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Showing posts with label aging. Show all posts
Showing posts with label aging. Show all posts

Aging Creatively

Thursday, July 11, 2013

Tobes Reisel, 87, of Sherman Oaks is an artist and art therapist who often finds herself helping seniors discover a creative part of themselves.  Photo by Ellie Kahn
Tobes Reisel, 87, of Sherman Oaks is an artist and art therapist who often finds herself helping seniors discover a creative part of themselves. Photo by Ellie Kahn



As my friends and I navigate our 60s and 70s, we notice — with amusement and consternation — how our conversations have changed. Instead of talking about our kids’ college applications and the best camping sites, we find ourselves discussing back pain and long-term care insurance. The bottom-line concern, of course, is how to create the best quality of life as we age. 

My father, who died a few months ago at 94, is one of my best models for aging well. Although Dad could hardly move his body in the past year, he still made people laugh with his quirky sense of humor. He continued to use his imagination and kept sharing his philosophies about life with anyone who would listen. (Sometimes even with those who wouldn't.)

In many ways, my father never grew up. He viewed the world with curiosity, he sought new experiences and he saw endless possibilities — as children do. I think this is the secret to aging creatively. 

Keeping that inner child alive is not always easy, says Stephen Cohn, a Burbank composer who has taught classes on creativity.

“From the time we’re children, we’re told not to daydream,” Cohn said. “We’re expected to focus on the external necessities of survival and practicality. We’re not trained to take our dreaming and our imagination seriously. And yet that is the source of all great ideas. Great art, great physics, great medicine … it all came from somebody’s imagination.”

Of course, focusing on what’s practical allows us to make decisions, raise families, manage our finances and handle day-to-day responsibilities. That’s what adults do

But along with the grief, a vitally important question might then be asked: “Now what?” 
The problem is we become identified with a role, a job or certain physical abilities. Then, as we grow old, our lives change. A role or job ends. The activities we enjoyed — whether skiing, driving, traveling or cleaning house — aren’t as easy or aren’t possible at all. This transition can be frustrating and painful.

“I think too many people buy into the societal myth that when you reach a certain age, you’ve outlived your usefulness to yourself and society,” said Ronnie Kaye, a psychotherapist and author from Marina del Rey. “Accepting that belief is guaranteed to diminish your quality of life. Why settle for that when there is a world of possibilities out there?” 

The problem is we become identified with a role, a job or certain physical abilities. Then, as we grow old, our lives change. A role or job ends. The activities we enjoyed — whether skiing, driving, traveling or cleaning house — aren’t as easy or aren’t possible at all. This transition can be frustrating and painful.

But along with the grief, a vitally important question might then be asked: “Now what?”

“I think too many people buy into the societal myth that when you reach a certain age, you’ve outlived your usefulness to yourself and society,” said Ronnie Kaye, a psychotherapist and author from Marina del Rey. “Accepting that belief is guaranteed to diminish your quality of life. Why settle for that when there is a world of possibilities out there?” 

How does one discover new possibilities? How do we tap our imagination as we grow older?

Kaye suggests starting with brainstorming exercises. The purpose is to allow ideas to emerge, to bypass the practical, critical voice that often stops us from seeing outside of the box. 

Here’s an example: Ask yourself, “What do I like to do?” Write down everything that comes to mind.

Gardening! Traveling! Hugging babies! Cleaning! Hugging dogs! Skydiving! 

Don’t stop to assess whether you can still do it or whether it’s practical. Keep asking, “What have I enjoyed?” Then ask yourself, “What are my skills?” They might include balancing the checkbook, fixing things, organizing, reading, cooking or listening to other people. Write every word that randomly comes to mind — again, without judging.

OK, now use your rational mind — maybe skydiving isn’t such a good idea. Look around your home or community for opportunities to express pleasures or talents. It could be organizing the garage, coaching new entrepreneurs, taking a writing class or reading to children. The options are infinite. Consider brainstorming with others to enhance the process. 

Aging creatively doesn’t have to mean that every senior citizen takes up watercolor painting or yoga; it’s about learning to think about your place in the world differently.

