Aging and Public Health
10:832:314:01, Fall 2011
(Mondays and Fridays, 5:00 – 6:20, Tillet Hall, Room 209, Livingston)
Instructor:
Anita Franzione, DrPH, MPA
Phone:
732-418-8648
Email:
afranzione@feparker.net; afranzione@gmail.com
Office Hours: Before class or by appointment
Course Description:
This is a three credit course that will provide a broad overview of aging in the United States and
what to expect in the coming decades. The goal of the course is to provide a basic
understanding of the physical, mental, and social aspects of aging, the societal, economic, and
policy implications of the aging population and the impact of the aging population on the public
health and health care services. The class will have a seminar format which will include guest
speakers and lively discussion.
The objectives of the course are:
1.
2.
3.
4.
Students will understand the physical, mental, and social aspects of aging;
Students will comprehend the social and economic impact of aging;
Students will be able to identify and distinguish the variety of service for this population;
Students will understand the public health issues surrounding health care delivery for
this population;
5. Students will become familiar with the various career paths available in gerontology.
6. Students will have an informed grasp of the conceptual issues, empirical findings, and
current controversies, as well as explore some myths and misconceptions.
Grades:
It is assume that you are taking this course because you care about the topic and you will take it
seriously and actively participate in the class. It makes a better experience for all. If you want
to earn an “A” you must regularly come to class, be prepared for discussions. Remember, a
grade of “A” constitutes consistent excellence. Since the class is spread out over 2 days, the
first class of the week will be mostly lecture and reviewing materials and the second class will
be discussion of the materials presented for understanding and elaboration.
Grades will be determined on the basis of:




Participation in class discussion/attendance (25%);
Mid-term exam (30%);
Final Paper (35%)
Current Event Presentation (10%)
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Aging and Public Health
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Current Event Presentation – Starting after the mid-term, each student will be required to bring
in and present a current event article. Topics should focus on issues currently effecting older
adults such as the aging process, older adult health public policy issues, etc.. Article sources
may include but are not limited to: newspapers, peer-reviewed journals, and/or professional
organizations. Presentations should summarize the article and identify key stakeholders.
Students should be prepared to provide a 3-5 minute oral presentation of their current event at
the beginning of their assigned class. The assigned class will be made the second week of
classes.
Class Participation/Attendance – All students are expected to attend class as scheduled and
actively participate in class discussions.
Midterm Exam – The midterm exam will cover material from assigned readings, lectures, and
class discussions. Exam format will include true/false, multiple choice, and short answers.
Unless the absence is authenticated by the University, no make-up exams will be provided.
Case Study Paper – The purpose of the case study paper is to provide students with an
opportunity to apply the skills and techniques they have learned in class to a real-life scenario.
Provided in a handout, two to three (2 to 3) case-studies will be distributed for the student to
choose to answer one (1). Students will be asked to identify the best method for addressing
their chosen case. Students should address the following areas in their paper:
 Provide an overview of the case
 Identify what information is missing: What else do you need to know about the
event? What is the best method for gathering this information?
 Identify potential courses of action and discuss the pros/cons of each.
 Make a recommendation/conclusion
As part of the assignment, students should justify their recommendations using class
discussions, principles from class, the assigned readings, and/or other academic resources. A
minimum of three sources are required for the paper. All sources must be properly cited using
either MLA or APA format. Papers should be 5-7 pages long, double spaced. Please remember
to proofread your papers for any grammar or spelling mistakes. Papers are due in hard-copy at
the beginning of the last class meeting.
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Grade
A
B+
B
C+
C
D
F
Definition
Outstanding
Intermediate
Good
Intermediate
Satisfactory
Poor
Failing
Numerical Equivalent
4.0
3.5
3.0
2.5
2.0
1.0
0.0
Readings and Course Materials
Required Text Books:
Albert, Steven, Freedman, Vicki, Public Health and Aging,
Maximizing Function and Well-Being, 2nd edition Springer
Publishing Company, 2010
Required Readings:
Other required readings are available for downloading on
the Sakai website for this course.
Reading Pledge:
I vow to prepare for each class by doing the readings carefully and thoughtfully unless a serious
emergency prevents me from doing so, because I want the discussion in this class to be as
enriching as possible for myself and my fellow students.
