Active Aging: Life Design for Health

This book is a case study of two active agers who began this Active Aging journey when in their late 40's. Their understanding of how it might work, why it should work came in large part from their academic studies. Both were in academic and consulting occupations with a strong orientation to public policy and its implications for the health of people. McCool had a long career spanning nursing, hospital administration, academic post at Northwestern University in the Kellogg School of Management and the Department of Health Administration at Duke University and School of Nursing at Duke. After embarking on a consulting career, she earned a Master in Transpersonal Psychology, thus building on her spiritual beliefs with secular training in this closely related discipline. Montague Brown's career spans, academic post while at the University of Chicago studying business and management. His doctor of public health degree leading to a faculty post at the Kellogg School of Management at Northwestern and professorship at Duke University. His work on bringing management thinking into healthcare continues to play out in the field. His work on health care systems led to a law degree. His passion for wellness contributed to bringing this book into reality. This book is a study of how beliefs about diet, nutrition, aging, and lifestyles change over time. The authors lived this journey from 1984 or so until the present. At ages 86 and 88, they live actively, continuing research into how lifestyles can be designed to live a healthier and longer life. What did they study to inform this journey? First among many are exercise and nutrition. Now both McCool and Brown work out five or more days a week. The aerobic exercise stresses intervals. In strength training, time under tension makes the sessions productive.Other subjects given much attention include training for the brain. Indeed writing this book was a brain-boosting exercise. All of our eating is scrutinized for its impact on the brain, as is our exercise regimes. We are whole organic persons, not just a collection of parts. We are social beings; we are spiritual beings, and we are psychological and spiritual beings. All of these factors make for an Active Aging life designed to deliver excellent health for long life.Why write the book? It was for us a brain-building exercise and one focused on avoiding dementia, a scourge of the idle mind. It is also a robust case study of two health professionals who have not just researched the work on the subjects covered but have tested the ideas in their life. Other can learn from this experience. It is a sharing in the hope that others will benefit from reading this story and our learnings.This book has a more significant meaning. Our health care system which we served for many years excels at solving problems once our bodily systems break down. It is not, yet, doing much to aid individuals in improving their health status. The very fact that we refer to the field of medical services as the health field is wrong. What one does for oneself has the most significant impact on health status and length of life. Our bodies evolved to do work, to hunt, fish, cultivate, and think. And they are well adapted to using mostly whole plant foods to sustain our health. We evolved to be self-sustaining provided predators did not eat us, and we secured enough food from our environment to live. With a whole food plant-based diet and exercise, ((we no longer work all day to secure food and shelter.)) The active aging life design for good health remains still a work that must be done by individuals and cannot be purchased in a store or rented from some health care provider. We must each learn to eat right and exercise to keep our bodies, minds, and spirits going in a good direction. It is our sole duty.

