The world today is dedicated to technology, advancing research and the access to unlimited information on all manner of subjects. Each of us relies on technology not only for our questions about life but also for receiving the answers. And oh, by the way, we want our answers NOW! The speed with which we live our lives is increasing everyday and sometimes it can be very frustrating to realize that we can’t “have it all – and do it all”.

In my opinion, what has been lost in the race to become technologically advanced, is the notion of healing our illnesses and addressing underlying CAUSES so that we may each partner with ourselves as positive and loving participants in our own care. The field of healthcare is also undergoing a transformation in the 21st century – a paradigm shift if you will – toward ever more increasing complexity and technological innovation. For the individual this has many positive aspects, but in many ways it is also becoming increasingly difficult to navigate – and understand not only “what it is – but how to use it”.

When I was a child, we saw our doctor for our shots and annual checkups for school. There were relatively no other aspects of this relationship than seeking help if we got sick or injured. The doctor was very often a family friend and most of the time was able to spend quality time with the patient on each visit.

Today we rely on the healthcare system to serve a wide variety of very complex health needs. The doctor is very often busy and can spend relatively little time discussing our issues in depth because the system is designed to maximise results, revenue, and optimise time. Specialties are now common for everything from brain, heart and lungs to bones, hormones and many others that require a referral from another physician and these visits typically involve further testing at each stop along the way (more complexity). The patient is “processed” and drugs are almost always involved in any recommendation or treatment.

The juggling of information and treatments is a significant part of any participation in the healthcare system of the 21st century. This complexity – and cost – is a major part of the challenge we face going forward in designing a “patient – doctor” partnership that can hopefully restore “some” of the basic strengths that were once a part of the “older” system of delivering healthcare to people when it was really a personal and individual service.

The partnerships that are most important in today’s world of healthcare are the following: pharmaceutical, insurance, medical, government, hospitals, and finally the doctor. The doctor is stuck between a “rock and hard place” because the system is driven by money and profits for the most part. Insurance companies control the payment systems and the patient – and doctor – are left to try and understand billing systems and other ramifications of the “treatment process”.

The healthcare model of the future

The way I see it now is that we are EACH responsible for our own health (the new paradigm) and the outcomes of our choices will determine the results that we obtain in securing – or losing – our health. In the period between 1988 and 2011, I was unable to afford health insurance so I “bet on myself” and the result turned out well. I used my fitness world as my insurance program and made sure to protect myself from risk to the best of my ability while training my body, mind and spirit to be as healthy and fit as possible.

Once I qualified for Medicare at 65 in 2011, I continued to behave as though I had no insurance and have done quite well with this strategy to the present day. It does not mean that I will NEVER need to see a doctor or use the insurance I now have, it just means that I have been able to live in a world of my OWN making without ever being “stuck” in a system that does not know me and could care less about what I need. I believe I am an example of the possibility of health as it could exist in the future if we each take care of ourselves properly every day of our lives and remember the aspects that WILL characterize our true individual healthcare program:

• what we think – whether our thoughts are constructive or destructive;
• what we eat – whether we eat healthy and natural foods as opposed to unhealthy, packaged foods full of preservatives;
• what we feel – whether our emotions are positive (e.g. love, compassion, patience, understanding, etc…) or negative (hatred, anger, frustration, etc…);
• what we choose to do (or not do) – a number of lifestyle choices such as smoking, fitness and using drugs, will impact our health;
• what we believe.

This “wellness” concept I am describing is in “play” today in many forms and is increasingly becoming the “model” by which all healthcare programs will be judged in the future. True “prevention” to me is NOT only testing for disease but depends on making the best choices we can every single day of our lives and becoming responsible and accountable for those choices going forward (personal responsibility). I am not saying we will never need others to help us because the unforeseen aspects of life always have a way of “showing up” in our lives regardless of how carefully and thoughtfully we have behaved in our lives.

What I believe to be the healthcare model of the future going forward will be a partnership not only with ourselves but with professionals who have the time, knowledge, and ability to address our needs from an aspect of “healing – not curing” what ails us.

