HEALTH AND WELLBEING IN RETIREMENT J. W. PAPWORTH-SMITH

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1 HEALTH AND WELLBEING IN RETIREMENT J. W. PAPWORTH-SMITH

2 OVERVIEW General comment Adjustment Promoting better health Ill-health

3 Philosophy There is no wealth but life. In order that people may be happy in their work these three things are needed:- They must be fit They must not do to much of it They must have a sense of success in it Remember the most beautiful things in the world are the most useless.

are needed:- They must be fit They must not do to much of it They

6 GENERAL COMMENTS ON HEALTH AND WELLBEING Health Wellbeing Ill health Retain what one has is the first priority Genetics Environment 120 yrs? Potential life span.

8 GETTING AWAY WITH IT If age, which is certainly Just as wicked as youth, look any wiser It is only that youth is still able to believe It will get away with anything, while age Knows only to well it has got away with nothing. W H Auden, The Sea and the Mirror (1944)

believe It will get away with anything, while age Knows only to

9 RETIREMENT ELDERLY PEOPLE TODAY LIVE > 20 YEARS LONGER THAN ANCESTORS AT THE TURN OF THE LAST CENTURY SPEND 20%+ OF ONES TOTAL LIFE IN RETIREMENT >65 yrs. 18% POPULATION % 2025

10 RETIREMENT SOCIAL CONVENTION IMPOSES RETIREMENT AGEING IS A NORMAL PROCESS RETIREMENT IS RETIREMENT FROM REGULAR OCCUPATION FOR PAY, NOT FROM LIFE

11 RETIREMENT MAJORITY RETIRED PEOPLE LIVE ACTIVE PRODUCTIVE LIVES, REMAINING ALERT & INDEPENDANT

12 WELL-BEING The Five Essential Elements Career Wellbeing Social Wellbeing Financial Wellbeing Physical Wellbeing Community Wellbeing

13 ADJUSTMENT Occur in Phases: Phases Immediate Middle Delayed Influences Influenced by Predictors

14 PHASES Honeymoon Re-orientation Acceptance Stability

15 INFLUENCES Attitude Health* Finance* Housing Role change Productive use of time

16 IMMEDIATELY POST RETIREMENT Decreased stress Increased happiness Under each others feet

17 PREDICTORS Staying in community Social activities Continued mobility exercise Health

18 SOCIAL ACTIVITY SOCIAL & PRODUCTIVE ACTIVITY = PHYSICAL EXERCISE Cinema Eating out Sporting events Day or overnight trips Playing cards/games Social groups - clubs - church - colleagues

19 PREVENTION POSITIVE THINKING BALANCED DIET REGULAR EXERCISE NO SMOKING MODERATE ALCOHOL

20 FOOD & NUTRITION You are what you eat Moderation rather than restriction Eating should be enjoyable and interesting Variety What matters most is what you usually eat, not what you occasionally eat.

21 Food Pyramid

22 EXERCISE SPEAKING GENERALLY, ALL PARTS OF THE BODY WHICH HAVE A FUNCTION, IF USED IN MODERATION & EXERCISED IN LABOURS TO WHICH EACH IS ACCUSTOMED, BECOMES THEREBY HEALTHY & WELL DEVELOPED, & AGE SLOWLY, BUT IF LEFT UNUSED & LEFT IDLE, THEN BECOME LIABLE TO DISEASE, DEFECTIVE IN GROWTH & AGE QUICKLY. HIPPOCRATES

23 EXERCISE 20% INCREASE IN FITNESS GIVES 6-8 YEARS MORE INDEPENDENCE OTHER BENEFITS IMPROVES BODILY FUNCTIONS LESS TIRED GREATER STAMINA EFFECT OF ILLNESS LESS, RECOVERY BETTER DECREASE DEATH FROM HEART DISEASE BY 50% c.f. SEDENTARY

25 Life is to short!

26 EXERCISE MORE EFFICIENT HEART DECREASE BLOOD PRESSURE DECREASES CHOLESTEROL BONES STRENGTHENED & OSTEOPOROSIS MINIMISED DECREASE BACK PROBLEMS

27 SMOKING 1/3 OF ALL CANCERS LINKED

28 SMOKING SINGLE MOST IMPORTANT INTERVENTION 50% REDUCTION IN RISK AFTER ONE YEAR AFTER 10 YEARS REDUCED TO THAT OF THE NON- SMOKER

29 ALCOHOL IMPLICATED IN ISCHAEMIC HEART DISEASE CANCERS OSTEOPOROSIS

30 ILL-HEALTH

31 ILL-HEALTH FALSE TO ATTRIBUTE EVERYTHING JUST TO OLD AGE

32 ILL-HEALTH TRUE AFTER MIDDLE AGE ILLNESS IS MORE LIKELY SO IS INJURY RECOVERY TAKES LONGER BUT IT IS NORMAL TO BECOME ILL

33 DEATH COMMONEST CAUSES HEART DISEASE STROKE CANCER

34 Ills of Concern Diabetes Dementia Osteoporosis Cancers Eye Hearing Heart Stokes Early Menopause Impotence affects 50% male >50 yrs

35 SYMPTOMS TO ACT UPON

36 IMPORTANT SYMPTOMS COUGHING BLOOD BLEEDING FROM ANY ORIFICE WEIGHT LOSS PERSISTANT HOARSENESS LUMPS SKIN LESIONS GROWING OR NOT HEALING

37 IMPORTANT SYMPTOMS SHORTNESS OF BREATH JOINT & MUSCLE PAINS TRANSIENT BLINDNESS OR PARALYSIS HEAVINESS OR PAIN IN CHEST PERSISTENT HEADACHE

38 RESPONSABILITY Attitude Information Avoidance

39 ATTITUDE TAKE RESPONSIBILITY FOR YOUR OWN HEALTH INFORMATION

40 DRUGS ARE THERE ALTERNATIVES? WHAT IS THE NAME? WHAT IS IT FOR? WHAT WILL IT DO HOW LONG DO I TAKE IT FOR? HOW DO I TAKE IT?

41 DRUGS WHAT IF I MISS A DOSE? DO I NEED A REPEAT? CAN I TAKE IT WITH OTHER MEDICATION? IS THE CONTAINER EASY TO OPEN? EXPLAIN LABEL HOW SHOULD I STORE THE MEDICINE?

42 AVOID TRAUMA GOOD LIGHTING ADEQUATE FLOOR COVERING WALKING STICK CORRECTION OF SIGHT PROBLEMS

43 COMFORT SEVERAL LAYERS OF LOOSE CLOTHING BETTER THAN THICK GOOD WATERPROOF WHEN OUTSIDE HEAT BEDROOM/TOILET

44 RESOURCE Change Work Money Relationships Learn Health Play Spirituality Mentoring

45 IMPORTANT Make what you do enjoyable when you can. Remember there are many options including paid or unpaid [voluntary] work. Do some activity with others and not always alone. Questioning is not unreasonable.

46 RETIREMENT GROW OLD WITH ME! THE BEST IS YET TO BE. ROBERT BROWNING

47 Information on Health

The cost of physical inactivity

The cost of physical inactivity October 2008 The cost of physical inactivity to the Australian economy is estimated to be $13.8 billion. It is estimated that 16,178 Australians die prematurely each year