1
00:00:00,340 --> 00:00:01,780
We'll never show.

2
00:00:13,640 --> 00:00:14,920
Good morning.

3
00:00:16,240 --> 00:00:25,180
And welcome to beautiful old-or-ture beach. Our community is one in which it is proud of the place in which they live.

4
00:00:25,720 --> 00:00:31,060
And also our community is proud of its residents and those who call old-or-ture beach home.

5
00:00:31,060 --> 00:00:37,780
First of all, I'd like to thank staff for their help, Kim, our town clerk, who's doing the televised

6
00:00:37,780 --> 00:00:46,000
thing today. Pam, back there. Welcome in each of you, Fran, Diana, Bill Ddenado, and the police

7
00:00:46,000 --> 00:00:51,340
departments. So I'll head to say thank you to them. We start with the beach in the ocean, of course,

8
00:00:51,660 --> 00:00:58,160
but there is more than that. Oh yes, proximity to great dining and all-durchered, shopping, golfing, hiking,

9
00:00:58,160 --> 00:01:04,900
skiing, medical services and facilities, and track the juxtaport, the eastern trail, and less

10
00:01:04,900 --> 00:01:11,080
than a two-hour drive to Boston. Ensuring a bright future for all our children is a responsibility

11
00:01:11,080 --> 00:01:16,440
of our community and honoring and respecting those who have lived their lives here, bringing

12
00:01:16,440 --> 00:01:22,060
the sum of all their journeys and wealth of experience to benefit us all. We are honored to open

13
00:01:22,060 --> 00:01:27,600
our doors to AIOP today, knowing that we have fully committed ourselves to the age-friendly

14
00:01:27,600 --> 00:01:33,440
endeavor. We are particularly thrilled to age professor, Maryland, Blue G and I hope I said

15
00:01:33,440 --> 00:01:39,540
your lesson. That was perfect. I am 82 and I'm getting better with age. That's all I

16
00:01:39,540 --> 00:01:46,520
can say. We are particularly thrilled to have you here today and thank you for your graciousness

17
00:01:46,520 --> 00:01:52,060
in coming. Almost two years ago, a town manager came to my desk. By the way, I'm always

18
00:01:52,060 --> 00:01:54,780
read on the Assistant Tellman, a jury should have said it at the beginning.

19
00:01:55,440 --> 00:02:01,480
And he put on the AARP initiative, H. Friendly, on my desk, and said, quote,

20
00:02:02,140 --> 00:02:02,760
make it work.

21
00:02:03,660 --> 00:02:07,480
I read carefully the goals and objectives and realized I was in trouble.

22
00:02:08,080 --> 00:02:09,960
Then I thought, no, I'm not.

23
00:02:10,300 --> 00:02:13,340
Pat and Haleene, Bill of Doot, and I'll get the credit.

24
00:02:15,640 --> 00:02:21,300
Seriously, when you have a spiritual or community commitment, you get in front of you, those

25
00:02:21,300 --> 00:02:26,660
inspire you, who succeed because they believe in what they are doing. That is why the

26
00:02:26,660 --> 00:02:31,920
age-friendly endeavor has succeeded in old or to beat. We welcome you today. We invite you

27
00:02:31,920 --> 00:02:39,380
to use this opportunity to make the choice for joy to see the world with new eyes, open eyes,

28
00:02:39,820 --> 00:02:46,100
loving eyes, to choose compassion and understanding for ourselves, our family, our friends,

29
00:02:46,100 --> 00:02:58,160
our community for the whole world, to spread our wings and fly boldly, to give thanks for the rainbows and the butterflies, our symbols of renewal and rebirth.

30
00:02:58,880 --> 00:03:07,340
May I introduce Pat Brown and Helene Whitaker from Old Orchard, please stand. I don't know where Pat went. Oh, there she is back there.

31
00:03:07,340 --> 00:03:11,380
They are our facilitators, and I owe them a great deal.

32
00:03:15,270 --> 00:03:22,930
I also want to introduce the next speaker who's going to be Jeanne Saunders, but Jeanne is in charge of age-friendly in Saako.

33
00:03:23,490 --> 00:03:27,410
And she has been our personal inspiration since day one.

34
00:03:27,570 --> 00:03:30,630
You'd think we want to compete against Saako, wouldn't you?

35
00:03:31,050 --> 00:03:37,350
But instead of that, she has encouraged us, given us help and assistance, and we are very, very grateful.

36
00:03:37,350 --> 00:03:45,390
She's going to introduce our guests, but also I would like to introduce and welcome Mary and Lou, and I hope I say your name

37
00:03:45,390 --> 00:03:46,310
Mary, it would correctly.

38
00:03:47,170 --> 00:03:48,350
She'd love me.

39
00:03:49,210 --> 00:03:50,690
Have a little good.

40
00:03:51,310 --> 00:03:51,990
Thank you.

41
00:03:52,030 --> 00:03:53,450
May I introduce Dean Saunders.

42
00:03:53,570 --> 00:03:54,470
Let's give her a hand.

43
00:04:00,910 --> 00:04:03,590
Good morning and welcome to disrupting aging.

44
00:04:04,530 --> 00:04:08,190
So today we're going to learn about words and actions and how they matter.

45
00:04:08,190 --> 00:04:14,030
older age is often associated with disease and decline, and there's just really no good

46
00:04:14,030 --> 00:04:20,950
reason for that. Our society socially constructed it that way to age optimally. It is

47
00:04:20,950 --> 00:04:25,750
important to understand why our society use aging the way that it does, and what we can

48
00:04:25,750 --> 00:04:32,290
do about it. So today we'll begin to change the way we perceive age, how we age, and how

49
00:04:32,290 --> 00:04:37,730
we work with older adults. So to help us along this journey, I'd like to introduce Dr.

50
00:04:37,730 --> 00:04:44,110
Marilyn Goulucci, she is the daughter of a former first basement that would be her mother.

51
00:04:45,650 --> 00:04:49,590
She's the daughter of an exceptionally gifted cook that would be her father.

52
00:04:50,450 --> 00:04:56,850
And she has inherited fierce conscientiousness, unflagging optimism and only moderately bridal enthusiasm

53
00:04:56,850 --> 00:04:59,290
and we will experience all of that today.

54
00:05:00,670 --> 00:05:03,930
She's a professor and director of geriatric education and research

55
00:05:03,930 --> 00:05:07,290
at the University of New England College of Osteopathic Medicine.

56
00:05:07,690 --> 00:05:10,310
Her goal in life is to change the world,

57
00:05:10,650 --> 00:05:13,450
wanting to affect change, so all embrace aging.

58
00:05:14,290 --> 00:05:16,530
So let's help we get started with that today.

59
00:05:16,630 --> 00:05:17,930
Welcome to Dr. G.

60
00:05:18,390 --> 00:05:18,890
Thank you.

61
00:05:19,030 --> 00:05:19,850
Thank you.

62
00:05:24,320 --> 00:05:24,680
More and more.

63
00:05:25,300 --> 00:05:26,700
Can you all hear me okay?

64
00:05:27,280 --> 00:05:27,540
All right.

65
00:05:27,740 --> 00:05:28,380
I wasn't quite sure.

66
00:05:28,640 --> 00:05:30,600
Sometimes this thing does something weird.

67
00:05:31,420 --> 00:05:33,300
So this is my high tech pointer.

68
00:05:34,180 --> 00:05:38,040
Be careful, because if you don't pay attention,

69
00:05:39,260 --> 00:05:40,280
That's what happens.

70
00:05:41,200 --> 00:05:41,880
Dean, thank you.

71
00:05:42,080 --> 00:05:44,240
Thank you so much for having me here.

72
00:05:44,880 --> 00:05:46,040
So, a beautiful day.

73
00:05:46,260 --> 00:05:47,160
We got spring coming.

74
00:05:47,300 --> 00:05:48,420
This is good news.

75
00:05:49,340 --> 00:05:50,040
Age friendly.

76
00:05:50,100 --> 00:05:51,000
All about it.

77
00:05:51,000 --> 00:05:55,120
Hopefully you know that Maine has the highest number of age-friendly communities

78
00:05:55,780 --> 00:05:57,880
in all the United States.

79
00:05:57,880 --> 00:05:59,240
That's pretty amazing.

80
00:05:59,900 --> 00:06:01,780
Some formal through ARP.

81
00:06:01,940 --> 00:06:04,760
Some less formal but still mighty.

82
00:06:05,080 --> 00:06:06,400
So that's a really good thing.

83
00:06:06,400 --> 00:06:12,940
I want to bring your attention to this, age-friendly university, the University of New England

84
00:06:12,940 --> 00:06:20,360
applied for international designation, it's out of Ireland, to be recognized as an age-friendly

85
00:06:20,360 --> 00:06:21,020
university.

86
00:06:21,380 --> 00:06:25,160
There are 10 principles that you need to kind of check into.

87
00:06:25,320 --> 00:06:29,920
It's pretty much the whoop to jump through to become an age-friendly community, it's similar

88
00:06:29,920 --> 00:06:32,400
when you're trying to come an age-friendly university.

89
00:06:32,400 --> 00:06:42,220
Well, we were the fifth university in the U.S. and the 11th internationally globally to get the age-friendly designation.

90
00:06:46,900 --> 00:06:53,240
So now there are over 50 colleges and universities worldwide that are age-friendly.

91
00:06:53,240 --> 00:07:02,700
We do not meet all 10 principles, so I've been chewing on other people's ginger snaps to try to get to those other 10.

92
00:07:03,260 --> 00:07:05,820
I have a little bit of an echo, everybody okay?

93
00:07:06,720 --> 00:07:09,320
All right, so let's move along.

94
00:07:09,500 --> 00:07:16,660
Let me just say, you know, we're talking about mindfulness today, and this is really not okay, but it's fun, right?

95
00:07:18,120 --> 00:07:23,140
So, I feel pretty schizophrenic in this age because I use a lot of things that are really

96
00:07:23,140 --> 00:07:28,720
not aged friendly, but we can laugh, so whatever.

97
00:07:29,380 --> 00:07:33,620
So I just want to give you a little bit of a background about some of the work that I do.

98
00:07:34,340 --> 00:07:36,860
This project, it's nursing home immersion.

99
00:07:37,060 --> 00:07:45,100
I started it in 2006, what I do is I admit medical students into nursing homes for two weeks

100
00:07:45,100 --> 00:07:46,760
to live the life of an elder resident.

101
00:07:47,480 --> 00:07:48,840
So they are being toileted.

102
00:07:49,040 --> 00:07:49,920
They're being bathed.

103
00:07:49,920 --> 00:07:51,740
They're in a wheelchair for two weeks.

104
00:07:52,220 --> 00:07:54,440
Some of them are living in dementia units.

105
00:07:56,240 --> 00:08:01,600
And the whole nine yards, just as if they were an older adult

106
00:08:01,600 --> 00:08:04,680
resident in an nursing home, that's the life that they live.

107
00:08:05,180 --> 00:08:08,740
Now, ironically, from this, you would think after two weeks

108
00:08:08,740 --> 00:08:10,700
that these students are just climbing the walls

109
00:08:10,700 --> 00:08:13,320
and ready to come out, and they don't want to.

110
00:08:13,900 --> 00:08:14,700
They want to stay.

111
00:08:14,700 --> 00:08:20,280
they have a hard time leaving. What do you think happens? Why is it that they want to stay

112
00:08:20,280 --> 00:08:22,940
in this environment that nobody wants to go into?

113
00:08:25,460 --> 00:08:28,000
They make friends. They connect hard to

114
00:08:28,000 --> 00:08:33,660
heart. They understand the community and the culture within that nursing home. And I don't care

115
00:08:33,660 --> 00:08:38,640
what nursing home it is. I had a student who was in the Chelsea soldiers home in Massachusetts

116
00:08:38,640 --> 00:08:47,440
in a 12-bed warg and had trouble leaving that home, you know, so it wasn't private room and

117
00:08:47,440 --> 00:08:54,600
lobster meals and all of that, you know, I mean, this was intense and yet that human connection,

118
00:08:54,780 --> 00:08:59,400
that heart-to-heart connection, that's really what I'm after. And that's the part where I say,

119
00:08:59,560 --> 00:09:04,940
my goal in life is to change the world so that people can feel more positively. This is one project

120
00:09:04,940 --> 00:09:06,160
that makes that happen.

121
00:09:06,620 --> 00:09:11,440
There's actually a CBS evening news story we weren't able to get sound, so we're going

122
00:09:11,440 --> 00:09:16,120
to have to pass that, but this has been on there wide everything.

123
00:09:17,100 --> 00:09:22,500
So the really cool part about this is University New England is the only university in the

124
00:09:22,500 --> 00:09:24,960
world doing this project.

125
00:09:25,680 --> 00:09:28,560
Why is it that we don't have other people doing this project?

126
00:09:28,860 --> 00:09:30,500
And then you're not going to believe this part.

127
00:09:30,660 --> 00:09:33,640
There is absolutely no money in this project.

128
00:09:33,640 --> 00:09:40,720
The homes will give up a bed in New York City at $600 a day, and they'll give up a bed.

129
00:09:41,200 --> 00:09:44,860
And Maine, it's about $300-350 depending on the home.

130
00:09:45,560 --> 00:09:50,740
They have the students stay there for two weeks, and the staff will treat that student exactly like a resident.

131
00:09:51,700 --> 00:09:53,040
So that's pretty amazing.

132
00:09:53,740 --> 00:09:57,620
And the only thing the students get out of this, they're volunteering for this project.

133
00:09:57,940 --> 00:10:00,620
They usually do it because they want to become better physicians.

134
00:10:00,860 --> 00:10:02,920
They want to make sure they're the best physician they could be.

135
00:10:02,920 --> 00:10:07,900
And the first student who did this in 2006 is OBGYN physician in Portland.

136
00:10:08,900 --> 00:10:11,020
It doesn't mean they're going into geriatrics.

137
00:10:13,560 --> 00:10:17,480
So, I was going to say something else, but I don't remember what it was, so it doesn't matter.

138
00:10:18,100 --> 00:10:18,960
Well, just pass.

139
00:10:20,720 --> 00:10:23,480
So, here was the video where I'll pass on that.

140
00:10:23,560 --> 00:10:27,120
And then what I did were, oh, the students, they get a research citation out of it.

141
00:10:27,260 --> 00:10:27,860
That's what they gave.

142
00:10:28,140 --> 00:10:30,600
And the same thing with this program, the hospital's home immersion,

143
00:10:30,600 --> 00:10:32,940
And those of you familiar with Gazzão Memorial Hospital?

144
00:10:34,660 --> 00:10:36,720
So I went knocking on their door and I said,

145
00:10:36,740 --> 00:10:37,900
you know, I got this idea.

146
00:10:38,020 --> 00:10:39,080
Maybe you might be interested.

147
00:10:39,340 --> 00:10:42,920
Would you take two of my students in on a weekend,

148
00:10:43,380 --> 00:10:45,880
Friday to Sunday, put them in a room,

149
00:10:46,440 --> 00:10:48,420
and have them part of the care team.

150
00:10:48,760 --> 00:10:50,160
Now, in the nursing home immersion,

151
00:10:50,740 --> 00:10:54,200
the students are actually recipients of care, right?

152
00:10:54,860 --> 00:10:56,700
But in the hospital, I mean,

153
00:10:56,700 --> 00:10:57,740
we can't put them in the dead.

154
00:10:57,740 --> 00:11:00,240
in a bed and say, please act like you're dying.

155
00:11:00,900 --> 00:11:02,600
That students don't understand that.

156
00:11:03,060 --> 00:11:05,180
So we have that part of the care team.

157
00:11:05,340 --> 00:11:07,340
So they work with the chaplain, social workers,

158
00:11:07,600 --> 00:11:10,980
the volunteers, nurse practitioners, nurses,

159
00:11:11,240 --> 00:11:12,940
certified nursingists all the way through.

160
00:11:13,840 --> 00:11:16,640
And this has been an amazing project.

161
00:11:16,940 --> 00:11:20,080
So two weeks ago, when I had students in the home,

162
00:11:20,500 --> 00:11:22,900
they had 10 deaths in 48 hours.

163
00:11:23,760 --> 00:11:25,140
And about as many admissions.

164
00:11:25,140 --> 00:11:34,720
Now, it's interesting that, you know, you get that kind of reaction for these students what they focused on were not the deaths,

165
00:11:35,340 --> 00:11:42,200
but the relationships that they created with the people who were dying and their families while they were there,

166
00:11:42,340 --> 00:11:44,280
and the care that they were able to provide.

167
00:11:44,780 --> 00:11:53,060
So this is the first time ever that you might have a physician in your future,

168
00:11:53,060 --> 00:12:00,060
Who knows how to toilet somebody, how to bathe somebody, how to turn somebody, how to sit and care with somebody.

169
00:12:00,520 --> 00:12:02,160
It's just, it's amazing.

170
00:12:02,860 --> 00:12:05,440
And I usually do it with second year students.

171
00:12:05,640 --> 00:12:08,500
Well, this past weekend, I had two fourth year students.

172
00:12:09,260 --> 00:12:13,000
And one of those students had a palliative care rotation,

173
00:12:13,380 --> 00:12:17,280
just, you know, like a month, four weeks doing palliative care.

174
00:12:17,600 --> 00:12:22,460
And the learning that these students had was just remarkable.

175
00:12:22,460 --> 00:12:28,580
They change after this, I definitely, I am changing the world just by putting these students

176
00:12:28,580 --> 00:12:31,760
in these odd environments where people would say, what are you kidding?

177
00:12:32,200 --> 00:12:33,280
But I'm doing it.

178
00:12:33,600 --> 00:12:34,960
So it's really fun.

179
00:12:36,340 --> 00:12:40,540
And the students are always surprised about how much laughter they have while they're in the home.

180
00:12:41,920 --> 00:12:43,560
After's the best medicine, right?

181
00:12:44,520 --> 00:12:46,580
So all you have is this moment.

182
00:12:47,140 --> 00:12:51,880
You've got to brace this moment, that's it, and that's what our students are learning.

183
00:12:51,880 --> 00:13:03,720
The part that I'm really key on is that for those two students I've had 10 deaths, what they found was that they became more and more present for each death.

184
00:13:04,160 --> 00:13:11,940
Where if they were in a hospital, they would become desensitized to that death. Do you hear the difference in that?

185
00:13:12,480 --> 00:13:18,620
To really be with the person and the family as compared to shutting it off and saying, I got to go to my next person.

186
00:13:18,620 --> 00:13:23,720
So we're trying to, and especially in osteopathic medicine where there should be more empathic,

187
00:13:24,560 --> 00:13:25,960
that's what we're working on.

188
00:13:26,440 --> 00:13:28,500
And then this is actually my paid research.

189
00:13:28,920 --> 00:13:29,600
A balancing act.

190
00:13:29,640 --> 00:13:33,700
So for any of you that feel a little wobbly from time to time,

191
00:13:34,600 --> 00:13:36,600
you want to get right on top of that.

192
00:13:36,800 --> 00:13:39,160
Everything is free for this program.

193
00:13:39,680 --> 00:13:44,040
If you just Google, you become UXL and go to a balancing act.

194
00:13:44,320 --> 00:13:46,600
There's videos on there.

195
00:13:46,600 --> 00:13:48,700
And also the manuals are on there.

196
00:13:48,860 --> 00:13:51,540
And if you feel that you want a manual in hand,

197
00:13:52,020 --> 00:13:55,000
you can call Amy and we only charge you the cost

198
00:13:55,000 --> 00:13:57,880
to print the manual it's $10.

