THE JOURNAL ON - International Council on Active Aging
Transcription
THE JOURNAL ON - International Council on Active Aging
T H E J O U R N A L O N J u l y / A u g u s t 2 0 1 3 , Vo l . 1 2 N o. 5 The future of aging Trends and issues that are shaping the industry Building resilience Bolster this key contributor to successful aging The wellness journey How one community created a thriving wellness culture Design that inspires. Movement that empowers. Introducing the new T4r recumbent cross trainer. T4r combines lower and upper body movement for a full body workout – building strength, promoting independence, and invigorating users of virtually all ability levels to get the most out of life. T4r’s fresh new design includes features like a comfortable 360° swivel seat, sturdy grab ring for easy on/off, and a clamshell release for easy arm adjustments. For free DVD call 800.322.2209 or visit www.nustep.com/newT4r The Journal on Active Aging® July/August 2013,Vol. 12 No. 5 CEO & PUBLISHER Colin Milner, [email protected] EDITOR-IN-CHIEF Jenifer Milner, [email protected] ART DIRECTOR Jacob Benaroch CHIEF OPERATING OFFICER Julie Milner, [email protected] VICE PRESIDENT OF EDUCATION Patricia Ryan, MS, [email protected] DIRECTOR OF MEMBER SERVICES Krystyna Kasprzak, BA, [email protected] DIRECTOR OF MARKET DEVELOPMENT Patsy LeBlanc, [email protected] COMMUNICATIONS DIRECTOR Marilynn Larkin, MA, [email protected] LEAD SERVICES Shari Akesson The Journal on Active Aging® is published seven times per year by the International Council on Active Aging® (ICAA), a division of ICAA Services Inc. Contact ICAA to find out about membership or subscriptions to the Journal on Active Aging® or ICAA Functional U®. International Council on Active Aging® 3307 Trutch Street Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 www.icaa.cc Every article published in the Journal on Active Aging® is indexed by subject and stored in ICAA’s articles archives, which can be accessed from the home page of the ICAA website. In addition, every issue—posted in its entirety—is available to members in the “Member zone.” Editorial submissions are welcome. Please send queries to Jenifer Milner, Editor-in-Chief. Submissions may be edited for length, style, content and clarity. The Journal on Active Aging® ISSN 1814-9162 (print), ISSN 1814-9170 (online). C O N T Features Gerontology Resilience: a requirement for successful aging in all settings pg. 22 The importance of building resilience in older adults in communities, seniors centers, and other organizations within the active-aging industry cannot be underestimated, experts agree. Here’s how to do it. By Marilynn Larkin, MA Trends The future of aging, part one: trends and issues that are shaping the industry pg. 38 International Council on Active Aging® advisors share insights about developments in the field of aging that they consider significant. By Jenifer Milner Program profiles How Spring Lake Village created a thriving wellness culture pg. 86 At this California community, the wellness journey has involved residents, staff and outside organizations. By Diane Waltz, MS, PT Articles Communication Crisis management: when bad things happen to good companies pg. 30 With corporate crises filling headlines daily, “the really smart companies prepare for when a crisis hits, not if. ” By Michelle Moore Market research A profile of aging America pg. 82 This brief sketch of America’s older-adult population includes tidbits of interest for marketers and others focused on this target market. ICAA Innovators A “green” initiative unites residents and staff at The Orchards at Southington pg. 94 Eco-friendly efforts have improved relationships, quality of life and the environment at this Connecticut community. Contents copyright ©2013 by the International Council on Active Aging®. All rights reserved. Send permissions requests to Access Copyright by emailing [email protected]. Disclaimer: The Publisher and Authors recognize that older adults have medical and physical conditions that affect the appropriate application of the recommendations and exercises published in the Journal on Active Aging®. Consult with a physician, physical therapist, or other trained health or exercise professional before using the exercises. The Publisher and Authors are not responsible for any injury or adverse effects from the application of the material in the articles. 4 The Journal on Active Aging July/August 2013 www.icaa.cc C o l u m n s & 6 Comment 8 Industry news 16 News from ICAA Preferred Business Partners d e p a r t m e n t s 18 Research in the news 100 ICAA Preferred Business Partners 108 ICAA directions E N T S I C A A A d v i s o r y Scientific Advisory Board • Steven Blair, PED, Arnold School of Public Health, University of South Carolina • Wojtek Chodzko-Zajko, PhD, University of Illinois at Urbana– Champaign • Terry Ferebee Eckmann, PhD, Minot State University • William J. Evans, PhD, GlaxoSmithKline • Kathie Garbe, PhD, University of North Carolina–Asheville • Ben Hurley, PhD, University of Maryland School of Public Health • Jamie Huysman, PsyD, WellMed Medical Management • Bob Laventure, MEd, British Heart Foundation National Centre for Physical Activity and Health • Kevin O’Neil, MD, Brookdale Senior Living, Inc. • Barbara Resnick, PhD, University of Maryland School of Nursing • Debra Rose, PhD, California State University, Fullerton • Mary E. Sanders, PhD, School of Medicine, University of Nevada, Reno • Maria Fiatarone Singh, MD, University of Sydney • Wayne Westcott, PhD, Quincy College Industry Advisory Board • Lorrayne Anthony, BSc, The Canadian Press • Ginger Anzalone, MBA, Vesta Facilities Management • Marge Coalman, EdD, Touchmark Retirement Communities • Terry Fay, BA, Senior Lifestyle Corporation • Helen Foster, BA, Foster Strategy, LLC • Jeff Glaze, MBA, ABHOW B o a r d • Barbara Kleger, BS, Kleger associates, a division of KD Partners, LLC • Brenda Loube, MS, Corporate Fitness Works • Jan Montague, MGS, Whole-Person Wellness International • John Rude, MS, Age Dynamics, Inc. • Martha Schram, BS, Aegis Therapies • Kathy Smith, BBA, Kathy Smith Lifestyles • Lynn Thorneburg, JD, Institute for Preventive Foot Health • Kay Van Norman, MS, Brilliant Aging • Ronda Watson, RD, Atria Senior Living • Stephanie Wong, BA, Healthways Marketing Advisory Board • G. Richard Ambrosius, MA, Positive Aging • Lori Bitter, MS, The Business of Aging • Robin Craig, MA, MBK Senior Living • Douglas Fitzgerald, EdD, Boomer Senior Living International • Todd Harff, MBA, Creating Results • Anne Holmes, MS, National Association of Baby Boomer Women • Gill Walker, MS, Evergreen Advertising & Marketing Supplier Advisory Board • Nathanel Eisenberg, CogniFit • Anson Flake, HydroWorx • Herb Flentye, SPRI Products • Don Gronachan, Biodex Medical Systems • Lee Hillman, Performance Health Systems, LLC • Jeff Kohl, Red Door Spas–Elizabeth Arden • Crystal Romberger, Ball Dynamics International, LLC • Jocelyn Vande Velde, Matrix Fitness THE ICAA PHILOSOPHY Changing the way we age® We can change the way we age by staying active, to the fullest extent possible, within all areas of life: physical, spiritual, emotional, intellectual, vocational, social and environmental. Aging within these dimensions of wellness keeps us involved, alert and enjoying a productive life. Active aging The concept of active aging is summed up in the phrase “engaged in life.” Individuals can participate in life as fully as possible, regardless of socioeconomic status or health conditions, within the wellness dimensions. Age-friendly ICAA’s age-friendly philosophy designates programs that provide the information, access and motivation people need to become and stay active through all levels of functional ability. The Journal on Active Aging July/August 2013 www.icaa.cc 5 COMMENT M a k i n g Death. A heavy word, isn’t it? Many of us don’t want to talk about our own mortality, as it means facing the fact that we come with an expiry date. Instead, for numerous people, the strategy is to keep death at bay by “refusing” to age. They spend billions on “anti-aging” pills and creams, all in an effort to arrest aging and keep the body looking young. But time marches on, with or without Botox. Death’s GPS system is foolproof: It will find us—it’s just a matter of how and when. Can we forestall the inevitable? The answer to that question lies within our genes, attitudes, lifestyles and environments, not a bottle or a tube. We find insight—and role models—in those who have cracked the centenarian code to live longer and healthier than most. One of these code-crackers is my grandmother, Merle O’Hara. At 101 years of age, she is a fine example of someone who has lived, loved and lasted. But how has she done it? One word: resilience. I’ve written and talked publicly before about my grandmother, because she inspires me with her lively spirit, sense of fun, and optimism. She has experienced 101 years of change along with her share of adversity, and she has adapted, bounced back, and moved on. This, to me, is her legacy. Consider the following for a minute: Recently, Pew Research Center surveyed Americans on their attitudes toward 6 t h e living to age 120 and beyond, and found that when asked how long they wanted to live, 69% of respondents gave an age between 79 and 100 years. The median ideal life span was 90, according to Pew. As more people seek to live longer, the ability to model resiliency and to encourage or support this trait in others could leave a lasting and positive legacy for us all. In this issue of the Journal on Active Aging®, Marilynn Larkin tackles the topic of resilience. Larkin interviews five experts about resilience, whether or not people can learn this trait, and what organizations can do to bolster resilience for their members, residents and staff. Check out her article on pages 22–29 for insights, strategies, resources and more. Resilience is increasingly important today due to improved longevity and population aging, which are transforming the world around us. How will such issues and other trends shape the future of aging? To explore this subject, we turned to members of the International Council on Active Aging’s scientific and industry advisory boards. We asked these individuals to tell us about the trends and issues in aging that they consider the most significant, and many gave us their input. The responses were fascinating. Because board members represent the active-aging spectrum and all its areas of focus, their input covers a wide range of topics. The result is a picture of the The Journal on Active Aging July/August 2013 www.icaa.cc m o s t aging field seen through the eyes of active-aging advocates, including current and emerging challenges as well as opportunities. Needless to say, there’s a wealth of material. We’ll mine these contributions over the next several issues of the Journal in a series called “The Future of Aging.” The first installment appears on pages 38–44 of this issue. Prepared by Editorin-Chief Jenifer Milner, part one zooms in mainly on healthcare-related topics, from opportunities arising with healthcare reform, to the challenges of late-life depression. In a rapidly changing world, activeaging professionals offer real solutions for those who want to enjoy healthier, longer and more fulfilling lives. Their answers involve people making the most of the aging experience—not denying it. Colin Milner, CEO International Council on Active Aging® H E A L T H & F I T N E S S E Q U I P M E N T HUR SmartZone Comprehensive Solution to Implement Active Aging Programs • Smart Card System, Personal computerized exercise programs • Measure Outcomes, Sets up machines automatically and records all activities • Prevent Falls, Strength and high speed power training improves muscular speed Phone: 847.729.2636 Email: [email protected] www.hurusa.com The Journal on Active Aging July/August 2013 www.icaa.cc 7 Industry NEWS Les D’Arcy competes in the World Championship Veterans Table Tennis. Image courtesy of Britdoc / Bankyak Films Campaign encourages ping pong to support active aging BRITDOC Foundation in London, England, is touring its Ping Pong Care Campaign to older-adult settings in the United Kingdom as part of an outreach program. The campaign includes free screenings of the documentary film Ping Pong, which follows eight veteran players competing in the 2010 “over 80s” World Table Tennis Championships in Inner Mongolia. Since its release in July 2012, the film has been screened in more than 500 care settings in the UK. BRITDOC aims to bring its film/campaign to a further 2,000 such settings before the end of 2013. The campaign’s goal is to inspire “more active lifestyles in our senior years.” In addition to free screenings of this film, the Ping Pong Care Campaign provides a tool for planning, promoting and hosting screenings in such settings as residential and care communities, day centers, and community centers. The Ping Pong Care Pack also gives caregiver staff resources to initiate table-tennis activities in their 8 venues. These resources include a rollnet, paddles and balls, and a booklet and DVD that explain starter activities for all participants, regardless of age, ability or mobility. The campaign is making a limited number of Care Packs available at no charge. For more information, visit www.pingpong film.co.uk/campaign. Florida community announces partnership with public college The Village, an independent living community in Gainesville, Florida, has entered into an exclusive partnership with nearby Santa Fe College. The formal affiliation provides Village residents with unlimited access to courses, lectures and a variety of events on the college’s campus tuition free. The partnership also increases the number of courses taught by Santa Fe instructors at the senior living community. Additional benefits to Village residents include private showings at Santa Fe’s planetarium and tours at the college’s teaching zoo. Village residents will also have unlimited access to Santa Fe athletic events, with special recognition opportunities such as ‘Throwing Out the First Pitch” at baseball games. The Journal on Active Aging July/August 2013 www.icaa.cc In a survey of residents at The Village, nearly 70% considered lifelong learning and forming a partnership with Santa Fe College a top priority. The survey also asked about courses and cultural activities that interested individuals. Some of the residents’ most popular academic subjects included technology, history, economics and fine arts. Calling the partnership a “win-win,” Kathryn Lehman, coordinator of cultural programs for Santa Fe College, says, “it provides residents of The Village enriching opportunities to academic and cultural programs we offer. It’s also valuable for our students and instructors to interact with a wider variety of adults seeking continued education and new experiences.” Adds Jim Antonucci, executive director of The Village, “I think this affiliation further emphasizes the changing face of higher education, the desire among seniors for lifelong learning opportunities and our commitment to healthy aging.” Continued on page 10 S E N I O R L I V I N G In order to provide a dining experience that continues to meet the needs of existing residents as well as elevate the role dining plays in attracting new residents to your community, Morrison Senior Living is excited to introduce Our Food Rules . Our Food Rules were created to inspire our chefs and their teams to create food that will give your community a “dining competitive edge” while enhancing residents’ experience with healthful, whole, unprocessed foods. TM From the time we turn on the light to your kitchen to the time the light is switched off at the end of the day, Our Food Rules are working to provide healthy, great tasting food. Boldly stated, “Our Food Rules!” Here are just a few of Our Food Rules... 1 Fresh vegetables will be prepared at the last possible minute and in the smallest possible batches to ensure taste and freshness 2 Our foods will be prepared with efforts to dramatically reduce or eliminate excessive fats, calories and sodium 3 We will purchase whole food in concert with the season at the peak of ripeness and flavor To make your FOOD RULE, call 1-800-2CLIENT today. 4 We will use fresh produce, never canned or frozen, when preparing salads; croutons will never be purchased, but made-in house Industry NEWS Continued from page 8 The economic straits our profession faces necessitated this union,” he adds. “We have heard the call of our members, and we have responded.” At Springpoint Senior Living communities in New Jersey, participants in a fitness challenge log one mile on a virtual journey for every one minute of activity. Image courtesy of Springpoint Senior Living Fitness challenge takes Springpoint residents on virtual journey At Springpoint Senior Living communities across New Jersey, hundreds of residents recently set out on a journey across America. As they travel from coast to coast, they’re stopping to celebrate landmarks, cheering each other on and enjoying an engaging new path to health and fitness. Called “Exercise Across America,” this virtual journey is a way for residents at Springpoint’s continuing care retirement communities to measure and track their exercise and activity levels. One minute of activity equals one mile, with each resident’s progress marked on a large map of the United States. Exercise Across America encourages residents to try new things, states Jodee Garrity, fitness manager at Crestwood Manor in Whiting. “I have people who have never been to the pool before. Now they’re coming to my aqua classes. I have people trying out my seated aerobics classes. They’re having fun. Some are even getting a little competitive.” Residents also reminisce with one another about their real-life journeys. 10 “Our residents are having a great time with this,” observes Stacey Judge, community wellness program director for Springpoint Senior Living. “They’re learning that all kinds of activities can contribute to better health.” The program is an offshoot of a broader wellness and healthy aging initiative at Springpoint called “LivWell.” Groups representing longterm and post-acute care providers combine operations In May 2013, the American Health Care Association (AHCA) and the Alliance for Quality Nursing Home Care (Alliance) announced they had reached an agreement to combine their operations into one organization. The new entity will retain the AHCA name. “Improving the lives of our residents while delivering solutions for quality care have been the ties that bind AHCA and the Alliance since the very beginning,” says AHCA President and CEO Mark Parkinson. “Today our profession stands at a crossroads. Faced with continued cuts and growing pressures on the systems that fund the care we provide, there was really only one choice—to band together to form one unified voice. The Journal on Active Aging July/August 2013 www.icaa.cc National Geographic seeks photo submissions From September 21–29, 2013, National Geographic is inviting the world to take part in the Great Nature Project, an unprecedented attempt to capture and appreciate the Earth’s biodiversity. Project participants—anyone with a camera or camera phone—are asked to take photos of any plants or animals they come across and share them with the world by uploading them to various social media platforms, including Twitter, Instagram and Flickr, using the hashtag #GreatNature. The uploaded, tagged photos will be aggregated online at www.greatnatureproject.org. Visitors to this website can view the images and take advantage of opportunities to engage deeper and learn more about the world’s biodiversity through educational and scientific resources. As part of the Great Nature Project, National Geographic Kids is attempting to set a Guinness World Record for the largest online photo album of animals by collecting more than 100,000 animal images. Any photo of an animal uploaded and then shared with the Great Nature Project with the addition of the hashtag #animal will count toward the record. “The Great Nature Project is at the core of the National Geographic Society’s mission to inspire people to care about the planet,” comments Vice President of Education Daniel Edelson. “Through this project, participants can share their world with the whole world. Experiencing and celebrating nature in this way will remind people of all ages about the amazing and diverse life on our planet and inspire them to do their Continued on page 12 For a limited time get a free pair of our NEW MORE CASUAL COMFORT SOCKS Pay $6.60 for shipping and handling/US residents only www.thorlo.com ©THOR•LO, Inc. Industry NEWS Continued from page 10 part to help change it for the better.” Learn more about this initiative at www. greatnatureproject.org/participate. [Ed. Host organizations for Active Aging Week 2013 may want to include the Great Nature Project among their activities for the annual health promotion campaign. The dates for the National Geographic initiative roughly coincide with Active Aging Week, which takes place September 22–28 and this year highlights the theme “Discover Your Community.” Led by the International Council on Active Aging®, the weeklong campaign is organized by local hosts. For more information, visit www.icaa.cc/aaw.htm.] Kisco residents enjoy a cooking demonstration as part of the Mind Matter Olympics. Image courtesy of Kisco Senior Living Kisco offers cognitive health program Kisco Senior Living, headquartered in Carlsbad, California, recently launched “Mind Matter Olympics,” a second-year program to help maximize brain health and memory ability. Six Kisco communities in southern California are participating in the 10-week program, which offers 16 activities in four different categories of competition: “Know Your Brain,” “Brain Fitness,” “Total Recall” and “Mind/Body Healing.” Continued on page 14 12 Moves and more Penny Pritzker recently became the United States’ 38th Commerce Secretary; Pritzker previously developed Vi (formerly Classic Residence by Hyatt), headquartered in Chicago, Illinois, among other ventures … ACTS Retirement-Life Communities has begun a search for a successor to President and CEO Marvin Mashner, who plans to retire in June 2014 after 23 years with the Pennsylvania-based organization … the Assisted Living Federation of America named Brenda J. Bacon, cofounder, president and CEO, Brandywine Senior Living in Mount Laurel, New Jersey, as board chair … the Family Caregiver Alliance presented its 2013 Leadership Award to Susan Reinhard, PhD, RN, senior vice president for public policy at AARP, and director, AARP Public Policy Institute, in Washington, DC … Matthew Phillips joined Chicago, Illinois-based Senior Lifestyle Corporation as executive vice president, while Nancy Cutter came on board as vice president of development and Kate DeCoursey as vice president of finance … Henry Moehring was promoted to executive director of Asbury Methodist Village in Gaithersburg, Maryland … Walter Greenleaf, PhD, joined the Stanford Center on Longevity at Stanford University, California, as senior research scholar and director of the Mind Division … Edward Lange, Jr., resigned as CEO of Holiday Retirement in Lake Oswego, Oregon; company president Kai Hsiao has assumed this additional position … Erickson Living in Baltimore, Maryland, hired Christopher J. Emmett as regional vice president of operations; the company also promoted Matt Neville to executive director of its Highland Springs community and appointed Garry D. Hibbs as executive director at Oak Crest … Dennis G. Stambaugh, MHA, was appointed managing director of CARF International’s Medical Rehabilitation accreditation area for North America … Mark Johnston recently joined Kansas-based The Journal on Active Aging July/August 2013 www.icaa.cc GlynnDevins, specialists in senior living advertising and marketing, as vice president, CRM [customer relationship management] and data analytics … Marge Betley was named executive director of Stagebridge Senior Theatre in Oakland, California … Wisconsinbased Eppstein Uhen Architects, Inc., hired Leslie Takahashi-White as project assistant for its Living Environments studio, working on senior living projects … Tana Gall was named president and Jason Childers, senior vice president, at Merrill Gardens in Seattle, Washington; Sondra Roberts, general manager of Merrill Gardens of Citrus Heights, was named Outstanding Executive Director of the Year by the California Assisted Living Association … ProMatura Group, based in Oxford, Mississippi, recently hired Susannah Myerson as vice president of research and applied strategies … the US Senate confirmed Marilyn Tavenner as administrator of the Centers for Medicare & Medicaid Services in May … Rob Young was named vice president of sales and marketing for Covenant Retirement Communities, Inc., headquartered in Skokie, Illinois … Oak Trace has added Subhash Shah, MD, as physiatrist; Shah will oversee all rehabilitation services provided at the Downers Grove, Illinois, community … Ecumen President and CEO Kathryn Roberts received the 2013 Distinguished Alumni Achievement Award from Minnesota State University Mankato … the US Administration on Aging announced the following winners of the “Unleash the Power of Age Community Challenge,” held in conjunction with Older Americans Month 2013: Epifanio Vega Gonzalez, Pat Sussman and Robert Craig … and Floridabased United Home Care recently awarded its 19th annual Claude Pepper Awards, recognizing the United Flying Octogenarians—1,200 pilots aged 80 years and older—with its Active Living Award. Industry NEWS Continued from page 12 “The spirit of competition and fun can never be underestimated,” comments Kisco’s wellness team leader, Maria Connelly. “Using feedback from residents, we designed this program to improve cognitive ability through social engagement with a focus on preventive strategies. Mind Matter Olympics offers continuous learning that challenges and exercises residents’ minds in a fun-filled setting.” Participants bring a passport booklet to each activity, and the word brain is stamped in the booklet upon completion. Each community will host an awards ceremony at the program’s finish. “The end goal,” Connelly notes, “is to provide a program to help enhance quality of life and to increase engagement through intellectual activities and build social relationships through our six dimensions of wellness.” At an event to celebrate Intergenerational Day Canada, two youth play pool with a more seasoned friend. Image courtesy of i2i Intergenerational Society of Canada Canadian cities embrace Intergenerational Day Canada Outreach to cities across Canada resulted in a record number supporting the fourth annual Intergenerational Day Canada, according to Sharon McKenzie, executive director of the i2i Intergenerational Society of Canada, based in British Columbia, and a major force behind the day. “The number of Canadian cities acknowledging this focus day has grown from seven to 92 in just one year, with representation from every province and two territories. Four provincial gov14 ernments have proclaimed the day as well,” McKenzie says. The day provides an opportunity to raise awareness in classrooms and in daily life about the benefits that respectful connections between generations bring to education, health and community safety; and to break ageist stereotypes. According to i2i, “Intergenerational activities are an untapped resource. They are rich in personal connections and provide opportunities to practice personal responsibility and empathy. We spend tax dollars attempting to help isolated teens, neglected children and disconnected older adults. In many cases these two generations would solve their own problems just being together, guided by a respectful and safe plan. Reaching out to one another is a priceless first step.” More information is available at www.intergenerational.ca. Active-aging program brings benefits to older adults in South Africa More than 100 older adults at “aged care” residences in the eThekwini Municipality region of Durban, South Africa, recently participated in an exercise program run by faculty at the University of Kwazulu-Natal (UKZN), also in Durban. The three-month program— designed to assist with mobility, balance, strength and flexibility—was conducted as part of a research study that assessed the effect of exercise on general health status, immunity, memory, risk for falls and nutrition in older adults. Participants were 60 years and older, mobile and independent in their activities of daily living. For purposes of the study, one group of participants exercised three times a week and the other twice a week, according to UKZN’s newsletter. “Following an analysis of the study results, the exercise program will be disseminated to [aged care centers] as a means of promoting active aging for residents living within these The Journal on Active Aging July/August 2013 www.icaa.cc facilities, both locally and nationally,” notes lead researcher Serela Ramklass of the School of Clinical Medicine. Healthcare executives form new company Brian C. Goode and Stephen H. Neff recently founded Renaissance Healthcare Partners, LLC, in Hampton Falls, New Hampshire, a company that will acquire, operate and manage skilled nursing and rehabilitation centers throughout the New England region. The team created the company in response to the rapidly changing healthcare marketplace. “Healthcare is changing and the pace of change will accelerate,” says Neff. “The leadership of skilled nursing and rehabilitation centers must align with physicians, hospitals and insurance companies and be a meaningful player in a complex healthcare ecosystem.” Prior to becoming a partner at Renaissance, Goode founded and recently sold Excella Healthcare, Inc., which provided Medicare-certified home health and rehabilitation services in five states. Neff brings more than three decades of experience to the partnership. He was most recently the president and CEO of Aviv Centers for Living in Peabody, Massachusetts. Do you have news to share? The Journal on Active Aging® welcomes your news submissions. Please send press releases to publications@ icaa.cc—the Journal’s email for submissions—and staff will consider your news for possible publication. Newsworthy topics include such things as center/community openings; initiative or campaign launches; announcements of awards, promotions or grants; and other topics of interest to active-aging professionals. Industry news: studies, campaigns and programs Ireland launches National Positive Ageing Strategy On April 24, 2013, Ireland’s Kathleen Lynch, minister of state for disability, equality, mental health and older people, launched the National Positive Ageing Strategy to help transform Ireland into an “age-friendly” society. Estimates suggest that by 2041, there will be between 1.3 and 1.4 million age 65-plus people in Ireland, representing 20–25% of the total population. The new strategy “offers a blueprint for planning what can and should be done, individually and collectively, to make Ireland a good country in which to grow older,” states the country’s Department of Health. The National Positive Ageing Strategy highlights that aging is a lifelong process that does not start at age 65, and that aging is not just a health issue; it requires a government response to address a range of interconnected social, economic and environmental factors. The plan specifies four national goals: continued involvement of people as they age in all aspects of society; support for people as they age to maintain, improve or manage their physical and mental health; enabling people to age in their own homes and communities for as long as possible; and supporting and using research about people as they age to develop better policy. This document may be downloaded at: www.dohc.ie/publications/National_ Positive_Ageing_Strategy.html. UC–Davis establishes research center for aging Latinos Assembling a team of nurse, physician and mental-health leaders in brain health and minority aging, the University of California, Davis, has established the Latino Aging Research Resource Center. The center was created through a fiveyear, US$3-million grant from the National Institute on Aging, one of the US National Institutes of Health. Latinos, a rapidly aging population, comprise one-third of residents in California’s Central Valley. They face health disparities such as socioeconomic disadvantages and a lack of adequate healthcare that place a disproportionate burden on the family, in part because Latinos traditionally care for family members at home. The new center emphasizes community engagement through mentoring to encourage people to participate in research and disseminate brain-health information to Latino communities. Research grants for pilot programs will be awarded annually. Inaugural conference to tackle culture of aging in Canada The Schlegel-University of Waterloo Research Institute for Aging (RIA) will work with numerous partners to organize “Walk with me … Changing the Culture of Aging in Canada,” scheduled for March 24 and 25, 2014, in Toronto, Ontario. Canada’s first national conference on cultural change will bring together older people and their families, caregivers and providers, researchers, and policymakers to learn with and from each other about changing the culture of aging in Canada. Conference participants will: learn about the work of the Ontario Centres for Learning, Research & Innovation in Long-Term Care; hear about key cultural change initiatives across Canada; build partnerships to advance change; learn practical strategies to apply cultural change within their organizations; and foster healthy communities that connect people across all settings. More details are posted at www.the-ria.ca/walkwithme. Organizers also issued a call for conference sessions, with submissions due by October 1. Guidelines are available at http://precis2.preciscentral.com/Link. aspx?ID=2D9A2224C0FBC517. Parkinson’s project meets at UK university Six partners from The LiveWell Project, a pan-European consortium to promote healthy living and well-being for people with Parkinson’s disease, recently met at Plymouth University Peninsula Schools of Medicine and Dentistry in the United Kingdom to discuss content and next steps for their Web-based training and social community system. The project is aimed at three groups: people with the disease, to enable them to self-manage their condition; caregivers, giving them access to online information, training and a support community; and physicians, allowing them to remotely monitor their patients. The LiveWell Project is cofounded by the European Commission through the Lifelong Learning Programme–Gruntvig Subprogramme. San Diego university to study successful aging in adults with HIV The National Institute of Mental Health, part of the National Institutes of Health, has awarded a US$3.4-million grant to researchers at the University of California, San Diego School of Medicine to study successful aging in HIV-infected adults. HIV is a chronic medical disease that today affects the lives of more than one million Americans. Since the advent of antiretroviral therapy (ART) to treat HIV, life expectancy of HIV+ adults has been increasing progressively. By 2015, nearly half of HIV+ individuals in the US will be over age 50, and this number is expected to keep rising. The newly funded study will be the first largescale investigation of successful aging in HIV-infected individuals ages 36–65 years. Its goals are to examine the positive psychosocial factors that determine self-perceived successful aging, such as resilience, hardiness, optimism and social engagement, reveals principal investigator Dilip Jeste, MD, Distinguished Professor of Psychiatry and Neurosciences and director of UC San Diego’s Stein Institute for Research on Aging. The study will also look at biomarkers of both physical and cognitive aging, comparing these factors in individuals who are HIV-infected with noninfected adults. The Journal on Active Aging July/August 2013 www.icaa.cc 15 NEWS from ICAA Preferred Business Partners more about ActiveRx, go online to www. activerx.com or call 480-840-1460. The Green System, by SportsArt Fitness SportsArt partners with EcoFit, gym on pilot program Located in the Hotel Grand Pacific in Victoria, British Columbia, the Victoria Athletic Club is piloting a program whereby members use the new SportsArt “Green System” to convert exercise into electricity while earning EcoFit points toward discounts and other offers from local businesses. The Green System is an ETL-listed suite of stationary bikes and elliptical machines that harnesses energy output by creating electricity that can be fed into the power grid. The Victoria club installed two pods of 10 machines, and expects to save approximately CDN$3,000 in electricity costs per year. For Green System product details, visit www.sportsartamerica.com. New ActiveRx model targets senior living communities ActiveRx, an Arizona-based company with a national network of stand-alone active-aging centers, has introduced ActiveRx on Campus. The company’s new model is targeted to senior living communities as an answer to the challenges of improving resident health and function, reducing resident turnover and increasing resident satisfaction. Matt Essex, ActiveRx founder and CEO, says, “ActiveRx on Campus will provide communities with the key ingredient for encouraging a contagious wellness culture, renewed hope and a redefined view of what is possible in aging.” To learn 16 Conductorcise provides fun, fitness in communities Conductorcise, a “sound workout for mind, body and soul” and its Maestro David Dworkin continue to travel the United States, bringing a workout to classical music designed to prompt brain and physical stimulation and engagement on all levels. Recently, Dworkin’s touring has taken him from Atria West 86 in New York City to Henry Ford Village in Dearborn, Michigan, and Moldaw Residences in Palo Alto, California. Events also took place at the Country Meadows Retirement Community in Hershey, Pennsylvania. Dworkin looks forward to additional events for sessions and certifications. For further information about this program, see www.conductorcise.com. Aegis Therapies tracks wellness