When Aging Becomes a Challenge

Posted on April 24, 2018 by Gina Ulery

They are supposed to be your golden years. Your work is done, your finances are in order, and now you can enjoy your life. However, for many people, reaching retirement age brings many new physical and psychological issues.

In a paper published in June in the journal Aging, scientists from the institute’s Medical Informatics and Systems Division found that spontaneous mutations occur in our bodies constantly, but the rate of change differed dramatically among various people.

These changes are often associated with diseases such as diabetes, kidney failure, cancer, rheumatoid arthritis, and Alzheimer’s disease, and are linked to exposure to various environmental stressors (Bavarva et al., 2014).

“We observed that certain portions of our genome age 100 times faster than others. Microsatellites, once considered ‘junk DNA,’ are known to be associated with many diseases. They change much faster than individual DNA bases (known as single nucleotide polymorphisms, or SNPs), so it is important that future studies look at this very dynamic part of the human genome,” explains Harold Garner, a professor of biological sciences and computer science at Virginia Tech and a professor of medicine at the Virginia Tech Carilion School of Medicine and Research Institute (Garner, 2014).

Things are not as simple as we once thought, and aging doesn’t seem to follow any sort of predictable pattern. Nor are the changes simply physical.

According to a longitudinal study of men and women ranging in age from 25 to 104, self-esteem rises steadily as people age but starts declining around the time of retirement.

Self-esteem, which is related to better health, less criminal behavior, lower levels of depression and, overall, greater success in life was found to be lowest among young adults but increased throughout adulthood, peaking at age 60, before it started to decline (Orth et al., 2016).

Further, on average, women had lower self-esteem than did men throughout most of adulthood, but self-esteem levels converged as men and women reached their 80s and 90s. Blacks and whites had similar self-esteem levels throughout young adulthood and middle age. In old age, average self-esteem among blacks dropped much more sharply than self-esteem among whites – even after controlling for differences in income and health (Orth et al., 2016).

Even more interesting was the finding that people of all ages in satisfying and supportive relationships tend to have higher self-esteem, however, despite maintaining higher self-esteem throughout their lives, people in happy relationships experienced the same drop in self-esteem during old age as people in unhappy relationships. Explains Kali H. Trzesniewski, PhD, of the University of Western Ontario, “Although they enter old age with higher self-esteem and continue to have higher self-esteem as they age, they decline in self-esteem to the same extent as people in unhappy relationships” (Trzesniewski, 2016).

While there are numerous theories as to why self-esteem peaks in middle age and then drops after retirement, such as a change in roles, an empty nest, retirement and obsolete work skills in addition to declining health, not one theory accurately explains the decline. However, through understanding the common physical and psychological challenges that the aging population faces, professionals who treat them can help ensure the highest levels of functioning, and a well-earned retirement.

Related Online Continuing Education (CE) Courses:

Aging: Challenges for Clinicians is a 3-hour online continuing education (CE) course that provides a review of the aging process, illustrating potential challenges and effective solutions. Americans are living longer and there are proportionately more older adults than in previous generations due to the post-World War II baby boom. Many Americans are now living into their eighties and beyond. In healthcare, the volume of older people may soon outnumber the supply of healthcare professionals trained in geriatrics. Aging presents many challenges for people as they encounter new physical and psychosocial issues. It is vital for healthcare professionals to be familiar with the challenges of aging in order to effectively treat the aging population. This course will provide information on the normal process of aging, and point out problems commonly thought to be normal that require medical or psychological evaluation and treatment. Case examples will illustrate scenarios of aging persons who may be at risk but are not aware there is a problem. Use this information for referral as appropriate to ensure the highest level of functioning for your patients. Course #31-01 | 2017 | 54 pages | 20 posttest questions

Biology of Aging: Research Today for a Healthier Tomorrow is a 2-hour online continuing education (CE/CEU) course that reviews the research on aging and provides insight into where the science is heading. What is aging? Can we live long and live well—and are they the same thing? Is aging in our genes? How does our metabolism relate to aging? Can your immune system still defend you as you age? Since the National Institute on Aging was established in 1974, scientists asking just such questions have learned a great deal about the processes associated with the biology of aging. Technology today supports research that years ago would have seemed possible only in a science fiction novel. This course introduces some key areas of research into the biology of aging. Each area is a part of a larger field of scientific inquiry. You can look at each topic individually, or you can step back to see how they fit together, interwoven to help us better understand aging processes. Research on aging is dynamic, constantly evolving based on new discoveries, and so this course also looks ahead to the future, as today’s research provides the strongest hints of things to come. Closeout course #20-85 | 2012 | 30 pages | 15 posttest questions

Alzheimer’s – Unraveling the Mystery is a 3-hour online continuing education (CE/CEU) course that describes the risk factors, effective steps for prevention, strategies for diagnosing and treating, and the search for new treatments for AD. Alzheimer’s dementia is a growing concern among the aging Baby Boomers; yet, modern science points the way to reducing the risks through maintaining a healthy lifestyle. This course is based on a publication from the National Institute on Aging, which describes healthy brain functioning during the aging process and then contrasts it to the processes of Alzheimer’s disease. Strategies for reducing caregiver stress are also briefly discussed. Closeout Course #30-54 | 2008 | 45 pages | 21 posttest questions

Course Directions

Online courses provide instant access to the course materials (PDF download) and CE test. Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. Click here to learn more. Have a question? Contact us. We’re here to help!