199
00:13:58,560 --> 00:14:00,960
But all of it's online, it's all free,

200
00:14:01,460 --> 00:14:05,180
it has beginner, balance exercises, intermediate,

201
00:14:05,980 --> 00:14:08,300
advanced, and what we call advanced action,

202
00:14:08,740 --> 00:14:09,860
balance while you're moving.

203
00:14:10,620 --> 00:14:14,880
So anyone can try this balance program.

204
00:14:14,880 --> 00:14:16,500
It's a self-taught program.

205
00:14:17,040 --> 00:14:20,780
We designed it specifically for Maine,

206
00:14:20,920 --> 00:14:22,620
because Maine is the most rural state.

207
00:14:22,840 --> 00:14:24,940
You can't always go with a pitlock.

208
00:14:25,160 --> 00:14:27,420
They can't always go to a balance class somewhere.

209
00:14:28,140 --> 00:14:31,080
So we wanted to make sure to offer that option.

210
00:14:32,300 --> 00:14:36,040
And it was also approved for people who are blind

211
00:14:36,040 --> 00:14:37,080
and visually impaired.

212
00:14:37,500 --> 00:14:38,840
And we work with the Maine Center

213
00:14:38,840 --> 00:14:40,320
for the blind and visually impaired.

214
00:14:40,820 --> 00:14:44,440
So on the video, for example, you can't

215
00:14:44,440 --> 00:14:50,980
what I'm doing, but we know from working with people who are blind that the instructions

216
00:14:50,980 --> 00:14:58,220
that are given can be followed by people who can't see. Does that make sense? So we use people

217
00:14:58,220 --> 00:14:59,800
who have blind us too.

218
00:15:00,860 --> 00:15:04,080
Okay, so now we're going to play.

219
00:15:06,810 --> 00:15:29,970
Got it? Old broad jump? I know. It's one of those again. So really, what I'm going to do today is to share what you already know and understand, but actually I'm going to try to stretch your minds and we're definitely going to try to have fun. So if I was to say to you right now, what does our society say about older drivers?

220
00:15:30,810 --> 00:15:38,790
Our society, say about older drivers, dangerous, stop, watch out, okay, you've not even

221
00:15:38,790 --> 00:15:44,270
hesitating, and the people who are saying them are older for those in the ethernet out

222
00:15:44,270 --> 00:15:44,730
there.

223
00:15:46,090 --> 00:15:50,810
What does our society say about the personalities of older adults?

224
00:15:52,050 --> 00:15:53,470
You're not even hesitating.

225
00:15:55,270 --> 00:15:58,250
How many of you in your property?

226
00:15:58,610 --> 00:15:58,890
Come on.

227
00:16:00,990 --> 00:16:02,690
How many of you in your property?

228
00:16:03,590 --> 00:16:11,030
Now, what is interesting about this though, is that for some reason in our society and actually

229
00:16:11,030 --> 00:16:19,750
hopefully by the end you'll understand why this is, but that our society presumes that age is

230
00:16:19,750 --> 00:16:23,370
negative things, that you're sexless, that you can't drive, that you're

231
00:16:23,370 --> 00:16:27,270
crotchety, that you know whatever else it is. Well the truth of the matter is,

232
00:16:27,270 --> 00:16:31,710
especially in terms of personality, if you are crotchety when your older chances are

233
00:16:31,710 --> 00:16:36,610
you a crotchety when you were younger, you really think that you were going to

234
00:16:36,610 --> 00:16:45,430
change from who you were, to who you become in your older ages. Now even if there's

235
00:16:45,430 --> 00:16:51,270
major health insults. Now I'm going to be talking today mostly about people that have good

236
00:16:51,270 --> 00:16:55,770
cognition. So bear with me on that, okay. If you want to talk about dementia afterwards,

237
00:16:55,870 --> 00:17:03,850
I'm happy to do it. But there is this red thread that goes through your life and you become more

238
00:17:03,850 --> 00:17:09,690
of who you are and you become more different than the person next to you besides. So if you met one

239
00:17:09,690 --> 00:17:11,570
or don't even want to hold or don't.

240
00:17:11,770 --> 00:17:20,730
How many in this room are eager, not anxious to become 80, 90, 100?

241
00:17:23,040 --> 00:17:24,080
I've got a few takers.

242
00:17:24,600 --> 00:17:29,120
What happens when I ask this to an audience of 20 and 30-year-olds, you think?

243
00:17:30,720 --> 00:17:35,520
I might get one hand, which of course I grab that person and hug him right away, right?

244
00:17:37,640 --> 00:17:46,420
It's, we're anxious to become that old because our society has it, you'll see, what has

245
00:17:46,420 --> 00:17:48,060
it done to the field of aging?

246
00:17:48,680 --> 00:17:50,720
It just seems so negative.

247
00:17:51,740 --> 00:17:53,400
So we're going to, we're going to change that.

248
00:17:53,620 --> 00:17:58,240
Now this is where I'm going to get you to start thinking outside the box to set you up

249
00:17:58,240 --> 00:17:59,260
for the rest of the talk.

250
00:18:00,300 --> 00:18:02,740
I actually came into this field late.

251
00:18:02,740 --> 00:18:06,300
I was an exercise to theologist in a former life.

252
00:18:06,560 --> 00:18:08,820
So I didn't have the traditional disciplines

253
00:18:08,820 --> 00:18:11,760
behind me of sociology, biology, psychology.

254
00:18:12,420 --> 00:18:14,900
My colleagues across the country, across the world,

255
00:18:15,000 --> 00:18:19,000
many of them have those traditional backgrounds, okay?

256
00:18:19,860 --> 00:18:20,820
I didn't.

257
00:18:21,340 --> 00:18:23,500
So I came into the field and I'm saying,

258
00:18:23,680 --> 00:18:26,040
whoa, what is going on here?

259
00:18:26,560 --> 00:18:29,520
That people were accepting things that for me

260
00:18:29,520 --> 00:18:37,720
seen blatantly walk. Here's the first test. So here is an example of successful aging in the

261
00:18:37,720 --> 00:18:45,100
eight textbooks by Balthus and Balthus. Optimize the capacities that older people still have while

262
00:18:45,100 --> 00:18:50,700
compensating for inevitable losses. Do you like that definition of successful aging?

263
00:19:01,340 --> 00:19:02,180
Some,

264
00:19:02,180 --> 00:19:09,300
inevitable, right? What other word is in there that kind of wrinkles you?

265
00:19:09,320 --> 00:19:17,420
Phil, Phil, Phil, right? Like, you're amazing, you made, that's it. Right. So, now see, you

266
00:19:17,420 --> 00:19:23,320
would be great in the gerontology field, but colleagues that have those traditional disciplines

267
00:19:23,320 --> 00:19:31,460
behind them. Now, when all fairness, both of us and both of us are actually biologists. So, when

268
00:19:31,460 --> 00:19:35,940
They're talking about inevitable losses, they are talking about cell change.

269
00:19:38,090 --> 00:19:42,730
Now just because the risk cell change doesn't mean that it's going to show outwardly on

270
00:19:42,730 --> 00:19:43,370
anyone.

271
00:19:44,430 --> 00:19:46,770
It might, it might not, but, you know, that's fair.

272
00:19:48,290 --> 00:19:53,690
But what we've had set up in our society is that there's either successful or not, successful

273
00:19:53,690 --> 00:19:56,610
productive, not productive, optimal, not optimal.

274
00:19:57,090 --> 00:20:01,150
I mean, there's always this dichotomy of what's happening.

275
00:20:01,150 --> 00:20:08,670
So, let's try it again. Here's another definition of successful aging. Now, what was interesting about this definition.

276
00:20:09,270 --> 00:20:15,950
I was at the gerontological site of America. There's 5,000 researchers in aging at this conference.

277
00:20:16,170 --> 00:20:18,590
Mary Lou, have you been to that conference? You don't know.

278
00:20:19,850 --> 00:20:29,710
So, what happened was Jack Woe, who actually started the geriatric department at Harvard, started the geriatric department at Mount Sinai.

279
00:20:29,710 --> 00:20:37,090
I mean, this guy is little, but he's huge, you know, in the field.

280
00:20:37,670 --> 00:20:44,330
So he writes this book, successful aging in 1990, we all in the audience get a signed copy

281
00:20:44,330 --> 00:20:44,790
of this book.

282
00:20:44,810 --> 00:20:47,530
I'm like, wow, this is cool, right?

283
00:20:48,830 --> 00:20:52,150
No, here is the definition of successful aging.

284
00:20:52,450 --> 00:20:56,230
It is the ability to maintain three key behaviors or characteristics.

285
00:20:56,870 --> 00:21:06,010
One, low risk of disease-related disability, two, high mental and physical function, and three active engagement with life.

286
00:21:06,330 --> 00:21:08,030
What do you think of that definition?

287
00:21:12,250 --> 00:21:13,730
Main pain is like still.

288
00:21:14,690 --> 00:21:15,690
Do you like the definition?

289
00:21:18,590 --> 00:21:19,110
Why not?

290
00:21:24,280 --> 00:21:28,460
Some things are going to be out of control, but here's the question I have for you.

291
00:21:28,460 --> 00:21:34,460
If people do have disease or disease-related disability,

292
00:21:35,900 --> 00:21:39,480
can they still not be successful in one way or another?

293
00:21:40,280 --> 00:21:43,560
Are there ways to compensate for things that,

294
00:21:43,560 --> 00:21:48,480
I mean, I think that's the key in aging that is lost actually

295
00:21:48,480 --> 00:21:53,360
in the younger population that they don't realize the power of adjustment

296
00:21:53,360 --> 00:21:56,040
that we have adaptation and adjustment.

297
00:21:56,040 --> 00:22:10,960
Now, what made this so popular is that it is a macro definition, what I mean by that is this

298
00:22:10,960 --> 00:22:20,000
would help healthcare. This would cut cost, but come on folks. You know, we're not all Superman

299
00:22:20,000 --> 00:22:25,360
out there or superwoman or whatever name is, but, you know, there's things that happen

300
00:22:25,360 --> 00:22:32,440
and to me it seems like, I love, let me back up, I have friends who are in dementia

301
00:22:32,440 --> 00:22:42,960
units that are amazing and loving and feeling good. Now I know that dementia is very scary

302
00:22:42,960 --> 00:22:48,680
thing for a lot of people, right? We have to deal with depression and anxiety usually when

303
00:22:48,680 --> 00:22:57,260
somebody has dementia but I don't know what high mental function is. I'm not sure if I have

304
00:22:57,260 --> 00:23:02,540
it today. I'm not sure, you know. But who gets to this side of all this? This is very

305
00:23:02,540 --> 00:23:10,520
society based and it's evidently yes and yes and there's a lot of good things happening that

306
00:23:10,520 --> 00:23:19,440
are not evidence based. Thank you for raising that. So actually I had Jack come to one of my

307
00:23:19,440 --> 00:23:25,420
conferences to be a keynote speaker when I was president of the organization, I kind of

308
00:23:25,420 --> 00:23:26,700
cute on them a little bit.

309
00:23:27,260 --> 00:23:28,900
What are you doing with this?

310
00:23:29,760 --> 00:23:30,340
We had a good time.

311
00:23:30,580 --> 00:23:32,160
He made me pay for dinner though.

312
00:23:34,880 --> 00:23:34,900
Okay.

313
00:23:35,780 --> 00:23:39,080
So, here's the third one.

314
00:23:39,580 --> 00:23:45,800
The measures of successful aging are life satisfaction and sense of well being in the face of

315
00:23:45,800 --> 00:23:46,140
decline.

316
00:23:46,220 --> 00:23:48,320
These are two sociologists.

317
00:23:48,880 --> 00:23:51,020
friends of mine. What do you think?

318
00:23:55,090 --> 00:23:59,690
You get it, right? I went up to his

319
00:23:59,690 --> 00:24:06,850
Susan, Conkel, and Leslie Morgan. I went up to what is this? And they're like

320
00:24:06,850 --> 00:24:08,490
well, everybody declines.

321
00:24:13,090 --> 00:24:16,350
Those words off, right? What would be so hard about

322
00:24:16,350 --> 00:24:18,790
to say satisfaction, a sense of well-being, period?

323
00:24:21,220 --> 00:24:22,660
Okay, we're on the same page,

324
00:24:22,660 --> 00:24:29,080
I just wanted to make sure, but let me tell you something, you pick this up like that.

325
00:24:29,820 --> 00:24:35,060
These definitions are in textbooks and I don't know that the professors that are teaching

326
00:24:35,060 --> 00:24:37,600
are really paying attention to those nuances.

327
00:24:39,160 --> 00:24:45,000
This is the subliminal message that aging is about disease, decline, and withdrawal.

328
00:24:45,720 --> 00:24:48,580
And again, pretty soon I'll tell you why that is.

329
00:24:48,580 --> 00:24:51,620
So what about this definition?

330
00:24:53,280 --> 00:24:56,480
The successful aging is feeling in control

331
00:24:56,480 --> 00:24:58,860
and believing in what you do makes a difference.

332
00:25:01,630 --> 00:25:03,570
That could be anybody any cognitive

333
00:25:03,570 --> 00:25:06,610
doesn't matter, right?

334
00:25:06,910 --> 00:25:08,110
You know where this is from?

335
00:25:08,950 --> 00:25:09,890
You go, whatever.

336
00:25:11,090 --> 00:25:12,950
It's a marketing play.

337
00:25:13,850 --> 00:25:15,550
It's the same sharp series.

338
00:25:17,310 --> 00:25:18,710
So people in academia

339
00:25:19,690 --> 00:25:23,570
are locked into that disease, decline, withdrawal.

340
00:25:24,330 --> 00:25:26,590
That's, they've been co-opted to believe it.

341
00:25:26,890 --> 00:25:31,150
And here we have the staying sharp series of marketing tool.

342
00:25:31,810 --> 00:25:34,630
Looking at the positive, moving us towards the positive.

343
00:25:36,190 --> 00:25:38,250
So, this is powerful stuff, right?

344
00:25:38,650 --> 00:25:41,290
Okay, so this is a birthday card.

345
00:25:41,710 --> 00:25:43,110
Sorry for the guys in the world.

346
00:25:44,050 --> 00:25:45,950
Can you guess who's your age?

347
00:25:46,330 --> 00:25:47,830
So you're looking at the picture, right?

348
00:25:47,830 --> 00:25:49,830
Anybody ever seen this car?

349
00:25:52,760 --> 00:25:53,420
Can you guess?

350
00:25:54,080 --> 00:25:55,660
Can you get through to your age?

351
00:25:55,860 --> 00:25:58,520
It says, the gown and the urn.

352
00:26:06,800 --> 00:26:07,740
A chimney for me.

353
00:26:20,180 --> 00:26:21,980
Sense of humor about this.

354
00:26:21,980 --> 00:26:25,640
It's like, yeah, we're going to punch that friend probably.

355
00:26:27,140 --> 00:26:30,600
But this is what happens in our society.

356
00:26:30,760 --> 00:26:34,120
And how many times have you stood in card stores, reading cards,

357
00:26:34,640 --> 00:26:37,120
and you say, well, you know, this is a stare at me.

358
00:26:37,120 --> 00:26:43,220
got to get this my best friend you know and it's not very flattering. So let me get you

359
00:26:43,220 --> 00:26:49,420
down just some poor definitions so we're all on the same page. You know that woman.

360
00:26:50,460 --> 00:26:55,880
So here's the term geriatric geriatric is actually an adjective.

361
00:27:02,560 --> 00:27:03,980
It's still on here.

362
00:27:07,280 --> 00:27:09,600
I think I hit a button.

363
00:27:10,000 --> 00:27:12,500
All right, so, geriatric is an adjective.

364
00:27:12,760 --> 00:27:15,520
They often use the term geriatric in the definition.

365
00:27:15,900 --> 00:27:19,880
But here, I want to bring your attention to something

366
00:27:19,880 --> 00:27:22,500
with significant disorders.

367
00:27:24,020 --> 00:27:26,400
Okay, there's nothing positive of this.

368
00:27:26,720 --> 00:27:30,800
Individuals of being age, individual geriatric population,

369
00:27:30,800 --> 00:27:38,780
in a nursing home, right, geriatric depression, geriatric animals, and actually here is a geriatric

370
00:27:38,780 --> 00:27:44,900
animal. I found it this morning when I was walking in and I made sure to give it plenty

371
00:27:44,900 --> 00:27:52,940
room. It'll walk her pearls, you know? But I think come on, geriatric,

372
00:27:58,200 --> 00:27:58,700
in a, in

373
00:27:58,700 --> 00:28:00,300
I mean, who comes up with these things?

374
00:28:01,560 --> 00:28:03,820
But here's the thing with the term geriatric.

375
00:28:05,620 --> 00:28:07,580
That when I was hired at the University

376
00:28:07,580 --> 00:28:11,700
as director of geriatric education and research,

377
00:28:12,140 --> 00:28:14,860
instead of them, again, we put the S on geriatric

378
00:28:14,860 --> 00:28:17,660
to make it a now, because I do not want

379
00:28:17,660 --> 00:28:20,360
to be the director of education and research

380
00:28:20,360 --> 00:28:21,720
that has significant disorders.

381
00:28:23,640 --> 00:28:27,380
We have geriatric nurse practitioners.

382
00:28:27,380 --> 00:28:31,940
Those are clearly nurse practitioners with significant disorders, right?

383
00:28:33,220 --> 00:28:44,160
So this language thing is just so critical and then ask them to make the difference from changing it to an adjective to an noun.

384
00:28:44,460 --> 00:28:49,200
Especially if you look at the definitions that are in popular dictionaries.

385
00:28:49,760 --> 00:28:52,120
So then here the term geriatrics.

386
00:28:52,400 --> 00:28:54,000
I look this up.

387
00:28:54,000 --> 00:29:00,940
says, branch of medicine, let me get over here, dealing with diseases,

388
00:29:01,720 --> 00:29:08,700
debilities, problems of aging, problems specific to the age, slack, and all a person.

389
00:29:13,200 --> 00:29:17,120
Is there anything in that definition that makes you want to become older?

390
00:29:19,260 --> 00:29:22,580
This is even a black medical dictionary.

391
00:29:26,020 --> 00:29:29,760
This is really, this is a travesty, right?

392
00:29:30,300 --> 00:29:37,620
This is why I wouldn't everybody be concerned about their own aging when you look up and

393
00:29:37,620 --> 00:29:39,160
you see these kinds of things.

394
00:29:40,200 --> 00:29:40,260
Yes.

395
00:29:59,890 --> 00:29:59,950
All right.

396
00:30:00,000 --> 00:30:11,680
Okay, so one, we at least wanted to put the S on that, but we don't want that word used at all. That is terrible. Okay, so

397
00:30:13,980 --> 00:30:16,880
this is all negative based.

398
00:30:17,220 --> 00:30:25,000
And I mentioned I was president of a national organization, the Academy of Geological Sciences Higher Education, and it was a two-year presidency.

399
00:30:25,800 --> 00:30:32,600
And the first thing I did when I came in was I got everybody together, these, there are international members of part of this organization.

400
00:30:33,700 --> 00:30:35,360
This is Passeg.

401
00:30:35,760 --> 00:30:38,460
What we did was work as an organization.

402
00:30:38,660 --> 00:30:40,900
This is the acronym AG for the organization.

403
00:30:42,100 --> 00:30:44,800
With any year, this is what we came up with.

404
00:30:45,560 --> 00:30:48,760
The study of health and disease and later like,

405
00:30:49,100 --> 00:30:52,300
Was it so hard for us to put that word health in there?

