Live Longer Better
  • Your journey
    • More About the Optimal Ageing Programme >
      • About Muir Gray
      • Muir Gray's publications
    • Coping with Lockdown
    • Using the right words right; ageing, fitness, disease and beliefs >
      • Bad language about older people
    • The Lockdown Wellbeing Programme >
      • The Daily Mail series
    • the Daily Dozen + 30 for 4S fitness
    • What is happening as we live longer >
      • Your monthly briefing
    • LLL for LLB
    • The environment is tough >
      • Retirement has benefits and risks >
        • Join the Challenge Hub
      • Some people got a better start than others
      • the impact of isolation is now recognised
      • The physical environment is the cause of many problems blamed on ageing
      • Poverty affects too many older people
    • the Living Longer Better Programme >
      • what would a good life in your late 80s be likel
      • What do you fear most and want to avoid
      • Start to write your Living Longer Better Plan
      • Think positive
    • How to reduce your risk of a bad death
    • My diary & daily routine
    • My health record
    • My housing
    • Othercare - Supporting someone else
    • About the OxAP >
      • Muir Gray's Bookshop >
        • The Antidote To Ageing
        • Midlife
        • Sod60!
        • Sod70!
        • Get Moving
        • Eatwell!
        • Dr Gray's Walking Cure
      • Here is the news
  • Get physically better
    • Increase strength, stamina, suppleness and skill >
      • Strength
      • Stamina
      • Skill
      • Suppleness
      • Work hard
      • Brisk walking >
        • Virtual Walking
        • Restart Sport >
          • Restart swimming
          • Restart tennis
          • Restart football
          • Restart cycling
          • Virtual Cycling
      • If you have difficulty walking briskly
      • Join a Gym or Wellness Hub >
        • Meet others for fitness >
          • Silver sneakers
          • Age UK Generation games
          • Join a Gym, Fitness Centre or Wellness Hub
          • Find a personal trainer
      • Find a Trainer
    • Reduce your risk of disease >
      • Eat Well
      • Stop smoking
      • Increase activity - physical, cognitive and emotional
      • Watch the alcohol
      • Accept the offers from the NHS screening programmes
      • We need a revolution
    • Look after your body >
      • Happy and Positive Birthday >
        • Sod 60!
        • Sod70!
        • Sod It! Eat Well
        • Sod Sittin, Get Moving!
      • Skin maintenance
      • Teeth and gum maintenance
      • Feet maintenance
      • Bone, joint and muscle maintenance
      • Bowel maintenance
      • Brain maintenance
      • Mind maintenance
      • Heart maintenance
      • Lung maintenance
      • Waterworks maintenance for men
      • Waterworks maintenance for women
      • See as clearly as possible
      • Keep your Hearing as acute as possible
    • If disease occurs - Optimise Your Healthcare >
      • Living with a common condition >
        • Arthritis
        • Cancer
        • COPD _ Bronchitis
        • Diabetes
        • Dementia
        • Heart disease
        • Parkinson's Disease
        • Stroke
      • Making a big decision >
        • Should i have a hip replacement ?
      • Consequences of common conditions >
        • Loss of status
        • Disability and handicap
        • Isolation
        • Depression
        • Frailty
      • Look out for social as well as drug prescribing >
        • Enjoy Activity Therapy
      • What you can do to help the NHS even more
  • Think better
    • Train your brain ; we now know the brain can get fitter at any age
    • Understanding Dementia & Alzheimer's Disease
    • Reduce your risk of dementia >
      • Stimulate your brain more every year >
        • Learning new skills and build on your assets
        • Get even more engaged
      • Protect your brain >
        • Sleep better
        • Get more active
        • Avoid over medication
        • Control stress levels
        • Air pollution and dementia
      • Keep the oxygen flowing
    • Combat depression
  • Feel better
    • Stay engaged and don't lose your sense of purpose
    • Feel even better by helping other people even more
    • Meet others like you
    • Optimise the Internet >
      • My Virtual Reality
    • Join others for a Daily Service
    • Feel better by visiting Great Places >
      • Visit the great Museums
      • Visit the great libraries
      • Visit a National Trust treasure
    • Feel better through music >
      • Join a concert party
      • Your virtual choir
      • Music for Moving
    • Feel better by reading, listening and watching with other people >
      • Kindling Book Club >
        • Crime
        • Classics
        • Health
      • Audible Book Club
      • Your BBC
      • Your Film Club
    • Feel better by learning new skills and ideas
    • Feel better by joining a club to play games and meet others >
      • Chess Club
      • Bingo club
      • Bridge Club
    • Feel better by supporting nature >
      • Visit the great gardens
    • Feeling Better by Going Down Memory Lane >
      • Sporting memories are powerful
  • Understand better
    • Ageing is a normal biological process
    • From 40 to 90 loss of fitness is serious
    • The effects of disease are often compounded by loss of fitness
    • Negative beliefs and attitudes have a huge impact
    • The importance of planning with purpose
    • The Ageing Brain and the Maturing Mind
    • Strength and Power can always be increased
    • Skill and co-ordination can be improved at any age
    • Stamina can be improved by brisk walking
    • Suppleness can always be improved and stiffness always reduced
    • Activity Therapy is of vital importance

We need a social revolution

WE NEED SOCIETY TO CHANGE AS WELL AS INDIVIDUALS 

There is no doubt that ageing is a long biological process with two effects.  One is the loss of maximum level of ability, even Roger Federer will have difficulty in continuing to play the highest level in his forties even though he were to train ten hours a day.  Combined with this is a loss of resilience namely a loss of the ability to respond when challenged, for example by a change in environmental temperature or a trip or infection.  These are real effects but by themselves do not have a significant impact on quality of life until the mid-nineties.  
Redesigning ageing will focus on the three modifiable processes – loss of fitness, disease and the wrong beliefs and attitudes but we do have to be realistic about the challenges that many people face including
  • Poverty; for many people the problems of old age are complicated by low income, for example hypothermia can occur because a person’s biological thermostat does not respond as well to a cold environment, but the principal cause of hypothermia is a dwelling too cold for safety because of income problems.
  • Social care is limited and can be expensive even if the appropriate care can be found. 
  • Not all diseases are preventable.  For example you need good luck and probably the right genes to avoid rheumatoid arthritis or Parkinson’s disease
  • The NHS, which plays a vitally important part in the diagnosis and treatment of disease is obviously under pressure, but ageist refusal of treatment is now much less common.  In fact a new problem and opportunity has emerged, namely the overdiagnosis and overtreatment of problems of older people with little, no or negative value resulting from  the individual’s treatment.  For example in the last year of life there is overuse of high technology care of low value but an inadequate investment in district nursing and care assistants who could help older people die in their own homes.
 
However as we have emphasised the most important and modifiable factor in the environment in which people grow older is a social environment that creates negative beliefs and attitudes. There is still a very important factor which is poverty but that is more difficult to modify
We need a revolution to change that but we are in a revolution, at least in healthcare, or , to be precise we are in the third revolution . 
  • the first was the clean water, public health revolution of the nineteenth century driven by politicians 
  • the second has been the amazing high tech medical revolution of the last fifty years driven by industry and science 
The third revolution is however different. it is driven not by chief executives or politicians. It is driven by three forces -
  • knowledge,
  • citizens and
  • the smartphone, as the picture at top of this page shows 
​Healthcare is what you do for yourself

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