The Healthy Ageing Companion
  • Your Future
    • What the hell is happening as we live longer >
      • the Oxford Paradigm
      • Bad language about older people
    • How to reduce your risk of needing social care >
      • How society needs to reduce the need for social care
    • Your monthly briefing
    • The environment is tough >
      • The physical environment is the cause of many problems blamed on ageing
      • Retirement has benefits and risks
      • Some people got a better start than others
      • the impact of isolation is now recognised
      • Poverty affects too many older people
    • the Living Longer Better Programme >
      • what would a good life in your late 80s be likel
      • What do you fear most and want to avoid
      • Start to write your Living Longer Better Plan
      • Think positive
    • How to reduce your risk of a bad death
    • My diary & daily routine
    • My health record
    • My housing
    • Othercare - Supporting someone else
  • Learning
    • Start Planning to Live Longer Better
    • Understanding Ageing
    • Regaining and increasing fitness
    • Reducing the impact of disease
    • your social environment has a huge impact
    • Make Retirement your Renaissance
    • A Woman's Perspective
    • Stamina can be improved by brisk walking
    • Suppleness can always be improved and stiffness always reduced
    • Skill and co-ordination can be improved at any age
    • Strength and Power can always be increased
    • Increase Your Mental Fitness
    • Reduce your risk of disease
    • Eat Better
    • Feel Better
    • Reduce your risk of dementia
    • If disease does develop - take charge
    • Feel even better by helping other people even more
  • Get fitter & bodycare better
    • Activity Therapy is of vital importance
    • the Daily Dozen + 30 for 4S fitness
    • Increase strength, stamina, suppleness and skill >
      • Stamina
      • Suppleness
      • Skill
      • Strength
      • Work hard
      • Restart cycling >
        • Virtual Cycling
      • Brisk walking >
        • Virtual Walking
      • Restart Sport >
        • Restart swimming
        • Restart tennis
        • Restart football
      • If you have difficulty walking briskly
      • Join a Gym or Wellness Hub >
        • Meet others for fitness >
          • Silver sneakers
          • Age UK Generation games
          • Join a Gym, Fitness Centre or Wellness Hub
          • Find a personal trainer
      • Find a Trainer
    • Look after your body >
      • Happy and Positive Birthday >
        • Sod 60!
        • Sod70!
        • Sod It! Eat Well
        • Sod Sittin, Get Moving!
      • Skin maintenance
      • Teeth and gum maintenance
      • Feet maintenance
      • Bone, joint and muscle maintenance
      • Bowel maintenance
      • Brain maintenance
      • Mind maintenance
      • Heart maintenance
      • Lung maintenance
      • Waterworks maintenance for men
      • Waterworks maintenance for women
      • See as clearly as possible
      • Keep your Hearing as acute as possible
      • Reduce your risk of disease >
        • Eat Well
        • Stop smoking
        • Increase activity - physical, cognitive and emotional
        • Watch the alcohol
        • Accept the offers from the NHS screening programmes
        • We need a revolution
      • FIGHT DISEASE >
        • If disease occurs - Optimise Your Healthcare >
          • Making a big decision >
            • Should i have a hip replacement ?
          • Consequences of common conditions >
            • Loss of status
            • Disability and handicap
            • Isolation
            • Depression
            • Frailty
          • Look out for social as well as drug prescribing >
            • Enjoy Activity Therapy
          • What you can do to help the NHS even more
        • Arthritis
        • Cancer
        • COPD _ Bronchitis
        • Diabetes
        • Dementia
        • Heart disease
        • High Blood Pressure
        • Hypercholesterolaemia
        • Pain
        • Parkinson's Disease
        • Stroke
  • Think better
    • Train your brain ; we now know the brain can get fitter at any age
    • Understanding Dementia & Alzheimer's Disease
    • Reduce your risk of dementia >
      • Stimulate your brain more every year >
        • Learning new skills and build on your assets
        • Get even more engaged
      • Protect your brain >
        • Sleep better
        • Get more active
        • Avoid over medication
        • Control stress levels
        • Air pollution and dementia
      • Keep the oxygen flowing
  • Feel better
    • Combat depression
    • Combat anxiety
    • Stay engaged and don't lose your sense of purpose
    • Meet others like you
    • Feel Better by Volunteering
    • Optimise the Internet >
      • My Virtual Reality
    • Join others for a Daily Service
    • Feel better by visiting Great Places >
      • Visit the great Museums
      • Visit the great libraries
      • Visit a National Trust treasure
    • Feel better through music >
      • Join a concert party
      • Your virtual choir
      • Music for Moving
    • Creative Health Improvement
    • Feel better by reading, listening and watching with other people >
      • Kindling Book Club >
        • Crime
        • Classics
        • Health
      • Audible Book Club
      • Your BBC
      • Your Film Club
    • Feel better by learning new skills and ideas
    • Feel better by joining a club to play games and meet others >
      • Chess Club
      • Bingo club
      • Bridge Club
    • Feel better by supporting nature >
      • Visit the great gardens
    • Feeling Better by Going Down Memory Lane >
      • Sporting memories are powerful
  • Our Mission
    • About Us
    • Muir Gray's Bookshelf >
      • Midlife
      • Sod60!
      • Sod70!
      • Get Moving
      • Eatwell!
      • Dr Gray's Walking Cure
    • About the OxAP >
      • Here is the news
    • References