406
00:30:52,300 --> 00:30:55,800
It was easy. It was the first thing that came out of everybody's mouth.

407
00:30:56,320 --> 00:31:00,440
When are we going to be looking at the health of older adults rather than just the problems and the diseases?

408
00:31:01,600 --> 00:31:05,540
Then the comprehensive health care of older person.

409
00:31:05,840 --> 00:31:10,340
Now we're talking about that broader piece that we are not unidimensional.

410
00:31:10,860 --> 00:31:15,600
We have our emotional needs, our spiritual needs, our physical needs, our cognitive needs.

411
00:31:16,520 --> 00:31:17,700
We are complex.

412
00:31:18,900 --> 00:31:39,440
And we need to, and that's why I love osteopathic medicine because what we're trying to teach our students is to look at the whole person in their context and figure out for that person, what's happening for them and how to give them the opportunity to provide optimal quality of life based on their own definition.

413
00:31:39,440 --> 00:31:43,960
And then, this last part, we actually found someplace else that we all liked that.

414
00:31:44,140 --> 00:31:49,740
The well-being of their informal caregivers, now, who were the informal caregivers?

415
00:31:51,500 --> 00:31:53,300
Family, friends, right?

416
00:31:53,480 --> 00:31:54,120
Could be anybody?

417
00:31:54,480 --> 00:31:59,280
I took care of a 83-year-old in across the street, the longer daughter was away, I was fine,

418
00:31:59,300 --> 00:32:03,300
happy to do that, and then you took family of choice, right?

419
00:32:05,040 --> 00:32:11,520
So, this part here, of course, is incredibly important, because if the person who is working

420
00:32:11,520 --> 00:32:20,700
with the older adult, on care, then definitely, if I'm doing it, I need to be balanced.

421
00:32:21,920 --> 00:32:28,860
I need to be solid, need to be grounded, I need to be rested, because as soon as I'm off

422
00:32:28,860 --> 00:32:32,440
my game, that is going to affect the other person, right?

423
00:32:33,160 --> 00:32:39,620
Now, what happens in your mind when you see care partner compared with care

424
00:32:39,620 --> 00:32:40,780
giver?

425
00:32:45,830 --> 00:32:47,310
It's mutual, right?

426
00:32:47,770 --> 00:32:49,050
Thank you for that.

427
00:32:49,410 --> 00:32:49,550
Yeah.

428
00:32:49,930 --> 00:32:56,750
And yet, when you have care giver, it almost sounds like the person who is the recipient of

429
00:32:56,750 --> 00:32:59,450
care has no say and is not involved.

430
00:32:59,450 --> 00:33:03,270
That's part of that, those nuances of reframing.

431
00:33:03,670 --> 00:33:08,170
Additionally, you have the term geriatric.

432
00:33:09,470 --> 00:33:12,550
If I take this off here, you have the term geriatric.

433
00:33:14,970 --> 00:33:19,050
Another derogatory term that's used geriatric is an adjective.

434
00:33:19,570 --> 00:33:22,570
What happens when you hear elder leaf?

435
00:33:25,680 --> 00:33:28,080
When you hear elder leaf, what comes to mind?

436
00:33:28,600 --> 00:33:30,340
Is anybody in this room elderly?

437
00:33:31,660 --> 00:33:36,640
That was a lovely question. Trust me, you are not elderly.

438
00:33:39,700 --> 00:33:48,360
And capacitated that, why? If you're an elder, you would at least have a chance to have some wisdom, right? You're an elder.

439
00:33:49,420 --> 00:33:58,360
So actually, what we're trying to do in terms of reframing aging is to have older adults refer to as either older persons, older adults, you know, older people.

440
00:33:58,360 --> 00:34:08,240
I'll use elders from time to time, but that's even, you know, we're getting nervous about

441
00:34:08,240 --> 00:34:12,260
elders, because not everybody's on the same page in terms of the wisdom of the elder.

442
00:34:12,920 --> 00:34:22,880
But elderly, like caregivers, really diminishes the capacity of the older adult just by nature

443
00:34:22,880 --> 00:34:24,260
of using those words.

444
00:34:25,980 --> 00:34:26,120
Okay?

445
00:34:26,440 --> 00:34:27,120
Does that help?

446
00:34:27,520 --> 00:34:27,860
You good?

447
00:34:29,240 --> 00:34:36,540
So here we have older adults equals geriatric population. Do you think those terms are synonymous?

448
00:34:38,180 --> 00:34:40,940
Is it okay to refer to older adults as geriatric?

449
00:34:45,350 --> 00:34:49,110
Okay, so that's a no. Good for you.

450
00:34:50,050 --> 00:34:52,290
And really, older adults are the survivors.

451
00:34:53,510 --> 00:34:57,570
You know, they're the ones adapting to just being in moving forward and making things work.

452
00:34:57,570 --> 00:34:59,930
So can you imagine,

453
00:35:02,330 --> 00:35:05,850
we have 16 health professions programs at the University of New England.

454
00:35:07,210 --> 00:35:11,190
We have Mary Lou myself and a few others that are aware.

455
00:35:12,630 --> 00:35:17,430
And so whenever our students talk about geriatric patient, but it's in my geriatric patient,

456
00:35:18,190 --> 00:35:21,330
I take care of the geriatric population, I just kick them in the knee.

457
00:35:21,950 --> 00:35:30,470
This is not okay, you know, and to get those students and they're out on these six-week

458
00:35:30,470 --> 00:35:36,190
three-week clerkships and hospitals to say to those students, do not let the people who are teaching

459
00:35:36,190 --> 00:35:40,330
you your attendings use these terms, stand up to them.

460
00:35:41,150 --> 00:35:45,830
That's a lot of a student, right, because the other person's grading, they have a power position,

461
00:35:46,670 --> 00:35:48,170
but I'm just so hoping.

462
00:35:49,330 --> 00:36:03,750
So here we have the path of aging and you all probably know now that we have, as of January 2011, the baby boomer started coming in, we went from 6,000 people a day turning 65 to 10,000 people a day turning 65.

463
00:36:04,890 --> 00:36:11,990
We have 15,000 people a day turning 55. So I have job security for the next I think 35 years.

464
00:36:13,110 --> 00:36:19,570
So, actually, I became a gerontologist, so I wouldn't have to retire, so working into my hundreds would be perfectly fine for me.

465
00:36:20,770 --> 00:36:28,510
In terms of nursing homes, if I ask our students, what percentage of older adults live in nursing homes, what do you think they say?

466
00:36:28,690 --> 00:36:29,110
What percentage?

467
00:36:30,730 --> 00:36:31,770
100 percent?

468
00:36:34,480 --> 00:36:35,660
Pretty high percentage, though.

469
00:36:35,820 --> 00:36:40,060
On average, students will say 40 percent of older adults are living in nursing homes.

470
00:36:40,060 --> 00:36:46,640
Now, if we have about 250,000 older adults in May, we have only 7,000 nursing home beds.

471
00:36:47,940 --> 00:36:54,280
So it's not going to be 50% on average across the US of 65 and older is about 5% living

472
00:36:54,280 --> 00:36:55,540
in nursing homes.

473
00:36:57,140 --> 00:37:04,980
So in terms of grandparents, poor, in 10, grandparents are the primary care providers of

474
00:37:04,980 --> 00:37:05,860
their grandchildren.

475
00:37:06,500 --> 00:37:19,060
So when I have, this is primary care provider, okay, so there's, I think, six, six or seven that are in the homes of children and maybe not primary but assistant.

476
00:37:20,320 --> 00:37:29,080
So when I am talking with health professional students and hey, say I'm going to shut off, I don't need to listen to Dr. G, you know, because I'm working with kids.

477
00:37:29,080 --> 00:37:35,420
Well, let me tell you, when those children come in with their grandparents, if those physicians

478
00:37:36,740 --> 00:37:43,420
cannot ensure that the grandparents are stable and okay, what happens to the child in that

479
00:37:43,420 --> 00:37:44,120
case?

480
00:37:44,940 --> 00:37:45,100
Right?

481
00:37:45,180 --> 00:37:48,340
They're going to end up in foster care or who knows where they're going to end up.

482
00:37:48,960 --> 00:37:54,840
So I don't care what profession you're in, you will always be working with older adults.

483
00:37:54,840 --> 00:38:00,840
and so being an age-friendly university, trying to get all our health profession students to embrace

484
00:38:00,840 --> 00:38:07,000
that aging is natural, that it happens, it will happen to that student, if that student is lucky,

485
00:38:08,020 --> 00:38:11,040
and to embrace it rather than run away from it.

486
00:38:11,480 --> 00:38:16,060
Cariatricians happen to have the highest happiness quotients of all specialties.

487
00:38:16,700 --> 00:38:22,560
Do you have any idea which medical specialty has the lowest happiness quotient, just throw out some things?

488
00:38:22,560 --> 00:38:24,560
It's like I treat no.

489
00:38:26,300 --> 00:38:27,580
I'm talking medical.

490
00:38:29,240 --> 00:38:30,400
But palliative care?

491
00:38:30,940 --> 00:38:31,480
No.

492
00:38:32,560 --> 00:38:32,800
No.

493
00:38:34,780 --> 00:38:35,320
Nutrition.

494
00:38:36,100 --> 00:38:36,380
Nutrition.

495
00:38:37,560 --> 00:38:38,100
Obes.

496
00:38:39,260 --> 00:38:39,620
Obes.

497
00:38:39,700 --> 00:38:42,640
Obes, GYN, has the lowest happiness quotient.

498
00:38:43,220 --> 00:38:43,580
Now, I don't know.

499
00:38:43,580 --> 00:38:47,000
Maybe if you were working with all those hormonal women, you might feel the same.

500
00:38:47,000 --> 00:38:47,700
I'm not sure.

501
00:38:48,080 --> 00:38:51,600
But really what it gets down to are the hours and the lawsuits.

502
00:38:52,860 --> 00:38:58,320
And OB-GYNs really have a low impact, but geriatricians love their older adult patients.

503
00:38:58,640 --> 00:39:04,120
They learn something new, they enjoy the relationships with them, and so this both well.

504
00:39:04,740 --> 00:39:13,340
And if you have an official physician who really enjoys a good mystery, get an older adult

505
00:39:13,340 --> 00:39:16,840
in front of you, because it's not straightforward what's going on.

506
00:39:16,960 --> 00:39:20,340
There's usually complicated factors that you really have to figure out.

507
00:39:20,340 --> 00:39:27,560
So, average number of physicians on average, especially now, are primary care when you see your general practitioner.

508
00:39:28,360 --> 00:39:32,880
It's rare that your general practitioner will stay with you and really work through what it is you're going through.

509
00:39:32,940 --> 00:39:35,180
Chances are right away, they're going to send you to a specialist.

510
00:39:36,600 --> 00:39:37,340
Just like that.

511
00:39:37,380 --> 00:39:38,340
That wasn't the way it was.

512
00:39:38,420 --> 00:39:39,880
We remember what it wasn't that way.

513
00:39:40,500 --> 00:39:48,020
So, what happens now is that, oh, grew belts, could be any adult, has between five and seven physicians.

514
00:39:48,580 --> 00:39:53,960
when they're healthy. If an older adult goes into a hospital, which

515
00:39:53,960 --> 00:40:00,280
or an average is 4 to 4.5 days in a hospital, they will see between 12 and 14

516
00:40:00,280 --> 00:40:05,640
different physicians. Now you know there's electronic medical records, right?

517
00:40:05,640 --> 00:40:09,340
Every that's supposed to take care of everything. It doesn't matter. There's still

518
00:40:09,340 --> 00:40:15,200
issues in terms of polypharmacy, drug drug interactions. You know, if you're on

519
00:40:15,200 --> 00:40:21,220
For drugs, there's going to be at least a 25% chance of interaction if you're on six drugs.

520
00:40:21,400 --> 00:40:23,460
There's going to be 50% chance of interaction.

521
00:40:23,980 --> 00:40:25,040
And let me tell you something here.

522
00:40:25,120 --> 00:40:26,160
Those ear visits?

523
00:40:27,100 --> 00:40:30,300
70% of older adults who go into the emergency room.

524
00:40:31,100 --> 00:40:37,200
It's because of the last known prescription they were given by a healthcare provider.

525
00:40:41,240 --> 00:40:41,800
70%.

526
00:40:43,020 --> 00:40:44,060
That's a lot.

527
00:40:44,060 --> 00:40:51,380
So, we really need to be mindful one about our own bodies to know ourselves, trying not to, you know,

528
00:40:51,520 --> 00:40:55,560
take on all these meds without really understanding what's going on.

529
00:40:55,700 --> 00:40:58,060
Talk to other physicians, talk to a pharmacist.

530
00:40:59,040 --> 00:40:59,960
That's the best.

531
00:41:00,160 --> 00:41:05,600
Take your elbows, take your over the counter, take your prescriptions, go into the pharmacy and say,

532
00:41:05,940 --> 00:41:08,920
what do I have here, what do I need, what don't I need?

533
00:41:09,320 --> 00:41:13,140
Because chances are, even with two meds, there could be interaction.

534
00:41:13,140 --> 00:41:20,180
Everybody give it that? This is pretty amazing stuff, right, and it's so cool because I get emails from our medical students

535
00:41:20,180 --> 00:41:27,480
Dr. Gee, I just took care of this older woman today a week and I was the one that figured out it was because the last

536
00:41:27,480 --> 00:41:35,260
No medication she got. You know, they're out there. They're thinking they're doing it, so that's really good. All right, we're doing okay. You okay? You're good?

537
00:41:35,680 --> 00:41:39,660
Okay. Well, make sure. So here we go. Do we all age the same?

538
00:41:41,040 --> 00:41:46,940
All right, so you're answering which age do you mean my anatomic psychological physiologic wall or cryologic?

539
00:41:48,140 --> 00:41:51,240
You've got all these ways of, you know, you are not boring people.

540
00:41:52,560 --> 00:41:53,980
Let's go back to that question again.

541
00:41:54,240 --> 00:41:56,660
Do you all age the same? You all said no.

542
00:41:58,680 --> 00:42:01,400
Try it again. Do you all age the same?

543
00:42:02,420 --> 00:42:03,360
Do we all age?

544
00:42:05,080 --> 00:42:05,420
Yes.

545
00:42:06,080 --> 00:42:06,220
Yes.

546
00:42:06,840 --> 00:42:08,180
What? What? Somebody said yes.

547
00:42:08,960 --> 00:42:12,200
Okay. Did you just say yes or do you have a reason?

548
00:42:15,410 --> 00:42:18,090
Yes. And that way we do. I actually

549
00:42:18,090 --> 00:42:24,570
tricked you. So good for you for thinking outside the box. That was good. That was good.

550
00:42:25,210 --> 00:42:26,190
So actually,

551
00:42:28,690 --> 00:42:32,670
if I said how do we all age the same, that would have been a whole lot easier

552
00:42:32,670 --> 00:42:37,490
for you. And how old age the same is? Day of the time, a year of the time we all have a birthday

553
00:42:37,490 --> 00:42:42,690
year, you know, I had no goal in city with sick years, so we missed a birthday, but you know,

554
00:42:42,770 --> 00:42:49,550
I don't, I said it was same age to year. I was actually 47, 2 years in a row. I'm not sure what happened there.

555
00:42:51,150 --> 00:42:54,470
But really that we're, do we all age the same? We actually,

556
00:42:55,510 --> 00:43:02,570
Cines, when you answer it is, do we all cines the same? That physiologic change. It's very, very different.

557
00:43:02,570 --> 00:43:10,670
So if I line up 10, 85-year-olds, they will all be very heterogeneous in physiology and function in all sorts of ways.

558
00:43:10,950 --> 00:43:18,050
If I line up 10, 12-year-olds, they'll all pretty much be the same, different personalities, but they will be physiologically fairly the same.

559
00:43:18,710 --> 00:43:21,830
So let's get into some concepts here.

560
00:43:24,190 --> 00:43:28,490
So if you're construction and disengagement theory, this is where the rubber hits the row.

561
00:43:29,170 --> 00:43:30,610
Let me ask you.

562
00:43:30,610 --> 00:43:34,030
Would you all be comfortable doing some wars this morning?

563
00:43:36,140 --> 00:43:40,320
Some wars, you know get you know how to do arm wrestling?

564
00:43:41,220 --> 00:43:43,860
Do you know how to use some wrestling or some wars?

565
00:43:47,170 --> 00:43:49,190
Yeah, do you have a you have a here please?

566
00:43:53,350 --> 00:43:55,010
Your van at today.

567
00:43:57,800 --> 00:43:59,460
There's a reason for this

568
00:43:59,460 --> 00:44:05,640
Actually, I was a coaching a former life volleyball across and I found that with audiences that if I hit them

569
00:44:05,640 --> 00:44:09,380
can aesthetically, experientially, auditory, you hear my voice,

570
00:44:09,720 --> 00:44:10,960
and visually, you see the slides.

571
00:44:11,800 --> 00:44:13,800
I can usually shift here a little bit.

572
00:44:14,160 --> 00:44:14,560
On one of those things.

573
00:44:15,080 --> 00:44:17,600
So we want to do some wrestling, or some wars.

574
00:44:20,260 --> 00:44:20,620
Oh, God.

575
00:44:22,240 --> 00:44:23,980
And she has long nails.

576
00:44:25,480 --> 00:44:26,860
So we want to do some wars.

577
00:44:26,880 --> 00:44:28,560
What is the objective of the game?

578
00:44:28,620 --> 00:44:29,540
What are you supposed to do?

579
00:44:30,500 --> 00:44:31,840
It's supposed to win, she says.

580
00:44:32,040 --> 00:44:33,500
So I'm supposed to try it out.

581
00:44:33,500 --> 00:44:35,900
which is, which is acting, possibly.

582
00:44:42,140 --> 00:44:46,560
Okay, so, I'm going to have you for 15 seconds,

583
00:44:46,800 --> 00:44:50,180
pair up and do some wrestling from worst.

584
00:44:51,080 --> 00:44:54,180
The object is to pin the other person's thought.

585
00:44:54,640 --> 00:44:56,980
Now, in 15 seconds, the one you could count,

586
00:44:57,280 --> 00:44:59,980
to see how many pins you can possibly get in 15 seconds.

587
00:45:00,370 --> 00:45:24,050
Okay? So, here's the thing. If you are of the old school, and you got one, two, three, four, right? Play out some more, five, six, seven, then you've already lost five seconds. You know, so to get. So, you can't put, then you're going to just say it real quick in your head, all right? So, let me just make sure you have pairs for those of you that are comfortable doing it.

588
00:45:26,240 --> 00:45:27,660
You want to turn around, do a body?

589
00:45:33,760 --> 00:45:34,160
Okay.

590
00:45:44,120 --> 00:45:44,800
All right, ready?

591
00:45:44,800 --> 00:45:45,520
Come,

592
00:45:49,900 --> 00:45:52,420
go, get as many pins as you can, go!

593
00:46:17,040 --> 00:46:17,960
If you get that,

594
00:46:27,780 --> 00:46:29,780
they're both turning red in the face.

595
00:46:30,360 --> 00:46:31,640
Okay, how many gouts in pin?

596
00:46:32,420 --> 00:46:33,240
How many gouts?

597
00:46:34,600 --> 00:46:35,200
How many gouts?

598
00:46:35,200 --> 00:46:35,340
How many gouts?

599
00:46:37,760 --> 00:46:38,140
How many gouts?

600
00:46:39,340 --> 00:46:39,700
Whoa!

601
00:46:40,520 --> 00:46:41,460
Will you be in nice?

602
00:46:42,700 --> 00:46:43,200
How many gouts?