When Kaye turned 65 four years ago, for example, she started to rethink her career plans.

“After having been a therapist for 20 years, I wanted to know more, reach people in a different manner and use myself, my skills and my profession in new ways,” she said.

Her answer was to enter a doctoral program in psychoanalysis. Now, at 69, she is in the final phase of completing her doctorate at the New Center for Psychoanalysis in Los Angeles.

Kaye also described an 80-year-old friend who led a very productive life, but is now barely able to walk. Many things she used to do are impossible. After thinking about what she still has to offer, however, the woman started reading to blind people several times a week. 

“Finding a solution that would allow her to be useful and engaged, despite her limitations, was a genuinely creative act,” Kaye said.

Richard Braun, 82, is a retired thoracic surgeon from Encino. Since he stopped working, Braun, a violist, joined the Los Angeles Jewish Symphony and plays in a weekly chamber group. He also teaches anatomy on a volunteer basis at UCLA. 

“I wanted to use my medical knowledge in some way,” Braun said. “This requires me to invent stimulating ways to convey ideas. I’m so busy since retiring that my wife says I’ll have to go back to work to find more free time!” 

As an artist and art therapist, Tobes Reisel often finds herself helping seniors discover a creative part of themselves. 

“I work with many people who are not artists. I ask them to scribble with me,” said Reisel, 87, of Sherman Oaks. “They get into their childishness, and many say, ‘You know what? There’s a kid in me that isn’t having any fun!’ So we talk about how they can add that to their life.”

Creativity often evolves from one’s passions. This is definitely the case for artist Peachy Levy. At 82, the Santa Monica resident still gets commissions for creating her unique Judaic textile art. 
“I am a passionate person,” she said. “I think a lot of people don’t make time or space for their passions; their life is too frenetic. It might help to look back to your youth, to what you were passionate about. Perhaps those feelings are still there for you!”

Passion is what led Carey Okrand to want to become an entrepreneur at 60. Realizing she could go from preaching about the environment to doing something active and positive, she’s decided to start a business in Los Feliz that will be called The Refill Place. Based on an old concept of reusing containers instead of filling the earth with plastic, the idea will be for people to bring their empty containers to her store and refill them with environmentally friendly cleaning and personal care products.

“The everyday decisions and choices I have to make let me be creative,” said Okrand of Van Nuys. “Growing a business feels like working on a piece of art.” 

Discovering or inventing new possibilities at  60 or 80 isn't the same as it was at 20 or 30. 
“To be creative at an older age,” Reisel said, “involves reviewing how you've lived your life and then using that in the way that is most honest and fulfilling and enjoyable for where you are now and what you can do now.” 

Aging creatively, then, involves rediscovering passions, taking an inventory of current skills and keeping in check any tendency to tell yourself that you are too old to be useful or to have fun. It means reawakening the child inside that can laugh and imagine and create something new, in spite of — or sometimes because of — limitations. 

Every day that my father woke up and remembered he could no longer drive or work or get from his bed to the bathroom by himself, I believe he asked himself, “Now what?” Then he made a choice to see possibilities. I hope I can follow his lead. 

Ellie Kahn is a licensed psychotherapist, oral historian and documentary filmmaker. She can be contacted through her Web site, livinglegaciesfamilyhistories.com.

This article is c/o:  http://www.jewishjournal.com

14 Tips for an Elderly Friendly Fourth of July

Thursday, June 30, 2011



By June Fletcher, AgingCare.com editor-in-chief

Almost everyone looks forward to gathering with family and friends for a backyard barbecue. But if you’ve been dreading going to one because of your responsibilities as a caregiver, never fear: Both you and your elderly loved one can have a fine time, if you plan ahead.

But first, make sure that your relative is in good enough health to attend a party where there will be heat, bugs, noise, smoke from the grill and possibly rambunctious children. Also, check with your hosts to ensure that they understand and can accommodate your loved one’s limitations. If not, find another caregiver to look after your relative while you attend alone; it’s important for you to socialize and recharge.

