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BEPRESEL – INTRODUCTION 2 TEACHER GUIDELINE: INTRODUCTION 1 TO THE BEPRESEL COURSE DRAFT VERSION 4 Proof read so far

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Page 1: bepresel.eubepresel.eu/.../2-INTRO-2-TEACHERGUIDELINE-VERSION-4_.docx · Web viewDRAFT VERSION 4 Proof read so far TEACHER GUIDELINE: INTRODUCTION 1 TO THE BEPRESEL COURSE OVERALL

BEPRESEL – INTRODUCTION 2

TEACHER GUIDELINE:INTRODUCTION 1

TO THE BEPRESEL COURSE

DRAFT VERSION 4

Proof read so far

Stine Kämpf Vesterager, 08/28/19,
Der står ’2’ i sidehovederne
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BEPRESEL – INTRODUCTION 2

OVERALL COMMENTS TO THE TEACHER

It is not the intention that you absolutely have to use all the slides.

The intention is that you pick out the slides that fit the timeframe of your presentation and the specific target group you are going to educate.

In general, it is good to remember that using slides very often speed up the presentation and it might not be beneficial for the specific audience you are facing.

It might be a good idea to memorize some of the slides so you can either

write them yourself on the blackboard or on a flip-over. Or make them a part of your own storytelling.

Stick to the facts – but make your own story.

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BEPRESEL – INTRODUCTION 2

SPECIFIC OBJECTIVES OF THIS PART.

The purpose of this part is to make seniors reflect and discuss a little about why we have, in many cases, a “negative” expectation for later life and why we

“accept” losing physical and cognitive competences because we think it is “a normal part of being older”.

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BEPRESEL – INTRODUCTION 2

What mindset do we have when it comes to the ageing process – the years to come – and the final years of our life?

Probably many different views.

But if we ask people to draw how they look on the life development – how they think life develops through

Childhood Youth Adult – middle age Senior life

Then most people will draw a line like the one I will show you on the next slide.

How would you draw it?

To the teacher: you can consider providing them with a paper – with an x-axis and a y-axis – like the one to be presented and let them draw their point of view.

SLIDE 1

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BEPRESEL – INTRODUCTION 2

This is a very typical way for many people - even professionals – to draw how we believe life develops.

Childhood, youth and pre-adult up to 25 – 27 is green – positive – time for DEVELOPMENT and LEARNING.

Adult and working life is a positive life period – but basically we don’t think that there is so much learning and development – perhaps more MAINTAINING and STAY IN BUSINESS.

But suddenly and it is different in different countries, different cultures, families and social income group – we start to think DOWN THE HILL, WE START THINKING OF LOSING ABIILITES and WORST OF ALL WE THINK LOSING IS THE NORMAL FOR THE AGEING PROCESS

SLIDE 2

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BEPRESEL – INTRODUCTION 2

TO MANY OF US

IT IS FOR SOME REASON MORE EASY, IT IS MORE NATURAL AND IT SEEMS TO BE MORE “NORMAL”

TO COMBINE LATER LIFE – OUR EXPECTATIONS FOR LATER LIFE - WITH THE WORD;

CARE

THAN PARACHUTE JUMPING WHEN WE ARE 101 OR RUNNING A SPRINT OF 100 METERS OR EVEN COOK OUR OWN FOOD WHEN WE ARE 95.

WE HAVE BEEN LOOKING AT THE FIGURES OF PEOPLE WHO END UP IN NEED OF CARE – LOSING SO MANY COMPETENCES – THAT THEY LOSE THEIR INDEPENDENCY.

What do you think?

SLIDE 3

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BEPRESEL – INTRODUCTION 2

To educator: 1 of 2 quick slides. 4 & 5

One reason is probably that this is how life has been painted – illustrated through generations.

SLIDE 4

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BEPRESEL – INTRODUCTION 2

Still in public today – we illustrate senior citizens, having a life span of 40 years, this way.

