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Silver Tsunami  (part 2)

Preface

In light of suggestions by Dr Ken, I have chosen to undertake a holistic approach towards my previous article on “ageing population”. As such, this article will be part 2 of the ageing population, detailing aspects of this social issue not previously covered in my first article. So let's crack on, shall we.

Medical issues

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For this first section, I will be addressing the medical issues confronted in old age. To name a non-exhaustive list,  Heart disease, Cancer, Alzheimers/Dementia,  Osteoporosis, Diabetes are some of the health risks that have increased incidence with age. Furthermore, there are secondary health issues such as susceptibility to diseases as mentioned previously and bone fragility making them more prone to serious injury from falls. To remain succinct, I shall only be going into detail on Heart Disease to provide an overarching view of the medical financial strains that come with old age. 

 

Heart Disease is the number 3 killer in Singapore just slightly behind cancer and pneumonia. In fact, 20% of yearly deaths are attributed to heart disease, primarily coronary heart disease which is a precursor for heart attacks as insufficient blood supply to the heart causes regions of cardiac muscle to die due to low oxygen. Treatments may take the form of drugs to break the clot in the artery or surgery (Coronary Artery Bypass Surgery) which costs anywhere from 

S$8,312 for B2 wards in public hospitals, to as high S$34,204 for unsubsidised B1 wards in public hospitals, and S$81,338 for private hospitals. The high medical costs in conjunction with an rapidly ageing population and low birth rates, places immense financial stress on the working class children of the elderly. Hence to address the issue of  an ageing population in its totality, we must also address the impact it has on the younger generations.

Mental Health

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Now more than ever, mental health is a growing issue for the younger generations.  As mentioned in another article I wrote titled “mental health & burn out”, youths today are facing unprecedented levels of stress and academic pressure which can either be extrinsic or intrinsic, personifying the mechanism of a pressure cooker system. In my opinion, I believe that a portion of this stress comes from the preconceived notion that we need to study hard to gain a placement in a prestigious university, believing that this translates to a high paying job and financial security. However, there is no respite in the working world either as we are again met with pressure to perform but now with the added bonus of financial stress. Overtime, this leads to debilitating effects on mental health such as depression which is a very real issue for younger generations. To this end, I would advocate greater awareness on mental health related issues in workplaces and educational institutions. However, the solution isn't just counselling, obviously it takes more than just being told that everything is going to be ok for someone to feel better. From my perspective as a student, I think that issues pertaining to mental health in current generations are deeply rooted in our “asian mentality” of “being the best is not good enough”. 

Hence ,similar to the point raised in my mental health article, I believe that for sustainable change to take place for mental health, a cultural change is needed. How we manage to accomplish this? Only time may tell, but some suggestion for coping with stress and maintaining cognitive clarity can be found in my mental health article. 

Prevention better than cure

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Returning to the topic at hand, we have explored how an ageing population may catalyse already present psychological stressors on the younger generation. Hence to address issues pertaining to youth mental health, we must also address the contributing factor of the ageing population. 

 

In the previous article, I detailed the shortfalls and issues related to an ageing population. For this next section, I shall further expand on this with points raised by Dr Ken. Helping the elderly requires more than just a greater volume of medical facilities and services. A multi-pronged approach  would be ideal to cope with the surmounting silver tsunami. This involves more investments made into prevention or early detection issues. For example, regular screening for hypertension, cholesterol or cancer may help with early detection for such issues. Hence in the long run, this would actually reduce household expenditure on medical services in the long run thereby also alleviating some financial strain on the current generation. But more important than just early detection is prevention. It would come as no surprise when I say that regular exercise and a healthy diet do wonders for both physical and mental health, off putting conditions like dementia and hypertension. However, perhaps this may be barking up the wrong tree, so allow me to rephrase. “Regular exercise” doesn't mean running 10km everyday or going to the gym, and neither does “healthy diet” mean eating nothing but salads. But rather, choosing to walk instead of taking the bus, and less frequent snacking is all that's required. That is why they are called “lifestyle” changes, they are supposed to be sustainable changes for life. 


Speaking of lifestyle changes, I believe it noteworthy to mention certain new technologies which help make our society more “elder friendly” and improve the daily life of the older generations. Locally, there are schemes such as the Wheelchair pilot scheme spearheaded by HDB to empower elderly with moving disabilities to leave their house/apartment using wheelchair lifts. Online there are also app services such as “hero” which reduces the stress of managing medications by providing an all-inclusive service that sorts, dispenses, remembers, and refills seniors’ pills. Whilst on the topic on apps, let us also address the current issue on banking scams. Recent news on the strait times regarding the OCBC scams have brought to my attention the vulnerability to the elderly on being scammed. This is especially so since they are generally not tech savvy hence it would be more difficult for them to discern between scam messages. The current measures of removing SMS OTPs for banking transfers have placed a bandaid on the issue but not addressed the root cause, although I will acknowledge that technological developments and talks on facial recognition software for bank transfers do hold promise. However, the bottom line remains, we need to educate our silver population on how to identify such scams and or lessons on being more oriented with current technologies. How this can be accomplished is still indeterminate, but in my opinion, allowing the younger, more tech savvy generation to educate their parents or grandparents in their own accord seems to be the best solution so far. A more practicable solution, however, would be to host seminars for users or institutes for teaching the dos and don'ts of technology.

References

  1. 7 best innovative products for the elderly. A Place for Mom. (2018, November 9). Retrieved February 2, 2022, from https://www.aplaceformom.com/caregiver-resources/articles/cutting-edge-products-for-seniors 

  2. For our seniors. HDB. (n.d.). Retrieved February 2, 2022, from https://www.hdb.gov.sg/residential/living-in-an-hdb-flat/for-our-seniors 

  3. Limited, A. (n.d.). Ratio of workers to pensioners in silhouette. aging population problem stock vector image & art. Alamy. Retrieved February 2, 2022, from https://www.alamy.com/stock-photo-ratio-of-workers-to-pensioners-in-silhouette-aging-population-problem-145907842.html 

  4. Los Angeles Times. (2021, December 30). Worried your New Year will be filled with anxiety? here are 5 mental health tips to help you tackle 2022. Los Angeles Times. Retrieved February 2, 2022, from https://www.latimes.com/lifestyle/story/2021-12-30/5-pieces-of-mental-health-advice-to-give-you-strength-in-2022 

  5. Mayo Foundation for Medical Education and Research. (2021, May 18). Why exercise is medicine for high blood pressure. Mayo Clinic. Retrieved February 2, 2022, from https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art

  6. 20045206#:~:text=How%20exercise%20can%20lower%20your,decreases%2C%20lowering%20your%20blood%20pressure. 
    Network, eH. (2016, November 29). Preventive cure: Prevention is better than cure. eHealth Magazine. Retrieved February 2, 2022, from https://ehealth.eletsonline.com/2016/08/preventive-cure-prevention-is-better-than-cure/ 

  7. Wheelchair Lifter Pilot scheme. HDB. (n.d.). Retrieved February 2, 2022, from https://www.hdb.gov.sg/residential/living-in-an-hdb-flat/for-our-seniors/wheelchair-lifter-pilot-scheme 

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