so as we grow older there are probably several things on our bottleless for
several things on our bottleless for
several things on our bottleless for example like having a good job good
example like having a good job good
example like having a good job good stable income having a good family good
stable income having a good family good
stable income having a good family good health and of course a place to live I
health and of course a place to live I
health and of course a place to live I remember when my grandpa chose the place
remember when my grandpa chose the place
remember when my grandpa chose the place that we now live in Los Angeles when I
that we now live in Los Angeles when I
that we now live in Los Angeles when I was 14 a time there are several things
was 14 a time there are several things
was 14 a time there are several things he considered for example like a Chinese
he considered for example like a Chinese
he considered for example like a Chinese speaking neighborhood as well as he can
speaking neighborhood as well as he can
speaking neighborhood as well as he can walk to the places in the community as
walk to the places in the community as
walk to the places in the community as soon as II this is where I live in
soon as II this is where I live in
soon as II this is where I live in Monterey Park right there of course I
Monterey Park right there of course I
Monterey Park right there of course I didn’t know better because I didn’t
didn’t know better because I didn’t
didn’t know better because I didn’t really have a say in the decision but
really have a say in the decision but
really have a say in the decision but when I started occupational therapy
when I started occupational therapy
when I started occupational therapy school in 2009 it started all mixed
school in 2009 it started all mixed
school in 2009 it started all mixed sense and I realized my grandpa actually
sense and I realized my grandpa actually
sense and I realized my grandpa actually exercised for thinking called
exercised for thinking called
exercised for thinking called aging-in-place
aging-in-place
aging-in-place because he wanted to participate in the
because he wanted to participate in the
because he wanted to participate in the community as well as being able to SS
community as well as being able to SS
community as well as being able to SS participate in doing things he likes
participate in doing things he likes
participate in doing things he likes like buying newspaper or going to the
like buying newspaper or going to the
like buying newspaper or going to the library or going to the post office so
library or going to the post office so
library or going to the post office so here’s the Center for Disease Control’s
here’s the Center for Disease Control’s
here’s the Center for Disease Control’s definition of Aging in Place it is the
definition of Aging in Place it is the
definition of Aging in Place it is the ability to live in one’s own home and
ability to live in one’s own home and
ability to live in one’s own home and community regards of safely and
community regards of safely and
community regards of safely and independently regardless of age income
independently regardless of age income
independently regardless of age income level as well as ability level as well
level as well as ability level as well
level as well as ability level as well so now I’m going to talk about some
so now I’m going to talk about some
so now I’m going to talk about some facts and this is pertaining to the
facts and this is pertaining to the
facts and this is pertaining to the elderly population by 2050 our eighty
elderly population by 2050 our eighty
elderly population by 2050 our eighty 3.7 million people will be over 65 in
3.7 million people will be over 65 in
3.7 million people will be over 65 in the US and out of those people thirteen
the US and out of those people thirteen
the US and out of those people thirteen point eight million people will have
point eight million people will have
point eight million people will have some form of lsummers this is a very big
some form of lsummers this is a very big
some form of lsummers this is a very big problem as I learned from my gerontology
problem as I learned from my gerontology
problem as I learned from my gerontology class in occupational therapy school now
class in occupational therapy school now
class in occupational therapy school now let’s switch gears to a presence right
let’s switch gears to a presence right
let’s switch gears to a presence right now there have been about 800,000
now there have been about 800,000
now there have been about 800,000 Americans who have been hospitalized for
Americans who have been hospitalized for
Americans who have been hospitalized for fall this is a serious problem because
fall this is a serious problem because
fall this is a serious problem because for people who are over 60
for people who are over 60
for people who are over 60 five one-in-four would likely to have a
five one-in-four would likely to have a
five one-in-four would likely to have a fall and then those who already have a
fall and then those who already have a
fall and then those who already have a fall they were more likely to fall
fall they were more likely to fall
fall they were more likely to fall because they have a fear of falling now
because they have a fear of falling now
because they have a fear of falling now switch gears on the outsiders front
switch gears on the outsiders front
switch gears on the outsiders front absolutely people without summers there
absolutely people without summers there
absolutely people without summers there are three times more likely to fall than
are three times more likely to fall than
are three times more likely to fall than those who don’t and this is doubling is
those who don’t and this is doubling is
those who don’t and this is doubling is a global problem but almost which talks
a global problem but almost which talks
a global problem but almost which talks to talk about the US figures a little
