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Penn Nursing 090805_final_4c - University of Pennsylvania School ...

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intellectual integration aimed at<br />

improving the lives <strong>of</strong> a globally burgeoning<br />

older population.This will<br />

require, at a minimum, a greater intersection<br />

<strong>of</strong> two heret<strong>of</strong>ore competing<br />

paradigms. One is the biomedical<br />

model, disease focused and reductionist<br />

– the essential framework for the medical<br />

sciences.The other, in contrast, is<br />

an amalgam <strong>of</strong> models (no single one<br />

predominates in the technologically<br />

developed world) under the rubrics <strong>of</strong><br />

holism, naturalism, health, and function.<br />

By combining biomedical and<br />

psychosocial approaches, many believe,<br />

including myself, that we could achieve<br />

better outcomes for older adults.<br />

To Claire’s credit, she understood<br />

that nothing was possible without<br />

critical mass and integration <strong>of</strong> gerontology<br />

within nursing’s tripartite mission<br />

<strong>of</strong> research, education, and practice.<br />

In 2000, with funds from The<br />

John A. Hartford Foundation, <strong>Penn</strong><br />

<strong>Nursing</strong> was designated as one <strong>of</strong> five<br />

Hartford Centers <strong>of</strong> Geriatric <strong>Nursing</strong><br />

Excellence.<br />

By 2050, in the U.S. alone, there<br />

will be 70 million Americans over the<br />

age <strong>of</strong> 65; 50 million will be over 85;<br />

and 300,000 will be centenarians.And<br />

therein lies the challenge for gerontologists<br />

<strong>of</strong> the future: to understand aging,<br />

in all <strong>of</strong> its manifestations, from the cell<br />

to the spirit; to create systemic structures<br />

permitting a healthy, viable interdependence<br />

between young and old; to reimagine<br />

a health and social service system<br />

that takes advantage <strong>of</strong> new knowledge,<br />

in whatever form, to support both<br />

the individual and society; to implement,<br />

diffuse, and sustain evidence-based<br />

practice within and across settings; and<br />

<strong>final</strong>ly, to create the best possible atmosphere<br />

for an aging world.<br />

By combining biomedical and<br />

psychosocial approaches,<br />

many believe, including myself,<br />

that we could achieve better<br />

outcomes for older adults.<br />

25

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