603
00:46:43,620 --> 00:46:43,960
5.

604
00:46:44,100 --> 00:46:44,360
20 gouts.

605
00:46:44,860 --> 00:46:45,720
You got them all?

606
00:46:46,180 --> 00:46:46,680
How come?

607
00:46:47,080 --> 00:46:47,700
What happened to you?

608
00:46:48,380 --> 00:46:49,000
You got bigger thumbs?

609
00:46:50,260 --> 00:46:50,760
You got bigger thumbs?

610
00:46:50,760 --> 00:46:51,580
Did anybody draw blood?

611
00:46:52,780 --> 00:46:52,920
No.

612
00:46:52,920 --> 00:46:55,140
So, Jean, I need you up here.

613
00:46:57,440 --> 00:46:58,460
Come on Jean.

614
00:46:59,380 --> 00:47:00,080
So the goal.

615
00:47:00,560 --> 00:47:00,800
Object.

616
00:47:01,280 --> 00:47:02,340
Pin the question's thumb.

617
00:47:02,840 --> 00:47:03,120
Goal.

618
00:47:03,220 --> 00:47:05,120
Get as many pins as you possibly can.

619
00:47:05,520 --> 00:47:07,000
And if we were to follow the goal.

620
00:47:07,180 --> 00:47:07,860
She pins me.

621
00:47:08,100 --> 00:47:08,660
I pin her.

622
00:47:09,800 --> 00:47:11,440
Oh, you cheated.

623
00:47:12,740 --> 00:47:15,240
Get as many pins as you possibly can.

624
00:47:16,020 --> 00:47:17,620
And 15 seconds.

625
00:47:18,000 --> 00:47:19,200
We could probably get.

626
00:47:19,580 --> 00:47:20,060
Yeah.

627
00:47:20,620 --> 00:47:21,780
We can get a lot, right?

628
00:47:22,480 --> 00:47:23,500
Oh, my God.

629
00:47:23,720 --> 00:47:23,900
Right?

630
00:47:23,900 --> 00:47:26,340
So, okay, wait, now, here's the key.

631
00:47:27,160 --> 00:47:29,640
Fun wrestling was designed to be what?

632
00:47:29,660 --> 00:47:30,940
Jean said it right in the beginning.

633
00:47:31,800 --> 00:47:32,560
Competitive, right?

634
00:47:32,860 --> 00:47:35,280
And when you smash the other person's thumb,

635
00:47:35,400 --> 00:47:36,720
then it really feels good.

636
00:47:36,940 --> 00:47:38,840
Well, let me tell you, when I went up to Jean,

637
00:47:39,020 --> 00:47:41,460
I said, Jean, we're gonna shift this a little bit.

638
00:47:41,640 --> 00:47:45,020
You know, the goal is to get as many pens as we possibly can.

639
00:47:45,480 --> 00:47:47,960
So, I'm gonna pin you, you pin me, you know,

640
00:47:48,280 --> 00:47:49,640
she wouldn't let go of my thumb.

641
00:47:50,580 --> 00:47:53,100
So, I'm trying to say, Jean, let go of my thumb.

642
00:47:53,100 --> 00:47:59,220
So I can pin you, you know, but she's already down that path of this is competitive

643
00:47:59,220 --> 00:48:02,720
when I smash your thumb, it's really fun for me, right?

644
00:48:03,500 --> 00:48:05,560
So what is that?

645
00:48:05,740 --> 00:48:06,800
What is that?

646
00:48:06,820 --> 00:48:14,260
That happens to be this social construction of reality, burger enlightenment, 1956.

647
00:48:15,020 --> 00:48:18,360
Two people get together, bear with me, this is something to do with age.

648
00:48:18,960 --> 00:48:22,860
Two people get together, they decide something is so, right?

649
00:48:23,760 --> 00:48:28,320
And then my cousin, boy, comes in and she's like, yeah, yeah, yeah, I like that.

650
00:48:28,680 --> 00:48:30,940
And then G comes and she's like, yeah, yeah, yeah, that's great.

651
00:48:31,280 --> 00:48:36,840
But then Ted comes and he's like, no, no, no, I don't, I mean, but we already have five

652
00:48:36,840 --> 00:48:42,560
of six of us that are moving this train down the track and we just bowl over ten, say, no,

653
00:48:43,200 --> 00:48:45,600
you know, you're the naysayer, we're just moving this way.

654
00:48:45,600 --> 00:48:48,720
Do you know where Thumwors came from, Thumwors?

655
00:48:51,320 --> 00:48:57,560
1944, Bernard David Sin, with his grandson, what was going on in 44?

656
00:48:59,180 --> 00:49:00,460
Yeah, World War II.

657
00:49:01,160 --> 00:49:07,600
And so what he said to his grandson was, there is so much killing and maiming going on.

658
00:49:07,680 --> 00:49:15,300
I want people to hold hands and I want them to have fun and he created the game of Thumwors.

659
00:49:15,300 --> 00:49:37,180
Now there's no evidence base, there's no research on this, but what is it about some wars that I can present in Wales, England, Scotland, Ireland, Italy, Germany, Norway, Finland, some place else?

660
00:49:37,180 --> 00:49:47,100
They're all able to do some wars, at least 95% of the people in the audience know what some wars is.

661
00:49:47,480 --> 00:49:56,480
From Bernard and his grandson in the US, to across the world, people know how to do some wars.

662
00:49:57,320 --> 00:50:01,940
What is that about? This right here, social construction.

663
00:50:03,220 --> 00:50:10,720
They created something that got other people interested in it and it just grew and built and moved.

664
00:50:11,820 --> 00:50:16,840
This is exactly what happened with the field of aging.

665
00:50:17,020 --> 00:50:20,120
Disease declined withdrawal. Why?

666
00:50:21,680 --> 00:50:21,740
1961.

667
00:50:23,740 --> 00:50:27,400
First theory of functional and successful aging.

668
00:50:27,520 --> 00:50:31,100
This engagement theory does this engagement sound positive to you.

669
00:50:32,760 --> 00:50:44,420
Actually, what the theory states, it is mutually beneficial for the elderly to disengage from society and society to disengage from the elderly.

670
00:50:44,920 --> 00:50:47,720
It is gradual, it is inevitable.

671
00:50:51,200 --> 00:50:54,300
In this case, what is the ultimate disengagement?

672
00:50:56,340 --> 00:51:04,020
So, if you really want to age functionally and successfully die, essentially that's what

673
00:51:04,020 --> 00:51:04,740
that theory is saying.

674
00:51:05,320 --> 00:51:11,240
Now, this theory, by coming from Henry, has been debunked, but I will tell you something.

675
00:51:11,680 --> 00:51:13,900
It is still in textbooks today.

676
00:51:15,380 --> 00:51:20,360
There are people who are teaching about the field of aging who are not really mindful

677
00:51:20,360 --> 00:51:25,980
of the nuances of it, and don't know that this engagement theory is no longer viable.

678
00:51:26,660 --> 00:51:31,900
It actually has moved to zero transcendence, transcending societal paradigms.

679
00:51:32,200 --> 00:51:34,520
Look up large torn stem, zero transcendence, it's really cool.

680
00:51:35,240 --> 00:51:36,880
So that part is amazing.

681
00:51:36,920 --> 00:51:39,060
Now let me tell you something about this engagement theory.

682
00:51:39,180 --> 00:51:43,960
When I was doing my doctoral program, I just really have trouble with this theory.

683
00:51:44,360 --> 00:51:45,480
This is not good.

684
00:51:46,040 --> 00:51:48,000
And my colleagues are like, what's a theory?

685
00:51:48,060 --> 00:51:48,660
What do you want?

686
00:51:48,660 --> 00:51:51,600
I was like, no, no, this is not good.

687
00:51:52,280 --> 00:51:54,300
We got to bring some of this to life.

688
00:51:55,060 --> 00:51:59,200
Well, I did a whole deep search on the methods for this theory.

689
00:51:59,880 --> 00:52:03,300
And in short, what I found out was that they changed the method

690
00:52:03,300 --> 00:52:06,760
but going through because they thought people who were doing it was survey.

691
00:52:07,220 --> 00:52:10,300
They thought people who were in their 40s doing the survey would be fine

692
00:52:10,300 --> 00:52:12,780
but people in their 70s and 80s would get tired

693
00:52:12,780 --> 00:52:14,720
and so they changed the survey.

694
00:52:15,420 --> 00:52:25,680
Well, the other thing was that this theory was solidified based on the outcomes of 279 people.

695
00:52:25,880 --> 00:52:30,040
Now, I don't know about you, but that doesn't sound like a lot to me across the U.S. even in 1960.

696
00:52:31,380 --> 00:52:35,340
So, then I keep reading and I say, oh, this is about Americans.

697
00:52:36,280 --> 00:52:40,900
What do they mean by middle Americans? You know, middle socioeconomic, middle education, what do they mean?

698
00:52:40,900 --> 00:52:48,700
And as I keep reading I find out, no, these are 279 people from Kansas City, the middle of America.

699
00:52:50,460 --> 00:52:52,940
You have got to be kidding me.

700
00:52:53,440 --> 00:53:01,320
Now, there are a few people that know that this theory only has 279 people that have helped form the theory

701
00:53:01,320 --> 00:53:06,540
that it has methodology flaws, and that it's about middle Americans who happen to be from Kansas City.

702
00:53:07,260 --> 00:53:13,600
So you have all those people out there reading this engagement theory in textbooks, say, and if it's in a textbook, it must be subtle.

703
00:53:15,480 --> 00:53:27,120
Now, the thing about this engagement theory that I'm very aware of is that it's in textbooks, and like fun wars has spread.

704
00:53:29,450 --> 00:53:32,570
What happens to the older adults who are now aging?

705
00:53:32,570 --> 00:53:40,110
They believe it must be so, disease, the kind withdrawal came right from the spirit.

706
00:53:40,690 --> 00:53:44,110
Disch you, believe it then, but it's true.

707
00:53:45,450 --> 00:53:53,450
Look at this face, with this face like you, it wouldn't, it wouldn't, I know, it's just amazing.

708
00:53:53,630 --> 00:53:57,810
But due for those of you that are writing things down, look up Lars Tornstamm, Gerro Transcendence

709
00:53:57,810 --> 00:53:58,230
Waco.

710
00:53:58,610 --> 00:53:59,430
Start and move forward.

711
00:53:59,430 --> 00:54:01,410
Can you tell the last name please?

712
00:54:01,910 --> 00:54:09,230
Tornt 10, T, O, R, N, Tornt 10, T, T, O, R, N, S, T, A, M, sorry, I had to think.

713
00:54:09,830 --> 00:54:17,450
Okay, so now that these are some of the, these are societal concepts, the medical students

714
00:54:17,450 --> 00:54:21,750
that she got stuck there, that's not the truth, that's not true.

715
00:54:22,530 --> 00:54:28,890
I'm guessing she was a dancer at some point and just managed to keep up with that, with

716
00:54:28,890 --> 00:54:35,630
regardless of age. So, you know, here's swimming a mile and then you stop for a year for whatever

717
00:54:35,630 --> 00:54:39,530
or reason and then you go back in the pool and you try to swim a mile and then you find out

718
00:54:39,530 --> 00:54:43,270
you're dying, you know, you can't breathe. And then the first thing you say to yourself is,

719
00:54:43,430 --> 00:54:48,910
wow, have I got an old in a year? No, you have not got an old. You've gotten decondition and you can

720
00:54:48,910 --> 00:54:55,230
work back up. So she happened to just kind of keep that going. So here, social clock, the age

721
00:54:55,230 --> 00:55:00,350
which things are supposed to happen according to society.

722
00:55:01,050 --> 00:55:03,790
So this is not supposed to happen according to society.

723
00:55:04,290 --> 00:55:07,370
But here we have, in with this pajama body.

724
00:55:08,070 --> 00:55:11,510
I'm not plotting your direction

725
00:55:11,510 --> 00:55:14,470
and trying to turn off the lights.

726
00:55:15,790 --> 00:55:20,030
Now, this is that part about that when people get older,

727
00:55:20,530 --> 00:55:23,970
especially younger adults and younger health care providers,

728
00:55:23,970 --> 00:55:30,610
think they become sexless, right? Or a sexual. And that is not necessarily true. And there's

729
00:55:30,610 --> 00:55:38,610
a couple things about this that is really important. One is that intercourse and orgasm may not

730
00:55:38,610 --> 00:55:45,630
be as important as you age, but that closeness, that physical, emotional intimacy may be. And

731
00:55:45,630 --> 00:55:51,610
just being close to somebody on the couch is sometimes just the most wonderful thing in the world.

732
00:55:51,610 --> 00:55:58,390
So, we, again, adapt and adjust to be more congruent with who we are inside, as compared

733
00:55:58,390 --> 00:56:02,490
to, believe it or not, when you're younger, you're definitely into performance mode.

734
00:56:03,230 --> 00:56:05,850
And you kind of drop off some of that performance need.

735
00:56:06,290 --> 00:56:13,130
The other thing is that, not everybody feels that way because we have a rise of STD and AIDS

736
00:56:13,130 --> 00:56:19,070
on the 65 plus population in Florida because of what they call the condo-casinotes.

737
00:56:19,070 --> 00:56:34,790
So these are the men and condominiums that are jumping from condo to condo, they're not worried about getting the woman they're having sex with pregnant, but they are pressing along STDs and AIDS actually.

738
00:56:36,750 --> 00:56:42,150
So sexual history, we're trying to get all of our health professions students to really be mindful of sexual history.

739
00:56:42,610 --> 00:56:47,250
And to think more broadly about how sex is defined, okay? So here's another one.

740
00:56:48,750 --> 00:56:58,530
Wake up, the cat's got UT, so what we expect in our society is that we become very fragmented.

741
00:56:58,890 --> 00:57:03,990
You know, we have physicians for every single part of your body inside and out.

742
00:57:04,470 --> 00:57:06,970
We are no longer whole beings.

743
00:57:07,810 --> 00:57:13,290
You know, when I mentioned we could go to a primary care and we could be treated as a whole person.

744
00:57:13,290 --> 00:57:17,230
No, we still get fragmented because we get and sent out to all these different doctors.

745
00:57:18,010 --> 00:57:26,950
So in terms of the social clock, it is expected that different parts of you will fall apart or fade away or whatever they do.

746
00:57:27,170 --> 00:57:29,570
I don't know, but we've got to change that.

747
00:57:29,950 --> 00:57:31,850
And then this last one, look at Dom size.

748
00:57:34,270 --> 00:57:36,770
That's the part about them being...

749
00:57:37,630 --> 00:57:39,970
That's the part about them being terrible drivers.

750
00:57:39,970 --> 00:57:46,610
So I have this really I do talks on sex and aging and I have this wonderful one

751
00:57:46,610 --> 00:57:50,710
there's older couple cartoons sitting on the couch and and he has his hand in

752
00:57:50,710 --> 00:58:01,320
her sweater and she says they're not up there anymore so all right so we're

753
00:58:02,500 --> 00:58:07,740
coming in here there's whole refraining everything that you do you have the

754
00:58:07,740 --> 00:58:10,280
choice to decide how you want to view it.

755
00:58:10,520 --> 00:58:14,340
Do you want to view it as negative?

756
00:58:15,040 --> 00:58:19,460
This is happening to me and it's about me

757
00:58:19,460 --> 00:58:22,340
or can you kind of broaden that a little bit?

758
00:58:22,680 --> 00:58:24,460
Well, I just did this little thing.

759
00:58:25,260 --> 00:58:28,900
I wanted to know what Crow's feet look like.

760
00:58:32,040 --> 00:58:34,200
I'm a good gold Crow's feet.

761
00:58:35,480 --> 00:58:39,760
I cannot tell you how many pictures came up like this.

762
00:58:42,480 --> 00:58:46,460
What I wanted to see were birds feet.

763
00:58:47,760 --> 00:58:51,480
I wanted to see what a crow's foot look like.

764
00:58:52,320 --> 00:58:55,140
Not an older doll's eyeballs.

765
00:58:57,510 --> 00:59:00,310
But even Google has been co-opted.

766
00:59:00,550 --> 00:59:02,570
Right? I mean you're putting a crow's feet like that.

767
00:59:02,570 --> 00:59:06,730
So then I'm thinking, what do I put in crow's the bird feet?

768
00:59:07,190 --> 00:59:08,570
And then I got this.

769
00:59:09,730 --> 00:59:11,310
Now how attractive is that?

770
00:59:13,150 --> 00:59:17,090
So how do you feel knowing that you have close feet?

771
00:59:17,670 --> 00:59:22,790
When, I think, you know, it's like they've used it because you're laughing or some good reason.

772
00:59:23,770 --> 00:59:29,090
So in terms of reframing and please pass this along to yourselves and to others,

773
00:59:29,510 --> 00:59:32,590
we are no longer doing that. We are going to have peacock feathers.

774
00:59:39,450 --> 00:59:42,830
I didn't have any trouble, I put up peacock feathers, I got peacock feathers.

775
00:59:43,750 --> 00:59:46,590
But hopefully someday we could change that.

776
00:59:47,490 --> 00:59:48,270
It's coming from a side.

777
00:59:48,850 --> 00:59:53,330
This is a bumper sticker, I'm so old that whenever you eat out, they ask me for my money up front.

778
00:59:55,190 --> 00:59:56,350
We're used to these things.

779
00:59:56,730 --> 00:59:59,570
If you haven't read the book by Betty for Dan,

780
01:00:00,000 --> 01:00:13,840
It's a fountain of age from 1996. It's a seminal work. It's still applies. It's a washingful book. I love her sense of humor. She was the one that came up with the term, compassionate ageism.

781
01:00:14,280 --> 01:00:19,200
Compassionate ageism is when you're assisting an adult with good intentions.

782
01:00:19,360 --> 01:00:23,760
Or assisting anybody really, if you don't do the ages, but here's the part.

783
01:00:24,560 --> 01:00:33,220
really think about how your actions are motivated, what are they motivated by, do you see in

784
01:00:33,220 --> 01:00:40,760
your mind an elderly man in the grocery store, having trouble reaching for something, you

785
01:00:40,760 --> 01:00:42,360
go over and say, I'll get that for you,

786
01:00:45,320 --> 01:00:47,940
first you got elderly in your mind, so you think

787
01:00:47,940 --> 01:00:52,980
they're not able, and then you're acting on that.

788
01:00:54,740 --> 01:00:59,620
This is the part where we just really, really need to be mindful.

789
01:01:00,120 --> 01:01:03,100
When you assist anyone, one do you ask first?

790
01:01:04,000 --> 01:01:10,080
And even that you're asking, are you asking because you think the person can't manage the task on his or her own?

791
01:01:11,320 --> 01:01:12,880
So, something to think about.

792
01:01:13,240 --> 01:01:13,780
We do it.

793
01:01:13,940 --> 01:01:15,800
You know, I've had the students say,

794
01:01:16,060 --> 01:01:18,000
No, you know, Dr. Jigan, I'm just friendly.

795
01:01:19,380 --> 01:01:22,080
I'm just like helping people. I help all people.

796
01:01:22,080 --> 01:01:23,860
Well, then you're co-dependent, right?

797
01:01:24,040 --> 01:01:27,020
I mean, let's get some good boundaries here

798
01:01:27,020 --> 01:01:30,140
and stay with yourself and move forward,

799
01:01:30,760 --> 01:01:32,360
but really to be mindful.

800
01:01:33,020 --> 01:01:35,380
That's what I'm asking for is just mindfulness.

801
01:01:35,680 --> 01:01:37,960
And I know I gave you a lot of information today.