to talk about the US figures a little
to talk about the US figures a little bit in the u.s. right now the most
bit in the u.s. right now the most
bit in the u.s. right now the most current estimate the cost of Falls is
current estimate the cost of Falls is
current estimate the cost of Falls is thirty four billion dollars per year in
thirty four billion dollars per year in
thirty four billion dollars per year in medical bills and then the cause of
medical bills and then the cause of
medical bills and then the cause of Alzheimer’s is a hundred billion dollars
Alzheimer’s is a hundred billion dollars
Alzheimer’s is a hundred billion dollars per year now this is a diagram I know
per year now this is a diagram I know
per year now this is a diagram I know it’s very small but it highlights where
it’s very small but it highlights where
it’s very small but it highlights where I work right now so imagine one your
I work right now so imagine one your
I work right now so imagine one your loved ones is functional Hospital it
loved ones is functional Hospital it
loved ones is functional Hospital it could be from a fall at the home or
could be from a fall at the home or
could be from a fall at the home or sometimes in the community it could be
sometimes in the community it could be
sometimes in the community it could be because after stroke and then they lost
because after stroke and then they lost
because after stroke and then they lost functional body on one side a body or it
functional body on one side a body or it
functional body on one side a body or it could be after a urinary tract infection
could be after a urinary tract infection
could be after a urinary tract infection so you pee and of course took with many
so you pee and of course took with many
so you pee and of course took with many other reasons more ideally they could go
other reasons more ideally they could go
other reasons more ideally they could go home after they go to the hospital but
home after they go to the hospital but
home after they go to the hospital but let’s say they cannot go home what way
let’s say they cannot go home what way
let’s say they cannot go home what way they go one more places we can go is
they go one more places we can go is
they go one more places we can go is called assisted living facility where
called assisted living facility where
called assisted living facility where people they will receive minimal
people they will receive minimal
people they will receive minimal assistance in terms of doing their daily
assistance in terms of doing their daily
assistance in terms of doing their daily living tasks where work is the next
living tasks where work is the next
living tasks where work is the next level down it’s called skilled nursing
level down it’s called skilled nursing
level down it’s called skilled nursing facilities what the general public we
facilities what the general public we
facilities what the general public we call nursing homes so in this setting
call nursing homes so in this setting
call nursing homes so in this setting your loved ones where there is your
your loved ones where there is your
your loved ones where there is your grandparents or your parents do we see
grandparents or your parents do we see
grandparents or your parents do we see 24-hour care from the nurse nursing
24-hour care from the nurse nursing
24-hour care from the nurse nursing staff and they might or might not we see
staff and they might or might not we see
staff and they might or might not we see we have dilatation services and what I
we have dilatation services and what I
we have dilatation services and what I probably do as an occupational therapist
probably do as an occupational therapist
probably do as an occupational therapist is that I primary I might evaluate how
is that I primary I might evaluate how
is that I primary I might evaluate how the patient is doing when they first
the patient is doing when they first
the patient is doing when they first come into the nursing home it could also
come into the nursing home it could also
come into the nursing home it could also be working on the strain and the down is
be working on the strain and the down is
be working on the strain and the down is it could also be like working on their
it could also be like working on their
it could also be like working on their daily daily tasks for example like
daily daily tasks for example like
daily daily tasks for example like simple tasks like going to the bathroom
simple tasks like going to the bathroom
simple tasks like going to the bathroom or getting
or getting
or getting or even feed themselves or for some
or even feed themselves or for some
or even feed themselves or for some people who are like bedridden
people who are like bedridden
people who are like bedridden it could be just increasing their
it could be just increasing their
it could be just increasing their ability to interact with their
ability to interact with their
ability to interact with their environment so a lot of people
environment so a lot of people
environment so a lot of people dissociate nursing homes is a bunch of
dissociate nursing homes is a bunch of
dissociate nursing homes is a bunch of people who are elderly living in their
people who are elderly living in their
people who are elderly living in their place in reality is not really true
place in reality is not really true
place in reality is not really true right now in the United States there are
right now in the United States there are
right now in the United States there are 1.4 million Americans living in their
1.4 million Americans living in their
1.4 million Americans living in their nursing homes actually 15 percent of
nursing homes actually 15 percent of
nursing homes actually 15 percent of which are under 65 so it is conceivable
which are under 65 so it is conceivable
which are under 65 so it is conceivable for me to see the 20 year old and 30
for me to see the 20 year old and 30
for me to see the 20 year old and 30 year olds who are living in these
year olds who are living in these
