2006 Masterpiece Alliance Foundation Inc Masterpiece Living is
- Slides: 36
© 2006 Masterpiece Alliance Foundation, Inc. Masterpiece Living is a registered service mark of Westport Advisors, Ltd.
Facilitating Successful Aging: The Physical Component
What You Will Learn • Myths about the aging body • Physical changes as we age • Definition of physical health • Motivational stages of change • What you can do to help residents become and stay active
Myths About The Aging Body
Myths About The Aging Body • To be old is to be sick
How Prevalent Is Disease & Disability? Nearly 50% • Arthritis _____ 33% • Hypertension and heart disease ______ 11% • Diabetes _______ 32% • Hearing impairments _______ 17% • Cataracts _______ 4 – 36% • Alzheimer’s disease _____ 20% • Dentures resulting from disease _______ 60 -74 years = 11% • General disability ____ 75 -84 years = 27% 85+ = 60%
Myths About The Aging Body • To be old is to be sick • The horse is out of the barn • The secret to successful aging is to choose your parents wisely • Older adults shouldn’t exercise • Older adults don’t have anything to stress about • ? ?
Physical Changes As We Age
Physical Changes As We Age • Metabolism changes (weight and stress) • Higher blood pressure, cholesterol, blood sugar levels • Decreased skin elasticity/tightness • Decrease in bone density/mass • Less muscle mass • Shortness of breath when exerting oneself • Slower recovery from injuries • Increased difficulty falling and staying asleep • Less sensitive taste buds; thirst
What Is Physical Health? Successful Aging = Physical + Social + Intellectual + Spiritual
What Is Physical Health? More than just the presence or absence of disease and disability… 1. 2. 3. 4. 5. Physical activity Nutrition Preventive health screenings Sleep Stress management
Physical Activity Definition: Any activity that requires physical effort, especially when performed to develop or maintain fitness.
The Benefits Of Physical Activity Immediate Benefit Impact on Health and Quality of Life • Increased strength, flexibility and balance • Reduced risk of falling • Increased bone density • Reduced risk for new disease or disability • More likely to maintain a healthy weight range • Better circulation and cardiovascular health • Increased brain activity • Higher self-esteem/ confidence • Better daily functioning • Less pain • Mood management • Higher self-esteem • Improved cognitive function • More likely to try other new activities
Types of Physical Activity Cardiovascular 30 minutes of GOAL: challenging activity per day, 5 days a week EXAMPLES: Walking Chair aerobics Swimming Gardening Housework Water resistant exercise Strength Training Flexibility and Balance Guidelines for frequency are not yet formally established Lifting dumbbells Using resistance bands Utilizing strength training machines Lifting/carrying grocery bags, books, canned goods, etc. Yoga Pilates Tai Chi Stretching Calisthenics Dancing
How Do We Help Residents Reap The Benefits Of Being Physically Active?
Good Nutrition
Good Nutrition • Balanced and varied meals • Acknowledges medical conditions • Recognizes the social elements Source: www. mypyramid. gov
Preventive Health Screening
Health Screening • Age- and gender-appropriate screens • Mayo Clinic Web site and HRA www. Masterpiece. Living. com. Mayo. Clinic. com • Cultivate a culture of health responsibility
Sleep
Sleep Quiz: Is it OK for older adults to take regular naps? • Normal changes with age • Getting the right amount: not too much or too little • Tips for better sleep
Stress Management
Stress Management • Health, family and financial stresses • Life review • A positive perspective on life, reinforced by positive self-talk – Examples?
Stages Of Motivational Readiness To Change
What Is The Stages Of Change Model? • Changing behavior is not “all or nothing” • There are five stages people go through as they try to change • Each stage indicates how ready we are to change our lifestyle • Knowing what stage a resident is in: • Helps us motivate them • Helps us decide if we have the right kinds of programming available at our community
The Motivational Stages Of Change 1. Pre-Contemplation (not ready) • Are not intending to get physically active • Are unaware of the benefits of physical activity • We may think of these residents as resistant or unmotivated 2. Contemplation (thinking about it) • Intending to change, but haven’t figured out when or how to begin physical activity • Aware of the benefits of physical activity • Mentally balancing the benefits and costs of physical activity • Often thought of as “procrastinators”
The Motivational Stages Of Change 3. Preparation (getting ready) • Are planning to get physically active within the near future • Have taken some initial steps to get active, such as reading a self-help book, talking to their physician, or asking about the group fitness schedule • Have not actually started being physically active 4. Action (doing it) • Engaged in physical activity, for less than six months • Have a plan to stay active: choose people and situations supportive of their physical activity 5. Maintenance • Active 6+ months
Putting The Stages Model Into Practice Stages: Pre-contemplation Contemplation Preparation Action Resident may say: Stages: Associate should say: Dislikes types of physical activities offered Contemplation (thinking about) Ask what they do like and suggest they form their own group/class in conjunction with the Masterpiece Living Lifestyle Coordinator Doesn’t fit within my schedule Contemplation (thinking about) Suggest other classes or opportunities that fit their schedule; consider examining class schedule Doesn’t believe that exercising is for older adults or woman Pre-contemplation (not ready) Share information from what you have learned today about the myths of the aging body and the benefits of physical activity
Putting The Stages Model Into Practice Stages: Pre-contemplation Contemplation Preparation Action Resident may say: Stages: Associate should say: Doesn’t know or understand the benefits of being active Pre-contemplation (not ready) Refer resident to the Masterpiece Living Lifestyle Coordinator for more information Feels unable to do the activity or is concerned it is too hard or complicated Contemplation/ Preparation (thinking and getting ready) Remind them that physical activity doesn’t have to be rigorous or athletic, but can be as simple as moving about more or adding more walking to their daily routine Doesn’t want to go alone Preparation (getting ready) Suggest they join up with or make new friends with others already participating
What Can YOU Do To Help Residents Be Physically Healthy?
What Can You Do? Know and Share The FACTS About Aging and the Body • Myths are myths • Reality is… Myth? Reality?
What Can You Do? Engage residents regularly • Express your belief in their ability to be an active participant in their health • Praise their current involvement • Motivate them to try new and challenging pursuits • Be informed
What Can You Do? Be Aware • If you notice changes in a resident’s behavior: • Show interest, attention and empathy • Consider all possible causes • Consult with the Masterpiece Living Lifestyle Coordinator • Refrain from “amateur diagnosis”
Case Study Mrs. Smith is a 76 -year-old woman recovering from a heart attack. Her doctor has advised to be more active and healthy, but she feels it may worsen her condition, lead to another heart attack or something worse. Mr. Smith wants to help his wife get healthier, and knows nutrition is a part of this. He admits he contributes to the problem because he does the shopping, usually buying convenience foods from the corner store. What stage(s) are Mr. & Mrs. Smith in? What suggestions would you make to encourage them both to be healthy?
Summary • Physical health is an important part of aging successfully • It’s more than just absence of disease or disability • A staged approach may be effective for motivating behavior change
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