Sociology 163
AGING AND HEALTH
Course Requirements

Dr. Deborah T. Gold
Spring, 2003

Course Requirements

Your grade will be based in large part on your performance on two major assignments: a mid-term paper and a final, longer research paper. The midterm paper can be on any topic discussed in class prior to its due date and should illustrate how well you apply concepts that we learn in the course to this point. This ability is more important than memorizing factual material. The subject matter of this course, how materials are presented, and the readings are all better suited to papers than to other testing formats. In addition, this course has a W (Writing) designation for Curriculum 2000 which is better served by papers.

The final research paper will be on a topic of your choice related to aging and health. I reserve the right to veto topics, so you should get yours approved before you begin. The paper will be due on the final day of class (April 22) at the beginning of class and should be approximately 20 pages in length. Peer-reviewed journal articles provide the best sources; Internet sites are unacceptable for academic research. NOTE: If you provide a URL (e.g., www.XXXX.com) in your bibliography, your grade on the paper will be lowered one grade.

In addition to the papers, you have a Journal Article Review requirement (explained on page 3) and a LEAPS requirement (explained below).

LEAPS (Learning through Experience, Action, Partnership, and Service)

In addition to your papers and journal article assignments, this class has a required LEAPS or Service Learning component. If you are unfamiliar with LEAPS, you will learn quickly as someone from the LEAPS program will also be in to talk with us very soon. LEAPS gives you the opportunity to "learn while doing" and also exposes you to sides of human development and life that you might not otherwise see. For this class, the LEAPS coordinator will help you find a volunteer placement at a local organization serving senior citizens (nursing home, life care community, senior center or whatever). To meet the LEAPS requirement for the class, you must do the following:

1. Spend a minimum of two hours a week or 20 total hours during the semester at an approved LEAPS site. (Week 1 of classes and spring break do not count.)

Keep a journal of those 20 hours, recording special circumstances or experiences and identifying what you learn while volunteering. This is not a diary; simply listing your activities is insufficient. The journal must have 10 entries, 1 per 2 hour block. Each entry should be 1 handwritten page in length. If you prefer to type, that's fine. Journal due the final day of class (April 22).

2. Reflection sessions will be held at intervals during the semester. These are sessions run by the LEAPS student coordinators that give you an opportunity to discuss your experiences as well as hear about those of the other students. It is also a place where gripes can be discussed (though they shouldn't just turn
into gripe sessions). You will need to attend four (4) reflection sessions during the semester. The leaders will keep attendance records and give them to me at the end of the semester.

Students who have participated in this before have not only learned a great deal from it but have also really enjoyed it! If you have questions, please feel free to ask. Questions about grading should go to me; questions about volunteering and placements should go to the facilitators.

Grades will be calculated on the following basis:

  Mid-term paper 20%
  Research paper 35%
  Journal Article Summaries 15%
  LEAPS participation & journal 20%
  Class participation 10%

Borderline grades can be positively affected by participation in class discussion.

Books: We have three required books this year.

Austad, S.A. (1997). Why We Age. New York: John Wiley & Sons. (Paperback)

Warshofsky, F. (1999). Stealing Time: The New Science of Aging. New York: TV Books.

Koch, T. (1990). Mirrored Lives: Aging Children and Elderly Parents. Westport, CT: Praeger.

Syllabus

Journal Article Bibliography

Directions: On your syllabus under readings, some of the topics have "journal article" listed. For those days, you should look the topic up on pages 4-6 of this syllabus, find suggested journal articles, and read at least one article.

There are eight (8) sessions with "journal article" as the reading assignment. For each one, you need to type on a single page, the authors' names, the year, the title of the article, the name of the journal (underlined), the volume number (underlined), and the page numbers. Then type a one paragraph brief description of the study or studies described in the article (or the topic of discussion in the article). Finally, type a single paragraph on whether you agree or disagree with the article and why.

These journal article summaries are due on the date on the syllabus, and their cumulative total will be worth 10% of your grade. You will get either a plus (A), a check (C), or a minus (D) as a grade on each of these.

Choices of journal articles are available at the Sociology web site under Soc 163. They are all in .pdf format that you can copy to your computer or print. They are labelled with both topic and number (Coping, the 5th topic, has four possible articles called Coping 5.1, 5.2, 5.3, and 5.4. )

If you have questions about these assignments, please see Dr. Gold.