year olds who are living in these nursing homes as well so now I’m gonna
nursing homes as well so now I’m gonna
nursing homes as well so now I’m gonna switch gears to some of the patient
switch gears to some of the patient
switch gears to some of the patient stories that I have first up we have
stories that I have first up we have
stories that I have first up we have Christine so I was asked to do
Christine so I was asked to do
Christine so I was asked to do Christine’s evaluation that day to see
Christine’s evaluation that day to see
Christine’s evaluation that day to see how she is why I went to her room she
how she is why I went to her room she
how she is why I went to her room she was a bedridden lady and she has a
was a bedridden lady and she has a
was a bedridden lady and she has a tracheostomy tube an oxygen tube as well
tracheostomy tube an oxygen tube as well
tracheostomy tube an oxygen tube as well as a feeding tube attached to her she
as a feeding tube attached to her she
as a feeding tube attached to her she was totally dependent on her caregivers
was totally dependent on her caregivers
was totally dependent on her caregivers to do her daily limit ask and the way
to do her daily limit ask and the way
to do her daily limit ask and the way she communicate where some people were
she communicate where some people were
she communicate where some people were bedridden they might not be able to
bedridden they might not be able to
bedridden they might not be able to communicate but she can communicate so
communicate but she can communicate so
communicate but she can communicate so she communicate via pointing letters on
she communicate via pointing letters on
she communicate via pointing letters on a piece of paper to form words when I
a piece of paper to form words when I
a piece of paper to form words when I went to the rehab office to do my
went to the rehab office to do my
went to the rehab office to do my evaluation report this was then I talked
evaluation report this was then I talked
evaluation report this was then I talked to the physical therapist who also did
to the physical therapist who also did
to the physical therapist who also did her only evaluation it was then I found
her only evaluation it was then I found
her only evaluation it was then I found out that Christine she was going for a
out that Christine she was going for a
out that Christine she was going for a PhD degree unfortunately she has ALS and
PhD degree unfortunately she has ALS and
PhD degree unfortunately she has ALS and as well as other respiratory issues and
as well as other respiratory issues and
as well as other respiratory issues and other physical issues they left her in
other physical issues they left her in
other physical issues they left her in that state when I went home that day I
that state when I went home that day I
that state when I went home that day I was like wow I can’t believe it’s like
was like wow I can’t believe it’s like
was like wow I can’t believe it’s like this lady she has all the things going
this lady she has all the things going
this lady she has all the things going for her going very well in her life and
for her going very well in her life and
for her going very well in her life and then something like that just happened
then something like that just happened
then something like that just happened and then she’s like completely dead for
and then she’s like completely dead for
and then she’s like completely dead for the rest of her life pretty much
next story I have is Chris so Chris used
next story I have is Chris so Chris used to be an actor in Hollywood scene
to be an actor in Hollywood scene
to be an actor in Hollywood scene actually so he has like chronic shoulder
actually so he has like chronic shoulder
actually so he has like chronic shoulder issues as well as like so his right foot
issues as well as like so his right foot
issues as well as like so his right foot was twisted out pointed outward and he
was twisted out pointed outward and he
was twisted out pointed outward and he has been saying that nursing home for
has been saying that nursing home for
has been saying that nursing home for ten years because it was very difficult
ten years because it was very difficult
ten years because it was very difficult for the rehab team to fit a brace to fit
for the rehab team to fit a brace to fit
for the rehab team to fit a brace to fit his right foot correctly and then
his right foot correctly and then
his right foot correctly and then because it was a very big strong person
because it was a very big strong person
because it was a very big strong person so he actually had a lot of trouble
so he actually had a lot of trouble
so he actually had a lot of trouble balancing himself when he walks so
balancing himself when he walks so
balancing himself when he walks so that’s why you see the picture here here
that’s why you see the picture here here
that’s why you see the picture here here he’s like he actually had to walk on the
he’s like he actually had to walk on the
he’s like he actually had to walk on the parallel bars to sort of gets confident
parallel bars to sort of gets confident
parallel bars to sort of gets confident in walking and then because it’s all so
in walking and then because it’s all so
in walking and then because it’s all so big and strong so he leads like two or
big and strong so he leads like two or
big and strong so he leads like two or three people to help him to walk to the
three people to help him to walk to the
three people to help him to walk to the bathroom at first I did not get along
bathroom at first I did not get along
bathroom at first I did not get along with Chris very well but then a year
with Chris very well but then a year
with Chris very well but then a year later I actually walked past his room I
later I actually walked past his room I
later I actually walked past his room I saw golf losses in room I found out that
saw golf losses in room I found out that
saw golf losses in room I found out that he liked off and at that time I just
