active ageing australia® effective networking, positive pathways for active ageing pauline brooks...

Active Ageing Australia®Active Ageing Australia®

Effective Networking, Positive Effective Networking, Positive Pathways for Active AgeingPathways for Active Ageing

Pauline Brooks Pauline Brooks OAMOAM

Effective Networking, Positive Pathways Effective Networking, Positive Pathways for Active Ageingfor Active Ageing

We live in a world and are part of a universe We live in a world and are part of a universe that is endlessly fecund, inventive, ever that is endlessly fecund, inventive, ever changing, ever transforming itself. It would changing, ever transforming itself. It would surely be better if we abandoned the term surely be better if we abandoned the term ‘human being’ and replaced it with ‘human ‘human being’ and replaced it with ‘human becoming.’ becoming.’ Darryl Reanny, Death of ForeverDarryl Reanny, Death of Forever


Active Ageing-the process of optimizing Active Ageing-the process of optimizing opportunities for physical, social and mental opportunities for physical, social and mental wellbeing throughout the life course in order to wellbeing throughout the life course in order to extend healthy life expectancy and the quality extend healthy life expectancy and the quality of life as we age. WHOof life as we age. WHO

Ageing is not an affliction but a natural part Ageing is not an affliction but a natural part of the life cycle. Action towards Active of the life cycle. Action towards Active Ageing occurs throughout the whole of life ie Ageing occurs throughout the whole of life ie ‘life course perspective.‘life course perspective.


taking action for active ageingtaking action for active ageing promoting the values of and promoting the values of and

increasing participation of older increasing participation of older people in physical people in physical

supported through the Office for supported through the Office for Recreation and Sport SARecreation and Sport SA


Taking Action in the CommunityTaking Action in the Community Physical Activity Directories - Physical Activity Directories - a referral resource of local physical a referral resource of local physical

activity options for older people activity options for older people (networking with Health (networking with Health Professionals/Local Councils/Office Rec & Sport, Community)Professionals/Local Councils/Office Rec & Sport, Community)

Active Ageing HotlineActive Ageing Hotline –information on recreation, physical activity –information on recreation, physical activity and healthy ageing and healthy ageing (networking with Seniors Information (networking with Seniors Information Hotline/COTA/Local Council/Sport & Recreation Centres, Hotline/COTA/Local Council/Sport & Recreation Centres, Community Information Strategy CISA, community, clubs)Community Information Strategy CISA, community, clubs)

Home Activity Monitoring Project-HAMP-Home Activity Monitoring Project-HAMP-an innovative home an innovative home based exercise program with telephone support (Commonwealth based exercise program with telephone support (Commonwealth Dpt Health and Ageing, Dpt Vets Affairs, SA Gvt Office for Dpt Health and Ageing, Dpt Vets Affairs, SA Gvt Office for Recreation and Sport, Adelaide City Council) Recreation and Sport, Adelaide City Council)

Active Ageing AustraliaActive Ageing Australia®®

Taking action across the industry (aged Taking action across the industry (aged care/health/recreation/physical activity)care/health/recreation/physical activity)

Easy Moves for Active Ageing® (EMAA) Easy Moves for Active Ageing® (EMAA) a safe and effective physical activity 2-day training a safe and effective physical activity 2-day training program for active ageingprogram for active ageing

NoFalls Exercise Program-Monash UniversityNoFalls Exercise Program-Monash Universitya 1-day leader training program aimed at reducing the a 1-day leader training program aimed at reducing the incidence of falls in older peopleincidence of falls in older people

Falls ForumFalls Foruman annual conference organised by AAA and focused on an annual conference organised by AAA and focused on falls reduction in all sectors of the community (Health falls reduction in all sectors of the community (Health Promotion SA, Dpt of Health)Promotion SA, Dpt of Health)

Active Ageing AustraliaActive Ageing Australia®® Falls Prevention Support –Project officer Falls Prevention Support –Project officer

/Falls connection newsletter/networks/Falls connection newsletter/networks

Tai Chi ChairTai Chi Chaira 2-day leader training program catering for less a 2-day leader training program catering for less active older peopleactive older people

