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

​TAKE CHARGE IF DISEASE DOES DEVELOP
 
The number of people developing disease, and the number of people living with one or more than one disease increases every decade from around thirty onwards.  But this is not, as we have emphasised, due to the ageing process but to having been exposed to the harmful environment in which we live for longer and longer. More than half of the people over fifty have more than one condition, it is formerly called that dreadful name, multiple morbidity but which is now called MLTC (Multiple Long-Term Conditions). 
Obviously, the NHS has a vitally important part to play in managing these conditions particularly in making an accurate diagnosis, treating the acute phase of a disease such as a heart attack or cancer, and starting the right long-term treatment.  However, for living well with one or more than one long term condition the most important person is   called the patient, now sometimes being called the partner by clinicians.  It is what people do for themselves that is vitally important in determining the outcome of the disease not only simply by taking the pills as they are prescribed, but also adapting and changing to their new condition.  For example, it is common for there to be accelerated loss of fitness after the onset of a long-term condition.  This is partly due to spending a week in bed during an initial acute phase, but after that follows inactivity based on the belief held that people need things done for them as opposed to being able to do things for themselves.  This process of loss of function is called deconditioning and the response is called reconditioning which is different from, but closely related to, rehabilitation because the main people involved in reconditioning are the patient themselves and the communities in which they live, both the local community and the virtual community of other people facing the same challenge.
So, if you do have one or more long term conditions
  • Decide you are going to keep your own health record and carry a summary of your medication with you wherever you go.
  • Use the Oxford Longevity Project long-term plan to modify your fitness objectives and decide how you are going to cope well with the condition or conditions that have developed.
  • Prepare for every consultation, making a list of questions you would like to ask, and record the consultation so that you can remember and reflect on what was discussed
  • Join the community of people like you with the same condition which may be a national organisation like one of the big disease charities, like Diabetes UK or maybe a local organisation, perhaps itself partnered with a national organisation.
  • Check with the doctor, GP or specialist, and increase the amount of exercise youtake
  • Review your own condition once a year, perhaps the week before your birthday and almost always identify the things that you can do better to adapt to the disease, usually increasing the amount of physical activity that you take; fitness becomes even more important after the onset of disease than before. 
Help other people with the same condition acting as a volunteer both locally and nationally and fund raising to support research treatment and community care for people with your condition 

LISTEN TO OUR PODCAST 

 
The number of people developing disease, and the number of people living with one or more than one disease increases every decade from around thirty onwards.  But this is not, as we have emphasised, due to the ageing process but to having been exposed to the harmful environment in which we live for longer and longer. More than half of the people over fifty have more than one condition, it is formerly called that dreadful name, multiple morbidity but which is now called MLTC (Multiple Long-Term Conditions). 
Obviously, the NHS has a vitally important part to play in managing these conditions particularly in making an accurate diagnosis, treating the acute phase of a disease such as a heart attack or cancer, and starting the right long-term treatment.  However, for living well with one or more than one long term condition the most important person is   called the patient, now sometimes being called the partner by clinicians.  It is what people do for themselves that is vitally important in determining the outcome of the disease not only simply by taking the pills as they are prescribed, but also adapting and changing to their new condition.  For example, it is common for there to be accelerated loss of fitness after the onset of a long-term condition.  This is partly due to spending a week in bed during an initial acute phase, but after that follows inactivity based on the belief held that people need things done for them as opposed to being able to do things for themselves.  This process of loss of function is called deconditioning and the response is called reconditioning which is different from, but closely related to, rehabilitation because the main people involved in reconditioning are the patient themselves and the communities in which they live, both the local community and the virtual community of other people facing the same challenge.
So, if you do have one or more long term conditions
  • Decide you are going to keep your own health record and carry a summary of your medication with you wherever you go.
  • Use the Oxford Longevity Project long-term plan to modify your fitness objectives and decide how you are going to cope well with the condition or conditions that have developed.
  • Prepare for every consultation, making a list of questions you would like to ask, and record the consultation so that you can remember and reflect on what was discussed
  • Join the community of people like you with the same condition which may be a national organisation like one of the big disease charities, like Diabetes UK or maybe a local organisation, perhaps itself partnered with a national organisation.
  • Check with the doctor, GP or specialist, and increase the amount of exercise youtake
  • Review your own condition once a year, perhaps the week before your birthday and almost always identify the things that you can do better to adapt to the disease, usually increasing the amount of physical activity that you take; fitness becomes even more important after the onset of disease than before. 
Help other people with the same condition acting as a volunteer both locally and nationally and fund raising to support research treatment and community care for people with your condition 
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 well do you prepare for consultations and how well do take action to remember all that was said ?
  • How well have you gathered information about your condition or conditions form the Internet or from any national Charity committed to supporting people with a certain condition?
Individual Action
Prepare a list of all the drugs you are taking for your wallet or handbag and open a file, in a filing cabinet or on your computer, which is going to be the place where you create your own Patient record. Also put some actions in the box on line three of the Oxford Longevity Plan. The box on the right is for you to record actions like you have joined the Charity that is specifically designed for people with your condition 
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