what the fuck are you talking about? elders require care because they can't care for themselves. they regress into infancy as they age and their body/mind deteriorates. my mother had dementia and was nothing more than drolling infant before she died and she lived in taht state for over a year. and the facility she was in was full of people in various states of failing health that required professional care.
80 year olds can't improve their situation, they are slowly dying.