he liked off and at that time I just
he liked off and at that time I just barely started golf so I went in his
barely started golf so I went in his
barely started golf so I went in his room I talked about my miserable golf
room I talked about my miserable golf
room I talked about my miserable golf performances at the golf course
performances at the golf course
performances at the golf course sorry no he told me he told me was you
sorry no he told me he told me was you
sorry no he told me he told me was you know dill let’s make up that like I’ve
know dill let’s make up that like I’ve
know dill let’s make up that like I’ve been staying just damn nursing home for
been staying just damn nursing home for
been staying just damn nursing home for ten years he’s like let’s see let’s make
ten years he’s like let’s see let’s make
ten years he’s like let’s see let’s make a bet okay so me getting out of this
a bet okay so me getting out of this
a bet okay so me getting out of this damn facility or you trying to break 100
damn facility or you trying to break 100
damn facility or you trying to break 100 on a championship golf course literally
on a championship golf course literally
on a championship golf course literally I know a year later he was discharged is
I know a year later he was discharged is
I know a year later he was discharged is this living facility me on the other
this living facility me on the other
this living facility me on the other hand I still try to freak hundred I said
hand I still try to freak hundred I said
hand I still try to freak hundred I said still good so next on the list was Susan
still good so next on the list was Susan
still good so next on the list was Susan Susan came to us two months before
Susan came to us two months before
Susan came to us two months before Christmas one year and her family was
Christmas one year and her family was
Christmas one year and her family was very involved in her care and the
very involved in her care and the
very involved in her care and the ultimate goal for Susan from her family
ultimate goal for Susan from her family
ultimate goal for Susan from her family was they want her to come home before
was they want her to come home before
was they want her to come home before Christmas
Christmas
Christmas I mean imagine your loved ones and they
I mean imagine your loved ones and they
I mean imagine your loved ones and they had a situation like this
had a situation like this
had a situation like this that’d be one of your bushes so because
that’d be one of your bushes so because
that’d be one of your bushes so because her family was very involved and our
her family was very involved and our
her family was very involved and our rehab team was very enthusiastic susan
rehab team was very enthusiastic susan
rehab team was very enthusiastic susan was able to meet her goal and the fact
was able to meet her goal and the fact
was able to meet her goal and the fact that seeing these successful discharges
that seeing these successful discharges
that seeing these successful discharges even though it is very tough for me I
even though it is very tough for me I
even though it is very tough for me I know that is what keeps the passion and
know that is what keeps the passion and
know that is what keeps the passion and momentum going at the end of the date oh
momentum going at the end of the date oh
momentum going at the end of the date oh I’m really not a miracle worker
I’m really not a miracle worker
I’m really not a miracle worker because sometimes the grim reality is
because sometimes the grim reality is
because sometimes the grim reality is that these people live in these nursing
that these people live in these nursing
that these people live in these nursing homes they may not be able to go home or
homes they may not be able to go home or
homes they may not be able to go home or they may not be able to go to a lower
they may not be able to go to a lower
they may not be able to go to a lower level of care the reason you could be
level of care the reason you could be
level of care the reason you could be because they just couldn’t take care of
because they just couldn’t take care of
because they just couldn’t take care of themselves or it could be because they
themselves or it could be because they
themselves or it could be because they post themselves they danger to
post themselves they danger to
post themselves they danger to themselves or others
themselves or others
themselves or others so you’re my fingers like oh it’s very
so you’re my fingers like oh it’s very
so you’re my fingers like oh it’s very bright very happy job to see all these
bright very happy job to see all these
bright very happy job to see all these destroyers but sometimes in places like
destroyers but sometimes in places like
destroyers but sometimes in places like this is like you could get really grim
this is like you could get really grim
this is like you could get really grim very depressing so now I’m going to
very depressing so now I’m going to
very depressing so now I’m going to switch to some of my take-home points
switch to some of my take-home points
switch to some of my take-home points first go for the opportunities when they
first go for the opportunities when they
first go for the opportunities when they present themselves I remember when I
present themselves I remember when I
present themselves I remember when I first started my job in the nursing home
first started my job in the nursing home
first started my job in the nursing home I actually longed to have a desire to
I actually longed to have a desire to
I actually longed to have a desire to play golf but my parents come economy is
play golf but my parents come economy is
play golf but my parents come economy is like golf it’s also expensive why do you
like golf it’s also expensive why do you
like golf it’s also expensive why do you want to play it but then after I hear
want to play it but then after I hear
want to play it but then after I hear some of the stories from my patients I
