Older Adulthood: Decline or Redesign?

My name is Kacey Wright, and this is my first semester here at GSU. I am a Certified Occupational Therapy Assistant (COTA) transitioning into the field of social work. Much of my background is in pediatrics and school-based therapy, but moving to Georgia forced a shift in my professional path as a COTA. COTAs in Georgia are rarely placed in outpatient pediatrics or schools. That change opened a new door for me, and I am embracing it.  

My direct experience with older adults is limited, though I did complete a fieldwork placement in a skilled nursing facility. That setting introduced me to the realities of aging in an environment where many individuals were navigating health challenges. However, I recognize that not all older adults fit into that category. Many are not “sick” or “injured” but are instead learning to adjust to the natural shifts that come with age. These changes deserve respect, not stigma. I chose this elective because I want to deepen my understanding of aging beyond the medical lens and explore the broader human experience of later life. 

When I think about “older adulthood”, I see these stages as transitions rather than endings. To me, “older adulthood” represents a time when wisdom and perspective take center stage, even as the body and mind adapt in new ways. I imagine this season of life as one of balancing acceptance of change with opportunities for growth, connection, and purpose. 

When I picture myself as an older adult, I imagine entering that stage in my mid to late 60s. I hope by then to have lived enough life to feel both peace and gratitude, even as I navigate the realities of aging. I expect I’ll wear visible markers of time…wrinkles, gray hair, and slower dance moves. I hope to remain active in ways that are meaningful to me. Wellness, social connection, and keeping my mind engaged will be priorities. I see myself spending time reading, writing, enjoying nature, and being with my family. Mentorship, advocacy, and storytelling will also play a role in how I continue to give back to my community. The things that will bring me joy will remain simple: good food, meaningful conversations, music, and watching the younger generations of my family grow. 

At the same time, I recognize that aging can present challenges. One “problem of aging” that I personally fear is cognitive decline. I value continuous learning, and the idea of losing those abilities weighs heavily on me. However, I also believe in the brain’s resilience. Neuroplasticity, the brain’s ability to form and reorganize neural connections throughout life.  Neuroplasticity does slow down with aging, but there are ways to battle it. A professor once shared that she and her husband had made a habit of continuously switching up the music they listened to in the car for over forty years, all genres. That simple act has been shown to keep their brains engaged in new ways, challenging them to adapt and grow. Inspired by that story, I began practicing the same habit about eight years ago. It reminds me that even in aging, the brain is capable of learning, adapting, and surprising us. 

Still, I try to balance this fear with the understanding that aging is a natural part of life. My training and experiences have shown me that aging can also be a time of adaptation, resilience, and even joy when people have the right supports. I hold onto that perspective as I think about my own future and the way I want to walk alongside others on their journeys through older adulthood.

3 Comments

  1. Kandice Dinkins

    Hi Kacey,

    Thank you for sharing such an insightful and thoughtful introduction. It’s exciting to hear about your transition from being a Certified Occupational Therapy Assistant to pursuing social work. Your experience in pediatrics and school-based therapy undoubtedly provides a strong foundation for understanding the diverse needs of individuals across the lifespan.

    I appreciate your recognition of the complexities of aging and the importance of viewing older adults through a broader lens rather than just a medical perspective. Your emphasis on respect for the adjustments that come with aging highlights a compassionate approach that is essential in both social work and occupational therapy.

    I also appreciate your acknowledgment that aging can bring both challenges and opportunities. Your perspective on the importance of support systems for older adults is vital, and I believe your background in occupational therapy will allow you to make a meaningful impact in this area.

    Overall, your introduction reflects a genuine commitment to understanding the aging process and advocating for others. I look forward to learning alongside you in this course and seeing how your insights and experiences will enrich our discussions. Thank you for sharing your journey and aspirations!

  2. ELVIRA JUSUPOVIC

    Hi Kacey,

    I want to start off by saying that I really enjoyed reading your post! I think it’s inspiring how you’re embracing the shift in your career and finding new opportunities in social work. I also want to point out how important it is that you acknowledged that aging isn’t just dealing with being “sick” or “injured”, but it’s also just simply navigating through a different part of life with different challenges. As someone who works closely with older patients frequently, this is so overlooked. I wish you luck during your transition and hope it goes smooth. Looking forward to more of your posts this semester!

  3. Dr P

    Kacey,

    This post is really well written, and I enjoyed taking the journey into your thinking about aging. You are optimistic and realistic at the same time. I am sure your experiences have helped to provide you with that balance. I loved your description of what “old age” will look like for you. iReading it was soothing.

    Your fear of cognitive decline is the most common fear of aging. I don’t say that to minimize it’s impact or affects, but to suggest that we all hear a great deal about that issue whenever we discuss aging in our country. I think your strategy for your own aging is a good one, and I love your professor’s suggestion of switching up the music. That’s true for a lot of different things. The more new things we have in our lives, the more we force our brains to think differently.

    Nicely done post and I look forward to hearing more about your experiences in this class. I think you will enjoy the texts, particulalry Elderhood.

    Dr P

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