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 bio-psychosocial model (Engel 1977; Kety 1974) to observations made in a service for the elderly during a placement practice, the discussion will explore how the vicious circle of factors specific to advanced age affects the biological aspects -psychosocial aspects of the health of the elderly. Older people are identified as those aged 65 and over, Office for National Statistics (ONS) (2013; Wadrop 2009). The biopsychosocial model (Engel 1977) is an approach to collectively or holistically treating biological, psychological and social sets of related events (Strandberg et al 2007) as systems manifesting functions and properties at the specific level or over the all aspects of the health of an individual or group. On this basis, the ways in which observed and established factors specific to old age have influenced each other physiologically, psychologically, and socially, and not simply as independent properties of the mind, body, or social environment (Frankel and Quill 2005) from the patient group, are examined. comprised both men and women aged 65 (ONS 2013; Wadrop 2009) who were receiving treatment for various conditions in the elderly ward. The population of older people is said to be increasing due to falling fertility and mortality rates (UK House Of Lords, 2013; UN 2009), which represent part of the biological and social aspect of older adult life. Although this group was primarily identified as having medical problems, dementia was also noted to be dominant among these older adults. Dementia is a group of chronic disease states characterized by a progressive...... middle of article...... holistic approach in all aspects of my health and social care responsibilities, prevention to diagnosis and treatment. I am now aware that biopsychological health problems can be affected 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 treat any underlying and related problems. Although age-related biopsychological decline is inevitable (Fuchs 2004), it can be better managed by adhering to the Equality Act (Great Britain 2010) to combat the heightened stigma faced by older people in the health and social fields, 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, e.g. Clarke and Griffin (2008), Harvard University (2014) and Mackenbach et al. (2008).