metrics in skilled nursing centers After rolling out wellness services for stand-alone skilled nursing centers, EnerG by Aegis is now using validated assessments to track various metrics affected by its programming. These metrics are all related to personal wellness (e.g., depression, cognition, falls and hospital readmissions). Assessments include the Geriatric Depression Scale, the St. Louis University Mental Status Exam, and the Functional Reach Test. To track the progress of individuals, participants are assessed after completing a predetermined interval and then again at regular intervals throughout their stay. To discover more about EnerG by Aegis, refer to www.aegistherapies.com. BOSU ‘revitalizes’ website Hedstrom Fitness, makers of the BOSU, recently debuted its easier-to-navigate, mobile-friendly BOSU website, adding components to benefit its core trainer and fitness markets, as well as to attract The Journal on Active Aging July/August 2013 www.icaa.cc the youth, athlete, rehabilitation and active-aging markets. New features include, among others: a video vault with weekly workout videos; articles and information for the targeted markets; an events calendar with workshops and trainings with the BOSU International Master Trainer team; a BOSU newsletter with the latest exercises and health and wellness research on functional fitness; and social sharing, product ratings and reviews. Check out BOSU’s updated site at www.bosu.com. The HydroWorx 3500 Series Pool HydroWorx brings product to senior living market HydroWorx recently introduced its 3500 Series Pool as a low-pain modality for therapy and wellness programs in older-adult communities. The 12’ x 16’ (expandable up to 12’ x 24’) pool comes standard with HydroWorx’s patented underwater treadmill and jet technology, and can be customized to add a second treadmill and multiple jets. Its large interior space allows functionality for multiple patient therapy stations or group exercise classes, while the varying depth floor encourages progression. The first senior living installations include Presbyterian Village North in Dallas, Texas, and Peabody Retirement in North Manchester, Indiana. For product details, view www.hydroworx.com. IPFH gains Google grant The Institute for Preventive Foot Health (IPFH) recently received a Google for Nonprofits grant providing the equivalent of US$120,000 for a year to be used for keyword campaigns in Google search. “The grant will enhance our efforts to take a leadership role as an educational resource for information on preventive foot health and the management of foot pain and other foot conditions,” says IPFH President Lynn Thorneburg. “It will allow us to expand IPFH’s reach and help health professionals and consumers understand how healthy feet are the foundation of mobility and function.” Learn more about IPFH at www.ipfh.org. Sales professional Brian Jamison has advanced at Med-Fit Systems Med-Fit announces new partnership, promotes team members Med-Fit Systems, manufacturer of Nautilus commercial fitness equipment, recently announced its affiliation with Medical Fitness Academy (MFA), a Pennsylvania-based practice consulting company. According to MFA, the organization selected Med-Fit as its strength and cardio equipment provider because of Nautilus’s evidence-based designs and results. In other news, Med-Fit recently promoted Bruce Kaplan and Brian Jamison, two of its sales team members. Kaplan is now director of national accounts and GSA, while Jamison becomes national sales manager for Med-Fit’s commercial fitness division. Both men assumed their new duties in June. Discover more information about Med-Fit Systems at www.medfitsystems.com. Moving Toward Health to offer Nia training Moving Toward Health is sponsoring training to become a Nia instructor in San Diego, California, November 13–19. A fusion fitness pioneer, the Nia Technique teaches body-mind awareness through multiple movement forms from martial arts to dance, yoga, and other healing practices. The first of a five-belt system of training, the Nia White Belt Intensive is also available for personal growth. Trainer and gerontologist Janet Hollander will team with veteran trainer Ken Gilbert to add a special focus on older-adult needs met by the Nia Technique. Register online at nianow.com/ whitebelt. Additional details are available at www. movingtowardhealth.com New YogaFit certification equips instructors to help veterans of all ages YogaFit recently launched YogaFit for Warriors, a 100-hour certification program designed by Air Force veteran Shaye Molendyke, neuroscientist Stephanie Shorter and YogaFit founder Beth Shaw. This training prepares yoga teachers to bring safe, trauma-sensitive yoga to heal the body, mind and spirit of veterans of military service. Although focused on returning soldiers, this yoga approach is suitable for those of all ages who suffer from post-traumatic stress disorder, stress, anxiety and other mental/physical issues arising from military service, according to YogaFit. Find out more about the program at www.yogafit.com/trainings. NuStep unveils ‘Accountable Care’ solution for assistedliving clients NuStep has announced a new “Transforming Lives” solution to help its assisted-living customers thrive in the current “Accountable Care” environment in the US. According to the company, its aerobic recumbent cross-trainers and programming strategies have produced positive outcomes for heart health, activity engagement and cognitive impairment, which can help reduce hospitalizations and readmissions. NuStep welcomes the opportunity to show prospective clients how to leverage its outcomes to weave into sales narratives; open doors to referral sources; and support care transitions from acute rehabilitation to lifestyle exercise. To learn more, contact Linda Wojciechowicz at [email protected]. Keiser honors sales manager Keiser Corporation recently saluted Don Callahan, manager of Northeast Sales, on the anniversary of his 20th year with the company. During his tenure with Keiser, Callahan has established fitness programs at more than 250 senior living communities. He is known for his signature talk, “Successful Aging,” which he has presented in communities for the past 15 years. Friendly to aging joints and tissues, Keiser’s air-resistance technology has been included in “over 80 peer-reviewed and published research studies on strength training and its effect on aging,” according to its website. For product information, visit www.keiser.com. The NIFS Balance Challenge engaged participants in improving their balance NIFS program helps older adults who fear falling When the National Institute for Fitness and Sports (NIFS) provided a Balance Challenge at its client communities in March 2013, the goal was to increase resident engagement in opportunities to improve physical balance. The organization subsequently learned that the initiative also helped many residents overcome fear of falling. The 265 participants rated both their perception of their balance and fear of falling before and after the program. After the program, 102 (38.5%) reported a decrease in their fear of falling; 123 (46.4%) reported no change; and 40 (15%) reported increased fear. For information about NIFS, visit www.nifs.org. The Journal on Active Aging July/August 2013 www.icaa.cc 17 RESEARCH in the news Small says. Either way, he adds, the survey reinforces the importance, for all ages, of adopting a healthy lifestyle to help limit and forestall age-related cognitive decline and neurodegeneration. Sources: University of California, Los Angeles, May 30, 2013; International Psychogeriatrics, 25(6), 991, 2013 Watching others do physical activities helps stroke patients recover function The brains of stroke patients show strong cortical motor activity when observing others performing physical tasks—a finding that offers insight into stroke rehabilitation, according to a recent study. Research on the brain and issues that affect cognitive health and aging Healthy lifestyle choices mean fewer memory complaints Research has shown that healthy behaviors are associated with a lower risk of Alzheimer’s disease and dementia, but less is known about the potential link between positive lifestyle choices and milder memory complaints. To examine the impact of these lifestyle choices on memory, University of California, Los Angeles (UCLA) researchers and the Gallup organization collaborated on a nationwide poll in the United States of more than 18,500 individuals ages 18–99. The poll included 5 questions: 1. Do you smoke? 2. Did you eat healthy all day yesterday? 3. In the last 7 days, on how many days did you have 5 or more servings of vegetables and fruits? 4. In the last 7 days, on how many days did you exercise for 30 minutes or more? 5. Do you have any problems with your memory? Respondents across all age groups who engaged in just one healthy behavior were 18 21% less likely to report memory problems than those who didn’t engage in any healthy behaviors. Those with 2 positive behaviors were 45% less likely to report problems, those with 3 were 75% less likely, and those with more than 3 were 100% less likely. The poll found that healthy behaviors were more common among older adults (ages 60–99) than the other 2 age groups (ages 40–59 and 18–39). Seventy percent of older adults engaged in at least one healthy behavior, compared with 61% of midlife individuals and 58% of younger respondents. And while 26% of older adults and 22% of midlife respondents reported memory issues, it was surprising to find that 14% of the youngest age group complained about their memory too, the researchers note. Lead author Gary Small, MD, director of the UCLA Longevity Center, observes that, generally, memory issues in younger people may be different from those of older generations. Stress may play more of a role. Also, the widespread use of technology that results in constant multitasking may impact attention span, making it harder to focus and remember. Further study and polling may help tease out such memory-complaint differences, The Journal on Active Aging July/August 2013 www.icaa.cc Using functional magnetic resonance imaging (fMRI), researchers from the University of Southern California monitored the brains of 24 individuals—12 who had suffered strokes and 12 age-matched people who had not—as they watched others performing actions made using the arm and hand that would be difficult for a stroke survivor to use. The actions included lifting a pencil or flipping a card, among others. The brains of nonaffected individuals responded to the visual stimulus with activity in cortical motor regions that generally are activated when we watch others perform actions. In contrast, in the stroke-affected brains, activity was strongest in these regions of the damaged hemisphere—and strongest when survivors viewed actions they would have the most difficulty performing. “Watching others perform physical tasks leads to activations in motor areas of the damaged hemisphere of the brain after stroke, which is exactly what we’re trying to do in therapy,” states lead author Kathleen Garrison, now a post-doctoral researcher at Yale University School of Medicine. This type of “actionobservation” is like a virtual exercise program for the brain, the researchers suggest, preparing individuals for the real exercise that includes brain and body. Sources: University of Southern California, June 11, 2013; Stroke, 44(8), 2247–2253, 2013 Exercise may be the best medicine for Alzheimer’s New research from the University of Maryland School of Public Health in College Park reveals that exercise may improve cognitive function in those at risk for Alzheimer’s by improving the efficiency of brain activity associated with memory. Memory loss leading to Alzheimer’s disease is one of the greatest fears among older Americans. While some memory loss may be expected as we age, a diagnosis of mild cognitive impairment (MCI) signals more substantial memory loss and a greater risk for Alzheimer’s. The study, led by J. Carson Smith, PhD, assistant professor in the Department of Kinesiology, provides new hope for those diagnosed with MCI. It shows that an exercise intervention with older adults with MCI (average age 78) improved not only memory recall, but also brain function, as measured by functional neuroimaging (via fMRI). “We found that after 12 weeks of being on a moderate exercise program, study participants improved their neural efficiency—basically they were using fewer neural resources to perform the same memory task,” says Smith. Two groups of physically inactive older adults (ages 60–88 years) were put on the program, which focused on regular treadmill walking and was guided by a personal trainer. Both groups—one that included adults with MCI and the other with healthy brain function—improved their cardiovascular fitness by about 10% at the end of the intervention. More notably, both groups also improved their memory performance and showed enhanced neural efficiency while engaged in memory retrieval tasks. These results were achieved with an exercise dose consistent with physical activity recommendations for older adults (moderate intensity exercise on most days for a weekly total of 150 minutes). One of the first observable symptoms of Alzheimer’s disease is the inability to remember familiar names. The researchers had study participants identify famous names and measured their brain activation while engaged in correctly recognizing a name (e.g., Frank Sinatra). “The task gives us the ability to see what is going on in the brain when there is a correct memory performance,” Smith explains. Tests and imaging were performed both before and after the 12-week exercise intervention. Brain scans taken after the exercise intervention showed a significant decrease in the intensity of brain activation in 11 brain regions while participants correctly identified famous names. The brain regions with improved efficiency corresponded to those involved in the pathology of Alzheimer’s disease. The exercise intervention was also effective in improving word recall via a “list learning task,” the researchers note. “People with MCI are on a very sharp decline in their memory function, so being able to improve their recall is a very big step in the right direction,” Smith states. The study results suggest that exercise may reduce the need for overactivation of the brain to correctly remember something. Smith has plans for a larger study that would include more participants, including those who are healthy but have a genetic risk for Alzheimer’s, and follow them for a longer time period with exercise in comparison to other types of treatments. He and his team hope to learn more about the impact of exercise on brain function and whether it could delay the onset or progression of Alzheimer’s disease. Sources: University of Maryland School of Public Health, July 30, 2013; Journal of Alzheimer’s Disease, 2013, doi: 10.3233/ JAD-130467 Increases in heart disease risk factors may decrease brain function Brain function in adults as young as 35 may decline as their heart disease risk factors increase, suggests recently published research. “Young adults may think the consequences of smoking or being overweight are years down the road, but they aren’t,” comments Hanneke Joosten, MD, lead author of the study and nephrology fellow at the University Medical Center in Groningen, The Netherlands. “Most people know the negative effects of heart risk factors such as heart attack, stroke and renal impairment, but they do not realize it affects cognitive health. What’s bad for the heart is also bad for the brain.” The Dutch study included 3,778 participants ages 35–82 years who underwent cognitive function tests that measure the ability to plan and reason and to initiate and switch tasks. A separate test gauged memory function. The Framingham Risk White Belt INTENSIVE Nov. 13-19, 2013 San Diego Before the ICAA Conference Become a Nia Teacher Take your clients to a new plateau of health & vitality, becoming Elders who are focused & aware, with purpose, confidence, & body literacy. All abilities. Enhance your career, communication, listening, creativity, learning, teaching The Body’s Way, blending Martial Arts, Dance Arts, Healing Arts. “Nia is more than an innovative fusion fitness program. Nia training has transformed my life. Please join me for an ICAA-tailored Nia week.” Janet Hollander Nia Training Faculty Teaching Nia since 1995 Elder Fitness since 1982 Retirement Programming since 1987 [email protected] REGISTER NOW at: nianow.com/whitebelt scroll down to Nov.13 Offered by Moving Toward Health An ICAA Business Partner Continued on page 20 The Journal on Active Aging July/August 2013 www.icaa.cc 19 RESEARCH in the news Continued from page 19 Score determined their risk for cardiovascular events in the next 10 years. The researchers found: • Participants with the most heart disease risks performed 50% worse on cognitive tests than participants with the lowest risk profile. • The overall Framingham Risk Score, age, diabetes, bad cholesterol, and smoking were negatively linked to poor cognitive scores. • Compared to nonsmoking participants, those who smoked 1–15 cigarettes daily had a decrease in cognitive score of 2.41 points and those smoking more than 16 cigarettes daily decreased 3.43 points. The memory scores had a similar association. • Two risk factors—smoking and diabetes—were strong determinants of cognitive function. “There clearly is a dose response among smokers, with heavy smokers having a lower cognitive function than light or nonsmokers,” Joosten states. “Smoking cessation programs might not only prevent cancer, stroke and cardiovascular events, but also cognitive damage.” Sources: American Heart Association, May 2, 2013; Stroke, 44(6), 1543–1549, 2013 Mental agility video game may improve cognitive abilities A study conducted at the University of Iowa (UI) in Iowa City found that older people who played 10 hours of a game priming their mental processing speed and skills delayed declines in a range of cognitive skills by as many as 7 years. The study comes amid a burst of research examining why, as we age, our minds gradually lose executive function, generally considered “mission control” for critical mental activities, such as memory, attention, perception and problem-solving. Lead author Fredric Wolinsky, PhD, professor in the UI College of Public Health, and colleagues separated 681 generally healthy individuals into a control group and groups ages 50–64 and over 65 years. Members of the control group were asked to play computerized crossword puzzles, 20 while members of 3 other groups played a video game. This game involved identifying a type of vehicle, and then reidentifying the vehicle type and matching it with a road sign displayed from an array of possibilities. Players must succeed in at least 3 of every 4 tries to advance to the next level, which speeds up the game and adds 47 more distractions. The goal is to increase the user’s mental speed and agility at identifying the correct road signs. The groups that played the video game at least 10 hours, either at home or in a lab at the university, gained at least 3 years of cognitive improvement when tested after one year, according to a formula developed by the researchers. A group that had 4 additional hours of training with the game did even better, improving their cognitive abilities by 4 years. The researchers also found that those who played the game scored better than the crossword-puzzle group on tests of concentration, nimbleness shifting from one mental task to another, and the speed at which they processed new information. Sources: University of Iowa, May 1, 2013; PLOS One, 8(5), e61624, 2013; doi: 10.1371/ journal.pone.0061624 Weight loss improves memory, alters brain activity in older overweight women Memory improves in older overweight women after they lose weight by dieting, and their brain activity changes in the regions of the brain that are important for memory tasks, a new study finds. The results were presented at The Endocrine Society’s 95th Annual Meeting in San Francisco, California, in June. “Our findings suggest that obesityassociated impairments in memory function are reversible, adding incentive for weight loss,” reveals lead author Andreas Pettersson, MD, a PhD student at Umea University, Umea, Sweden. Previous research has shown that obese people have impaired episodic memory—the memory of events that happen throughout one’s life. The researchers randomly assigned 20 overweight, postmenopausal women (av- The Journal on Active Aging July/August 2013 www.icaa.cc erage age 61) to one of 2 healthy weight loss diets for 6 months. Nine women used the Paleolithic diet, also called the Caveman diet, which was composed of 30% protein, 30% carbohydrates and 40% unsaturated fats. The other 11 women followed the Nordic Nutrition Recommendations of a diet containing 15% protein, 55% carbohydrates, and 30% fats. The investigators measured the women’s body mass index (BMI) and body fat composition before and after dieting. They tested the participants’ episodic memory by instructing them to memorize unknown pairs of faces and names presented on a screen during brain imaging. Later, the women saw the facial images along with three letters. Their memory retrieval task was to indicate the correct letter corresponding to the first letter of the name linked to the face. Because the 2 dietary groups did not differ in body measurements and imaging data, the data were combined and analyzed as one group. The group’s average BMI decreased from 32.1 before the diet to 29.2 after 6 months of dieting, and their average weight dropped from 188.9 lbs. to 171.3 lbs., the authors report. After weight loss, memory performance improved and brain activity increased during memory encoding in the brain regions important to identifying and matching faces. In addition, brain activity decreased after weight loss in the regions associated with retrieval of episodic memories, which indicates more efficient retrieval, according to Pettersson. Source: The Endocrine Society, June 15, 2013 Brain can be trained in compassion Little has been scientifically known about the human potential to cultivate compassion—the emotional state of caring for people who are suffering in a way that motivates altruistic behavior. A new study finds that, in fact, adults can be trained to be more compassionate. These results may particularly interest organizations whose workers provide care or supportive services to individuals in their homes or other settings. Researchers from the Center for Investigating Healthy Minds at the University of Wisconsin–Madison’s Waisman Center trained young adults to engage in compassion meditation, an ancient Buddhist technique. Participants envisioned a time when someone had suffered, and then practiced wishing that the person’s suffering was relieved. They repeated phrases such as, “May you have joy and ease.” Participants practiced with different categories of people, first starting with a loved one. Then, they practiced compassion for themselves, then a stranger and, finally, someone with whom they actively had conflict. The group that received compassion training was compared to a control group that learned cognitive reappraisal, a technique whereby people learn to reframe their thoughts to feel less negative. Both groups listened to guided audio instructions over the Internet for 30 minutes per day for 2 weeks. To test the impact of this training, participants played a game, also online, in which they had the opportunity to spend their own money to respond to someone in need. “We found that people trained in compassion were more likely to spend their own money altruistically to help someone who was treated unfairly,” says Helen Weng, MS, lead author of the study and a graduate student in clinical psychology. Using functional magnetic resonance imaging (fMRI), the researchers measured changes in brain responses at the outset and the end of the study while participants viewed images depicting human suffering. They found that the people who were the most altruistic after compassion training showed the most brain changes when viewing suffering. Activity was increased in the inferior parietal cortex, a brain region involved in empathy and understanding others. Compassion training also increased activity in the dorsolateral prefrontal cortex and the extent to which it communicated with the nucleus accumbens, regions involved in emotion regulation and positive emotions. Through this training, “[p]eople seem to become more sensitive to other people’s suffering, but this is emotionally challenging,” explains Weng. “They learn to regulate their emotions so that they ap- proach people’s suffering with caring and wanting to help rather than turning away.” Weng observes, “Our fundamental question was, ‘Can compassion be trained and learned in adults? Can we become more caring if we practice that mindset?’ Our evidence points to yes.” The audio files and scripts used in the compassion training are available for download on the center’s website at http://investigatinghealthy minds.org/compassion.html. Sources: Association for Psychological Science, May 22, 2013; Psychological Science, 24(7), 1171–1180, 2013 ICAA Research Review. Stay up to date with current research by reading ICAA Research Review, the online newsletter of breaking news in health, wellness and demographics. Published 45 times each year, ICAA Research Review is emailed to International Council on Active Aging® members. For more information, visit www.icaa.cc or call ICAA toll-free at 866-335-9777. Strengthen your heart, open your ears and challenge your mind with an invigorating workout that pairs the physical and the cognitive. Maestro David Dworkin’s CONDUCTORCISE® gets participants enthused about classical music, and keeps them engaged, thinking, in motion, healthy and having fun! As a Master Champion for ICAA’s Changing The Way We Age® Campaign, Dworkin also aims to capture the imagination and attention of people of all fitness levels. Stay ‘in tune’ with successful aging Conductorcise has been hailed at: • conferencesoftheAmericanCollegeofCardiologyandthe Alzheimer’s Association • Parkinson’sdisease,diabeticandosteoporosisclinics • AmericanHeartAssociation’sHeartWalk • seniorlivingcommunitiesandrehabilitationfacilitiesacrosstheglobe “Conductorcise is a wonderful marriage of music, fun, connections and aerobic exercise. It is hard to conceive of a more engaging challenge experience that all people will love, learn and get healthy from.”–Dr. John J. Ratey, Faculty,HarvardMedicalSchool For more information, visit www.Conductorcise.com or call 914.244.3803 Conductorcise 1/2 p ad.indd 1 11-10-11 2:52 PM The Journal on Active Aging July/August 2013 www.icaa.cc 21 Gerontology Resilience: a requirement for successful aging in all settings The importance of building resilience in older adults in communities, seniors centers, and other organizations within the active-aging industry cannot be underestimated, experts agree. Here’s how to do it by Marilynn Larkin, MA Imagine it’s your 95th birthday. You’ve been in a hospital for a month, battling a respiratory infection, but defying all odds, you are actually doing better.1 The strength that drove you to endure 27 years in prison, to finally attain freedom and to become an icon for your nation clearly is still present. Nelson Mandela is arguably one of the world’s best examples of resilience—the ability to bounce back after a challenge. It’s a quality most of us have to some degree, and experts 22 The Journal on Active Aging July/August 2013 www.icaa.cc agree it can be bolstered and reinforced in the right environments. “Resilience goes hand in hand with wellness and successful aging,” says Colin Milner, founder and CEO of the International Council on Active Aging® (ICAA). “The right kinds of environments foster resilience in older adults, and we encourage ICAA members to embrace these environments in much the same way they have embraced the wellness model and the goals of successful aging. “While the concept of building resilience is not new,” continues Milner, “it is increasingly urgent now, given the burgeoning number of older adults and the potential burden on healthcare systems if people are encouraged to be ‘cared Continued on page 24 Resilience: a requirement for successful aging in all settings Continued from page 22 for’ rather than to stay independent. Also, Boomers are looking to join communities and organizations that promote engagement and unique experiences rather than simply providing care or hospitality,” 2 he states. “Resilience is an important quality for those active settings, where taking on new challenges is often part of the appeal.” Experts who have explored and helped implement resilience-building strategies for older adults agree on the need to promote resilience in all constituencies. In addition, these experts share a basic philosophy and approach for reaching that goal. Each one also brings unique perspectives to the discussion based on their experiences in the industry and/or the gerontological research community. This article distills information provided by the interviewees about the benefits of encouraging older adults to become more resilient. It also offers insights from these experts on ways to change organizational cultures to foster resilience, and provides specific approaches that have been successful. Can resilience be learned? Intuitively, we might believe that some people, such as Nelson Mandela, are more resilient than others, and that little can be done to help those who can’t seem to respond robustly to life’s challenges. But that’s only partly true, according to our sources. “Some people probably are genetically more resilient than others, but the genetic component is just one piece of the picture,” says Barbara Resnick, PhD, CRNP, FAAN, FAANP, professor in the Department of Organizational Systems and Adult Health at the University of Maryland School of Nursing in Baltimore. “Learned behavior also plays a role,” she notes— “and that’s where we definitely can make a difference.” “As Aristotle said more than two thousand years ago, ‘You are what you 24 repeatedly do,’” adds David Gobble, PhD, director of Masterpiece Living Academy, an entity established by the Florida-based successful aging initiative, Masterpiece Living, to offer expert guidance. “To me, this means that we live out our lives based on the patterns we’ve established,” Gobble continues. “People who established healthy patterns— eating right, exercising regularly, not smoking—early in life are more likely to do better later in life as a result of those patterns. The same is true of resilience,” he explains. “People who are accustomed to bouncing back from adversity will continue to do so into their 80s, 90s and beyond. However, it’s still possible to establish more healthful patterns later in life, if we can motivate people to make those changes and show them how to do it.” According to Kay Van Norman, MS, president of the consulting firm Brilliant Aging in Bozeman, Montana, older adults are likely to be more resilient than most people—or they themselves—believe. “You don’t live to be in your 80s without having been resilient throughout your life, because you can’t live that long without having faced and come back from challenges, be they physical, emotional, financial or any other type. “However, if resilient individuals suddenly find themselves in environments where people do everything for them, they’ll likely stop flexing that resilience muscle,” Van Norman says. “To prevent that from happening, we need to rethink how we interact with residents and members. We need to consistently support independent decision-making and autonomy, which enable people to take charge in the face of a challenge, rather than becoming a victim.” Changing organizational cultures to support resilience Allowing older adults to flex their resilience muscles often requires a change in organizational culture. This, in turn, will The Journal on Active Aging July/August 2013 www.icaa.cc Characteristics of resilient older adults Research suggests that the following qualities are commonly noted in resilient older adults*: • positive interpersonal relationships • positive self-esteem • strong self-efficacy • self-determination • a sense of purpose • acceptance of changes (physical and mental) • ability to use humor • creativity • optimism • spirituality • ability to maintain a positive attitude • ability to identify and utilize resources * Adapted from Resnick, B., Gwyther, L., & Roberto, K. (eds.). (2011). Resilience in Aging. New York, NY: Springer. influence both staff expectations and the expectations of their constituencies. “I’m putting this out as a challenge to the active-aging industry: Think differently about how you work with older adults and prioritize building resilience in your communities and organizations,” states Resnick, a member of ICAA’s Scientific Advisory Board. “Yes, this is already happening in some settings. Many others, however, are steeped in caring or catering to older adults, rather than engagement and growth.” “It’s a conundrum,” Gobble notes. “We’re trying to create environments we believe are pleasant and appropriate for people, and in so doing, we often overserve them and make everything Continued on page 26 Resilience: a requirement for successful aging in all settings Continued from page 24 too easy. We also want environments that are easy for us to manage—but easy for the professional doesn’t necessarily mean growth for the resident,” he stresses. “That is our challenge to ourselves.” Culture change begins with support and belief by an organization’s executive management, our interviewees agree. “Every time an executive director meets with staff, a key question needs to be, ‘How does what we’re doing or planning to do affect our growth environment and how does it support our core mission?’” Gobble observes. “Organizations with executive directors who literally state that at every formal meeting make progress, and we see change. Until that happens, all the talk about core values is just hot air.” Creating culture change involves “training the entire staff on human potential and aging, because many people working in our industry underestimate that potential,” Gobble continues. “If someone doesn’t expect you to be able to do something and doesn’t work toward creating an environment in which you’ll be able to do that thing, then you most likely won’t do it.” Resnick agrees. She gives this example: “When we just provide care, if individuals have a new physical challenge that affects walking—recovery from a hip replacement, for example—the tendency is to put them in a wheelchair and not make them walk any more. That approach doesn’t allow the person to build resilience.” Staff often are too quick to accept “no” for an answer, Resnick adds. “Staff may start out by saying, ‘I’m going to work with you and help you believe you can overcome this hip fracture.’ But if someone refuses to go to therapy, there are two options—to keep working with the person, pushing every day and never givContinued on page 28 26 Building resilience in professional caregivers Older adults are not the only ones who need to develop and maintain resilience. In settings such as skilled nursing and memory care, those who assist older adults also need to be able to overcome challenges—including personal problems, stresses inherent in providing care for residents and dealing with family members, as well as deaths of cared-for individuals. Mary S. Mittelman, DrPH, director of Psychosocial Research and Support at the Comprehensive Center on Brain Aging, and Research Professor, Department of Psychiatry, NYU Langone Medical Center in New York, and colleagues recently received a grant to develop online training to help certified nursing assistants (also called patient care technicians) better relate to and interact with those they care for in acute care settings. “Paid caregivers can’t do their jobs effectively if they are on the brink of burnout,” comments Mittelman. “We’re hypothesizing that they will do a better job and stay on the job longer if they can develop individual relationships with each patient. “Treating the paid caregiver as a valued individual is a key strategy in this approach,” Mittelman says. “If all members of the staff feel valued, their own feelings of self-confidence and efficacy are bolstered—and it makes them better able to interact in a personal way with patients. Resilience in this situation comes from the inner knowledge that you’re making a difference in people’s lives, and that you’re not involved in confrontations, but rather interactions.” Here are additional strategies to try: Educate caregivers about their patients’ illnesses and how those conditions may influence mood and behavior. “Dementia is the illness in our case, but for others, it could be conditions such as depression or Parkinson’s—anything that could affect the patients’ own feelings of self-efficacy The Journal on Active Aging July/August 2013 www.icaa.cc and resilience,” Mittelman states. “Understanding that not all patient behaviors should be taken personally can free the caregiver to defuse unpleasant situations without engaging in conflict.” Suggest care behavior changes in a nonthreatening way. Mittelman recalls one individual who hated lasagna but received it for dinner almost daily. “The menu was sitting in a corner on a table, but he was not offered the opportunity to choose from it. When the nursing assistant came in to collect the tray, I said, ‘I don’t mean to be critical, but I wonder if you realize how important it is for the person in the bed to be able to make a decision.’ She said, ‘Well, he was asleep when I came by.’ I told her that it was nice that he was allowed to sleep, ‘but deciding what to eat is probably one of the very few decisions he can make here.’ She understood and immediately canceled the existing dinner order, replacing it with food he had previously chosen. The goal was achieved without making the staff member feel ‘wrong’ or ‘blamed.’” Provide regular team meetings. Giving paid caregivers the chance to interact and discuss strategies that have worked for them can increase their feelings of self-efficacy, Mittelman suggests. Such meetings also provide a forum for discussing strategies that didn’t work, and opportunities to discover why. Encourage creative ideas that enhance caregiver-older adult relationships. Mittelman points to one paid caregiver who soothed her dementia patients by singing to them. “I asked where she got the idea and she said, ‘Oh, it was sort of obvious to me. It started because I knew one woman liked gospel songs, so I sang gospel songs when I took her into the shower,’” Mittelman recounts. “The fact that the intervention provided a successful experience was a source of pride—and rightly enhanced her confidence.” Resilience: a requirement for successful aging in all settings Continued from page 26 ing up, or saying, ‘Okay, forget it. You’ve had your chance.’ And in some communities, it’s acceptable for caregivers to ask once and then move on to someone else,” she states. “Or for them to stop helping if an adult child says, ‘Oh, but my mother doesn’t want to do therapy,’ instead of standing up and saying that they’re working to build the parent’s resilience and recovery and success.” Van Norman, a member of ICAA’s Industry Advisory Board, points out that staff often will say, “Well, these people can’t take care of themselves. They do need our help.” While that may be true, “the idea that you have to protect and support often is taken to the extreme, and bleeds into every interaction,” she observes. “That’s the time to step back, take age out of the equation and start looking at individuals only from the point of view of their particular needs, and how you might help them develop adaptive strategies for self-care. The focus needs to be on helping older adults create their own reality and take responsibility for their lives, rather than creating their reality for them. “True, you can’t just wave a magic wand and say, ‘Okay, everyone be resilient now,’” Van Norman admits. “Organizations have to look at their environments from the ground up, and at all of their policies and procedures through the lens of resilience. When this is done, people often are surprised at how many times they have to say, ‘Well, this policy probably diminishes rather than supports resil- ience.’” She adds, “Yes, sometimes, things have to be done in a certain way. But many times, you can find alternatives.” Changing cultures also requires changing the mindsets of one’s constituencies. Self-stereotyping (e.g., “I’m too old to do that”) and the learned helplessness that accompanies it (e.g., “I’ll never get to the dining room unless you wheel me there”) are reinforced in the care model. It may be difficult to convince residents of their own abilities if they are accustomed to that model. Nevertheless, says Resnick, “We need to create situations in which people say, ‘Wow! I did that.’ Because it’s only through that acknowledgement that they’ll grow and move out of the gloom and doom of ‘I can’t this, I can’t that.’” R e s o u r c e s Internet Successful Aging (in press). Austin, TX: Greenleaf Book Group, LLC American Psychological Association’s Psychology Help Center: The road to resilience www.apa.org/helpcenter/roadresilience.aspx Rowe, J. W., & Kahn, R. L. (1998). Successful Aging. New York, NY: Dell Publishing Masterpiece Living www.mymasterpieceliving.com Barbara Resnick: Function Focused Care www.functionfocusedcare.org University of Maryland School of Nursing www.nursing.umaryland.edu Kay Van Norman: Brilliant Aging www.kayvannorman.com Print Landry, R. (2014). Live Long, Die Short: A Guide to Authentic Health and 28 Winner, S., & Shook, L. (2010). The Silverado Story: A Memory-Care Culture Where Love is Greater than Fear. Irvine, CA: AJC Press Dr. Barbara Resnick of the University of Maryland School of Nursing recommends the following additional resources: Hardy, S., Concato, J., & Gill, T. M. (2004). Resilience of communitydwelling older persons. Journal of the American Geriatrics Society, 52(2), 257–262 Kadner, K. (1989). Resilience: responding to adversity. Journal of Psychosocial Nursing, 27, 20–25 The Journal on Active Aging July/August 2013 www.icaa.cc Kinsel, B. (2005). Resilience as adaptation in older women. Journal of Women and Aging, 17(3), 23–39 Lamond, A., Depp, C., Allison, M., et al. (2008). Measurement and predictors of resilience among communitydwelling older women. Journal of Psychiatric Research, 43(2), 148–154 Newman, R. (2005). APA’s resilience initiative. Professional Psychology: Research and Practice, 36(2), 227–229 Resnick, B. (2010). Successful aging. Rooted in resilience. ADVANCE for NPs & PAs, 1(1), 31–47 Resnick, B., Gwyther, L., & Roberto, K. (eds.). (2011). Resilience in Aging. New York, NY: Springer Tusaie, K., & Dyer, J. (2004). Resilience: a historical review of the construct. Holistic Nursing Practice, 18(1), 3–8 Resilience-boosting strategies Changing cultures and attitudes takes time, but some resilience-building strategies can be implemented right away. Resnick identifies three areas of focus:3 • • • fostering attributes such as vigor, optimism and physical robustness strengthening self-efficacy, self- esteem and motivation improving socialization However, she stresses that these areas are not mutually exclusive: An intervention in one area—improving physical activity, for example—can also boost a person’s self-esteem and selfefficacy, and provide opportunities for socialization. Following are some resilience-boosting strategies shown to be effective in various older-adult settings: Set realistic and attainable goals with input from the older adult. “Some older adults have a hard time setting goals so sometimes we have to push a bit— but regardless of age or condition, people can still have goals,” Resnick emphasizes. “It might be walking to the dining room or being the first one to get there. For some people, it’s just getting up the next day. Whatever it is, we need to start there and move forward.” If individuals have cognitive impairments that preclude goalsetting, speak with family members and friends and set goals based on prior life accomplishments, she advises. Address concerns such as fear of falling or exacerbating underlying medical problems. These fears can interfere with the person’s willingness to embark on an activity or persist in it long enough to achieve feelings of selfefficacy, Resnick observes. “Sometimes, all it takes is a conversation or accompanying the person to the activity to allay anxieties.” Provide opportunities for meaningful engagement. “If I’m in an environment where people do things for me all the time, where everything is set up for me and I don’t have to go through the process of figuring things out, it’s easy to feel like I’ve lost my sense of mastery,” Van Norman comments. “This loss can’t be replaced with an array of activities. We need to foster a sense of meaningful engagement—involvement in something that matters to the individual and/or to the community and society. It needs to be purpose-driven,” she adds, “whether it’s about helping one’s own ability to function or contributing to some larger cause.” Review and remind the person about how they faced and overcame previous challenges. “By reminding people that they’ve been resilient in their life and helping them recall specific instances when they’ve shown resilience, we can help them build resilience in the here and now,” says Van Norman. “People sometimes get an idea that they’re resilient or they’re not. That’s just another form of self-stereotyping that can stand in their way and prevent them from seeking adaptive strategies.” Build challenges into every activity so that people have opportunities to incorporate new successes. “This runs counter to the care and hospitality models,” notes Gobble, “but we should be doing things like scheduling activities in such a way that people have to, for example, walk an extra 50 ft. to get there. By doing so, our members will simply have to rise to the challenge.” Encourage social support. “Social support groups play a key role in promoting resilience, particularly in the face of an unexpected challenge, such as the loss of a loved one,” mentions Roger Landry MD, MPH, preventive medicine physician and president of Masterpiece Living, LLC. “A social support group doesn’t just take care of people or help them get through a challenge; it allows them to talk about their fears and reinforces that they don’t have to handle everything on their own.” Landry has written a book—Live Long, Die Short: A Guide to Authentic Health and Successful Aging (in press)—to educate people about what they need to be healthy and age well, including strong social engagement.4 Moving forward “For the active-aging industry, the operative word increasingly is active,” observes ICAA’s Milner. “Environments that offer choices, positive challenges, growth opportunities and the idea of doing ‘with’ rather than doing ‘for’ are increasing. These same environments promote what we have come to recognize as ‘successful aging,’” he says. “Now is the time to truly embrace these resiliencebuilding, life-enhancing strategies for clients of all ages and abilities.” Marilynn Larkin, MA, is an awardwinning medical writer and editor, as well as an ACE-certified personal trainer, group fitness instructor and originator of Posture-cize. She is also ICAA’s Communications Director and a regular contributor to the Journal on Active Aging®. References 1. Govender, P. World pays tribute as “improving” Mandela turns 95. Reuters, July 18, 2013. Retrieved on July 20, 2013, from http://www. reuters.com/article/2013/07/18/us-mandelaimproving-idUSBRE96H04F20130718. 2. Bortz, D. Boomers Flock to Niche Retirement Communities. US News and World Report, July 20, 2013. Retrieved on July 20, 2013, from http://money.usnews.com/money/retirement/ articles/2012/04/13/boomers-flock-to-nicheretirement-communities. 3. Resnick, B., Gwyther, L., & Roberto, K. (eds.). (2011). Resilience in Aging. New York, NY: Springer. 4. Landry, R. (2014). Live Long, Die Short: A Guide to Authentic Health and Successful Aging (in press). Austin, TX: Greenleaf Book Group. The Journal on Active Aging July/August 2013 www.icaa.cc 29 Communication Crisis management: when bad things happen to good companies With corporate crises filling headlines daily, ‘the really smart companies prepare for when a crisis hits, not if’ molehill of a problem can become a crisis mountain before you’ve had your first cup of coffee. That is, unless you have some serious crisis-management savvy. by Michelle Moore “Crisis management” and “disaster management” have become part of the everyday business vernacular—and with good reason. Every day, there are numerous crisis situations filling headlines. The really smart companies prepare for when a crisis hits, not if. Why? Because, the reality is your organization is judged by its ability to handle the crisis, not the fact that the crisis occurred. Do you ever feel that the decisions, words and actions of your industry and your company are under a microscope? That minor mistakes or unpopular policies—which a few years ago were known only to your immediate and innermost circles—now spin out of control splashed across Facebook, Twitter and even the evening news? Have you ever lost clients, seen sales halt or watched your stock plummet as a result? Welcome to navigating business communication in the 21st century. Surviving this strange new dynamic is not for the faint of heart. Today, thanks to a media that never sleeps, a small 30 The Journal on Active Aging July/August 2013 www.icaa.cc A crisis situation, handled well, provides an opportunity to demonstrate strength of reputation, values, and customer commitment. One way these things are demonstrated to your constituencies is through the media. Coming out stronContinued on page 32 Crisis management: when bad things happen to good companies Continued from page 30 ger on the other side is possible, and is purely a function of being prepared to do so. The first step is to understand the media landscape. A challenging landscape With the 24/7 global nature of communication today, companies are under more media scrutiny than ever before. By “media,” I mean anyone with an ability to communicate with an audience, and not just in the form of television, radio, newspaper, magazine and online. While traditional reporters will chomp at the bit the minute they sniff a potentially controversial news story, every one of your employees and customers—even competitors—can join their ranks if they have a Facebook page, Twitter account, YouTube channel or LinkedIn profile. In fact, these new “content generators” can be the source of crisis situations you never would have imagined. What they think about you—if they are upset and social media savvy—can quickly spiral out of control and grab the attention of the traditional news. That makes mastering crisis management a must-have skill for anyone charged with a communications task inside a company today. Although crises are by their very nature unpredictable, it is possible to list and prepare for those potential negative threats that might occur. You can learn concepts and techniques to guide you and help you maintain order when your company is in crisis mode and in the public eye. Crisis defined So, what is a crisis and why does it matter to your company? A crisis is any unexpected event, real or rumored, that has the potential to damage your organization’s reputation. It’s your values, your integrity, and your wherewithal on trial in the court of public opinion. And, it matters because your reputation is a tangible asset. 32 We’ve all heard that it takes years of hard work to build a reputation and only a few days to destroy it. But inside many organizations, unless staring down the face of a crisis situation, the gravity of the platitude sometimes rings hollow, and they may fail to adequately plan. with few regrets because you will have gained valuable skills that allow you to better manage a crisis and better protect your reputation. Clear thinking drives smart decisions—which are essential to damage control—and is a function of adequate preparation. It wasn’t so hollow for Glenwood Gardens in Bakersfield, California, when a 911 dispatcher pleaded with a nurse to save a resident’s life by giving her CPR, and the nurse said policy did not allow her to. In fact, when the audiotape of the 911 call was released and made the news, it was a crisis of catastrophic proportions. Though I’ve never worked with this senior living community, I’m certain there are many things that, in retrospect, the administrators would have done differently. The reality is some crisis situations are preventable. That’s because there are two basic types of crisis: sudden and smoldering. [Ed. For those unfamiliar with this incident, Brookdale Senior Living, the national owner/operator of Glenwood Gardens, was drawn into a media firestorm. Initially, Glenwood Gardens confirmed its protocol in a health emergency was to call emergency services and wait with the resident until responders arrived. Brookdale said it was doing an internal review to determine the facts and also provided the media with some details. The company stated that Glenwood Gardens was an independent living community, which by law was not licensed to give medical care to residents; and that its employee “was serving in the capacity of a resident services director, not as a nurse.” A later statement by Brookdale clarified that the incident “resulted from a complete misunderstanding of our practice with regards to emergency medical care for our residents.” The organization was “conducting a company-wide review of our policies involving emergency medical care across all of our communities.”] Ultimately, understanding and mastering disaster management will enable you to look back after a crisis situation The Journal on Active Aging July/August 2013 www.icaa.cc Two types of crises Of all the crisis situations experienced by businesses over the last decade, onethird have been sudden crisis situations and two-thirds have been smoldering crisis situations. Though the word crisis is never good, these statistics are good news in that a smoldering crisis, with some preparation, can be lessened or even prevented. How do these crisis situations differ? Sudden crisis situations. A sudden crisis is just that: You couldn’t have seen it coming. The sudden crisis situation can be either intentional or unintentional. An unintentional crisis includes natural disasters, sudden death, building failures, equipment failure, information technology failures, and incapacitation of a senior executive—those occurrences that happen without warning that your company cannot prepare to prevent. An intentional crisis includes sabotage, tampering, security breaches, hacking, workplace violence, lawsuits, protests and terrorism. Whether a situation is intentional or unintentional, the list of potential disasters is downright ugly. Smoldering crisis situations. Then there are the small problems that have been brewing right under your nose that, with awareness and attention, can be fixed to either minimize or eliminate damage to your organization. This bucket of nasties Continued on page 34 Are you looking for products and services? Find the right ones for you through ICAA’s Online Buyer’s Guide. As some of the largest suppliers of products and services to senior living communities, fitness clubs, community centers and other organizations serving older adults, ICAA’s Preferred Business Partners are industry leaders. Their products and services represent excellent value to customers. And, in many cases, these offerings are available to ICAA members at preferred discounts. For more information, check out ICAA’s Online Buyer’s Guide at www.icaa.cc/ preferredbusinesspartners.htm To learn how to become a preferred partner, email [email protected] International Council on Active Aging® 3307 Trutch Street,Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 Crisis management: when bad things happen to good companies Continued from page 32 includes smoldering crisis situations. A smoldering crisis includes occupational safety violations, disgruntled employees, governmental investigations, class action lawsuits, product tampering, workplace violence and acts of terrorism. This is still an ugly list, but a preventable one with good crisis preparation. Keys to surviving and thriving during a crisis Whether your company experiences a sudden or a smoldering crisis, it’s important to realize crisis situations will happen. Crises are valuable to the collective wisdom of your organization because every single one is a learning situation that can help you be better prepared to handle the next. Truly, there are three outcomes to any crisis: Your organization can be destroyed, it can make it through but lose trust, or it can come out better. Your goal is to come out better. To do that, mission one is to survive and restore trust. Surviving a crisis and coming out stronger, reputation intact, boils down to three major principles that the remainder of this article will explore: 1. Tell the truth. Don’t do, say or not say anything to make it worse. 2. Be adequately prepared so you are in a strong position to handle the crisis with a disciplined methodology. 3. Act in smart, calculated and measured ways to preserve your credibility. Principle 1: Tell the truth Telling the truth should be obvious for a company in a crisis. But if you follow the news, you know that too often it’s not. If you’ve cut off your leg and you’re bleeding out, you don’t make the situation worse by chopping off your arm to plug the gaping hole in your leg. So many companies and individuals panic when in crisis mode and do just that: limp around limbless, leaving an obvious trail 34 of blood all over the place. Remember, it’s usually the cover-up that gets people in trouble, not the crime. When a crisis situation hits and you are under the microscope, don’t lie or put a spin on the story, and don’t blame others. The general public today is so skeptical and jaded that any hint of spin causes an immediate loss of credibility and trust. It is what it is. Simply accept responsibility if you’re at fault, figure out the fix, and move forward with resolving the problem. Then, communicate that you are doing so. Principle 2: Be prepared While your efforts to avoid making a crisis worse happen in the throes of the situation, the actions that support a disciplined approach to handling the crisis must happen well in advance. This preparation will give you the ability to impact a potential crisis in a well-thought, carefully executed manner. Among the smartest preemptive actions any company can take to prepare for a potential crisis—sudden or smoldering—is to conduct a vulnerability assessment at the outset of crisis planning. While you can do this assessment yourself, there is often tremendous value in the nature of the feedback you receive when an objective external resource assesses vulnerabilities. In checking to find hidden areas within your organization where a crisis may lurk, begin by investigating every major functional area within your company. These include: • • • • • company and community history geography human error property and equipment employees and labor Brainstorm the “what ifs” that could happen. Given your functional business areas, what would be your worst night- The Journal on Active Aging July/August 2013 www.icaa.cc Seven steps to savvy crisis management 1. Conduct a vulnerability assessment. 2. Create a crisis team. 3. Establish systems of communication to the public and to the media. 4. Prepare a crisis response process or policy. 5. Develop a crisis communications plan. 6. Use best practices to handle a crisis when one hits. 7. Review actions, messages and ultimate outcomes once the crisis ends. mare within each? What internal problems or vulnerabilities do you have that could be damaging if they went public? Then weight your responses to create a list of priority issues. This list will allow you to effectively focus your efforts and resources. Once you have developed a solid list of areas in which you are vulnerable and have ranked your priorities, you need to develop an approach to handling your crisis—to establish your crisis readiness. First, create a crisis team. This is a team of people in high-ranking positions who will be tasked with handling the crisis once it hits. I recommend meeting with your crisis team well in advance so each person knows the lines of command and can be assigned clear tasks. In addition, appoint a spokesperson. Who can authoritatively speak on behalf of your company? To convey authority, accountability and credibility, it’s important to have the highest-ranking person possible Continued on page 36 Discover your community Active Aging Week September 22–28, 2013 ICAA’s Active Aging Week® invites older adults and the organizations that serve them to discover their communities in the last full week of September. Whether as an individual or organization, you can get involved in this health promotion event. Choose how you define “community”—places, people, or both—and offer activities and events on this theme to enrich people’s experiences. Promote and publicize your involvement to raise awareness of active aging, a philosophy that celebrates older adults as full participants in society. And be sure to share three key messages with the older adults you reach: stay active, stay healthy, stay engaged. Join us! Make a difference. To become an Active Aging Week host site, and to download free campaign support materials, visit www. icaa.cc/aaw.htm www.icaa.cc Sponsors The Journal on Active Aging July/August 2013 www.icaa.cc 35 Crisis management: when bad things happen to good companies Continued from page 34 Principle 3: Act in smart, calculated, measured ways Once a crisis hits, you’ll want to respond using best practices. A tried and true method to most any crisis situation includes the following: • gather as much information about the situation as you can; get the facts • alert members of the crisis team • assign tasks and continue fact finding • respond to the problem directly • implement your solution; solve the problem • communicate what you are doing • review the actions, messages and ultimate outcomes as your spokesperson (i.e., your CEO, unless that person has been compromised). Establish systems of communication to the public and to the media. And develop a process (or policy) for your company’s response to crisis situations. When creating your process/policy, it’s important that you commit to framing crisis situations. What does that mean? Do not let others deliver bad news for you by blowing off the media’s request for information with “No comment.” Avoiding the media and burying your head in the sand never works. In fact, it always makes the situation worse. 36 Messaging and communication are the difference between surviving a crisis and coming out better on the other side, and being massacred by the media. That’s why one of the essentials in crisis planning is developing a crisis communications plan. This is an in-depth, written plan that, among other things, clearly spells out its purpose and objectives, and identifies the crisis team, key publics for communication, emergency personnel, local officials and media. It outlines the process, articulates the messages, and includes press statements your company will use to communicate during a crisis. In a crisis situation, the crisis communications plan is the authoritative handbook for you to use. Lastly, every action that your organization takes must work to preserve your credibility. How? Provide accurate information and manage expectations. Yes, it’s important to release information, but remember that there’s a time and a place that works for your organization— gaining points with your publics. For example, say your organization is embroiled in an embezzlement scam at the hands of your chief financial officer and people want answers. Finding all of the facts and deciding a clear line of action, such as firing the CFO and launch- The Journal on Active Aging July/August 2013 www.icaa.cc ing an investigation, are absolutely the right moves. But, you must make certain you actually do have all of the facts— that it wasn’t the CFO in cahoots with the CEO—and that your action is correct before you communicate it far and wide. Once you have released that you are firing the CFO, the story is no longer about your company and embezzlement as much as it is about the character of the CFO. In releasing accurate information in the right way, you can effectively change the course of the story. And, because it’s a decisive start to your solution, you are preserving your credibility. It can happen to you Crisis situations happen every day in companies worldwide. All you have to do is turn on the news to see that it’s fueled by crisis. It is negligent to pretend that there’s no possibility inside your company for things to go awry or to fail to prepare in advance because you don’t want to invite bad luck. As a crisis communications expert, I’m a firm believer in the value of outside counsel. But, regardless of whether or not you choose to navigate a crisis situation with an outside team, there are numerous steps you can and should take today that will help your organization fare better when a crisis hits. You’ll be rewarded when media scrutiny comes your way. Michelle Moore leads the public relations and social media practice for Involve, LLC, a marketing practice based in Columbus, Ohio, with offices in Chicago, Illinois. Involve specializes in activating brands and moving people that clients want to reach beyond awareness and toward understanding, desire and affinity. Moore brings 20 years of industry-related experience to the table. She has helped companies and individuals increase awareness and business productivity, build market share, maintain and enhance customer loyalty, and develop and penetrate target markets. More information is available at www.getinvolve.com. Why do my feet hurt? What can I do to help prevent foot problems? How can I stay active longer? All these answers and much more... ©IPFH Trends The future of aging, part one: trends and issues that are shaping the industry International Council on Active Aging® advisors share their insights about developments they consider significant by Jenifer Milner Whether you’ve worked in the field of aging for 5, 10 or 20 years, you’ll know it’s been undergoing tremendous change. The pace and scope of that change will only increase as population aging, compounded by changing consumer demands and needs, transforms the world around us. 38 The Journal on Active Aging July/August 2013 www.icaa.cc What issues are already emerging for organizations and professionals that work in the aging field, particularly those dedicated to active aging? What trends may shape the industry—and opportunities—moving forward? And what impact will they have? The International Council on Active Aging® (ICAA) polled members of its scientific and industry advisory boards on these topics. Many advisors weighed in with their ideas. Because ICAA’s advisory boards reflect the diversity of active aging, the ideas Continued on page 40 The future of aging, part one: trends and issues that are shaping the industry Continued from page 38 submitted by board members reinforce the breadth of interests and approaches across the active-aging spectrum. Beginning with this issue, the Journal on Active Aging® will distill some of this input into a series of articles on trends and insights. This first installment mainly covers healthcare, while future articles will look at a medley of topics—from funding to partnerships, technology to housing, prevention to programming. Healthcare reform What is the top trend in aging? Kevin O’Neil, MD, FACP, CMD, chief medical officer for national owner and operator Brookdale Senior Living, identifies major changes in healthcare and the longevity bonus as his number one choice. “Americans are living longer, and although some are also healthier and more active than previous generations, a significant proportion are living their later years in less than perfect health,” O’Neil says. “Since Medicare spending has been doubling every 10 years, the Centers for Medicare & Medicaid Services (CMS) is very focused on how we can improve health and healthcare at the same time as costs are reduced. We will move away from a fee-for-service system of care to one based on achieving quality outcomes and meeting quality metrics.” O’Neil observes that “already there is an intense focus on reducing hospital 30-day readmission rates for certain conditions” (i.e., heart failure, pneumonia, heart attack). “Soon other chronic conditions such as chronic obstructive pulmonary disease, diabetes and renal [kidney] failure, and other conditions will be subjected to readmission penalties. These penalties are escalating from year to year.” Additionally, “more attention will be paid to preventing hospitalization in the first place,” O’Neil states, “as an unplanned hospitalization in an older adult is an index event that often portends further functional decline.” 40 Opportunities In O’Neil’s view, “a great opportunity exists for wellness programs to seniors that demonstrate positive outcomes and for rehabilitation services that can help forestall and reverse functional decline and sarcopenia (the loss of skeletal muscle mass).” For Kay Van Norman, MS, president of the consulting firm Brilliant Aging, another opportunity and trend is assisted living opportunities in the Accountable Care business environment, created with the passage of the Affordable Care Act in the United States. Currently, “of all Medicare patients discharged from hospitals, assisted living (AL) receives only three percent,” she says. “AL could capture a much greater percentage of this market share by delivering solutions that reduce hospital admissions and readmissions.” According to Van Norman, “The Assisted Living Federation of America is lobbying Congress to recognize the role AL can play in supporting healthcare reform. Researchers have identified that motivation and compliance in both primary and secondary prevention strategies like exercise and nutrition are significant barriers to preventing disease, dysfunction and hospitalization,” she explains. “AL environments can be leveraged to turn the index event of a hospitalization into lifestyle change. Currently, this will be a point of difference for progressive companies.” Avenues for care In the United States, home- and community-based services are an established avenue for delivering long-term care, according to the Agency for Healthcare Research and Quality.1 While originally viewed as a lower-cost alternative to care in institutional settings, these services are recognized today as a “modality that is preferred by many older adults and that may enhance their quality of life.”1 The Journal on Active Aging July/August 2013 www.icaa.cc Barbara Resnick, PhD, CRNP, a professor in the Department of Organizational Systems and Adult Health at the University of Maryland School of Nursing, refers to an increased focus on community-based care as a major initiative in the aging field. “Because of the care needs, however, this needs to be done efficiently,” Resnick says. “So we are seeing things like healthcare being provided in senior housing, and next will be apartment buildings.” Opportunities From a wellness perspective, Jan Montague, MGS, observes a developing trend in home-based service organizations. “These organizations are becoming interested in finding ways to improve the well-being of clients and not just provide medical and Activities of Daily Living assistive services,” notes Montague, president of consulting firm Whole-Person Wellness International. “The enlightenment by these organizations is powerful,” Montague adds, “since we know a person’s health and well-being is impacted, both positively and negatively, by multidimensional influencers.” Mental and emotional health One influencer of older-adult health, well-being and quality of life is social engagement. Research reinforces that strong social engagement contributes to successful aging,2,3 while the lack of such support—social isolation—is a significant health issue for communitydwelling older adults.4 What might be the impact of this issue, especially in light of population aging? “All media signs are pointing to isolation as a key contributor to senior healthcare costs,” states James Huysman, PsyD, LCSW, vice president of provider relations and government affairs for WellMed Medical Management, a diversified healthcare company. Huysman, a fierce advocate of integrated healthcare, believes this may Continued on page 42 R e s o u r c e s Internet Agency for Healthcare Research and Quality www.ahrq.gov American Psychological Association: Depression and Suicide in Older Adults (resource guide) www.apa.org/helpcenter/roadresilience.aspx Assisted Living Federation of America www.alfa.org Atria Senior Living www.atriaseniorliving.com British Heart Foundation National Centre for Physical Activity and Health www.bhfactive.org.uk Brookdale Senior Living www.brookdaleliving.com Centers for Medicare & Medicaid Services www.cms.gov Healthways www.healthways.com Healthways SilverSneaker® Fitness Program www.silversneakers.com James Huysman: Caregiver Connections www.caregiverconnections.com Print International Council on Active Aging www.icaa.cc National Alliance on Mental Illness www.nami.org Barbara Resnick: Function Focused Care www.functionfocusedcare.org Senior Lifestyle Corporation www.seniorlifestyle.com University of Maryland School of Nursing www.nursing.umaryland.edu University of Nevada School of Medicine www.medicine.nevada.edu University of South Carolina Arnold School of Public Health www.sph.sc.edu Kay Van Norman: Brilliant Aging www.kayvannorman.com Vesta Property Services, Inc. www.vestaforyou.com WellMed Medical Management, Inc. www.wellmed.net Whole-Person Wellness International www.wpwi.net Ellin, A. How Therapy Can Help in the Golden Years. New York Times, “Well” blog, April 22, 2013. Available at well.blogs.nytimes. com/2013/04/22/how-therapy-canhelp-in-the-golden-years/?