How many people use a cane – how many have this attitude about the body – above the text:

“Elderly People”

We don`t illustrate children at school areas – by showing children in wheel chairs.

SLIDE 6

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BEPRESEL – INTRODUCTION 2

In the literature we read, in our daily newspapers and television and even in professional literature published at a university in 2018 they write:

“it is normal that the muscles weaken during life”

“… Normal that people lose strength becoming older”

How do you understand these sentences?

IT IS NOT NORMAL TO LOSE PHYSICAL COMPETENCES IN A WAY THAT IT MAKES US DEPENDENT LATER IN LIFE –

IT MIGHT BE THE RESULT BECAUSE WE LET IT HAPPEN – BECAUSE WE DON`T TAKE ACTION TO AVOID IT

BUT THAT DOES NOT MAKE IT NORMAL

SLIDE 7

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BEPRESEL – INTRODUCTION 2

We have all our personal experiences – watching people around us becoming older and old. Our parents – our grandparents

We might already have started the ageing process ourselves, being +60 or + 65, or we are perhaps even further into the process – and have perhaps already experienced that something has changed – something feels harder to do.Perhaps we have given up some activities – and daily activities because they become too challenging to our physical conditions to do anymore.

And it is easy to think or believe, based on our own experiences, that the loss we might already have had – is normal and to be expected

We have SEEN it all our life – ever since we were children.

But that we have “seen it” does not make it “normal”.

It does not make it normal to lose abilities and competences to a degree where we lose our independency and self-governance.

It does not make losing abilities and competences an inevitable consequence caused by the ageing process.

SLIDE 8

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BEPRESEL – INTRODUCTION 2

We don`t know what “The normal ageing process” is.

Because we have never had a chance to watch it.

All observations we personally can have done, all the scientists can have done and performed – is all based on our observation of the generations going through the ageing process before us.

The ageing process was probably quite similar for people born in 1800 during the period of 1840 to 1860 compared to the ageing process their children born in 1825 went through during the period of 1860 to 1885.

Being 60 and entering the ageing process in 2018 have very different perspectives because my platform – my previous life is so different from the platform my own parents entered the senior life from.

We shall not make a long speech about the differences – just mention that my parents, born in 1925 to 1930, were adults when the penicillin was invented and introduced.

Food was not so diverse. Many of our previous generations have faced hunger. Work requirements and the work environment were very different. And basically, the way being old was understood was different.

“it is normal that the muscles weaken during life, if you don’t do anything to avoid that they weaken”

“… Normal that people lose strength becoming older, if you don’t do anything to avoid that they weaken”

SLIDE 9

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BEPRESEL – INTRODUCTION 2

What should have been written on the university homepage should be

“it is normal that the muscles weaken during life, if you don’t do anything to avoid that they weaken”

“… Normal that people loss strength becoming older, if you don’t do anything to avoid that they weaken”

Because that is an undiscussable physiological truth.

As we will talk about later –A muscle doesn`t know on whom it is placed,

it reacts according to physical laws

SLIDE 10

Stine Kämpf Vesterager, 08/25/19,
Dette står ordret på siden før denne
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BEPRESEL – INTRODUCTION 2

There are different ways to become dependent and in need of help during the ageing period.

A common way is through or caused by different diseases. We will not focus on these causes in this program. But the initiative and small efforts we will focus on in this program which target reasons no 4 and 5 also will have a preventive impact on no 1, 2 and 3

SLIDE 11

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BEPRESEL – INTRODUCTION 2

Today we know from Danish research and measurements that it is a slow, almost invisible or not noticeable, but never the less unnecessary reduction of our capacity of 1 to 4 and increasing problems or challenges when it comes to 5 to 8, that slowly lead many of us seniors into dependency later in life.

SLIDE 12

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BEPRESEL – INTRODUCTION 2

There is no doubt that retirement is a great gift for people. But it is also a gift with challenges we have to cope with.