When my father passed away from cancer in November of 1983 at the age of 64, he had taken on no responsibility for what had gotten him sick in the first place. He had also taken no part in his treatment to try and overcome the challenges he was going to face going forward. I believe this “passive” behavior played a part in contributing to his death at a relatively early age. Smoking, poor diet, lack of exercise and many stressors “seen and unseen”, “known and unknown” (and much more) probably “disabled” his ability to know what was happening to his body as he aged.

This experience at age 37 probably did more for me than I will ever know since I would be tested in the years ahead by many failures, challenges, hurts, resentments, guilt and suffering – all CAUSED by me and the choices I made in my own life. The ONE thing I did right was make a commitment to my OWN health and fitness needs and when the time came to deal with the consequences of my choices – I was able to DO SOMETHING I loved – and that was run. This is why I can say today that running saved my life – because I truly believe that it did. Fitness was my anchor. My advice to you today?

• Get moving!
• Eat a healthy diet.
• Don’t smoke.
• Create positive health habits by making thoughtful choices.
• Don’t wallow in the past and dump all your regrets.
• Don’t let your fears dominate your thinking and be open to change.
• Bless your gifts and those that love you.
• Be grateful for being alive today and never take your life for granted.
• Remember to smile everyday and be open to new experiences.
• Get off your phone and step away from your devices – and computer – and “take a break” from self imposed pressure and stressors.
• Finally, take time to be with your own thoughts and let them “wash over you” until you feel happy with what you are thinking. WHAT WE THINK – WE BECOME”.

Originally printed on HealthyNewAge.com. Reprinted with permission from Nicholas Prukop.

Nicholas Prukop is an ACE Certified Personal Trainer & a Health Coach, a fitness professional with over 25 years of experience whose passion for health and fitness comes from his boyhood in Hawaii where he grew up a swimmer on Maui. He found his calling in writing his first book “Healthy Aging & You: Your Journey to Becoming Happy, Healthy & Fit” and since then he has dedicated himself to empowering, inspiring and enabling people of all ages to reach for the best that is within them and become who they are meant to be – happy, healthy and fit – and be a part of a world where each person can contribute their own unique gifts to life.

If you need help in designing a fitness plan, you can contact Nicholas Prukop via email at runningnick@sbcglobal.net or read his inspiring book Healthy Aging & YOU.

When you read the words “young-person” in a sentence, what is the image that comes to mind? What about when you hear the words “old-person?” Do you readily form an opinion or do your initial thoughts come in the form of questions: “I don’t know. I need more information? What do you think?” If a clear image comes to mind, then one line informing these socially constructed ideas of aging can be traced to our education system, one that rewards outcome over process.

With such a strict adherence to outcome, we mindlessly develop a world view that we rarely, if ever, question. Freud suggests that although our initial interpretations of the world may be later refuted, we tend to cling steadfastly to these original views.[1] Possibly damaging views are what serve as a lens through which all future information passes.

In childhood we develop ideas of old age. At the time, the way in which we construct this concept may be rather irrelevant information. Old age doesn’t pertain to youth. Or does it?

Our most prominent images of old age can be described by what psychologists refer to as “premature cognitive commitment.” These original concepts of old age become the foundation on which we identify as we age. We live to fulfill these ideas and uphold these images. As Ellen J. Langer suggests, “premature cognitive commitments are like photographs in which meaning rather than motion is frozen.”[2] In other words, in our youth, we hear words such as stodgy, grumpy and crabby to describe old people. Later, as adults, as old people ourselves (if we are so fortunate) we do not question this image. We may act in these ways even if we don’t genuinely feel this way because, well, we’re old and this is what old people do. Unquestioned. This stunted potential is yet another cost of the mindlessness of aging.

Similar to the views promoted by physicists James Jeans and Sir Arthur Eddington who thought the universe to be best understood as a great idea, we can think of old age in the same light. Aging exists to be interacted with. The idea of old age is incomplete. As you age, you get to inform the structure and meaning of old age. Your identity adds a uniqueness to what it means to be old.