_r=0 ICAA editors. (2012). Somerby TailWagger Treats: Generations bake together to make a difference. Journal on Active Aging, 11(6), 70–75; November/December issue. Available in ICAA’s online content library at www. icaa.cc (go to: “Management articles” [“Program profiles”]) National Alliance on Mental Health. (2009). Depression in Older Persons Fact Sheet. Available at www. nami.org/Template.cfm?Section= By_Illness&template=/Content Management/ContentDisplay. cfm&ContentID=7515 Van Norman, K., & Rogers, K. (2013). How healthcare reform opens new doors to senior living. Journal on Active Aging, 12(1), 24–35; January/February issue. Available in ICAA’s online content library at www.icaa.cc (go to: “Management articles” [“Market opportunities”]) Yakutchik, M. (2013). Special Report: Public Enemies. Johns Hopkins Public Health, Special Issue 2013: Death and Lifespan. Available at http://magazine. jhsph.edu/2013/death/sections/deathand-lifespan/public-enemies/page-5/ The Journal on Active Aging July/August 2013 www.icaa.cc 41 The future of aging, part one: trends and issues that are shaping the industry Continued from page 40 older people have not used these services” in the past, notes Blair, a professor in the Departments of Exercise Science and Epidemiology & Biostatics at the Arnold School of Public Health, University of South Carolina. This fits with a generational reticence in talking about mental and emotional health issues. But the NYT article reveals that many older individuals are coming forward and seeking counseling for the first time in their lives. “That members of the Greatest Generation would feel comfortable talking to a therapist, or acknowledging psychological distress, is a significant change,”10 writes author Abby Ellin. What will be the impact if more individuals seek counseling and other types of support moving forward? Consider that currently, in the United States alone, more than 6.5 million adults ages 65 and older battle depression.8 be a point of entry for ICAA members to access funding. Social isolation is also linked with depression.5,6 The third leading cause of the global disease burden in 2004, depression is predicted to lead the list by the year 2030, according to the World Health Organization.7 In older adults, depression too often goes unrecognized and untreated, which can lead to illness, cognitive decline and death.8 Mary Sanders, PhD, FACSM, a clinical exercise physiologist in the Division of Wellness and Weight Management, University of Nevada (Reno) School of Medicine, refers to a recent special report in the magazine of John Hopkins Bloomberg School of Public Health, 42 which highlights five top killers, or “public enemies,” atop researchers’ lists.9 Suicide in the oldest-old is identified as one of these public enemies. Why? “Worldwide, the highest rates of suicide occur among those over the age of 75— one of the fastest-growing age groups,” states the report. In the US, the National Alliance on Mental Illness notes that “the highest rate of suicide … is among older white men,” with depression “the single most significant risk factor for suicide” in the older population.8 Opportunities Exercise scientist Steven Blair, PED, was intrigued by a recent New York Times article on older adults receiving psychological counseling for depression and other problems.10 “Apparently, many The Journal on Active Aging July/August 2013 www.icaa.cc Organizations dedicated to older-adult quality of life will surely need to expand the ways they address mental and emotional health among their constituents. One avenue to explore thoroughly is how to encourage people to open up about these issues. And as social engagement buffers against isolation and depression, efforts to promote social engagement are key from as many angles as possible. Socialization Demand is already high for programming that meets social needs. In olderadult fitness, “the key trend now is community—80% of this demographic prefers to exercise in the right company,” says Stephanie Wong, BA, vice president of field operations for Healthways, provider of the Healthways SilverSneakers® Fitness Program. “Not only does this make exercise and activity more enjoyable, older adults also feel this provides motivation and accountability.” According to Wong, “Atmosphere, peers, instructors and personality play a large role in an older adult’s decision to pursue a fitness pro- gram. These factors are far more motivating than the simple physical benefits of exercise, and older adults want to be a part of the heart and community of a program.” Opportunities The key, Wong stresses, is identifying the “right” community. “Older adults are a diverse group and each individual will have a different opinion on what the ‘right community’ means for them.” She observes that older generations often prefer associating with people their own age, while Boomers typically like to mix with those who are slightly younger. The impact, in her view, is that fitness centers and programs “will begin offering more varied options and have a larger focus on community and personality” as this trend becomes more crucial to keeping people engaged in programs. Ginger Anzalone, MBA, vice president, Facilities Division, for property services company Vesta, agrees about the importance of community. “One of the main trends we have seen is in the area of socialization,” states Anzalone. Commenting that “active adults tend to be unabashed in their pursuit of their enjoyment of life,” she says that at Vestamanaged communities, “we work with many committees and governing groups who will set their schedules around the time when they join friends ….” What is the impact? “We provide more opportunities operationally for individuals to gather and enjoy” time together, she says. “They look for themed parties; they enjoy karaoke or pool deck parties; and they want to have fun.” But not everyone wants to join the party. “We are learning more about our introverts and how to understand and respect them,” says Terry Fay, BA, corporate director of resident programs at Senior Lifestyle Corporation, a senior living provider. “In years past, sociologists estimated that about 30% of the population were introverts; today, the estimate is closer to 50%.” The needs of introverts “will not be met by large and loud events,” Fay states. “Their preference to skip the dance and live music for a good book or movie at home is natural—they are not broken and in need of fixing.” How will this issue influence programming efforts? “This will cause us to rethink our definition of successful programming,” she says. “It will cause us to review how we spend our funds and for what types of resident experiences.” Customer service and expectations Also looking at the resident experience is Ronda Watson, RD, senior vice president of Culinary Service and Engage Life at the national provider Atria Senior Living. “As more older adults choose senior living to meet their needs, the focus on a personalized experience designed to enhance each resident’s unique situation has become more important than ever,” Watson believes. Healthways’ Wong shares that “[t]he largest motivator for older adults in fitness programs is a connection and ‘personalized touch,’” adding that “onesize-fits-all solutions simply aren’t viable ….” This connection, however, must be human, she says. “Automated or impersonal approaches and tactics are far less effective.” In the United Kingdom, there are signs professionals are “getting over a one-size fits all approach and getting closer to needs,” reports Bob Laventure, MEd, consultant, physical activity and older people, British Heart Foundation National Centre for Physical Activity and Health. Strides are being made in how professionals support physical fitness for older adults. Says Laventure, “We are beginning to see some changes in people diversifying their approaches to different older-population target groups”—Boomers and frailer older adults, for example—“to match the diversity of the aging population ….” Opportunities Companies will need to be able to tailor their experiences to individuals. As an example, Watson describes Atria’s new computer-based program, which gives its communities the ability “to track and design purposeful programming” to meet new residents’ individual needs. “We believe this tool will help our communities learn more quickly and efficiently the needs, wants and desires of residents,” she explains, “and help us implement a smooth transition during what can sometimes be a difficult move.” According to Wong, “The need for a personalized touch reinforces the high expectations this demographic has for customization and variety in their fitness experience.” Vesta’s Anzalone recognizes a higher level of expectation in the Boomer demographic, calling it “a noticeable trend.” Boomers “are less likely to accept things simply because it has always been done that way …,” says Anzalone. “If a Boomer doesn’t like the way services are being offered or a programming model, the first question is, ‘Why is it being done this way?’ followed by ‘Let me speak to a supervisor.’ The impact is on operations to satisfy a more discerning customer.” Also, everything is scrutinized, she notes. Maintenance staff, for instance, will need “to provide higher quality facility management.” What impact will these trends have? “Engaging one-on-one with instructors, tailored programs, and individualized communications will become core components of the older-adult fitness experience,” Wong states. The key to making a lasting connection, she stresses, is to ensure “communications, programs and outreach can be tailored to fit the interests and personality” of each individual. Continued on page 44 The Journal on Active Aging July/August 2013 www.icaa.cc 43 The future of aging, part one: trends and issues that are shaping the industry Continued from page 43 2. Rowe, J. W., & Kahn, R. L. (1997). Successful Aging. The Gerontologist, 37(4), 443–440. 3. Mendes de Leon, C. F. Social Engagement and Successful Aging. European Journal of Ageing, 2(1), 64–66. 4. Nicholson, N. R. (2012). A Review of Social Isolation: an Important but Underassessed Condition in Older Adults. Journal of Primary Prevention, 33(2–3), 137–152. 5. Choi, N. G., & Kimbell, K. (2008). Depression Care Need Among Low-Income Older Adults: Views from Aging Service Providers and Family Caregivers. Clinical Gerontologist, 32(1), 60–76. 6. Singh, A., & Misra, N. (2009). Loneliness, Depression and Sociability in Old Age. Industrial Psychiatry Journal, 18(1), 51–55. Consumer expectations are also driving another trend within senior living, according to Brilliant Aging’s Van Norman. “The senior living industry is recognizing that engagement and purpose are significant drivers not only of quality of life, but of occupancy and profit,” she observes. active aging; others may apply only to a sector. While some may be shorter-lived, others may have a lasting impact. Everything, however, will be influenced by the biggest trend of all, population aging, which will only magnify the impact of any trend and opportunity that develops in the field of aging moving forward. For the future, “[s]enior living operators will need to have an identified ‘purpose strategy’ to be competitive in the market,” Van Norman believes. These strategies could also be used “to transform the perception of their product in the marketplace.” One example she mentions is Somerby Senior Living’s Tail-Wagger Treats, a program where community residents partner with outside groups to make dog treats for the local humane society.11 Thanks to all the ICAA Advisory Board Members who contributed their ideas and insights to this article. Further installments of the “Future of aging” series will feature additional contributions and commentary. Predicts Van Norman, “Reaching out to the broader community … in meaningful and productive ways is going to become an industry standard rather than a point of difference.” 1. Wysocki, A., Butler, M., Kane, R. L., et al. (2012). Long-Term Care for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care. Comparative Effectiveness Review No. 81. AHRQ Publication No.12(13)-EHC134-EF. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved on August 1, 2013, from http:// www.effectivehealthcare.ahrq.gov/ehc/ products/369/1277/CER81_Long-TermCare_FinalReport_20121023.pdf. The biggest trend How will the trends and issues described in these pages affect your organization? Some may apply across the spectrum of 44 Jenifer Milner is a communications specialist, author, and editor-in-chief of the Journal on Active Aging®. References The Journal on Active Aging July/August 2013 www.icaa.cc 7. World Health Organization. (2008). The Global Burden of Disease: 2004 Update. Part 4. Burden of disease: DALYs [disability-adjusted life year], Figure 27: Ten leading causes of burden of disease, world, 2004, and 2030 (p. 51). Retrieved on August 1, 2003, from http://www.who.int/healthinfo/global_ burden_disease/GBD_report_2004update_ part4.pdf. 8. National Alliance on Mental Health. (2009). Depression in Older Persons Fact Sheet. Retrieved on August 1, 2013, from http:// www.nami.org/Template.cfm?Section=By_ Illness&template=/ContentManagement/ ContentDisplay.cfm&ContentID=7515. 9. Yakutchik, M. (2013). Special Report: Public Enemies. Johns Hopkins Public Health, Special Issue 2013: Death and Lifespan. Retrieved on August 1, 2013, from http://magazine. jhsph.edu/2013/death/sections/death-andlifespan/public-enemies/page-5/. 10. Ellin, A. How Therapy Can Help in the Golden Years. New York Times, “Well” blog, April 22, 2013. Retrieved on August 1, 2013, from http://well.blogs.nytimes.com/2013/ 04/22/how-therapy-can-help-in-the-goldenyears/?_r=0. 11. ICAA editors. (2012). Somerby Tail-Wagger Treats: Generations Bake Together to Make a Difference. Journal on Active Aging, 11(6), 70–75; November/December issue. Available in ICAA’s online content library at http:// www.icaa.cc (go to: “Management articles” [“Program profiles”]). International Council on Active Aging Conference 2013 Three inspiring keynotes Dr. Henry Lodge UPDAT ED ED ITION ter Regis now ave and s $100 Ken Dychtwald November 21–23, 2013 San Diego Convention Center San Diego, California Conference partners Magic Johnson into action that possibilities come alive. ICAA offers a multilevel education and networking event to help you do just that. Transform your business Access 4 conferences for the price of one • ICAA Conference • Athletic Business Conference & Expo • Medical Fitness Association Conference • National Alliance for Youth Sports Congress Learn more at www.icaa.cc “Like” the ICAA Conference 2013 on Facebook! You’ll find information, updates, videos and more at facebook.com/icaaconference2013 Population aging is transforming societies around the world in fundamental ways, and this wave of change will only accelerate in months and years to come. A more inclusive society is key to successfully managing this global phenomenon. Active aging, increasingly, is seen as vital to this framework. To fulfill this role, organizations and professionals dedicated to active aging need new implementable models to address the challenges and opportunities of population aging. That’s why the International Council on Active Aging® (ICAA) has introduced the Nine Principles of Active Aging. Build a solid foundation ICAA’s Nine Principles model guides implementation of active-aging strategies. Areas of focus include: Populations, People, Perceptions, Potential, Products, Promotions, Places, Policies, and Programs. Integrated with the seven dimensions of wellness, it can help activeaging advocates build a solid foundation for their efforts—and transform the industry. Using the Nine Principles drives the transformation process in individual organizations as well. Consider, for example, how your products and services, marketing approaches, and environments might change to enhance your organization’s culture, programming, and engagement with older adults. Envision the changes that would optimize success. All change starts with a vision. An idea. Yet, it’s only when you transform ideas Focus on application Every year, professionals who support older-adult quality of life gather at the ICAA Conference to learn, grow and connect with their colleagues in an inspiring, supportive atmosphere. Attendees reflect the diverse roles, professions and settings found in active aging. Individuals come for the professional development—a full schedule of seminars presented by top experts and leaders in the industry. And they come for the informal learning—the opportunities to meet with their peers to share knowledge and solutions. When you and your team attend the ICAA Conference 2013, you will expand your knowledge of key topics such as wellness programming for older adults and staff, management and marketing, increasing participation, and programming without walls. You will also expand your frame of reference with best practices and case studies. ICAA’s 2013 conference differs from past years’ events with its focus on providing you with the practical tools and methods to transform ideas into action. Examples include practical information to use immediately in your work; and forward-thinking perspectives for use in planning and development. It’s never been more important to be able to apply information and research in your organization. The active-aging industry is in transition. Population aging provides opportunities and challenges—plus a vital new role—for organizations, professionals and the industry as a whole. To thrive in the years to come, the industry dedicated to “Changing the way we age®” also needs to change. Join us for the ICAA Conference 2013—and start the transformation. “I know I can count on the ICAA Conference to bring passionate and charismatic speakers who are trailblazers and who are interested in sharing what they have learned with others in an authentic and accessible way. I always come away with great ideas and renewed energy.” Lisa Kiely Director of Integrated Wellness and Community Culture/Park Springs Community Life Services Corporate Resource Consultant, Life Care Services SOME HIGHLIGHTS FOR ATTENDEES Stimulating keynotes. This year’s event features a trio of keynotes that are sure to inspire you. Don’t miss this opportunity to hear Dr. Henry S. Lodge, coauthor of Younger Next Year; Dr. Ken Dychtwald, Age Wave visionary; and Earvin “Magic” Johnson, CEO, National Basketball Association legend, and Dodgers owner. Full-day workshops by expert presenters. Additional programming options offer you education and practical information to take back to your organization. Check out full-day workshops on balance, aquatics, and cognitive health, presented by some of ICAA’s most popular presenters. For details, see “Additional programming.” Products and services expo. ICAA partners with leading conference provider Athletic Business (AB) to provide you with access to the AB Conference & Expo. This premier event for the health and fitness industry showcases the changing landscape of health, wellness and recreation offerings across the levels of function. Visit the ICAA Pavilion, located in the exhibit hall, to stay current with the newest innovations in technology, equipment and services targeted specifically to age 50-plus adults. This “one-stop” venue is where you can research products or services, locate new items of interest, and do your yearly purchasing. Be sure to stop by the ICAA booth! All conference photos by Brian Ebner/ Optic Nerve, except where noted. Images courtesy of Athletic Business Who should attend? Wellness directors Program directors Activities directors Executive directors Administrators Board members Sales and marketing personnel Developers and architects Resident life executives Fitness instructors Personal trainers Health educators Social workers Chaplains Physicians Nutritionists/dietitians Therapists Researchers Professors Visit ICAA online at www.icaa.cc for conference information 6 reasons to attend 1. The education Member input informs the educational program at the ICAA Conference. Seminars and workshops target the varied dimensions, roles and solutions in active aging, aiming to meet industry needs and transform ideas into action. 2. The presenters ICAA recruits active-aging industry leaders and experts from diverse backgrounds as conference presenters. These individuals bring first-rate industry experience, knowledge and skills to their sessions. 3. The handouts Attendees are provided with all session handouts available. At the conference, you’ll receive a CD-ROM containing these handouts, which you may print at any of the free printing stations onsite. The CD is also a valuable reference to take home and share with your colleagues. If you want to print session handouts in advance, you can access them online before the event; ICAA will email you a link to this site. 4. The networking The ICAA Conference brings together professionals across the active-aging spectrum. Learn from others who support older-adult wellness and quality of life. Meet or reconnect with professional allies and build your knowledge network. And enjoy an evening of social time and learning at the Poster Session and ICAA Networking Reception. 5. The credits Attendees can register to obtain continuing education units (CEUs), also called continuing education credits (CECs), at the ICAA Conference. As a CEU registrant, you’ll receive a log book at the conference, which you must turn in at the ICAA registration desk once the event is over. Six to eight weeks later your CEU transcripts will arrive. To cover costs, the fee for the CEU program is $25 until Wednesday, November 10; then $40 on-site. 6. The trade show The ICAA Conference takes place in conjunction with the Athletic Business Conference & Expo, one of the industry’s premier events in North America. Through this partnership, you can access a showcase of products and services designed to support wellness, exercise and recreation across functional levels. The ICAA Pavilion spotlights offerings created specifically for age 50plus adults. “I believe ICAA membership and attendance of [the ICAA Conference] is the best annual expense your organization can justify for the educational rewards and networking opportunities you are exposed to.” Kenneth R. Paulovich, RN Director,Willis Knighton Fitness and Wellness Centers Spotlight on… CONTINUING EDUCATION UNITS Enhance your professional development at the ICAA Conference by obtaining continuing education units (CEUs), also referred to as continuing education credits (CECs), from numerous organizations. You may be able to receive CEUs from your association even if it is not listed among the providers below. At your request, ICAA will send you a letter confirming your attendance at ICAA Conference sessions, which you can use to support your application for CEUs. CEU registrants receive a log book when checking in or registering at the conference. This book notes all the sessions that offer credits, along with the certifying organizations. After a session, the room monitor will stamp your book to verify your attendance. Turn in your stamped booklet at the ICAA registration desk when you leave the conference, then allow up to eight weeks for your CEU transcript to arrive. The CEU program requires an additional fee to cover the costs charged by certifying agencies. Enroll by Wednesday, November 10, for $25, or register on-site for $40. Continuing Education Providers • ACE (American Council on Exercise) • ACSM (American College of Sports Medicine) • AFAA (Aerobics and Fitness Association of America) • canfitpro • Cooper Institute • IACET (International Association of Continuing Education & Training)* • IFPA (International Fitness Professionals Association) • NASM (National Academy of Sports Medicine) • NAYS (National Alliance for Youth Sports) • NSCA-CPT (National Strength & Conditioning Association) • NSCA CSCS (National Strength & Conditioning Association) • SCW Fitness Education * The National Recreation and Park Association (NRPA) accepts IACET CEUs. To find out who else accepts IACET CEUs, go to www.iacet.org, click on “Continuing Education Units (CEUs),” and select the link on the drop-down menu. ** Learning units (LUs) from the American Institute of Architects will not be offered this year. AIA members may self-report credits as part of the institute’s Structured Self-Reported Program. Visit www.aia.org/education/providers/ AIAB093368 and choose “Self-Reports” to learn how. “I left the ICAA Conference inspired and more confident about what we were providing for residents in our community. I felt like I had a better grasp of wellness promotion, for both our residents and staff, and was able to refine our mission a bit more. It was incredibly encouraging to spend several days with others in the senior living world, and felt a renewed sense of passion and excitement about the days to come. Thank you!” Rachel Ostrow Director of Wellness Programs, Crista Senior Living–Crista Shores Community Keynote speakers Henry S. Lodge, MD, FACP Dr. Henry S. Lodge is an associate clinical professor of medicine at Columbia University Medical Center in New York and a board certified internist practicing in Manhattan. Ranked as one of the Best Doctors in America by Best Doctors, Inc., Lodge is listed in Who’s Who in Medicine and Healthcare, Who’s Who in Science and Engineering, and Who’s Who in the World. He is the coauthor of the New York Times’ bestseller Younger Next Year, and Younger Next Year for Women, which have not only sold more than a million copies in the United States, but also been published in 20 languages around the world. In addition, Lodge hosts the PBS show Younger Next Year: The New Science of Aging, and serves as a contributing medical editor for SELF magazine and on the Medical Advisory Board of the Dr. Oz Show. Brought to you by Atria Senior Living Ken Dychtwald, PhD Over the past 35-plus years, Ken Dychtwald has emerged as North America’s foremost visionary and original thinker regarding the lifestyle, marketing, healthcare and workforce implications of the longevity revolution. He is a psychologist, gerontologist, documentary filmmaker, entrepreneur and best-selling author of 16 books on health, wellness and aging-related issues, including Age Wave: The Challenges and Opportunities of an Aging Society. In 2007, he had his debut as a documentary filmmaker and host with the PBS special The Boomer Century: 1946–2046. Since 1986, Dychtwald has been the founding president and CEO of Age Wave, a firm created to guide Fortune 500 companies and government groups in product/service development for Boomers and mature adults. He has addressed more than two million people worldwide in speeches to corporate, association, social service, and government groups. In addition, Dychtwald’s predictions and ideas are regularly featured in leading print and electronic media worldwide. Earvin “Magic” Johnson Earvin “Magic” Johnson is a Major League Baseball owner, a National Basketball Association Legend, a two-time Hall of Famer, an entrepreneur, a philanthropist and a motivational speaker. The business mogul has successfully parlayed his skills and tenacity on the court into the business world, propelling his company to the status of #1 Brand in Urban America. He is chairman and CEO of Magic Johnson Enterprises (MJE), which provides high-quality products and services that focus primarily on ethnically diverse and underserved urban communities through strategic alliances, investments, consulting and endorsements. Johnson also serves as chairman and founder of the Magic Johnson Foundation, where his unwavering commitment to transform Urban America continues through HIV/AIDS Awareness & Prevention Programs, Community Empowerment Centers, and the Taylor Michaels Scholarship Program. Celebrating over 20 years of success, the Magic Johnson Foundation has become one of the most recognizable philanthropic organizations around the world. Featured speakers Debra J. Rose, PhD Debra Rose is a professor in the Kinesiology Department at California State University, Fullerton. Rose is also director of the Institute of Gerontology and the award-winning Center for Successful Aging. She serves as one of two codirectors of the Fall Prevention Center of Excellence established in 2005, and is an International Council on Active Aging Advisory Board Member. Christine Shidla Christine Shidla is the director of wellness at Summit Place Senior Campus in Eden Prairie, Minnesota. She is also a trainer and speaker for exercise for the Arthritis Foundation. Shidla received her bachelor of science degree in kinesiology, with emphasis in sports medicine, from the University of Minnesota. Preconference presenters Cathy Maloney-Hills, RPT Cathy Maloney-Hills is an aquatic physical therapist working for Courage Center at Summit Place Senior Campus in Eden Prairie, Minnesota, and Heritage Park Senior Services Center in Minneapolis. Maloney-Hills is coinvestigator/author for the study and program Golden Waves Functional Water Program for Older Adults, University of Nevada, Reno. She is also a coauthor of the book YMCA Water Fitness for Health. Mary Sanders, PhD, FACSM, RCEP, CDE® Mary Sanders is a clinical exercise physiologist in the Division of Wellness and Weight Management, School of Medicine, and an adjunct professor in the College of Community Health Sciences, University of Nevada, Reno. An international trainer of health and fitness professionals, Sanders directs WaterFit ®/Golden Waves® and serves on the International Council on Active Aging Advisory Board. She is an associate editor of ACSM’s Health & Fitness Journal®, contributing editor to the Journal on Active Aging®, and editor/ coauthor of YMCA Water Fitness for Health. Robert Winningham, PhD Rob Winningham is a full professor and chair of the Psychology Division at Western Oregon University, where he manages both the Psychology and Gerontology Departments. With nearly 20 years’ experience researching applied memory issues, Winningham has conducted research for the past 15 years on ways to enhance older adults’ mental functioning and quality of life. Most recently, he has been helping developers create video games and interactive activities specifically designed to enhance cognition. Winningham has also trained thousands of professionals to offer high-quality cognitive stimulation and therapy programs. Spread the Word. Wear a Pin. To order pins online, visit: www.changingthewayweage.com/campaign-pins.htm Or call ICAA at 866-335-9777 (toll-free) or 604-734-4466. Founding Partners The ICAA Champions program is one way for organizations and individuals to support ICAA’s Changing the Way We Age® Campaign. Now you can demonstrate that support with a campaign pin. Buy a single pin to wear, or as many as you like to give away, sell or exchange for donations to fund Champion activities. If you believe that now is the time to change the way we age, help spread the word as an ICAA Supporting Champion. 1–99 pins: $5.00 each, plus shipping 100–249 pins: $4.00 each, plus shipping 250–999 pins: $3.50 each, plus shipping 1,000 pins and over: $3.00 each, plus shipping Additional programming Preconference workshops Wednesday, November 20, 2013 “I appreciate the network of individuals and organizations who work together to enhance the wellness experience for older adults. This conference showcases their efforts and innovative ideas.” Marge Coalman, EdD Vice President,Wellness and Programs, Touchmark, and ICAA Advisory Board Member 9:00 a.m.–4:00 p.m. Fallproof method for addressing balance disorders in older adults This “hands-on” workshop will provide the tools and techniques needed to assess and intervene with older adults experiencing balance and gait disorders. Find out how to assess the multiple dimensions of balance, and then individualize and progress exercises based on assessment outcomes. Methods for assessing and improving cognitive function in dual-task environments will also be introduced. You’ll be able to: • Select and administer fall-risk screening tools specific to different levels of fall risk; and systematically progress balance activities that address the multiple dimensions of balance and mobility. • Integrate cognitive activities into balance training sessions to improve multiple components of executive function. • Implement strategies aimed at positively changing fall-related attitudes and behaviors. Faculty: Debra Rose, PhD, Professor, Kinesiology Department, Director, Institute of Gerontology and Director, Center for Successful Aging, California State University, Fullerton. CEUS awarded 9:00 a.m.–4:45 p.m. HIIT the pool for function and vigor: frail to strong Higher intensity interval training (HIIT) shows promise as a “potent” and time-efficient training method for cardiovascular and skeletal muscle adaptations that in some cases may lead to better improvements in health, compared to aerobic training. Functional activities of daily living (ADL) tasks are based on timed, task-specific skills. Explore how pool intervals offer safe and effective training across the continuum, from frail participants to master athletes. You’ll be able to: • Develop programs based on functionally targeted intervals for frail to apparently healthy individuals and athletes, and gain ideas about how to train leaders. • Comprehend how to implement these types of programs in a continuing care retirement community setting, so they broaden the scope of current pool programs rehab to fitness. • Discover some new findings about effective protocols for wellness and functional ADL on land that can start with your pool program. Faculty: Mary Sanders, PhD, FACSM, RCEP, University of Nevada, Reno; Cathy Maloney-Hills, RPT, Courage Center at Summit Place Senior Campus, and Heritage Park Senior Services Center; Christine Shidla, Director of Wellness, Summit Place Senior Campus. CEUS awarded (Note: This session takes place at Vi at La Jolla Village. Participants should come ready to get in the pool, and bring water shoes and two bathing suits. A bus will pick up participants at the convention center between 7:30 and 7:45 a.m. Vi will provide lunch.) Sponsored by Vi “The ICAA Conference gives folks interested in expanding the minds and bodies of the maturing adult excellent new tools to accomplish just that.” Tim E. Thiele Executive Director, Lutheran Homes of Oconomowoc Shorehaven Campus 9:00 a.m.–5:30 p.m. Cognitive rehabilitation and memory enhancement: evidence-based interventions for older adults Impaired memory and attention deficits can affect where someone can live, how much support they will need, and their quality of life. Memory enhancement interventions are effective at preventing further decline and improving memory abilities, while physical exercise, nutritional changes, and social support interventions can improve cognitive ability and quality of life. Learn up-todate information about memory, aging and dementia. Also, explore how to implement evidence-based interventions to slow or even reverse memory problems. You’ll be able to: • Describe the use it or lose it theory of memory and aging, and review supporting evidence. Learn basic information about memory, why we forget, and how memory changes over the life span. Develop a foundational understanding of the neuropsychological basics regarding memory, aging and dementia. • Discuss the different types of dementia, how each affects one’s ability to think and make new memories and their common treatments. Review the latest research on how nutrition, physical exercise, mood, and social support affect cognition and develop interventions based on these new research findings. • Develop and implement effective cognitive-rehabilitation enhancement programs for people of varying cognitive abilities. Identify effective ways to motivate depressed, apathetic and anxious individuals to participate in therapy and activities that can improve their memory ability and quality of life. Faculty: Robert Winningham, PhD, Professor and Chair, Psychology Division, Western Oregon University. CEUS awarded Fee: $79 per person for a preconference workshop Seminars at a glance Thursday, November 21, 2013 TW, L Building bridges: rehab and wellness partnering for successful outcomes BF, L Socialization is the treatment for dementia–how to create winning programs Jennifer Sidelinker and Rebecca Tarbert, Genesis Rehab Services David Troxel, Consultant; Marge Coalman, Touchmark MS, L Rebranding Aging III–mastering ageless communications BF, L The future of brain health: What’s next in cognitive fitness? A panel of senior executives Richard Ambrosius, Positive Aging; David Weigelt, Immersion Active; Helen Foster, Foster Strategy, LLC Cynthia Green, Memory Arts, LLC 11:30 a.m.–12:45 p.m. KEYNOTE Ken Dychtwald KEYNOTE Ken Dychtwald KEYNOTE Ken Dychtwald 1:00 p.m.–6:00 p.m. TRADE SHOW GRAND OPENING TRADE SHOW GRAND OPENING TRADE SHOW GRAND OPENING ML, L Practical design considerations for an active-aging wellness center PDW, L Employee wellness in your workplace R, L Successful aging through proper nutrition Craig Bouck, Barker Rinker Seacat Architecture Caley Kratz, Mercy Ridge Retirement Community; Vivian Smith, Vantage House Darin Leonardson, Golden Living; Shannon Smith, Golden LivingCenters Indiana/Ohio KEYNOTE Henry Lodge (includes presentation of ICAA Innovators Awards) KEYNOTE Henry Lodge (includes presentation of ICAA Innovators Awards) KEYNOTE Henry Lodge (includes presentation of ICAA Innovators Awards) Brought to you by Atria Senior Living Brought to you by Atria Senior Living Brought to you by Atria Senior Living AB RECEPTION Stingaree AB RECEPTION Stingaree AB RECEPTION Stingaree PDW, L A 10-year retrospective of wellness research 8:00 a.m.–9:30 a.m. Cornelia C. Hodgson, C.C. Hodgson Architectural Group, LLC ML, L The ROI of wellness 9:45 a.m.–11:15 a.m. 2:45 p.m.–4:15 p.m. 4:30 p.m.–6:00 p.m. 8:00 p.m.–11:00 p.m. COLOR KEY FOR TOPIC AREAS BBalance BF Brain fitness ML Management and leadership MS Marketing and sales OP Outdoor programs PDW Program design for wellness RResearch TW Therapy to wellness L Lecture LI Lecture/Interactive PDW, L The journey from ordinary to extraordinary: program evaluation and implementation PDW, L Exercise walking REALLY DOES improve quality of life–v2.0 B, LI Tai chi exercises for postural reeducation, gait training and balance Roxy Kline, YMCA of the Greater Twin Cities Robert Thompson, Institute for Preventive Foot Health; Tracey Harvey, GenCare Lifestyle Faith Overton, Tri City Wellness Center; Troyce Thome, Tai Chi for Health PDW, L Resident engagement: anatomy of successful programming PDW, LI Strong seniors strengthening and stretching while seated program OP, LI Walk tall–not small– with poles Stacey Belt, Atria Senior Living Tamara Sawicz and Andrea Agazim, Vi Senior Living Maureen Hagan, GoodLife Fitness Peggy Buchanan, Vista del Monte KEYNOTE Ken Dychtwald KEYNOTE Ken Dychtwald KEYNOTE Ken Dychtwald KEYNOTE Ken Dychtwald TRADE SHOW GRAND OPENING TRADE SHOW GRAND OPENING TRADE SHOW GRAND OPENING TRADE SHOW GRAND OPENING PDW, L Bringing outdoors inside: eco-living in residential senior living BF, L iPads to paper and pencil: many, many ideas and readyto-use resources for cognitive stimulation programs PDW, LI Become a sensation scientist through The Body’s Way Tamberly Mott, Atria Senior Living Robert Winningham, Western Oregon University Janet Hollander, Moving Toward Health; Ken Gilbert, EmBODYment KEYNOTE Henry Lodge (includes presentation of ICAA Innovators Awards) KEYNOTE Henry Lodge (includes presentation of ICAA Innovators Awards) KEYNOTE Henry Lodge (includes presentation of ICAA Innovators Awards) KEYNOTE Henry Lodge (includes presentation of ICAA Innovators Awards) Brought to you by Atria Senior Living Brought to you by Atria Senior Living Brought to you by Atria Senior Living Brought to you by Atria Senior Living AB RECEPTION Stingaree AB RECEPTION Stingaree AB RECEPTION Stingaree AB RECEPTION Stingaree ML, L Motivating the motivator Seminars at a glance Friday, November 22, 2013 6:30 a.m.–8:30 a.m. EARLY-MORNING WORKOUT 6:45 a.m.