WHAT DOES THE SILENT GENERATION WANT

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WHAT DOES THE SILENT GENERATION WANT?

• Presented By
• Jean Moreau
• Jean Moreau Associates

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GOALS FOR THIS PRESENTATION

• Understand who the Silent Generation is and what
  they say they want from a retirement community.
• Learn about the latest aging research and how
  its being used in programming for Independent
  Living residents.
• Learn about the latest thinking in Health Care
  models.
• .

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WHO IS THE SILENT GENERATION?

• Born 1925-1942 (66-83)
• First retired 1989
• Peak retirees 2008
• Self image Seeking to contribute
• How many? 49,000,000

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Staying Healthy

• Based on 650 responses to a national survey of
  The Silent Generation
• 81 of Silents reported that they are in good or
  excellent health.
• Silents are on a mission to stay healthy
• Silents are 1.74 times more likely than the
  general population to work on improving their
  health

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Staying Healthy

• Whats Hot Continuing Health -- Visionary
  CCRCs are creating Agelessness Programs to
  maintain residents health.
• Whats Not Assuming that all residents will move
  through a continuum of care as they age.

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Staying Healthy

• Agelessness The One-Hoss Shay Theory of
  Aging

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Staying Healthy

• Agelessness The One-Hoss Shay Theory of Aging
• Have you heard of the wonderful one-hoss shay,
• That was built in such a logical way
• It ran a hundred years to a day
• And then of a sudden it ah, but stay,
• Oliver Wendell Holmes (1809-1894)
• The Ideal A Long Health Span and a Short
  Disability Span

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Staying Healthy
Historical Curve of Decline in Functioning with
Aging
Rectangular Curve of Delayed Decline in
Functioning with Aging
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Staying Healthy
Agelessness is Achieved By Moving beyond
asking What is Aging? Instead,
asking What is POSSIBLE with Aging?
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Staying Healthy
Agelessness is Achieved By

• Keeping the body fit
• Keeping the mind active
• Keeping the spirit alive

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Keeping the BODY Fit
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Joe Bruno Swimmer. Swims the rough-waters of
San Francisco Bay everyday.
Keeping the BODY Fit
age 71
age 83
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Ada Thomas Runner. Wasnt allowed to run as a
child running was for boys.
Keeping the BODY Fit
age 72
Age 82
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Eleanor Hyndman A brown belt at 90 member of
the International Poets Society.
Keeping the BODY Fit
Age 80
Age 90
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Helen Zechmeister Weight Lifter. Works out 3
times a week. Deadlifts 200 lbs. Can do a full
split. Greatest pleasure her husband of 68
years.
Keeping the BODY Fit
Age 81
Age 90
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Keeping the MIND Active

• Creativity Increases with Age and
• Contributes to Physical Health
• Strengthens Morale
• Enriches Relationships
• Provides a Legacy

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Keeping the MIND Active
Sarah Delany age 104
Dr. Bessie Delany age 102
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Enriching the SPIRIT

• Tending the Spirit
• Inspires Optimism
• Creates a Sense of Self-Worth
• Values Reflection and Introspection

Anna Halprin, Dancer, age 75 Teaches dance as a
healing aid and as a performing art. Cancer
survivor.
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Enriching the SPIRIT
I have plenty of goals. On my 80th birthday.I
vowed to myself that I would do something
outrageous at least once a week, and for the past
few years Ive been able to live up to that
promise.
Maggie Kuhn, Founder The Gray Panthers
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Enriching the SPIRIT
I think my life has been a long, slow process of
trying to move closer and closer to the spirit by
moving closer and closer to the heart. Id like
to believe that as Ive gotten older, Ive gotten
smarter..Im certainly happier now I have more
fun now. I know now that I can do without all
the material whoop-de-do that most people think
is so important..The heart is whats
important.Our hearts are the eternal part of us
that goes on and on.
Burl Ives, Singer
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Staying Healthy

• How some visionary CCRCs inspiring their
  residents to
• Keep their bodies fit
• Keep their minds active
• Keep their spirits alive

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Westminster-Canterbury on Chesapeake BayVirginia
Beach, VirginiaWellness Center Features

• Exercise room
• machines
• free weights
• aerobics floor
• Pool - 51 foot
• Male and female locker rooms
• Activity room
• Craft bar

• Spa
• beauty/barber shop
• massage therapy
• manicure station
• Multi-purpose room
• pantry for serving food
• Chapel - 150 seats
• Meditation garden
• Exercise garden

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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
Chapel
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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
Meditation Garden
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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
Multipurpose Room
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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
Exercise Room
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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
Pool Jacuzzi
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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
Country Store
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Willow ValleyWillow Street, Pennsylvania
Cultural and Sports Center
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Willow ValleyWillow Street, Pennsylvania
Aquatics Center
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Willow ValleyWillow Street, Pennsylvania
Fitness Center
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Willow ValleyWillow Street, Pennsylvania
Fitness Center
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Willow ValleyWillow Street, Pennsylvania
Day Spa
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Cultural Arts

