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General Characteristics

Additionally, the elderly are subject to a variety of losses that have consequences for their level of health and well-being. Table 1 below delineates some of these losses and possible consequences.

Table 1

Losses
Possible Consequences
Physical capacity Poor mobility, transport issues, nursing home
Significant others, friends, family Isolation, depression
Home, community Isolation, depression, adjustment issues
Cognition Relocation: assisted living, nursing home
Economic status Dependence on others, malnutrition, self-neglect, relocation

Sources
Eliopolis, C. (2001). Gerontological Nursing (5th Ed). Philadelphia: Lippincott. Johnson, R. A., & Tripp-Reimer, T. (2001). Relocation among ethnic elders. Journal of Gerontological Nursing, 27(6), 22-27.
Johnson, R. A., & Tripp-Reimer, T. (2001). Aging, ethnicity & social support. Journal of Gerontological Nursing, 27(6),15-21.

The implications of these characteristics are that there are a growing number of elderly in the U.S. who are living alone, have poor support systems, and are financially insecure. Many elders have children who live too far away to help with chores and transportation and who have their own families and busy lives. Additionally, many persons as they age, whether they have good support systems and financial ease or not, experience declining capacities to manage increasingly complex health problems. This leads to a vicious circle of shrinking resources and expanding needs. For minority elders this problem may be compounded by a history of poverty and oppression resulting in fewer initial resources. It is also true that for some minority populations cultural support systems may be better developed. For example, some predominantly African-American churches have good support systems for their elderly members.