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Professional Development Resources is a nonprofit educational corporation 501(c)(3) organized in 1992. We are approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within a few days of completion).

Target Audience: Psychologists, Counselors, Social Workers, Marriage & Family Therapist (MFTs), Speech-Language Pathologists (SLPs), Occupational Therapists (OTs), Registered Dietitian Nutritionists (RDNs), School Psychologists, and Teachers

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What Your Clients Should Know About Aging

Posted on March 13, 2018 by Gina Ulery

It is well known that exercise, in general, helps combat the aging process. However, do we know which forms of exercise are most beneficial?

New research done by German center for Neurodegenerative Diseases, Magdeburg, Germany shows we may not.

Recruiting elderly volunteers with an average age of 68, researchers assigned them to an eighteen-month weekly course of either learning dance routines, or endurance and flexibility training. After assessing participants at the end of the study, Dr. Kathrin Rehfeld, the lead author and her colleagues found what we might expect: both forms of exercise produced increases in the area of the brain that declines with age (hippocampus). However, it was only dancing that led to noticeable behavioral changes – in the form of improved balance (Rehfeld et al., 2017).

Another study done by Scientists at Baylor College of Medicine and the University of Texas Health Science Center at Houston found that we may also underestimate the protective effects of a healthy gut microbiome.

Through slowing down the progression of tumors and the accumulation of amyloid-beta – a compound associated with Alzheimer’s disease – and increasing the production of the polysaccharide colanic acid, the promotion of a healthy gut bacteria associated was shown to have also protective effects against aging (Han et al., 2017).

What studies like this tell us is that there are a variety of things that we may not fully understand about aging, and likely, many helpful interventions.

But where do we start? What is considered normal as we age, and what requires medical or psychological evaluation?

There are actually clear and identifiable physical and psychosocial changes that affect people as they age, and can be addressed by a clinician who is educated and experienced with the aging population. Moreover, there are evidence-based strategies clinicians can use to assist older persons in the clinic or office as well as specific techniques to communicate effectively when sensory deficits are present in older adults.

Lastly, ensuring the highest level of functioning as clients age depends on a clinician who fully understands, and can help the client navigate, the continuum of care. All of this begins with a clinician who understands the challenges of aging – and perhaps more importantly, how to address and overcome them.

Related Online Continuing Education (CE) Courses:

Communication with Elders is a 2-hour online continuing education (CE/CEU) course that offers strategies for improving communication with elders with the goal of improving treatment outcomes. With the increasing number of older people in the United States, it is vital for healthcare professionals to communicate effectively and respectfully with elders. Effective, appropriate communication with elders is important for many reasons. For psychotherapists and other mental health professionals, communication is the foundation of service delivery. Communication is required for assessment of the person prior to treatment. Symptoms are, after all, subjective and must be reported by the person to the clinician. Effective communication also contributes to health literacy; the person’s understanding of her condition, treatment options, and the treatment plan to be followed. A person cannot comply with a treatment program unless the program is communicated clearly enough for the person to understand it. The more effective the communication, the more effective treatment will be – and the more cost effective. Communication also helps the clinician understand the whole person: the emotional, social, and financial realities that affect response to treatment and ability to comply. This course provides an overview of aging changes that affect communication, dysfunctional communication habits to avoid, and strategies for appropriate communication with elders. Course 20-98 | 2015 | 26 pages | 15 posttest questions

These online CE courses are provided by:

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Closeout Sale – 50% Off Online CE Courses

Posted on June 26, 2017 by Gina Ulery

Closeout CE Sale @pdresources.org

Our annual Closeout Sale is here, where you can save 50% on CE courses slated for retirement. But don’t worry, you’ll still have *3 years to complete for credit! (*Course expiration date varies by profession – for everyone except SLPs, you have 3 years to complete. SLPs must complete courses by the designated ASHA expiration date.)

