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- Author or Editor: Jane Upton x
This chapter discusses the impact of hip fracture in older age and in particular factors affecting recovery of physical function and wellbeing. It focuses particularly on a study of the impact of depression following hip fracture in older adults, and the influence of this depression on a range of outcomes including immune function, stress hormones, illness perceptions, physical function, and length of stay in health service and rehabilitation facilities. It shows that depression is common following hip fracture among older people, and is the biggest predictor of a slower recovery and poorer function in terms of immunity, wellbeing and physical ability. A pilot study associated with this research showed that illness perceptions following hip fracture did not differ between UK and Punjabi older adults, but that Punjabi speakers in India had greater levels of distress. Implications for health service policy and practice resulting from this research are discussed in this chapter, including potential intervention strategies to improve outcomes after hip fracture.
This chapter discusses the basic biology of ageing. First, it examines the social construction of age which emphasises that what biologists or biogerontologists understand as ageing, cell senescence, is only one manifestation of a complex phenomenon. Second, it provides an overview of the biology of ageing from theories of ageing processes to the idea of normal ageing. Third, it considers what might be done to modulate cellular ageing, such as calorie restriction, inhibiting stress and supplementing the immune system. It concludes by discussing the ethics of interventions in the ageing process.