​FEEL BETTER
The National Health Service is actually a National Disease Service and a very valuable service it is, but it is important to appreciate that health is more than the absence of disease, as the World Health Organisation emphasised in its 1948 definition of Health.  They defined health as, “physical, social and mental wellbeing and not merely the absence of disease or infirmity”  and what we are seeing now is an understanding of the fact that many people have wellbeing problems, about how they feel, and the Health Service is not dealing with them well.
However rather than expanding the NHS, the National Disease Service, to provide services for wellbeing, it is better to understand what the causes of wellbeing problems actually are and how they can best addressed by individuals and communities.  The Office of National Statistics assess wellbeing using a very well-developed questionnaire and it asks people to evaluate three aspects of their wellbeing.
  • How satisfied they are with their life overall?
  • Their emotions during particular period (both positive and negative)
  • Whether they feel if they have meaning or purpose in their lives. 
Unfortunately, when people take wellbeing problems to the Health Service the response is often a prescription of an anti-depressant.  Now anti-depressants are very important drugs and for people with a certain type of depression they play an important part in helping the individual cope and reduce their risk of suicide.  There are currently seven million people getting anti-depressants and it is obvious now that a different approach needs to be taken to improve wellbeing.
One step is to manage stress better either by tackling the cause of the stress directly or by using techniques to control stress of which the simplest is a regular walking routine, ideally in a green environment, and all types of physical activity including Yoga  can be helpful if they become routine. There is also a technique called mindfulness which many people find effective and it is also helpful to develop a routine to improve your sleep and again the NHS Better Health programme contains good advice based on strong evidence  
What is emerging is that wellbeing is increased firstly by what a person does for themselves and secondly the support and interaction they have with their community.
It is common to hear complaints about the death of communities due to the internet and the rising car ownership, but communities still exist and in fact are re-emerging as people appreciate the benefits of supporting the community in which they live, either their geographical community or their digital community if, for example, they suffer from a rare health problem which no one in their geographical community has heard of but for which there is a very good digital support group.   Thus, support by the community improves wellbeing, but even more important to understand is that contributing to the community is a very effective means of improving one’s own wellbeing and this relates to the Office of National Statistics term “meaning or purpose”.  
In her study of Healthy Ageing in Japan called Extra Time, Camilla Cavendish describes the importance of what is called Ikigai in Japan, meaning a sense of purpose.  Not a sense of purpose for improving one’s own lot but a sense of purpose for contributing to help others. Volunteering is a very good way of increasing wellbeing and helping you feel better, and it will also help reduce the risk of dementia

LISTEN TO OUR PODCAST . 

The National Health Service is actually a National Disease Service and a very valuable service it is, but it is important to appreciate that health is more than the absence of disease, as the World Health Organisation emphasised in its 1948 definition of Health.  They defined health as, “physical, social and mental wellbeing and not merely the absence of disease or infirmity”  and what we are seeing now is an understanding of the fact that many people have wellbeing problems, about how they feel, and the Health Service is not dealing with them well.
However rather than expanding the NHS, the National Disease Service, to provide services for wellbeing, it is better to understand what the causes of wellbeing problems actually are and how they can best addressed by individuals and communities.  The Office of National Statistics assess wellbeing using a very well-developed questionnaire and it asks people to evaluate three aspects of their wellbeing.
  • How satisfied they are with their life overall?
  • Their emotions during particular period (both positive and negative)
  • Whether they feel if they have meaning or purpose in their lives. 
Unfortunately, when people take wellbeing problems to the Health Service the response is often a prescription of an anti-depressant.  Now anti-depressants are very important drugs and for people with a certain type of depression they play an important part in helping the individual cope and reduce their risk of suicide.  There are currently seven million people getting anti-depressants and it is obvious now that a different approach needs to be taken to improve wellbeing.
One step is to manage stress better either by tackling the cause of the stress directly or by using techniques to control stress of which the simplest is a regular walking routine, ideally in a green environment, and all types of physical activity including Yoga  can be helpful if they become routine. There is also a technique called mindfulness which many people find effective and it is also helpful to develop a routine to improve your sleep and again the NHS Better Health programme contains good advice based on strong evidence  
What is emerging is that wellbeing is increased firstly by what a person does for themselves and secondly the support and interaction they have with their community.
It is common to hear complaints about the death of communities due to the internet and the rising car ownership, but communities still exist and in fact are re-emerging as people appreciate the benefits of supporting the community in which they live, either their geographical community or their digital community if, for example, they suffer from a rare health problem which no one in their geographical community has heard of but for which there is a very good digital support group.   Thus, support by the community improves wellbeing, but even more important to understand is that contributing to the community is a very effective means of improving one’s own wellbeing and this relates to the Office of National Statistics term “meaning or purpose”.  
In her study of Healthy Ageing in Japan called Extra Time, Camilla Cavendish describes the importance of what is called Ikigai in Japan, meaning a sense of purpose.  Not a sense of purpose for improving one’s own lot but a sense of purpose for contributing to help others. Volunteering is a very good way of increasing wellbeing and helping you feel better, and it will also help reduce the risk of dementia. 
Points for Reflection after listening and reading; if you are working through these podcasts with a group ask people to turn to their neighbour and discuss these points or allocate them to a Zoom room if you are online
  • How would you rate your sense of wellbeing on a scale from 1 to 10?
  • What could you do to help your friends and community even more?
Individual Action
Identify the factor that is causing most stress and take action to resolve or reduce that problem and try mindfulness or yoga to reduce the stress that it and other problems are causing; remember that one of the main benefits of physical exercise is an increasing mental wellbeing
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