Barbara McCoolRN, BA, MHA, MTP, and PhD Now in her 80s and living at Bishop Spencer Place, a Continuing Care Community in Kansas City, Barbara is a health-care professional serving for 50 years as a clinician, hospital administrator, educator, researcher, and consultant. She is grounded in Midwestern values, being a strong Christian, serving others, and systematically developing the skills to be a leader in healthcare. She accomplished her goals. She has worked in hospitals, clinics, universities, government agencies, and private industries and held faculty appointments at Ohio State, Northwestern, Duke and Kansas Universities. For 17 years, she served as a member of the Sisters of Charity of Leavenworth, a religious congregation of women who owned and managed hospitals and schools throughout the United States. In this, she grounded herself in the Christian values of love and service of others. During those years of service in a religious congregation, she became a nurse, worked in many settings, finished both her Registered Nurse training, later a bachelors degree and hospital administration degree. She worked across the country, stoked boilers at times, aided in delivering babies and ran hospital operations. Each step a learning opportunity eagerly sought as she moved up in her chosen and assigned service duties. After leaving the Sisters of Charity of Leavenworth, she began a teaching career and secured grants to pursue and complete a doctorate leading to a university career. In each post, she contributes to research programs and pioneered new programs. Dr. McCool published many articles and four books. She was an associate editor of Health Care Management Review and served on several boards of national health-care systems and health-related task forces. Her professional focus was on building vertically integrated health-care systems and the development of high-performing health-care executives. She earned her baccalaureate degree from The University of St. Mary's in Leavenworth, Kansas. For her Masters in Hospital Administration, she attended the University of Minnesota. While teaching hospital administration at The Ohio State University, she received a grant from the National Center for Health Services Research to pursue her Ph.D. in Education. Her Master's in Transpersonal Psychology studies were at the Institute of Transpersonal Psychology in Menlo Park, California. In her professional education, she engaged in a life long effort to improve her intellectual, social, and spiritual skills with the intent to serve people better. Married to Monty Brown for 46 years, they combined their skills and backgrounds to develop design approaches to the development of vertically integrated health-care systems through consulting, teaching, writing and speaking. Their time as a couple focuses on growth in healthy living, spirituality, intellectual acumen, creative arts, beautiful living sites, time with family and friends, and a commitment to "Grow or Die." This book is the culmination of a long journey in staying alive and being open to every possibility to become a fully functioning active ager! Writing the book represents the basis for another stage of life. Now, with the book's completion, another chapter of life begins. Currently, she focuses her energy on communicating the tenants of Active Aging…healthy eating, daily exercise, positive human relations, and modeling the Sacred each day.Montague (Monty) BrownAB, MBA, DrPH, JD Monty was born in 1931, in Whitmire, S.C. a cotton mill town, to William B. and Minnie Vaughn Brown, both with jobs in a cotton mill. When 17, the family moved to Great Falls, SC, another mill town, where he became a weaver and apprentice loom mechanic. Monty spent his last year of high school living in bed and breakfast boarding houses. His day work was high school; at night, he worked 8 hours then some sleep and then back to school. In 1950 he joined the US Air Force to serve in the Korean War. From an enlisted radar mechanic, he later became an aircraft observer and commissioned officer. He left active duty as a First Lieutenant then in the Reserves he was promoted to Captain. In 1955 he began college education at the University of Chicago, (UC). He received a BA and MBA and completed sufficient course work for a Ph.D. At UC he In addition to course work, he served as a research assistant to three different professors, and Assistant Dean of Students in the business school. For one course, he studied a strike at a nursing home. That study led to publications, doctoral programs, fellowships, and more. Part of this journey was at the Industrial Relations Center, UC, where he developed attitude surveys for hospital workers, doctors, and patients. He spoke at dozens of meetings of hospital executives on the subject of labor relations. This career shift offered significant opportunities since the field of healthcare management. While seeking a grant for a program, he was encouraged to apply for a personal grant with salary replacement, tuition, and other expenses to get a doctorate to qualify for an academic position to direct educational programs for hospital administrators. With the career development grant, he chose a Doctor of Public Health major in Health Administration. From there he became an associate professor and Director of a Health Administration Program in the Kellogg School of Management, Northwestern University. While in that job, met and later married Barbara McCool. They were both offered sabbaticals at the National Center for Health Services Research and professorships at Duke University. During that sabbatical year, he wrote a book on Multi-Hospital Systems which placed him in front of a development which is still playing out: consolidation in health care delivery systems. While at Duke, Monty became Editor, Health Care Management Review and held that post for 25 years or so. It provided a full window on the field of practice and a wonderful outlet for his ideas and insights into the best thinkers in the area. His research and writing on multi-hospital systems and mergers entailed frequent contacts with legal issues and lawyers. As he work on systems advanced he decided to pursue the study of Law rather than other avenues of research. This switch was related since the Law have a significant impact on what hospitals can and cannot do and how they are organized. Over our decade of consulting, one of the ideas explored for a client and our personal lifestyle was Active Aging. With retirement, that exploration continued, thus becoming a lifetime practice. That research and life practice is the subject of this book.