It is a big change going from being at work 37 to 45 hours 5 days a week out of approximately 80 hours awake.

Beyond the salary, work is to many people also a huge part of our feeling of doing something meaningful – our feeling that we contribute – meeting people.

All these were we given – by just going to work every day – the day after we have to establish it all – by ourselves.

It might be difficult to many – because we are not trained to create meaningfulness 80 hours a week.

But that’s another story – in this program we will only focus on the physical challenge of retirement.

SLIDE 13

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BEPRESEL – INTRODUCTION 2

The slides illustrate a number of activities we do on daily, weekly, monthly and annual basis. We all have

a huge number of activities we do every day. Not necessarily very challenging – we just do them

some activities we do once in a while during the week – shopping – washing clothes, washing the floor etc.

some activities we do once a month. Washing windows, washing the floor – sweeping outside

finally, we have some activities we do once every half a year or when it is needed once a year – shovel snow – digging the garden

Basically, we can easily count between 1.500 to 2.500 activities we do as human beings. Of course, it is different from person to person what we do – but we do a lot of things to survive, to have fun, to feel important – to feel that we do something meaningful and so on.

All kinds of activities is work. It can be a very small work (brushing teeth) and it can be a very big and hard job. Digging the garden. But all kind of work can be measured for what it takes – and we measure in WATT

There is a basic physiological rule/experience saying that we need to use, to challenge – to stimulate our physical and cognitive competences at a limit of minimum 80% 2 or 3 times a week.

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BEPRESEL – INTRODUCTION 2Looking at the slide – as example it is shown that the “hardest job” this person does is no. 18 – a work of 40W. But the person only does it once or a few times a year. It could be shoveling snow. But because the person only do it once or a few times a year – the person will not have the competences to do this “most hard job” if it was not for the fact that a part of his job trained, stimulated and maintained the specific physical strength that is needed to do work no. 18.

We are given many things for free – when it comes to training and maintaining our physical strength and cognitive competences – just going to work.

Let`s illustrate.

Yesterday at work all my colleagues spoke to me and asked me 40 different things to remember and to do. Tomorrow, my first day as a retiree, no one will ask me to remember anything – perhaps my wife will ask me a few things.

The service woman at the workplace – was measured to walk 8 to 12 kilometers on a normal workday. In between she went up and down 20 stairs a least 10 times on average every day. She receives a lot of physical training 5 days a week –and she was even paid for it.

It takes approximately 2 to 2,5 hours to walk 8 to 12 km at normal walking speed.

Tomorrow she is retired – now she has 37 hours more per week to do want she want. Will she find 2 to 2,5 hours for walking? Will she be able to find the motivation to walk 8 to 12 km 5 days a week?

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BEPRESEL – INTRODUCTION 2

Now we have retired – and now the most challenging work I have to do is no. 18 – but because I only do this once a year or a few times a year – I will slowly lose my ability to do work number 18. And almost at the same time I will find it harder and harder to do work number 19 and 21.

Whether I will be able to maintain the ability to do all the rest without feeling it is harder and harder to do – depends on work no. 11. How many times do I perform work no 11? If it is something I do 2 or more times a week – it will for a period secure my ability to do all the other types of works.

But if I only do work no 11 once a week I will over time have to give up doing work no 11 and then I will also lose the ability to do work 12,14 and 15.

That’s how life develops for too many people entering senior life. We slowly lose our capacity and competences to do what we normally do – we lose what we in fact would like to be able to do later in life.

SLIDE 14

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BEPRESEL – INTRODUCTION 2

If I, later in life, would like to be able to do activity/work no 18, 19 and 21 and by that keep my ability to do what I normally do all the year around, I have to start an activity/a work that is more demanding than 40 W.

An activity performed at a level of intensity that train and maintain (in this case) my physical strength at a level higher than 40 W. In this case it is shown as an activity of 60 W and I have to do it at least twice a week.