• Seniors are 2.4 times more likely than the
  general population to attend cultural arts events
• Silents are 2.31 times more likely than the
  general population to participate in
  community/civic activities

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Willow ValleyWillow Street, Pennsylvania
Theater Gallery Lobby
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Willow ValleyWillow Street, Pennsylvania
Theater
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Dining Choices

• Silents are 1.67 times more likely than the
  general public to eat healthy, natural foods
• Silents desire a café/coffee shop
• Dining space now being designed for flexible use
  to include formal, sit-down dining and informal
  café type dining

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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
Dining Room
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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
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Westminster-Canterbury on Chesapeake BayVirginia
Beach, Virginia
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Willow ValleyWillow Street, Pennsylvania
Vitality Cafe
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FairhavenSykesville, MarylandCommunity of
Well-Being

• 25-year-old CCRC
• An EMA community
• Sykesville, MD, near Baltimore
• Intensely competitive market
• Recently completed a 100-apt expansion
• Now has 300 residences

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FairhavenSykesville, MarylandCommunity of
Well-Being

• Underlying philosophy
• The focus of activity shifts from doing for, or
  doing to, to doing with or in community.
• Communities of Well-Being create the necessary
  cornerstones for community members to age well.

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FairhavenSykesville, MarylandCommunity of
Well-Being

• Six Components

• Wellness
• Strength
• Independence
• Creativity
• Personal growth
• Meaningful participation

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FairhavenSykesville, MarylandCommunity of
Well-Being

• Well-Being Dinners
• Overall attendance
• January 2005 23
• February 2005 41
• March 2005 37
• April 2005 53
• May-December 43 to 55

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Single Family Homes/Large Units

• 72 of respondents who are likely to move to a
  retirement community prefer single family homes
• 53 of likely to move sample want 2 bedroom, 2
  bathroom with den units
• 23.4 of likely to move sample want larger than
  2BR, 2BA with den units

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Willow ValleyWillow Street, Pennsylvania
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Willow ValleyWillow Street, Pennsylvania
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Active Adult Community/ Desire for Equity
Ownership

• 75 of those interested in a retirement community
  are also interested in an active adult community
• 86 of all respondents prefer to own their own
  accommodations in a retirement community
• 50.6 of those likely to move to a retirement
  community prefer to own their own accommodations

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Cameron GroveBowie, Maryland

• Active adult community for adults 55 or older in
  Prince Georges County, Maryland.
• Includes condos, villas and cottages
• For sale units

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Cameron GroveBowie, Maryland
Villas
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Cameron GroveBowie, Maryland
Living Room
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Cameron GroveBowie, Maryland
Bedroom
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WHAT WILL THE BOOMERS WANT?

• Spa Communities
• Canyon Ranch Living
• Miraval

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Canyon Ranch Living

• What is Canyon Ranch?
• Canyon Ranch is the world's premier
  life-enhancement company, promoting health and
  wellness through active living, nutrition,
  mind-body balance and an integrated approach to
  wellness.
• Currently have 2 communities
• -- Chicago
• -- Miami Beach

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Canyon Ranch Highlights

• Luxury condominiums
• Spa facilities and treatments
• Fully equipped gyms
• Fitness classes and activities
• Canyon Ranch Living wellness staff
• Health and wellness opportunities
• Nutritious, gourmet cuisine

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Canyon Ranch Experience

• Build relationships with leading physicians,
  exercise physiologists, nutritionists,
  behaviorists, movement therapists, complementary
  health-care practitioners, fitness professionals
  and more right at home.
• Explore specific concerns, learn nutrition and
  fitness strategies, discover non-Western healing
  disciplines, and fortify the connection between
  mind and body.
• Become a positive participant in their health
  care and realize their full potential for living
  long and well.

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Canyon Ranch Chicago
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Canyon Ranch Miami Beach
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Miraval

• Two communities
• -- New York
• -- Tuscon

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Miraval New York

• Miraval provides the space - physically and
  spiritually - to reconnect with oneself. The
  clearly articulated choices in diet and exercise,
  and the serenity that meditation, yoga and other
  stress-prevention techniques provide, can reduce
  tension and promote a healthful focus.

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Miraval - Tuscon Experts

• Dr. Andrew Weil, Director of Integrative Health
  and Healing
• Dr. Weil offers workshops based on his most
  recent bestselling book Healthy Aging A Lifelong
  Guide to your Physical and Spiritual Well-Being.

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Miraval - Tuscon Experts

• Dr. Lana Holstein, Director of Sexuality and
  Vitality Programs
• Dr. Holstein offers a variety of workshops,
  classes, lectures, and private consultations that
  combine medical expertise with a mind-body-spirit
  approach to sexuality within a committed
  relationship.