New Pathways in Community FitnessNew Pathways in Community Fitnessa specific training program for fitness leaders a specific training program for fitness leaders who aim to work with older peoplewho aim to work with older people

Active Ageing Australia®Active Ageing Australia® Meet the ExpertMeet the Expert

a seminar series focused on health/physical a seminar series focused on health/physical activity issuesactivity issues

Home Activity Monitoring Project (HAMP) Home Activity Monitoring Project (HAMP) Facilitator’s TrainingFacilitator’s Training

a home-based exercise/telephone coaching a home-based exercise/telephone coaching program for older people-(training for facilitator’s, program for older people-(training for facilitator’s, spotters, HACC Coordinators, Case spotters, HACC Coordinators, Case Coordinators, Care workers). Coordinators, Care workers).

Active Ageing & Active Ageing & physical activityphysical activity

Physical activityPhysical activity is now seen as one of the is now seen as one of the factors which strongly influences health factors which strongly influences health throughout the life course and in old age throughout the life course and in old age

Physical activityPhysical activity is one of the best ways to is one of the best ways to break the vicious cycle caused by the chronic break the vicious cycle caused by the chronic diseases of ageing diseases of ageing

Cycle of physical deconditioning Cycle of physical deconditioning & helplessness& helplessness

Helplessness uncertainty

Less physical activity

DeconditioningDisease

Cycle of physical deconditioning and helplessness-’

‘Living a healthy life with chronic conditions’

Kate Lorig

Active Ageing & physical Active Ageing & physical activityactivity

Physical Activity can play a part as a Physical Activity can play a part as a preventive factor in five of the six National preventive factor in five of the six National Health Priority areas.Health Priority areas.

Cardiovascular disease, cancer control, Cardiovascular disease, cancer control, mental health, diabetes mellitus, injury mental health, diabetes mellitus, injury (falls) prevention and control and (falls) prevention and control and management of arthritis.management of arthritis.

Benefits of physical activityBenefits of physical activity Maintains ability to live Maintains ability to live

independentlyindependently Reduces risk of coronary Reduces risk of coronary

heart disease, high BP, heart disease, high BP, colon cancer, diabetescolon cancer, diabetes

Maintains healthy bones, Maintains healthy bones, muscles and jointsmuscles and joints

Improves staminaImproves stamina Reduces anxiety and Reduces anxiety and

depressiondepression

Reduces risk of falls, Reduces risk of falls, improves balanceimproves balance

Improved sense of Improved sense of well being, self well being, self efficacy, self efficacy, self confidenceconfidence

Improved function, Improved function, slows rate of slows rate of decline/morbidity of decline/morbidity of ageingageing

Active Ageing & physical Active Ageing & physical activityactivity

Sufficient activity is defined as Sufficient activity is defined as completing 150 minutes of moderate completing 150 minutes of moderate physical activity per week over 5 physical activity per week over 5 sessions sessions

52.5% of adults are sufficiently active52.5% of adults are sufficiently active Of those over 60 years, 25 % are Of those over 60 years, 25 % are

inactive, 29.9% are insufficiently active, inactive, 29.9% are insufficiently active, 45.2% are sufficiently active 45.2% are sufficiently active

Health Promotion SA Dpt of HealthHealth Promotion SA Dpt of Health

National Physical Activity National Physical Activity Guidelines for AdultsGuidelines for Adults

Guideline 1Guideline 1 Think of movement as an opportunity not an Think of movement as an opportunity not an

inconvenienceinconvenience Where any form of movement of the body is Where any form of movement of the body is

seen as an opportunity for improving health, not seen as an opportunity for improving health, not as a time-wasting inconvenienceas a time-wasting inconvenience

Guideline 2Guideline 2 Be active every day in as many ways as you Be active every day in as many ways as you

cancan

National Physical Activity National Physical Activity Guidelines for AdultsGuidelines for Adults

Guideline 3Guideline 3 Put together at least 30 minutes of Put together at least 30 minutes of

moderate-intensity physical activity on moderate-intensity physical activity on most, preferably all, daysmost, preferably all, days

Guideline 4Guideline 4 If you can, also enjoy some regular, If you can, also enjoy some regular,

vigorous activity for extra health and vigorous activity for extra health and fitness.fitness.

