{"id":18683,"date":"2016-01-15T14:27:48","date_gmt":"2016-01-15T19:27:48","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=18683"},"modified":"2016-01-15T14:27:48","modified_gmt":"2016-01-15T19:27:48","slug":"growing-old-can-be-risky-business","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2016\/01\/growing-old-can-be-risky-business\/","title":{"rendered":"Growing old can be risky business"},"content":{"rendered":"<p>From the Rush University Medical Center\u00a0media release:<\/p>\n<blockquote>\n<p id=\"first\" class=\"lead\"><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/senior_vision.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-10339\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/01\/senior_vision.jpg\" alt=\"senior vision\" width=\"200\" height=\"300\" \/><\/a><strong>Managing money can be difficult at any age. <\/strong><\/p>\n<p class=\"lead\">For older adults, changes in physical condition and life circumstances can lead to changes for the worse in financial behavior, putting their well-being in danger. <strong>Now those changes have been given a name: age-associated financial vulnerability<\/strong>.<\/p>\n<\/blockquote>\n<div id=\"text\">\n<blockquote><p>Two experts in elder abuse coin the term and explain the concept in an opinion article published in the Oct. 13 issue of the <em>Annals of Internal Medicine<\/em>. They also call for research to identify and help older adults at risk from age-associated financial vulnerability, or AAFV for short.<\/p>\n<p><strong>They define the condition as &#8220;a pattern of financial behavior that places an older adult at substantial risk for a considerable loss of resources such that dramatic changes in quality of life would result.&#8221;<\/strong> To be considered AAFV, this behavior also must be a marked change from the kind of financial decisions a person made in younger years.<\/p>\n<p>&#8220;For example, if an older adult gives his or her neighbor $10,000, this many be a sign of AAFV. However, <strong>if the older adult has given large sums of money to those in need throughout his or her adult lifetime, then the $10,000 gift in old age may not represent a change in behavior, and thus may not represent AAFV<\/strong>,&#8221; explains Duke Han, PhD, co-author of the study and associate professor of behavioral sciences at Rush University Medical Center.<\/p>\n<h3><strong>Not the same old problem<\/strong><\/h3>\n<p>The authors note that AAFV is a condition different from age-related cognitive impairment, including dementia, which already is recognized as putting older adults at risk of causing themselves financial harm. Since recent studies have indicated that &#8220;<strong>cognitively intact older adults&#8221; may become financially vulnerable<\/strong>, they write, &#8220;cognitive impairment is not necessary for AAFV.&#8221;<\/p>\n<p>Instead, <strong>the trouble can lie in the many ordinary changes brought about by aging<\/strong>. &#8220;Functional changes such as impaired mobility, vision and hearing loss, and the cost of multiple medications can directly influence vulnerability in older adults,&#8221; Han says.<\/p>\n<p><strong>Other potential contributing factors may include cognitive changes, such as a lessened ability to discern a person&#8217;s trustworthiness, and psychosocial problems, including loneliness or depression<\/strong>. In addition, the finance industry has identified older adults as an untapped market, which can lead to them being overwhelmed by the &#8220;dizzying array of financial products and services,&#8221; according to Han and co-author Mark Lachs, MD, MPH, professor of medicine and co-chief of geriatrics and gerontology at Weill Medical College in New York.<\/p>\n<p>&#8220;In my discussions with Dr. Lachs about our experiences with the heart-breaking effects of financial vulnerability among our older patients, we decided that naming the problem may be a useful first step to addressing the issue,&#8221; Han says.<\/p>\n<h3><strong>Protecting the vulnerable from the villainous<\/strong><\/h3>\n<p>Han and Lachs believe <strong>it&#8217;s important to understand AAFV as a condition in order to protect older adults who exhibit signs of it, distinct from behavior brought on by cognitive impairment or problems with financial judgement that preceded older age<\/strong>. In particular, AAFV can put a person at risk for financial exploitation: Han notes that financial abuse is one of the most common forms of elder abuse, and is the most frequent form of perpetrator-related elder abuse in Illinois.<\/p>\n<p>&#8220;This is a growing problem since we have a large aging population with no ways to determine who is at risk and why,&#8221; Han warns. &#8220;<strong>We need more screening, and more interventional programs and strategies to address this issue<\/strong>. We also need to determine what the role and responsibility is of physicians in protecting their patients.&#8221;<\/p><\/blockquote>\n<\/div>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Rush University Medical Center\u00a0media release: Managing money can be difficult at any age. For older adults, changes in physical condition and life circumstances can lead to changes for&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2016\/01\/growing-old-can-be-risky-business\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[321,355,345,344,60],"tags":[377],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18683"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=18683"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18683\/revisions"}],"predecessor-version":[{"id":18686,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18683\/revisions\/18686"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=18683"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=18683"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=18683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}