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Health Care in the 21st Century: The Social and Ethical Context

  • James E. Birren
Conference paper

Summary

Predictions about the health of the aged have not been noted for their accuracy. The current level of public interest in measures that promote well-being will influence the health of future older persons and the kind of care they will need. In the past, diagnosticians were taught to seek a single primary diagnosis for an illness. The chronic diseases of the aged are less the manifestations of invasions by foreign agents than manifestations of a changing host. In the phase of terminal decline, self-regulation breaks down, and energy and information must flow into the individual in order to reestablish an equilibrium. Studies of the physiology of aging must embrace the ecology of individuals. This is supported by the fact that there is a large increase in mortality rates associated with bereavement. A greater integration of our specialized disciplinary bodies of knowledge about aging will be required to develop new treatment methods for our future older population.

Keywords

Normal Aging Foreign Agent Nursing Home Care Pathological Aging Ethical Context 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Birren, J.E., and Hateley, B.J.: Guided autobiography: A special method of life review. In Blum, R.H. (Ed.), The Art of Life and Family Writing. Portola Valley, CA: American Lives Endowment (in press).Google Scholar
  2. Jöreskog, K.G., and Sorbum, D.: Advances In Factor Analysis and Structural Equation Models. Cambridge, MA: ABP Books, 1979.Google Scholar
  3. Lansing, A.I.: General biology of senescence. In Birren, J.E. (ed.), Handbook of Aging and the Individual, pp. 119–135. Chicago: University of Chicago Press, 1959.Google Scholar
  4. Lynch, G.: Aging, synaptic plasticity, and neuronal stability. Invited address, 91st Annual Convention of the American Psychological Association, Anaheim, California, August 1983 (unpublished).Google Scholar
  5. Mellstrom, D., Nilsson, A., Oden, A., Rundren, A., and Svanborg, A.: Mortality among the widowed in Sweden.Scand. J. Soc. Med. 10, 33–41 (1982).PubMedGoogle Scholar
  6. Robertson, T.B.: The Chemical Basis of Growth and Senescence. Philadelphia: J.B. Lippincott, 1923.Google Scholar
  7. Robinson, P., Livingston, J., and Birren, J. (Eds.): Aging and Technological Advances. New York Plenum, 1984.Google Scholar
  8. Sacher, G.: Life table modification and life prolongation. In Finch, C., and Hayflick, L. (Eds.), Handbook of the Biology of Aging, pp. 582–638. New York: Van Nostrand Reinhold, 1977.Google Scholar
  9. Shephard, R.: Technological changes and the aging of working capacity. In Robinson, P., Livingston, J., and Birren, J. (Eds.), Aging and Technological Advances. New York: Plenum, 1984.Google Scholar
  10. Sokoloff, L.: Effects of normal aging on cerebral circulation and energy metabolism. In Hoffmeister, F., and Muller, C. (Eds.), Brain Function in Old Age, pp. 367–380. New York: Springer-Verlag, 1979.Google Scholar
  11. Yates, F.: Outline of a physical theory of physiological systems.Can. J. Physiol. Pharmacol 60, 217–248 (1982).PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1985

Authors and Affiliations

  • James E. Birren

There are no affiliations available

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