Life: slide or roundabout?

roundaboutSomething enormous is happening. Two enormous things, in fact, and in time they may find a way to work together. That was the conclusion of this afternoon, which I spent in a very interesting discussion with people in cities all over the world, thanks (again) to Cisco.

One of the enormous things is demographic shift; the other is technology. Often they seem at odds (we hear that old people aren’t interested in computers, and that, anyway, technology is no substitute for face-to-contact). But they are not, in reality, opposite trends; together, they could transform our sense of who we are, change our understanding of what it means to live a long and rewarding life.

Thanks to Cisco’s telepresence technology, participants from Toronto, Washington, Almere, London, Geneva, Manchester and Brussels talked about ageing for 90 minutes without having to go anywhere much. (I got a bus.) And very interesting it was too – especially the point made by John Beard of the World Health Organisation, that we think in a thoroughly anachronistic way about the shape of human lives: youth and education, then work, then retirement. We imagine a life rather as a kind of slide, which you climb to the top (actually, this is my metaphor, but I think I’m representing him fairly) and then slither down through physical and mental and financial decline to death.

In fact, it would make much more sense to think of life as a series of roundabouts, which you could jump on and off at different points, dropping in and out of paid work to have children, write a book, volunteer, look after elderly parents, do a postgraduate degree, learn something new.

We need, in other words, to rethink life to account for the fact that people are living much longer and, on the whole, more healthily. This would doubtless help us make sense of the dead years, Marc Freedman’s ‘identity void’ between 55 and 80 when people aren’t really sure what they’re for.

It would also make far more sense for women. Annemarie Jorritsma, the mayor of Almere in the Netherlands, said she couldn’t believe that women are still expected to have children and forge their careers at the very same time. The only reason for this, when it is perfectly possible to work effectively into your seventies, is that it happens to suit thirtysomething men. Anne Marie says she never imagined she get to the age of 60 and this ridiculous paradox still be the case.

We have to hope that, somehow, economic necessity will help us to start thinking in terms of roundabouts , because it’s pretty clear we’d be a lot better off if we could all get off the unproductive and soul-destroying slides.

Choirs go global

The Young At Heart choir from Almere

The Young At Heart choir from Almere

This week I attended an extraordinary international singalong in which two choirs of older people, one in Melbourne, the other in Amsterdam, sang to each other as if they were in the same room. I was in London, and I felt I was there (wherever ‘there’ was) too.

The event was made possible by video technology that has been designed for international business meetings. Sitting round a semicircular table, facing wraparound screens, we experienced the presence of the other participants as if they were on the other side of a round table.

The whole thing came about after a meeting between Kevin Johnson of Cisco and Pamela Bruder of the Emmy Monash Aged Care home in Melbourne. Pamela’s work demonstrates the role music can play in bridging generations and in enabling people with different levels of need for care to mix as equals. Cisco is nearing the end of a 6-month experiment in the town of Almere, in the Netherlands, to see whether video technology can extend the participation of older people. Using video conferencing and Flip cameras, people who wouldn’t be able to get across the city can, for example, now take an exercise class. Or indeed, join the Young At Heart Choir, which rehearses in two places at once.

Pamela Bruder, centre, with residents of Emmy Monash and helpers

Pamela Bruder, centre, with residents of Emmy Monash and helpers

The singers from Emmy Monash – one of whom lives in the high care unit, two in the dementia-specific wing, while two more are registered blind (you couldn’t tell who was which) – sang haunting Hebrew songs with some of the school students who rehearse with them. The Almere choir sang pop medleys, including The Twist because, in the words of their charismatic choirmaster, Gerard Poot,  ‘a lot of people here have new hips.’ Kevin and I also sang along, where we knew the words. He has rather a good voice. I don’t. Poot said he had been conducting for 30 years, and ‘I have never experienced anything like this. It’s really great, a once in a lifetime experience.’

The curious thing about the morning was that it was both mundane and exhilarating. At one level it was just a group of people singing together; at another, the accents kept reminding you that half of them were on the other side of the world. It did push the technology to its limits – ‘This is more people than I’ve ever seen in a TelePresence room’ Kevin acknowledged, and there may be a reason for that: the technology is set up for discussion rather than performance. But it was a powerful experience all the same, and everyone wanted to do it again.

