aging

You are currently browsing articles tagged aging.

The World Cup has captured the globe’s attention for the last four-to-six weeks. Young, old, rich and poor joined together to cheer on their favorite teams – or their second or third favorite teams as the tournament progressed. There was much to celebrate about this incredible international event.

Beyond the fancy stadiums of South Africa, the crisp uniforms of opposing teams and the din of the vuvuzelas, a group of bold and fearless grandmothers took to their own soccer field. According to globalaging.org, these women are “quiet revolutionaries,” all because they decided one day to don shorts and start kicking a soccer ball around.

Vakhegula Vakhegula

Vakhegula Vakhegula source:Kim Ludbrook/European Pressphoto Agency

The oldest among them is 84. They call themselves “Vakhegula Vakhegula,” which means “grandmothers grandmothers” in Tsonga. Every time they take to the field, they buck the conventional wisdom about what a grandmother should and should not do and what comes with a life of poverty and deprivation.

Their team was born out of a wellness project for older women. The founder, a community worker, introduced a light exercise program for older women, many of whom were struggling to raise their grandchildren orphaned by AIDS. One day, light exercise became soccer.

Truly, these grandmothers are a testament to what is possible in later life. They speak to what a spark of ingenuity, an open mind and a rejection of stereotypes can do. They are an inspiration to all who could benefit from a little light exercise. Never say never!

VN:F [1.9.3_1094]
Rating: 10.0/10 (1 vote cast)
VN:F [1.9.3_1094]
Rating: +1 (from 1 vote)
  • Share/Bookmark

Tags: , , , , ,

I was sad to read in the New York Times that Dr. Robert Butler died of Acute Leukemia.

Dr. Robert Butler’s book, “Why survive,” was one of the best books that I read in graduate school. I was fortunate enough to meet the good doctor at Mt. Sinai Medical Center when I worked on the development of a geriatric assessment program.

Butler fought age discrimination, and his book encouraged politicians and advocates to look at the way we care for seniors in our society. I wish all physicians would embrace Dr. Butler’s philosophy about growing old.

He told a story about Sarah, a senior who had a doctor’s appointment because she had pain in her right knee. When she told the doctor about the pain in her right knee, the doctor responded, “Well, Sarah, what can we do? Your knee is 80 years old”.

Sarah responded by saying, “Well, Doc, my left knee is also 80 years old and it is working fine!”

I used to use that story during my orientation for new staff in the geriatric assessment program. You don’t treat a person’s age, you treat the person as a unique individual, and that was Dr. Butler’s philosophy.

I am sad that we lost such an intelligent person, who was so far ahead of his time.

VN:F [1.9.3_1094]
Rating: 0.0/10 (0 votes cast)
VN:F [1.9.3_1094]
Rating: 0 (from 0 votes)
  • Share/Bookmark

Tags: , , ,

….to start something new. Last night, I came home after a particularly challenging yoga session to this article  that a grandson wrote about his 90-year-old grandmother’s first yoga class.  His grandmother has severe arthritis and macular degeneration. A walk down the street is a challenge for her, so it’s not surprising she was skeptical of yoga. That changed after her hour-long class.

At the beginning, grandma had trouble sitting on the floor without help. At the end, she was able to get off the mat without assistance and come into a downward dog. She raved about the class during the car ride home. She said her legs felt stronger, not wobbly like they usually do. She said the long car ride home didn’t hurt her spine’s degenerating discs. All in all, she felt better.  It made me wonder if my grandmother could benefit from a class too.

Yogi or not, I think this story shows how new experiences can improve a person’s life at any age. How does your organization help older adults find new opportunities?

VN:F [1.9.3_1094]
Rating: 0.0/10 (0 votes cast)
VN:F [1.9.3_1094]
Rating: +2 (from 2 votes)
  • Share/Bookmark

Tags: , , , ,

While visiting the Changing Aging blog, I read about new study published May 17 in the Proceedings of the National Academy of Sciences that is focused on older people and happiness.

According to researchers from the department of psychiatry and behavioral science at Stony Brook University, people are “less troubled by stress and anger” as they age. The researchers noted that while  ”worry persists, without increasing, until middle age,  it too fades after the age of 50.”

