Publication

Publications

Post Secondary Education
by Jane Angelis and Joanne Kaufman
Southern Illinois University, Carbondale

Contents

Goals

Goals for aging education at the postsecondary level resemble those of elementary and secondary education. The differences are in the ability of the student to assimilate these concepts and the wide range of disciplines that can incorporate aging concepts. Goals for postsecondary education:

The goals of postsecondary education on aging are:

  • To understand aging myths and stereotypes.
  • To understand that aging is a global and interdisciplinary topic.
  • To understand that aging is a normal and natural process.
  • To facilitate interaction with older persons.
  • To understand the implications of an aging society for one's discipline.

The goals can be accomplished by bringing aging information into the sciences and the arts, facilitating interaction with older adults, tapping their expertise, observing the works of older adults in their later years in comparison to their younger years, and recognizing the impact of aging on one's discipline.

Curriculum

College and university students have passed through several of the life stages and have experienced aging. Thus they can identify many of the changes produced by aging.

Bringing aging information and older adults into the classroom provides novelty and excitement to topics that might otherwise be mundane. This can be accomplished in many ways, but the most common are:

  • Students interviewing older adults

  • Reading about older adults or works by older adults

  • Bringing older adults to class to discuss their area of expertise

  • Discussing the myths and stereotypes of age

  • Observing the aging process in plants, animals, objects chemicals and so forth, and comparing them with human aging

  • Normal physical changes associated with aging

  • Demographics of aging

The first activity, interviewing an older person is a very popular activity with the students. At first they may seem a little reticent but once they have the first meeting, their enthusiasm is high. For example, one class providing reports on their interviews with older adults became so involved discussing their interviews that the suggested ten minute reports became 20-25 minutes. Interviews with older persons can also provide an opportunity to tap their expertise in disciplines such as sciences, mathematics, humanities or social sciences.

In the sciences and mathematics the interviews can be utilized to focus on the experiences of retired scientists and mathematicians. In the humanities and social sciences the interviews can also take a content orientation as students discover social and psychological characteristics of older persons as well as their contributions. Students can also observe the interaction between themselves and older adults from a communication perspective.

Using materials written or researched by older authors or scientists is the second activity for postsecondary aging education. If the older writer produced works at a younger age, it is a stimulating exercise to observe the maturity or evolution of the work from the younger years.

The third activity across disciplines and perhaps the most effective is bringing older adults to the classroom to share their experiences and expertise with students. A natural follow-up to interviews is the involvement of retirees in the classroom to discuss specific areas or simply compare ideas with the students. When well planned and integrated into the curriculum, this activity can bring excitement and variety into the classroom.

The fourth activity is one that seems relevant in most disciplines--discussing the myths and stereotypes of aging. These myths can enliven a class with dynamic discussions. Students can analyze the accuracy of the myths in light of experiences with older adults. Likewise myths can serve as discussion points when interviewing older adults. Some myths include:
Too old to learn Too old for sex Most older persons become a financial burden to their children Older people end up in nursing homes Older people are sick Old age is equal to senility Retirement brings the rocking chair Older individuals are extremely inflexible Older people have nothing to give People become more religious as they age Older workers are unreliable

The fifth activity is observation of the aging process through plants, animals, chemicals, old objects such as photographs, and so forth. The following pages give suggestions on ways to incorporate aging education into science, mathematics, social sciences and the humanities. These suggestions will give you ideas and perhaps stimulate your creativity to develop other class sessions on aging.

The sixth activity is to discuss the normal physical changes with age and how they could affect ones life and discipline. A list of these changes is provided in the science section, but it is just as relevant in arts, humanities, and social sciences.

Last, the demographics of aging is an interesting phenomenon which has implications for science, arts, humanities. Table 3 presents a vision of the population changes in the last 90 years. A study of this table can help the student realize how the number of older adults has rapidly increased. The student can also analyze how these changes affect their work and life styles.

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Humanities and Social Sciences

A. Art and Photography

  • Draw, sketch or photograph an important elder. Mount the pictures and provide a biography. Tell about the person depicted in photographs or sketches and discuss their stage in the life cycle.

  • Draw self-portraits depicting old age. Discuss what traits remain the same and which will change. Point out the expected physical changes such as wrinkles, gray hair, baldness, change of facial features and so forth.

  • Photograph or sketch people in various stages of age. Discuss the significant events in each life stage.

  • Photograph or sketch old objects such as trees, plants, barns, schools or other buildings. Ask students to compare their descriptions of older objects with their descriptions of older people.

  • Collect pictures or photographs of an older person as a baby, child, teenager, etc, and compare the life cycle stages.

  • Research the life and work of long-lived artists such as Picasso, Georgia O'Keeffe, Michelangelo etc.


Youth is a thing of beauty. Age is a work of art.