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Miraval Tuscon Experts

• Rubin Naiman, Ph. D, Director of Sleep Programs
• Dr. Naiman approaches sleep and dream issues
  comprehensively, from a body, mind, and spirit
  perspective through workshops, lectures and
  individual consultations where he analyzes sleep
  patterns to create a personal, customized plan
  for optimal sleep and dreaming.

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Miraval Tuscon Experts

• Wyatt Webb, Founder of the Equine Experience
• Working on the ground with specially selected
  horses, the experience is a safe and supportive
  setting for people to correct false belief
  systems about themselves and provides an
  empowering and creative opportunity for
  remembering who they truly are. 

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Assisted Living

• Whats Hot Residential Models of Assisted
  Living
• The Transition to Assisted Living is Much Less
  Traumatic
• More 2 Bedroom Apartments
• Older Communities are Converting Independent
  Living Apartments to Assisted Living Lite

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Assisted Living
The Household Concept is Preferred
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Nursing Care

• In over 200 focus groups with members of the
  Silent Generation, when asked their opinion of
  nursing homes, there has been one, overwhelming
  response

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Nursing Care

• Silents unanimously say
• Id rather die than have to live in a Nursing
  Home.

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Nursing Care

• Good people work in these care settings.Its
  not the people. Its the system. The system is
  broken it is failed.
• -- Rose Fagan, Executive Director
• The Pioneer Network

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Nursing Care

• There have been two major responses by CCRCs to
  the broken system
• Culture Change
• Business Change

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Culture Change

• Culture Change has been a major response to the
  broken system and several health care models were
  spawned from this notion
• The Eden Alternative
• The Pioneer Network
• The Green House Project
• WellSpring

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Culture Change

• In all four models, Culture Change requires
  transformation on three levels
• Personal
• Organizational
• Environmental

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Culture Change

• Personal
• The individual recognizes her/his need to change.
• The individual develops a deep, personal
  commitment to change.

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Culture Change

• Organizational
• Conversion from a top-down structure to a
  decentralized, team-driven structure.
• Development of a servant leadership philosophy.
• Control is given over to household teams who
  support residents right to make their own
  choices.

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Culture Change

• Environmental
• Transformation of the physical environment into
  home.
• Without change in the other two components,
  environmental change is cosmetic, not
  transformational.

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Culture Change

• These three components are aligned to return the
  power and rights to residents that we have
  blindly robbed them of for decades because of
  regimented efficiency driven systems. The
  culture change movement..recognizes those rights
  and calls for organizations to reorganize
  themselves around them.
• -- Steve Shields, CEO
• Meadowlark Hills

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Culture Change

• Results of Culture Change have included
• Improved Staff Retention
• Increased Staff Satisfaction
• Increased Resident Satisfaction

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Culture Change

• Culture Change has also resulted in architectural
  changes
• Community Space
• Household Space
• Personal Space

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Nursing Care
The Household Concept is Preferred
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Business Change

• Some CCRCs are focusing their nursing care
  functions on other arenas
• Transitional Care
• Rehab
• Sub-Acute Care, including Sub-Acute Alzheimers
  Care

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Business Change

• In many cases, this business change requires
  opening nursing care to the larger community.
• Medicare certification is required.
• For some communities, it has resulted in a new,
  substantial revenue stream.

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Implications for CCRCs

• Agelessness Programming
• The lines between independent living, assisted
  living and nursing care will be non-existent.
• All three levels of care will be delivered in a
  residential setting.
• Many fewer long-term care nursing beds will be
  required.

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Implications for CCRCs

• Culture Change
• Long-Term Care settings will become residential.
• Current medical model staff will make a
  commitment to culture change and to support
  residents rights.
• Giving residents of LTC communities more power
  and freedom will make living in these communities
  more palatable.

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Implications for CCRCs

• Business Change
• Long-Term Care settings are now becoming
  primarily Short-Term Care settings.
• The average length of stay in nursing homes will
  be two to three weeks.
• Longer term stays will be limited to people who
  are very, very ill.

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Conclusion

• The Silents who enter CCRCs today may still be
  there 20 to 30 years from now Programming for
  them is as important as bricks and mortar.
• CCRCs need to redefine the aging experience by
  providing an environment that inspires residents
  to stay healthy in body, mind and spirit.
• The Silents are attracted to a residential
  environment that will assist them in living long
  and dying short.
• CCRCs need to re-focus from a movement through a
  continuum of care to a continuation of health.
  

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The Silents are Coming!
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The Silents are Coming!THANK YOU!!Jean
MoreauJean Moreau Associates Annapolis, MD
21403410-268-9100www.jeanmoreau.comRobin
EggertThe Realm Group, Inc.4920 Safari Pass
55122Minneapolis, MN615-452-0101www.realmgroupi
nc.com