Finally, the researchers pointed out that a person’s happiness in his or her lifetime had two peaks: one at about age 20, and one when in the early 70′s. The connection between aging and happiness isn’t a shock to me. I think that the older a person gets, the less he or she may care about situations that caused stress or strife in previous years (for example, I haven’t had angst about final exams in a good five years). I can only imagine that the stress continues to lower as a person no longer has children at home, or retires from a job.

I’d like to conduct an informal study of my own. Have you gotten happier as you’ve gotten older? If so, why?

More details about the study are available on the Scientific American blog
.

VN:F [1.9.3_1094]
Rating: 0.0/10 (0 votes cast)
VN:F [1.9.3_1094]
Rating: 0 (from 0 votes)
  • Share/Bookmark

Tags: , , , , , ,

Kathleen Sebelius

Kathleen Sebelius

Kathleen Sebelius, secretary of the U.S. Department of Health and Human Services (HHS), announced today a new grant program to help individuals and their caregivers better understand and navigate long-term care options.

The Centers for Medicare and Medicaid Services (CMS) will work with the Administration on Aging (AoA) to award the grants, which will be funded by $60 million from the Affordable Care Act.

According to the HHS release, the grant money will be used to create coordinated statewide systems of information and counseling that help consumers find easy-to-understand information about long-term care services, including:

  • Assisting individuals who are under-served and hard to reach with information about their Medicare and Medicaid benefits.
  • Helping older adults and individuals with disabilities live at home or in settings of their choosing with the right supports.
  • Assisting people transition from hospital or nursing home stays back into the community.
  • Strengthening linkages between the medical and social service systems.

I asked some of my colleagues here at AAHSA about the grants. Peter Notarstefano, director of home and community-based services, said a program that helps inform people about long-term services is important because many people, even today, are not aware of alternatives to nursing homes.

“The grants will help empower older individuals to remain healthy in their own homes,” Notarstefano said. “Research has shown that if older individuals who are dealing with chronic diseases are given efficient case management, as well as a system that helps them get access to services, they have fewer hospital stays and reduced risk of needing nursing home placement.”

Notarstefano went on to say that in the long run, the grant program will save both federal and state funds by reducing the use of expensive acute care and nursing care facility services.

If you’re interested in applying for a grant, submit an application by July 30, 2010. The grants will be awarded in September.

VN:F [1.9.3_1094]
Rating: 10.0/10 (1 vote cast)
VN:F [1.9.3_1094]
Rating: +1 (from 1 vote)
  • Share/Bookmark

Tags: , , , , ,

[Author's Note: The following blog is part of the Wider Opportunities for Women (WOW) 2nd Annual Blog Day in recognition of Older Americans Month. My post is in response to this question: What do President Obama and Congress need to know about your budget – or that of those you represent?]

My mother turned 85 on Monday. She is a cheerful, optimistic widow living on social security and a little extra cash each month from a reverse mortgage. She has never worried about the future.

My mother has a cute little house in an active adult retirement community. She is healthy and takes very few prescription drugs. She walks her dog every day, tap dances twice a week, and stays busy with friends. She drives a 15-year old car that my sisters, brother and I bought for my parents in 1995.

My mom is lucky, not only because she is a humble and happy person who is loved by so many, but because the system – Social Security and Medicare – are working for her.

I’m a baby boomer and a single mother who raised two children, now out of college and making their way. Over the past 20 years I’ve saved a little for retirement, as much as I could afford, but not enough. Although like my mother I’m a happy, optimistic person, I do worry about the future, particularly whether the system that my mother relies on will work as well for me and future generations.

I just don’t know.

VN:F [1.9.3_1094]
Rating: 10.0/10 (1 vote cast)
VN:F [1.9.3_1094]
Rating: +1 (from 1 vote)
  • Share/Bookmark

Tags: , , ,

VOA

Source: VOA

Yesterday, Volunteers of America (VOA) sponsored a forum focused on women and aging that brought to life how the challenges of caregiving affect people no matter how smart, accomplished or educated they are.