–8:15 a.m. EARLY-MORNING WORKOUT EARLY-MORNING WORKOUT PDW, LI Ageless athletes: Can you BEAT that? B, LI Effectively create, implement and market your balance program Barbara Fish, Heritage Community of Kalamazoo; Jennifer Dagati, Drum Beat University Justin Margut and Sandy Reid, Bethany Village BF, L Brain health fairs: bringing better cognitive fitness to your community R, L Can’t face another workday? You may have compassion fatigue MS, L Beyond Woodstock: profitably engage the Web’s most valuable consumers Cynthia Green, Memory Arts, LLC James Huysman, WellMed Charitable Foundation David Weigelt, Immersion Active R, L Exercise as medicine: preserving function by functioning TW, L Keep moving: from rehab to wellness ML, L Accountable Care–leveraging and showcasing your exercise and wellness programs Mark Kelly, American Council on Exercise Marge Coalman and Lori McCormick, Touchmark Kay Van Norman, Brilliant Aging 12:00 p.m.–1:00 p.m. KEYNOTE Earvin “Magic” Johnson KEYNOTE Earvin “Magic” Johnson KEYNOTE Earvin “Magic” Johnson 1:00 p.m.–5:00 p.m. TRADE SHOW TRADE SHOW TRADE SHOW PDW, L Transforming the expressive arts: wellness, team-building, marketing and fundraising R, L How to connect optimally with age 50+ adults and promote behavior change for healthy, fit and happy living ML, L Appreciative Inquiry 101 Rita Lopienski, Plymouth Place Senior Living Michael Mantell, American Council on Exercise Cindy Bradshaw, National Certification Council for Activity Professionals (NCCAP) 6:00 p.m.–7:00 p.m. POSTER SESSION Multiple presenters POSTER SESSION Multiple presenters POSTER SESSION Multiple presenters 6:30 p.m.–8:30 p.m. ICAA NETWORKING RECEPTION Omni San Diego Hotel ICAA NETWORKING RECEPTION Omni San Diego Hotel ICAA NETWORKING RECEPTION Omni San Diego Hotel 8:30 a.m.–10:00 a.m. 10:15 a.m.–11:45 a.m. 4:00 p.m.–5:30 p.m. COLOR KEY FOR TOPIC AREAS BBalance BF Brain fitness ML Management and leadership MS Marketing and sales OP Outdoor programs PDW Program design for wellness RResearch TW Therapy to wellness L Lecture LI Lecture/Interactive EARLY-MORNING WORKOUT EARLY-MORNING WORKOUT EARLY-MORNING WORKOUT EARLY-MORNING WORKOUT PDW, L Creating innovative wellness programming throughout the continuum of care PDW, L Innovative ideas from proven programs PDW, LI Transforming and improving physical function with frail elders OP, LI Take your brain for a walk Gina Formica and Jennifer Conway, Liberty Lutheran Patricia Ryan, International Council on Active Aging Betsy Best-Martini, Recreation Consultation Peggy Buchanan, Vista del Monte PDW, L SEXcessful aging: sex, intimacy and aging PDW, LI BOSU mobility and stability for the active aging PDW, LI Off the rocker: movement that motivates! OP, LI WALK for life: walk more=live better Rebecca Chaplin, Land-of-Sky Regional Council, Area Agency on Aging Lawrence Biscontini, FG2000; Bernadette O’Brien, YMCA Wayne, New Jersey Cammy Dennis and Jessica Pinkowski, On Top of the World Communities, Inc. Jolene Moore, Covenant Retirement Communities KEYNOTE Earvin “Magic” Johnson KEYNOTE Earvin “Magic” Johnson KEYNOTE Earvin “Magic” Johnson KEYNOTE Earvin “Magic” Johnson TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW ML, L Leveraging the wellnessrehabilitation partnership for enhanced outcomes PDW/LI Core stability for a healthy back for all levels of function BF, L Brain boosters Denise Durham, Select Rehabilitation, Inc. Maureen Hagan, GoodLife Fitness Terry Eckmann, Minot State University POSTER SESSION Multiple presenters POSTER SESSION Multiple presenters POSTER SESSION Multiple presenters POSTER SESSION Multiple presenters ICAA NETWORKING RECEPTION Omni San Diego Hotel ICAA NETWORKING RECEPTION Omni San Diego Hotel ICAA NETWORKING RECEPTION Omni San Diego Hotel ICAA NETWORKING RECEPTION Omni San Diego Hotel Seminars at a glance Saturday, November 23, 2013 PDW, LI Conductorcise: a fresh, always new, joyous brain and body stimulator 6:45 a.m.– 8:15 a.m. David Dworkin, Conductorcise ML, L Senior centers: alive, well and ready for the future PDW, LI Mudras, music and meditation PDW, L Aquatics benefits people with Parkinson’s disease 8:30 a.m.– 10:00 a.m. 10:15 a.m.– 11:45 a.m. Luanne Whitmarsh, Kerby Centre Lawrence Biscontini, FG2000 TW, L Inspiring participation through engaging programs and challenges ML, L Placing a value on your worth Lauren Kriz, RehabCare Cindy Bradshaw, National Certification Council for Activity Professionals (NCCAP) Christine Shidla, Summit Place Senior Campus; Cathy MaloneyHills, Courage Center PDW, L R3: Reenergize, revamp, restructure your wellness programming Jackie Halbin, Lakeview Village PDW, LI Joy dance PDW, LI Preserving function in frail adults Terry Eckmann, Minot State University B, LI Exercises to remain safe on your feet Cammy Dennis and Jessica Pinkowski, On Top of the World Communities, Inc. Cindy Kozacek, Healthways/ SilverSneakers PDW, LI Functional fitness solutions Debra Atkinson, Voice for Fitness PDW, LI Ten moves that we lose: keep them and dodge disability Patricia VanGalen, Excellence In Conditioning This schedule is subject to change. COLOR KEY FOR TOPIC AREAS BBalance BF Brain fitness ML Management and leadership MS Marketing and sales OP Outdoor programs PDW Program design for wellness RResearch TW Therapy to wellness L Lecture LI Lecture/Interactive Schedule at a glance Start transforming ideas into action by building your knowledge, skills and professional network at the ICAA Conference 2013. You may also attend educational sessions offered concurrently by Athletic Business, the Medical Fitness Association, and the National Alliance for Youth Sports at no additional charge. Tuesday, November 19 4:00 p.m.–6:00 p.m. Registration Wednesday, November 20 7:00 a.m.–6:00 p.m. Registration Times vary Preconference workshops Note: See “Additional programming” for details. Space is limited, so register early to avoid disappointment. Each preconference workshop costs an additional $79 per registrant. Aquatics workshop sponsored by Vi Thursday, November 21 7:00 a.m.–5:00 p.m. Registration Note: Trade show-only registration open until 6:00 p.m. 8:00 a.m.–11:15 a.m. Educational seminars 11:30 a.m.–12:45 p.m. Keynote: Ken Dychtwald 1:00 p.m.–6:00 p.m. Trade show grand opening 2:45 p.m.–4:15 p.m. Educational seminars 4:30 p.m.–6:00 p.m. Keynote: Henry S. Lodge, MD Sponsored by Atria Senior Living 8:00 p.m.–11:00 p.m. AB all-conference welcome reception Note: Full-conference attendees receive a $5 off lunch coupon usable in the exhibit hall on Thursday or Friday during exhibit hours only. “The ICAA Conference is, by far, the most informative, appropriate and fun conference that I have ever attended. It is refreshing to be with others from around the world who speak the language of healthy aging!” Rebecca Chaplin Health Promotion Specialist, Area Agency on Aging for the Land-of-Sky Regional Council Friday, November 22 6:30 a.m.–8:30 a.m. Early-morning workout 6:45 a.m.–8:15 a.m. Educational seminars 7:30 a.m.–5:00 p.m. Registration Note: Trade show-only registration opens at 6:15 a.m. 8:30 a.m.–11:45 a.m. Educational seminars 12:00 p.m.–1:00 p.m. Keynote: Earvin “Magic” Johnson 1:00 p.m.–5:00 p.m. Trade show 4:00 p.m.–5:30 p.m. Educational seminars 6:00 p.m.–7:00 p.m. ICAA Poster Session (at Networking Reception site) 6:30 p.m.–8:30 p.m. ICAA Networking Reception Sponsored by the International Council on Active Aging® Saturday, November 23 6:45 a.m.–8:15 a.m. Educational seminar 7:45 a.m.–12:00 p.m. Registration 8:30 a.m.–11:45 a.m. Educational seminars Sessions COLOR KEY FOR TOPIC AREAS BBalance BF Brain fitness ML Management and leadership MS Marketing and sales OP Outdoor programs PDW Program design for wellness RResearch TW Therapy to wellness Equipment at the ICAA Conference 2013 is brought to you by Power Systems. Thursday, November 21, 2013 8:00 a.m.–9:30 a.m. PDW A 10-year retrospective of wellness research Explore how senior living communities have embraced wellness over the past decade, based on three research studies. Also, find out how senior living wellness and healthcare system patient-centered approaches are merging and strongly coming to the forefront. Lecture. You’ll be able to: • Assess where your organization fits on the continuum of incorporating wholeperson wellness in communities, based on this evidence-based design. • Gain practical ideas for all aspects of community life, based on this evidence-based design of how other communities have incorporated whole-person wellness. • Gain insight into future trends, including person-centered trends rooted in Planetree principles, and how they may impact your current and future wellness programming initiatives. Faculty: Cornelia C. Hodgson, BA, BArch, AIA, President, C.C. Hodgson Architectural Group, LLC. CEUs awarded TW Building bridges: rehab and wellness partnering for successful outcomes Learn rehab-and-wellness-partnership best practices to create a continuum of care that supports successful outcomes for older adults at all functional levels and in all wellness domains. Cases, examples and illustrations will be provided on many levels. Lecture. You’ll be able to: • Build bridges between rehab and wellness by integrating wellness concepts throughout rehabilitation, offering evidence-based programs in wellness, and using common objective measures across the rehaband-wellness spectrum to promote common language. • Describe an effective rehab-wellness continuum and best practices for communication and partnership between rehab and wellness professionals. • Comprehend the rehab professional’s role in health promotion and wellness through evidence and support from professional organizations/scope of practice definitions and national initiatives. Faculty: Jennifer Sidelinker, PT, GCS, Clinical Manager, and Rebecca Tarbert, PT, Clinical Specialist, Genesis Rehab Services. CEUs awarded BF Socialization is the treatment for dementia–how to create winning programs Touchmark’s Dementia Care program teaches staff the importance of building relationships with residents with Alzheimer’s disease and other dementia. Staff are trained in the Best Friends model developed by Virginia Bell and David Troxel. Discover key building blocks in an excellent dementia program. Lecture. You’ll be able to: • Name three ways to create a therapeutic environment for individuals with dementia. • Describe the difference between structured and unstructured activities. • Describe the Best Friends model of dementia care. Faculty: David Troxel, MPH, Consultant; Marge Coalman, EdD, Vice President, Wellness Programming, Touchmark. CEUs awarded PDW The journey from ordinary to extraordinary: program evaluation and implementation Do the programs you offer provide an experience for your participants that is the best part of their day? Explore ways to refresh existing programs, inspire participant leadership, ensure high-quality program experiences, and transform the ordinary into extraordinary. Lecture. You’ll be able to: • Identify areas of opportunity for improvement of existing programs at your facility. • Tackle issues and concerns confidently with the tips and tools provided. • Monitor existing and new programs to maintain high quality, and add elements that will inspire and delight participants. Faculty: Roxy Kline, Director of Healthy Living and Active Older Adult Expert Team Leader, YMCA of the Greater Twin Cities. CEUs awarded PDW Exercise walking REALLY DOES improve quality of life–v2.0 Exercise walking participants may complain that it’s no fun and their feet hurt. A program to improve quality of life can succeed and achieve positive results. Learn all about feet, while an updated case study of GenCare Lifestyle’s Walking Partners shows how to replicate its experience. Lecture. You’ll be able to: • Explain why feet can, and so often do, easily fall into disrepair as they age. • Apply preventive foot-health practices that will reduce the probability of pain and dysfunction. • Organize and implement an effective exercise walking program. Faculty: Robert Thompson, CPed, Executive Director, Institute for Preventive Foot Health; Tracey Harvey, BS, Consumer Relations/Vitality Director, GenCare Lifestyle. CEUs awarded Photo: Julie Milner B Tai chi exercises for postural reeducation, gait training and balance Discover how to use tai chi movements to address three areas of concern found to increase the risk of falling in aging adults: lack of postural stability, gait dysfunctions and declining balance. Exercises are progressive and can meet individuals at their level of mobility. Lecture/Interactive. You’ll be able to: • Integrate tai chi techniques and principles into group exercise programs. • Identify and implement specific tai chi techniques to meet individual client needs. • Teach exercises that encourage the mind-body connection necessary to reduce the risk of falling. Faculty: Faith Overton, PTA, Tri City Wellness Center; Troyce Thome, Master Trainer for the Arthritis Foundation, Tai Chi for Health. CEUs awarded “This conference is like a breath of fresh air! It provides cutting-edge material and validation on whole-person wellness. The passion for improving the lives of the older adult is tangible.” Kristin McCoach Fitness Coordinator, Pine Run Community Sessions Thursday, November 21, 2013 9:45 a.m.–11:15 a.m. ML The ROI of wellness Does investment in the wellness infrastructure (staff, buildings, outdoor features, program) bring a return to older adults served, and meet business objectives? Join a panel of executives as they explain how they identified the strategic need to invest in wellness, what they did, and how they evaluate the return. Lecture. You’ll be able to: • Identify three reasons for investing in property renovation or new development. • Quantify the resources needed to deliver a robust wellness program. • List the measures used to evaluate return on investment. Faculty: Panel of senior executives, moderated by Patricia Ryan, MS, Vice President of Education, International Council on Active Aging. CEUs awarded MS Rebranding Aging III– mastering ageless communications Explore examples and best practices from entries to ICAA’s 2013 Rebranding Aging Awards, and national ad campaigns. Discover techniques and approaches to improve positioning and marketing communication materials, increase lead generation and strengthen brands. Lecture. You’ll be able to: • Improve the quality and effectiveness of sales and marketing materials. • Recognize why recommended approaches are likely to improve results, and review state-of-the- art advertising and marketing communications and positioning strategies. • Learn how to refine marketing communications materials, improve brand positioning and lead generation, and complement cultural change initiatives. Faculty: G. Richard Ambrosius, MA, Principal, Positive Aging; David Weigelt, Cofounder and President, Immersion Active; Helen Foster, Principal, Foster Strategy, LLC. CEUs awarded BF The future of brain health: What’s next in cognitive fitness? Learn why an integrated brain-health approach that engages across physical, intellectual and emotional health dimensions is essential for effective intervention. Discover next generation interventions you can use with broad applications to different settings, client populations, and budgets. Lecture. You’ll be able to: • Comprehend how to apply an integrated wellness model of brain health to your services. • Gain mastery of the emerging generation of brain health products to better serve your clients. • Plan for future brain health services in your organization or commu nity based on the review of next generation interventions during the session. Faculty: Cynthia Green, PhD, President, Memory Arts, LLC. CEUs awarded ML Motivating the motivator As professionals, we often are energizer, promoter, and motivator to clients. Are you sometimes stuck on how to motivate others to engage in life? Gain tools to refresh and reenergize your efforts, to be more effective in your presentation to clients and motivate others. Lecture. You’ll be able to: • Identify ways to energize yourself on a daily basis to be most productive. • Implement motivating tactics to clients served in your organization. • Inspire clients to be their best and continue to learn and grow. Faculty: Stacey Belt, CTRS, National Engage Life Innovation Director, Atria Senior Living. CEUs awarded PDW Resident engagement: anatomy of successful programming Leave with a roadmap of how to successfully increase resident engagement by implementing resident-run programming. Examples will be outlined to demonstrate how to successfully encourage residents and provide them the tools to become program leaders. Lecture. You’ll be able to: • Create successful resident-run programming; learn to “Grow your resident leaders” as outlined by specific resident-programming examples and testimonials. • Market your community programming effectively, leverage collaborative interdepartmental relationships, and create internal excitement for programming goals. • Enhance resident ownership of the whole-person wellness model; comprehend how engaged residents partner with community programming efforts to empower individuals to self-awareness. Faculty: Tamara Sawicz, BA, Lifestyle Director, and Andrea Agazim, Lifestyle Director, Vi Senior Living. CEUs awarded PDW Strong seniors strengthening and stretching while seated program Chair fitness is not only a safe and effective way to train older adults, but it’s also a fun way to engage this population in exercise on a daily basis. Experience a practical chair workout and learn how to create a complete chair exercise program as well. Lecture/Interactive. You’ll be able to: • Learn essential sitting exercises that target core muscles for improving sitting and standing posture, balance and joint stability. • Learn range-of-motion exercises that mimic activities of daily living, and improve circulation, strength and flexibility. • Learn how to teach a safe, effective and fun group chair class for all levels of ability. Faculty: Maureen Hagan, PT, Vice President of Operations, GoodLife Fitness, and Education Director, canfitpro. CEUs awarded OP Walk tall–not small–with poles (Note: This session will meet at the registration desk and take place outdoors.) Gain ideas to keep walking programs safe, effective and above all fun and interesting for all ages. Explore the latest research on how pole walking improves posture, overall strength and endurance, balance and confidence. Add arms, back and torso to improve aspects of ordinary walking. Lecture/Interactive. You’ll be able to: • Incorporate functional fitness and increased motivation while creating group and/or individual walking activities. • Experience how to incorporate walking techniques using poles that will enhance ongoing participation at any ability level. • Reduce the risk for falls by adding basic balance training in your walking program. Faculty: Peggy Buchanan, MA, Fitness and Aquatics Director, Vista del Monte Retirement Community. CEUs awarded Thursday, November 21, 2013 11:30 a.m.–12:45 p.m. Keynote How to prosper from the longevity revolution For the first time in history, four generations of active adults are simultaneously participating in the workforce, in programs and at facilities. Each generation has its own lifestyle, values, attitudes about work and money, means of connecting and communicating, health/fitness concerns, role models and marketplace preferences. How do you manage and motivate each generation? In this special presentation, Dr. Ken Dychtwald will share actionable insights about what makes each cohort tick and effective ways to reach out to, and connect with, Millennials, Gen Xers, Boomers and the Silent Generation. Dychtwald will also share his vision of how fitness, health and healthcare will be transforming in the years ahead—and how to prosper from it. Faculty: Ken Dychtwald, PhD, President and CEO, Age Wave; psychologist, gerontologist and bestselling author. CEUs awarded (Note: Includes presentation of Athletic Business Facility of Merit awards.) Thursday, November 21, 2013 2:45 p.m.–4:15 p.m. ML Practical design considerations for an active-aging wellness center Wellness needs are increasingly a central part of older adults’ lives. “Wellness” includes much more than exercise; nutrition, health education, “mental fitness,” and massage and other body work play a role. Learn how to address this important area of senior living from the facility design perspective. Lecture. You’ll be able to: • Describe current trends in wellness education, training and equipment for active older-adult wellness facilities. • Design features that are long-term viable for active older adults. • Foster and capitalize on the social aspects of adopting and pursuing an active-aging lifestyle. Faculty: Craig Bouck, Principal, Barker Rinker Seacat Architecture. CEUs awarded PDW Employee wellness in your workplace A successful workplace wellness program reduces corporate costs while creating healthier, happier work environments. Learn about two successful programs with high employee satisfaction and participation. Gain examples of wholeperson wellness to carry over in the workplace. Lecture. You’ll be able to: • Identify the benefits of an employee wellness program. • Develop an employee wellness program for your workplace. • Implement a successful employee wellness program. Faculty: Caley Kratz, MS, Wellness Coordinator, Mercy Ridge Retirement Community; Vivian Smith, MS, Fitness Coordinator, Vantage House. CEUs awarded R Successful aging through proper nutrition Learn the facts, not the hype, about new advances in the field of nutrition that will make a difference for older adults. Discover how healthy eating contributes to overall wellness and an improved quality of life as we age. See a live cooking demonstration. Lecture. You’ll be able to: • Discuss new research on the key nutrients needed for healthy living by the older adult. • Outline practical advice on healthy eating to prevent disease. • Make changes in the diets of older adults to make a positive impact on quality of life. Sessions Faculty: Darin Leonardson, AAS, Director of Hospitality and Dining, Golden Living; Shannon Smith, BS, RD, CD, Senior RD Specialist, Golden LivingCenters Indiana/Ohio. CEUs awarded PDW Bringing outdoors inside: eco-living in residential senior living Review research and current studies in Eco-Psychology to grasp how indoor living promotes depression/anxiety. Explore how nature and the environment impact mental, physical and spiritual wellness, plus ways to incorporate nature into programming in residential settings. Lecture. You’ll be able to: • Comprehend theories in Applied Organic Psychology (Eco-Psychology). • Comprehend how bringing nature indoors can improve mental, physical, and spiritual wellness. • Develop strategies for incorporating outdoor-nature experiences for older adults in residential settings. Faculty: Tamberly Mott, PhD, MA, LMFT, Divisional Engage Life Innovation Director, Atria Senior Living. CEUs awarded BF iPads to paper and pencil: many, many ideas and ready-to-use resources for cognitive stimulation programs Discover new ideas to start or reinvigorate a cognitive and brain exercise program. Explore cognitive stimulation activities and inexpensive “apps” that can be used on computer tablets. Gain ideas/resources to help older adults exercise attention, concentration, inhibition, word fluency, and spatial abilities. Lecture. You’ll be able to: • Learn the latest research on cognitive stimulation for older adults, what cognitive abilities are affected by the aging process and what types of activities could exercise those affected abilities. • Use readily available apps to deliver cognitive stimulation programs on tablet PCs. • Deliver at least 15 cognitively stimulating activities in groups or via paper and pencil. Faculty: Robert Winningham, PhD, Professor and Chair of Psychology, Western Oregon University. CEUs awarded PDW Become a sensation scientist through The Body’s Way Move the body through the systemic approach of the Nia Technique. Choose to move from sensations of pleasure, letting go of pain/discomfort. Create the experience of ultimate functional fitness through awareness of stability, mobility, flexibility, agility and strength. Lecture/ Interactive. You’ll be able to: • Employ awareness of physical sensation to create comfortable, dynamic and integrated exercise of body-mind-spirit. • List the five sensations used in the Nia Technique. • Apply the tools of a sensation scientist to everyday life situations, using fitness techniques for health and well-being. Faculty: Janet Hollander, BA, Owner, Moving Toward Health; Ken Gilbert, MA, Owner, EmBODYment. CEUs awarded Thursday, November 21, 2013 4:30 p.m.–6:00 p.m. Keynote Engaging with life: the emerging biology of cognitive health Our understanding of the mechanisms of cognitive health and aging is rapidly expanding. The key to optimal brain health at all ages turns out to be the way we structure and live our lives. In the United States, the new BRAIN initiative has made neuroscience the top research priority, and we are all eager to understand what the future of brain science holds. From its world-class School of Public Health, to two recent Nobel Prizes in the basic molecular science of the brain, Columbia University has been at the forefront of this field. Dr. Henry Lodge, a medical professor at Columbia, will give us an inside look at the next generation of cognitive science, and the implications for our lives and our industry. Faculty: Henry S. Lodge, MD, FACP, Associate Clinical Professor of Medicine, Columbia University Medical Center, and Board Certified Internist; coauthor of the New York Times’ bestselling Younger Next Year series of books. CEUS awarded (Note: Includes presentation of ICAA Innovators Awards.) Brought to you by Atria Senior Living Friday, November 22, 2013 6:45 a.m.–8:15 a.m. PDW Ageless athletes: Can you BEAT that? Experience rhythm and movement while drumming on a fitness ball. Ageless athletes can participate in cardiodrumming regardless of capabilities and talent. Create an experience through drumming, rhythm and movement for specific older-adult groups and prepare a class design. Lecture/Interactive. You’ll be able to: • Engage a group or an individual in a unique rhythmical exercise cardiodrum program for older adults, with specific benefits for individuals with Alzheimer’s disease. • Demonstrate basic cardio-drumming choreography routines to music in both seated and standing positions for healthy older adults to individuals in long-term and memory care. • Comprehend cardio-drumming as a balance of the mind, body and spirit in action; practice techniques to facilitate a drum circle to engage all people and create a meaningful experience. Faculty: Barbara Fish, BS, Senior Wellness Manager, Heritage Community of Kalamazoo; Jennifer Dagati, Owner, Drum Beat University. CEUs awarded B Effectively create, implement and market your balance program Discover how to market a balance class for older adults using various tests and statistical data showing individual participant improvement. Take home balance and confidence tests used to pretest participants to determine ability level and post-test, to track outcomes. Lecture/ Interactive. You’ll be able to: • Market a balance class to older adults. • Use balance testing protocols. • Gain progressive syllabi for three levels of classes (beginner, intermediate and advanced). Faculty: Justin Margut, BS, Wellness Specialist, and Sandy Reid, AA (Associate of Arts), Wellness Director, Bethany Village. CEUs awarded Friday, November 22, 2013 8:30 a.m.–10:00 a.m. BF Brain health fairs: bringing better cognitive fitness to your community A health fair model offers a high-touch, experiential event for bringing new experiences in brain wellness to older adults. Learn how to plan and run a successful, scalable brain-health fair that showcases your programs as well. Detailed examples will be presented. Lecture. You’ll be able to: • Comprehend the integrated health components essential to a comprehensive brain-wellness program. • Hold a brain health fair in your community or center. • Use the brain-health fair model to highlight your existing programs that are brain healthy. Faculty: Cynthia Green, PhD, President, Memory Arts, LLC. CEUs awarded R Can’t face another workday? You may have compassion fatigue Professional caregivers, who provide service to older adults and their caregivers, are vulnerable to compassion fatigue and caregiver burnout. Find out how to prevent falling victim to this dangerous duo and stay at your best while providing service and care. Lecture. You’ll be able to: • Define and identify “compassion fatigue,” and its triggers and warn ing signs. • Apply self-intervention techniques and solutions before reaching the breaking point. • Adopt a plan for personal self-care. Faculty: James Huysman, PsyD, LCSW, Consultant, WellMed Charitable Foundation. CEUs awarded “ICAA is an excellent resource for anyone working with older adults. I haven’t had the opportunity to attend the ICAA Conference until this year, but I have always heard great things about it. I must say that it exceeded my expectations, and I look forward to attending next year.” Donna Evans Wellness Director,White Oak Estates Retirement Community Sessions MS Beyond Woodstock: profitably engage the Web’s most valuable consumers Hear how one digital agency redefined what it means to engage Boomers and older adults online. MOE (Meaningful Online Engagement) combines deep understanding of human behavior, word-of-mouth marketing tactics, and analytics to deliver trusted, profitable relationships. Lecture. You’ll be able to: • Comprehend how and where older adults engage online and how today’s marketing needs to be approached differently. • Implement a behavioral approach to online marketing campaigns. • Leverage your brand to market to Boomers and older adults who are looking to age in place. Faculty: David Weigelt, Cofounder and President, Immersion Active. CEUs awarded PDW Creating innovative wellness programming throughout the continuum of care Wellness leaders often struggle to create programs that engage residents throughout the continuum of care. Gain a map for class formatting, educational criterion and competency expectations for staff conducting programs to help them create a comprehensive wellness program. Lecture. You’ll be able to: • Create a structured map for fitness programming for residents throughout the continuum of care. • Implement a comprehensive staff education program to ensure competency at all fitness levels. • Implement an evaluation tool that helps staff determine residents’ functional capacity to participate in fitness programs. Faculty: Gina Formica, DPT, Director of Wellness, and Jennifer Conway, MS, CSCS, RCEP, Resident Wellness Coordinator, Liberty Lutheran. CEUs awarded PDW Innovative ideas from proven programs A new angle can turn a competent program into a great success. Join the recipients of the 2013 ICAA Innovators Awards as they explain how they created innovative programs that benefitted their clients and took the wellness program or initiative to a new level. Leave with ideas and tactics Lecture. You’ll be able to: • Identify characteristics of effective programs for older adults. • Name at least three programs that are successful in increasing participation among older adults. • List methods of promoting new programs to build participation. Faculty: Patricia Ryan, MS, Vice President of Education, International Council on Active Aging. CEUs awarded PDW Transforming and improving physical function with frail elders Many frail elders do not benefit from physical wellness programs due to their complex and individual special needs. Learn specific exercises and fun ways to engage the frailest client while enhancing their functional fitness through evidencebased practices. Lecture/Interactive. You’ll be able to: • Define “frailty” and modify exercises according to participants’ remaining abilities and strengths. • Learn three characteristics and safety tips for exercising with a few specific diagnoses. • Demonstrate at least five exercises that are safe and effective in improving function. Faculty: Betsy Best-Martini, MS, CTRS, Geriatric Recreational Therapist, Recreation Consultation. CEUs awarded OP Take your brain for a walk (Note: This session will meet at the registration desk and take place outdoors.) Add a cognitive stimulating component to your fitness walking program to help participants enhance concentration and memory. Learn to add mindful exercise to muscular activity, decreasing the risk of falling while exploring how to exercise different parts of the brain. Lecture/ Interactive. You’ll be able to: • Comprehend how exercise enhances cognitive stimulation. • Learn how to start and sustain a cognitively stimulating walking program to enhance memory ability. • Add fun and easy-to-do brain games to your walking programs. Faculty: Peggy Buchanan, MA, Director of Fitness, Aquatics and Physical Therapy, Vista del Monte. CEUs awarded Friday, November 22, 2013 10:15 a.m.–11:45 a.m. R Exercise as medicine: preserving function by functioning Using exercise to counter age-related dysfunction is not new. What is new is manipulating it to tap into several modalities simultaneously. Explore how functional exercise takes on new meaning by introducing cognitive processes and fun, engaging multiplanar, multi-joint movement games. Lecture. You’ll be able to: • Comprehend various theories on aging, and how exercise directly impacts and retards the aging process. • Recognize how many of the “side effects” of exercise—including stress and strain management, self-efficacy, self-esteem, social interactions and cerebral blood flow—work to counter mental and psychoemotional deterioration. • Practice some simple exercises that are not only are fun and engaging to clients, but work the entire body in a functional way. These movement experiences can be easily regressed or progressed. Faculty: Mark P. Kelly, PhD, CSCS, Exercise Physiologist, American Council on Exercise. CEUs awarded TW Keep moving: from rehab to wellness Benefit from Touchmark’s lessons learned from developing a program in a continuing care retirement community and working with rehab professionals, including relationship-building ideas, and safety precautions and techniques. Learn about the company’s overall philosophy for having qualified professionals to provide these programs. Lecture. You’ll be able to: • Identify and develop strategies to build and maintain relationships with all key stakeholders. • Learn safety precautions for working with clients that have several diagnoses, including joint replacement, chronic disease, and balance deficits; and develop appropriate classes and other related services. • Comprehend and replicate best practices regarding program leaders, measurable goals and outcomes, marketing, and liability. Faculty: Marge Coalman, EdD, Vice President, Wellness Programming, and Lori McCormick, BSPT, Fitness Specialist, Touchmark. CEUs awarded ML Accountable Care–leveraging and showcasing your exercise and wellness programs Discover how to leverage healthy aging programs and resources to help local healthcare systems meet Accountable Care goals. Increase referrals by developing marketing narratives that showcase what you offer. Frame exercise and wellness programs as solutions that reduce healthcare costs. Lecture. You’ll be able to: • Design a narrative to articulate how your exercise and wellness programs are a viable strategy to help hospitals reduce readmissions. • Discuss the areas of healthcare reform that are relevant to your senior living site (i.e., assisted living, independent living, continuing care retirement community). • Identify the programs and resources you already have in place that can help reduce hospital admissions and readmissions, and showcase senior living as the senior wellness experts in the community. Faculty: Kay Van Norman, MS, President, Brilliant Aging. CEUs awarded “Excellent opportunity for all staff to refresh, connect, share, learn and take home new concepts.” Beverly Kannengieszer Director of Active Living, Medford Leas Sessions PDW SEXcessful aging: sex, intimacy and aging Sexuality is a vital piece of the healthy aging puzzle. Explore physical and emotional benefits and risks to sexuality in later years, expand the conventional definition of sex, and provide adaptive suggestions for physical limitations. Understand older adults’ cultural influences around sexuality. Lecture. You’ll be able to: • List three benefits and two risks to sexual activity during the later years. • List three adaptive techniques/ strategies for those with physical limitations to enjoy sexuality. • Create a strategy statement to cultivate a sex-positive dialogue in your workplace or community. Faculty: Rebecca Chaplin, MA, LS, Aging Program Specialist, Land-of-Sky Regional Council, Area Agency on Aging. CEUs awarded PDW BOSU mobility and stability for the active aging Help older adults build functional strength, face fear of falling with gait training, learn ways to get up/down, and move more effectively through the kinetic chain. Clients should have the ability to perform movements, with effort, on the floor or BOSU Balance Trainer. Learn modifications for different functional levels and options without the BOSU. Lecture/Interactive. You’ll be able to: • Provide mobility and stability “games” (kinesthetic challenges and drills) for improved functionality, reaction, fall prevention, coordination, range of motion, and overall self-efficacy. • Comprehend that differences in age, ability and agility are common to this market, and that instructors may have to relinquish a desire to maintain class conformity. • Utilize the unique qualities of the BOSU Balance Trainer to offer exercises in mobility and stability to improve wellness for the active aging. Faculty: Lawrence Biscontini, MA, Mindful Movement Specialist, FG2000; Bernadette O’Brien, MA, Mindful Movement Motivator, YMCA Wayne, New Jersey. CEUs awarded PDW Off the rocker: movement that motivates! Develop “ageless workouts” by fusing basic movement patterns with simple equipment. Upbeat music and movement inspire everyone “off their rocker” to challenge endurance, strength and flexibility, while blending elements of balance and reinforcing motor patterns. Lecture/Interactive. You’ll be able to: • Intergrate balls, hula hoops, and noodles into exercises for older adults. • Lead exercises in a group setting that are both seated and standing. • Incorporate both static and dynamic balance exercises into an older-adult group fitness class. Faculty: Cammy Dennis, BBA, Fitness Director, and Jessica Pinkowski, CPT, Group Fitness Coordinator, On Top of the World Communities, Inc. CEUs awarded OP WALK for life: walk more= live better (Note: This session will meet at the registration desk and take place outdoors.) Research shows the association between faster walking and longer life span. Learn the research-based health benefits of walking (both physical and cognitive). Also, take away usable racewalking techniques/training strategies and modifications to use. Lecture/Interactive. You’ll be able to: • Demonstrate the health benefits of walking and walking fast. • Learn specific racewalking technique. • Share teaching techniques and training methods. Faculty: Jolene Moore, MEd, Director of Wellness, Covenant Retirement Communities, and World and American Age Group Record Holder, Racewalking. CEUs awarded Friday, November 22, 2013 12:00 p.m.