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Aging

Ageism: The Dance of Marginality and Irrelevance

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“I know I’m going to get older. I can handle that, and I even know that I am going to die. What bothers me the most, though, is the thought of becoming irrelevant.” This statement was made by a 69 year old man who is a member of my consciousness raising group.

Old people are becoming less and less a minority in our country. Quite to the contrary; today, approximately 18 per cent of people living in the United States are 60 years old and older. By 2050, people over 60 will make up over 25 per cent of the population…hardly a small minority.  When we marginalize a group of people, we are pushing them to the edge of humanity and according them lesser importance.  Their needs and desires are then ignored.  When ageism is in action, this is exactly what happens. Ageist language and media portrayals of old people encourage this marginalization.

Ageism can be very subtle, or as one of my colleagues describes it, “slow-drip” oppression.  It creeps up on us, sometimes without our ever knowing we are being oppressed until we find ourselves in the outer margins of society.

Nobody wants to be pushed to the edge of society.  Yet, older adults teeter on this edge…always dancing on the line between inclusion and exclusion.  In today’s society pride in age is hard to find.  It’s no wonder that older people often hide their true age.  Stop for a moment, and ask yourself, “why?”

Many of us tend to think of this practice as vanity, but consider that the true answer may be fear…fear of becoming irrelevant.  So, what do we do?  We drink the “Kool-Aid” dispersed by the media and the anti-aging industry; the message is, If you don’t look young enough, you too will be marginalized.  Not only is the advertising deceptive, it is detrimental to our overall health.

Not wanting to be relegated to the outer margins, we support the anti-ageing industrial complex, spending hard-earned money on anti-aging products, medical and non-medical procedures, and cosmetic or plastic surgery.  When we do this, are we just satisfying our own vanity or are we hoping to buy a few more years of relevancy?

The dance of marginality seems to start younger and younger these days, with people in their forties and some even in their thirties seeking out a magic bullet that will make them seem to appear younger than their true age.  For those of us who are older, however, one day you are a vital contributing member of society and only a few wrinkles later, you are dancing on the margins again, trying to figure out how to get back to the other side before you are turned into a trivial appendage, maybe even a burden, to the current social order.

Ageism in itself can cause a more rapid decline of our physical and mental health as we edge  closer to the end of our lives.  Researchers have proven that older people who are constantly subjected to negative stereotypes of their age cohort often internalize these messages.  As a result of this internalized ageism, their own self esteem is affected; and this leads to both physical and mental health issues.  In addition, recent research has shown that those who accept their age and feel the wonderful combination of beauty and wisdom in their own selves are mentally and physically healthier than those who feel the pressure of having to conceal their true age.  Many of us just keep on dancing.

Who is doing all this dancing?  First and foremost are the “invisibles.”  The “invisibles” are healthy people between the ages of 60 and 80 who are not ready to “retire” in the way that traditional retirement has been socially constructed.  This cohort is the most skillful at the dance of marginality; they get in a lot of rehearsal time.  They know that if they don’t enter the dance contest, they will automatically lose. And, they can lose a lot.  Mostly, they can lose their financial security and, with that, their dignity.

You may have noticed that the age of the traditional concept of old has been pushed back quite a bit, with people living 10, 15, and some even 20 years longer than previous generations. In many ways the invisibles are in the prime of their lives.  Yet, they are constantly maneuvering to remain inclusive members of society. Most catastrophic is the cold shoulder they bear from American workforce.  If they are not still in their career jobs, they find themselves traveling a road that leads them closer and closer to the margins of society.

A lovely 85 year old woman came to visit me in my office one day.  She was carrying a rather large umbrella.  “Is it raining?,” I asked.  “No,” she replied; I just refuse to be seen using a cane.”  Even at 85, she is still dancing.  To appear completely autonomous is her goal.  Afraid to admit that she may need some help, she struggles to keep up the appearance for fear that she will not be perceived as the smart woman she is.

The way our society is constructed, it takes more courage to ask for help than it does to manage on our own regardless of the consequences. It is the American way, to “pull yourself up by your bootstraps” and rely only on yourself to get where you’re going.  Another octogenarian told me “if I show the slightest sign of  not being able to live independently, my children will whisk me into the nearest assisted living facility.”  She knows this, and so she dare not let her age show.  She, too, keeps on dancing.

Fear seems to be the main reason why so many of us are caught up in this dance of marginality. There are other times and other places where older adults have been embraced by society.  For so many, this is no longer true.  Old people are often segregated, put aside, or discarded completely. They are often treated as if they are diseased. We need to start changing the way we view and interact with the older adults around us. Old age is not contagious.

The ageing process, including the end of life, is part of the course of the lifespan.  Ageing is not a disease to be treated; it is a gift to be accepted.  It is an accomplishment to be proud of.  Older adults should not feel as though they have to “sing for their dinner,” nor should any of us have to “dance for our dignity”.