‘One of our ladies who lives in the dementia wing, to my surprise, mentioned it the next day,’ Pamela reported afterwards. ‘She was describing it to one of our nurses, saying how beautiful it was, and how the people in Amsterdam seemed so close, she felt that she could reach out and touch them.’Young At Heart moving in rhythm

If you can breathe, you can sing

Headphones and heart graphicOne resident no longer speaks, but he still sings. Another’s memory loss and condition mean that he can no longer read. But he has been singing since he was a child and knows how to harmonise and sustain a note; he is one of the finest singers in the choir.

Both men are members of the Emmy Monash Community Choir, based at a care home for the elderly in Melbourne. Pamela Bruder, who started the choir and conducts it, is convinced that ‘singing can achieve quite miraculous things. Husbands and wives come in to visit their spouses and sing in the choir and it creates a sense of joy. There aren’t many other instances where you feel a sense of joy coming into a high-care unit.’

The Emmy Monash aged care home  (named after its founder, a community activist) is designed to allow people to ‘age in place’ as the Australians say: no matter what happens, you can stay. It offers its 90 residents (most of whom arrived in Australia after the war as concentration camp survivors from Eastern Europe) independent living apartments, a low-care area, high-care and a dementia wing. The choir draws members from all the areas of the home, as well as from local school students, friends and relatives.

There is increasing interest in the value of music therapy to people with dementia and Pamela Bruder, who is herself working on an anthropology PhD on the choir, is convinced of it. ‘Singing seems to be the last thing to go,’ she says. ‘The transformative power of music is physiological. A group of people in tune with music is in tune with each other. There are members of the choir who may not be able to put sentences together any more and who certainly wouldn’t initiate a conversation, but they can sing. And if they can still read, they can learn new songs, including in other languages. We sing in six languages.’

Pamela has been running the choir for a couple of years, having been brought in to Emmy Monash, rejoicing in the title of Life Enrichment Coordinator, to find ways to make living there a more nourishing and culturally rewarding experience while building links to the wider community. From the start, she was determined the choir would include the residents of the dementia wing and high-care area. ‘A lot of the low-care residents don’t want to confront high care, even though there may be people there who were their friends. They won’t go upstairs. So we bring people in wheelchairs down to the low care area, plus quite a few in what we call Princess Chairs – fully reclining bed-chairs. Some people, especially with dementia, need encouragement to come, and I make written invitations for them, which I deliver in the mornings. They like to be invited.’

About 30 people attend the choir each week, of whom 15 will be from the high care or dementia wings. They rehearse 10 to 15 songs and work towards concerts and festivals to which they invite friends and relatives, when the size of the choir doubles. In between the weekly sessions with a pianist, Pamela works on a one-to-one basis with individuals, accompanying on the guitar.

singing faceStudents from local schools also come in on a regular basis. ‘The choir is an icebreaker. Often kids will come in to a high care facility and they don’t know where to look: there’s someone with a paralysed limb, or repeating the same thing over and over. But singing is a neutraliser. You can’t tell what people are capable of by looking at them. We sit the students two between residents, and we often run out of songbooks, so people have to share. You can find a person from the high care area who’s had a stroke but is cognitively unimpaired helping someone from the low care area. It’s hugely important never to make assumptions about what people are capable of because they carry a label – “high care” or “short-term memory loss.”’

I heard about Pamela Bruder from Kevin Johnson of Cisco, who has become interested in how technology might extend the capacity and reach of the choir. Together, they have hatched a plan for a TelePresence singalong with a group of older people from Almere in the Netherlands, where Cisco is pioneering the use of video technology to allow older people to participate in a wide range of activities designed to promote wellbeing. They haven’t confirmed the date yet, but the cross-continent choir will sing together some time in October.

Emmy Monash Choir with visiting school students

Emmy Monash Choir with visiting school students

‘Entry to the Emmy Monash choir is not based on how well you sing,’ Pamela says; ‘it’s a question of whether you can breathe. But we achieve a really good sound quality, because people are so enthusiastic.’