–1:00 p.m. Keynote Magic Johnson knows a thing or two about success. As the floor leader of the National Basketball Association’s Los Angeles Lakers, Johnson racked up three MVP awards, five NBA Championships and 12 All-Star appearances. In 1992 he added a gold medal to his resume as a member of America’s “Dream Team.” Building Magic Johnson Enterprises, a business empire with a net worth of roughly $700 million, according to Forbes, didn’t happen overnight, however. As chairman and CEO, Johnson owns movie theaters, restaurants and gyms, and early in 2012, he pulled off his biggest deal yet as his group of investors bought the Los Angeles Dodgers. For all of his successes, there have been plenty of missteps. When times are tough, Johnson turns to lessons he learned on the court. “There’s winning and there’s losing, and in life you have to know they both will happen,” he says. “But what’s never been acceptable to me is quitting.” Faculty: Earvin “Magic” Johnson, CEO, NBA Legend, and Dodgers Owner. CEUs awarded Friday, November 22, 2013 4:00 p.m.–5:30 p.m. PDW Transforming the expressive arts: wellness, team-building, marketing and fundraising Learn why and how to develop innovative performing arts groups that can create a culture of team-building, renew energy and interest, and attract future clients. Examples include older adults teaching/ creating art to exhibit, and developing dance and drama classes with purpose to perform. Lecture. You’ll be able to: • Identify the wellness benefits of performing arts programming. • Discover how the expressive arts can be used as a tool for marketing and fundraising. • Comprehend how expressive arts will enhance community teambuilding efforts. Faculty: Rita Lopienski, MA, Life Enrichment Director, Plymouth Place Senior Living. CEUs awarded R How to connect optimally with age 50+ adults and promote behavior change for healthy, fit and happy living Gain the latest tools to effectively connect and comfortably relate with Traditionalists and Baby Boomers. Discover psychological/behavioral profiles, unique needs/mindset, personcentered communication skills, and rapport-building strategies. Learn key factors for promoting exercise and wellness. Lecture. You’ll be able to: • Utilize an understanding of the psychological and behavioral profiles of Traditionalists and Boomers to readily promote adherence in physicalfitness dimensions of health. • Demonstrate advanced rapport/ connection building behaviors with Traditionalists and Boomers. • Use improved relationship-building skills to grow your practice, and Photo: Julie Milner increase participation in senior living communities, seniors centers, wellness and fitness clubs, parks, and other community services. Faculty: Michael Mantell, PhD, Senior Fitness Consultant for Behavioral Sciences, American Council on Exercise. CEUs awarded ML Appreciative Inquiry 101 Explore Appreciative Inquiry (AI), a positive-oriented approach to individual and organizational change. The principles behind AI build on strengths, rather than just focusing on faults and weakness. Develop tools to inspire and advocate for positive change. Lecture. You’ll be able to: • Develop tools to consciously focus on empowering employees. • Direct your energies toward the positive terminology. • Identify in your own life the areas that can improve through AI. Faculty: Cindy L. Bradshaw, MS, ACC, Executive Director, National Certification Council for Activity Professionals (NCCAP). CEUs awarded ML Leveraging the wellnessrehabilitation partnership for enhanced outcomes Explore the benefits of integrated wellness and rehabilitation programs in supporting active aging in senior living communities. Learn ways in which wellness and therapy professionals can leverage their partnership to enhance a community’s wellness program across all dimensions. Lecture. “A fantastic educational and networking experience. A great variety of topics from which to choose from very knowledgeable presenters. Lots of ideas to motivate active aging.” Deb Porcelli, MS, OTR/L Director of Therapy Services,Waverly Heights, LTD Sessions You’ll be able to: • Define components of wholeperson wellness in senior living communities, a multidimensional, interdependent model that promotes self-responsibility for wellness in all dimensions of life. • Formulate specific approaches to facilitating communication between wellness and therapy providers to increase client participation. • Utilize wellness-program assessment tools as well as outline approaches to measuring outcomes for the rehabilitation program component of a whole-person wellness program partnership. Faculty: Denise Durham, PT, MBA, Regional Vice President, Select Rehabilitation, Inc. CEUs awarded PDW Core stability for a healthy back for all levels of function A healthy back gets people of all ages through their daily lives safely and efficiently. For healthy backs, core strength and stability training are where conditioning programs must focus. Learn how to structure and teach a back workout with progressions for all functional levels. Lecture/Interactive. You’ll be able to: • Review the anatomy of the inner and outer units that comprise the core, and discuss where traditional exercise training and rehabilitation focus their attention. • Develop a progressive core-conditioning exercise program that will help build a healthy back and lower risk for pain and injury for any body. • Discuss the latest trends in programming and equipment utilized in core and back conditioning programs. Faculty: Maureen Hagan, PT, Vice President of Operations, GoodLife Fitness, and Education Director, canfitpro. CEUs awarded BF Brain boosters As the aging population grows, researchers are exploring best practices for better brain health throughout the life span. Identify 25 brain boosters and learn how they contribute to improving brain function. Participate in and take home easy-to-implement activities. Lecture. You’ll be able to: • Comprehend cognitive domains of a brain-healthy lifestyle. • Identify 25 brain boosters and learn how they affect brain health. • Participate in 10 brain-boosting activities that you can use with older adults. Faculty: Terry Eckmann, PhD, Professor, Minot State University. CEUs awarded Friday, November 22, 2013 6:00 p.m.–7:00 p.m. Poster session: programs, best practices and research The posters in this session present an excellent opportunity for you to see a visual representation of successful programs and best practices, as well as applied research. Meet and talk with presenters, ask questions, and join others with similar interests. Mix education and networking in an informal environment, and leave with a bag full of good ideas. Faculty: Multiple presenters. Saturday, November 23, 2013 6:45 a.m.– 8:15 a.m. PDW Conductorcise: a fresh, always new, joyous brain and body stimulator Discover a fresh approach to listening to great music and ways of moving for older adults who may not have moved in months. This workout stimulates brains and bodies. Explore how to listen to music and what builds brain cells. Learn why joy is a must for any program. Lecture/Interactive. You’ll be able to: • Comprehend how to listen to music and how you can stimulate the brains of older adults. • Practice ways for older adults to move safely using not only the classics, but world music as well as popular works. • Use this joyous workout to encourage individuals to return to programs. Faculty: David Dworkin, Owner and Conductor, Conductorcise. CEUs awarded Saturday, November 23, 2013 8:30 a.m.–10:00 a.m. ML Senior centers: alive, well and ready for the future Find out what action plans have led to the Kerby Centre’s success in engaging Boomers while continuing to meet older adults’ social, educational and fitness goals. Learn about the center’s success in building partnerships, and why not-forprofits are vital components for successful aging. Lecture. You’ll be able to: • Realize the benefit of building and sustaining partnerships. • Recognize why it is important to ensure programming and services meet the wishes and needs of older adults. • Comprehend how engaging with diverse populations will enhance quality of life for all older adults, and will sustain the future of senior centers. Faculty: Luanne Whitmarsh, RSW, CPCA, CEO, Kerby Centre. CEUs awarded PDW Mudras, music and meditation Mudras are yoga postures done with the hands to increase stamina, promote success, and increase healing with specific finger placements, benefitting both joints and mental outlook. Learn simple hand and eye mudras you can use immediately. Music and meditation will complement the mudras. Lecture/Interactive. You’ll be able to: • Comprehend the purpose of eye and hand mudras. • Practice with eye and hand mudras for a variety of purposes. • Combine music with the mudras and light, unconventional meditation for a seated work-in. Faculty: Lawrence Biscontini, MA, Mindful Movement Specialist, FG2000. CEUs awarded PDW Aquatics benefits people with Parkinson’s disease Explore how water’s buoyancy supports the exerciser, allowing people with Parkinson’s disease to use larger, exaggerated movements, and practice balance and coordination skills without the fear of falling. Then, learn how you can share these benefits with your clients. Lecture. You’ll be able to: • Define and understand Parkinson’s disease and common symptoms. • Identify the benefits and barriers of exercise in the water for clients with Parkinson’s disease. • Select exercises that maximize the properties of the water and creatively challenge clients with Parkinson’s disease. Faculty: Christine Shidla, BS, Director of Wellness, Summit Place Senior Campus; Cathy Maloney-Hills, RPT, Courage Center. CEUs awarded PDW Joy dance Music and dance lift mood and increase joy. Either seated or standing, joy dances are easy to do anywhere. Use them as an activity class or as instant energizers before, during or after lunch and other activities. Learn how and why joy dances can help create a culture of joy. Lecture/ Interactive. You’ll be able to: • Identify key benefits of dance. • Perform simple dances that can be done in a chair. • Perform simple dances that can be done in a group or individually. Faculty: Terry Eckmann, PhD, Professor, Minot State University. CEUs awarded PDW Preserving function in frail adults Movement is very important for frail older adults, and highly specific to preserving and restoring function. Explore movement that supports basic and advanced activities of daily living. Engage frail adults in exercise specific to promoting personal success, fun and independence. Lecture/Interactive. You’ll be able to: • Define frailty. • Implement exercises that support activities of daily living, specifically impacting stability, mobility, range of motion and strength. • Comprehend the physical and psychological ramifications of frailty. Faculty: Cammy Dennis, BBA, Fitness Director, and Jessica Pinkowski, CPT, Group Fitness Coordinator, On Top of the World Communities, Inc. CEUs awarded B Exercises to remain safe on your feet Explore a group fitness class that combines physical therapy principles and functional specific movement to implement balance technique and “righting reaction” training in community-based settings. This session will focus on meeting the needs of all capabilities. Lecture/Interactive. You’ll be able to: • Learn two quick and easy assessment tests (Timed Up and Go, Functional Reach Test) to measure outcomes of your class programming if providing pre- and post-assessment opportunities. • Learn a choreographed group-exercise class with movement strategies specific to improving “righting reactions” of residents in retirement communities or other community-based settings. • Learn progressions to meet the needs of all levels of function, from unsteady older adults to the more actively aging adult, all who need skill development activity to prevent falls. Sessions Faculty: Cindy Kozacek, Senior Fitness Programs Consultant, Healthways/ SilverSneakers. CEUs awarded Saturday, November 23, 2013 10:15 a.m.–11:45 a.m. TW Inspiring participation through engaging programs and challenges Simplify the process of creating a wellness challenge, and gain steps for implementation and tools for measurement. Learn how to determine common goals, audience, budgets, etc. Leave able to create a wellness challenge specific to resident needs and organizational goals. Lecture. You’ll be able to: • Evaluate the needs of residents/ members and create a program or challenge to meet those needs. • Comprehend the tools to evaluate the program/challenge at the conclusion and make adjustments for future programs. • Comprehend how to develop interest and successfully implement a new program for maximum participation. Faculty: Lauren Kriz, MA, National Wellness Director, RehabCare. CEUs awarded ML Placing a value on your worth Your energy, confidence and attitude are the currency others transact with. What are you worth, really? How much do you save your facility in staffing hours and resources? Share with administration the bottom line, the literal value of your activity department, in numbers and resources. Lecture. You’ll be able to: • Develop tools to take back control of your attitude regarding what you are worth. • Use tools to determine an actual dollar amount that you contribute to your facility each month. • Develop a list of local resources that will contribute to your overall value. Faculty: Cindy L. Bradshaw, MS, ACC, Executive Director, National Certification Council for Activity Professionals (NCCAP). CEUs awarded PDW R3: Reenergize, revamp, restructure your wellness programming Learn tips and techniques to create “fresh” programs that appeal to members and keep them coming back for more! Leave with a method to assess programs, increase participation, motivate members (residents and staff ), implement assessments, track progress, and organize procedures. Lecture. You’ll be able to: • Market your programming to all ability levels and include all dimensions of whole-person wellness. • Implement assessment programs and ways to track the progress of clients. • Increase the productivity of wellness staff and keep them motivated to promote your programs and activities. Faculty: Jackie Halbin, BS, Living Well Manager, Lakeview Village. CEUs awarded PDW Functional fitness solutions Systematically approach pain-free movement solutions through proper assessments, interpretation and application of corrective exercises. Earn the trust of clients with the message that movement should not hurt. Assess, interpret, correct and clean up all before any vigorous exercise begins. Lecture/ Interactive. You’ll be able to: • Perform assessments that help you help clients more. • Interpret what you see and what you need to do about it. • Solve tricky older-adult mobility challenges and obstacles to exercise. Faculty: Debra Atkinson, MS, CSCS, Voice for Fitness. CEUs awarded PDW Ten moves that we lose: keep them and dodge disability Identify the 10 key movements necessary for total body mobility and independence within the largest environment possible. Raise the bar for your aging clients or patients. Train with specificity for what they “want to be able to do”. Lecture/ Interactive. You’ll be able to: • Identify 10 fundamental movements (patterns) that form the foundation for physical independence and pursuit of hobbies and recreation. • Design progressions and regressions for each. • Map 7–14-day training plans that incorporate these movements via individual training, group exercise, physical labor, hobbies and recreation. Faculty: Patricia VanGalen, MS, Excellence In Conditioning. CEUs awarded “I am always professionally energized after the conference. In a dynamic profession, you need dynamic presentations. Thank you!” Jean O’Leary Madison School and Community Recreation Spotlight on… INFORMAL LEARNING AND NETWORKING Connect with your active-aging colleagues at the multilevel ICAA Conference. Whether they are researchers, practitioners or executives, or work in wellness, marketing or development, attendees and presenters alike share your passion for healthy, vital aging. You can build or revitalize your knowledge network with these dynamic, dedicated professionals. Attendees at past ICAA Conferences always mention the great ideas, energy and inspiration they gain from being with their peers. Among the not-to-miss experiences are ICAA’s Networking Reception and Poster Presentations, which provide informal learning and networking opportunities. ICAA Networking Reception Friday, November 22, 2013 6:30 p.m.–8:30 p.m. Omni San Diego Hotel 675 L Street, San Diego, California Prepare for a fun, high-energy evening with your active-aging colleagues. ICAA’s Networking Reception is the place to meet or catch up with ICAA members and allies at the conference. Enjoy the lively exchange of ideas as you mix with attendees, presenters, exhibitors and staff; you’ll leave with contacts and insights aplenty. Tasty light refreshments will be served. Cash bar. ICAA Poster Presentations: programs, best practices and research Friday, November 22, 2013 6:00 p.m.–7:00 p.m. (at the ICAA Networking Reception site) Selected by a committee of peer reviewers, these posters offer visual representations of successful programs and best practices, as well as applied research, that contribute to older-adult wellness. Meet and talk with presenters, ask questions, and join others with similar interests. Mix education and networking in an informal environment, and leave with a bag full of good ideas. Sponsored by the International Council on Active Aging® “ICAA gave me a great opportunity to reach out into the wellness community and meet fellow leaders in the craft. The networking opportunities will provide us with many ways to share ideas and help each other through difficult issues we may face.” Stephie Mullis Assistant Wellness Director, Kisco Senior Living Travel information Hampton Inn San Diego Downtown Address: 1531 Pacific Highway Location: 1.4 miles from convention center Rates: $149 per night Hilton San Diego Bayfront Address: 1 Park Boulevard Location: 0.2 miles from convention center Rates: $209 per night Omni San Diego Hotel Address: 675 L Street Location: 0.8 miles from convention center Rates: $195 per night San Diego Marriott Gaslamp Quarter Address: 660 K Street Location: 2.0 blocks from convention center Rates: $189 per night “Attending the annual ICAA Conference is like coming home. It is a wonderfully welcoming atmosphere, with knowledgeable and generous speakers …. It is an excellent environment for learning and development!” Terry Fay Corporate Director of Resident Programs, Senior Lifestyle Corporation HOTELS The conference takes place at the San Diego Convention Center, 111 West Harbor Drive, San Diego, California. The trade show will be located in Halls F–H. To receive the conference rate, all reservations need to be made through Travel Planners, the official housing provider. The following hotels have room blocks for the conference: Embassy Suites San Diego Bay Address: 601 Pacific Highway Location: 0.8 miles from convention center Rates: $169 per night Wyndham San Diego Bayside (Holiday Inn on the Bay) Address: 1355 North Harbor Drive Location: 1.4 miles from convention center Rates: $133 per night Book with Travel Planners For the fourth year, ICAA has designated Travel Planners as the official housing provider for the conference. Travel Planners has a great reputation and works with 130 conventions and events per year. ICAA selected Travel Planners because many of our conference exhibitors and attendees have received faxes, emails and phone calls from companies offering hotel rooms for the event—and these outside travel agencies are not endorsed by or in any way affiliated with the ICAA Conference. Book with Travel Planners to receive these exclusive benefits: • Travel Planners’ low rates beat those you’ll find on the Internet or by calling the hotel directly. • No prepayment! Book today, then pay the hotel directly upon your departure. • Update or even cancel hotel reservations with no fees or penalties. • Receive immediate confirmations— no waiting or wondering. • There are no service fees to make your reservations. Go to www.icaa.cc/conferenceand events/travel.htm to book your room. Prefer to book via telephone? Agents are ready to take your calls Monday through Friday, 9 a.m.–7 p.m. ET, at 800-221-3531 or 212-532-1660. Your reservations are rate-assured! TRANSPORTATION Air travel/car rental HB Travel does not book hotels for the ICAA Conference; it does offer special convention airfares for attendees, and will check at the time of reservations for any special sales that may provide lower fares. Corporate car rental rates are also available through the agency. For details, contact Laura Whiteman tollfree at 800-668-4112 (8 a.m.–5:30 p.m. PDT, Monday to Friday) or email laura@ hbtravel.com. Please mention ICAA in your communication. Shuttle buses Shuttle buses will be available to take participants between the San Diego Convention Center and all hotels (except hotels adjacent to the convention center). Photo: Julie Milner San Diego Trolley The San Diego Trolley operates daily from throughout downtown to the convention center. Fares are $2.50 oneway, or $5 for a day pass. The Trolley has two stops directly in front of the Convention Center at Harbor Drive/ First Avenue and Harbor Drive/Fifth Avenue. A map of Trolley routes is available at www.sdmts.com/trolley/ trolley.asp. Maps and directions for the San Diego Convention Center are available online at www.visitsandiego. com/attendees/maps.cfm. INTERNATIONAL TRAVELERS The ICAA Conference and the Athletic Business Conference & Expo are registered with the Visa Services Office and are now listed under the United States Department of State– Intranet Listing for Conferences in the United States. This list does not expedite or waive visa procedures, but serves as a communication tool for Department of State Embassies and Consulates Worldwide. More information is available at http:// athleticbusinessconference.com/hoteltravel/international.aspx. Frequently asked questions Q. Are the full-day workshops included in the registration fee? A. No, there is an additional perperson cost of $79 to participate in any preconference workshop. Space is limited, however. Register early to avoid disappointment. Q. How do I earn continuing education units for the classes I attend? A. You can earn credits by enrolling in the CEU program. To cover costs, a $25 fee will be charged until Wednesday, November 10, or $40 on-site. At the conference, you’ll receive a log book of sessions that offer credits, plus the certifying organizations. The room monitor will stamp your book after a session to verify your attendance. Turn in your stamped booklet at the ICAA registration desk when you leave the conference, and allow up to eight weeks for your CEU transcript to arrive. “ICAA is the foremost leader in olderadult health and wellness. It provides excellent educational material, maintains the highest standards in the industry, is forward thinking and has gained the respect of all of us who treasure what we do in the active-aging field. Thank you, ICAA!” Q. What does the ICAA Conference fee include? A. Registration fees include educational seminars, ICAA Networking Reception, Athletic Business (AB) all-conference reception, keynote sessions, earlymorning workout, conference CD, and exhibit hall entry. Lori Michiel, NASM-CPT Fifty Plus Fitness Q. Can I attend sessions offered at the AB Conference & Expo and the other meetings that take place in partnership with AB? A. As an ICAA attendee, you may attend any educational seminars at the AB and Medical Fitness Association conferences, as well as the National Alliance for Youth Sports Congress, at no additional charge. You can access four conferences for the price of one. Q. What will I find at the trade show? A. The AB Expo is a premier trade show for the health and fitness industry. It showcases products and services aimed at wellness, sports, exercise and recreation, as well as support and educational services. At this expo, you’ll find options for physical activity and exercise across the levels of function. Explore offerings created specifically with the age 50-plus adult in mind at the ICAA Pavilion, also located in the exhibit hall. ICAA’s “one-stop” venue is where you can research new technologies, equipment and services to support multidimensional wellness for older adults, plus meet providers committed to active aging. Q. How do I receive session handouts? A. You’ll receive a CD-ROM at the ICAA Conference containing all handouts available prior to the event. On-site printing stations will be available for your use at no cost. In addition, you can download and print handouts before you leave home, if you wish. Watch for a link from ICAA to a dedicated website. Handouts will not be online after the event. Q. How do I become an ICAA member? A. You can become an ICAA member when you register and receive 10% off one-year ICAA membership dues when you register by the November 4 earlybird deadline. This is a one-time offer for first-time members only. Fill out the optional membership section on the conference registration form when you go to www.icaa.cc/registrationForm.asp. See the ICAA website for membership options and benefits. Q. We’re sending several people to the conference. How do we register? A. Sending more than one person to the conference maximizes the impact of your investment. To qualify for a group discount, you must all register for the ICAA Conference at the same time and make one payment for the total fees. Visit www.icaa.cc/registrationForm. asp to complete one online application form per person, then pay by PayPal. Alternatively, download a registration form to copy and complete for each person. Fax all the forms together to 604-708-4464, and indicate payment by check or credit card. Or call ICAA toll-free at 866-335-9777 to register by phone. Q. Can I register now and pay later? A. Yes. You can register online or by fax or phone, with payment to follow. Your options are to call us with your credit card information, or to mail a check. If payment does not arrive within 30 days, your registration will be cancelled. After November 10, if you plan to pay by check, please indicate on your form that you will pay by check on-site. Payment must be received prior to or at the conference for your registration to remain valid. Q. I don’t have a formal job title, but the form says “required.” What should I do? A. If you don’t have a title, please use a description of your job. For example, wellness activity leader or personal trainer or administrator. Q. When will I receive confirmation of my registration? A. You’ll receive email confirmation of registration within one week of ICAA’s receipt of your conference registration. Please contact us if you do not hear back within an appropriate amount of time. Q. If I can’t attend the conference, can someone else from my company go in my place? A. If you need to cancel your registration, please submit your request in writing. A $100 cancellation fee will apply. After November 10, no cancellations are permitted, but you can transfer your registration to another delegate or to a future year. Q. Is there a dress code for the conference? A. Conference dress is casual. We recommend you wear comfortable walking shoes and bring a sweater or jacket. Meeting rooms are airconditioned and often chilly. Spotlight on… DINING IN SAN DIEGO Questions about food and where to eat are among those most commonly asked by ICAA Conference attendees. The San Diego Convention Center is located right across from the historic Gaslamp Quarter, a trendy dining and entertainment district featuring more than 100 restaurants and cafés. The handy and informative guide Visit San Diego features a multitude of restaurant listings, as well as information about the city’s transit system, shopping, nightlife, and more. Go to www. visitsandiego.com/attendees/ delegateguide.cfm to view the guide online or to request a free print copy (allow four weeks for delivery). Information is also available online at www.visitsandiego.com and www.gaslamp.org. “If you want to meet the challenges of today and prepare for the future, [the ICAA Conference] is an opportunity to achieve this objective.” Don Streeper Recreation Coordinator, Petaluma Senior Center ICAA members 1st registrant 2nd and 3rd registrants 4th and more registrants Nonmembers 1st registrant 2nd and 3rd registrants 4th and more registrants On or before November 4 After November 4 $439 $389 $199 $539 $489 $299 $439 $389 $199 $539 $489 $299 Note: All registration fees are in US dollars. Conference registration r out ou b a k s A rate! g roup Special offer: Receive 10% off an Individual or Organization membership (14 locations or less) when you join ICAA and register for the ICAA Conference at the same time before November 4, 2013. This offer is available to first-time members only, and cannot be combined with any other offers. Conference registration includes: educational seminars at four conferences • welcome receptions • keynote sessions • early-morning workouts • conference CD • entry to exhibit hall. It does not include preconference workshops ($79 each) or continuing education unit registration ($25 when enrolled before November 10, $40 on-site). Cancellation policy: Please submit your cancellation request in writing. A $100 fee will apply. After November 10, 2013, no cancellations are permitted, but you can transfer your registration to another attendee or a future year. Group discount: To receive a group discount, all attendees from the same organization must register at the same time and pay with one check or credit card. If adding another attendee to a group that is already registered, call ICAA at 866-3359777 or 604-734-4466. Register now and save $100 To register • Call toll-free 866-335-9777 • Visit www.icaa.cc Dress code: Conference dress is casual. We recommend you wear comfortable walking shoes and bring a sweater or jacket. Meeting rooms are air-conditioned and often chilly. Photo release: ICAA occasionally uses photographs and videos of conference attendees in promotional and educational materials. By virtue of your attendance, you automatically agree to usage of your likeness in such materials. Register for the ICAA Conference 2013 by calling toll-free 866-335-9777 (North America only) or 604-734-4466. Or visit www.icaa.cc/registrationForm. asp to register online. You may also download PDF forms from this webpage to complete and return via fax or mail. 3307 Trutch Street Vancouver, BC V6L 2T3 1.866.335.9777 Tel: 604.734.4466 Fax: 604.708.4464 www.icaa.cc Conference partners Adver tisers index Pages 2–3 Page 27 Page 89 NuStep, Inc. Life Fitness International Council on Active 800-322-2209 866-638-9301 Aging (ICAA)/ProMatura Group www.nustep.com/newT4r www.lifefitness.com 866-335-9777 www.icaa.cc/management/ Page 7 Page 33 HUR Health and Fitness Equipment International Council on Active 847-729-2636 Aging (Online Buyer’s Guide) Page 99 www.hurusa.com www.icaa.cc/preferredbusiness Benaroch Graphic Communication partners.htm 604-856-6627 benchmarks.htm Page 9 www.benaroch.com Morrison Senior Living Page 35 800-2CLIENT (225-4368) Active Aging Week 2013 Page 109 www.iammorrison.com 866-335-9777 International Council on Active www.icaa.cc/aaw.htm Aging (ICAA Preferred Business Page 11 Partner Program) THORLO Page 37 866-335-9777 800-438-0286 Institute for Preventive Foot www.icaa.cc www.thorlo.com Health (IPFH) Page 13 877-777-IPFH (4734) Page 111 www.ipfh.org International Council on Active SCIFIT Aging (ICAA Champion) 800-278-3933 Page 53 866-335-9777 www.scifit.com International Council on Active www.changingthewayweage.com Aging (ICAA Champion) Page 19 866-335-9777 Page 112 Nia/Moving Toward Health www.changingthewayweage.com/ Technogym USA Corp. www.nianow.com/whitebelt campaign-pins.htm 800-804-0952 [email protected] Page 21 Pages 84–85 Conductorcise, LLC International Council on Active 914-244-3803 Aging (ICAA) www.conductorcise.com 866-335-9777 www.icaa.cc Page 25 ProMatura Group 800-201-1483 [email protected] The Journal on Active Aging July/August 2013 www.icaa.cc 81 Market research A profile of aging America The United States Census Bureau recently released a brief profile of older Americans to commemorate Older Americans Month 2013. Using a by-the-numbers approach, this profile includes the following statistics about an evolving target market. Population 41.4 million: The number of people who were 65 and older in the United States on July 1, 2011, up from 40.3 million on April 1, 2010 (Census Day). In 2011, this group accounted for 13.3% of the total population. Source: Population esti82 The Journal on Active Aging July/August 2013 www.icaa.cc mates <http://www.census.gov/popest/ data/national/asrh/2011/index.html> 92.0 million: Projected population of people 65 and older in 2060. People in this age group would comprise just over one in five US residents at that time. Of this number, 18.2 million would be 85 or older. Source: Population projections <http://www.census.gov/population/ projections/data/national/2012.html> 2.4 million: Projected number of Baby Boomers in 2060. At that time, the youngest Baby Boomers would be 96 years old. Source: Population projections <http://www.census.gov/population/ projections/data/national/2012.html> 2056: The year in which, for the first time, the population 65 and older would outnumber people younger than 18 in the US. Source: Population projections <http://www.census.gov/population/ projections/data/national/2012.html> Nearly 17%: Projected percentage of the global population that would be 65 and older in 2050, up from 8% today. In 2005, Europe became the first major world region where the population 65 and older outnumbered those younger than 15. By 2050, it would be joined by Northern America (which includes Canada and the United States), Asia, Latin America and the Caribbean, and Oceania (which includes Australia and New Zealand). Source: International Data Base <http://www.census.gov/population/ international/data/idb/information Gateway.php> Income and wealth $33,118: The 2011 median income of households with householders 65 and older, not significantly different from the previous year. Source: Income, Poverty, and Health Insurance Coverage in the United States: 2011 <http://www.census. gov/prod/2012pubs/p60-243.pdf> 8.7%: The percent of people 65 and older who were in poverty in 2011, statistically unchanged from 2010. There were 3.6 million older adults in poverty in 2011. Source: Income, Poverty, and Health Insurance Coverage in the United States: 2011 <http://www.census.gov/ prod/2012pubs/p60-243.pdf> $170,128: Median net worth for householders 65 and older in 2010, down from $195,890 in 2005. Source: Net Worth and Asset Ownership <http:// www.census.gov/people/wealth/> Jobs 16.1%: The percentage of people 65 and older who were in the labor force in 2010, up from 12.1% in 1990. These older workers numbered 6.5 million in 2010, up from 3.8 million in 1990. By 2011, this rate had increased to 16.2%. Source: Labor Force Participation and Work Status of People 65 and Older <http:// www.census.gov/prod/2013pubs/ acsbr11-09.pdf> 44.3%: Among those 65 and older who worked in 2011, the percentage who worked full-time, year-round. Among states and equivalents, the District of Columbia had the highest rate, at 62.2%. Source: Labor Force Participation and Work Status of People 65 and Older <http://www.census.gov/prod/ 2013pubs/acsbr11-09.pdf> Education 81.1%: Proportion of people 65 and older in 2012 who had completed high school or higher education. Source: Educational Attainment in the United States: 2012 <http://www.census. gov/hhes/socdemo/education/data/ cps/2012/tables.html> 24.3%: Percentage of the population 65 and older in 2012 who had earned a bachelor’s degree or higher. Source: Educational Attainment in the United States: 2012 <http://www.census. gov/hhes/socdemo/education/data/ cps/2012/tables.html> Marital status and living arrangements 58%: Percentage of people 65 and older who were married in 2012. Source: Families and Living Arrangements <http:// www.census.gov/hhes/families/data/ cps2012.html> 26%: Percentage of people 65 and older in 2012 who were widowed. Source: Families and Living Arrangements <http://www.census.gov/hhes/families/ data/cps2012.html> Homeownership 80.7%: Percentage of householders 65 and older who owned their homes as of fourth quarter 2012. Source: Current Population Survey/Housing Vacancy Survey <http://www.census.gov/ housing/hvs/> Centenarians 53,364: The number of people 100 years old and older counted by the 2010 Census. Source: Centenarians: 2010 <http://www.census.gov/prod/cen2010/ reports/c2010sr-03.pdf> 20.7: For every 100 centenarian women, the number of centenarian men in 2010. Source: Centenarians: 2010 <http:// www.census.gov/prod/cen2010/reports/ c2010sr-03.pdf> 43.5%: In 2010, percentage of centenarian men who lived with others in a household, the most common living arrangement for this group. For their female counterparts, the most common living arrangement was residing in a nursing home (35.2%). Source: Centenarians: 2010 <http://www.census.gov/prod/ cen2010/reports/c2010sr-03.pdf> 3.29: Number of centenarians per 10,000 people in North Dakota in 2010. North Dakota was the only state with more than three centenarians per 10,000 people. Source: Centenarians: 2010 <http:// www.census.gov/prod/cen2010/reports/ c2010sr-03.pdf> States and counties 17.6%: Percentage of Florida’s population 65 and older in 2011—which led all states. Source: Population estimates <http://www.census.gov/popest/data/ national/asrh/2011/index.html> 45.5%: Percentage of the population of Sumter County, Florida, that was 65 or older in 2011, which led all of the nation’s counties. Source: Population estimates <http://www.census.gov/popest/data/ national/asrh/2011/index.html> Adapted from the US Census Bureau’s “Profile America: Facts for Features” release from March 7, 2013, commemorating Older Americans Month. The full release is available online at www.census.gov/newsroom/ releases/archives/facts_for_features_ special_editions/cb13-ff07.html. The Journal on Active Aging July/August 2013 www.icaa.cc 83 Motivational understanding Continued from page 39 transforming ideas 84 The Journal on Active Aging July/August 2013 www.icaa.cc Big ideas call for big-picture thinking. As we continue to develop the active-aging industry, we at ICAA look first for the needs to be filled, then for ways to use our influence to fulfill them. Our efforts are not only into action changing the lives of older individuals, but also changing the way society perceives aging. The timing has never been better to make a difference. The first step is to join us. International Council on Active Aging® 3307 Trutch Street Vancouver, BC V6L 2T3 1.866.335.9777 Phone: 604.734.4466 Fax: 604.708.4464 [email protected] www.icaa.cc Call, email or go online for a copy of our brochure. The Journal on Active Aging July/August 2013 www.icaa.cc 85 Program profiles How Spring Lake Village created a thriving wellness culture At this California community, the wellness journey has involved residents, staff and outside organizations from the larger community in Sonoma County, California, reflects a thriving wellness culture embraced by Spring Lake Village (SLV) residents. by Diane Waltz, MS, PT How did this culture get started? How did it evolve to the point where it influences everything we do at SLV, including a new expansion project? And how is it shared with the larger community? This article looks at some stepping stones in our wellness journey. “Your residents are so full of life! The opportunities at Spring Lake Village must create a lifestyle that makes them very happy.” That is what Executive Director Sharon York typically hears when she tells the people she meets where she works. This perception, shared by people 86 The Journal on Active Aging July/August 2013 www.icaa.cc Continued on page 88 Residents enjoy pole walking on the Spring Lake Village campus in Santa Rosa, California How Spring Lake Village created a thriving wellness culture Continued from page 86 Along the way, we have learned some helpful lessons. Our most valuable lesson is this: A vibrant wellness culture takes the collaboration of residents and staff in all departments, with each individual contributing their unique ideas, talents, experiences and perspectives. It is by reaching out and working with others, both inside and outside the SLV community, that we enjoy a rich, multifaceted wellness culture that is contagious to all who come on campus. Beginning our journey SLV’s wellness journey began more than a decade ago, but the community itself opened its doors in 1986 on 30 landscaped acres in Santa Rosa. Our continuing care retirement community is part of the Episcopal Senior Communities network. ESC, based in the San Francisco Bay Area, is a not-for-profit provider of residential and aging services for older adults. As an ESC property, SLV strives to support the independence of residents and encourage their continued intellectual, physical, social and spiritual growth. The Spring Lake Village Wellness Program, introduced in 2002, fosters these things by providing opportunities that enrich residents’ lives and promoting awareness among those who live and work on campus. The wellness program’s purpose is to “educate residents and staff about body, mind and spirit wellness; to facilitate healthy lifestyle choices; to encourage participation in health/wellness/fitness programs; and to provide ongoing support for achieving total wellness.” From its start, the SLV wellness program has been a collaborative effort between residents and staff. Our wellness culture has evolved from resident input, innovative ideas and creative collaborations, with increasing numbers of people involved in developing and participating in opportunities. As a result, wellness has grown organically in our community. 