The forum featured a panel discussion moderated by Dr. Bob Arnot with Michelle Singletary of the Washington Post, Norah O’Donnell of NBC News, Rosemarie Rae of VOA, and Heather Boushey from the Center for American Progress. All of the speakers brought a personal story as well as professional expertise to the discussion.  They focused on how caregiving is a particularly female burden in our country and how individuals, families and public policy must shift to ease that burden and not force the choices between caregiving and career.

To achieve this, families must have frank conversations about what aging parents want, how much money they have available, and how much they expect from each other. Policymakers must also recognize that we cannot continue to think our unsustainable system of forced poverty can last. The CLASS Act will help with this, and I hope this forum was the first of many to raise how important it is for people to opt into CLASS when it becomes available.

What struck me yesterday is how people, regardless of their socioeconomic status, race or geographic location, avoid considering the possibility they might become dependent and need care. Michelle Singletary spoke elegantly about how her husband’s family was taken completely by surprise when her father-in-law became ill and had to move in with her family.  She is a personal finance writer, but still had difficulty encouraging her husband and siblings to raise this difficult conversation.

VOA is an organization that offers affordable housing, nursing homes, community services, technology and more for not only the aging but many populations. Numerous VOA properties are AAHSA members and their CEO, Chuck Gould, is on AAHSA’s board.VOA has launched a new initiative called Aging With Options to “help older Americans celebrate the joy of living by creating a sustained, trusted relationship with support systems that allow them to age at home―wherever that may be.”

The concept behind Aging with Options is a strong one: sustained, trusted relationships.  Our families have those relationships.  If we use them to have frank conversations, then older Americans will truly be able to celebrate the joy of living.

VN:F [1.9.3_1094]
Rating: 8.0/10 (1 vote cast)
VN:F [1.9.3_1094]
Rating: 0 (from 0 votes)
  • Share/Bookmark

Tags: , , , ,

Kathleen  Sebelius

Kathleen Sebelius source: Wikipedia

On Wednesday, Kathleen Sebelius, secretary of the U.S. Department of

Health and Human Services (HHS), spent about an hour at the

Leadership Council of Aging Organizations (LCAO) meeting discussing health care reform. In addition to Rother, principals at the meeting were Jim Firman, Barbara Kennelly, and Ed Coyle.

Highlights:

  • Obama administration realizes they have won the health care reform battle, but will only win the war by timely implementation.
  • The administration is focused on communications and marketing strategies. Stephanie Cutter is the point person on communications.
  • They are focusing first on 2010 deliverables.
  • A new office at HHS is being set up on insurance oversight. The secretary reminded us of her and Kathy Greenlee’s backgrounds in insurance regulation and said that other former insurance commissioners will be involved. The first effort will be to stabilize the current private market.
  • The administration also is reaching out to seniors, a group that was “targeted and terrorized” during debate on health care reform. The administration plans to have a “robust” call center for seniors in operation by this summer. The secretary wants to coordinate with LCAO on outreach.
  • The administration plans mailings to reassure seniors that Medicare Advantage is not disappearing. HHS has determined to freeze, not cut reimbursements to Advantage plans for 2011 and the secretary expects about the same number of plans to participate in Advantage next year as this year.
  • The Administration sees the doc fix and the 6 month extension of FMAP as unfinished legislative business. Pending legislation would fix physician reimbursement for either 5 or 10 years. Congress should finalize that by the Memorial Day recess.
  • Sec. Sebelius is staying close to her former colleagues, the governors. She commented that the health care reform law is exceedingly state-friendly, with many opportunities and funding for state initiatives. Not a federal takeover of health care.
  • CLASS Act – the secretary expects this program to be very popular once people understand it. Jennifer Dexter asked about implementation plans, noting that the effective date is “squishy.” The secretary said that there will be a decision within the next 6 to 8 weeks on which agency officials will have responsibilities for the program and establishing a framework for its administration. The actuarial piece will be very important; “we don’t want to repeat the mistakes of long-term care insurance.”
  • Appropriations for implementation: she said that most of the funding that was provided for early implementation is being spent. The administration doesn’t want a conversation with the Hill this year on implementation costs, so they likely will wait until next year to request funding for new programs authorized by the legislation.
  • Regulations are being written in record time, especially considering that more than one agency is involved. Six weeks after enactment, several regulations are ready for White House review. The White House is setting up an expedited process for reviewing health care reform regs.
  • In response to a question about how soon demo projects under the Center for Medicare Innovation can start, the secretary said they will wait at least until Berwick is confirmed as head of CMS.

