The Future of Aging: Healthspan, Community, Identity

1
The Future of Aging
Zayna Khayat, PhD
Future Strategist, SE Health
30 June 2020
@ZaynaKhayat @BaselArea @SEHealth_SEHC #FutureOfAging

2
Aging is a universal
experience
It transforms how we
relate to ourselves & the
people, services, products,
policies in our environment
There are more people >65
today than in the history of
our species
… @ZaynaKhayat @BaselArea @SEHealth_SEHC #FutureOfAging

3
Life
Expectancy
at birth
Cumulative share of the world population
2012
[70 yrs]
1950
[40 yrs]
1800
[27 yrs]
Spain
USA
Canada
Source: The World in Pictures
2020 [>73 yrs]

4
Global Population
1,400 1,600 1,800 2,000
World Life Expectancy
0 500 1,000 1,500 2,000
10
30
50
70
1
3
5
7
Source: The World in Pictures
Billion
Years

5 @ZaynaKhayat @BaselArea @SEHealth_SEHC #FutureOfAging
Source: Udacity

6
Why we wrote this book
Aging is a universal experience
It transforms how we relate to ourselves & to people,
services, products, policies in our environment
More people are >65 today than ever in the history of
our species
Yet, aging remains a subject neglected in mainstream
dialogue…
… which inhibits our ability to consciously design for the
future of it

7
WHO we are A social enterprise impacting how people live and age at the home of their choice
WHAT we do
VALUES We are collaborators
We see possibility everywhere
We believe in the power of people, families & communities
Hospital Care at Home
&
Transitions
Seniors’ Living
Home Health Care
Education
Elizz Caregiver
Solutions
112Years of forward thinking
~9k
Leaders of Impact
~21k
Care exchanges a day

8
Authors
Shirlee Sharkey
President & CEO
Zayna Khayat
Future Strategist
Allyson KinsleyMary Lou Ackerman
VP Business
Capabilities
Paul Holyoke
Director,
SE Research Centre
Erik Landriault
Cameron Murray Taylor Dennis

9
Introduction
CHAPTER ONE
Aging and Community
CHAPTER TWO
Health Interventions
CHAPTER THREE
The Promise of Gerontechnology
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity
Conclusionhttps://futureofaging.sehc.com/

10
Identity & aging
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity
CHAPTER 5
CHAPTER ONE
Aging and Community

11
To…
Reinventing & recreating ourselves
Becoming a wise leader
Authentically enacting gender and sexuality
Agency over end-of-life experiences
From…
I. Reflecting; late life crisis
II. Accumulating knowledge
III. Conforming (sexuality)
IV. Avoiding mortality
Future Identity of Aging: 4 Shifts
“Old age is made up” – Joseph Coughlin

13
Source of image: Joseph Coughlin,
Aging 2.0 (2018)

14
"We live in a time when
you can change your
name and change your
gender.
Why can't I decide my
own age?"

15
Making aging sexy
Aging Powerfully
Zoomer =
“boomer with zip”
• body of a 65 year old
• mind of a 45 year old
• libido of a 25 year old
• heart of a teenager
Strategic aging
Engaging aging
Disrupt Aging
Wellderly
Age Strong
Old age isn’t for sissies
Tervaskanto =
“healthy & vibrant
elderly person”

16
#AgeStrong
campaign on billboards in Boston

18 Photo credit: Olivia Sun/NPR

19
“The Road World for the elderly will
be the biggest sports event in the
world” – Motiview CEO

21
Photo credit: CNN

22
“Grandma Gamers”

25
Photo credit: CNN
Centenarian
pop band

26
Photo credit: Huffington Post

27
How we plan for death, memorialize, and live on
Necro-tech …
Source: subtitle adapted from Frog Design; Images: NY Times
Home funerals Re-composting
New biz models:
dying, obits, funerals
Death Doulas
Digital
memorialization

28
In summary: Reframing Aging
Overcome troubling & persistent cultural norms and stereotypes
that underpin ageism in how people understand and engage with
aging adults
Shift: how people frame aging becomes fluid
• Bodies, Minds
• Relationships, Sexuality
• Mortality, Legacy
Opportunities abound:
• Facilitate new forms of workplaces, recreational spaces,
schools, private & public institutions
• Media and other cultural institutions showcase a realistically
diverse range of older adults
CHAPTER ONE
Aging and Community
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity

29
Community
CHAPTER ONE
Aging and Community
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity
CHAPTER 1

30
To…
Creating your own living community
The formal caregiving economy
Making meaningful connections virtually
Intergenerational living arrangements
From…
I. Predefined community models
II. Informal systems of community support
III. Offline local relationships
IV. Isolated & alone
Future of Aging in One’s Community: 4 shifts

31
Public parks in an aging society
[Spain]
https://nowthisnews.com/videos/news/this-park-in-spain-installed-mental-games-for-seniors
Physical Cognitive Social

32
Collective vs. Individual Spaces

34
Intergenerational amenities, programs, policies

35
“The ’gaggle of
single dudes’ have
connected over their
personal, late-in-life
challenges
Many of them are
widowed, with few
living family“

36
Healthcare
orgs enter
affordable(s
eniors)
housing
market

38
Grandchildren on demand

39
Social gaming environments

40
In summary: Community
“Job to be done” for living spaces & communities changing
New spaces & business models for
• Home making
• Creating health in residences & community
Informal systems to support healthy aging, with agency
• Living in place; AND
• Thriving in motion
CHAPTER ONE
Aging and Community
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity

41
Health(care)
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity
CHAPTER 2
CHAPTER ONE
Aging and Community

42
To…
Affirmative aging on your own terms
Adapting lifestyles to match healthspan to lifespan
Emotional determinants of health & healing
Neuroplasticity & brain re-training
From…
I. Anti-aging interventions
II. Curing Disease
III. Physical determinants of health
IV. Treating cognitive decline
Future of Health(care) Interventions: 4 Shifts

43
Social-historical determinants of health
Community inclusion
Accumulation of experience, knowledge & relationships
Preferences
Demographics
Physical determinants of health [Exposure to & accumulation of disease risk]
Context:
Healthy &
Active
Life
Limiting
Healthy
At Risk
Illness
Onset
Life Course View of Aging + Healthcare
Multi
Morbidity
Preferences-based
Strengths-based
Approach
Needs-based

44
2000 2014
Economic
imperative

46
Ware-
housing
frail
seniors
Source: CIHI

47
“The home setting and
health services will
become so synonymous
that they may not be
called home care; rather,
they will just be modern
health care”
Home Care Could be Heart of the U.S. Health System by 2024, Leaders Say (2015)

From segment of
1 → n of 1
Sources: HRI analysis of the 2013 Medical Expenditure Panel Survey; 2016 HRI Consumer Survey. http://www.pwc.com/us/en/health-industries/health-research-institute/publications/primary-care-part-two.html
Frail
Elderly
Complex
Chronic
Chronic
Disease
Mental
Health
Healthy
Families
Healthy Adult
Enthusiasts
Healthy Adult
Skeptics
Weighted # people
# visits per capita
Spending per capita
0.9M
15
$14.9K
24.8M
13.3
$12.3K
175.1M
7.7
$4.9K
9.4M
5.6
$3.0K
65.4M
1.7
$1.3K
22.6M
1.6
$1.3K
12.5M
1.1
$0.7K
Medical
>1 condition highly impacted bydiet
Want help to manage their weight
Social
Decided not to seek medical care dueto cost at least 1X in past year
Want a care navigator
Mental
Health
Want help with amental health issue
Prefer-
ences
Interested in DIY diagnostics, if it reduces cost of care
Interested in telemedicine, if it reduces cost of care
Interested in home health if itreduced insurance cost
Medica-
tion
Want help with understanding how to take theirmedications
Decided not to fill prescription dueto cost at least 1X in past year
Number of prescriptions per person 36 32 12 6 1 1 1
< 20% 21-40% 41-60% 61-80% 81-100%

49
• Day program for Alzheimer’s
• Recreate 1950’s-60s city
• $95 / day; franchising now

50
• Frailty
• Wound care
• Polypharmacy
• Falls prevention
• Pain
• Mental health
• Loneliness
Boundless opportunities
+

51
In summary: Health(care)
Biomedical interventions as key to life extension & health
management
• Less formal and clinical approaches
• Patients People
Help aging adults embrace benefits of health interventions…
…as appealing AND beneficial (win/win)
Combat unwelcome physical & psychological changes &
negative stereotypes, by…
…empowering people with reimagined vision of what’s
possible
CHAPTER ONE
Aging and Community
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity