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B. Business and Public Relations

  • Consider the transitions that come about as the individual ages, and how life cycles affect business practices. What are the implications of an aging society for business? What products and services will be in greater demand? What are the differences in the approaches used to reach an older audience compared with a younger audience?

    "We should all be concerned about the future because we will spend the rest of our lives there." Charles Kettering

  • Consider the following topics for class discussion:

    Age discrimination Early retirement and its impact on business Retraining of older workers Marketing to an older population Changes when serving an older population Income distribution for older adults--discretionary income Investments for young compared to investments for older adults Benefits and disadvantages of various retirement plans Pensions of older women Social Security Careers for older adults after retirement Health care expenditure as a part of the national budget Older CEO's listed in Fortune 500

  • Invite retired business persons to class or to serve as consultants to help students prepare case studies.

  • Use the following chart to forecast demand for different types of products such as jogging shoes, coffee, toys, travel, or insurance.
    Table 4: Youth, Middle Age and Elderly Market

  • Describe retirement trends during the last thirty-six years. What are the implications for business in the next decade?

    Table 5: Labor Force Participation of Older Men by Age: 1950-1986
    Table 6: Labor Force Participation of Older Women by Age: 1950-1986

  • On the basis of the information in Table 7, construct a budget demonstrating the expenditures of a typical person under 65 and one over 75.

    Table 7: Consumer Expenditures by Type and Age Group: 1984

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C. Journalism, Radio/TV, and Theatre

  • Produce a feature article, video or play on issues relating to older adults in the community. Possibilities for the feature include historical events, health care adequacy, housing concerns, public policy issues, forced retirement, Social Security, catastrophic insurance, older persons' interaction with the community, changes in life style with retirement or social and community needs.

  • Analyze TV shows, magazines, newspapers, plays, or advertising to evaluate the extent of coverage of older adults and the images of older adults that are projected. Research and write papers to discuss the images of age.

  • Invite older thespians, journalists, or reporters to discuss the portrayal of different ages. Discuss the differences and similarities in depicting and writing about younger and older people, and the problems faced by older adults that required special attention.

  • Use role-playing or skits that portray older people. Myths and stereotypes might be contrasted with reality.

  • Develop one-act plays based on older characters. Develop plots that involve healthy, active older people and those who have problems commonly associated with aging.

  • Develop an intergenerational theatre troupe. Have younger and older players exchange parts.

  • Compare advertising for similar products in magazines targeted to younger audiences, and those targeted to older audiences. Analyze similarities and differences.

  • Compare theatrical or film treatments of classics that have been produced at different times. How did different generations treat various themes or characters?

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D. English Composition, Literature and Languages

  • Ask students to write essays or poems on aging topics.

  • Read journal articles or books on the myths of aging, famous older adults, personal views on aging, the presence of wisdom in both young and old, or descriptive words, idioms, or adages about aging

  • Write a persuasive composition targeting an older person. Take into consideration the environment of the audience (for example living in a nursing home, independently, or with relatives); their relationship to the subject ( important, trite, neutral); and the relationship of the audience and the writer unknown, credible, skeptical).

  • Compile reading lists of older authors' works. Compare the author's earlier works and discuss the impact of age on the writing.

  • Compile a list of books that treat aging topics. Evaluate the images of age promoted by the books.

  • Obtain an oral history about a community or neighborhood by conducting an interview with an older person.

  • Identify passages from various authors across time that address the phenomenon of aging.

  • Invite older adults to discuss historical and contemporary aspects of life in their home country, ethnic costumes and ethnic food.

  • Invite older adults fluent in various languages to meet with the students for conversation.

"I pray that I may seem. though I die old, A foolish passionate man." William Butler Yeats

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E. History and Political Science

  • Read a biography of an older leader such as Roosevelt, Churchill, Margaret Chase Smith, etc. Have students discuss the contributions made over the life span.

  • Invite older individuals to class to discuss historical events they witnessed such as local history, World War II, prohibition, suffrage, small town tradition, and so forth.

  • Interview an older person to establish an oral history of the individual, an organization, the community or the region.

  • Identify recent legislation that affects older citizens.

  • Compare voting behaviors of various ages depicted below.

Table 8: Number and Percentage of Persons Who Reported Voting in National Elections, by Age Group: 1980-1986

  • Discuss governmental and private organizations established for older people, such as the Administration on Aging, Area Agencies on Aging, the American Association of Retired Persons, Medicare, and the Older Americans Act.

  • Contact a local retiree group for a guest lecturer to speak about public policy.

  • Compare legislation for old and young, such as housing, abuse, transportation, health, day care, entitlements and so forth.

  • Examine the structure of federal and state aging networks Discuss the services they provide and how one obtains access.