Class Participation:
Keep in mind that you can often enhance class discussions by raising interesting questions as
much as you can by offering answers. This class is about learning, building knowledge, and
enjoying a space that allows you to take intellectual risks and share your ideas. The class should
be challenging and welcoming for all students. It you do not feel this is the case, please talk to
me.
Academic Integrity:
Any instance of plagiarism will be dealt with harshly.
See: http://academicintegrity.rutgers.edu/
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Aging and Public Health
10:832:314:01, Fall 2011
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COURSE OUTLINE
WEEK DATE
1
9/7/11 9/8/11
2
3
9/12/119/14/11
9/19/119/21/11
CONTENT
Introduction
 “Getting to know you”
 Course description,
goals, expectations
 Assignments
 Introduction to Aging
READING & RESOURCES
50 Fascinating Aging Facts
http://www.mastersinhealthcare.com/blog/2011/
50-fascinating-aging-facts-for-older-americansmonth/
Demographics, Aging and
Health
 Demographics
 Aging and Needs of the
population – the Silver
Tsunami
 Disparities
Biology and Physiology of
Aging
 What is aging? What is
65?
 Quality of service
provision
 Components of
benefits and cost
Age Wave = Change Wave
http://www.youtube.com/watch?v=lvjafDYlRQA
4
9/26/119/28/11
Common Diseases in Older
Adults
 Multiple Systems
 Co-morbid Conditions
5
10/3/1110/5/11
Wellness and Health in
Older Adults
 Living well
 Importance of literacy
6
10/10/11
10/12/11
Albert and Freedman, Chapter 1
Albert and Freedman, Chapter 2
American Journal of Public Health | August 2002,
Vol 92, No. 8, 1214-1216
Both from the American Society on Aging:
http://www.asaging.org/publications
“The public health perspective on aging “
Generations 29(2), 5-10
“Promoting Activity Among Older People”
Generations 29(2), 54-59
Albert and Freedman, Chapter 4
Albert and Freedman, Chapter 3
Poll: Upbeat Baby Boomers Say They’re Not Old
Yet:
http://www.npr.org/templates/story/story.php?st
oryId=137810382&sc=emaf
AIDS: 30 years Later – AARP article
http://www.aarp.org/health/conditionstreatments/info-05-2011/aids-30-yearslater.1.html
Psychosocial Aspects of
Aging
 Ageism and the stigma
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Aging and Public Health
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
of being old
Alternative lifestyles
The needs of older LGBT Adults - article
http://www.clinicalgeriatrics.com/articles/Address
ing-Needs-Older-Lesbian-Gay-Bisexual-andTransgender-Adults?page=0,2
LGBT Seniors – read the report
http://www.mcknights.com/gay-lesbian-andbisexual-seniors-are-more-likely-to-suffer-fromchronic-disease-emotional-problems-and-isolationstudy-says/article/199624/
Ageism
http://medtopicwriter.com/2011/04/06/ageismigniting-depression-and-diminishing-quality-of-lifefor-geriatrics-everywhere/
Growing tired of the Baby Boomers?
http://www.usatoday.com/yourlife/parentingfamily/2010-11-18-boomerloathing18_CV_N.htm
7
10/17/11
10/19/11
Alzheimer’s, Dementia, and
other mental health issues
 Alzheimer’s and
Dementia
 Mental Illness and
depression
 Substance Abuse
Albert and Freedman, Chapters 6&7
Alzheimer’s Association 2011 Fast Facts
http://www.alz.org/documents_custom/2011_Fac
ts_Figures_Fact_Sheet.pdf
Kolata, (2010), Years Later, No Magic Bullet
Against Alzheimer’s Disease, New York Times,
08292010.