802
01:01:38,600 --> 01:01:41,600
And right here, nurses, or have nursing in their family.

803
01:01:43,060 --> 01:01:44,440
Bonnie, you know this.

804
01:01:45,480 --> 01:01:47,620
Learn helplessness is from the nursing profession.

805
01:01:48,120 --> 01:01:49,820
It's actually when you're assisting others

806
01:01:49,820 --> 01:01:51,800
to the point where they know what longer can

807
01:01:51,800 --> 01:01:53,820
or no longer will do something.

808
01:01:54,680 --> 01:01:56,100
So let me just give you an example.

809
01:01:56,640 --> 01:01:59,200
My students are living in the nursing home for two weeks, right?

810
01:01:59,340 --> 01:02:00,800
They're sitting at the dinner table.

811
01:02:01,240 --> 01:02:02,120
Edmo's next door.

812
01:02:02,560 --> 01:02:05,040
The certified nursing assistant comes up and starts

813
01:02:05,040 --> 01:02:07,740
cutting Edmo's meat and preparing her coffee.

814
01:02:07,880 --> 01:02:09,780
And all of that, and the student looked at Edmo's,

815
01:02:10,200 --> 01:02:12,000
says, Edmo, you could do all that yourself.

816
01:02:12,580 --> 01:02:14,360
Why are you letting staff do it?

817
01:02:14,660 --> 01:02:16,740
And Edmo says, it makes her feel better.

818
01:02:19,100 --> 01:02:21,240
Now, the truth of the matter is, you know,

819
01:02:21,240 --> 01:02:22,920
The student's kind of looking for plaques.

820
01:02:23,280 --> 01:02:27,500
The truth of the matter is, Edna is going to lose the ability to do those things.

821
01:02:27,980 --> 01:02:32,240
Because she's going to let other people do them all the time for her.

822
01:02:32,620 --> 01:02:38,320
Now, this gets, this is so interesting because this is not associated with older adults.

823
01:02:40,430 --> 01:02:43,610
I have a friend who is an elementary school teacher.

824
01:02:44,330 --> 01:02:49,630
And one day, she said to the kids, no one else, I put on your coats, your boots, your hats,

825
01:02:49,630 --> 01:02:58,210
Go outside and play for recess, and she had three children sitting there not knowing how to buckle the boots or how to zip up their chickens.

826
01:02:59,410 --> 01:03:06,950
Now chances are they live either in a family with both parents working or one parent working and what happens.

827
01:03:07,550 --> 01:03:11,730
You throw all that on the kid and you're shutting them out of the door so they even get to work on time.

828
01:03:13,030 --> 01:03:17,050
That's learned helplessness. Those children don't know how to do that.

829
01:03:17,050 --> 01:03:26,950
Now, when you're alive, who always makes the coffee, who always writes the checks, who always takes care of the car, who changes the flat tire, who, you know, whatever, I could just list

830
01:03:26,950 --> 01:03:36,770
I'd am after I'd am after I'd am after I'd am, and then if there's somebody in your household that, that you have created this relationship with and something happens with that person,

831
01:03:37,990 --> 01:03:38,950
where are you?

832
01:03:39,330 --> 01:03:43,130
God, I really don't know where these things are, I don't know how to do this, go ahead.

833
01:03:46,270 --> 01:03:47,290
Yes,

834
01:03:53,220 --> 01:03:57,540
they're perplexed, they don't know what to do, very disadvantage, it's an an an an

835
01:03:57,540 --> 01:04:00,140
essence, no-plow parents, it's learned helplessness.

836
01:04:00,400 --> 01:04:02,500
Thank you for bringing that up.

837
01:04:02,800 --> 01:04:02,900
Good?

838
01:04:03,320 --> 01:04:03,460
Right?

839
01:04:04,160 --> 01:04:05,900
So think about your own lives.

840
01:04:06,360 --> 01:04:10,560
Make sure even if you don't want to do it, at least know how to do it.

841
01:04:11,340 --> 01:04:11,780
At least not.

842
01:04:12,240 --> 01:04:16,760
Is it better to say, do you need help or do you want help?

843
01:04:17,360 --> 01:04:21,420
Would you, can I assist you? Is there anybody I can assist you?

844
01:04:22,360 --> 01:04:23,180
Yeah, need.

845
01:04:24,080 --> 01:04:25,320
No, right? It's made you.

846
01:04:25,400 --> 01:04:27,720
That's kind of a heavy word.

847
01:04:29,040 --> 01:04:30,820
You know, and hold that thought.

848
01:04:31,440 --> 01:04:33,380
Because I'll get to that just second.

849
01:04:34,100 --> 01:04:34,280
All right.

850
01:04:34,800 --> 01:04:36,700
So, here we have Madame Colmett.

851
01:04:36,740 --> 01:04:39,440
She got at the age of 122.

852
01:04:40,400 --> 01:04:40,920
Say who?

853
01:04:43,910 --> 01:04:46,110
Oh, she, this is from 1997's.

854
01:04:46,110 --> 01:04:48,770
So I don't think she was disputed.

855
01:04:49,230 --> 01:04:50,970
Yeah, she definitely, they said,

856
01:04:51,050 --> 01:04:53,790
when her famous quote, I only have one wrinkle

857
01:04:53,790 --> 01:04:55,190
and I'm sitting on it.

858
01:05:00,220 --> 01:05:03,600
They're really cool part about Faddam calm that.

859
01:05:03,660 --> 01:05:05,460
Well, let me just tell you a little bit about it.

860
01:05:06,040 --> 01:05:08,880
So she smoked until the age of 19.

861
01:05:10,120 --> 01:05:12,520
Her physician actually said to Faddam calm that,

862
01:05:12,520 --> 01:05:13,900
I think she should stop smoking.

863
01:05:14,340 --> 01:05:15,760
And I'm thinking at a hundred and nineteen,

864
01:05:15,960 --> 01:05:17,660
you stop smoking the shock of not smoking

865
01:05:17,660 --> 01:05:18,880
is probably going to kill you, right?

866
01:05:18,880 --> 01:05:25,120
So what they had, you know, but actually she did stop smoking on her own because around that age,

867
01:05:26,000 --> 01:05:31,280
she was blind or got macular regeneration and had trouble seeing and she didn't want to ask for help

868
01:05:31,280 --> 01:05:35,600
and she didn't want to put other people at risk. So she made the decision to stop smoking.

869
01:05:36,020 --> 01:05:41,340
She was writing her bike all around all's friends to thank everybody for coming to our 100th birthday party.

870
01:05:41,620 --> 01:05:47,180
She went into a nursing home about the age of 110. She used to eat 2 pounds of chocolate a week.

871
01:05:47,180 --> 01:05:53,100
I like this woman, he said, the men pours away, you know Harry Potter, and she was known

872
01:05:53,100 --> 01:05:58,120
for her unflapability, she was sharp as a tack the day that she died, and she absolutely

873
01:05:58,120 --> 01:05:59,760
had no family whatsoever.

874
01:06:00,280 --> 01:06:07,300
Now, the really cool story about Madame Calment is that when she was 95, there was this attorney

875
01:06:07,300 --> 01:06:15,280
who came up to her and said, Madame Calment, I will gladly pay you, 2,500 francs a month,

876
01:06:15,280 --> 01:06:17,160
which at that time was about $450.

877
01:06:18,380 --> 01:06:21,940
I would pay you $2,500 for you apartment.

878
01:06:22,380 --> 01:06:24,700
You can continue living in your apartment,

879
01:06:24,700 --> 01:06:28,600
and when you die, then your apartment will be mine.

880
01:06:29,400 --> 01:06:31,340
So think about, she's 95.

881
01:06:31,640 --> 01:06:32,940
We used to say to people at 95,

882
01:06:33,140 --> 01:06:34,580
don't buy green bananas, right?

883
01:06:34,920 --> 01:06:36,420
You know, we'd say all these weird things.

884
01:06:37,400 --> 01:06:40,820
But if she had family, what do you think her adult children

885
01:06:40,820 --> 01:06:42,360
would have said to that deal?

886
01:06:43,840 --> 01:06:44,780
Don't do it, right?

887
01:06:44,780 --> 01:06:46,740
And he's going to make a killing on this place.

888
01:06:47,360 --> 01:06:48,640
Well, you know what happened?

889
01:06:49,240 --> 01:06:50,760
He was 45 at the time.

890
01:06:50,880 --> 01:06:52,480
He died at the age of 72.

891
01:06:53,000 --> 01:06:54,140
She's still living.

892
01:06:55,900 --> 01:06:59,560
And his family ends up paying more than double the market value

893
01:06:59,560 --> 01:07:00,720
on that apartment.

894
01:07:01,600 --> 01:07:02,880
That is a cool story.

895
01:07:03,020 --> 01:07:04,620
That's her unflapability.

896
01:07:05,280 --> 01:07:07,280
That's the essence of who she was.

897
01:07:07,880 --> 01:07:12,160
And some other fun quotes from her on her 123rd day.

898
01:07:12,160 --> 01:07:15,860
When asked what kind of future did she expect, she replied,

899
01:07:17,180 --> 01:07:18,080
a very short one.

900
01:07:20,640 --> 01:07:25,880
And then, when a person took leave by saying to her until next year, perhaps she retorted,

901
01:07:26,520 --> 01:07:28,600
I don't see why not. You don't look so bad.

902
01:07:30,840 --> 01:07:34,000
Now, what's great about that is she was blind at this time.

903
01:07:35,820 --> 01:07:40,660
So, you got a moment. This is that essence that

904
01:07:40,660 --> 01:07:45,300
that comes through, that our students see in the nursing home when they're living there for two weeks.

905
01:07:45,980 --> 01:07:48,960
That sense of humor, that ability to rise above.

906
01:07:50,120 --> 01:07:56,140
How many of us, because of what society says, that by the time you're 120 and you're having a birthday,

907
01:07:56,340 --> 01:07:58,620
you're thinking, oh, crap, I'm just wondering what am I going to be here?

908
01:07:58,620 --> 01:08:00,080
Like, let's get those over with.

909
01:08:00,620 --> 01:08:02,620
But no, she loved life.

910
01:08:03,080 --> 01:08:04,960
And I just love how she embraced it.

911
01:08:05,000 --> 01:08:08,060
Which brings us to this, the Orange Theory.

912
01:08:08,780 --> 01:08:13,040
When you have an orange and you squeeze it, what comes out, this is not a true question.

913
01:08:14,200 --> 01:08:15,080
Juice, right.

914
01:08:15,400 --> 01:08:19,440
There's a matter when you squeeze it, if you squeeze it in the morning, if you squeeze it in the afternoon, you squeeze it in the night.

915
01:08:19,460 --> 01:08:20,300
What comes out?

916
01:08:20,940 --> 01:08:25,040
There's a matter what you squeeze it with, if you squeeze it with your hand, a juicer.

917
01:08:25,360 --> 01:08:28,400
Even if you hit it with a hammer, it's going to be messy, but what comes out?

918
01:08:29,080 --> 01:08:29,300
Juice.

919
01:08:29,760 --> 01:08:30,820
Okay, so here's the metaphor.

920
01:08:31,900 --> 01:08:40,640
When Madame Calmedha got squeezed her unflapability came out, it's her juice.

921
01:08:41,540 --> 01:08:45,340
When you get squeezed, what is your juice?

922
01:08:45,920 --> 01:08:46,800
Is it anger?

923
01:08:47,120 --> 01:08:48,100
Is it irritability?

924
01:08:48,340 --> 01:08:49,080
Is it love?

925
01:08:49,180 --> 01:08:49,960
Is it optimism?

926
01:08:50,260 --> 01:08:51,180
Is it pessimism?

927
01:08:51,280 --> 01:08:52,040
Is it fear?

928
01:08:53,400 --> 01:08:56,620
Why is it that comes out when you get squeezed?

929
01:08:57,740 --> 01:09:05,820
Now, when you were a child, or when I was a child, under a lightning storm, scared the

930
01:09:05,820 --> 01:09:11,900
beginning of that, I mean, they were just scary, right? You're four or five years old? I love

931
01:09:11,900 --> 01:09:17,880
thunder and lightning storms now, as long as I'm not under a tree. I'm all I'm good. So

932
01:09:17,880 --> 01:09:24,240
you juice can change. When you know what your juice is, what do you want to do with it? Is

933
01:09:24,240 --> 01:09:30,480
at the juice you want to keep, what do you want to adapt that juice, and maybe change it.

934
01:09:30,660 --> 01:09:34,520
And what will happen, this is continuity theory, actually, this is width, width, the

935
01:09:34,520 --> 01:09:36,880
growth through your life, we are dynamic beings.

936
01:09:37,880 --> 01:09:43,580
If a thunder and lightning storm happens now, and I react to a fear, I'm conscious of that,

937
01:09:43,580 --> 01:09:47,960
and I change that, I don't need to be fearful, I'm okay, I'm safe.

938
01:09:49,160 --> 01:09:52,080
And that's continuity, how we can be dynamic through that.

939
01:09:52,080 --> 01:09:55,260
But think about your first reaction.

940
01:09:55,860 --> 01:09:56,960
That is your juice.

941
01:09:57,280 --> 01:10:02,080
And for physicians who oftentimes will do the squeezing,

942
01:10:04,160 --> 01:10:06,840
they should be aware of the juice of the person

943
01:10:06,840 --> 01:10:08,020
that they're working with.

944
01:10:08,280 --> 01:10:11,720
But first, they have to be aware of their own juice.

945
01:10:12,300 --> 01:10:14,120
You have to know yourself first before you

946
01:10:14,120 --> 01:10:15,260
can work with other people.

947
01:10:16,500 --> 01:10:18,620
So next time you feel squeezed by somebody,

948
01:10:18,720 --> 01:10:20,980
you say, listen, I got juice all over the place there.

949
01:10:21,560 --> 01:10:25,360
Let me just regroup here for a second and figure out what you don't want to see her.

950
01:10:26,960 --> 01:10:30,900
But this theory, I think, is really, it's a metaphor, but I think it's right on.

951
01:10:31,820 --> 01:10:33,560
So, words do matter.

952
01:10:35,740 --> 01:10:39,280
That is not my damn call, Matt, but I think she probably wouldn't be that way.

953
01:10:42,560 --> 01:10:46,400
So, communication pie chart gets back to your point.

954
01:10:46,400 --> 01:10:55,620
read or want. Only 7% is communicated with words. 93% with voice tone and body language.

955
01:10:56,040 --> 01:10:58,400
Would you say that I am passionate about this field?

956
01:11:01,830 --> 01:11:02,870
What gave it away?

957
01:11:04,870 --> 01:11:07,450
Now, let me tell you something here. I could have come here today.

958
01:11:10,610 --> 01:11:15,290
I am so excited about the field of aging.

959
01:11:17,530 --> 01:11:20,370
After three hours of listening to me speak,

960
01:11:20,370 --> 01:11:26,310
I'm sure you will feel just as passionate, as I do.

961
01:11:28,750 --> 01:11:31,330
You've had lectures like this.

962
01:11:33,170 --> 01:11:35,670
They think their words matter.

963
01:11:37,610 --> 01:11:39,710
Choose the matter as you remember what I said.

964
01:11:39,930 --> 01:11:41,790
I know you're not going to remember what I said.

965
01:11:42,030 --> 01:11:43,770
I've had people come up to me and say,

966
01:11:44,570 --> 01:11:48,410
oh, oh, oh, oh, you spoke at something.

967
01:11:49,030 --> 01:11:50,770
Oh, you were so good.

968
01:11:50,770 --> 01:11:53,430
I don't even know what you spoke about.

969
01:11:54,190 --> 01:11:55,130
I'll take the compliment.

970
01:11:55,850 --> 01:11:56,590
It's okay.

971
01:11:56,850 --> 01:11:58,210
You don't need to know what I talked about.

972
01:11:59,330 --> 01:12:01,030
But that's what happens, right?

973
01:12:01,230 --> 01:12:02,730
I mean, it's only this.

974
01:12:03,170 --> 01:12:05,250
And yet we spend so much time on words.

975
01:12:05,710 --> 01:12:06,890
So need or want?

976
01:12:07,050 --> 01:12:08,090
Let me tell you what's going to happen.

977
01:12:08,970 --> 01:12:10,830
This will come through.

978
01:12:15,220 --> 01:12:16,060
Me and help.

979
01:12:18,440 --> 01:12:19,440
Any comments?

980
01:12:20,800 --> 01:12:21,860
I can't even do that.

981
01:12:22,120 --> 01:12:22,300
Sorry.

982
01:12:23,220 --> 01:12:33,440
But, you know, coming at somebody like that, as compared to, is there any way that I can assist you work, you know, you have any needs I can address or, right, and I'm back here, and I'm being respectful.

983
01:12:34,280 --> 01:12:51,660
So this whole part, and trust me, we are sizing up people all the time, as soon as somebody approaches us, we know, they don't respect me, they respect me, they, you know, we know.

984
01:12:52,500 --> 01:12:58,660
What happens in your family when your mother uses your whole name and all you hear is that 38%?

985
01:12:59,780 --> 01:13:02,040
You say, well boy, I'm in trouble.

986
01:13:02,680 --> 01:13:03,520
Or your physician.

987
01:13:05,140 --> 01:13:06,640
What kind of help you with today?

988
01:13:07,620 --> 01:13:08,740
I'm at it here.

989
01:13:09,120 --> 01:13:11,160
You're going to be having your arms crossed like that.

990
01:13:11,340 --> 01:13:12,360
You know what that's telling me?

991
01:13:12,840 --> 01:13:13,300
You're close.

992
01:13:13,920 --> 01:13:15,800
This is so, so important.

993
01:13:16,340 --> 01:13:18,640
Then these are all the ways that we start looking at people.

994
01:13:18,640 --> 01:13:25,460
When I had this woman who was a geriatric, notice the S, nurse practitioner, she came up to me after it, and she said,

995
01:13:25,700 --> 01:13:31,340
Ma'am, I'm the one in the office that does the sexual histories on older adults.

996
01:13:32,220 --> 01:13:32,920
I'm like, cool?

997
01:13:33,600 --> 01:13:36,460
And she said, yes, I am so, this is so important.

998
01:13:37,180 --> 01:13:38,020
She said, but you know what?

999
01:13:38,120 --> 01:13:39,380
It doesn't go well.

1000
01:13:39,620 --> 01:13:40,860
I'm not sure what's happening.

1001
01:13:41,140 --> 01:13:43,040
She said, it just, it's just not working.

1002
01:13:44,930 --> 01:13:46,630
And I have all these things going through my mind.

1003
01:13:46,630 --> 01:13:49,430
And the first thing that came out of my mouth was,

1004
01:13:50,230 --> 01:13:53,870
are you breathing when you ask your questions?

1005
01:13:54,830 --> 01:13:59,090
And she stopped and she said, no, no,

1006
01:13:59,090 --> 01:14:00,470
actually I stopped breathing.

1007
01:14:01,290 --> 01:14:02,990
And I said, well, it was the last time you thought

1008
01:14:02,990 --> 01:14:04,450
comfortable giving your sexual history

1009
01:14:04,450 --> 01:14:05,750
to somebody who wasn't breathing.

1010
01:14:08,410 --> 01:14:10,210
I mean, really think about that.

1011
01:14:10,210 --> 01:14:14,150
You can tell when somebody is with you or they're not.

1012
01:14:14,150 --> 01:14:23,450
you know that and so all of this I mean we covered a lot of ground today so what

1013
01:14:23,450 --> 01:14:36,800
is the most powerful three-letter word in English language no what no love L UV no it's

1014
01:14:36,800 --> 01:14:38,300
I think it's not so hard.