Easy Moves for Active Ageing Easy Moves for Active Ageing ®® EMAAEMAA

--a safe & effective physical activitya safe & effective physical activity & exercise & exercise program for active ageingprogram for active ageing

EMAA EMAA has been developed by a group of professionals for has been developed by a group of professionals for those working in the industry to provide the skills and those working in the industry to provide the skills and knowledge:knowledge:

to meet the competencies necessary to conduct to meet the competencies necessary to conduct a range of suitable physical recreation activitiesa range of suitable physical recreation activities and exercises and exercises to operate in accordance with accepted to operate in accordance with accepted instructional practices, styles and legal and instructional practices, styles and legal and ethical responsibilities ethical responsibilities


EMAA EMAA is designed to:is designed to: provide people working in the field of residential provide people working in the field of residential

and community aged care with a foundation and and community aged care with a foundation and framework from which to conduct a safe and framework from which to conduct a safe and effective physical activity and exercise program effective physical activity and exercise program for active ageingfor active ageing

assist in the maintenance of function and assist in the maintenance of function and reduction of the rate of decline of people as they reduction of the rate of decline of people as they ageage

EMAA- EMAA- Effective networking- Effective networking- positive pathways positive pathways

Identified gap in the Aged Care industry training, Identified gap in the Aged Care industry training, program provision for ‘gentle/chair based’ program provision for ‘gentle/chair based’ program. Residential care/Seniors clubs/Local program. Residential care/Seniors clubs/Local Government/Community centres ( Government/Community centres ( built on Keep built on Keep Fit for the ElderlyFit for the Elderly))

Diversional Therapists/Physiotherapy Diversional Therapists/Physiotherapy assistants/Volunteers/Fitness leaders/Health assistants/Volunteers/Fitness leaders/Health ProfessionalsProfessionals

2000- seeding funding from Office for Recreation 2000- seeding funding from Office for Recreation and Sportand Sport

EMAA- EMAA- Effective networking-Effective networking-positive , positive pathwayspositive , positive pathways

EMAA working group-Editor/author (Pauline EMAA working group-Editor/author (Pauline Brooks) Brooks)

Chief Exercise Physiologist/Geriatrician/Clinical Chief Exercise Physiologist/Geriatrician/Clinical Physiotherapist (Robin Townsend), Community Physiotherapist (Robin Townsend), Community Health Educator/Fitness LeaderHealth Educator/Fitness Leader

Diabetes Australia/Arthritis Diabetes Australia/Arthritis Foundation/Alzheimer’s Association/Heart Foundation/Alzheimer’s Association/Heart Foundation/Parkinson’s Support group/Royal Foundation/Parkinson’s Support group/Royal Adelaide HspAdelaide Hsp

Developed, published EMAA manual & training Developed, published EMAA manual & training coursecourse


Easy Moves for Active Ageing launched in 2000Easy Moves for Active Ageing launched in 2000 Establishment and development supported Establishment and development supported

through the Office for Recreation and Sport through the Office for Recreation and Sport Over 800 leaders throughout Australia have Over 800 leaders throughout Australia have

participated in the EMAA program. participated in the EMAA program. Feedback: EMAA provided skills, knowledge and Feedback: EMAA provided skills, knowledge and

confidence to conduct a safe and effective confidence to conduct a safe and effective physical activity/exercise program for older physical activity/exercise program for older people within residential aged care facilities and people within residential aged care facilities and the community. the community.


Second edition EMAA published 2004 and Second edition EMAA published 2004 and endorsed by Service Industries Skills Council.endorsed by Service Industries Skills Council.

