1. Adopting a Holistic Approach to Resident Wellness It’s All About Living Life to the Fullest Joan Devine, RN-BC Director of Performance Improvement Lutheran Senior Services

2. Objectives 1.) Be aware of the changes in our society related to perceptions and expectations for healthy aging. 2.) Compare how the focus on wellness is changing life for seniors in community living settings at all levels of living 3.) Be able to apply the principles of healthy aging to their lives, whatever their age.

3. Ageism

4. Myths on aging Most older adults live in nursing homes and cannot get around by themselves Older adults do little more than sit around, watch TV and sleep Older adults who continue to work are inefficient and miss many work days due to illness” “Older adults are lonely and depressed People over 65 have diseases and disorders that limits their freedom to do what they want” Older adults aren’t interested in people of the opposite sex” Older adults are obsessed with death and dying. They fear death more than any other age group

5. Statistics on Aging Growth of number and proportion of older adults is unprecedented Population of American’s 65 or older will double in the next 25 years to about 72 million 2 out of 3 older adults have multiple chronic conditions – treatment for this population accounts for 66% of the US health care budget

6. Good news... Dementia Prevalence is Declining Matthews et al. (2013) reported in the journal Lancet that dementia rates among people 65 and older have plummeted by 25 percent over the past two decades, to 6.2 percent from 8.3 percent, a trend that researchers say is probably occurring across most developed countries. Why? © 2015, Dr. Rob Winningham All Rights Reserved

7. Dementia Prevalence is Declining Possible reasons for the 25% reduction: Controlling cardiovascular risk factors Cholesterol Blood pressure Better education and possibly more cognitive stimulation Greater awareness of the importance of physical exercise © 2015, Dr. Rob Winningham All Rights Reserved

8. What is successful aging? What does it look like?

10. Successful Aging Usual aging Your aging journey is mostly determined by your lifestyle.

12. Dr Hettler's model of the Six Dimensions of Wellness http://www.seniorsaloud.com/2008/12/six-dimensions-of-wellness.html

13. SIPS of Successful Aging

14. So what are we doing in our communities? Healthy food choices Life Enrichment – more than Activities Focus on cognition Person Centered Practices Seeing our residents as individuals

15. Brain Fitness

16. Fun & Brain Fitness © 2015, Dr. Rob Winningham All Rights Reserved

17. Recommended Apps for Cognitive Stimulation Fit Brains Lumosity Tetris Sudoku2 © 2015, Dr. Rob Winningham All Rights Reserved Memory Block Stroop Effect Visual Attention Brain Lab

18. Recommended Apps for Cognitive Stimulation Word Search+ Word Jigsaw Brain Challenge Words Chain Challenge © 2015, Dr. Rob Winningham All Rights Reserved Chain of Thought This is to That Watch That!

19. Exercise and Cognition The ability to pay attention to relevant stimuli is correlated with cognitive ability in older adults. It appears that exercise affects this ability. © 2015, Dr. Rob Winningham All Rights Reserved

20. Exercise and Cognition Scarmeas et al., (2009) found that older adults (mean age 77 years) who were in the top third in terms of getting physical exercise were 61% less likely to get dementia © 2015, Dr. Rob Winningham All Rights Reserved

21. Brain Food Fish Fruits and vegetables high in antioxidants

22. Never too late for romance

25. Joan.Devine@LSSLiving.org

26. Resources References You Tube Videos https://youtu.be/kGt0udeqyxg Add Life to years through healthy aging https://youtu.be/J26PeAA1EHA Stories behind the statistics: Helen https://youtu.be/kGt0udeqyxg https://youtu.be/J26PeAA1EHA https://youtu.be/kGt0udeqyxg https://youtu.be/kGt0udeqyxg 85 yo best friends https://www.youtube.com/watch?v=g7RbbEvEtD0 Clarence and the St. Louis Cardinals Robert G. Winningham, Ph.D. Professor & Chair of the Behavioral Sciences Division Western Oregon University www.robwinningham.com Masterpiece Living www.mymasterpieceliving.com