1015
01:14:38,680 --> 01:14:40,480
The most powerful, I only have four minutes.

1016
01:14:40,700 --> 01:14:41,120
Come on.

1017
01:14:42,400 --> 01:14:42,520
You?

1018
01:14:42,760 --> 01:14:43,160
No.

1019
01:14:44,680 --> 01:14:44,860
Eight.

1020
01:14:44,860 --> 01:14:44,960
Eight?

1021
01:14:45,540 --> 01:14:46,400
Absolutely not.

1022
01:14:47,560 --> 01:14:47,780
No.

1023
01:14:48,640 --> 01:14:49,660
Good for you though.

1024
01:14:51,720 --> 01:14:54,020
I'm going to send that nurse practitioner after you.

1025
01:14:56,380 --> 01:14:56,900
Why?

1026
01:14:57,120 --> 01:14:57,600
That's good.

1027
01:14:58,280 --> 01:14:59,460
The most powerful.

1028
01:15:00,000 --> 01:15:31,220
Work, English language is the reason why is because you are program from the time you are born to respond to questions. Can you say mommy? Can you say daddy? Can you do this? Can I think about your grandchildren of India, grandchildren or kids? You ask them a ton of questions and usually they're closed and they're yes, no questions. You just do that. And so we, every one of us in here has been program to answer. And as we go through our lives, when

1029
01:15:31,220 --> 01:15:33,520
If somebody asks us a question, we feel like we need to answer.

1030
01:15:33,920 --> 01:15:35,440
It's all responsibility to answer,

1031
01:15:35,960 --> 01:15:37,940
because we're programmed, I'm an early age.

1032
01:15:38,360 --> 01:15:40,180
So that's why if you want to know something

1033
01:15:40,180 --> 01:15:43,460
you want to figure something out, please ask.

1034
01:15:45,630 --> 01:15:50,170
If you say to somebody, is there anything that you need help with?

1035
01:15:50,190 --> 01:15:52,370
And then you say, whoa, did I say that right?

1036
01:15:52,390 --> 01:15:53,650
Did I ask you in the right way?

1037
01:15:53,830 --> 01:15:54,570
Ask the question.

1038
01:15:55,110 --> 01:15:56,130
They'll give you an answer.

1039
01:15:57,970 --> 01:16:00,770
So get this dialogue going and ask.

1040
01:16:00,770 --> 01:16:04,190
So, here's the challenge, that was a challenge.

1041
01:16:05,750 --> 01:16:06,590
Whoops, okay.

1042
01:16:08,170 --> 01:16:11,070
So, be conscious of the beliefs you have about aging,

1043
01:16:11,790 --> 01:16:13,510
and the stereotype you have been taught.

1044
01:16:13,910 --> 01:16:16,030
What is the story you make up about her?

1045
01:16:19,310 --> 01:16:20,310
And what does that tell you?

1046
01:16:26,050 --> 01:16:27,910
That's interesting, because she has a walker.

1047
01:16:28,070 --> 01:16:28,770
She's been sober.

1048
01:16:29,010 --> 01:16:32,050
How come you didn't see the elderly part?

1049
01:16:33,310 --> 01:16:34,230
You saw the form.

1050
01:16:37,120 --> 01:16:39,920
So, here's some of your juice coming out in terms of aging now.

1051
01:16:41,120 --> 01:16:43,820
I watch out for our personal life.

1052
01:16:44,380 --> 01:16:44,980
She looks great.

1053
01:16:45,180 --> 01:16:45,920
How about this one?

1054
01:16:53,680 --> 01:16:54,800
She knows what she's doing.

1055
01:16:56,870 --> 01:16:59,930
Now, if I start off with something like this in the beginning,

1056
01:17:00,130 --> 01:17:02,650
people can say she's seen I also have dementia,

1057
01:17:03,090 --> 01:17:03,690
you know, whatever.

1058
01:17:04,330 --> 01:17:06,110
You know, they're going by what she's wearing.

1059
01:17:06,590 --> 01:17:08,870
And then, you know, they might be the occasion person,

1060
01:17:09,010 --> 01:17:12,310
since what she really is a visual issue,

1061
01:17:12,390 --> 01:17:13,050
a vision issue.

1062
01:17:14,310 --> 01:17:16,710
She's like, yeah, yeah.

1063
01:17:17,250 --> 01:17:20,610
But just think the postman's probably have a grand time, right?

1064
01:17:20,910 --> 01:17:27,390
So, but the point is here that you can just go down a single track right away and say,

1065
01:17:27,570 --> 01:17:28,050
she has dementia.

1066
01:17:29,230 --> 01:17:30,150
You could do that.

1067
01:17:30,450 --> 01:17:32,570
But think more broadly, that's exactly what you get.

1068
01:17:33,410 --> 01:17:35,390
We don't know until we ask.

1069
01:17:36,090 --> 01:17:39,090
We don't know until we work with people and get to know people.

1070
01:17:39,610 --> 01:17:43,850
And so I think that's the key in terms of anything that we're doing in our age-friendly

1071
01:17:43,850 --> 01:17:50,530
communities, our age-friendly universities, just working with people in general, and oftentimes

1072
01:17:50,530 --> 01:17:57,790
I feel just, because anything that I shared with you today really holds true across any

1073
01:17:57,790 --> 01:17:58,510
age.

1074
01:17:58,750 --> 01:18:01,430
It's not just about ageing, it's about people in general.

1075
01:18:02,170 --> 01:18:04,570
So, and here we have, take our messages.

1076
01:18:05,950 --> 01:18:13,370
Discover who each older person is, grasp what the ageing process means to that person, which

1077
01:18:13,370 --> 01:18:17,550
It means you have to get out of your own way about what ageing means to you.

1078
01:18:18,010 --> 01:18:20,730
If you feel good about it, the person in front of you may not.

1079
01:18:21,290 --> 01:18:24,310
And how are you going to get out of your own way to find out how they really feel?

1080
01:18:25,690 --> 01:18:29,890
If you feel really negative about ageing, the person in front of you is feeling like, I'm

1081
01:18:29,890 --> 01:18:30,210
settled.

1082
01:18:30,510 --> 01:18:35,650
I live in this moment, I'm embracing the world, then how are you going to join where they

1083
01:18:35,650 --> 01:18:36,490
are at that moment?

1084
01:18:36,750 --> 01:18:38,190
And you may have to ask questions.

1085
01:18:38,190 --> 01:18:43,370
Listen with your heart, be authentic, present, be in the moment.

1086
01:18:44,610 --> 01:18:52,270
Your name is, if I'm with Donna, right now, and I'm thinking about Jean back here that

1087
01:18:52,270 --> 01:18:59,170
I am not present with Donna, I'm not, I need to be focused on her talking with her, right?

1088
01:18:59,290 --> 01:19:00,450
Not all of you.

1089
01:19:00,930 --> 01:19:05,050
So being present and conscious, that's all we were talking about before, what you believe

1090
01:19:05,050 --> 01:19:06,730
are, and know your own juice.

1091
01:19:07,270 --> 01:19:13,570
So, here's the metaphor, we have a bear in a bear who we think has scripted about how to be a bear.

1092
01:19:13,750 --> 01:19:15,050
Does anybody think this is a little odd?

1093
01:19:18,030 --> 01:19:26,850
In our society, what happens is people who are older, this is generality, people who are older, are given a winkle suit,

1094
01:19:27,050 --> 01:19:29,130
and they're giving a scripted about how to be decreed.

1095
01:19:29,870 --> 01:19:31,230
What happens in our society?

1096
01:19:31,510 --> 01:19:35,310
Your terrible drivers, you have terrible personalities, you know, you're sexless here.

1097
01:19:35,310 --> 01:19:38,170
I mean, that's the script, that society's putting in your hand.

1098
01:19:39,750 --> 01:19:42,450
So, again, across the ages,

1099
01:19:45,250 --> 01:19:50,190
if you're working, you go to work, what's the suit, that everybody

1100
01:19:50,190 --> 01:19:53,210
tries to put on you, what's the script that they try to put in your hand?

1101
01:19:53,830 --> 01:19:58,830
You go home and you visit your children, your grandchildren, what's the suit they try to put

1102
01:19:58,830 --> 01:20:01,610
on you, what's the script that they put in your hand?

1103
01:20:02,330 --> 01:20:06,190
You're not the grandmother or the grandfather or the cook, you're the one that makes cookies.

1104
01:20:06,190 --> 01:20:13,710
Here's the script. Make sure you get it right. It's just amazing how wherever we go,

1105
01:20:16,920 --> 01:20:22,340
you need to be conscious of

1106
01:20:22,340 --> 01:20:30,980
Is somebody trying to put a suit on you and putting a script in your hands or are you willingly accepting that suit and script?

1107
01:20:31,720 --> 01:20:33,100
It's very interesting,

1108
01:20:35,120 --> 01:20:40,180
so I always say, be wary of gerontologists who die there here,

1109
01:20:43,360 --> 01:20:43,360
and

1110
01:20:43,360 --> 01:20:48,260
I invariably, when I talk to people in geriatrics in gerontology, they come up to me and say,

1111
01:20:48,360 --> 01:20:52,980
my husband makes me die in my hair, it's like whatever, you know, be congruent, be who you are.

1112
01:20:54,380 --> 01:20:59,320
And because I'm a professor here, sure, homework, hug or talk to someone with gray hair,

1113
01:20:59,360 --> 01:21:01,260
or hug or talk to someone who is die here.

1114
01:21:02,940 --> 01:21:09,900
The Boston Globe says you need at least four hubs of data survive, eight to five.

1115
01:21:10,320 --> 01:21:11,540
That was in the Boston Globe.

1116
01:21:12,100 --> 01:21:12,760
You can hug yourself.

1117
01:21:12,960 --> 01:21:13,740
You can hug your animals.

1118
01:21:14,000 --> 01:21:14,400
I don't care.

1119
01:21:14,840 --> 01:21:20,320
Just get lots of hugs and give hugs, because I think that will help us be much more age friendly.

1120
01:21:20,780 --> 01:21:26,140
So thank you all for that and I am going to turn this over to Meru Choppi who

1121
01:21:26,740 --> 01:21:29,140
doing a wrap-up. Did

1122
01:21:44,760 --> 01:21:47,220
I stun you in the silence?

1123
01:22:02,040 --> 01:22:02,720
You want my pointer?

1124
01:22:07,180 --> 01:22:08,480
I'm going to let you keep that microphone.

1125
01:22:09,480 --> 01:22:11,120
I'll stand to you. I'll explain.

1126
01:22:16,620 --> 01:22:18,580
So good morning, everyone. I'm really happy to be here.

1127
01:22:19,900 --> 01:22:24,260
I was asked to be here because I've been studying how we get new ideas out into the community

1128
01:22:24,260 --> 01:22:29,260
and to grow. Although I have a little bit of overlap with some of Maryland's talk.

1129
01:22:29,260 --> 01:22:33,980
So my name is Mary Luchioff, and I am an instructor at the University of New England in

1130
01:22:33,980 --> 01:22:38,700
the Public Health Program, but I also teach aging policy at the musky school.

1131
01:22:39,040 --> 01:22:41,180
And in fact, I had some of this past summer.

1132
01:22:41,300 --> 01:22:47,200
I had some of you are newly-vented medical graduates who had done one that had been in a nursing

1133
01:22:47,200 --> 01:22:51,760
home and that program, and the other had been at class now, and they did say that their

1134
01:22:52,260 --> 01:22:54,540
experience had been transforming for them.

1135
01:22:54,540 --> 01:23:01,400
that a whole new outlook on, you know, how it would feel to be in the system of long-term care.

1136
01:23:02,160 --> 01:23:11,820
And although they did make friends and relationships where they also got a glimpse of the sort of structural problems there are in long-term care, and that is a whole another talk.

1137
01:23:12,660 --> 01:23:18,140
So, I'm in a journey, I practice law and runs for a better part of 20 years, but in

1138
01:23:18,140 --> 01:23:19,440
80s and 90s.

1139
01:23:19,560 --> 01:23:23,660
And then I ran into assisted living facility in the mid coast area for another 15 years.

1140
01:23:24,340 --> 01:23:28,160
And then I worked at the Muskie School doing aging policy research.

1141
01:23:28,760 --> 01:23:32,000
So, for most of my professional life, I have been around older people.

1142
01:23:32,280 --> 01:23:35,760
I have been caring for them, managing some of their issues.

1143
01:23:35,860 --> 01:23:40,980
And of course, now I am older myself, so I have a whole nother perspective on what it's

1144
01:23:40,980 --> 01:23:46,280
to grow older in our society and it is problematic for all of the reasons that Marilyn has said.

1145
01:23:46,780 --> 01:23:52,480
So I'm going to tell you that we actually do have a new way of talking about aging but perhaps

1146
01:23:52,480 --> 01:23:57,420
more important why it really matters to our physical and mental health and how we can convince others

1147
01:23:57,420 --> 01:24:05,340
to adopt these new way of talking about aging. So, so, very important. So, a lot of very smart social

1148
01:24:05,340 --> 01:24:10,960
scientists down in DC, this is a group of the sociologists, they are in the colleges, they are

1149
01:24:10,960 --> 01:24:16,040
experts, linguists, they are working on ways to reframe aging.

1150
01:24:17,080 --> 01:24:19,240
They are trying to figure out what are the words that we should use,

1151
01:24:19,400 --> 01:24:23,060
the metaphors that we should say, in order to create a more positive and

1152
01:24:23,980 --> 01:24:27,860
really more realistic view of aging in our society.

1153
01:24:28,200 --> 01:24:30,520
So I want to tell you a little bit about what they're up to,

1154
01:24:30,780 --> 01:24:33,820
and then again more importantly, how we can get everybody on board with this

1155
01:24:33,820 --> 01:24:36,100
because we're a little bit behind the curve here.

1156
01:24:36,200 --> 01:24:37,320
We need to catch up.

1157
01:24:37,320 --> 01:24:40,720
We haven't done enough around reframing aging in the past several decades.

1158
01:24:42,180 --> 01:24:46,160
So, as Maryland has beautifully said, when we hear that term elderly, we automatically

1159
01:24:46,160 --> 01:24:52,100
think frail, we think limited in our capacity, in our abilities, which is bad for everybody.

1160
01:24:53,240 --> 01:24:56,760
If we hear older person, however, that, of course, is way more neutral.

1161
01:24:57,260 --> 01:25:01,700
It casts a much wider net on our abilities, really.

1162
01:25:01,940 --> 01:25:05,220
It is not limiting in any way, and that is so very important.

1163
01:25:05,720 --> 01:25:09,260
So, I want to tell you a little bit about how wide that is.

1164
01:25:09,260 --> 01:25:11,140
How do we even know that that's the case?

1165
01:25:11,400 --> 01:25:13,700
How do we know about what our associations are

1166
01:25:13,700 --> 01:25:15,620
about words that we use?

1167
01:25:17,000 --> 01:25:19,820
So this smart group of social scientists done in DC

1168
01:25:19,820 --> 01:25:21,820
comprise the frameworks institute.

1169
01:25:22,660 --> 01:25:25,100
And they have been working on reframing aging

1170
01:25:25,100 --> 01:25:26,680
for the past several decades.

1171
01:25:28,420 --> 01:25:31,180
They know, or our learning,

1172
01:25:31,600 --> 01:25:33,620
is the way that we frame an issue.

1173
01:25:34,060 --> 01:25:36,140
The words we use, the words we don't use,

1174
01:25:36,140 --> 01:25:51,880
and really even, you know, what we omit when we're talking about, a particular issue, really impacts not only the way we think about a particular issue, but also the way that we behave, and that can be very problematic in our society.

1175
01:25:52,820 --> 01:26:05,280
So there's long-standing research on framing and science is pretty clear on this, but what frameworks has been trying to do is figure out what exactly words are that we should be using, how should we frame an issue,

1176
01:26:05,280 --> 01:26:08,420
in order to get the kind of societal response that we want.

1177
01:26:09,080 --> 01:26:11,540
Because, honestly, we can teach one by one,

1178
01:26:11,700 --> 01:26:14,460
but really we need a larger swell of movement

1179
01:26:14,460 --> 01:26:16,780
in order to make meaningful change in our society.

1180
01:26:18,120 --> 01:26:19,880
So, framework is trying to figure out

1181
01:26:19,880 --> 01:26:23,460
how we can more effectively nudge people along

1182
01:26:23,460 --> 01:26:26,460
in order to have more constructive associations

1183
01:26:26,460 --> 01:26:28,560
with aging, both conscious association

1184
01:26:28,560 --> 01:26:30,260
and our subconscious associations.

1185
01:26:30,700 --> 01:26:32,120
Ultimately, what they want to see

1186
01:26:32,120 --> 01:26:40,060
is governments, private businesses, enacting better laws, behaving better, more responsibly,

1187
01:26:40,500 --> 01:26:46,060
maybe authorizing more funding for social supports to support people as we age. That's the

1188
01:26:46,060 --> 01:26:52,020
ultimate goal. So frameworks is working on lots of big cultural issues. They took on huge stuff,

1189
01:26:52,340 --> 01:27:02,100
like climate change, education, the economy, child abuse, elder abuse. They've lots of big

1190
01:27:02,100 --> 01:27:15,660
And this is a screenshot of their webpage, I don't expect you to read this, but I show it because I want you to go on their webpage and look around, they have a ton of resources, all free, all the reporting that they've done on reframing aging is available for the public.

1191
01:27:16,620 --> 01:27:27,180
It's incredibly rich information, and it does help you kind of think through, you know, what really are the issues, what are some of the root causes of why we speak this way about aging.

1192
01:27:27,180 --> 01:27:31,000
So, what frameworks is done for the past five years is kind of fascinating.

1193
01:27:31,520 --> 01:27:33,860
They have gone out and interviewed tons of people.

1194
01:27:34,080 --> 01:27:36,680
They interviewed members of the public, hundreds of them,

1195
01:27:36,720 --> 01:27:40,940
they interviewed aging experts, researchers, service providers,

1196
01:27:42,460 --> 01:27:47,440
about their perceptions of aging, and what they did was they mapped out

1197
01:27:47,440 --> 01:27:52,520
the gaps between what the aging experts know and say about aging,

1198
01:27:53,120 --> 01:27:55,420
and what our public perceptions are of aging.

1199
01:27:55,420 --> 01:27:59,380
Well, it's no surprise that there's a huge gap between that.

1200
01:27:59,900 --> 01:28:05,300
So frameworks is trying to bring those more into alignment, and they've been testing the use of certain words.

1201
01:28:06,940 --> 01:28:15,480
frameworks has a ton of suggestions on what we should all be doing, but what I've done is sort of distill them down to just basically four things, so you can remember them,

1202
01:28:15,640 --> 01:28:18,420
so you can talk to your friends and acquaintances about them.

1203
01:28:18,420 --> 01:28:27,340
All right, the first one is about words, and these are important words, the seven percent of the words that we actually do have to change in our language.

1204
01:28:28,040 --> 01:28:33,780
So frameworks suggest that we actually use the term old person or older people more often than not.

1205
01:28:34,020 --> 01:28:39,200
Those are the, they cast the widest net, and they are totally neutral, as I said.

1206
01:28:39,480 --> 01:28:42,440
It's like saying, you know, children or teens.

1207
01:28:42,920 --> 01:28:46,620
We don't associate with any particular ability or disability when we hear the term old person.