As a political social worker, Alice is deeply interested in best practices in community building and an advocate for improving services and quality of life for older adults. She developed and runs Senator Liz Krueger’s Roundtable for Boomers & Seniors.She is particularly interested in the challenges of longevity in today’s ageing society, and Alice holds an M.S.W. from Hunter College School of Social Work.

          
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Aging

Music: The Secret to Mental Health and Balance While Aging

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No matter where you travel, you’ll notice one universal truth — music has a very particular and powerful hold on us all. Cultures everywhere make and love music. This has been the case throughout history. We have used music to relax, communicate and celebrate — the human brain is hard-wired to react to music. According to Kimberly Sena Moore, a neurologic music therapist, “Your brain lights up like a Christmas tree when you listen to music.”

The magic of music goes much further than entertainment — there a surprising number of health benefits for the elderly, and there is a lot of evidence to support the fact that music is a secret weapon when it comes to maintaining optimal mental health and balance in our old age.

Boost Memory by Learning to Play an Instrument

If you want to ensure your memory is strong well into your winter years, consider picking up an instrument. Regardless of what you prefer to play, the act of learning how to play will sharpen your memory recall. This is because the process of learning and playing an instrument requires a great number of complex tasks, such as reading musical notes and knowing where to place your fingers. In time, this expands your working memory capacity and your ability to multiprocess without feeling overloaded. You will also be able to remember information for longer periods.

Music Can Act as a Stress Reliever

Coping with stress can become more difficult as we get older. We have less resilience to it, and it can affect us differently, which is stressful in and of itself. On top of changes in response to stress, we can experience changes in triggers as the years go by, so it is important we all find a way to cope.

There have been many studies to show music has a notable (and positive) effect on our stress and blood pressure levels. In fact, this is the case even if we’re not conscious. One study involving surgery patients found the use of music before an operation reduced stress levels to an even greater degree than anti-anxiety medication. The act of singing sends small vibrations throughout the body, which lowers cortisol (the stress hormone) levels and releases endorphins, thereby helping to keep you calm and collected in trying times.

Music Can Reduce Falls in the Elderly

Remarkably, studies show when the elderly exercise while listening to music, it helps them maintain balance and reduce the risk of falling. Falling is a huge concern for those over the age of 65, and music might well be the answer. According to a 2011 Swiss study, where participants were trained to walk and perform certain movements in time to music, they experienced 54% fewer falls when compared to the control group. The study also found that walking speed and stride length increased as a result.

A Good Drum Beat Can Kickstart Brain Function

The brain instinctively syncs to a rhythm. Because of this, therapists use drumming to get through to patients with severe dementia who don’t normally respond to external stimulus. When dementia patients hear music, you can detect a noticeable shift. They show more of an interest in their surroundings, they clap to the beat or even sing. This is because music can stimulate many parts of the brain simultaneously. Music which was popular when the patient was between the ages of 18 and 25 generally gets the most positive response.

Music Can Soothe Physical and Emotional Pain

Swedish researchers have found your favourite music can be a great pain reliever, as it can distract us and boost positive emotions. Interestingly, by evoking nostalgia, music can help us get through the pain, both physical and emotional.

Music Can Combat Depression and Boost Happiness

A serotonin imbalance in the brain causes depression. When you listen to music, you experience a boost in serotonin, so music can be used as a tool to combat depression in the elderly. Doctors claim the simple act of singing can release oxytocin, providing a significant mood booster. So while music alone may never entirely relieve the symptoms brought about by depression, it can certainly do its bit to enhance wellbeing.

Music Provides Opportunities for Social Interaction

Music can provide an essential source for social contact, which promotes interaction and a sense of belonging. This is increasingly important as we age. By incorporating music therapy and joining a choir, the opportunities to socialise and collaborate let us make new friendships and create new bonds.

Music Can Improve Quality and Quantity of Sleep

Many seniors don’t get as much sleep as they need, which can cause serious medical issues in time. Lack of sleep has been shown to have a profound and negative impact on mental health and wellbeing. A 2009 meta-analysis found music can improve the quality and quantity of sleep. Of course, the benefits may not happen overnight. But if you persist, in as little as three weeks, you should notice a pay off from this relaxation technique. Some of these include falling asleep faster and remaining asleep for longer.

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Aging

Four Calming Techniques to Improve Your Mental Health

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If you are like me and the other nearly 325,000,000 trillion people in the U.S., you have experienced stress. From raising kids, dealing with your boss or handling a health issue, you can feel overwhelmed. But there’s good news! Learn how to create peace and take control of your life.