Here are a handful of our newly added Closeout Courses:

Depression is a 1-hour online continuing education (CE) course that provides an introduction to the diagnosis, assessment, and treatment of depressive illness. Everyone occasionally feels blue or sad. But these feelings are usually short-lived and pass within a couple of days. When you have depression, it interferes with daily life and causes pain for both you and those who care about you. Depression is a common but serious illness. Many people with a depressive illness never seek treatment. But the majority, even those with the most severe depression, can get better with treatment. Medications, psychotherapies, and other methods can effectively treat people with depression. Some types of depression tend to run in families. However, depression can occur in people without family histories of depression too. Scientists are studying certain genes that may make some people more prone to depression. Some genetics research indicates that risk for depression results from the influence of several genes acting together with environmental or other factors. In addition, trauma, loss of a loved one, a difficult relationship, or any stressful situation may trigger a depressive episode. Other depressive episodes may occur with or without an obvious trigger. This introductory course provides an overview to the various forms of depression, including signs and symptoms, co-existing conditions, causes, gender and age differences, and diagnosis and treatment options. Closeout course #10-72 | 2014 | 14 pages | 10 posttest questions

Ten Reasons Not to Worry (Too Much) About Malpractice Claims is a 1-hour online continuing education (CE) course that will enable therapists to become clear about the legal definition of malpractice and what it means for them. Using the data available and the opinions of experts – researchers, clinicians, and especially plaintiffs’ attorneys – the author presents ten reasons why the risk of a malpractice claim and its consequences are really not very high. Interspersed throughout are ethical points and risk management tips that enable therapists to adhere to very high standards of care, which add up to the best defense against malpractice worries. This course also addresses some cognitive sets that can cause unwarranted worry and attempts to offer more realistic perceptions on the motivations of clients who sue and those who tend to be litigious. Although suits are improbable, they can happen and are exceptionally distressing and disrupting to professionals. The final section summarizes ways therapists can employ the best ethical practices to prevent lawsuits and use therapeutic skills to manage them when they happen. Closeout course #10-64 | 2013 | 22 pages | 10 posttest questions

Forensic Psychology is a 1-hour online continuing education (CE) course that addresses a variety of forensic psychology topics in the form of 9 archived articles from The National Psychologist. Topics include:

Creating a forensic subspecialty
Veterans treatment courts quickly expanded
Providing mental health services in corrections
Mental health again is issue in gun control debate
Florida adopts Daubert standard for expert testimony
Ethics, psychology and the prison mess
Forensic psychology IS a specialty
The violence carousel keeps going around and around
Forensic opportunities abound.

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This course is intended for psychotherapists of all specialties. Closeout course #10-73 | 2014 | 16 pages | 8 posttest questions

Lewy Body Dementia: Information for Patients, Families, and Professionals is a 1-hour online continuing education (CE/CEU) course that explains what is known about the different types of LBD and how they are diagnosed. Most importantly, it describes how to treat and manage this difficult disease, with practical advice for both people with LBD and their caregivers. Lewy body dementia (LBD) is a disease associated with abnormal deposits of a protein called alpha-synuclein in the brain. These deposits, called Lewy bodies, affect chemicals in the brain whose changes, in turn, can lead to problems with thinking, movement, behavior, and mood. LBD is one of the most common causes of dementia, after Alzheimer’s disease and vascular disease. Dementia is a severe loss of thinking abilities that interferes with a person’s capacity to perform daily activities such as household tasks, personal care, and handling finances. Dementia has many possible causes, including stroke, tumor, depression, and vitamin deficiency, as well as disorders such as LBD, Parkinson’s, and Alzheimer’s. Diagnosing LBD can be challenging for a number of reasons. Early LBD symptoms are often confused with similar symptoms found in brain diseases like Alzheimer’s. Also, LBD can occur alone or along with Alzheimer’s or Parkinson’s disease. This course is intended to help people with LBD, their families, and professionals learn more about the disease and resources for coping. It explains what is known about the different types of LBD and how they are diagnosed. Most importantly, it describes how to treat and manage this difficult disease, with practical advice for both people with LBD and their caregivers. Closeout course #10-76 | 2013 | 21 pages | 10 posttest questions

Bipolar Disorder in Children and Adolescents is a 1-hour online continuing education (CE) course that describes the symptoms and treatments for bipolar disorder (BPD) in children and adolescents. All parents can relate to the many changes their children go through as they grow up. But sometimes it’s hard to tell if a child is just going through a “phase,” or showing signs of something more serious. In the last decade, the number of children receiving the diagnosis of bipolar disorder, sometimes, called manic-depressive illness, has grown substantially. But what does the diagnosis really mean for a child? This course discusses bipolar disorder in children and teens, including signs and symptoms, differences between child/adolescent and adult BPD, diagnostic types, medications for BPD (along with their individual cautions), and other therapies. Closeout course #10-68 | 2012 | 24 pages | 10 posttest questions