Rother gave Sec. Sebelius a packet containing materials that various LCAO member organizations have put together to educate their members on the benefits of health care reform. AAHSA provide some information from our Health Reform Hub.



VN:F [1.9.3_1094]
Rating: 0.0/10 (0 votes cast)
VN:F [1.9.3_1094]
Rating: 0 (from 0 votes)
  • Share/Bookmark

Tags: , , , , , , , ,

Foursquare logoA few of us here at AAHSA recently started using Foursquare, a location-based social networking tool, on a regular basis. It makes it easy for users to share, well, their locations by “checking in” at various venues (apps are available for Blackberry, iPhone and Android).

For those with busy schedules, it can be hard to keep track of what friends are doing. I find Foursquare helps. Here’s an example: when I see a friend check in to a bar in my neighborhood, I usually give him or her a ring to see if I can join them for a drink. Or, if I see a friend check in at a concert venue, I might ask him or her about the band they are seeing. I’ve learned about quite a bit of new music that way. And at the very least, I’m reminded to call or message that person.

So could this tool be useful for aging services? Well, if location-based social networking functions well on the macro level of checking in to venues around a city, I think it could it also be useful on a micro level of, say, a retirement community.

We already know that older adults are using social media, so it would really just be a matter of setting up the community locations in Foursquare (here’s an example of what I mean: President’s Office at AAHSA).

Foursquare is a game

Another reason I think Foursquare would work well in the aging services field is that “checkins” are set up as a game, so users get points for each time they, you guessed it, check in. The person with the most checkins over a certain period of time is crowned the “mayor” of that location, which could be a fun competition for both residents and staff (I’m currently the mayor of AAHSA, but Gautam from IT and Maggie from IAHSA are gunning for my crown). Checkins also earn users a variety of badges that show up on their profiles.

Finally, Foursquare offers an analytics tool for businesses, which could be another way for providers to monitor their residents.

I’m thinking about pitching the idea to some of our members. We’ll see if I get any takers.

VN:F [1.9.3_1094]
Rating: 9.0/10 (1 vote cast)
VN:F [1.9.3_1094]
Rating: 0 (from 0 votes)
  • Share/Bookmark

Tags: , , , , ,

LeRoy Smith was a blind Methodist preacher married to Mary, who had Lou Gehrig’s disease (ALS). May is Older Americans Month. A time to recognize the aging process – and the older role models that we all know and admire – like Leroy and Mary. LeRoy and Mary taught me four life-long, valuable lessons.

LeRoy was a brilliant student, had a trained opera-quality voice. He mastered piano and violin and wrote a couple of books. LeRoy and Mary met in college and became an item for many years. She was equally intelligent, and could be a bit too outspoken for some. She also became a minister.

LeRoy was an excellent preacher. Of course he used Braille when needed. His sermons were based on well-researched scholarship. No shallow bumper sticker sermonizing from LeRoy!

LeRoy’s ambitions to serve a large Methodist Church were thwarted by a bishop who told him bluntly, “LeRoy, no one wants a blind preacher! They don’t know what to do with you!” This comment made Mary more outspoken – in an era when preacher’s wives or women ministers were supposed to know their place at the piano or helping serve the punch at the Women’s Circle meeting or in Christian education.

So, LeRoy and Mary served small parishes, often not more than a few years at a time. She was his eyes, his driver, and his help-mate in life. It was a great love story.

My life intersected with Mary and LeRoy when Methodist leaders approached my organization because Mary and LeRoy had retired and needed to be at Wesley Woods. Mary’s ALS had taken its toll, but the couple had stubbornly resisted giving up their independence – Both were two of the most stubborn, hard-headed people I’ve ever known. As I got to know them better, I knew why – and admired that quality more and more about them.

