the culture of aging philip b. stafford, ph.d. indiana university improving how we live and age a...
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The Culture of AgingPhilip B. Stafford, Ph.D.
Indiana University
Improving How We Live and AgeA Status Report on Aging in Greater
Kansas CityMay 15, 2012
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The New Culture of AgingPhilip B. Stafford, Ph.D.
Indiana University
Improving How We Live and AgeA Status Report on Aging in Greater
Kansas CityMay 15, 2012
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Tom Haney
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Aging is not about time and the body, but about relationships… and the meaning of place.
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Not “When is old age?”
but“Where is old age?”
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“I’d like to manage at home as long as I can.”
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“Home is where, when you get
there they’ve got to take you in…”
Robert Frost
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A deep map of
home
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Opal
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• Home as a repository of meaning• Home as a financial cushion• Home as a power base• Home as an aesthetic, reflection
of self• Home as a practical support• Home as a node in a social
network• Home as a verb, not a noun
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A Broader Notion of Home
House or Apt.
Yard
Neighborhood
Community
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age
Longevity and Anti-Aging MedicineDisease researchCureReactive and correctiveDiagnosisPatientServices
The Medicalization of Old Age
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Milton
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“Health and disability refer to the balance between
personal capability and environmental demand.”
…or aspirations.
Verbrugge & Jette, 1993
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“Community is the smallest unit of health.”
Wendell Berry, Health is Membership In Another Turn of the Crank
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care Reimbursement for Chronic Care
Disease model of old age
Longevity and Anti-Aging Medicine
Disease researchCureReactive and correctiveDiagnosisPatientServices
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age Aging as a natural, entropic process
Longevity and Anti-Aging MedicineDisease researchCureReactive and correctiveDiagnosisPatientServices
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age
Longevity and Anti-Aging Medicine
Quality of remaining years
Disease researchCureReactive and correctiveDiagnosisPatientServices
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age
Longevity and Anti-Aging MedicineDisease research Research in basic biology of
agingCureReactive and correctiveDiagnosisPatientServices
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age
Longevity and Anti-Aging MedicineDisease researchCure CareReactive and correctiveDiagnosisPatientServices
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age
Longevity and Anti-Aging MedicineDisease researchCureReactive and corrective Preventive DiagnosisPatientServices
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age
Longevity and Anti-Aging MedicineDisease researchCureReactive and correctiveDiagnosis Function PatientServices
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age
Longevity and Anti-Aging MedicineDisease researchCureReactive and correctiveDiagnosisPatient Community member Services
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Clinical Perspective Home and Community Perspective
Reimbursement for Acute Care
Disease model of old age
Longevity and Anti-Aging MedicineDisease researchCureReactive and correctiveDiagnosisPatientServices Community development
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Our work should help create good places to
grow up and grow old…livable, lifetime
communities
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•Accessible bldg. design•Shopping w/in close proximity•Drugstores, grocery,& hospitals w/in close proximity•Recreation opportunities•Safe, well-designed sidewalks •Complete Streets
•Design on a human scale•Provide choices•Mixed-use development•Preserve urban centers•Vibrant public spaces•Protect environmental resources•Conserve landscapes•Design matters
Livable Communities
AARP “Livable Communities”
AIA “Principles for Livable Communities”
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ELDER-CENTRIC VILLAGE MOVEMENTEnvironments for Aging 2011 | March 22, 2011
36©2011 Morrison Kattman Menze, Inc.
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What does it all mean?
• New housing options, including aging in place
• New mobility options• New choices in health care
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• Housing• Transportation• Health Care• Education• Commerce• Faith Communities• Land Use Planning
What will it require?
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“Participation… provides a collaborative process by which community inhabitants reach
common goals, engage in collective decisions, and create places, and these places, in turn, serve as
material expressions of their collective efforts.”
Feldman, Roberta M. & Westphal, Lynne M. 2000. Sustaining human settlement: A challenge for the new millennium. Great Britain: Urban International Press.
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Old people everywhere.
Christopher Alexander
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Where do the children play?
Yusef Islam (Cat Stevens)
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Contact information
•Philip B. Stafford, Ph.D.•Director, Center on Aging & Community, Indiana Institute on Disability and CommunityIndiana University•2853 East Tenth St., Bloomington, IN 47408•812-855-2163•[email protected]
www.lifetimecommunities.org