Our orientation to the world directly informs our identity. In the U.S., success is so strictly tied to outcome. A self-image that is based on outcome fails to recognize the value of process. As we age, we could greatly benefit from regarding process as perhaps even more valuable than outcome. Furthermore, if we adopt a mindful approach to aging, then we can conceive of the possibility of new categories, a constant recreating or reorganizing of information that defines and interprets our understanding of our world and of old age.

St. Augustine said, “The present, therefore, has several dimensions. The present of this past, the present of things present, and the present of things future.” If we take into consider the process of living, one that is as varied as there are dialects in this world, and use this to inform a construct of old age, then we can see where different processes of old age can occur.  It is possible for many images of old age to exist.

By adopting a coherent mindful approach to aging, we may not only reduce the costs of mindlessness we may also extend the quality and years of our life. I don’t know. I need more information. What do you think?

Adrienne Ione is a dynamic, mindful, high-fiving, cognitive behavioral therapist, certified dementia specialist and senior personal trainer. Founder of Silver Linings Integrative Health, a company with an aim of promoting health, fitness and wellbeing opportunities for people to thrive across the lifespan.

[1] Sigmund Freud, “Analysis terminable and Interminable.”

[2] Ellen J. Langer, Mindfulness.

As of late, more and more headlines suggest a clear and concise connection between “the elderly” and death. Aging and death are not synonyms. Yes, both happen to us, although not always in a logical and linear order. Just yesterday morning, I sat in the back tea room of our home, opened the New York Times newspaper as I do most mornings and discovered a special edition on “the elderly in Japan.” Here is an 8-page layout on living conditions in public housing communities that sprawl across Japan. Once vital centers of communities, lively in the 1960s, people describe them now as hosting magots, mounds of piling garbage, and incense burning in the smell of urine and bodies decomposing. Grand. Just what I want to become. Elderly. Really? Well, if this is how elderhood is described, why would anyone opt for this. One man interviewed in the story shared his sentiments: “How we die is a mirror of how we live.” This is not an isolated thought, rather it runs deep in our individualistic society. This ideology is deeply entrenched in our understandings of aging.

Time and time again, the two processes are intertwined, so much so that the latter informs the former. Our concepts of death define how we internalize the aging process and how we view others aging. Indeed, I do believe the two deserve attention, only independent of one another. Our culture gravely misses the mark on such separation. We promote a denial of death. A medicalization of death. We view death as a failure. Death as a loss. Death is the enemy. However, I come from the perspective that this is not the only lens through which to view death. In the U.S., death is dark. Jeepers. We wear black to funerals. Come on.

Another perspective constructs death as the beginning, rather than the end. Another view is that death is a continuation. To be continued as life. “Death is not extinguishing the light, it is putting out the lamp because dawn has come,” suggests Indian poet Rabindranath Tagore. What would it take for the United States to fully embrace such a paradigm shift? For example, when a person is born at one of the local hospitals, “Twinkle Twinkle Little Star” is played over the intercom and can be heard throughout the entire hospital. Want to take a guess and what song is played when someone dies? That’s right. Nothing. No song is played. Silence. What if instead of nothing, a part of the ballad “You Light Up My Life” was played. Or ABBA’s “Hasta Mañana,” Judy Garland singing “Over the Rainbow” or perhaps Eddie Money’s “Two Tickets to Paradise.” Please, anything other than nothing.

If we did acknowledge death, how might this alter our perceptions of life? Yes, feelings about death are wrapped up in a cloak of fear and are rampant in our culture. “Even the wise fear death. Life clings to life,” remarked Buddha. Yes, I get that many people are afraid of a process of which we know so little about. There are far too many aspect about life we know so little about and so why live a life in the hinterlands. It is a guarantee that we will all get to the hinterland. The how and when is another matter. How do you benefit now from spending energy on worrying about the how and when aspects? Why is it that we cling to damaging ideological constraints of aging as death? How does this serve us if in shaping our ideas about aging, we then intertwine ideas about mortality?