some of the stories from my patients I
some of the stories from my patients I realized that I gotta take advantage of
realized that I gotta take advantage of
realized that I gotta take advantage of my youth and I got to do things that I
my youth and I got to do things that I
my youth and I got to do things that I want to do why I still can
want to do why I still can
want to do why I still can so therefore I took up golf after I went
so therefore I took up golf after I went
so therefore I took up golf after I went to a summer in the UK and I tried it I
to a summer in the UK and I tried it I
to a summer in the UK and I tried it I really liked it so I decided to go to
really liked it so I decided to go to
really liked it so I decided to go to the remember cells or the good little
the remember cells or the good little
the remember cells or the good little stores to buy my own set so we can get
stores to buy my own set so we can get
stores to buy my own set so we can get started to play next on the list is the
started to play next on the list is the
started to play next on the list is the main facility active so according to
main facility active so according to
main facility active so according to research actually if you are physically
research actually if you are physically
research actually if you are physically active you could decrease your risk of
active you could decrease your risk of
active you could decrease your risk of Falls next on the list is learn
Falls next on the list is learn
Falls next on the list is learn something new and unfamiliar every day
something new and unfamiliar every day
something new and unfamiliar every day and then this is also according to some
and then this is also according to some
and then this is also according to some research as well right now I heard it’s
research as well right now I heard it’s
research as well right now I heard it’s like if you keep on engaging it
like if you keep on engaging it
like if you keep on engaging it in a new phase of life you decrease your
in a new phase of life you decrease your
in a new phase of life you decrease your risk of having Alzheimer’s or dementia
risk of having Alzheimer’s or dementia
risk of having Alzheimer’s or dementia right now I will say from a cognitive
right now I will say from a cognitive
right now I will say from a cognitive standpoint I’ve been very active so
standpoint I’ve been very active so
standpoint I’ve been very active so aside from the fact that I work 40 plus
aside from the fact that I work 40 plus
aside from the fact that I work 40 plus hours a week I also was I’m involved in
hours a week I also was I’m involved in
hours a week I also was I’m involved in three different communities in the
three different communities in the
three different communities in the occupational therapy for fashion also I
occupational therapy for fashion also I
occupational therapy for fashion also I want to start teaching in a junk
want to start teaching in a junk
want to start teaching in a junk facility adjunct faculty role in and
facility adjunct faculty role in and
facility adjunct faculty role in and local occupational therapy institution
local occupational therapy institution
local occupational therapy institution so for me is like definitely I want to
so for me is like definitely I want to
so for me is like definitely I want to keep my mind sharp by focusing on
keep my mind sharp by focusing on
keep my mind sharp by focusing on different things in my life next one oh
different things in my life next one oh
different things in my life next one oh this is treasurer the older folks around
this is treasurer the older folks around
this is treasurer the older folks around you and whether they have physical
you and whether they have physical
you and whether they have physical problems or cognitive problems they are
problems or cognitive problems they are
problems or cognitive problems they are very good resources to have because
very good resources to have because
very good resources to have because sometimes you can learn some very good
sometimes you can learn some very good
sometimes you can learn some very good life lessons on them
life lessons on them
life lessons on them I know another speaker gathering event I
I know another speaker gathering event I
I know another speaker gathering event I definitely have talked have some
definitely have talked have some
definitely have talked have some conversations over older speakers to
conversations over older speakers to
conversations over older speakers to pick on some wisdom from them about how
pick on some wisdom from them about how
pick on some wisdom from them about how to live gracefully and yeah some or on
to live gracefully and yeah some or on
to live gracefully and yeah some or on the flip side you might see someone who
the flip side you might see someone who
the flip side you might see someone who are like maybe pass history like a drug
are like maybe pass history like a drug
are like maybe pass history like a drug addict or something it’s like you learn
addict or something it’s like you learn
addict or something it’s like you learn something else too because you don’t
something else too because you don’t
something else too because you don’t want to repeat their mistakes in life
want to repeat their mistakes in life
want to repeat their mistakes in life so in closing actually I want to shout
so in closing actually I want to shout
so in closing actually I want to shout out to my great profession because it is
out to my great profession because it is
out to my great profession because it is actually our 100th anniversary this year
actually our 100th anniversary this year
actually our 100th anniversary this year so I’m grateful for the ability for this
so I’m grateful for the ability for this
so I’m grateful for the ability for this TEDx experience thank you
TEDx experience thank you
TEDx experience thank you [Applause]
[Applause]
[Applause] [Music]
[Music]
[Music] [Applause]
”
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