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Table 9: Older Americans Act Network

F. Psychology

  • Discuss the psychological theories of aging, disengagement and activity theories.

  • Discuss grieving and death issues faced by older adults and their families. Invite someone from Widowed Persons Service to discuss their experiences coping with death.

  • Discuss the facts and myths of aging such as senility and senile dementia with special emphasis on Alzheimer's and drug or nutritionally based psychological changes

  • Study the interaction of physical and psychological factors on health for the elderly. Profile those who age satisfactorily with those who have problems adjusting to aging.

  • Discuss how physical problems can create psychological problems and vice-versa.

  • The chart on care giving suggests that it is primarily a women's issue. These statistics are from 1982. Do you think more men are providing care in 1990? Why or Why not?

Table 10: Distribution of Informal Caregivers by Relationship to Elderly Care Recipient: 1982

  • Interview a caregiver to determine the main problems and satisfactions.

  • Compare the incidence of suicide among older men and teens. What similarities do you find?

  • Compare unemployment among older workers and teens. Do you find similarities?

  • What psychological changes should be anticipated with retirement? Look at the educational attainment of the various age groups in the table below. Compare the differences in various aged groups.

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Table 11: Educational Attainment by Age: 1986

G. Sociology

  • Discuss the changes in demographics in the United States in relation to an aging population (See Table 3).

  • Discuss the sociological theories of aging--disengagement and activity.

  • What are the projections on the proportion of the aging population in the 21st century? What are the implications for the increase of the 85+ population?

    Table 12: Actual and Projected Increase in Population 85 Years and Older: 1900-2080

  • Discuss changes in the nuclear or extended family. Discuss family responsibilities to older members and provision of care.

  • Discuss the impact of poverty among the sixty-five plus population. Construct a profile of an older person in poverty from the table below.

Table 13: Percent of Elderly People Below the Poverty Level by Selected Characteristics: 1986

  • Discuss crime against the elderly and the older population in prisons.

  • Describe the growth of the minority elderly population.

    Table 14: Growth of the Minority Elderly Population: 1985-2050

  • On the basis of the table below, discuss the statement: "Old age is a female domain."

Table 15: Number of Men per 100 Women by Elderly Population: 1985-2050

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Science and Mathematics

A. Architecture, Industrial Design, and Interior Design

  • Compare homes built recently with those built fifty years ago.

  • Compare changes in design and discuss advantages and disadvantages of each.

  • What are the improvements in landscape for older adults?

  • List the barriers for older adults in kitchens, bathrooms, and bedrooms in an ordinary house. How can these rooms be designed to be adaptable to life style?

  • How could intergenerational housing reflect needs of young and old?

  • Assign projects requiring students to redesign products or design new products for older people. Consult older people and have them demonstrate their problems with poorly designed products.

  • Study improvements in building, landscape, and interior design for older clients.

  • Does the chart below seem to predict changes in architecture and design?

Table 16: Actual and Projected Distribution of Children and Elderly in the Population: 1900-2050

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B. Health Education and Recreation

  • Invite a healthy, physically active older person to class to discuss the importance of exercise and nutrition.

  • Discuss the following topics:

    • The attitudes and efforts of older adults to stay healthy.

    • The myths and truths about older adults' sexual activity.

    • The basic nutritional needs for adults and the changes necessary with age.

    • Wellness associated with aging including precautions for the skin, teeth, musculoskeletal, cardiovascular, and digestive systems.

    • Polypharmacy and the problems associated with medication abuse.

  • What are the implications of aging for recreation?

  • How do local park districts meet older people's needs?

  • Discuss recreation programs for older adults in nursing homes, retirement villages, and senior citizen clubs.

  • Compare recreation programs for young and old.

"To be able to fill leisure intelligently is the last product of civilization." Toynbee

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C. Mathematics

Statistical Information on Aging

  • Discuss the changes in life expectancies. Compare male and female life expectancies.

Table 17: Life Expectancy at Birth and Age 65 by Race and Sex: 1900-1985

  • Ask students how frequently they interact with an older person. (More than just meeting at the grocery story.) Prepare a frequency chart and follow with means, medians, mode, standard deviation and so forth.

  • Discuss the implications of the changes in demographics that can be predicted by the data. Ask students to determine the percentages of each age in 1986. How many millions of males and females lived in the U.S. according to this chart.

Table 18: U.S. Population by Age and Sex: 1986

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D. Geography

  • Use geographical mapping of ancestry. Have students trace the origins of their ancestors. Map their trek to the United States

  • Invite older relatives to class to discuss the area where they were born.

  • Identify the states with the largest older populations. What are the trends in migration among older adults?

  • Compare the growth rate of older adults in various countries.

    Table 19: Average Annual Growth Rates of Elderly Population by Age, for Selected Countries: 1985-2005 and 2005-2025

  • What are the common characteristics of states that increased population of older persons?