52
Gerontechnology
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity
CHAPTER 3
CHAPTER ONE
Aging and Community

53
To…
Tech-enabled age fluidity
Modifying the laboring body
Increased healthspans
Aging in place, thriving in motion
From…
I. Biologically determined life stages
II. Replacing human labour
III. Limitless life spans
IV. Institutional aging
The Promise of Gerontechnologies: 4 Shifts

54
0 10 20 30 40 50 60 70 80 90
LIFEinYEARS
AGE
>99% of
our time
on this
earth
Past ~120 years
New goal:
Match
Healthspan
to Lifespan

55
Pew Research Center, May 2017, “Tech Adoption Climbs Among Older Adults
“don’t use social media”
“don’t have access to internet”
“can’t use a tablet”
[55% do!]
[1/3 own one!]

56Source: HLN News May 2019
"It will be a
fight to play
with it"

57
Early
Alzheimer’s
detection

58
Recreate inaccessible real world experiences

61
Sensors: ambient intelligence

62
Falls & other risks – prevent, predict

63
Powered clothing
Autonomous ride hailing service
for seniors
Mobility innovation
Smart
rehab
glove

64
Eating & drinking aids
https://www.google.ca/search?rlz=1C1GCEA_enCA798CA798&biw=1707&bih=782&tbm=isch&sa=1&ei=IayjW6rpCI6e_QaxxqSABg&q=spoon+parkinson%27s&oq=spoon+parkinson%27s&gs_l=img.3...180042.180760.0.180900.6.6.0.0.0.0.0.0..0.0....0...1c.1.64.img.
.6.0.0....0.6RGydzmg3ZM#imgrc=Bxl4XiAcouP8uM:

65 65
VR = digital
therapeutic

68
Biogerontology
Granny cams
Nana technologies
IoOT (Internet of Older Things)
Reminiscence therapy
Immortality economy
Screenside manner
Necrotec
New tech lexicon for an aging society

69
Gerontechnology
People see tech the same way young people do: a portal to wider
worlds not available in immediate surroundings
Unique ways people engage with emerging tech to:
 Maintain autonomy, independence
 Build & maintain social connection
 Restore health
Balance what is technologically possible with what people desire
as they shape their aging experience
• What matters to you? What’s the matter with you?
Devices, tools, tech interventions are the ultimate in accessibility,
customization and simplicity
• People as full participants in the design process will
exponentially improve uptake & adoption
CHAPTER ONE
Aging and Community
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity

70
Economic contexts
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity
CHAPTER 4
CHAPTER ONE
Aging and Community

71
To…
Working longer to retain purpose in life
Economic uncertainty
Cross-generational class consciousness
Investing in social legacies
From…
I. Retiring
II. Purchasing power through savings & pensions
III. From intergenerational divisions
IV. Investing in the future: financial legacies
Future Economic Contexts of Aging: 4 Shifts

72
Photo credit: Olivia Sun/NPR

73
R E T I R E M E N T
Future
of
Workth™

74
Senior-preneurs
70
OVER 70

76
Big brands & the longevity economy

77
New category
1. Continence
2. De-risk showering
3. Falls prevention
4. Skin health management
5. Personalized knowledge &
communication products

78
New segment: family caregivers
https://elizz.com/

80
In summary: Economic contexts
Long held assumptions & social constructs fading out
• Labor participation
• Spending & consumption
• Retirement Rewirement
• Financial planning
Break down linear ways society thinks about life stages & long
term planning. E.g.,
• Flexible financial services for wider circumstances
• Social vs financial legacies – recognize what people have
built, supported, or contributed to
CHAPTER ONE
Aging and Community
CHAPTER TWO
CHAPTER THREE
CHAPTER FOUR
Economic Contexts
CHAPTER FIVE
Identity

81
Join the Conversation
Zayna Khayat, Ph.D.
Futures at SE Health
ZaynaKhayat@SEHC.com
@ZaynaKhayat | @SEFutures | @SEHealth_SEHC | #FutureOfAging

The Future of Aging: Healthspan, Community, Identity

Recomendados

Recomendados

Más contenido relacionado

La actualidad más candente

La actualidad más candente (20)

Similar a The Future of Aging: Healthspan, Community, Identity

Similar a The Future of Aging: Healthspan, Community, Identity (20)

Más de DayOne

Más de DayOne (20)

Último

Último (20)

The Future of Aging: Healthspan, Community, Identity

Notas del editor