Sample Heading for Journal Article Page

Your name
Sociology 163
Date

Journal Article #?

Gold, D.T. (2002). Fly fishing in America. The Fly Fishing Quarterly, 4, 110-121.


Articles submitted without proper citations as headings will be returned for correction.


Sociology 163: Journal Article Topics


1. MEDICARE Tuesday, 1/28
1.1 Henton FE et al. Determinants of medical home healthcare service use among Medicare recipients. Nursing Research. 2002, 51:335-362.
1.2 Bratzler DW et al. Failure to vaccinate Medicare patients. Archives of Internal Medicine. 2002, 162:2349-2356.
1.3 Short PF et al. Similarities and differences in choosing health plans. Medical Care. 2002, 40:289-302.
1.4 Fortess EE et al. Utilization of essential medications by vulnerable old people after a drug benefit cap: importance of mental disorders, chronic pain, and practice setting. Journal of the American Geriatrics Society. 2001, 49:793-797.
2. FUNCTIONAL STATUS AND HEALTH Tuesday, 2/11
2.1 Fried TR et al. Functional disability and health care expenditures for older persons. Archives of Internal Medicine. 2001, 161:2602-2607.
2.2 Vaccarino V et al. Differences between African Americans and whites in the outcome of heart failure: evidence for a greater functional decline in African-Americans. American Heart Journal. 2002, 143:1058-1067.
2.3 Jensen GL, Friedmann JM. Obesity is associated with functional decline in community-dwelling older persons. Journal of the American Geriatrics Society. 2002, 50:918-923.
2.4 Holtzman J et al. Effect of baseline functional status and pain on outcomes of total hip arthroplasty. Journal of Bone and Joint Surgery. 2002, 84:1942-1948.
3. INFORMAL SOCIAL SUPPORT Thursday, 2/20
3.1 Czaja S, Rubert MP. Telecommunications technology as an aid to family caregivers of persons with dementia. Psychosomatic Medicine. 2002, 64:469-476.
3.2 McGarry J, Arthur A. Informal caring in late life: a qualitative study of the experiences of older carers. Journal of Advanced Nursing. 2001, 33:182-189.
3.3 Grant JS et al. Telephone intervention with family caregivers of stroke survivors after rehabilitation. Stroke. 2002, 33:3060-3065.
3.4 Kraus N, Shaw BA. Welfare participation and social support in later life. Psychology and Aging. 2002, 27:260-270.
4. SOCIAL AND BEHAVIORAL INTERVENTIONS Tuesday, 3/4
4.1 Gerdner LA et al. Impact of a psychoeducational intervention on caregiver response to behavioral problems. Nursing Research. 2002, 51: 363-374.
4.2 Beck CK et al. Effect of behavioral interventions on disruptive behavior and affect in demented nursing home residents. Nursing Research. 2002, 51:219-228.
4.3 Izquierdo-Porrera A et al. Correlates of exercise adherence in an African American church community. Cultural Diversity and Ethnic Minority Psychology. 2002, 8:389-394.
4.4 Barr RG et al. Patient factors and medication guideline adherence among older women with asthma. Archives of Internal Medicine. 2002, 162:1761-1768.
5. COPING WITH CHRONIC ILLNESS Thursday, 3/20
5.1 Kuo TT, Ma FC. Symptom distresses and coping strategies in patients with non-small cell lung cancer. Cancer Nursing. 2002, 25:309-317.
5.2 Robichaud L, Lamarre C. Developing an instrument for identifying coping strategies used by the elderly to remain autonomous. American Journal of Physical Medicine and Rehabilitation. 2002, 81:736-744.
5.3 O'Neill ES. Illness representations and coping of women with chronic obstructive pulmonary disease: a pilot study. Heart and Lung. 2002, 31:295-302.
5.4 Nordin K et al. Coping style, psychological distress, risk perception, and satisfaction in subjects attending genetic counselling for hereditary cancer. Journal of Medical Genetics. 2002, 39:689-694.
6. ALZHEIMER'S DISEASE Thursday, 4/3
6.1 Karlsson S et al. Factors relating to the use of physical restraints in geriatric care settings. Journal of the American Geriatrics Society. 2001, 49:1722-1728.
6.2 Engelhart MJ et al. Dietary intake of antioxidants and risk of Alzheimer disease. Journal of the American Medical Association. 2002, 287:3223-3229.
6.3 Earnst KS et al. Cognitive models of physicians' legal standard and personal judgments of competency in patients with Alzheimer's disease. Journal of the American Geriatrics Society. 2000, 48:919-927.
7. LIFE-SUSTAINING TREATMENT, DNR, AND LIVING WILLS Thursday, 4/10
7.1 Schwartz CE et al. Early intervention in planning end-of-life care with ambulatory geriatric patients. Archives of Internal Medicine. 2002, 162:1611-1618.
7.2 Braun KL et al. Advance directive completion rates and end-of-life preferences in Hawaii. Journal of the American Geriatrics Society. 2001, 49:1708-1713.
7.3 Desbiens NA. Deciding on anticoagulating the oldest old with atrial fibrillation: insights from cost-effectiveness analysis. Journal of the American Geriatrics Society. 2002, 50:863-869.
8. DEATH AND DYING Thursday, 4/17
8.1 Rosenthal GE et al. Age and the risks of in-hospital death: insights from a multihospital study of intensive care patients. Journal of the American Geriatrics Society. 2002, 50:1205-1212.
8.2 Finucane TE. Care of patients nearing death: another view. Journal of the American Geriatrics Society. 2002, 50:551-553.
8.3 Miller SC et al. Does receipt of hospice care in nursing homes improve the management of pain at the end of life? Journal of the American Geriatrics Society. 2002, 50:507-515.
8.4 Temkin-Greener H, Mukamel DB. Predicting place of death in the Program for All-Inclusive Care for the Elderly (PACE): participant versus program characteristics. Journal of the American Geriatrics Society. 2002, 50:125-135.