However, if your hosts are amenable and your loved one is up to it, don’t leave him or her behind. Joan Wright, a certified geriatric manager at NVNA and Hospice in Norwell, Mass., told AgingCare.com that you should remember that every elderly person was once young, mobile and eager to socialize. “Those desires are still there even if their physical capacity to fulfill them is not.”

Here are some tips from Ms. Wright and others to ensure that everyone has a good time:

Before the barbecue

–Talk to the host or hostess about dietary limitations your elderly relative may have. If the menu is too spicy, fatty or hard to chew, plan to bring some food that the senior can eat, and request that the meal be served at the same time as everyone else’s.

What to Serve Seniors at a Cookout

–Find out what sort of seating the hosts will have for guests. If they just have backless picnic benches, which can be difficult for an elderly person to sit on and provide no back support, ask if you can bring a folding chair or stackable plastic chair.

–If your relative is in a wheelchair, find out in advance if your hosts’ gates are wide enough and slopes gentle enough to maneuver it into the back yard.

–Ask if there’s any shade in the backyard; if not, ask if you can also bring a portable beach umbrella.

–Lay out comfortable clothes that include layers, since some seniors feel cold even when it’s warm out. Include sturdy shoes to prevent falls and trips.

–Before you go, make sure that the senior has put on some sunscreen.

At the barbecue

–Set up a spot for your relative away from the hot grill and any areas where children are likely to be throwing balls or rough-housing.

–Find out the location of the closest bathroom, and if accidents could be a problem, seat the senior near it. If your relative needs assistance using the restroom, you might want to arrange a discreet hand sign or code word between you so you can excuse yourself to help without embarrassing him or her.

–If your relative can’t get around much but is sociable, bring other party-goers over for brief chats.

–Since dehydration can be a problem with elderly people, make sure that a glass of water is always at hand. Avoid alcoholic beverages, which are not only dehydrating but also can conflict with medications.

–If you must cut some meat off a bone or corn off of a cob, do it in the kitchen and then bring the plate to the senior. Cutting up food in front of other partygoers puts the senior in an embarrassing, child-like position.

–If your relative can’t get around much but is sociable, bring other partygoers over for brief chats. And ask other family members or friends to sit down with the senior from time to time so you can mingle, too.

–If your loved one can’t communicate well, bring headphones, a CD player and some music. He or she will be able to enjoy being around others without being under pressure to talk.

–Watch your loved one for signs of restlessness, overheating or other distress, and be prepared to leave before the festivities end.



Read more: http://www.care2.com/greenliving/14-tips-to-make-the-fourth-fun-for-you-and-elderly-loved-ones.html#ixzz1QmQ0SVDW

Americans 45 and older are new voting-age majority

Wednesday, May 4, 2011




WASHINGTON — For the first time, Americans 45 and older make up a majority of the voting-age population, giving older Americans wider influence in elections as the U.S. stands divided over curtailing Medicare and other benefits for seniors.