And while I came to admire that quality more and more as I got to know them better, it was that stubbornness that also almost caused a car wreck. Mary was at the wheel when her arms and hands suddenly failed her. There were previous incidents. Friends tried to intervene, but there is always that tension between letting someone like Mary and LeRoy be stubborn even when it rubs against danger to themselves and others. Our meeting in Los Angeles will explore these issues with the theme “Who Decides?”

Losing control of the steering wheel was the sobering moment for LeRoy and Mary. Wesley Woods got the call: Mary and LeRoy need Wesley Woods – now! And, they had no money. She needed skilled care. Expensive. He could live by himself but I made him move to intermediate care because of my own bias about his blindness at the time. He badgered me so much- often in front of large church audiences – that I finally allowed him to move to independent living, where he did quite well. He never failed to remind me of this fact in front of often large church audiences. Leroy was right, I was wrong. Congregations got a kick out of the story.

Lesson Number One
Leroy, speaking about his experiences with me and with the bishop, once said, “Larry, blindness has never been as difficult as people’s attitudes about my blindness.” The lesson applies to our biases about many people with so-called “disabilities.”

A shocking, perspective for me at that time. LeRoy went to work for Wesley Woods. As I mentioned, he and Mary needed financial help. Wesley Woods had a modest fund raising program, but we had increasing demand for financial help for ever increasing Medicaid gaps (sound familiar?) and fall-through-the-cracks charity situations. The North Georgia Conference of the United Methodist Church recognized that growing need and allowed us to create “The Mother’s Day Offering” in our 700-plus churches to pass the hat once a year.

LeRoy became our early key spokesperson. He’d tell congregations that Wesley Woods was there for him and Mary at the time of need – and that there are others who need help. The offerings grew. LeRoy was still a great preacher, singer and pianist. Sometimes, I became his designated driver to these events. Our staff took turns. Sometimes LeRoy took the Greyhound bus, unbeknownst to us. Stubborn independence.

Lesson Number Two
Mary’s condition deteriorated. LeRoy visited every day, of course. We had a chaplaincy training program. Mary and LeRoy were popular “trainers.” Mentors both. The second great lesson came from Mary. As I said earlier, Mary had an edge. They were always amateur chaplains trying to get behind that angry veneer to probe the depths of Mary’s psyche and soul. Good practice, I suppose.

One day, I am told a chaplain intern took a run at Mary’s anger with the question: “Mary, don’t you ever get angry with God about being so sick?” Mary flared instantly, “Why of course not! God doesn’t make people sick. God heals people now or in the next life. Don’t you read your Bible? Jesus Christ went about healing!” Lesson two, case closed.

Of course, LeRoy far outlived Mary. What a team they were.

Lesson Number Three
As fate would have it, LeRoy became reacquainted with another resident named Ruby Shaw who lived in another Wesley Woods community. Ruby was blind and poor. An almost full charity care situation. She was also a talented singer with a sharp wit. They had met as young people at the Georgia School for the Blind years earlier. But both graduated, married and went their separate ways. LeRoy and Ruby became an item at Wesley Woods in their 80′s. They would team up at churches. He’d preach and play the piano, Ruby would sing in a high, quivering voice that was long since unable to carry a tune, but when she sang and he played – not a dry eye in the congregation. And offertory plates ran over. Which brings me to the third great lesson: It’s never too late for love – even new love after a long-standing great love!

Lesson Number Four
And finally, the fourth lesson: There is an ever-growing charitable need that you and I serve, that donors will support us if we tell our story and ask people to help us. Because real people like Mary, LeRoy and Ruby need it.

Mary, LeRoy, Ruby….at least four lessons about the real story of aging.

VN:F [1.9.3_1094]
Rating: 9.3/10 (3 votes cast)
VN:F [1.9.3_1094]
Rating: +1 (from 3 votes)
  • Share/Bookmark

Tags: , , , , , , , , , ,

« Older entries