EMAA program expanded into EMAA program expanded into NSW/ACT/VictoriaNSW/ACT/Victoria

Courses conducted by Master Trainers Pauline Courses conducted by Master Trainers Pauline Brooks, Robin Townsend & Trainers Robyn Brooks, Robin Townsend & Trainers Robyn Coman Physiotherapist/Ergonomist and Jane Coman Physiotherapist/Ergonomist and Jane EnglandEngland


Second edition EMAA manual & course Second edition EMAA manual & course has been endorsed nationally by the has been endorsed nationally by the Service Industries Skills CouncilService Industries Skills Council as a as a learning resource to meet the outcomes of learning resource to meet the outcomes of the competency standards of the competency standards of SRCCRO SRCCRO 007B, SRCCRO 009B and SRFCFP 007B, SRCCRO 009B and SRFCFP 001A.001A.

Easy Moves for Active Ageing Easy Moves for Active Ageing ®® EMAA - Second edition 2004EMAA - Second edition 2004

National Community National Community Recreation Industry Recreation Industry

Training PackageTraining Package SRC CRO 007B SRC CRO 007B ‘ ‘ Operate in accordance Operate in accordance

with accepted with accepted instructional practices, instructional practices, styles and legal and styles and legal and ethical responsibilities.’ethical responsibilities.’

SRC CRO 009BSRC CRO 009B ‘ ‘ Conduct a recreation Conduct a recreation

program for older program for older persons.’ persons.’

Fitness Industry Training Fitness Industry Training PackagePackage

SRFCRP001ASRFCRP001A ‘ ‘ Deliver an approved Deliver an approved

community fitness community fitness program to promote program to promote wellbeing.’ wellbeing.’


Accreditation-Aged Care Accreditation-Aged Care Act 1997Act 1997

Standard 2 health & Standard 2 health & personal care-mobility, personal care-mobility, dexteritydexterity

Continuous improvement Continuous improvement Education & staff Education & staff

developmentdevelopment Rehabilitation support Rehabilitation support

with health professionalswith health professionals

Aged Care Funding Aged Care Funding Instrument –ACFIInstrument –ACFI

EMAA training will EMAA training will continue to improve continue to improve quality of life for residents quality of life for residents and contribute to and contribute to maintenance of maintenance of Accreditation status for Accreditation status for facilities.facilities.

Easy Moves for Active AgeingEasy Moves for Active Ageing®®EMAAEMAA

Second edition 2004 - trainingSecond edition 2004 - trainingFormative assessment processFormative assessment process External study guideExternal study guide Peer assessment-practical demonstrationPeer assessment-practical demonstration Risk management planRisk management plan Practical assessmentPractical assessment Planning checklistPlanning checklist Philosophy of instructionPhilosophy of instruction Safe use of equipmentSafe use of equipment Special needsSpecial needs

Easy Moves for Active AgeingEasy Moves for Active Ageing® ® EMAAEMAA

Second edition 2004 - trainingSecond edition 2004 - training

Day One:Day One: Operational Operational

guidelinesguidelines Movement awarenessMovement awareness Core program Core program

flexibility, flexibility, strengthening, strengthening, balance practical balance practical demonstrationdemonstration

Putting it togetherPutting it together Special needsSpecial needs Preparation for day 2 Preparation for day 2

assessmentsassessments


Second edition 2004 - trainingSecond edition 2004 - training

Day TwoDay Two Practical Practical

assessmentsassessments Philosophy of Philosophy of

instructioninstruction Risk managementRisk management Special needsSpecial needs

Maximising Maximising environmentsenvironments

Future directionsFuture directions FeedbackFeedback


What participants have said about EMAA:What participants have said about EMAA: The course has reaffirmed and improved my The course has reaffirmed and improved my

knowledge and skills and given me more knowledge and skills and given me more confidence that I can help others to improve their confidence that I can help others to improve their lifestyles.lifestyles.

A great course –relevant to all areas and easily A great course –relevant to all areas and easily adaptable.adaptable.

Every angle was covered and the facilitators Every angle was covered and the facilitators were excellent, instructive and professional.were excellent, instructive and professional.

The manual is absolutely brilliant, exactly what I The manual is absolutely brilliant, exactly what I have been looking for!have been looking for!

