Chapter 7: Promoting Healthy Aging

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Chapter 7 Promoting Healthy Aging
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Learning Objectives

• Discuss the promise and limitations of the
  Healthy People initiatives.
• Apply the health contract technique and
  nutritional bulls-eye for behavior change.
• Describe several model health promotion programs.
• Explain the concept of re-engagement and provide
  examples of it.
• Identify the components of Medicare prevention.

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Learning Objectives (contd)

• Explain the importance of life review.
• Recognize the importance of exercise and
  nutrition for healthy aging.
• Discuss the importance of the Green House project
  to the future of long-term care.

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Promoting Healthy Aging

• Health promotion works for all ages but it does
  not work for everyone, all the time.
• Exercise
• Nutrition
• Re-engagement rather than retirement
• Healthy People 2020

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Medicare (now reimburses for prevention
activities) Table 7-1

• Nutrition therapy for persons with diabetes and
  kidney disease
• An initial physical examination that includes
  prevention counseling
• Smoking cessationfor those who have an illness
  caused by or complicated by tobacco use
• Comprehensive health promotion programs developed
  by Drs. Dean Ornish and Herbert Benson, for
  beneficiaries with heart problems

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Health Behavior Change

• Health Contract/Calendar works for some
• Exercise
• Americans should get at least 30 minutes
  cumulative exercise most days.
• Nutrition
• Older adults vulnerable to both obesity and
  malnutrition
• Social isolation, dental problems, medical
  disease, and medication contribute to
  malnourishment
• nutrition bulls eye targets most nutritious
  foods on a personalized basis (Fig. 7-4, p. 201)

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Health contract (contd)

• I, (patients name), hereby promise to myself
  and to Dr. Chemplavil, that I will make every
  effort to lose my weight, and I will pay 1 to
  Dr. chemplavils Dollar for Pound Fund, for every
  pound of weight that I gain, on each visit to the
  office, by cash. I also understand that I will
  receive 1 from the same fund for each pound of
  weight that I lose.

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Mental Health

• No persistent reduction in life satisfaction
  among most older adults
• Life review one tool for preserving the mental
  health of older adult the review of positive
  and negative past life experiences has enabled
  elders to overcome depression.
• Depression
• Dependency ADLs, IADLs
• Quality of Life and Wellness

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Model Health Promotion Programs for Older Adults

• Healthwise medical self-care program in Idaho
• Chronic Disease Self-Management Program Stanford
  University
• Project Enhance Seattle/King County
• Ornish Program for Reversing Heart Disease Dr.
  Ornish in UCSF vegetarian diet
• Bensons Mind/Body Medical Institute Harvard
  Medical School relaxation technique
• Strong for Life home based exercise program-
  Stanford Hospital exercise video

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Re-Engagement Instead of Retirement

• Baby boomers started turning 65 in 2011
• Most will not disengage from life upon retirement
• This cohort of older adults is the
• Longest lived
• Best educated
• Healthiest
• Most engaged
• Largest cohort of retirees

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Re-Engagement Instead of Retirement

• Ways older adults can re-engage
• Experience Corps is a foundation-supported
  program that has placed 2,000 older adults are
  tutors and mentors for 20,000 low-income children
  in urban public elementary schools and
  afterschool programs in 19 cities, boosting
  students' academic performance and enhancing
  older adults' well-being

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Green House

• Revolution in long-term care
• First constructed in Tupelo, Mississippi
• Look like surrounding homes in the neighborhood
• 10 residents have private room and bath with
  shared areas for cooking, socializing, and graden
• Promotes autonomy

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Summary

• Many exciting changes in fields of health
  promotion and aging
• Pro-aging movementin could contrast with the
  commercial and exploitive anti-aging movement.

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Summary

• Older adults are free to be themselves have an
  opportunity to be freer, wiser, more engaged in
  helping others, and more willing to be an
  advocate not only for their own health, but for
  the well-being of society.

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Question

• Medicare Prevention refers to the federal
  government ________.
• a. preventing older people from signing up for
  Medicare
• b. preventing Medicare funding
• c. reimbursing Medicare recipients for certain
  prevention activities
• d. recommending moving seniors from Medicare to
  private insurance