Along with the information about the growing influence of older adults, preliminary census estimates also show a decline in the number of married couples with children, slight growth in household size and a rapid rise in the number of Mexicans.
The findings, based on the latest publicly available government data, offer a preview of trends that will be detailed in the next round of 2010 census results being released this month that focus on age, household relationships and racial subgroups.
As a whole, the numbers point to a rapidly graying nation driven largely by the nation’s 78 million baby boomers, who are now between the ages of 46 and 65 and looking ahead to retirement.
“The center of American politics gets older,” said E. Mark Braden, a former chief counsel to the Republican National Committee who now advises elected officials and state legislatures. “Given the current fiscal concerns, it’s going to be a test case whether Republicans or Democrats can talk about entitlement reform without getting killed” politically.
Today there are roughly 119 million people 45 and older who make up 51 percent of the voting-age population, with Americans 55 and older representing a large bulk of that group. The new majority share is up from 46 percent in 2000 and 42 percent in 1990.
The preliminary figures are based on the Census Bureau’s 2009 population estimates as well as the 2009 American Community Survey, which samples 3 million U.S. households. The 2010 census surveyed the entire nation.
Broken down by subgroups, older boomers ages 55-64 were the fastest-growing group since 2000, jumping 43 percent to approximately 35 million. They were followed by seniors 85 and older, who increased 33 percent to more than 5.5 million, due largely to medical advances that have increased life spans.
The number of people ages 45-54 also rose sharply, up 18 percent to 45 million as young boomers moved into the ranks.
Based on actual election turnout, which is higher for older Americans, census data show that baby boomers and seniors ages 45 and older represent about 60 percent of voters in national races, judging by the 2008 presidential race. Nearly 1 out of 2 voters is 50 or older.
“Boomers have now crossed the line between thinking about Medicare and Social Security as an issue for their parents, to being worried about it for themselves,” said William H. Frey, a demographer at Brookings Institution who did a broad analysis of available census data. “More so than their parents, boomers face increasing costs of medical care and the risk that government pensions will need to substitute for downturns in their 401(k) plans.
“Their interest in the viability of Medicare should be priority one for politicians seeking office, especially in aging regions of the country,” he said.
The census numbers come amid spirited debate over federal spending cuts in the wake of ballooning government debt. The Republican-controlled House last month approved a plan that would replace Medicare with a government payment individuals would use to buy private insurance. The measure would affect only those younger than 55; people that age or higher would continue to be covered by the current Medicare system. For the younger group, health care ultimately would cost them more.
The GOP plan is partly a bet that the key voting bloc of older Americans will accept Medicare changes if they are not affected. So far, however, the heaviest resistance has come from older people who are opposed to cuts that will affect their children and grandchildren or that conceivably could be expanded later to include them. Americans 55 and older now represent about 32 percent of the voting-age population.
Senate Majority Leader Harry Reid, D-Nev., has indicated he will hold a vote on the House proposal, challenging Senate Republicans to take a position that could alienate older voters. In Maine, which has the nation’s highest median age at 42, Republican Sen. Susan Collins already has come out against the GOP plan, and Republican Sen. Olympia Snowe has voiced doubts, specifically citing the potential impact on the state’s aging residents.
More than half the states — about 28 — saw population declines over the last decade in the under-45 age group. Those states are mostly in the Northeast and Midwest and include Massachusetts, Michigan, Maine, Ohio, New York and Pennsylvania.
At the same time, 12 states primarily in the fast-growing South and West — including Arizona, Utah, Nevada, Georgia, Texas and North Carolina — had increases of at least one-third in their 45-64 age group, which include mostly baby boomers. Those states’ median ages were somewhat lower due to immigration of Hispanics, who are more likely to raise families, and movement of young adults into their states.
Nationally, the median age climbed to about 36.8 from 35.3 in 2000.
David Certner, legislative policy director for AARP, a group representing Americans 50 and older, mentioned the increasing focus on older voters as public debate shifts more to entitlement reform. When it comes to Medicare and Social Security, older Americans have stronger feelings about keeping programs fully intact than 30-year-olds who aren’t thinking about retirement or who aren’t very familiar with the programs, he said.
Certner also cited the fast growth of the 85-plus population, evident in states such as Florida, Iowa and Pennsylvania, which he said puts additional financial pressure on baby boomers to support elderly parents as well as children. A recent Associated Press-LifeGoesStrong.com poll found that 44 percent of boomers had little or no faith they’ll have enough money for retirement.
“One of the biggest issues in the last election was the protection of Medicare, and it’s setting up to be one of the biggest in the next one,” he said.
On the topic of families, the number of married couples with children dropped about 5.7 percent to 23.4 million, or roughly 20 percent of U.S. households. That’s down from a share of 23.5 percent in 2000 and 43 percent in 1960.
The decreases in traditional families were seen in 42 states plus the District of Columbia, while the remaining eight — Nevada, Utah, Idaho, Arizona, Colorado, Texas, North Carolina and Georgia — saw increases. Those eight states generally have a higher number of either immigrants or Mormon residents.
In contrast, nonfamily households made up of single people such as seniors living alone, or opposite-sex or same-sex partners without children, jumped 13 percent to roughly 38 million. Married couples with no kids, which include younger couples and older empty-nesters, rose 9 percent to more than 32 million.
“In American politics, there’s a nostalgia element when invoking terms such as ‘family values.’ But that term is out of touch with the way many Americans live, given demographic changes such as gay marriage” and cohabitation, said Julian E. Zelizer, a professor of history and public affairs at Princeton University.
Preliminary census numbers show that unmarried partners made up 6.5 million, or nearly 6 percent of U.S. households. Those figures include roughly 581,300, or a half-percent of households, composed of same-sex unmarried couples. Measured by shares, the District of Columbia ranked highest for same-sex unmarried households at 2 percent.
Official 2010 data on unmarried partner households will be released beginning in June, followed by figures on same-sex spouses in November.
Other findings:
• Married couples with children dropped since 2000 to an all-time low of roughly 1 in 5 households, surpassed by empty-nesters, childless couples, singles and unmarried partners.
• After a decades-long decline, average household size ticked higher to 2.63 from 2.59 in 2000. That’s due mostly to the growth of the Hispanic population, which tends to have larger families, as well as some recent “doubling up” of adult children moving back in with parents during the recession.
• Mexicans increased by roughly 50 percent over the last decade to roughly 32 million and now make up close to 66 percent of all Hispanics. They were followed by Puerto Ricans, at more than 4.4 million or 9 percent share; Cubans at 1.7 million or 3.5 percent share; and other Hispanics, at 10.5 million or 22 percent.
• Based on total population, people 45 and older represent 39 percent of U.S. residents, up from 34 percent in 2000. People 65 and older now make up roughly 13 percent and seniors 85 and older about 2 percent. The 65-plus age group will make up nearly 1 in 5 Americans by 2030, after the youngest boomers turn 65.
• Utah had the youngest population with a median age of 29.
• Chinese are the most common Asians in the U.S., at 3.2 million, or roughly 23 percent share. But people from India are the fastest-growing, at 2.6 million or nearly a 20 percent share. Indians now hold the biggest Asian share in about 23 states compared to 12 states for Chinese. They are followed in numbers by Filipinos, Vietnamese, Koreans and Japanese.