  • What are the common characteristics of states that received the lowest gain in the older population?

    Table 20: Percent Increase in Population 65+ by States: 1980-86

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E. Biology/Anatomy and Physiology

  • Discuss research on causes of aging and life extension.

  • When discussing development and physiology, it is a natural time to include normal aging in the body systems.

Integumentary System

Normal Changes with Age Result Decreased thickness of epidermis Wrinkles Transparent Skin Pigmentation Age Spots Loss of elasticity in connective tissue Wrinkles Loss of nerves Decreased Sensation Fragility of blood vessels Redness of Skin Loss of fatty tissue Wrinkles Decreased activity of sweat & sebaceous glands Dryness of Skin Degeneration of hair follicles Baldness, Gray Hair

Sensory System: Eye

  • Normal Changes with Age Results

  • Lens Loses Elasticity Less depth perception Presbyopia Yellowing Difficulty Seeing Blues, Violets, Greens

  • Macula Degeneration Decreased visual acuity Slower adaptation to light changes

  • Iris Narrowed Pupil Increased need for light Slower response to stimuli Loss of speed in accommodating to light and dark

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Sensory : Ears

  • Normal Changes with Age Result

  • Bones of the Middle Ear More rigid Difficulty hearing high pitches

  • Auditory Nerve Degeneration Presbycusis

  • Eardrum Thickened Perception of sound Inner Ear Degeneration Difficulty with high pitch sounds


Musculo-skeletal system

  • Normal Changes with Aging Results

  • Bones Become porous and brittle Prone to fracture Decreased calcium Prone to fracture, osteoporosis Thinning of vertebrae Loss of height Change in posture Change in gait

  • Muscles Muscle fibers thin Less muscle power Fewer muscle cells Less agility, sluggish reflexes Leg cramps

  • Joints Degenerative changes Stiffness Decreased mobility

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Cardiovascular System

  • Normal Changes with Age Result

  • Heart Muscle Becomes enlarged Decreased heart rate Decreased blood circulation

  • Blood Vessels Decreased Elasticity Poorer circulation Smaller lumen Edema, Higher blood pressure

  • Valves Rigid and thicker Less efficiency


Pulmonary System

  • Normal Changes with Aging Results

  • Lung Decreased elasticity Reduced ability to cough and deep breathe. Decreased circulation Reduced efficiency of lungs

  • Rib Cage and Spinal Column

  • Rigidity Reduced ability to deep breathe

"Forty is the old age of youth; Fifty the youth of old age."

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Digestive System

  • Normal Changes with Age Result

  • Salivary Glands Decreased Secretions Difficulty in Swallowing

  • Stomach and Liver Decreased secretion of gastric acid Gastritis, Indigestion Decreased digestive enzymes and bile. Decreased tolerance of fat

  • Large Intestines Loss of muscle tone and fluid Constipation

  • Small Intestines Decreased absorption of vitamins Poor Nutrition and minerals

  • Tongue and Nose Decreased secretions Loss of sensation Decreased appetite Decreased taste and smell.

  • Teeth Alveolar bone loosens Loss of teeth Worn Enamel Cavities and dental problems


Nervous System

  • Normal Changes with Age Result

  • Neuron Decreased number neurons Slowing down phenomena Degeneration of neurons

  • Brain Decreased circulation of blood Increased reaction time Slowing of processing ability Greater tolerance to pain Sleep pattern altered


Endocrine and Reproductive System

Normal Change with Aging Result Ovary Decreased female sex hormones Atrophy of Breasts Thinning of vaginal mucosa Diminished activity of ovaries Menopause Testes Decreased male sex hormones Prostate enlargement Smaller testes Fewer sperm Longer to achieve an erection Less frequent erections

All Glands Decreased hormonal activity Change in homeostatic mechanism

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Urinary System

  • Normal Changes with Aging Result

  • Nephron Decreased blood supply Less urine More concentrated urine Bladder Decreased muscle tone Diminished control Urinary incontinence

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F. Chemistry

  • Discuss the scientific theories on aging, such as the genetic clock.

  • Most pharmacological research is performed with college students. Why is this a problem for older adults?

  • Describe the change in hormonal activity for older adults. What are the implications for various body systems?

  • Osteoporosis is said to be stimulated by a number of factors such as ingestion of red meat, soft drinks, alcohol, lack of exercise, and low calcium. What is the process that creates osteoporosis?

  • Digestion in older adults is complicated by what factors?

  • Gas exchange in the lungs of an aging person is characterized by what changes?

  • A number of causes have been suggested for Alzheimer's disease. One is aluminum. Describe the function of aluminum in the Alzheimer's brain.

Old age doesn't matter unless you are a cheese.

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