EMAA- EMAA- Effective networking-Effective networking-positive , positive pathwayspositive , positive pathways

EMAA classes being delivered in Residential EMAA classes being delivered in Residential care facilities/community settings throughout care facilities/community settings throughout South AustraliaSouth Australia

Two yearly Update for leadersTwo yearly Update for leaders Continuing education workshops:Continuing education workshops: Tai Chi ChairTai Chi Chair Exercise Bands and BeyondExercise Bands and Beyond Easy Moves to MusicEasy Moves to Music Ongoing assessment for currency Ongoing assessment for currency

HAMP- Supportive EnvironmentsHAMP- Supportive EnvironmentsFalls PreventionFalls Prevention

Falls in people over 65 years cost the health Falls in people over 65 years cost the health system more than road accidents for all system more than road accidents for all Australians put togetherAustralians put together

Management of injurious falls in Australia in Management of injurious falls in Australia in 2001 was estimated to cost $ 498.2 million 2001 was estimated to cost $ 498.2 million

Costs will rise by approximately 30% by 2011 Costs will rise by approximately 30% by 2011 and will treble by 2050 in South Australia.and will treble by 2050 in South Australia.

Falls & resultant fractures significantly Falls & resultant fractures significantly affect the quality of life for older adults.affect the quality of life for older adults.

Home Activity Monitoring Home Activity Monitoring Project-HAMPProject-HAMP

Home Exercise Program-Free-Easy-Safe!Home Exercise Program-Free-Easy-Safe! Funded by Australian (the Department of Funded by Australian (the Department of

Health and Ageing and the Department of Health and Ageing and the Department of Veterans’ Affairs), South Australian (the Veterans’ Affairs), South Australian (the Office for Recreation and Sport) and local Office for Recreation and Sport) and local governments (the Adelaide City Council) governments (the Adelaide City Council)

Home Activity Monitoring Home Activity Monitoring Project-HAMPProject-HAMP

Innovative home based physical activity Innovative home based physical activity and exercise program with telephone and exercise program with telephone coachingcoaching

Empowerment of the individualEmpowerment of the individual Research based- Research based- small increase in small increase in

physical activity in older people improve physical activity in older people improve general health and well beinggeneral health and well being

Help reduce the incidence of fallsHelp reduce the incidence of falls

Development of HAMPDevelopment of HAMP Based on The Otago Exercise Programme-University of Otago Based on The Otago Exercise Programme-University of Otago

Medical School, John Campbell et alMedical School, John Campbell et al• Muscle strengthening/balance retraining exs with walking 1,016 Muscle strengthening/balance retraining exs with walking 1,016

people 65-97 living at homepeople 65-97 living at home• 35% reduction in the number of falls and 35% reduction in 35% reduction in the number of falls and 35% reduction in

number of fall related injuriesnumber of fall related injuries Home Support Exercise Program-The Canadian Centre for Home Support Exercise Program-The Canadian Centre for

Activity and AgeingActivity and Ageing No Falls- Monash University-group exercise and home based No Falls- Monash University-group exercise and home based

programprogram Active Veterans-home exercise and walking program-Centre for Active Veterans-home exercise and walking program-Centre for

Physical Activity in Ageing. Physical Activity in Ageing.

Benefits of HAMPBenefits of HAMP An individual An individual FREEFREE program aiming to achieve program aiming to achieve 150 minutes of physical activity per week for those unable to 150 minutes of physical activity per week for those unable to

access community based exercise programsaccess community based exercise programs

Information and motivation provided via Information and motivation provided via telephone (additional support via existing community telephone (additional support via existing community visitors/carers/spotters/facilitators)visitors/carers/spotters/facilitators)

Improve/maintain muscle strength, balance, functionImprove/maintain muscle strength, balance, function

Reduce incidence of falls and fall related injuriesReduce incidence of falls and fall related injuries

Increase self efficacy/confidence and reconnect with Increase self efficacy/confidence and reconnect with community based activitycommunity based activity

Selection Criteria- who can Selection Criteria- who can participate in HAMP? participate in HAMP?