For some, a discussion of death, even bordering on obsession with death, perhaps serves to protect the living. It is yet another way to separate us from them. As is commonly understood in the line of hospice care: They are dying. I am not. Early in my career I recall the first time a nurse remarked to me, “Well, you know she’s dying.” To which I responded, “Aren’t we all from the moment we are born?” She quickly cut her eyes toward me and huffed, “You know what I mean.” I smiled suggesting agreement, although I didn’t know precisely what she meant. And I still don’t. This was almost twenty years ago, when I was first starting out in the field of counseling and took a lot in, rather than ask any questions. And now, I inquire on people’s meaning of this any time such a remark is made. Sometimes, I’ll throw in the question, “If she’s in the process of dying, isn’t she also in the process of living?”

And so, I invite you next time you are in a situation where “someone is dying” share with others an appreciation for their life. Compliment the person who is living or share with them how they impact you – maybe lessons you’ve learned or directions in life you have taken as a direct influence of the person. Be present. Enjoy every moment of life. Death will arrive. And then, you can be present with death.

Adrienne Ione is a cognitive behavioral therapist and personal trainer who integrates these fields in support of people thriving across the lifespan. As a pro-aging advocate, she specializes in the self-compassion of dementia.

Website: yes2aging.com
Guided Meditations: insighttimer.com/adrienneIone
Facebook: silverliningsintegrativehealth

When I hear people say, “Ya, positive aging is so important.”  I wonder, what exactly does positivity have to do with aging? Does having positive thoughts truly have an impact on the aging process?

A 76-year-old triathlete in Tempe, Arizona questioned aloud, while reading my business slogan, which is printed on the back of my jersey, as I ran past him, “Aging actively and thinking positively? Well, I am positively aging. Does that count for something?”

Then there’s the program for positive aging aimed at “improving later life mental-health and dementia care.”[1] So not only is it a mindset, we then also have instituationalized thought by offering programs that potentially train us to think a particular way about working with people affected by abnormal aging – from the DICE approach to the CARES approach.

In the 90s Martin Seligman, father of the “positive psychology” movement led the way for gerontology to create what Robert Hill and others call positive aging. Hill purports that “happiness does not just happen” rather our intentional behaviors and thoughts deeply impact the quality of our life.[2]

Perhaps as our lifespans have drastically increased over a relatively short period of time, the fervor with which we approach longevity is focused now more on quality rather than quantity.

According to U.S. Census Bureau, “in 2050, the population aged 65 and [greater] is projected to be 83.7 million.” Population growth at this rate is twice the speed of growth nearly 40 years ago.

Further, the average life expectancy for a female in the US is 78.8 years (slightly less for men and no current data on people who are transgender). One study suggests those with positive perceptions of their own aging lived an average of 7.5 years longer.

While having tea with a friend the other day, she shares a conversation at a recent doctor visit, where the doctor said, “How about you focus on your diet and we’ll follow up in 2 years.” My friend chuckled, and said, “Doctor, have you looked at my file?” He said, “Yes, I see your cholesterol and glyceride numbers.” My friend says, “OK. Did you see the numbers in my birthday space?” He responds, “Yes, you were born in 1917.”

My friend’s conclusion is: “I think I have the quantity part of life figured out. I’m going to focus now on the quality. And as that relates to food, if it tastes good, I’m going to eat it…this baklava from the Greek Festival sure is delicious. MMmmmmmm.”

Our thoughts are not separate from our body. There is mounting evidence for physical impacts of positive thought processes: strong cardiac health, decreased blood pressure and cholesterol readings.

Regardless of your current age, your thoughts can have a positive impact on your aging process. Research suggests if you look forward to aging, then you’ll enjoy the process more fully and joyfully as opposed to your dreading (or dreadful) aging counterparts.

Adrienne Ione is a cognitive behavioral therapist and personal trainer who integrates these fields in support of people thriving across the lifespan. As a pro-aging advocate, she specializes in the self-compassion of dementia.

Website: yes2aging.com
Guided Meditations: insighttimer.com/adrienneIone
Facebook: silverliningsintegrativehealth

References

[1] http://www.programforpositiveaging.org/

[2] Robert Hill Positive Aging