatrics in Connecticut, nationally, and  internationally (including Iceland and the Philippines), Coll emphasizes that the Center&#8217;s mission goes beyond preparing physicians  and other health care providers in geriatric patient care to giving the  leadership skills they need to &#8220;make a bigger impact \u2026 working with  organizations, teaching, and doing research.&#8221;<\/p>\n<p><strong>Raising the Bar<\/strong><\/p>\n<p>As  the aged population grows, the need for such leaders will likely  escalate, along with the need for long-term care services. In  Connecticut, costs for long-term care already surpass $2 billion  annually, representing the second-largest single item in the state  budget, after education.<\/p>\n<p>&#8220;With the proper service coordination, people at the same  disability level as someone living in a nursing home could be cared for  in a home or community setting at a lower expense,&#8221; says Richard  Fortinsky, professor of medicine, Physicians Health Services Endowed  Chair in Geriatrics and Gerontology, and associate director for health  outcomes research at the Center, whose own studies target Alzheimer&#8217;s  disease and dementia care, as well as the experiences of family  caregivers. &#8220;So we&#8217;re trying to lower that $2 billion-a-year price tag.&#8221;<\/p>\n<p>With its quarter-century anniversary drawing near, the UConn  Center on Aging continues to work collaboratively, growing its national  profile, the depth of its programs, and its funding.<\/p>\n<p>&#8220;We&#8217;re committed to a multidisciplinary approach which engages  faculty members and trainees from across the University in working  together with our many community partners in improving the lives of  older adults through clinical care, education, and research,&#8221; Kuchel  says.<\/p>\n<p>W. Brewster Earle says he is comforted to know that UConn is  training the kind of health providers he may need himself one day: &#8220;As the health care industry gets a bad rap as impersonal  bureaucracy, it is great to see caring people like Dr. Isaac enter the  profession. He will raise the bar. &#8221;<\/p>\n<p><em>For more information on the UConn Center on Aging, call 860-679-3956 or visit the center&#8217;s <a href=\"http:\/\/uconn-aging.uchc.edu\" target=\"_blank\">website<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>UConn&#8217;s Center on Aging is responding to the needs of the state&#8217;s aging population.<\/p>\n","protected":false},"author":33,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","wds_primary_category":0,"wds_primary_series":0,"wds_primary_attribution":0,"footnotes":""},"categories":[1],"tags":[],"magazine-issues":[],"coauthors":[49],"class_list":["post-27332","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-22 02:05:12","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/27332","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/comments?post=27332"}],"version-history":[{"count":5,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/27332\/revisions"}],"predecessor-version":[{"id":37188,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/27332\/revisions\/37188"}],"wp:attachment":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media?parent=27332"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/categories?post=27332"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/tags?post=27332"},{"taxonomy":"magazine-issue","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/magazine-issues?post=27332"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/coauthors?post=27332"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}