Determining the Type of Stress

Most people do not realize stress, a response to stimuli comes in two varieties which is good stress and bad stress. Bad stress or distress happens when your perception of an event is threatening. According to Stress Management Society, “Through the release of hormones, such as adrenaline, cortisol…the caveman gained a rush of energy…”. This onset of biological and emotional reactions resulted in the need to fight or flight.

Good stress or positive stress is the opposite response. It is marked by feelings of happiness and a sense of confidence. Your thoughts are focused and the energy is motivating.

Four Paths to Calm

Now that you know more about stress, you can start to manage it. Try these tips to make stress ignite your creativity and passion. Make stress work for you.

1. Keep It in Perspective

So, how do you transform your bad stress into good stress? Change your perception. If your job causes you to relocate, consider it a career opportunity. If the throbbing in one of your molars means you need a root canal, don’t panic. Discuss it with an emergency dentist Calgary. Consider it an investment in your health.

2. Calm the Monkey

Your mind races with thousands of thoughts all day. Anxiety builds as you obsess about future concerns. What if this happens, what if that happens? Stop!

Just breathe. As you mindfully count from 1 – 10, inhale and exhale slowly. Feel your heart rate decrease.

The Buddhists used this breathing method for quiet meditation to conquer the Monkey Mind or frenzied mental condition. In Mindfulness: Taming the Monkey Mind by Mitchell Wagner, the author states, “It is not possible for the mind to be open…when it is consumed by anxiety.”

3. Choose the Right Foods

What do yogurt, pistachios, and spinach have to do with relaxation? They contain key ingredients which affect your mood.

Pistachios

According to Organic Facts, pistachios have “6 grams of protein per ounce…”. Protein contains an amino acid which produces serotonin, a regulator of hunger.

Spinach & Avocado

The folate found in this green leafy vegetable produces dopamine, a chemical producing feelings of pleasure. Folic acid improves memory in adults experiencing stress. Avocados are also high in folate and vitamin E.

Yogurt

This comfort-inducing snack is filled with probiotics. It delivers healthful live bacteria in the gut linked to good mental health.

Strawberries, Raspberries, & Blueberries

These fruits are high in vitamin C which helps fight stress.

4. Become a Yogi

Yoga is a tradition dating back 300 years ago. Yoga is low impact and is a synergy of mind, body, and soul.

The International Journal of Yoga published “Exploring the therapeutic effects of Yoga and its ability to increase the quality of life” and found “Yogic practices enhance muscular strength…reduce stress, anxiety…”. Bikram, Hatha, and Kundalini are some of the best forms of yoga for beginners.

Invest in Stress Management

Consult with your doctor. Read books and attend local exercise classes. Stay up-to-date about trends.

Stress is a part of life. Learn stress management. Anticipate the unexpected and choose a strategy challenging you to do your best. Then, sit back and relax.

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Aging

Loneliness Found to Be High in Public Senior Housing Communities

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Older adults living in public senior housing communities experience a large degree of loneliness, finds a new study from the Brown School at Washington University in St. Louis.

Nevertheless, senior housing communities may be ideal locations for reducing that loneliness, the study finds.

“There are many studies on loneliness among community-dwelling older adults; however, there is limited research examining the extent and correlates of loneliness among older adults who reside in senior housing communities,” wrote Harry Chatters Taylor, doctoral student at the Brown School and lead author of “Loneliness in Senior Housing Communities,” published in the Journal of Gerontological Social Work.

The study was co-authored by Yi Wang, doctoral student at the Brown School, and Nancy Morrow-Howell, the Bettie Bofinger Brown Distinguished Professor of Social Policy and the director of the Harvey A. Friedman Center for Aging.

The study examines the extent of loneliness in three public senior housing communities in the St. Louis area. Two of the three complexes were in urban neighborhoods, and the last was located in a suburban neighborhood. All were publicly funded under Section 202 Supportive Housing for the Elderly Program. Data for the project was collected with survey questionnaires with a total sample size of 148 respondents. Loneliness was measured using the Hughes 3-item loneliness scale. Additionally, the questionnaire contained measures on socio-demographics, health/mental health, social engagement and social support.

‘We believe that senior housing communities could become ideal locations for reducing loneliness among older adults.’

Results showed approximately 30.8 percent of the sample was not lonely; 42.7 percent was moderately lonely, and 26.6 percent was severely lonely. In analyzing the data, researchers found loneliness was primarily associated with depressive symptoms.

“We speculate that loneliness may be higher in senior housing communities for a few important reasons,” Taylor said. “The first is older adults residing in senior housing communities often have greater risk for loneliness. In order to qualify to live in these senior housing communities, older adults must have a low income, and having a lower income is a risk factor for loneliness.

“Additionally, most of the residents we interviewed identified their marital status as single, which is another risk factor for greater loneliness. Many older adults living in senior housing communities also have greater health and mental health vulnerabilities, which increases the likelihood that an older adult will experience loneliness.”