Substance Abuse among Older Adults
http://oas.samhsa.gov/2k10/229/229OlderAdms2
k10.htm
Illicit Drug Use among Older Adults
http://oas.samhsa.gov/2k9/168/168OlderAdults.ht
m
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Aging and Public Health
10:832:314:01, Fall 2011
(Mondays and Fridays, 5:00 – 6:20, Tillet Hall, Room 209, Livingston)
8
10/24/11
10/26/11
Palliative Care and End of
Life Issues
 Difference between
hospice and palliative
care
 POLST: Physician Orders
Albert and Freedman, Chapters 10&11
National Hospice and Palliative Care Organization
http://www.nhpco.org/i4a/pages/index.cfm?pagei
d=3254
POLST
http://www.ohsu.edu/polst/
for Life-Sustaining
Treatment

9
10/31/11
- 11/2/11
Mid-Term Exam
10/26/2011
Families, Caregivers, and
Social Support
 Impact and importance
 The value of unpaid
caregiving
Impact on Caregivers
http://www.familiesinsociety.org/ArticleArchive/2
011/92-1_Lai.pdf
PHYSICAL AND MENTAL HEALTH EFFECTS OF
FAMILY CAREGIVING
http://www.cswe.org/File.aspx?id=16966
Valuing the Invaluable: 2011 Update - The
Growing Contributions and Costs of Family
Caregiving
http://www.aarp.org/relationships/caregiving/info
-07-2011/valuing-the-invaluable.html
10
11/7/1111/9/11
http://www.npr.org/2011/07/18/138163839/aarpfinds-toll-on-family-caregivers-is-huge
Caring for an Aging America in the 21st Century
http://www.asaging.org/blog/caring-agingamerica-twenty-first-century
Policy Issues for Health
Care and the aging society
 Access
 Payment
 Quality of Care; Quality
of Life
Leading Change: An Opportunity to Transform
Healthcare Services
http://www.leadingage.org/uploadedFiles/Conten
t/About/CAST/Resources/Leading_Change_Whitep
aper.pdf
Ten Years after the IOM Report Crossing the
Quality Chasm
http://www.youtube.com/watch?v=10YXqbDHtGA
Retooling for an Aging America – report brief
http://www.iom.edu/Reports/2008/Retooling-for6
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an-Aging-America-Building-the-Health-CareWorkforce.aspx
11
11/14/11
- 11/6/11
Community Wellness
Models
 CLASS
 Aging in Place
Senior Living Trends
http://aginginaction.com/2011/02/matherlifeways-institute-on-aging-identifies-10-seniorliving-trends/
Aging in Place
http://www.ageinplace.org/
12
13
14
11/21/11
11/28/11
11/30/11
12/5/1112/7/11
Long Term Care and
Community Based Care
 Medical Home
 Person Centered Care
Albert and Freedman, Chapter 9
Nursing Home Blues
http://www.youtube.com/watch?v=64qOrWl8460
&sns=em
My Top 10 Movements in Long Term Care
http://www.ltlmagazine.com/me2/dirmod.asp?sid
=9B6FFC446FF7486981EA3C0C3CCE4943&nm=All+
Issues&type=Publishing&mod=Publications%3A%3
AArticle&mid=8F3A7027421841978F18BE895F87F
791&tier=4&id=D8909B1B9F6C4E9AB6C53509946
23893
Accountable Care Organizations
http://www.kff.org/ahr051311video.cfm
Integrating Health Care
Delivery Systems
 Primary Care
 Intersections with other
health services
Affordable Care Act Provisions Relating to the Care
of Dually Eligible Medicare and Medicaid
Beneficiaries
http://www.kff.org/healthreform/8192.cfm
The Urgency of Preparing Primary Care Physicians
to Care for Older People with Chronic Illnesses:
Health Affairs May 2010 vol. 29 no. 5 811-818
http://content.healthaffairs.org/content/29/5/811
.abstract
Health Reform and Medicare
http://www.medicarerights.org/issuesactions/publications.php
Medicare, Medicaid, and
Long Term Care Insurance
 The impact of
insurance; Medicare
Advantage Plans
Dual Eligibles: Medicaid's Role for Low-Income
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Aging and Public Health
10:832:314:01, Fall 2011
(Mondays and Fridays, 5:00 – 6:20, Tillet Hall, Room 209, Livingston)
Medicare Beneficiaries
http://www.kff.org/medicaid/4091.cfm
Medicare and You
CMS Product No. 10050 Revised February 2011
http://www.medicare.gov/publications/pubs/pdf/
10050.pdf
15
12/12/11
What is Medicare/Medicaid? CMS Publication No.
11306 April 2008
http://www.medicare.gov/Publications/Pubs/pdf/
11306.pdf
Preparing future long term care leaders
http://www.mcknights.com/preparing-futurelong-term-care-leaders-perspectives-change-afterbecoming-residents/article/206450/
Professional Careers in
Gerontology
Preparing for Future Consumers
http://www.leadingage.org/Preparing_for_Future
_Consumers.aspx
16
12/16/11
12/23/11
New Target: Baby Boomers
http://www.cbsnews.com/stories/2011/03/06/sun
day/main20039772.shtml
Papers must be emailed to Sakai.
There is no final exam.
Exam Period
8