Managing Chronic Diseases and Promoting Well-Being in Old Age
No aspect of old age is more alarming to most of us than the thought of declining health and threats to our functional ability and autonomy. We fear not only the pain and disruption of illness, but also how it affects active aging and our ability to perform daily tasks and remain at home. Poor health, more than other changes commonly associated with aging, can reduce a person’s competence in mastering his or her environment. On the other hand, although many diseases are deleterious, progressive, and long-term, they are not universal with age. Moreover, older adults with chronic illnesses may still enjoy a certain quality of life, and we can make modifications in our lives, no matter what age, that will promote physical well-being in old age. However, inequities by gender, race, and social class, which may begin earlier in life and intensify with age, affect illness and death rates from certain chronic illnesses, perpetuating health disparities.
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