88 Active-aging professionals can help create the right circumstances for a wellness culture to flourish—but they can’t do it alone. At SLV, the wellness team knows that actively involving others is vital to success, and we work with older adults, staff from all departments, and outside groups to promote whole-person wellness. Involving older adults The “germ” of SLV’s wellness program was a series of articles I wrote in our community newsletter at the director of nursing’s request. But it was the interest that residents showed in the information that led to the launch of the resident wellness committee. This committee has been the real catalyst for, and driving force behind, SLV’s wellness program. Wellness committee Ten residents joined the wellness committee in 2002, including several retired healthcare practitioners. One—a psychologist—was appointed committee chair. Supported by SLV and with me acting as staff liaison, this group was asked to explore what “wellness” meant to the SLV community, and to develop programs and provide opportunities to encourage wellness for mind, body and spirit. The group decided it would initially focus on health and wellness education, so monthly lectures were scheduled. Committee members generally came up with the topics of interest, and sometimes speakers as well. Examples of some lectures to date include: “How to Establish a Well-Balanced Exercise Program,” “Growing Gratitude: Scientific Insights into Living a Life of Emotional Prosperity,” and “Age Proofing Your Brain.” From lectures, the committee expanded its focus to include program development. In the early years, before our efforts evolved to encompass the other dimensions of wellness, the focus was The Journal on Active Aging July/August 2013 www.icaa.cc more on the physical dimension and the treatment of illness rather than prevention. Committee members were initially very reluctant to address the emotional and spiritual wellness dimensions—part of a generational inhibition in talking about these issues. But there has been a cultural shift in this area. Presently, many residents want to learn how to manage such things as negative emotions, transitions and loss. Acting on the increased interest in emotional and spiritual issues, the committee started inviting SLV’s chaplains to its meetings. This made the chaplains the first “outside” staff to get involved and take on a wellness role, and they continue to be very active in encouraging spirituality for people of all belief systems. At wellness committee meetings today, I use the phrase “wellness ambassador” a lot. I can rely on members to know what’s going on with programs and to invite people to participate in them. I also encourage the committee members to share what they learn in our meetings, as well as to be my ears in the community and to tell me what residents want in the development of our wellness program. Discussion/support groups Alongside the wellness committee, discussion (or support) groups were established. At several of the lectures, I had a signup sheet available so residents could tell us if they wanted to explore a topic in greater detail, and many people did. I gathered with the interested individuals, who would then appoint someone from within the group to act as facilitator. My role was to secure whatever resources the groups needed to develop further— space to meet, supplies and books, local speakers, and the like. Numerous discussion groups have been established this way and are ongoing. Some examples include groups for weight management, Continued on page 90 measure what you manage Use the ICAA/ProMatura Wellness Benchmarks to measure your wellness program’s ROI. To plan for tomorrow, the national benchmarks will define the industry, and how your community can attain competitive positioning. It took over three years to develop the ICAA/ProMatura Wellness Benchmarks. Right now, retirement communities can join this industrywide effort to move wellness outcomes from isolated or anecdotal reports to solid numbers. Learn more at: www.icaa.cc/Management/benchmarks.htm How Spring Lake Village created a thriving wellness culture Continued from page 88 Outcomes Among the strongest measures of success for the Spring Lake Village Wellness Program, resident satisfaction survey responses in 2012 included the following: 95% Residents in my community have a voice in activities. 98% There are physical activities and programs available. 98% There are spiritual activities and programs available. 99% The community offers a variety of activities and programs. 97% I can maintain my hobbies and interests. brain fitness, diabetes, and caregiver and grief support. A group that began more recently is “Living Well with Chronic Conditions.” In 2010, after reading an article about taking charge of your health, one of our residents requested a program to teach people with chronic disease how to manage their symptoms and live life to the fullest. With the support of SLV’s administration, this individual and I traveled to Oakland for training to facilitate the “Living Well with Chronic Conditions” class. This interactive workshop, developed by the Stanford Patient Education Research Center, addresses all wellness dimensions. Another popular discussion group focuses on healthy aging. This group has had a significant impact in spreading 90 the “wellness bug” across campus. Don Sanders, a retired university professor who currently chairs the wellness committee, was inspired by one of our monthly wellness lectures, “10 Recommendations for Healthy Aging” by Ellen Hughes, MD, from the School of Medicine at the University of California, San Francisco. He proposed a discussion group to allow residents to share the ways they live out each healthy aging tip individually and brainstorm ideas for how SLV could better support their pursuit of healthy lifestyles. A valuable programming suggestion, for instance, was to provide weekly guided meditation sessions. These sessions help residents manage stress, cultivate positive emotions, and connect with something beyond themselves—three of Dr. Hughes’s tips. Residents can encourage one another along their wellness journey and take an active part in planning the direction of the programming. Surveys and input While the wellness committee and discussion groups have played a key role, all SLV residents have participated in the development of our wellness program. An early opportunity was in the transition from the physical wellness focus into multidimensional wellness. We distributed a wellness survey after the first couple of years to better understand resident needs and interests. Residents were asked to list ideas for wellness lectures and additional types of exercise classes they would like to have. As a result of the response, tai chi, pilates, Zumba and yoga classes were included in the schedule. Residents also expressed growing interest in emotional, spiritual and intellectual wellness (particularly after research was published about the benefits of cognitive enhancement programs). It was clear from the survey results that the concept of whole-person wellness had taken root at SLV. Residents desired The Journal on Active Aging July/August 2013 www.icaa.cc opportunities to develop their wellness in all the dimensions: physical, social, spiritual, intellectual, occupational and emotional. (Environmental wellness has become more of an interest in the last four years.) Their ideas for expanding our program were wonderfully creative and reflective of the individuals who live at SLV, who are highly educated, politically involved and globally aware. SLV also conducts an annual resident satisfaction survey. Over the years, this survey has given residents a formal way to make suggestions for the wellness program and allowed SLV to measure the program’s success (see “Outcomes” on this page). Additional channels are always open for residents to express their desires, needs and opinions. Input and ideas are received through committees, meetings, evaluation forms, and one-on-one encounters. Yes, sometimes feedback is not positive. But we always listen and try to accommodate suggestions wherever possible. Great programming ideas have also come out of the interviews we do with new residents to learn about their wellness needs and goals. The knowledge gained through this process has helped us create individualized fitness and wellness programs for residents, plus partner with them in the wellness journey. Collaborating with staff Besides revealing interest in wholeperson wellness, the SLV wellness survey made something else apparent: Program expansion would take more than the efforts of a wellness coordinator and a committee of residents. When the wellness committee launched in 2002, I was the only SLV staff person involved. I was working full-time as an outpatient physical therapist and had just a few hours per week to work with the committee and make plans for programming. Once it became necessary for me to find meeting locations for the evolving discussion groups, I started working more closely with the program director, who found space and coordinated the meetings with other campus programs. My position also transitioned into wellness coordinator. As the wellness position was completely new, however, it was a challenge to find a space for me to work at the start. SLV’s administrators were very supportive. They were always trying to find me the resources needed to get the job done. Still, it was one step at a time to create the hours and space needed for the wellness function. The biggest obstacle was there was no precedent at SLV for what I was doing. Where did wellness fit? In the end, resident satisfaction drove program expansion. Because the annual wellness budget increased along with program successes, we were able to offer additional programming every year. Showing results was key to gaining resources. This was not only in terms of the amount of money available to spend on supplies, but also on staffing. Wellness went from two or three days a week to full-time and then to hiring another staff member halftime—a wellness instructor. Today, the two of us work closely with the wellness committee to devise and plan activities. Next year, once SLV’s expansion project is complete, we will hire additional wellness staff and move into a new wellness center. The wellness survey proved to be a real turning point in our journey. The results showed that residents valued wellness and wanted opportunities in all dimensions, and it would require more staff involvement to take the wellness program to that level. By this time, staff in all departments were ready to join the effort. Tuning in to wellness SLV residents were not the only ones becoming more aware of wellness in those early years. Staff had also experienced this growth. One way they learned about wellness was through a short “lecture” or “demonstration” at each all-staff meeting, led by me at the executive director’s request. They had also absorbed what was happening in the community. So as wellness became more of a focus, all departments on campus began to get involved. Collaborations between departments and between residents and staff happened more organically—an example is the partnership between dining services and the wellness program. SLV’s weight management discussion group was keen to understand the menus offered at SLV and their dietary breakdown, so I brought in staff from the dining services department to talk to the group. This established a great partnership between the wellness program and dining services. Among the things this partnership has provided to date are hands-on demonstrations, visual displays, lectures, and articles on nutrition in our resident newsletter. In addition, our dietitian’s hours have been expanded to allow her to work more closely with us on nutrition education. At our monthly managers’ meeting, where all departments are represented, we talk about what different departments are doing and collaborate on planning. Part of what we discuss is resident input. For example, with a focus on environmental wellness, there is an increased awareness of sustainability on campus. Our facilities and dining services directors have responded to resident interest in this area by purchasing recyclable cups and placing recycle receptacles at events. A culture of collaboration has arisen to support wellness in all dimensions for both SLV residents and staff. Because all departments are now on board and everyone contributes to the program, wellness pervades the SLV community. Resources Council on Aging, Sonoma County http://councilonaging.com Episcopal Senior Communities www.jtm-esc.org Northern California Center for Well-Being http://norcalwellbeing.org Spring Lake Village www.jtm-esc.org/slv/index.html Sonoma County Family YMCA www.scfymca.org Sonoma Wine Country Senior Games www.winecountrygames.com Sonoma Wine Country Senior Games: Still Got It (flash mob video) www.youtube.com/watch?v=JDOpR x1ftQk&feature=youtu.be Wellness in all departments Today, many SLV professionals are involved in planning activities for residents and staff that address the seven dimensions of wellness, including our two chaplains, program director, director of outpatient services, human resources director, dietitian, director of dining services, marketing director, and social services director. The program director attends wellness committee meetings and plans musical, educational and social events and excursions to nurture resident wellness. Examples include Spanish classes, brain fitness, drum circles, a classical music video series, and a monthly World Affairs Council Meeting. The social services department provides presentations Continued on page 92 The Journal on Active Aging July/August 2013 www.icaa.cc 91 How Spring Lake Village created a thriving wellness culture Continued from page 91 within and outside our campus. Through these partnerships, SLV has been able to enrich wellness programming for residents and provide wellness opportunities for those who live nearby. We have also benefitted from greater exposure in the local community and the opportunity to share our wellness goals and culture. To generate excitement for the Sonoma Wine Country Senior Games, Spring Lake Village organized a ‘flash mob’ at a local shopping mall. SLV partnered with a local high school and a teenage ballroom dance group for this fun activity, which drew more than 60 participants from SLV’s exercise and dance classes on coping with transitions, loss and grief, as well as facilitating caregiver and transitions support groups. Our chaplains address residents’ spiritual needs by offering book studies, “Music with Soul” classes, and guided meditations, plus individual counseling, grief support, and visitations. And the facilities director works with a resident conservation committee to increase awareness of natural resource conservation and recycling. local businesses, vendors and educational institutions. Past participants have included the YMCA, Sonoma County Student Dietetic Association, Northern California Center for Well-Being, 24 Hour Fitness, and SLV’s Employee Assistance Program, to name a few. The goal is to educate our employees about what is available within Sonoma County to help maximize their wellness in all dimensions. Wellness staff collaborate with SLV healthcare services (skilled nursing, assisted living and outpatient) to provide a seamless transition for residents through all levels of care. We meet with both the physical therapist and the resident upon discharge from inpatient or outpatient care to supervise follow-through of the recommended exercise program. I also attend monthly continuity-of-care meetings. Finally, the marketing department has embraced wellness as key to meeting the desires and needs of today’s aging population. Whole-person wellness is a focus point in SLV’s marketing materials, while outreach events include presentations on the importance of wellness, the different dimensions of wellness, and the opportunity to live an enhanced quality of life. Our monthly wellness lectures are also open to the public, free to attend, and promoted within the local community. In addition, human resources now partners with the wellness program to encourage healthy lifestyle choices among SLV’s 250-plus employees. The most successful wellness education activity for employees thus far has been our annual employee wellness fair, which features 92 Working with outside organizations Another way we decided to reach outside SLV’s walls is by working with other organizations to promote wellness, both The Journal on Active Aging July/August 2013 www.icaa.cc For example, SLV forged a valuable wellness partnership with our local YMCA, opening our pool to the association during low usage hours. For Sonoma County residents who live nearby and could benefit from warm-water exercise, this partnership has provided a more convenient location for them to take aquatics classes. SLV residents attend classes free of charge, and the Y charges nonresidents a small fee. Bringing the “Living Well with Chronic Conditions” classes onto our campus created a bond between SLV and the Northern California Center for WellBeing, a group that administers chronicdisease management classes for the county. “Living Well” participants learn strategies to help manage symptoms, fight fatigue, manage stress and negative emotions, develop an exercise plan, make daily tasks easier, improve communication, and live life to the fullest. These classes are open to nonresidents who live in close proximity to our campus and are referred to us by the center. SLV has also enjoyed a close relationship with the Santa Rosa Junior College over the years. This community college utilizes our campus for many of the courses offered through its Older Adult Program, including art, history, writing and exercise classes. Course offerings are open to residents as well as the outside community, free of charge. And last year, SLV collaborated with the Council on Aging to host the Sonoma Wine Country Senior Games Square Dancing Competition. Our auditorium was the perfect place for this event, with its expansive, smooth floor that could accommodate both dancing couples and spectators. We also worked closely with the council to promote the games. The Senior Games events gave active older adults opportunities to participate together in activities and encouraged others to become more active—a valuable promotion of wellness. From our perspective, it was desirable, too, for guests from all over the county to experience SLV’s culture of wellness and to view our buildings and grounds. Shaping a culture SLV’s wellness culture has been shaped individually and with spirit, from the ground up, and reflected back to us by the surrounding community. It has been altered along the way, because it is always evolving. Our current programming integrates multidimensional wellness across all departments. But an expansion project, begun in January 2013, will result in even more opportunities to expand our wellness culture both within and outside SLV. Through this expansion, our community will gain 62 new residences, plus a new wellness center and pool; a new audito- rium, theater, and expanded library; an expansive new art studio; and remodeled dining areas to support different dining styles. We anticipate that these facilities will meet the depth of our wellness offerings. Looking back at SLV’s wellness journey, our biggest key to developing a vibrant, successful whole-person wellness culture has been to seek input and involvement from the people we serve, and to listen to them. To ask them: What does wellness mean to you? What programs do you want, and what activities do you feel would most enhance your wellness? Because potential participants took part in decision-making, they became invested in the outcomes and ambassadors for the wellness program. Support for wellness has also come from a collaborative spirit. When staff from all departments joined the effort at SLV, it took our wellness program to a new level and laid the groundwork for a culture of wellness on campus. Working with outside groups has allowed us to share our vibrant culture with the greater community and promote wellness with others who share our goals. L e s s o n s Developing the Spring Lake Village Wellness Program has been an extraordinary journey. Of course, there have been roadblocks along the way. Some valuable lessons we’ve learned include the following: • Give your residents/members a voice. They need to be a vital part in the planning of wellness programs and activities, especially in senior living communities. Forming a healthy aging discussion group is one way to identify what wellness means to your constituents. • Not every idea will be successful. When something doesn’t work, just accept it and move on. A good example is our attempt to bring square dancing lessons to SLV residents before the Sonoma Wine Country Senior Games Square Dancing Ultimately, everyone contributes to creating—and sustaining—a rich, multifaceted wellness culture. Residents, staff and outside groups have helped SLV’s wellness culture grow beyond all expectations. And the impact of that growth, in turn, makes our community thrive. Diane Waltz, MS, PT, joined the Spring Lake Village team in 2000, initially as the outpatient physical therapist before transitioning into the newly created role of wellness program coordinator in 2002. Waltz received a bachelor’s degree in human biology and a master’s degree in physical therapy, both from Stanford University, California. She has been practicing physical therapy for over 25 years in a variety of settings, including outpatient orthopedics, sports medicine, home healthcare, skilled nursing, and now wellness. An adjunct faculty member with the Santa Rosa Junior College Older Adult Program, Waltz is also a certified instructor of pilates mat exercise, group exercise for seniors, and pole walking. Images courtesy of Spring Lake Village l e a r n e d Competition. Residents tried it and soon decided they didn’t want to learn this form of dance. did not justify the classes from a cost/benefit perspective. Opening the fitness room to staff during low resident-use hours has been well received, however, and many employees take advantage of this opportunity. • It can be difficult to get employees to understand and embrace the culture of wellness for themselves. There are several reasons why. First, senior living employees work numer- • Reinvigorate yourself! This has ous shifts, spanning 24 hours. It is difbeen an extremely valuable lesficult to offer educational lectures and son. We’ve found the International fitness classes that include all work Council on Active Aging’s annual shifts. Also, working parents make conference incredibly helpful for up much of today’s workforce. They recharging our “wellness batteries.” do not want to stay extra hours, even There are so many innovative proto attend a class that would benefit gramming ideas. Among those we’ve them. Language differences can pose brought back to SLV are a flash mob idea, brain fitness program, pole a problem as well. walking, new fitness equipment suggestions, and the “Caught in the We tried offering different kinds of Act of Wellness” bulletin board. exercise classes to our employees, free of charge, at various times throughout the day. Unfortunately, attendance The Journal on Active Aging July/August 2013 www.icaa.cc 93 ICAA Innovators A ‘green’ initiative unites residents and staff at The Orchards at Southington Eco-friendly efforts have improved relationships, quality of life and the environment at this Connecticut community This is the fifth article in a series profiling the recipients of the 2012 ICAA Innovators Awards. Launched by the International Council on Active Aging® in 2003, ICAA’s awards recognize creativity and excellence in active aging, honoring innovations that are leading the way, setting new standards and making a difference in the lives of older adults. These offerings target any or all of the seven dimensions of wellness— namely, physical, spiritual, intellectual, social, emotional, vocational and environmental wellness. 94 The Journal on Active Aging July/August 2013 www.icaa.cc Located about 20 miles southwest of Hartford, Connecticut, the town of Southington—home to some 42,000 people—dates back three centuries. George Washington and other American Revolutionary War figures visited the town, but Southington’s real claim to fame is its apples. The area, nicknamed “The Apple Valley,” features gently rolling hills and orchards bordered by mountains to the east and west; the nearby Quinnipiac River and its tributaries, as well as an historic town center. On the edge of this district is The Orchards at Southington, a nonprofit independent/assisted living community and a regional leader in environmental stewardship. Continued on page 96 The inviting Serenity Garden at The Orchards at Southington, Connecticut, is a certified natural habitat for bees, butterflies and other pollinators A ‘green’ initiative unites residents and staff at The Orchards at Southington Continued from page 94 was concerned about the effects of the chemicals used by staff and around the residents, especially those with compromised respiratory conditions. After much research, we converted to more sustainable products without harmful VOCs [volatile organic compounds] or other hazardous chemicals for all daily cleaning and foaming hand-soap dispensers. JAA: How did The Orchards implement its green initiative? And what were its key objectives? At The Orchards at Southington, Connecticut, staff in all departments embrace environmental stewardship. Pictured, left to right, are Executive Director Audrey Vinci, Director of Housekeeping Kathy Johnson, Executive Chef Patty Hooper, Activities Director Michele KorbyGale, Director of Nursing Sandra Ingriselli, and Resident Services Director Pamela Smith Owned and operated by Hartford HealthCare and Central Connecticut Senior Health Services, which provides integrated services and a continuum of care, The Orchards promotes a lifestyle that “allows … residents to age in place while supporting independence.” The community provides fine dining; social, cultural and recreational activities; cognitive and physical fitness programs; plus amenities such as a pub and grille and a library. Environmental wellness, a key focus, is supported by a bevy of “green” practices. This environmental initiative has not only improved resident and staff health at The Orchards, but has also won outside recognition for the community. In 2012, the International Council on Active Aging® presented The Orchards with the ICAA Green Award, a category of its annual Innovators Awards program. The community’s efforts have also been rewarded with the 2010 Connecticut Department of Energy & Environ96 mental Protection GreenCircle Award, and the Assisted Living Federation of America’s 2013 Best of the Best Award (“Going Green, Saving Green” category). For The Orchards, the initiative further provides another way to market to Boomers “who may be shopping for their parents today—and someday for themselves,” says Director of Housekeeping and Environmental Services Kathleen Johnson. To learn more about The Orchards’ green initiative, the Journal on Active Aging® asked Johnson and Executive Director Audrey Vinci to describe some of the community’s efforts to date, as well as their outcomes. KJ: As a way to implement our environmental changes and keep staff, residents and families on board, The Orchards created the Green Committee. This working committee combines the passion of those who live and work here with the purpose of environmental stewardship. It consists of staff from all departments including housekeeping, maintenance and dietary, with residents and their families participating. The Green Committee uses information from focus groups at The Orchards and other sources to set goals and then break these goals down into manageable tasks. From these meetings and focus groups, our community has developed a green initiative that today generates an environmental benefit, reduces expenses, beautifies the grounds, and unites us all toward a common goal. This comprehensive program promotes the 4 Rs: reduce, reuse, recycle and recover. JAA: What was the catalyst for The Orchards’ “green” journey? In addition, the Green Committee strives to “collaborate, research, and teach environmental sustainability to ensure that all buildings in our [Central Connecticut Senior Health Services] continuum cultivate green practices with our staff and residents.” KJ: The success of The Orchards’ environmental practices arises from their very personal and relationship-centered nature. Early in our green journey, I JAA: What are some key efforts undertaken to date and their outcomes? Also, how does The Orchards evaluate the financial cost/benefit of its efforts? The Journal on Active Aging July/August 2013 www.icaa.cc KJ: The Orchards has seen a variety of short- and long-term benefits from our green initiative. As we have reduced our carbon footprint, we have saved money and reduced expenses while improving safety—for example, our extractor uses 90% less water to clean carpets and is safer for residents. For many printed announcements, we use an eco-friendly typeface that requires 20% less ink and toner. In addition, all paper towel and soap dispensers throughout the building have been replaced with motion-sensor dispensers, a move that has cut the waste and expense of these materials by 50%. And to replace our standard gaspowered car for daily resident transport, we purchased a new hybrid sedan, reducing fuel consumption by a third. Housekeepers and kitchen staff are no longer exposed to caustic chemicals that can cause immediate or long-term health problems. Instead, white vinegar is a staple in the cleaning supply cabinet. To clean plates, glasses and flatware, we use a green warewashing system with noncaustic dish detergent that uses 95% less packaging material. This system not only reduces cost and transportation shipments, but also saves water and reduces environmental impact. We have found that to fully embrace environmental responsibility requires extensive research, vision, and awareness of the multifaceted aspects of going green. From screening cleaning products with material safety data sheets, to recycling bottles and cans and our community’s trash, to purchasing sustainable products and supporting eco-conscious vendors, to nonchemical pest management and stewardship of the land, we have adopted a building-wide approach to lessen our carbon footprint on the Earth’s environment. JAA: How has The Orchards promoted participation in environmental efforts and become a regional leader in this area? KJ: Because we put relationships at the forefront of all that we do, we made our green program part of a larger initiative to enlist all stakeholders as partners in the effort. This ownership ensures that we not only go green, but also stay green. Over the last few years, our staff has conducted educational seminars and published pieces in journals to educate the public about eco-friendly solutions. We are planning more seminars and outreach so that local businesses and individuals can learn from our efforts, as well as more educational seminars to help residents better connect the dots with their actions and the impact on the environment. New residents and their families learn about The Orchards’ green initiative in our welcome packet, and education continues as they become part of our community. Because we understand the potential impact of partnerships in reducing our carbon footprint, we are eager to increase awareness, share best practices, and further collaborate to harness resources. For example, we recently participated in a meeting of the Connecticut Healthcare Environmental Roundtable, coordinated by the Department of Energy & Environmental Protection. JAA: Tell us about The Orchards’ recycling efforts with bottles and cans, and where they have led. AV: Our initiative to recycle bottles and cans not only has reduced waste at The Orchards, but also provided funds to reinvigorate a green space, The Serenity Garden, for all to share. Residents have been key to this initiative, saving their bottles and cans to redeem the five-cent deposits. Members of The Orchards’ housekeeping and dietary departments collect the bottles and cans from receptacles located throughout the building, then redeem them at stores, going above and beyond their duties. This community effort, now in its sixth year, has re- sulted in nearly 55,000 redeemed bottles and cans, totaling more than US$2,700 to date for our Serenity Garden. JAA: What was the original vision for The Serenity Garden, and how did this project progress from there? AV: It was my vision to create a space for our residents, staff and families that was tranquil and peaceful; a place to go to relax and enjoy nature. The Serenity Garden also met our need for more outdoor space and a new venue for physical fitness. It includes walking paths, bird baths, a bridge over a koi pond, and a space used for tai chi. KJ: The Serenity Garden is designed to reflect a natural habitat. Once the garden and its plantings were done, we applied for a natural habitat certification endorsed by the National Audubon Society, the National Wildlife Federation, and the North American Butterfly Association. This certification has been given to The Serenity Garden as a “Natural Habitat” for butterflies, honey bees, bumble bees and other pollinators. Our careful selection of native plants helps to sustain the population of pollinators, as well as increase the garden’s beauty. The Orchards also participates in the Connecticut Department of Environmental Protection’s Bluebird Restoration Project, which aims to help repopulate the bluebirds in our state. The department provided three bluebird houses for our Serenity Garden. Residents monitor and journal about these birdhouses, providing critical information to assess the bluebird “comeback” population. JAA: Did you encounter any challenges with implementing The Orchards’ green initiative and/or specific environmental changes? If so, how did you address them? Continued on page 98 The Journal on Active Aging July/August 2013 www.icaa.cc 97 A ‘green’ initiative unites residents and staff at The Orchards at Southington Continued from page 97 KJ: Finding the technology and the resources that are out there to better help us meet our green goals is a challenge. However, all of our programs point to the fact that we do not look for the easiest or most convenient answer. Instead, we take a thoughtful and strategic approach in examining both the short- and long-term impact on the choices we make in all departments. Patricia Hooper, our executive chef, stresses whole foods and healthy meals from scratch, including organic grains, rice and pasta; American Humane Certified products; eggs laid by free-range hens; sustainable farm-raised fish; and responsibly processed certified seafood. In addition, we offer residents “Earth-friendly” snack items with responsible packaging, as well as natural meat and poultry items and soy-based, vegan and vegetarian products from local suppliers. Our recycling program takes on new meaning in the kitchen. Organic waste composting is one way a food service business can reduce its carbon footprint by diverting and managing waste. We purchased a twin composter to turn organic food scraps into useful compost, keeping solid waste out of our landfill. Our grounds maintenance contractor uses this compost for The Serenity Garden and the grounds, as well as making it available to the local garden club for use in civic projects around town. In addition, we have begun a phase-out of polystyrene (Styrofoam) products, replacing them with ecofriendly alternatives. The Orchards recycles plastics, cardboard, glass, metal cans, white office paper (made from recycled paper), tin foil and newspapers on a daily basis. We also recycle empty copier ink cartridges, discarded computers, and electronic and printing devices and supplies, with staff encouraged to bring devices from home if they lack the time or means to dispose of them responsibly. Our initiative permeates all departments and stakeholders and mobilizes everyone behind a common vision. JAA: In your view, how have environmental stewardship efforts advanced wellness and quality of life for residents and staff at The Orchards? AV: We measure the success of our initiative in the vibrant natural world, the reduction of pesticides and chemicals used, the money saved, and also the faces of the people that utilize The Serenity Garden and other healing spaces. Another somewhat intangible benefit is that this collaboration of staff and residents has not only helped the environment—for this generation and for those in the future—but also led to better relationships and improved quality of life for everyone. The Journal on Active Aging thanks Kathleen Johnson and Audrey Vinci for their help with this article. For information about The Orchards at Southington, visit www.southingtonorchards.org. Images courtesy of The Orchards at Southington How The Orchards at Southington’s green initiative thrives: five key points 1. We established a Green Committee as a way to implement environmental changes and keep staff, residents and families on board. 