1208
01:28:46,620 --> 01:28:51,080
Now that doesn't mean that older adult isn't appropriate, it's very appropriate, but what

1209
01:28:51,080 --> 01:28:56,040
frameworks has found out in the research is that older adults actually associate with

1210
01:28:56,040 --> 01:29:02,040
somebody younger in their 50s. So, elderly, we know, is that the far end of the disability

1211
01:29:02,040 --> 01:29:07,720
spectrum, older person is more in the middle, and is more descriptive of really older people

1212
01:29:09,540 --> 01:29:11,860
in the US. So, that's number one. Yes.

1213
01:29:14,000 --> 01:29:16,700
Well, senior, again, it has a more of a negative

1214
01:29:16,700 --> 01:29:23,780
connotation in our society. It's perfectly acceptable. You know frameworks is really clear about this when when they've come to Maine to do training

1215
01:29:23,780 --> 01:29:29,700
and they don't want to be scolding about use of terminology. They just want us to understand

1216
01:29:29,700 --> 01:29:35,800
what people associate with the use of certain words. It's perfectly appropriate to say see here and you still hear it

1217
01:29:35,800 --> 01:29:41,700
but just know that it is when you're talking to somebody, it is associated with less ability and less functionality.

1218
01:29:47,640 --> 01:29:53,880
Now, older person is the most neutral term, and it actually describes the age that

1219
01:29:53,880 --> 01:29:58,560
framework's found is associated with the term older person is somebody in their 60s and 70s.

1220
01:30:02,610 --> 01:30:07,730
Well, I think that's a good problem to have because we don't want to make those. We don't want to cut off anybody.

1221
01:30:08,050 --> 01:30:13,310
You know, that's exactly the point that they're trying to make. It's just, you know, let's just talk about older people.

1222
01:30:13,510 --> 01:30:17,470
You know, we're all people and now we're a little bit older, perfectly acceptable.

1223
01:30:19,150 --> 01:30:28,750
Yes, it seems relative, but it's the important thing is, what do we associate in our minds? And we don't associate older person with anybody who's limited in their functionality.

1224
01:30:29,590 --> 01:30:31,730
That's the point that Frank Marks is trying to make.

1225
01:30:34,000 --> 01:30:35,880
So number two, Frank Mark says, be inclusive.

1226
01:30:36,440 --> 01:30:38,180
We need to stop other ring.

1227
01:30:38,520 --> 01:30:41,440
Generally speaking, we all think that somebody who is old

1228
01:30:41,440 --> 01:30:43,280
is somebody other than ourselves.

1229
01:30:44,420 --> 01:30:46,440
And I often tell the story, when I was an administrator,

1230
01:30:48,060 --> 01:30:50,100
we had a couple of move in.

1231
01:30:50,320 --> 01:30:51,480
The husband was 101.

1232
01:30:52,000 --> 01:30:53,160
The wife was 97.

1233
01:30:54,280 --> 01:30:57,000
And they were mad as hornets that they had to move into our facility.

1234
01:30:57,300 --> 01:30:58,440
But they really did.

1235
01:30:58,440 --> 01:31:03,360
They had lovely spot, but after a few weeks, you know, the husband started to get a little

1236
01:31:03,360 --> 01:31:07,140
assimilated, but he didn't ever go upstairs to where the activities were, he didn't want

1237
01:31:07,140 --> 01:31:10,660
to go to the dining room, and when somebody asked him, well, why don't you want to go upstairs?

1238
01:31:10,940 --> 01:31:15,340
He said, I don't want to be with all those old people, but he was clearly the oldest person in the

1239
01:31:15,340 --> 01:31:17,140
facility, but you know, that's what we do.

1240
01:31:17,480 --> 01:31:22,620
Anybody who's old is somebody not us, even when we ourselves are older.

1241
01:31:22,620 --> 01:31:28,300
So we need to stop that, what frameworks is learned is that this is a matter of social justice.

1242
01:31:28,660 --> 01:31:38,240
When we talk about older people and talk about it in an inclusive way, we associate that with a more egalitarian society.

1243
01:31:38,480 --> 01:31:42,260
We are all included, we all need to help one another in this aging thing.

1244
01:31:42,700 --> 01:31:48,540
We're all going to age unless we die prematurely, which is not a very good thing.

1245
01:31:52,290 --> 01:31:57,650
All right, the third thing, so important, and Marilyn said it, we do need to stop stereotyping.

1246
01:31:57,870 --> 01:32:05,590
You know, older people, the process of aging is of course as diverse as every other aspect of being human and being alive.

1247
01:32:06,010 --> 01:32:08,890
We are not, in fact, all crabbing and bad drivers.

1248
01:32:09,230 --> 01:32:10,590
We are skilled professionals.

1249
01:32:10,930 --> 01:32:12,770
We are beautiful gardeners.

1250
01:32:12,930 --> 01:32:14,050
We are great cooks.

1251
01:32:14,890 --> 01:32:18,350
You know, this, when we see this woman similar to Marilyn's cartoons,

1252
01:32:18,750 --> 01:32:20,690
we automatically think there's something going on here.

1253
01:32:20,690 --> 01:32:21,210
She's crazy.

1254
01:32:21,870 --> 01:32:22,470
What's up with that?

1255
01:32:22,830 --> 01:32:27,910
But I say to my students, if this were a 30-year-old woman, holding some kind of a stick,

1256
01:32:28,350 --> 01:32:29,730
you would all want to know the backstory.

1257
01:32:29,810 --> 01:32:33,570
You'd ask a whole bunch more questions before saying, something's crazy.

1258
01:32:33,990 --> 01:32:38,470
But we know in this society's ages society that we are our neurons trip in the direction

1259
01:32:38,470 --> 01:32:43,670
of saying there's something wrong here, she's nuts, but that's not the whole story.

1260
01:32:44,190 --> 01:32:50,670
So stereotypes, and it's not that they are untrue, they are just incomplete, right?

1261
01:32:50,670 --> 01:32:57,230
story about being an older person. So we need to get away from that sort of neuron-tripping,

1262
01:32:58,010 --> 01:33:03,870
um, automatic, um, thinking that we do about aging. You know, it's important to remember

1263
01:33:03,870 --> 01:33:10,470
that since we are, since so many of us are living so much longer, older people now comprise really

1264
01:33:10,470 --> 01:33:15,490
two generations. You know, we start in the sixties and then we have lots of people who are well

1265
01:33:15,490 --> 01:33:17,530
to their 90s and into their hundreds.

1266
01:33:19,150 --> 01:33:25,450
We can't paint 40 years of people, 40 ages of individuals

1267
01:33:25,450 --> 01:33:27,370
with one big, broad brush.

1268
01:33:27,710 --> 01:33:29,590
And that's only, you know, it's going to get worse

1269
01:33:29,590 --> 01:33:31,790
because we're going to be living longer and longer.

1270
01:33:32,810 --> 01:33:35,930
So we know that there's a huge diversity in the way

1271
01:33:35,930 --> 01:33:38,690
that we age and how we age and how we experience ageing.

1272
01:33:38,910 --> 01:33:42,310
So we need to talk about it in that reality.

1273
01:33:42,310 --> 01:33:47,630
You know, some parts of aging are great, and some parts are horrible, and we need to understand that.

1274
01:33:47,770 --> 01:33:51,390
Older people are, in fact, less lonely than middle-aged people.

1275
01:33:51,810 --> 01:33:56,250
Some folks don't know that. Older people can be less concerned about what other people think.

1276
01:33:56,490 --> 01:33:58,710
We are, they have more free time to help our communities.

1277
01:33:58,910 --> 01:34:03,070
But at the same time, we, in fact, are experiencing disability at higher rates.

1278
01:34:03,150 --> 01:34:05,530
We are the victims of abuse, which is terrible.

1279
01:34:05,750 --> 01:34:10,050
We are depressed and greater numbers, so this good and this bad, and there's everything in between.

1280
01:34:10,050 --> 01:34:12,670
And that's the way that we need to talk about aging.

1281
01:34:14,930 --> 01:34:17,430
All right, the fourth one is about building momentum.

1282
01:34:17,790 --> 01:34:19,870
So what the framework scientists realized

1283
01:34:19,870 --> 01:34:22,790
is that when we talk to other people about aging,

1284
01:34:23,870 --> 01:34:26,770
we get better reception, and we get more open mindedness

1285
01:34:26,770 --> 01:34:30,490
when we talk about the capacity to build momentum

1286
01:34:30,490 --> 01:34:32,690
that over the lifespan, over a long lifespan,

1287
01:34:33,070 --> 01:34:36,430
we have accumulated experience and knowledge and ideas

1288
01:34:36,430 --> 01:34:39,430
that we can and should freely share with our friends

1289
01:34:39,430 --> 01:34:46,150
in our communities. So when we use that metaphor of building momentum, we get a lot more positive

1290
01:34:46,150 --> 01:34:53,010
reception and realistic reception about aging. We need to all see aging as more of a resource

1291
01:34:53,010 --> 01:34:57,510
for our communities. We all have something to contribute, even though it might be modest.

1292
01:34:58,250 --> 01:35:05,010
And if we want a society that really expands resources on improving services, then we have to

1293
01:35:05,010 --> 01:35:09,650
value of the contributions that older people can make to our communities is so very important.

1294
01:35:10,150 --> 01:35:17,830
And that's not to say that there are older people who are in a precipitous state of decline, either physical or cognitive decline.

1295
01:35:19,170 --> 01:35:23,130
And for those people, we need to recognize what they have already contributed.

1296
01:35:23,670 --> 01:35:25,610
They have already built momentum.

1297
01:35:26,110 --> 01:35:30,530
And now we need to value that and care for them in the most compassionate and understanding way.

1298
01:35:32,610 --> 01:35:34,850
So just quickly to recap what framework is saying.

1299
01:35:34,850 --> 01:35:38,570
Use the words older person and older people as much as possible.

1300
01:35:40,330 --> 01:35:47,850
Be inclusive, talk about aging in the most general way, because if we're not old already, we're certainly going to get there and everybody needs to realize that.

1301
01:35:48,830 --> 01:35:53,890
Do not stereotype, see the diversity and the reality in aging and talk about it that way.

1302
01:35:55,450 --> 01:35:58,730
And then see life experience as a process of building momentum.

1303
01:35:58,730 --> 01:36:02,330
So those are sort of the basic frameworks, ideas.

1304
01:36:02,950 --> 01:36:05,530
So how are we going to get this message out to our friends

1305
01:36:05,530 --> 01:36:06,790
and our neighbors and our communities?

1306
01:36:08,730 --> 01:36:12,810
We actually know a ton about how new things grow in our society.

1307
01:36:12,990 --> 01:36:15,190
We've been studying this for a very long time.

1308
01:36:15,630 --> 01:36:17,950
It started in agriculture back in the mid-20th century,

1309
01:36:18,370 --> 01:36:19,150
moved to the manufacturing.

1310
01:36:19,650 --> 01:36:22,850
We've been studying how innovations grow in society for a while.

1311
01:36:23,770 --> 01:36:25,070
It's late to health care.

1312
01:36:25,330 --> 01:36:26,870
It's a little bit late to social science,

1313
01:36:26,870 --> 01:36:28,310
but there's some very important lessons.

1314
01:36:28,790 --> 01:36:30,410
And again, I broken them down, big lessons,

1315
01:36:30,570 --> 01:36:33,350
but I broken them down into four parts for you.

1316
01:36:33,910 --> 01:36:36,370
So the first one is people are receptive

1317
01:36:36,370 --> 01:36:38,630
to a new idea or a new way of doing things

1318
01:36:38,630 --> 01:36:40,550
when they see the benefit to themselves

1319
01:36:40,550 --> 01:36:42,450
or to their communities or to their families.

1320
01:36:42,910 --> 01:36:45,310
So we need to help other people see the benefit

1321
01:36:45,310 --> 01:36:49,590
of not speaking about aging in an ageist stereotype way.

1322
01:36:51,310 --> 01:36:54,890
So there have been scientists studying ageist messages

1323
01:36:54,890 --> 01:37:01,010
for a long time, and the impact of age is messaging on the human body, physical and mental

1324
01:37:01,010 --> 01:37:01,930
bodies.

1325
01:37:02,350 --> 01:37:09,010
And what we have found is that when older people hear ages to messages, it results in lots of

1326
01:37:09,010 --> 01:37:09,830
awful things happening.

1327
01:37:10,470 --> 01:37:15,910
So first, it leads to poor handwriting, which maybe is not so horrible, but there are some

1328
01:37:15,910 --> 01:37:17,330
other really awful things.

1329
01:37:17,770 --> 01:37:19,470
Poor our performance on memory.

1330
01:37:19,470 --> 01:37:26,930
A stronger cardiovascular or stress response when asked to solve verbal puzzles, lower willingness

1331
01:37:26,930 --> 01:37:33,790
to take risks, lower scores on a perceived health measure, higher scores on a measure of

1332
01:37:33,790 --> 01:37:40,490
loneliness, more frequently quest for help, more frequent hospitalizations, a more

1333
01:37:40,490 --> 01:37:43,090
negative assessment of our own perceived health.

1334
01:37:43,490 --> 01:37:49,050
So when we hear negative, ageist messages, these are some of the awful things that can happen

1335
01:37:49,050 --> 01:37:50,530
to our physical and mental bodies.

1336
01:37:51,110 --> 01:37:53,130
So we don't want this, and we don't want this

1337
01:37:53,130 --> 01:37:54,670
for our family members and our friends.

1338
01:37:55,230 --> 01:37:59,990
So when we talk about ageism and the harms

1339
01:37:59,990 --> 01:38:02,410
that come from it, you need to say to your friends

1340
01:38:02,410 --> 01:38:04,790
and neighbors, this is why it's bad for you,

1341
01:38:04,990 --> 01:38:07,090
this is why it's bad for your community.

1342
01:38:10,030 --> 01:38:11,170
All right, the second thing we need to do

1343
01:38:11,170 --> 01:38:14,530
to get new ideas to spread is to use our own influence.

1344
01:38:14,530 --> 01:38:17,630
So we know from studies that new things spread

1345
01:38:17,630 --> 01:38:20,290
in a community from the highest levels of a social system

1346
01:38:20,290 --> 01:38:22,730
down to the lower levels of a social system.

1347
01:38:23,450 --> 01:38:27,690
So if you are influential in your own communities or if you know people of influence,

1348
01:38:28,190 --> 01:38:34,090
those are the ones you need to strategically target and talk to them about the importance of speaking in a new way

1349
01:38:34,090 --> 01:38:40,570
about aging. This is why it is so important that the physicians in our community understand all of this

1350
01:38:40,570 --> 01:38:46,310
because they tend to be at the higher levels of our social system. We need to convince the policy makers in Augusta

1351
01:38:46,310 --> 01:38:51,370
and in Washington, that this is important for the health of our older people.

1352
01:38:51,910 --> 01:38:55,410
So those are the folks we need to get on board, but in your individual homes and communities,

1353
01:38:55,870 --> 01:38:59,230
you have some influence. I want you to use that influence as best possible,

1354
01:38:59,710 --> 01:39:03,430
and know that those people that you talk to will then go out and speak to others.

1355
01:39:03,710 --> 01:39:07,630
That's how the new things flow. Does anybody know who this is?

1356
01:39:11,470 --> 01:39:19,850
So this is Eleanor Olström and she actually won the Nobel Prize for Economics in 2009.

1357
01:39:21,370 --> 01:39:25,550
So she is clearly an older woman, even 10 years ago, she would have been an older woman,

1358
01:39:25,950 --> 01:39:32,410
gifted, brilliant, and she would say for sure that there are important economic benefits

1359
01:39:32,410 --> 01:39:36,650
talking about aging and a more positive and more realistic way.

1360
01:39:38,740 --> 01:39:45,520
All right, the third thing is we need to communicate these new ways of talking about aging to people who are in a diverse,

1361
01:39:45,540 --> 01:39:48,020
who are different than we are in diverse situations.

1362
01:39:49,800 --> 01:39:57,080
So what that means basically is that we need to talk to people who might be resistant to thinking and talking this way about aging.

1363
01:39:57,500 --> 01:40:01,940
We definitely need to talk to younger people because they don't often understand fully

1364
01:40:01,940 --> 01:40:07,380
what why this is so important, and we need to make sure that if they are resistant,

1365
01:40:07,820 --> 01:40:12,760
that we kind of go back to step one and talk to them very plainly and candidly about the

1366
01:40:12,760 --> 01:40:17,700
benefits of positive aging messaging, or more realistic aging messages.

1367
01:40:20,920 --> 01:40:22,260
And I have a 3A in here

1368
01:40:22,260 --> 01:40:29,500
because the other part of communication is what platform we are using to talk about aging.

1369
01:40:29,500 --> 01:40:34,480
You know, this is the Twitter page from the Tri-State Learning Collaborative on Aging.

1370
01:40:34,720 --> 01:40:40,440
If we're going to talk to Gen Xers and Millennials, we need to use the platforms that

1371
01:40:40,440 --> 01:40:41,160
they use.

1372
01:40:41,500 --> 01:40:45,640
Twitter is one, of course, this Facebook is lots of others, but it's up to us to keep

1373
01:40:45,640 --> 01:40:48,840
up and figure out where they are getting their information.

1374
01:40:49,340 --> 01:40:54,480
What platforms do they go to, what platforms do they trust, and use those platforms to

1375
01:40:54,480 --> 01:40:55,300
our best advantage?

1376
01:40:55,460 --> 01:40:59,100
Otherwise, we're never going to reach that audience, and it's absolutely critical that

1377
01:40:59,100 --> 01:41:04,520
do reach that audience. If you have a good community newsletter like we do in my hometown

1378
01:41:04,520 --> 01:41:09,440
of Bath, use the newsletter. Maybe there are some communities where this is the best

1379
01:41:09,440 --> 01:41:16,240
form, sort of a live meeting. That's fine. My point is just, know your community, know, let's

1380
01:41:16,240 --> 01:41:21,240
know the state of Maine, let's know the people we're talking to and use that information strategically,

1381
01:41:21,440 --> 01:41:26,620
so we can get this information out as quickly as possible and as efficiently as possible.

1382
01:41:28,060 --> 01:41:38,580
Okay, so the last pillar is time and I just want to talk to you for a minute about the trajectory of change of a new idea in a community.

1383
01:41:39,720 --> 01:41:51,740
So this is the diffusion S curve and of course the Y axis here on the vertical plane is the percentage of people who have adopted this new thing.

1384
01:41:51,740 --> 01:41:54,360
And then the x-axis on bottom here is time.

1385
01:41:54,600 --> 01:41:58,740
So what we're trying to do is get this new way of talking about aging out there in the

1386
01:41:58,740 --> 01:42:00,380
community in the shortest period of time.

1387
01:42:00,460 --> 01:42:02,900
So we want to compress that bottom curve.

1388
01:42:03,400 --> 01:42:07,900
And the way that we can do that is to figure out how to get the S curve to go straight

1389
01:42:07,900 --> 01:42:08,560
up.

1390
01:42:08,860 --> 01:42:14,340
And we know from Malcolm Gladwell's work about the tipping point and the science around it that

1391
01:42:14,340 --> 01:42:19,260
that point tends to be around 20 or 25%.

1392
01:42:19,260 --> 01:42:25,640
So if we can get 20 or 25% of our families, our communities, whatever our unit of measure

1393
01:42:25,640 --> 01:42:31,200
is, if we can get 20 to 25% of people on board with this new way of talking and thinking

1394
01:42:31,200 --> 01:42:34,640
about aging, then that change is going to happen very quickly.

