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Why I Expect to be
Alive at 75
Americans Are Living Longer
Than Ever
What is missing from these
portraits?
What is missing from these
portraits?
• Roughly 40 million Americans over 65.
• Assisted living residents—1 million
• Nursing home residents—1.7 million
• Homebound elderly—3.6 million
What’s Important in Life?
Is it Quantity of Life or
Quality of Life?
The American Immortal
Is It Quantity?
• Aubrey de Grey,
biomedical gerontologist.
• He claims the first person
who will live to 150 has
already been born.
• The first person who live
to 1,000 will be born in the
next 20 years.
Some People Want Quality of
Life
• “American Immortals”
• Desire fuels push for
regenerative medicine
• Some want to live to
be 1,000
Compression of Morbidity
• Theory developed in 1980
by James F. Fries
• As we extend our
lifespans into the 80s and
90s, we will live healthier
lives
• We will develop disabilities
later and have fewer
disabilities overall
How Should We Think About
Growing Old and Dying?
• Part I—The Nature of Old Age
• Part II—The Nature of Dying
• Part III—The Meaning of Life
The Nature of Old Age
• Physical Disabilities
• Mental Disabilities
• Dementia
• The Expansion of Morbidity
• Decrease in Creativity
Physical Disabilities
• Between 1998 and 2006, the percentage
of American men ages 80 and older with a
physical limitation increased from 28% to
42%.
• In 2006, more than half of women 80 and
older had a physical limitation.
Eileen Crimmins, USC
Mental Disabilities
• Slower mental processing
• A decrease in working and long-term
memory
• An increase in distractibility
Prevalence of Alzheimer’s
Disease by Age
British Medical Journal
Americans with Alzheimer’s
Disease
Alzheimer’s Association
The Expansion of Morbidity
The Expansion of Morbidity
Eileen Crimmins, USC
Age-Related Loss of Creativity
• Research from Dean
Keith Simonton at the
University of California
at Davis has shown
creativity peaks about
20 years into the
career and then enters
an age-related decline
Caregiving Burdens
• In 2013, family and friends provided 17.7
billion hours of unpaid care to those with
Alzheimer’s and other dementias.
• Additional care for adults with physical
disabilities and dying patients.
Alzheimer’s Association
What Makes Life Meaningful?
Happiness
Happiness
• “U-Curve” of
happiness
• The people who rate
themselves as most
happy are ages 82-85
• Happiness is linked to
social engagements
and community ties
Happiness
• The study had a biased sample – it did
NOT include any person in a nursing
home
• Increasing happiness was linked to a
narrowing of goals
Happiness is not the answer
Meaningfulness is
Attitude of Patients with
Cancer
• “Best thing that ever
happened to me”
• Cancer makes them focus
A Meaningful Life
• We contribute to our communities
and families
• We enrich the people around us
• We feel fulfilled

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Why I Expect to be Alive at 75

  • 1. Why I Expect to be Alive at 75
  • 2.
  • 3.
  • 4. Americans Are Living Longer Than Ever
  • 5. What is missing from these portraits?
  • 6. What is missing from these portraits? • Roughly 40 million Americans over 65. • Assisted living residents—1 million • Nursing home residents—1.7 million • Homebound elderly—3.6 million
  • 8. Is it Quantity of Life or Quality of Life?
  • 10. Is It Quantity? • Aubrey de Grey, biomedical gerontologist. • He claims the first person who will live to 150 has already been born. • The first person who live to 1,000 will be born in the next 20 years.
  • 11. Some People Want Quality of Life • “American Immortals” • Desire fuels push for regenerative medicine • Some want to live to be 1,000
  • 12. Compression of Morbidity • Theory developed in 1980 by James F. Fries • As we extend our lifespans into the 80s and 90s, we will live healthier lives • We will develop disabilities later and have fewer disabilities overall
  • 13. How Should We Think About Growing Old and Dying? • Part I—The Nature of Old Age • Part II—The Nature of Dying • Part III—The Meaning of Life
  • 14. The Nature of Old Age • Physical Disabilities • Mental Disabilities • Dementia • The Expansion of Morbidity • Decrease in Creativity
  • 15. Physical Disabilities • Between 1998 and 2006, the percentage of American men ages 80 and older with a physical limitation increased from 28% to 42%. • In 2006, more than half of women 80 and older had a physical limitation. Eileen Crimmins, USC
  • 16. Mental Disabilities • Slower mental processing • A decrease in working and long-term memory • An increase in distractibility
  • 17. Prevalence of Alzheimer’s Disease by Age British Medical Journal
  • 19. The Expansion of Morbidity
  • 20. The Expansion of Morbidity Eileen Crimmins, USC
  • 21. Age-Related Loss of Creativity • Research from Dean Keith Simonton at the University of California at Davis has shown creativity peaks about 20 years into the career and then enters an age-related decline
  • 22. Caregiving Burdens • In 2013, family and friends provided 17.7 billion hours of unpaid care to those with Alzheimer’s and other dementias. • Additional care for adults with physical disabilities and dying patients. Alzheimer’s Association
  • 23. What Makes Life Meaningful?
  • 25. Happiness • “U-Curve” of happiness • The people who rate themselves as most happy are ages 82-85 • Happiness is linked to social engagements and community ties
  • 26. Happiness • The study had a biased sample – it did NOT include any person in a nursing home • Increasing happiness was linked to a narrowing of goals
  • 27. Happiness is not the answer Meaningfulness is
  • 28. Attitude of Patients with Cancer • “Best thing that ever happened to me” • Cancer makes them focus
  • 29. A Meaningful Life • We contribute to our communities and families • We enrich the people around us • We feel fulfilled

Editor's Notes

  1. Stars on clicks – pills, exercise, eating
  2. http://www.thehindu.com/news/cities/chennai/85yearold-hurdler-from-tn-wins-bronze-at-world-meet/article4950.ece
  3. http://www.bmj.com/content/310/6985/970
  4. Can also cut so it’s just the top so it’s less busy
  5. http://resources.emartin.net/blog/docs/AgeAchievement.pdf
  6. http://www.alz.org/alzheimers_disease_facts_and_figures.asp