2. We created a program because we realized the potential impact of going green for the health of our stakeholders, our assisted living community and our global community. But we could not have predicted the way in which this initiative would blossom. Our goal for the building was to recycle more than we throw out, as measured by dumpster usage. We have met this goal because it is truly a collaborative effort by all staff, residents and their families. 98 3. We realize that we cannot rest on our laurels. The Orchards recently joined the US Environmental Protection Agency’s WasteWise program and Food Recovery Challenge, where participants volunteer to meet goals to reduce and recycle municipal solid waste and selected industrial wastes. 4. We continue to conduct focus groups and meet with residents to tap into their passions and determine how they can more effectively partner with us. Continuing to speak with residents about how our initiative directly impacts them is a goal for the coming year. In particular, we are looking at our informational materials to The Journal on Active Aging July/August 2013 www.icaa.cc ensure that they are appropriate for individuals with low vision. We also aim to better measure impact through resident and staff surveys and other data collection methods. 5. We are always on the lookout for other ways to make a difference, even with our limited budget. The Green Committee is currently searching for an exercise machine that can recharge batteries to be used in our hands-free soap and paper towel dispensers in our community’s restroom. The opportunities are only limited by our imaginations. stand out show your colors One way to maintain a competitive advantage is to stand out from your competitors. We can help. Let Benaroch Graphic Communication provide you with the creative tools to promote and enhance your corporate image. For details call: Benaroch Graphic Communication T: 604.856.6627 C: 604.230.8994 [email protected] www. benaroch.com ICAA PREFERRED B International Council on Active Aging® (ICAA) members gain access to companies interested in doing business with them, and in supporting the active-aging industry, through the ICAA’s Preferred Business Partner Program. The support of the following companies enables ICAA to provide members with programs and services. ICAA encourages its members to support these vendors in turn, and to take advantage of the additional savings they offer members on products and services. Premier Preferred Business Partners Institute for Preventive Foot Health (IPFH) 1519 West Front Street Statesville NC 28677 Toll-free: 877-777-IPFH (4734) Tel: 205-276-3030 Fax: 205-982-7931 [email protected] www.ipfh.org Focusing on preventive foot health, IPFH helps individuals achieve more, more significant and more enthusiastic participation in all of life’s activities, no matter what their age—in short, to enjoy greater quality of life. NuStep, Inc. 5111 Venture Drive, Suite 1 Ann Arbor MI 48108 Toll-free: 800-322-2209 Tel: 734-769-3939 Fax: 734-769-8180 [email protected] www.nustep.com At NuStep, Inc., customer satisfaction is our highest priority. Our customer commitment and quality guides us in delivering our brand’s core promise: assuring users the opportunity for life transformation with every NuStep experience. THOR•LO, Inc. 2210 Newton Drive Statesville NC 28677 Toll-free: 800-438-0286 Tel: 704-872-6522 Fax: 704-838-7006 [email protected] www.thorlo.com ActiveRx 4921 South Alma School Road, Suite 4 Chandler AZ 85248 Tel: 480-840-1460 Fax: 888-665-2512 [email protected] www.activerx.com ActiveRx delivers wellness-orientated rehabilitation services through physical and strength therapy. Our medically supervised system focuses on building strength, enhancing physical function, preventing falls, and promoting lifelong active aging. All services are evidence-based, best-practice approaches. THOR•LO designs and manufactures innovative sock products for active living and aging. The company is a founding sponsor of the Institute for Preventive Foot Health. Preferred Business Partners ACP – Accelerated Care Plus 4850 Joule Street, Suite A-1 Reno NV 89502 Toll-free: 800-350-1100 Fax: 800-350-1102 [email protected] www.acplus.com ACP combines progressive medical technology with evidence-based clinical protocols and on-site therapist training. The company partners with over 4,500 SNFs, ALFs, ILFs, outpatient clinics, hospitals and other post-acute therapy providers throughout the United States. 100 The Journal on Active Aging July/August 2013 www.icaa.cc Aegis Therapies 7160 Dallas Parkway, Suite 400 Plano TX 75024 Toll-free: 877-823-8375 [email protected] www.aegistherapies.com Aegis Therapies provides skilled therapy and wellness services across the United States. EnerG by Aegis provides a multidimensional approach to wellness that produces both improved clinical outcomes for participants and improved operational success for organizations. 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BOSU, a division of Hedstrom Fitness 1 Hedstrom Drive Ashland OH 44805 Toll-free: 800-810-6528 Tel: 419-289-9310 Fax: 419-281-3485 [email protected] www.bosu.com BOSU believes that balance is the foundation of all human performance. We offer products and programming that encourage thoughtful and effective physical training to help prevent unnecessary falls and injuries while making training fun. The ChairMaster brings well-balanced wellness and fitness into daily life. Converting a functional chair into a recumbent bike, strength-training tool and yoga/balance device, the ChairMaster makes fitness accessible to anyone and improves people’s lives. BTE 7455-L New Ridge Road Hanover MD 21076 Toll-free: 800-331-8845 Tel: 410-850-0333 Fax: 410-850-5244 [email protected] www.btetech.com BTE’s expertise is human physical performance evaluation and treatment. Our rehabilitation equipment provides advanced evidence-based solutions for clinics, hospitals and private practices. With BTE, therapists can achieve better patient and clinic outcomes. CaptionCall 4215 South Riverboat Road Salt Lake City UT 84123 Toll-free: 877-557-2227 Fax: 801-262-3182 www.captioncallprovider.com CaptionCall is an innovative telephone for people with hearing loss. It quickly displays captions of what callers say on a large, easyto-read screen, so your hearing-impaired clients can use the phone again with confidence. Cascade Health and Fitness, LLC 17270 Woodinville-Redmond Road NE, Suite 702 Woodinville WA 98072 Tel: 425-402-4062 Fax: 425-402-4063 [email protected] www.chairmaster.com COLLAGE, The Art & Science of Healthy Aging Kendal Outreach, LLC 1107 East Baltimore Pike Kennett Square PA 19348 Tel: 610-335-1283 Fax: 610-335-1288 [email protected] www.collageaging.org COLLAGE is a consortium of aging services organizations (including continuing care, moderate-rate, and subsidized housing/home/community-based agencies) using an evidence-based assessment tool and person-centered process to advance healthy aging and improve outcomes of older adults living independently. Conductorcise, LLC PO Box 248 Bedford Hills NY 10507 Tel: 914-244-3803 Fax: 914-244-3878 [email protected] www.conductorcise.com Conductorcise is a joyous, physical program that uses the magic of classical music to prompt brain and physical stimulation and engagement of all levels. A flexible, fun way to improve mind, body and spirit. Continued on page 102 The Journal on Active Aging July/August 2013 www.icaa.cc 101 ICAA PREFERRED B Cornell Communications, Inc. 7915 North 81st Street Milwaukee WI 53223 Toll-free: 800-558-8957 Tel: 414-351-4660 Fax: 414-351-4657 [email protected] www.cornell.com Cornell has provided emergency call systems for over 40 years. We have wired and wireless products available in basic visual or with two-way voice capability to meet the specific needs of your residents or clients. Earl Swensson Associates, Inc. 2100 West End Avenue, Suite 1200 Nashville TN 37203 Tel: 615-329-9445 Fax: 615-329-9482 [email protected] www.esarch.com The 52-year-old architecture firm of Earl Swensson Associates (ESa) provides global design services in architecture, interior design, master planning and space planning for senior living and medical projects. 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Flynn Construction Management General Contracting, Inc. 600 Penn Avenue Wilkinsburg PA 15221 Toll-free: 800-434-7759 Tel: 412-243-2483 Fax: 412-243-7925 [email protected] www.flynn-construction.com Flynn Construction Management General Contracting, Inc., offers free preconstruction services, which include site surveys, budget preparation, landlord lease negotiation advice, and drawing analysis, in order to save clients both their valuable time and money. 102 The Journal on Active Aging July/August 2013 www.icaa.cc Greenfields Outdoor Fitness, Inc. 2625 South Orange Avenue Santa Ana CA 92707 Toll-free: 888-315-9037 Fax: 866-308-9719 [email protected] www.greenfieldsfitness.com By providing distinctive and well-planned outdoor fitness settings that are accessible for active older adults, Greenfields offers several levels of activities that are both physical and social in nature, including strength, cardio and flexibility training. Healthways 1445 South Spectrum Boulevard, Suite 100 Chandler AZ 85286 Toll-free: 888-423-4632 www.silversneakers.com SilverSneakers, a product of Healthways, is an evidence-based program, proven to reduce healthcare costs through a unique blend of fitness, fun and friends. Heritage Healthcare, Inc. 536 Old Howell Road Greenville SC 29615 Toll-free: 877-508-3237, ext. 112 Tel: 864-244-3626 Fax: 877-508-8714 [email protected] www.heritage-healthcare.com Founded in 1999, Heritage Healthcare is an independently owned provider of therapy management services to long-term care, assisted living and continuing care retirement communities. U S I N E S S PA R T N E R S HUR Health and Fitness Equipment 3019 Commercial Avenue Northbrook IL 60062 Toll-free: 866-729-2636 Tel: 847-729-2636 Fax: 847-509-4500 [email protected] www.hurusa.com HUR, a leader in falls prevention and incontinence, offers computerized balance testing and training systems, strength training equipment for older adults and physical therapy, and specialty wheelchair accessible strength machines. HydroWorx 1420 Stoneridge Drive Middletown PA 17057 Toll-free: 800-753-9633 Tel: 717-902-1923 Fax: 717-902-1933 [email protected] www.hydroworx.com HydroWorx, a premier manufacturer of aquatic rehabilitation, fitness and wellness products, offers innovation in every pool with fully adjustable floor, underwater treadmill and options to fit every application and budget. ICAA/ProMatura Wellness Benchmarks 3307 Trutch Street Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 [email protected] www.icaa.cc/management/ benchmarks.htm The ICAA/ProMatura Wellness Benchmarks is a free, Web-based business reporting tool to track wellness program outcomes in retirement communities. Enter information, track resident participation and satisfaction, and generate on-demand reports. Infinity Rehab 25117 SW Parkway, Suite D Wilsonville OR 97070 Toll-free: 888-757-3422 Tel: 503-570-3665 Fax: 503-570-9155 [email protected] www.infinityrehab.com Infinity Rehab provides outpatient rehabilitation services to older adults residing in retirement communities utilizing our Aging In Motion-Successfully (AIMS) program. This proactive program helps communities maintain residents’ strength, mobility and vitality. Intel-GE Care Innovations 3721 Douglas Boulevard, Suite 100 Roseville CA 95661 Toll-free: 800-450-0970 Fax: 916-772-3137 [email protected] www.careinnovations.com Care Innovations creates technology-based solutions to give people confidence to live independently, wherever they are. We deliver products and services to support current and future care models in disease management, independent living and assistive technologies. Interactive Health Partner 785 West 1700 South, Suite 1 Salt Lake City UT 84104 Toll-free: 877-654-3837 Tel: 801-973-9993, Option 3 Fax: 801-973-9923 [email protected] www.interactivehealthpartner.com The Interactive Health Partner Wellness Program addresses fall prevention with assessments, outcomes tracking and exercise prescription in an easy-to-use, comprehensive online system. It’s Never 2 Late 7330 South Alton Way, Suite O Centennial CO 80112 Tel: 303-806-0797 Fax: 303-789-1533 [email protected] www.in2l.com It’s Never 2 Late builds computers residents enjoy. Intuitive systems empower individuals to connect, engage and enjoy life with dignity through the benefits of today’s technology for therapy and activity use. JumpSport, Inc. 2055 South 7th Street, Suite A San Jose CA 95112-6011 Toll-free: 877-507-1399 Tel: 408-213-2551 Fax: 408-213-2930 [email protected] www.fitnesstrampoline.com Continued on page 104 The Journal on Active Aging July/August 2013 www.icaa.cc 103 ICAA PREFERRED B JumpSport products combine innovation, safety, quality and fun. Our Fitness Trampolines develop balance, stamina and strength, while promoting cardio health and weight loss. Patented low-impact elastic suspension reduces stress on the joints and back. Keiser 2470 South Cherry Avenue Fresno CA 93706 Toll-free: 800-888-7009 Tel: 559-256-8000 Fax: 559-256-8100 [email protected] www.keiser.com Keiser AIR series and Infinity Series exercise equipment feature pneumatic technology—which means users are “pumping air” and placing less stress on joints and connective tissue. Les Mills West Coast 235 Montgomery Street, Suite 950 San Francisco CA 94612 Toll-free: 888-841-5374 Tel: 415-733-0280 Fax: 415-391-1827 [email protected] www.lesmills.com Les Mills, a New Zealand-headquartered company, is a leading global provider of choreographed group-fitness classes distributed to health clubs, wellness centers and other facilities. Equipped with a management system and science proven results. Life Fitness 5100 River Road Schiller Park IL 60176 Toll-free: 800-634-8637 Tel: 847-288-3300 Fax: 847-288-3796 [email protected] www.lifefitness.com Life Fitness offers an extensive selection of cardio and strength-training products. From designing floor plans to offering flexible financing solutions, we make it easy to create a perfect solution. LifeTrail Advanced Wellness System by Playworld Systems 1000 Buffalo Road Lewisburg PA 17837-9795 Toll-free: 800-233-8404 Tel: 570-522-9800 Fax: 570-522-3030 [email protected] www.playworldsystems.com Based on functional fitness, LifeTrail Advanced Wellness System has been specifically developed for age 50-plus adults. It features 21 activities, 100-plus exercises, and is customizable to fit your needs. Linked Senior, Inc. 920 U Street NW Washington DC 20001 Toll-free: 888-577-1889 Fax: 202-280-1270 [email protected] www.linkedsenior.com Linked Senior, Inc., is a resident-engagement solution provider helping senior care leaders improve the quality of life of their residents. Its vision is to enhance the quality of life in senior communities. 104 The Journal on Active Aging July/August 2013 www.icaa.cc Masterpiece Living 11360 North Jog Road, Suite 102 Palm Beach Gardens FL 33418 Tel: 561-624-8797 Fax: 561-624-8037 [email protected] www.mymasterpieceliving.com Masterpiece Living partners with communities to maximize the potential of older adults. The multispecialty group provides tools for lifestyle evaluation, feedback and coaching; and leads a movement for a more enlightened national public policy. Matrix Fitness 1610 Landmark Drive Cottage Grove WI 53527 Toll-free: 866-693-4863 Tel: 608-839-1240 Fax: 608-839-8687 [email protected] www.matrixfitness.com Matrix Fitness Systems is the commercial division of Johnson Health Tech Co. Ltd., a leading fitness equipment manufacturer. Matrix delivers durable commercial fitness products, with low total cost of ownership. Med-Fit Systems, Inc./Manufacturer of Nautilus Commercial Products 543 East Alvarado Road Fallbrook CA 92028 Toll-free: 800-831-7665 Tel: 760-451-3445 Fax: 760-451-8995 [email protected] www.medfitsystems.com U S I N E S S PA R T N E R S Med-Fit Systems, Inc., is a 23-year-old physical therapy and senior care products provider. We supply strength and cardiovascular equipment, balance products and programming that are effective and safe for this market. Morrison Management Specialists 5801 Peachtree Dunwoody Road NE Atlanta GA 30342 Toll-free: 800-225-4368 Tel: 404-845-3330 Fax: 404-845-3333 [email protected] www.iammorrison.com Morrison specializes in the senior living industry, providing exceptional hospitality experiences across the United States. The company’s vision is simple: Great people will deliver great service and great results. Moving Toward Health 36555 Star Road Pleasant Hill OR 97455 Tel: 541-729-2894 [email protected] www.movingtowardhealth.com Moving Toward Health offers training to establish multilevel fitness programming. Chair Masters and The Nia Technique workshops for staff and clients include balance, strength, agility, bone density, and brain growth. Quality core program without outsourcing. National Institute for Fitness and Sport (NIFS) 250 University Boulevard Indianapolis IN 46202 Tel: 317-274-3432 ext. 208 Fax: 317-252-0738 [email protected] www.nifs.org NIFS provides comprehensive management of your fitness and wellness program. Our staff deliver customized best-practice programs and services that elevate resident engagement. We also specialize in design and equipment layout of community fitness spaces. National Strength and Conditioning Association (NSCA) 1885 Bob Johnson Drive Colorado Springs CO 80906 Toll-free: 800-815-6826 Tel: 719-632-6722 Fax: 719-632-6367 [email protected] www.nsca.com Fitness professionals with the NSCA’s Certified Special Population Specialist (CSPS) credential are regarded as experts on delivering research-based programs to work with clients with varying health conditions, fitness abilities and age groups. Performance Health Systems, bioDensity System 401 Huehl Road, Suite 2A Northbrook IL 60062 Tel: 847-656-3001 Fax: 847-656-3004 [email protected] www.biodensity.com bioDensity, a technology of Performance Health Systems, facilitates safe, fast and effective self-loading of the musculoskeletal system, aiding in improving and maintaining muscle strength, bone health and energy. PhysioStep MDX Recumbent Elliptical Cross Trainer/HealthCare International, Inc. PO Box 1509 Langley WA 98260 Toll-free: 800-398-9121 Tel: 360-321-7090 Fax: 360-321-7091 [email protected] www.hcifitness.com At HealthCare International, our goal is to provide high-quality and affordable products for health, wellness, fitness and active aging. Our products include the PhysioStep Recumbent Elliptical, PhysioTrainer UBE, H2O Fitness, Monark Ergometers and h/p/cosmos Treadmills. Pool Boy 55169 CR 3 Elkhart IN 46514 Toll-free: 866-778-7665 Tel: 574-266-1035 Fax: 574-266-6083 [email protected] www.poolboyproducts.com The Pool Boy Powered Reel provides a fast and convenient way to uncover and cover your pool. The Pool Boy design offers effortless operation by one person. Eliminate hand cranking and tugging on solar blankets. Continued on page 106 The Journal on Active Aging July/August 2013 www.icaa.cc 105 ICAA PREFERRED B Power Systems PO Box 51030 Knoxville TN 37950-1030 Toll-free: 800-321-6975 Tel: 865-769-8223 Fax: 800-298-2057 [email protected] www.powersystems.com Power Systems is a leading supplier of fitness and sports performance training equipment. We offer over 2,400 innovative products and training solutions, plus award-winning customer service, for customers such as health clubs and universities, among others. Precor, Inc. 20031 142nd Avenue NE Woodinville WA 98072 Toll-free: 800-786-8404 Tel: 425-486-9292 Fax: 425-482-3888 [email protected] www.precor.com Precor, a leading brand in fitness, offers cardio, strength and entertainment equipment that helps users live beyond their limits. Precor equipment is simple to operate and offers a smooth, fluid experience. Rejuvenate Salon & Spa 2107 Gunn Highway, Suite 108 Odessa FL 33556 Toll-free: 877-792-1366 Tel: 813-792-1366 Fax : 813-792-0608 [email protected] www.rejuvenatesalonandspas.com Rejuvenate Salon & Spa is a multiservice spa and wellness solution for senior communities. Founders Abby and Tim Germain have been privileged to represent over 80 luxurious senior communities in five states since 1996. SCIFIT 5151 South 110 East Avenue Tulsa OK 74146 Toll-free: 800-278-3933 Tel: 918-359-2000 Fax: 918-359-2012 [email protected] www.scifit.com SofSURFACES is a manufacturer of indoor and outdoor surfacing products made from recycled rubber. Our products are designed for durability, injury reduction and visual appeal. Sof TILE is marketed internationally through a network of qualified dealers. SportsArt 19510 144th Avenue NE, Suite A-1 Woodinville WA 98072 Toll-free: 800-709-1400 Tel: 425-481-9479 Fax: 425-488-8155 [email protected] www.sportsartamerica.com SCIFIT offers an extensive range of comfortable, safe, age-friendly cardio and strength equipment. SCIFIT equipment and programs provide opportunities for people of all ages to stay active. SportsArt Fitness offers a full line of fitness equipment that is comfortable, easy to use and highly adjustable to meet the needs of active adults. SNAG Golf, Inc. 14843 Highway 10 Tahlequah OK 74464 Tel: 918-453-9993 [email protected] www.snagpros.com SPRI Products 1769 Northwind Boulevard Libertyville IL 60048 Toll-free: 800-222-7774 Tel: 847-680-7774 Fax: 303-648-5418 [email protected] www.spri.com SNAG (“Starting New at Golf ”) is a first-touch development program for new learners of all ages. It is an easy and fun way to learn golf, and is readily adaptable to nontraditional venues. SofSURFACES, Inc. 4393 Discovery Line Petrolia ON N0N 1R0 Canada Toll-free: 800-263-2363 Tel: 519-882-8799 Fax: 519-882-2697 [email protected] www.sofsurfaces.com 106 The Journal on Active Aging July/August 2013 www.icaa.cc SPRI helps people enjoy a healthier, happier, active lifestyle. SPRI offers simple, effective exercise products for all fitness levels. Exclusive 15% discount for all ICAA members/subscribers (refer to code: ICAADISCOUNT). Starcraft Bus Sales 13385 Yorba Avenue Chino CA 91710 Toll-free: 888-993-5032 Tel: 909-993-5031 Fax: 909-465-5529 [email protected] www.starcraftbussales.com U S I N E S S PA R T N E R S Starcraft Bus Sales specializes in providing ADA [Americans with Disabilities Act] and wheelchair-equipped buses and minivans for retirement, assistedliving and long-term care communities. Organizations can count on Starcraft for superior quality, construction and durability. SwimEx, Inc. 846 Airport Road Fall River MA 02720 Toll-free: 800-877-7946 Tel: 508-646-1600 Fax: 508-675-0525 [email protected] www.swimex.com SwimEx pools offer an exercise environment that’s gentle on joints, and takes up little space. The pools feature an adjustable paddlewheel water current that is smooth and nonturbulent for clients’ exercise routines or swimming strokes. Technogym USA 700 Route 46 East Fairfield NJ 07004 Toll-free: 800-804-0952 Tel: 206-623-1488 Fax: 206-623-1898 [email protected] www.technogym.com/us At Technogym, The Wellness Company, we create, design and manufacture innovative solutions to foster the physical and psychological well-being of people, and enhance quality of life through physical activity. TurboSonic USA PO Box 1277 1020 Wasco Street, Suite D Hood River OR 97031 Toll-free: 877-664-7245 Tel: 541-436-0870 Fax: 541-436-0877 [email protected] www.turbosonicusa.com YogaFit Training Systems Worldwide 1540 South Robertson Boulevard Los Angeles CA 90035 Tel: 310-205-0430, ext. 312 (Marina Kolaric) Fax: 310-205-0498 [email protected] www.yogafit.com With one 10-minute session daily, TurboSonic’s sound-activated whole-body vibration exercise unit stimulates cells and all muscle groups, improving strength, endurance and range of motion. TurboSonic exercise benefits all fitness levels, especially older adults with disabilities. YogaFit is a leading yoga fitness education school, with over 200,000 instructors trained on six continents. YogaFit hosts Mind Body Fitness (MBF) Conferences, teacher trainings and retreats worldwide, all open to instructors, teacher trainees and yoga enthusiasts. New Preferred Business Partners WaterFit c/o Desert Southwest Fitness 602 East Roger Road Tucson AZ 85705 Toll-free: 800-873-6759 Tel: 520-292-0011 Fax: 520-292-0066 [email protected] www.dswfitness.com WaterFit offers educational courses (via correspondence or on-site workshops) based on current health and medical fitness science and practice. WaterFit also supplies equipment for water exercise comfort, progression and safety. Direct Supply 6767 North Industrial Road Milwaukee WI 53223 Toll-free: 800-634-7325 Tel: 800-634-7325 Fax: 800-770-1707 [email protected] www.directsupply.com Direct Supply is a leading provider of healthcare, clinical, furnishings, environmental and foodservice equipment—along with innovative eCommerce and service solutions—to the senior living profession. Want more information? To learn about the benefits of becoming an ICAA Preferred Business Partner, call ICAA toll-free at 866.335.9777. The Journal on Active Aging July/August 2013 www.icaa.cc 107 d i r e c t i o n s Catch up with the association that supports professionals in older-adult wellness ICAA’s CEO renews WEF network participation Colin Milner, founder and CEO of the International Council on Active Aging® (ICAA), will take part for the sixth consecutive year in the World Economic Forum’s Network of Global Agenda Councils. Through this network, thought leaders in business, government, academia, society, and international organizations address key global issues and opportunities, including population aging. The World Economic Forum, based in Geneva, Switzerland, is an independent, nonprofit organization “committed to improving the state of the world by engaging leaders in partnerships to shape global, regional and industry agendas.” The Network of Global Agenda Councils is designed to further the WEF’s mission and strategic vision, and tackle global issues of vital importance. Each of the network’s 80-plus councils brings together a community of 15–20 international experts to “provide interdisciplinary thinking, stimulate dialogue, shape agendas and catalyze initiatives.” These communities encourage new thinking and solutions. Milner looks forward to sharing his knowledge with the Network’s Global Agenda Council on Ageing 2013, as well as participating in the Summit on the Global Agenda to be held in Abu Dhabi, United Arab Emirates, in November. ICAA forms global alliances to support active aging Efforts are underway to more closely connect governmental agencies and for-profit and nonprofit organizations around the world that are striving to promote active aging. ICAA is working to create a global network of organizations that support and learn from each other. As a start, the association has established informal alliances with the following four organizations: • Active Ageing Australia, a for-profit member organization, “promotes physical activity for a lifetime of health” for all Australians. • Australian Human Rights Commission, an independent statutory organization created by and reporting to Australia’s federal parliament, works to promote and protect human rights in that country. • British Heart Foundation National Centre for Physical Activity and Health, part of Loughborough University’s School of Sport, Exercise and Health Sciences, is a leader in promoting physical activity and health in the United Kingdom. • Council for Third Age (C3A), an independent organization set up to promote active aging, has evolved into a “catalytic role” and now “aims to create a vibrant pro-age Singapore.” The goal is to expand the network of collaborating organizations, over time, to many other countries. Supporting ICAA’s Australian efforts, CEO Colin Milner will visit that country in November to give presentations at events for Active Ageing Australia and Aged Care Australia. Milner will talk about some trends in active aging on a global level. Coalition supports call to promote walking for health As a member organization of the Osteoarthritis Action Alliance, ICAA signed a letter that the Arthritis Foundation sent to the United States Surgeon General Regina Benjamin on April 30 in support of her Call to Action on Walking. The letter was submitted in response to an invitation for public comments. Noting full support for the Surgeon General’s initiative, the OA Action Alliance collectively requested that the call to action include: • recognition that arthritis is a chronic condition that results in health and physical activity disparities 108 The Journal on Active Aging July/August 2013 www.icaa.cc • information about the Arthritis Foundation’s evidence-based Walk With Ease Program • strategies and tactics from the Arthritis Foundation’s 2012 report, “Environmental and Policy Strategies to Increase Physical Activity Among Adults with Arthritis” ICAA also submitted a comment supporting the Call to Action. The OA Action Alliance, established in 2011, is a coalition of 45 organizations that collaborate “to prevent and control osteoarthritis by promoting effective programs, policies and communication strategies.” To learn more about OA Action Alliance, visit www. oaaction.org. Spreading the word ICAA supports active-aging education for professionals who fulfill fitness and wellness roles in different sectors. Recent examples include the following: • As of press time, ICAA leader Colin Milner will present on “The Wellness Revolution” at canfitpro’s 20th annual conference in Toronto, Ontario, in August. Canfitpro is Canada’s association for fitness professionals. • Julie Milner, ICAA’s Chief Operating Officer, currently serves on the Recreation Leadership/Management Program Advisory Board for the Department of Recreation Studies at Langara College, Vancouver, British Columbia. The college, which has a two-year Recreation Leadership Diploma Program, also offers a new Bachelor of Recreation Management degree (third and fourth year). More information is available online at www.langara.bc.ca/departments/ recreation/index.html. Continued with the sidebar on page 110 Become an ICAA Preferred Business Partner The ICAA Preferred Business Partner Program is another great way to keep your products and services in front of ICAA members year-round. To learn about the benefits of becoming an ICAA Preferred Business Partner, call ICAA toll-free 866.335.9777 or email [email protected] Or go online to www.icaa.cc International Council on Active Aging® 3307 Trutch Street Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 The Journal on Active Aging July/August 2013 www.icaa.cc 109 d i r e c t i o n s Continued from page 108 At the ICAA Forum 2013, thought leaders in active aging discussed strategic opportunities with healthcare organizations . Photo: Julie Milner ICAA Forum 2013: bridging wellness to healthcare To discuss the relevance of wellness to the changes in healthcare caused by the Affordable Care Act in the United States, the ICAA Forum 2013 was convened by the International Council on Active Aging® in May 2013. Executives and senior managers in agequalified housing and home care, fitness, and wellness services discussed the opportunities and challenges for building a bridge between wellness services and medical care. Attendees at the ICAA Forum are invited because they work in organizations with multiple locations, and have the ability to influence a large number of organizations and older adults. The Forum’s topic was strategic opportunities for providers of older-adult housing and wellness services to partner with hospitals to help reduce readmissions, or assist Accountable Care Organizations and physicians in managing chronic conditions. What will improve the health and quality of life among older adults and meet business objectives? Unique to this discussion was the population of older adults who live in- dependently or with some assistance (but not skilled nursing), and the delivery of services that the older adults pay for themselves, out of pocket, without insurance reimbursement. The discussion was informed by representatives presenting the points of view and experiences of geriatric medicine, a hospital system, nonmedical home care services, accountable care organizations and healthcare policy, and retirement communities. The panel of experts included: • Paul Hogan, Co-Founder and Chairman, Home Instead Senior Care • Sharon Jessup, Regional Marketing and Sales Director, Life Care Services • Mara McDermott, Director of Federal Affairs, California Association of Physician Groups • Kevin O’Neil, MD, Chief Medical Officer, Brookdale Senior Living • Barbara Resnick, PhD, CRNP, professor, University of Maryland School of Nursing, and chairman of the board, American Geriatrics Society • Mary Smith, Vice President of Senior Services and Rehab, Fauquier Health There was a general consensus that a business opportunity exists for wellness providers to become the bridge between older 110 The Journal on Active Aging July/August 2013 www.icaa.cc adults and the medical world. However, in order to position wellness as a partner to healthcare providers, preparation would likely include: • defining the word wellness; • implementing a system to track outcomes and monitor the progress of individuals; and • bringing together multiple organizations that would themselves partner to develop a unified message describing the value of wellness services, which could then be used to raise awareness among medical providers and policymakers. ICAA is evaluating the suggestions made by attendees and presenters that are feasible for the association to lead. – Summary prepared by ICAA’s Patricia Ryan, MS, Vice President of Education Thanks to ICAA Forum 2013 sponsors: Cornell Communications, Keiser, LifeTrail Advanced Wellness System by Playworld Systems, Matrix Fitness, Morrison Management Specialists, NuStep Inc., SCIFIT and Technogym USA. Become an ICAA Champion Shape his view of aging. Become an ICAA Champion or Partner in ICAA’s Changing the Way We Age® Campaign and help change society’s views and expectations of aging. ICAA Champions help spread the word about the untapped human potential associated with aging and how tapping this potential can help us address many of society’s challenges and opportunities. By visiting sites in the community, these active-aging role models educate children and older adults about the positive aspects of aging. Founding Partners To learn how you or your organization can get involved, call the International Council on Active Aging® at 866-335-9777 or visit www.changingthewayweage.com The Journal on Active Aging July/August 2013 www.icaa.cc 111 Convergent movement Technogym® Global Partner External rotation Extension Abduction