This essay aims to explore how biological, psychological and social aspects can have bidirectional and exacerbating influences on the health of an individual or groups. By applying the biopsychosocial model (Engel 1977; Kety 1974) to observations made in an elderly ward during placement practice, the discussion will explore how the vicious circle of age-specific factors influences the biopsychosocial health aspects of the elderly people. Older people are identified as people aged 65 or over, Office for National Statistics (ONS) (2013; Wadrop 2009). The biopsychosocial model (Engel 1977) is an approach that treats biological, psychological and social groups of collectively or holistically related events (Strandberg et al 2007) as systems that manifest functions and properties at the specific level or in the complex of health aspects of an individual or of groups. On this basis, we examine the ways in which observed and established factors specific to older age influence each other at the physiological, psychological and social levels and not simply as independent properties of the mind, body or social environment (Frankel and Quill 2005) of the patient group. they consisted of both male and female older adults aged 65 years and over (ONS 2013; Wadrop 2009) who were receiving treatment for various ailments in the aged care unit. The elderly population is believed to be increasing due to declining fertility and mortality rates (UK House of Lords, 2013; United Nations 2009), which represents some of the biological and social aspects of old age. Although this group was primarily identified as having health problems, it was also noted that dementia was dominant among these older adults. Dementia is a group of chronic pathological conditions characterized by a progression...... half of document ...... holistic approach in all aspects of my health and social responsibilities, from prevention to diagnosis and treatment. I am now aware that bio-psychological health problems can be influenced by social events and circumstances and vice versa; When faced with a health or social problem I will be alert to the need to investigate and address any underlying and related problems. Although age-related bio-psychological decline is inevitable (Fuchs 2004), it can be better managed by adhering to the Equality Act (Britain 2010) in order to address the exacerbating stigma faced by older people in health and social care, see for examples, Allin et al (2011), BBC (2014), Curruthers and Ormondroyd, (2009) Lavelle et al., (2007) and Mangin et al (2007); and in employment and social activities, for example Clarke and Griffin (2008), Harvard University (2014) and Mackenbach et al (2008).