Bullying In Retirement Homes A Real, Underreported Problem

Thursday, December 30, 2010

Exclusion and ostracism are more often than not considered playground problems, but abuse isn't limited to younger age groups.
Doris Lor, a retirement community member living in Chandler, Arizona has been met with bullying by community members since she moved into her home in 2003, according to ABC News.
Lor, who lives in a community of about 1,100 residents 55 years and older, says she's been barred from using the community's clubhouse by a group of residents. She now regrets not renting her home, as she feels the hassle associated with moving may be too much for her.
"There is a clique here that is meaner than mean," Lor told the Arizona Republic. "The first time I went to the recreation center, a man yelled at me, 'This is a private club. You aren't welcome here.' "
Lor's case isn't an isolated incident. While many senior centers have codes of conduct and established rules, bullying among seniors still occurs, both verbally and nonverbally.
From the Arizona Republic:
Melanie Starns, an assistant Arizona Department of Economic Security director overseeing the Aging and Adult Services Division, said her staff often hears stories about bullying, but they do not keep statistics on them.
"It's a pretty big deal. The mean girls were there in school and as we get older, they are still around," she said.

In some cases the problems may be caused by dementia or any number of problems that may arise along with old age, Ken Budd, executive editor of AARP, The Magazine told ABC News.
Nationally, bullying among seniors is an issue. When the Akron Beacon Journal held a call-in about bullying in Northern Ohio following incidents that grabbed national attention, they were surprised about the number of seniors calling in, reported the Republic.





Come out to see us at the Successful Aging Expo

Friday, November 5, 2010

About the Successful Aging Expo

Saturday November 6, 2010 from 9:00am - 3:00pm
Sheraton Universal City, Universal City
333 Universal Hollywood Dr
Universal City, CA, California 91608

The LOS ANGELES DAILY NEWS invites you to participate in the first annual expo on “Successful Aging” designed especially for people ages 40 to 100. This FREE event will be held on Saturday, November 6, 2010 at the Sheraton Universal Hotel in Universal City and will be rich in resources and information. Visitors and participants will have the opportunity to visit several booths of companies and firms with something of value to offer for young adults, baby boomers, those in mid-life and older adults.