The activity could be anything – but it has to match and provide the strength and competences for the things - for the activities – for the “work” I would like to be able to do later in life – all year around.

That`s what most of us fail to understand. Many of us have understood that we need to be active in ageing life – but don`t necessarily combine the physical activities we do – with what we would like to be able to do later in life.

Why do 1 hour walk every day not maintain my ability

to handle my garden? to vacuum my home? To hang up my washing?

(answer: because walking contributes to develop or maintain our physical fitness – what is important/required to do the lined up activities is more than physical fitness – it requires muscle power) You don`t maintain your

SLIDE 15

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BEPRESEL – INTRODUCTION 2muscles power by walking – and you don`t maintain your ability to vacuum your home by doing it once a week)

We will look deeper into this fact – a little later.

The figures from Denmark as an example show what easily happens to us – when we retire and enter senior life.

400 elderly at the age of 70, which is normally 3 to 5 years after retirement in Denmark, participated in this research.

They were all asked to do approximately 40 different activities that was important for them to do. Activities they normally did on daily basis, weekly basis, monthly basis and annual basis. Just as explained before.

While they did these different activities, it was measured how much strength and stamina it required from these seniors to perform these different activities.

Then 5 years went on – and everyone who was still alive was tested again – and it showed the following result.

It showed that during a 5-year period becoming age 75:

30% - 1 out of 3 - already find it harder and much harder, more challenging to do the same activities at 75 years old than they did when they were 70 years. Some had already given up some of the activities they were able to do 5 years earlier.

Some could think that it is expected – it is a part of “NORMAL AGEING”

This point of view is of course challenged by the fact and the result, showing that the majority of 60% was evaluated to the same level

SLIDE 16

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BEPRESEL – INTRODUCTION 2or standard as 5 years earlier. These seniors did not find it more challenging or difficult to do the same activities as they did when they were at age 70. They have all maintained their ability to do all the activities

The point of view is of course even more challenged by the fact that 10% have become obviously stronger at age 75 than they were when they were age 70 years old.

So, we can conclude: It is not normal to lose abilities to do what we would like to do – and what we need to do because of age.

Some lose (30%) because they don`t do enough to maintain their ability.

Some maintain (60%) because the in their daily life have activities at the needed level and intensity that maintain their ability to do what they would like to do – and what they need to do.

Some improve the strength during the 5 years – from age 70 to age 75. They show that we can become stronger during the ageing process. THAT IS AN IMPORANT KNOWLEDGE AND EXPERIENCE TO HAVE.

A POLEMIC QUESTION:

In which of these 3 groups do we think/do we believe we later on will find:

Most seniors losing their independency later in life.

Most seniors becoming users of care services later in life?

It is clear that all are in risk of becoming in need of care – all can become ill. But it is just as clear that the 30% already are on a sliding course - down the hill and into dependency and a life situation where they will be depending on practical and personal support. Becoming physically weaker day by day and year by year as these 30% do – also increases the risk of a number of diseases – related to lower and lower level of physical activity.

Stine Kämpf Vesterager, 08/28/19,
Jeg har rettet det fra ’læring’ til ’viden’ da læring ikke passer så godt ind i sætningen eller sammenhængen
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BEPRESEL – INTRODUCTION 2

We will later show you how only 10 weeks can make a huge change in senior life and how only 8 months from age 85 to 86 can change and decide if our future will be:

Staying independent at my 87th birthday or

Becoming a resident at a care home at my 87th birthday.

SLIDE 18

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BEPRESEL – INTRODUCTION 2

For now, we can tell that research show, that if we compare

a group of people living “by all the health rules” up to age 60, to

a group of people not living at all “by all the health rules” up to 60 year

that our previous level of physical activity up to 60 have no influence on the level of functionality when we become 75, if group 2 starts now.

It is never too late to start –To invest a little to have a better health –

next year –2 years from now or 5 years from now.

And we don`t talk about a huge change of life style – we just talk about small efforts in our weekly life.

SLIDE 19