Bipolar Disorder in Adults is a 1-hour online continuing education (CE) course that provides a brief overview of the signs and symptoms, diagnostic considerations and treatment options for BPD in adults. Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out daily tasks. Symptoms of bipolar disorder can be severe. They are different from the normal ups and downs that everyone goes through from time to time. Bipolar disorder symptoms can result in damaged relationships, poor job or school performance, and even suicide. But bipolar disorder can be treated, and people with this illness can lead full and productive lives. This introductory course, from the National Institute of Mental Health (NIMH), provides a brief overview of bipolar disorder in adults, including: signs and symptoms; diagnosis; risk factors; and treatment options. Closeout course #10-92 | 2012 | 28 pages | 10 posttest questions

Celiac Disease: Basics & Beyond is a 2-hour online continuing education (CE/CEU) course that explains the basics of celiac disease from prevalence and pathophysiology to diagnosis and management. It also goes beyond the basics by including the dietary treatment of celiac disease from a registered dietitian’s perspective by outlining the steps of the nutrition care process from assessment to monitoring and evaluation. Two case studies are included to assist the health professional in understanding the patient’s perspective from pre-diagnosis to disease management. This course will be informative for anyone with celiac disease as well as registered dietitians and other health professionals who work with patients with celiac disease. Closeout course #20-76 | 2013 | 26 pages | 17 posttest questions

More courses available @pdresources.org!

All offers valid on future orders only. You will have up to 3 years from date of purchase to complete your courses, so feel free to stock up and save. The day you complete your online course test and evaluation is the date that will appear on your certificate of completion.

Biology of Aging – Approved for ASHA CEUs

Posted on October 13, 2014 by Gina Ulery

By the National Institute on Aging (NIA)

What is aging? Can we live long and live well—and are they the same thing? Is aging in our genes? How does our metabolism relate to aging? Can your immune system still defend you as you age? Since the National Institute on Aging was established in 1974, scientists asking just such questions have learned a great deal about the processes associated with the biology of aging. Technology today supports research that years ago would have seemed possible only in a science fiction novel.

Biology of Aging: Research Today for a Healthier Tomorrow is a 2-hour online continuing education (CE/CEU) course that introduces some key areas of research into the biology of aging. Each area is a part of a larger field of scientific inquiry. You can look at each topic individually, or you can step back to see how they fit together, interwoven to help us better understand aging processes. Research on aging is dynamic, constantly evolving based on new discoveries, and so this course also looks ahead to the future, as today’s research provides the strongest hints of things to come. Course #20-85 | 2012 | 30 pages | 15 posttest questions

CE Credit: 2 Hours
Target Audience: Psychology | Counseling | Speech-Language Pathology & Audiology | Social Work |Occupational Therapy | Mental Health | Nutrition & Dietetics
Learning Level: Introductory
Course Type: Online

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This course is offered for .2 ASHA CEUs (Introductory level, Professional area).ASHA credit expires 9/14/2017. ASHA CEUs are awarded by the ASHA CE Registry upon receipt of the quarterly completion report from the ASHA Approved CE Provider. Please note that the completion date that appears on ASHA transcripts is the last day of the quarter regardless of when the course was completed.

Professional Development Resources is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM) to provide continuing education activities in speech-language pathology and audiology. See course page for number of ASHA CEUs, instructional level and content area. ASHA CE provider approval does not imply endorsement of course content, specific products or clincial procedures. CEUs are awarded by the ASHA CE Registry upon receipt of the CEU Participant Form from the ASHA Approved CE Provider. Please note that the completion date that appears on ASHA transcripts is the last day of the quarter, regardless of when the course was completed. Professional Development Resources is also approved by the Florida Board of Speech-Language Pathology and Audiology and is CE Broker compliant (courses are reported within one week of completion).

Biology of Aging – New 2-Hour Online CE Course

Posted on August 22, 2014 by Gina Ulery

By the National Institute on Aging (NIA)

Biology of Aging: Research Today for a Healthier Tomorrow introduces some key areas of research into the biology of aging. Each area is a part of a larger field of scientific inquiry. You can look at each topic individually, or you can step back to see how they fit together, interwoven to help us better understand aging processes. Research on aging is dynamic, constantly evolving based on new discoveries, and so this course also looks ahead to the future, as today’s research provides the strongest hints of things to come. Course #20-85 | 2014 | 30 pages | 15 posttest questions

This online course provides instant access to the course materials (PDF download) and CE test. Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. You can print the test (download test from My Courses tab of your account after purchasing) and mark your answers on it while reading the course document. Then submit online when ready to receive credit.

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists; the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the California Board of Behavioral Sciences (#PCE1625); the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).

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Biology of Aging – Approved for ASHA CEUs

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