Aging is the process of developing and maintaining the functional ability that enables well-being in older age. This functional ability is influenced by an individual's intrinsic capacity, the environment in which they live, and the interactions between the two. WHO emphasizes that healthy aging is achievable by all older people and should focus on enabling them to continue participating in activities they value (WHO, 2025). The global population of people aged 60 years and older will more than double, from 900 million in 2015 to about 2 billion in 2050 (WHO, 2025). This population is considered the fastest-growing population worldwide. The National Council for Older Persons, Bahamas (1997) stated that by the year 2025, persons 65 years and over would be 17.6% of the population, or 69,215 persons. In The Bahamas, the number of older people (65+) per 100 children under 15 years of age was 50.2.

Elder abuse is a serious matter that affects millions of older adults worldwide and is often overlooked. Elder abuse is an intentional or negligent act by any person that causes harm or a serious risk of harm to an older adult (American Nurses Association, 2025). \ Elder abuse is not limited to physical harm. Abuse can occur in numerous forms, including emotional, financial, sexual, and neglect. Neglect may be intentional or unintentional and occurs when caregivers and or family members fail to meet the basic needs of older adults. These basic needs include, but are not limited to, food, shelter, medical care, and personal hygiene. Financial exploitation can result in older adults being unable to afford necessities, thereby, resulting in unsafe or unstable living conditions. The impact of abuse over a period of time diminishes the quality of life and reduces life expectancy of this population.

Several factors contribute to the occurrence of elder abuse. Care giver stress is a significant factor of elder abuse. Long term care delivery with high stress realities can sometimes lead to caregiver frustration, and eventually harmful behavior. Prejudice against older persons can devalue their lives resulting in more social acceptance of abuse. Family conflicts, mental health issues, and substance abuse among caregivers may also play a role in elder abuse.

 Key areas in caring for older adults include assisting with daily living activities, providing emotional support, managing medications, and ensuring a safe and comfortable environment. Additionally, caregiving extends to addressing legal and financial matters, coordinating healthcare, and providing respite care for family caregivers. Respite care is essential for caregivers who are active in older adult care delivery. Taking a break can be very restorative and refreshing for caregivers.

It prevents caregiver burnout. Caring for this population also includes adherence to the United Nations Principles for Older Persons. These principles emphasize independence, participation, care, self-fulfillment, and dignity for older individuals (OHCHR, 2025). These principles serve as a framework for promoting the rights and well-being of older adults, ensuring they can live fulfilling and dignified lives. Older persons should be able to seek and develop opportunities for service to the community and to serve as volunteers in positions appropriate to their interests and capabilities. The reality is “active” instead of “geriatric” mindset; thereby, allowing older persons to maintain being active in congruence with their limitations.


Dr. Justina Knowles, Women’s Ministries Department, Gambier Church