 

Date Topic Reading
Thursday, 1/9 Introduction and Overview  
Tuesday, 1/14 The Epidemiology of Aging Warshafsky, Chapter 1
Thursday, 1/16 Health in Later Life: General Issues Austad, Chapter 1
Tuesday, 1/21

The Biology of Aging

Warshafsky, Chapter 3
Austad, Chapter 4
Thursday, 1/23 The Biology of Aging (cont.) Warshafsky, Chapter 2
Tuesday, 1/28 Medicare and Medicaid journal article #1 due
Thursday, 1/30 Health Care Economics Austad, Chapters 5-6
Tuesday, 2/4 Health Services for the Elderly: Koch, Chapter 2
Thursday, 2/6 Social Characteristics and Health Koch, Chapter 1
Tuesday, 2/11 Functional Status and Health journal article #2 due
Thursday, 2/13 Long-Term Care: Community-Based Solutions Warshofsky, Chapter 8
Tuesday, 2/18 Long-Term Care: Effects of Institutionalization Austad, Chapters 2-3
Thursday, 2/20 Informal Support: Family asCaregivers
MIDTERM DISTRIBUTED
Koch, Preface
journal article #3 due
Tuesday, 2/25 Social Support: Instrumental and Emotional Koch, Chapter 3
Thursday, 2/27 Psychosocial Aspects of Aging and Health: Social Networks
MIDTERM DUE
Koch, Chapter 4
Tuesday, 3/4 Psychosocial Aspects of Aging and Health: Social and Behavioral Interventions journal article #4 due
Thursday, 3/6 Chronic Illness in Late Life Austad, Chapter 8
Tues, 3/11 & Thurs, 3/13 SPRING BREAK  
Tuesday, 3/18 Coping with Chronic Illness Austad, Chapter 9
Thursday, 3/20 Coping (continued) journal article #5 due
Tuesday, 3/25 Aging, Stress, and Disease Koch, Chapter 5
Thursday, 3/27 Mental Health and the Elderly Warshafsky, Chapter 6
Tuesday, 4/1 Alzheimer's Disease Warshafsky, Chapter 7
Thursday, 4/3 Alzheimer's Disease (cont.) journal article #6 due
Tuesday, 4/8 Health Promotion and Disease Prevention Austad, Chapter10
Thursday, 4/10 Life-Sustaining Treatment, DNR, & Living Wills journal article #7 due
Tuesday, 4/15 Death and Dying Koch, Chapter 6
Thursday, 4/17 Death and Dying (cont.) journal article #8 due
Tuesday, 4/22 Summary and Conclusions Koch, Afterward
Week of Monday, 4/29 FINAL EXAMS