1395
01:42:35,080 --> 01:42:40,660
The change will happen in a direct vertical line and the reason for that is that it starts

1396
01:42:40,660 --> 01:42:44,960
to become a little bit of a liability when we don't use this new thing, this new way

1397
01:42:44,960 --> 01:42:50,080
talking about aging, we're not there yet, but we'll know when we're there, right, Marilyn

1398
01:42:50,080 --> 01:42:57,460
when somebody says elderly, and the rest of the room like bristles and starts to feel awkward

1399
01:42:57,460 --> 01:43:03,860
about it, that's when the old way of doing something is a liability. So how are we going

1400
01:43:03,860 --> 01:43:05,440
to reach the tipping point?

1401
01:43:09,510 --> 01:43:12,430
So many of you probably would not be surprised to know that some

1402
01:43:12,430 --> 01:43:15,990
people are going to be right out of gate with this new thing. Other people are going to

1403
01:43:15,990 --> 01:43:21,090
way behind. Well, it's no surprise that we have categories, the social science

1404
01:43:21,090 --> 01:43:25,250
around this puts us all in some buckets around whether we're going to be

1405
01:43:25,250 --> 01:43:32,110
early adopters or lag or it's at the far end. Now, over here on your left side

1406
01:43:32,110 --> 01:43:36,130
we have the innovator. So that's frameworks. That's a very small percentage of people

1407
01:43:36,130 --> 01:43:39,870
out there who are actually coming up with a new ways of doing things. That's frameworks.

1408
01:43:40,070 --> 01:43:45,330
But guess what? We are all early adopters. It's why you're here. It's why Marilyn and

1409
01:43:45,330 --> 01:43:50,070
here, I'm Patricia back to here. We are all here because we are right on board with this and we

1410
01:43:50,070 --> 01:43:57,030
want to get others on board. So we need you. We need the early adopters to help push this thing up the

1411
01:43:57,030 --> 01:44:03,190
S curve. And if I overlay the S curve on this graph, you'll see how important it is that all of

1412
01:44:03,190 --> 01:44:09,270
us early adopters go out and find more early adopters and then push the early majority along

1413
01:44:09,930 --> 01:44:14,210
because we absolutely need to reach that tipping point as quickly as possible.

1414
01:44:15,770 --> 01:44:17,650
So how do we know that there are early adopters?

1415
01:44:17,990 --> 01:44:22,830
Well, you can tell, early adopters tend to be very enthusiastic and passionate about what they're doing.

1416
01:44:23,150 --> 01:44:25,210
They want to learn more, they want to hear more.

1417
01:44:26,070 --> 01:44:28,090
The early majority tends to be a little more cautious.

1418
01:44:28,370 --> 01:44:31,550
You might have to fight a little harder to get them to pay attention to your message.

1419
01:44:32,230 --> 01:44:34,730
Don't worry about those laggards at the far end.

1420
01:44:34,730 --> 01:44:40,630
If you can bring them along fine but don't waste your energy on them because they will have to come along eventually.

1421
01:44:41,310 --> 01:44:47,430
Really you want to focus on the people who think like you and also think differently but willing to come on board quickly.

1422
01:44:52,920 --> 01:44:59,960
So my points are, go out into your community, talk a good game about this, talk to people about how important this is.

1423
01:45:00,000 --> 01:45:05,400
And keep doing it because we absolutely have to reach that tipping point as quickly as possible.

1424
01:45:06,200 --> 01:45:12,780
So thank you all for inviting me here. And I think we're ready to take a few questions. I know we don't have much time, but Marilyn and I are both here for questions.

1425
01:45:22,750 --> 01:45:31,670
We definitely want to open it to questions, but as you're leaving, feel free to pick up the book, disrupting aging. It is there. It's available and it's free.

1426
01:45:31,670 --> 01:45:42,130
And Pat is back there, and she's trying very hard to catch up with you with your, when you ask questions so that the people who are listening online can hear you.

1427
01:45:42,450 --> 01:45:43,230
So any questions?

1428
01:45:46,350 --> 01:45:46,410
Pat?

1429
01:45:50,020 --> 01:45:52,240
You're me without it.

1430
01:45:52,800 --> 01:45:58,040
Since you're down in the Hills Beach area, I wonder if you were familiar with Sarah Ballblisky.

1431
01:45:58,920 --> 01:46:00,420
Yes, absolutely.

1432
01:46:00,960 --> 01:46:02,620
She's one of my dearest friends.

1433
01:46:02,620 --> 01:46:05,740
And when I saw that one photo of the woman with it,

1434
01:46:05,920 --> 01:46:07,180
that's all I could think of.

1435
01:46:07,420 --> 01:46:10,560
This woman who just passed away, as you probably know,

1436
01:46:10,840 --> 01:46:13,500
was 97, we think.

1437
01:46:14,440 --> 01:46:18,640
And she was working in the kitchens at the cafeteria.

1438
01:46:19,160 --> 01:46:20,720
Yes, I worked with her there.

1439
01:46:20,720 --> 01:46:23,240
She's just brilliant, absolutely brilliant.

1440
01:46:24,240 --> 01:46:25,520
And a lesson to everybody.

1441
01:46:26,460 --> 01:46:28,360
I wish if you hadn't known her,

1442
01:46:28,400 --> 01:46:30,980
I wish you would find people that did because what

1443
01:46:30,980 --> 01:46:32,760
life less than that would.

1444
01:46:32,920 --> 01:46:38,580
I think the question there is, and again, we're into that socialization, but if you didn't

1445
01:46:38,580 --> 01:46:46,800
know what age you were, what age would you be, but the question then is, why is age

1446
01:46:46,800 --> 01:46:47,180
matter?

1447
01:46:47,800 --> 01:46:54,640
I mean, I get kind of caught up in this loop because it's two numbers or three numbers.

1448
01:46:54,640 --> 01:46:59,760
It doesn't, our society put the message on that, and Sarah definitely,

1449
01:47:00,820 --> 01:47:06,810
each was totally brilliant.

1450
01:47:08,450 --> 01:47:10,130
She was actually a force.

1451
01:47:11,130 --> 01:47:11,690
Unbelievable.

1452
01:47:12,210 --> 01:47:14,890
The most beautiful garden in Bitterford.

1453
01:47:15,790 --> 01:47:16,990
I very stone in everything.

1454
01:47:17,330 --> 01:47:19,670
She laid herself that this woman was incredible.

1455
01:47:20,170 --> 01:47:23,630
So think beyond those two or three numbers, it doesn't really,

1456
01:47:23,630 --> 01:47:30,530
It doesn't mean anything other than you might get Medicare or whatever, but again that's all social structures.

1457
01:47:31,150 --> 01:47:32,990
Come on, challenge us, we want to be challenged.

1458
01:47:37,120 --> 01:47:42,800
Um, do you know if frameworks looked at the perceptions among cultures that, you know,

1459
01:47:42,940 --> 01:47:44,160
were they different among cultures?

1460
01:47:44,780 --> 01:47:45,620
It's a great question.

1461
01:47:49,840 --> 01:47:54,540
To my knowledge frameworks has not yet looked at international perceptions of aging,

1462
01:47:54,940 --> 01:47:58,760
but I'm sure that's on their radar because as a globe we are aging.

1463
01:47:58,760 --> 01:48:04,840
I would guess that on some of the other issues they have looked beyond the U.S. like climate change and that sort of thing.

1464
01:48:05,400 --> 01:48:13,880
And I'll add to that that in other cultures, there were a group of us that were approached by universities in India

1465
01:48:13,880 --> 01:48:27,920
that wanted us to come and share our knowledge and expertise about aging and I said no, because everyone that they chose had a Western perspective of aging

1466
01:48:27,920 --> 01:48:34,700
And yet, the project, as they named, it was called the Da Vinci Project, and they pictured

1467
01:48:34,700 --> 01:48:40,860
Eugen as a painter's palette, and that there would be all these different hues and colors

1468
01:48:40,860 --> 01:48:43,040
that would make up who a person is.

1469
01:48:43,340 --> 01:48:45,600
And they said, you are absolutely on the right track.

1470
01:48:45,780 --> 01:48:48,580
You don't want to be talking to us because we're westernized.

1471
01:48:49,160 --> 01:48:51,880
And Eugen is not valued in the Western societies.

1472
01:48:52,040 --> 01:48:57,540
And we see those changes happening in China and other Asian countries where they're buying

1473
01:48:57,540 --> 01:49:01,860
into those Western values, which are not very supportive at this point.

1474
01:49:02,020 --> 01:49:03,560
We're really trying to make those changes.

1475
01:49:04,340 --> 01:49:08,920
You know, it is fascinating to know that, you know, the American myth, the American narrative

1476
01:49:08,920 --> 01:49:14,040
of independence and for entiersmen, all of that, is where some of this comes from.

1477
01:49:14,300 --> 01:49:16,500
And that's sort of unique to American culture.

1478
01:49:16,980 --> 01:49:20,860
It doesn't mean that there aren't other cultures that have a worse perception of aging than

1479
01:49:20,860 --> 01:49:22,600
we do, but that's where ours comes from.

1480
01:49:22,640 --> 01:49:25,700
And it's very deep in old, and it's most unfortunate.

1481
01:49:34,140 --> 01:49:42,000
because I've heard and this could be maybe outdated, but within America, the cultures, like

1482
01:49:42,000 --> 01:49:48,820
Hispanic, Asian cultures, in America are more accepting to it and they actually take their

1483
01:49:48,820 --> 01:49:54,140
older family members into their homes and it's actually more of the white people that are

1484
01:49:54,140 --> 01:49:59,060
in these housing units and stuff like that. I don't know if that's still true, but

1485
01:49:59,860 --> 01:50:03,180
the throw away society in America, or hit me on the way to go.

1486
01:50:03,180 --> 01:50:09,140
Yeah, it is true that there are certain subsets of individuals here that treat their

1487
01:50:09,140 --> 01:50:13,420
older people in their own communities and in their own families a little bit differently.

1488
01:50:13,680 --> 01:50:17,360
And I think what we need to do here is leverage some of that to the extent that it's helpful.

1489
01:50:18,600 --> 01:50:23,260
I mean in the Hispanic culture there's a lot of burden on the women in the family, in the daughters

1490
01:50:23,260 --> 01:50:25,080
of the older people.

1491
01:50:25,340 --> 01:50:27,440
I'm not sure that's always that helpful.

1492
01:50:27,440 --> 01:50:29,520
So there's some, there's some given take.

1493
01:50:30,700 --> 01:50:35,420
I'm just curious, in talking about stereotypes of older people,

1494
01:50:35,860 --> 01:50:39,580
would it be a stereotype to say that older people are more honest?

1495
01:50:41,640 --> 01:50:41,900
Yep.

1496
01:50:44,380 --> 01:50:47,660
Could you say where the questions coming from now?

1497
01:50:48,640 --> 01:50:49,480
I'm not sure.

1498
01:50:49,740 --> 01:50:54,040
I think, probably, I believe that people are more honest

1499
01:50:54,040 --> 01:50:57,940
as they're older, and so I was wondering if it was a stereotype.

1500
01:50:57,940 --> 01:51:00,040
So, that's part of your juice.

1501
01:51:02,500 --> 01:51:03,660
That's a stereotype.

1502
01:51:06,690 --> 01:51:12,530
Along those lines, I've always enjoyed working with older people.

1503
01:51:12,910 --> 01:51:13,590
I think that's right.

1504
01:51:14,370 --> 01:51:18,530
And one of the reasons is because I feel older people are

1505
01:51:18,530 --> 01:51:22,910
like toddlers or four, five, six year olds,

1506
01:51:24,090 --> 01:51:26,130
because they are so brutally honest.

1507
01:51:26,450 --> 01:51:28,990
They don't really care, and it's a stereotype.

1508
01:51:28,990 --> 01:51:44,150
But they tend not to care so much about perceptions, they just state the facts, they ask questions, they're curious, and I find as we grow older we tend to do that as well.

1509
01:51:45,730 --> 01:51:50,030
If that was the case then we wouldn't have such a hierarchy of medicine right now.

1510
01:51:50,030 --> 01:51:56,910
Because so many older people coming up to their physicians and that white coat syndrome happens and they just

1511
01:51:56,910 --> 01:52:01,670
They they still are aware. We we are still aware of

1512
01:52:03,970 --> 01:52:08,830
Hiroky and and who who in this world doesn't want to do right be right

1513
01:52:09,150 --> 01:52:13,430
Just this part of your own essence right you want to fit in you want to feel like you belong

1514
01:52:13,430 --> 01:52:16,030
I'm not disagreeing with what you're saying

1515
01:52:16,030 --> 01:52:20,010
It's just that I think it's important to know who each individual is

1516
01:52:20,030 --> 01:52:24,310
and what they're about rather than generalizing for a whole population.

1517
01:52:25,070 --> 01:52:28,970
And if I could just add to that, and I do believe that that is our primary message today,

1518
01:52:29,910 --> 01:52:34,530
is don't stick that label on until we really know that that's the truth about that person.

1519
01:52:34,890 --> 01:52:38,910
And let's be sure that when we say that, we're just talking about that one person,

1520
01:52:39,370 --> 01:52:41,130
and not painting with a bribe brush.

1521
01:52:42,010 --> 01:52:42,870
Any other question?

1522
01:52:45,230 --> 01:52:47,150
Come on, you didn't stump us at all.

1523
01:52:56,430 --> 01:53:03,930
Okay, my parents who are 90, almost 92 and 88, and they are living in a retirement community,

1524
01:53:04,210 --> 01:53:10,430
not assisted living, and my father would really love if younger people were around him.

1525
01:53:10,510 --> 01:53:15,670
He has young family, I mean, my, I have grandchildren, it's his great grandchildren who he's getting to know.

1526
01:53:16,250 --> 01:53:26,070
But the division of ages and communities seems to be to me, feels like it's not the most positive approach.

1527
01:53:26,070 --> 01:53:30,290
And I just wondered if there are places that are looking at more

1528
01:53:32,090 --> 01:53:36,850
intergenerational living for our older adults.

1529
01:53:37,730 --> 01:53:39,190
Yes, there absolutely are.

1530
01:53:39,510 --> 01:53:42,650
There's, I mean, not only are there intergenerational models of

1531
01:53:42,650 --> 01:53:46,870
housing, bringing up all over the place, certainly in a broad,

1532
01:53:46,910 --> 01:53:49,070
but definitely here in the US as well.

1533
01:53:49,530 --> 01:53:50,810
So that's definitely happening.

1534
01:53:51,290 --> 01:53:54,350
And there's a lot of variety among those different intergenerational

1535
01:53:54,350 --> 01:53:59,030
model, some are in universities, some are just in towns, some there's shared housing projects,

1536
01:53:59,070 --> 01:54:04,390
that the demand has a really robust shared housing model where an older person can stay

1537
01:54:04,390 --> 01:54:09,210
living at home and then a younger person comes into share of the house. So there's lots happening

1538
01:54:09,210 --> 01:54:15,130
in that area all really, really good stuff. And then there's lots of intergenerational programming

1539
01:54:15,130 --> 01:54:20,930
that's happening between elementary schools and nursing homes and assisted living. So it's really

1540
01:54:20,930 --> 01:54:26,050
very specific to each community, but my feeling is that we're not going to get a ton of

1541
01:54:26,050 --> 01:54:31,570
traction on all that intergenerational programming or a lot of funding for it until we

1542
01:54:31,570 --> 01:54:36,430
kind of change the paradigm around aging generally. We're just not going to get enough up,

1543
01:54:36,650 --> 01:54:42,030
tick in it. So we need to work at both levels. We need to continue the programming and we need

1544
01:54:42,030 --> 01:54:44,770
to really start farading out the ages, the ages.

1545
01:54:45,650 --> 01:54:51,450
Well, that's definitely one of those paradigm shifts that we're working towards. Because what

1546
01:54:51,450 --> 01:54:54,950
You said about 101-year-old, I don't want to be with those old people, right?

1547
01:54:55,410 --> 01:54:58,030
People want to be part of our community.

1548
01:55:03,370 --> 01:55:09,470
I can verify what she said for eight years, I lived in a 55-in-out, I'm out of there.

1549
01:55:11,670 --> 01:55:17,310
It's not health, it's not normal, and it made me feel 20 years older than I was.

1550
01:55:18,050 --> 01:55:21,210
And so I said, if I'm not using it, I'm losing it.

1551
01:55:21,210 --> 01:55:24,350
So I sold and we bought a place and we do everything ourselves.

1552
01:55:24,870 --> 01:55:27,070
Hey, we're 20 years younger, we're happy as an album.

1553
01:55:28,710 --> 01:55:29,990
Nice juice, yeah.

1554
01:55:38,040 --> 01:55:39,800
Thank you so much.

1555
01:55:40,260 --> 01:55:41,780
This has been, I'm sorry.

1556
01:55:42,080 --> 01:55:42,220
Good.

1557
01:55:43,200 --> 01:55:47,860
Marilyn, I met with you somewhere around 10 or 15 years ago at the college.

1558
01:55:48,580 --> 01:55:50,940
And like you said, I didn't remember what you said.

1559
01:55:53,690 --> 01:56:00,330
However, I came here today to watch the enthusiasm you had 10 to 15 years ago.

1560
01:56:00,590 --> 01:56:03,050
It was great then, and it was great today.

1561
01:56:03,590 --> 01:56:03,890
Thank you.

1562
01:56:04,150 --> 01:56:04,870
That's good.

1563
01:56:05,410 --> 01:56:06,670
Thank you.

1564
01:56:06,990 --> 01:56:08,550
Thank you.

1565
01:56:08,890 --> 01:56:09,410
Patricia?

1566
01:56:11,760 --> 01:56:12,400
Patricia?

1567
01:56:13,520 --> 01:56:13,800
Go ahead.

1568
01:56:13,880 --> 01:56:14,540
No, I'm just saying.

1569
01:56:14,540 --> 01:56:18,920
Well, Patricia's coming up, another hand of applause for both our speakers today.

1570
01:56:24,100 --> 01:56:31,620
It has been said, and when my heart is overwhelmed, lead me to the walk that is higher than

1571
01:56:31,620 --> 01:56:31,960
I.

1572
01:56:32,300 --> 01:56:37,940
We've had a lot of walks on which to base the encouragement we've been given today to

1573
01:56:37,940 --> 01:56:41,140
go out and do better and grow young.

1574
01:56:45,020 --> 01:56:50,260
Thank you very much for coming today, by the way, I am Patricia O, I work with ARP Maine with

1575
01:56:50,260 --> 01:56:56,200
family communities and I have to say I really love the York County group. They were

1576
01:56:56,200 --> 01:57:01,200
sitting around a table at a regular meet-up and there was a story told about

1577
01:57:01,200 --> 01:57:05,300
somebody who let some language slip and somebody who caught the language and the

1578
01:57:05,300 --> 01:57:09,500
next thing you know we had this event so anybody who has a chance to get involved

1579
01:57:09,500 --> 01:57:13,220
in your age from the initiative in your own community I strongly encourage it

1580
01:57:13,220 --> 01:57:17,340
because it is one way that we are disrupting aging and reframing the way we're

1581
01:57:17,340 --> 01:57:22,360
talking about aging and what we expect from people in their communities, what we expect from all

1582
01:57:22,360 --> 01:57:22,880
of us.

1583
01:57:23,260 --> 01:57:24,120
So thank you very much.

1584
01:57:24,140 --> 01:57:28,620
Have a great rest of your day and don't forget to pick up your free book on your way

1585
01:57:28,620 --> 01:57:33,480
out because I actually am too old to want to bring those back home with me.

1586
01:57:35,420 --> 01:57:37,420
Thank you again and drive carefully.