Health Matters WBOP July 2019

Bay to benefit from $5million fund focused on ageing well Helping people age well, retaining a more active lifestyle in the process, is the focus of a new $5 million fund. And a handy smartphone app is just one of the ways in which the money will be used to help do that. The funding from the Ministry of Business, Innovation and Employment (MBIE) will support the AWESSoM (Ageing Well through Eating, Sleeping, Socialising and Mobility) trial, scheduled to begin in September and which the Bay of Plenty District Health Board (BOPDHB) will participate in. AWESSoM is headed by Professor Ngaire Kerse from the University of Auckland but a researcher will be based in the Bay of Plenty throughout. Part of the trial will involve adapting a smart- phone LifeCurve app which supports healthy ageing. “In Scotland the LifeCurve is used to support healthy ageing and to identify where Allied Health profes- sionals should be intervening,” says BOPDHB Allied Health Director Dr Sarah Mitchell, who worked on a similar programme in Scotland. Sarah says the work looked at the sub-optimal life curve (where people endured a long period of decline) and the optimal curve (where people retained more function for longer as they aged). “We’re living longer but we don’t want that to trans- late as just more years of decline. We want our work as Allied Health professionals to be improving people’s lives and that means targeting the work earlier on the curve where it can have an impact and keep people more active and mobile. “What we found in Scotland was that 43% of our work was taking place towards the end of the curve. So basi- cally a massive amount of functional decline was going on without people seeing Allied Health professionals.” Sarah says the proposed app will take people through a series of questions based on everyday tasks to assess their functionality. This information will then be used to compare the user with others of comparable age. “Normal ageing starts with the process of not being able to cut your toenails and progresses through a number of stages all the way through to not being able to eat independently,” says Sarah. “You can tell a person they are either mildly frail, moderately frail, or severely frail, but that doesn’t mean anything to them and is a very deficit based approach. But if you can tell them where they are based on what things they are able, or unable, to do, that means so much more and focuses on their assets rather than their deficits. “This is where you are but if you do this, this and this, you can get better. It’s simple but effective. It might also then suggest activities the person might like to pursue to improve or maintain their function. “It might for example, suggest a local aqua aerobics class with one of our partner agen- cies,” added Sarah. “Because it’s fun and easy for people, using real-life examples of everyday tasks, it really resonates. People love it. “At the end of the day what we’re trying to do is to help people live healthier happier lives as they age. The work in Scotland was based on where it was best to concentrate our efforts to do that. The idea was to shift our Allied Health expertise and in some cases resources much closer to the top of the curve so that people could benefit more.” A smartphone app is one of the ways funding will be used for the new Ageing Well through Eating, Sleeping, Socialising and Mobility Programme being trialled in the Bay of Plenty. Stylish activewear on show as hospital staff support ‘Get Up, Get Dressed, Get Moving’ Tauranga and Whakatāne hospital staff swapped their regular work clothes for their best active gear recently, in support of the global Get Up, Get Dressed, Get Moving campaign. Linked to the social movement #end- PJparalysis, the campaign highlights the importance, particularly for older patients, of keeping active while in hospital. There is plenty of evidence that immobility in hospital leads to deconditioning, loss of functional ability and cognitive impairment. For the older person even a few days bed rest Tauranga Hospital staff swap their regular work attire for activewear supporting ‘Get Up ,Get Dressed, Get Moving’. can cause a rapid decline in muscle strength and lead to an increased stay in hospital and complications. BOPDHB Nurse Practitioner Rosie Winters says, • 24 hours of bed-rest reduces your muscle power by 2.5% and not "Traditionally people think if they're in hospital they must just in your arms and legs but in your heart and lungs. stay in bed. We need to shift that mindset and, as soon as • Older adults living at home typically take 900 steps per day but in possible encourage our patients to get up and move. hospital most patients only take 250 steps per day "When patients come in and change into gowns they some- • Longer bed rest leads to a longer stay in hospital and greater risk of times tend to retract into a passive role. infection. “Getting up and moving has been shown to reduce the risk of falls, improve strength and stamina and enable patients to • For people 80plus, one week in bed ages their muscles by 10 years. recover sooner.” Get Well and Get Home sooner As part of the campaign, Allied Health teams in both • Get up - spend less time on the bed and eat meals whilst sitting in a hospitals organised activities on the wards encouraging chair patients to be active. Patient meals were also delivered with • Get dressed - get changed into comfortable day clothes additional tray liners with the message "Get better sooner by • Get moving - walk to the bathroom and regularly around the ward following the 3Gs – Get up, get dressed, get moving." Did you know? Top tips to healthy ageing Physical activity can make your muscles stronger and help older adults maintain function and stay healthy as they age. • S  pend more time being physically active and less time sitting down. • A  im for at least 30 minutes of aerobic physical activity such as brisk walking, dancing, kapa haka or playing with grandchildren, five days each week. Aerobic activity makes your breathing and heart rate increase. • A  im for 3 sessions of flexibility and balance activities, and 2 sessions of resistance activities each week.  fl  exibility (for easy movement) such as: • modified tai chi • stretching • gardening • yoga  balance (to prevent falls) such as: • bowls • standing on one leg  r  esistance (for muscle and bone strength) such as: • carrying shopping • s  tanding up and sitting down repeatedly • I  f you haven’t done any physical activity for a while or you have a medical condition, speak to a healthcare practitioner before starting or increasing physical activity.