exercise, health and ageing: a gp's perspective
TRANSCRIPT
Exercise, Health and Ageing - a GP's Perspective
Rupert Manley
GP, Stennack Surgery, St Ives
Last 20 years........
Fire fighting service → Prevention
BP cholesterol diet exercise smoking cessationchronic disease management
…...Micromanagement of senescence
General Practice
Pressures........
Spiralling workload
Financial constraints
Cultural – food & drink - ?screens
Lifestyle as health intervention
Health Benefits of Exercise
Cardiovascular disease / Stroke Hypertension Diabetes Depression, stress and anxiety Fractures / osteoporosis Falls Dementia Cancer
Factors influencing exercise levels – early years
- Genetic
- Cultural – parental habits - school curriculum, environment - shift to virtual living
- Environmental- sports facilities- availability of open space- built environment – foot paths
- Health - obesity
Factors influencing exercise levels - middle years
- work-life balance
- social contacts
- child care
- health – obesity
- musculo-skeletal
- mental health
- cardiac & respiratory
Factors influencing exercise levels - later life
- all the above
- health plays an increasing role
- cognitive decline and dementia
- housing
- social contact
Poor health
Loss of fitness
Low self esteem
Social withdrawal
Lack of exercise
Cycle of inactivity
Health
Medication Surgery
Physiotherapy
More ExerciseFitness
Self esteemSocial engagement
Counselling
Escape from the cycle of inactivity!
Health & Wellbeing
Exercise Fitness
Self esteemSocial engagement
facilitation
Lifestyle as an intervention
The community as a health resource
Sports clubs
Support groupsVolunteering opportunities
Hobby and interest groups
GP - patient
LEAP
Knitting group
Art class
Green Gym Carer support groups
Writing group
Play reading group
Sure StartBadminton club
Surfing lessons
Allotment group
Cookery group
Fresh Start Walking group
Hospital Friends Save the Children
Day Centre
AA
MIND
Mindfulness course
Penwith PioneerProject
Exercise classes
GP - patient
LEAP
Knitting group
Art class
Green Gym
Carer support groups
Writing group
Play reading group
Sure Start
Badminton club
Surfing lessons
Allotment group
Cookery group
Fresh StartWalking group
Hospital Friends Save the Children
Day Centre
AA
MIND
Hospital referral
Diabetes Nurse
Physiotherapy Echocardiogram
X-Ray
ECG
Psychiatrist
Counsellor
Surgeon
Medical reportUltrasound
Chiropodist
24 hour BP
Blood tests
CADA
PCT
Medication review
Practice meeting
Computer beakdown
MRI
NICE
Sick note
Jaundice hotline
Inquest
Post mortem
MI
EEG
RACPC
Appraisal
Wellbeing Facilitator
at Stennack Surgery
Penwith Community Development Trust
Process
- Referrals from GPs and Health workers
- Consultation with client to assess needs, aspirations & barriers to participation.
- Aim is to enable clients to identify what works for them and to engage in community activity to improve health.
The Elderly
- often burdened by ill health
- house-bound
- socially isolated
- same spiral of inactivity
- falls
Age UK – Penwith Pioneer Project
Pilot in Newquay – reduced unplanned admissions by 40%
Aim
To have a guided conversation with 1000 vulnerable elderly to identify social solutions to health and social care problems.
Find out what the person's aspirations are
“ I would like to go to the garden centre once a week”
Try to find a simple solution – volunteers
Getting out – improved self-esteem and motivation
….....and perhaps a little more exercise!