Ongoing seminars will be offered on subjects such as:

   • Employment
   • Nutrition
   • How to slow the aging process
   • Healthy skin
   • Caregiving
   • Brain health
   • Finances in today’s economy
   • And much more ...

http://successfulagingexpo.com/dailynews/index.html

Study Casts Doubt on Hospice Admission Criteria for Patients With Dementia

Wednesday, November 3, 2010

TUESDAY, Nov. 2 (HealthDay News) -- Many people with advanced dementia aren't getting much-needed hospice care because the admission criteria is flawed, researchers say.
"Dementia is a leading cause of death in the U.S., and hospice care can benefit patients with dementia. The main hindrance to getting palliative [comfort] care is guidelines that try to guide practitioners to wait until an estimated life expectancy of six months," said Dr. Susan L. Mitchell, a senior scientist at the Institute for Aging Research at Hebrew SeniorLife in Boston, and lead author of a new study.
Such end-of-life predictions are difficult to make with certainty in dementia cases. Instead of using life expectancy as the requirement for admission, hospice care for dementia patients should be offered based on the patient's and family's desire for comfort care, suggest Mitchell and colleagues in the study published in the Nov. 3 issue of the Journal of the American Medical Association.
Hospice, or palliative, care is most often associated with cancer patients. The goal is to provide comfort and support to patients and their families, instead of life-prolonging treatments.
For people with cancer, the decision to switch to palliative care is more clear-cut. It generally occurs when someone decides to forgo traditional cancer treatments, such as chemotherapy or radiation, that don't seem to be working anymore, and instead receive comfort care, which includes better pain management and discussions about important end-of-life care decisions.
For people with dementia, the decision process is murkier. Most people with advanced dementia are already in nursing homes, receiving around-the-clock care, but palliative care can provide families with additional support and help families make difficult decisions, such as whether or not to treat infections with antibiotics or to use a feeding tube to deliver nutrition. Palliative care may also provide better pain management and symptom relief, said Mitchell.
To improve the likelihood of dementia patients getting palliative care, Mitchell and her co-authors tried to come up with a better tool to assess their potential life expectancy.
This new method, dubbed the Advanced Dementia Prognostic Tool (ADEPT), includes 12 items, such as body mass index, ability to perform tasks of daily living like self-feeding, bowel incontinence, shortness of breath and oral food intake.
The researchers compared their assessment tool with the standard Medicare hospice eligibility guidelines on 606 residents in 21 nursing homes.
Their tool accurately predicted a life expectancy of fewer than six months 67 percent of the time, versus 55 percent for the Medicare guidelines, said Mitchell.
"While ADEPT was better than the Medicare criteria, its predictive ability isn't perfect," said Mitchell. "The delivery of palliative care should be guided by a preference of comfort care rather than by life expectancy," she added.
A 2009 study by Mitchell and her colleagues was the first to label dementia a terminal illness like cancer and other incurable diseases.
Dr. Joseph Shega, an associate professor in the section of geriatrics and palliative medicine at the University of Chicago Medical Center, said he agrees that the issue of comfort care for dementia patients deserves attention.
"It's important to recognize that we're not really good at figuring out how long someone with dementia might live, and I agree with these authors that we should focus more on the goals of care and stop spending resources on trying to figure out how long someone might live," said Shega.
"Hospice provides more support for nursing home staff, better support for the family, and can help better educate the family on the natural process of dementia so they know what's going on," he explained.
Hospice also helps manage symptoms, like discomfort or agitation, Shega added, while making sure that care plans and treatment goals agree with the values and wishes of the patients and their families.
More information
Read more about dementia and end-of-life care from the U.S. National Institute on Aging.
http://news.yahoo.com/s/hsn/20101102/hl_hsn/studycastsdoubtonhospiceadmissioncriteriaforpatientswithdementia