Over 50 years of ageOver 50 years of age Not undertaking more than 150 minutes of Not undertaking more than 150 minutes of

physical activity per weekphysical activity per week Not experiencing frequent falls- less than once Not experiencing frequent falls- less than once

per weekper week Not able to access community programs due to Not able to access community programs due to

transport problems or mobility issuestransport problems or mobility issues Motivated to improve personal health and well Motivated to improve personal health and well

beingbeing

Accessing HAMP-referral processAccessing HAMP-referral process

Self Referral-call Active Ageing SA or Self Referral-call Active Ageing SA or complete ‘Registration of Interest’ complete ‘Registration of Interest’ brochurebrochure

GP or Health ProfessionalGP or Health Professional Facilitators/SpottersFacilitators/Spotters

Telephone Telephone Coaching SupportCoaching Support Done via Telephone from ACH Call Centre and Active Done via Telephone from ACH Call Centre and Active

Ageing Ageing

Call one on receipt of Consent Form, 3 week Call one on receipt of Consent Form, 3 week Coaching Call, 8 week follow up call – ongoing 8 Coaching Call, 8 week follow up call – ongoing 8 weekly calls but clients encouraged to call Coach as weekly calls but clients encouraged to call Coach as needed. needed.

ACH call centre/professionals /Trained ACH call centre/professionals /Trained Volunteer Volunteer Coaches, oCoaches, on-going Support and Motivation n-going Support and Motivation

Data collection to measure and assess physical Data collection to measure and assess physical activity/functional ability/falls status and changes activity/functional ability/falls status and changes related to participation in HAMP related to participation in HAMP

The HAMP ExperienceThe HAMP ExperienceHAMP BOOKLETHAMP BOOKLET

HAMP booklet content:HAMP booklet content: Benefits of physical activity and exercise Benefits of physical activity and exercise Suggestions for increasing incidental physical Suggestions for increasing incidental physical

activity each dayactivity each day Use of equipmentUse of equipment Safety first-guidelinesSafety first-guidelines Contacting your coachContacting your coach Setting yourself up to succeed through making Setting yourself up to succeed through making

an action planan action plan Getting startedGetting started

The HAMP ExperienceThe HAMP ExperienceHAMP BOOKLETHAMP BOOKLET

Warm up Warm up Flexibility exercises 1-8Flexibility exercises 1-8 Stretching exercises 1-2Stretching exercises 1-2 Strengthening exercises (use of weights Strengthening exercises (use of weights

guidelines) exercises 1-8guidelines) exercises 1-8 Balance exercises 1-5Balance exercises 1-5 Vision for balance 1-2Vision for balance 1-2 Walking Walking


Effective networks, positive pathways for active Effective networks, positive pathways for active ageingageing

Office for Recreation Office for Recreation and Sportand Sport

Mature Age Physical Mature Age Physical Activity NetworkActivity Network

State Physical Activity State Physical Activity CouncilCouncil

Center for Physical Center for Physical Activity in AgeingActivity in Ageing

Residential Care Residential Care FacilitiesFacilities

Community/recreation Community/recreation centrescentres

Recreation SARecreation SA TAFETAFE Council on the AgeingCouncil on the Ageing Health Promotion SAHealth Promotion SA Local GovernmentsLocal Governments Community Health Community Health

CentresCentres Divisions GPsDivisions GPs Non GovernmentNon Government

AgenciesAgencies


The future is not someplace we are going The future is not someplace we are going to but one we are creating. The paths to it to but one we are creating. The paths to it are not found but made and the making of are not found but made and the making of those pathways changes both the maker those pathways changes both the maker and the destination. and the destination. Peter EllyardPeter Ellyard

Great networking-anything’s Great networking-anything’s possible!possible!



……..enhancing positive ageing experiences..enhancing positive ageing experiences

Tel 08 8232 9077Tel 08 8232 9077

Fax 08 8232 9020Fax 08 8232 9020

Email [email protected] [email protected]

www.activeageingsa.net.auwww.activeageingsa.net.au

www.hamp.net.auwww.hamp.net.au

active ageing australia® effective networking, positive pathways for active ageing pauline brooks...

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