Despite all that, the study finds, senior housing communities may be better suited to combat loneliness than traditional residential homes.

“We believe that senior housing communities could become ideal locations for reducing loneliness among older adults,” Taylor said. “Senior housing communities are embedded in communities with peers who may have similar age and life experiences. There are occasional activities and support from senior housing management to encourage the building of friendships, bonds and social support among senior housing residents.

“Most senior housing communities also have a common space or multipurpose room available for use, which can also help facilitate building bonds between residents. Senior housing communities are frequently located close to public transportation, which provides access to transportation for residents without automobiles.”

Still, loneliness is frequently a stigmatized condition, he said.

“We often do not like to talk about our feelings of loneliness,” Taylor said. “For practitioners, it is important to be patient when working with older adults, and it could take a while for an older adult, regardless if they reside in a senior housing facility, to admit they are feeling lonely.

“Whether you are a child, relative or family member to an older adult, or provide services to older adults, be patient when discussing issues of loneliness and mental health with older adults.”

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Aging

Medicare For All – Protection for Your Retirement Plans

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An unexpected medical emergency, a life-changing diagnosis, or a car accident are a number of countless situations that can land us in the emergency room, setting off a chain reaction of diagnostic tests, follow-up appointments, prescriptions, treatments, and more. Of course, this all has a significant implication on your pocketbook, and even if you have insurance, the bills can still be staggering.

Health insurance is supposed to be an investment, a sort of safety net to minimize your financial obligations in the event of a significant health illness or injury. But rising premiums, high deductible plans, and coverage exclusions have rendered comprehensive, quality, affordable insurance plans a thing of the past.

This can have significant implications for older adults nearing or at retirement age. A car accident, a cancer diagnosis, or any number of other health issues can quickly drain away savings, including retirement plans.

Health Care Costs Threaten Retirement Plans

Amassing a retirement savings large enough to provide a comfortable living for decades is no small feat. Because seniors tend to see increased health issues and health care costs in their latter years of life, a significant portion of their retirement plan needs to be able to cover those increased costs.

According to a study performed by Fidelity, a 65-year-old couple retiring in 2017 will need to cover approximately $275,000 in health care costs throughout their retirement. That amount reflects a 6% increase over the 2016 figure of $260,000. However, that estimate has increased more than 70% when compared with the initial estimate ever performed by Fidelity back in 2002.

Simply saving up enough money to be able to retire can be a challenge, especially when you encounter unexpected health issues and emergencies earlier on in life. According to a survey by Bankrate, only 41% of adults say that they have enough money in savings to be able to pay off an unexpected cost. However, 45% of survey respondents indicated that they’d had a major unexpected expense in the past 12 months.

And if a family has a high-deductible insurance plan, a single visit to the ER can cost tens of thousands of dollars. Families without adequate savings may feel pressured to reach into retirement savings to fund the emergency, leaving them with even less savings than they’d had initially.

A Compounding Problem

The issue of health care costs depleting retirement savings becomes even more urgent when you consider the seniors who can’t afford to retire at all. The U.S. Jobs Report indicated that the retirement age is increasing, with almost 19% of United States seniors aged 65 or older were working at least part time during the second quarter of 2017. Additionally, 19% of 70- to 74-year-olds were still working.

Working later into life leads to increased retirement savings, but this isn’t a practical option for many seniors. Health issues force many seniors to quit their jobs even if their retirement savings aren’t yet large enough to provide them with long-term security.

Simply finding a job can be a challenge, since employers may be more reluctant to hire seniors (despite age discrimination laws). Seniors may find themselves with fewer job options and may have to settle for lower-paying jobs with poor health insurance policy offerings.

Medicare for All: Protecting Retirement Savings

Medicare for All could be a solution to this growing problem. With single-payer health care, all Americans could enjoy protection against unexpected large medical bills. Americans wouldn’t need to dip into their retirement savings for health-related emergencies. And with reduced health care costs, they could put more earnings into their retirement plans.

If more Americans were able to put aside more retirement savings, they could retire at age 65 without having to worry about extending their employment into their senior years. They could enjoy reduced stress and could focus on healing after a health crisis, rather than worrying about the massive bills that would follow.

With access to the medications and treatments that they need, Americans could enjoy better health, happiness, and an improved quality of life. Isn’t that what we want for our seniors, our retirees, and all American citizens?

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Aging

Social Workers Can Now Learn Medicare Online and Earn Continuing Education Hours

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Social workers can now earn continuing education hours while they learn Medicare at their own pace, anytime and anywhere with Medicare Interactive (MI) Pro, an online Medicare curriculum powered by the Medicare Rights Center.

MI Pro provides the information that social workers and health professionals need to become “Medicare smart,” so they can help their clients navigate the Medicare maze. The online curriculum contains information on the rules and regulations regarding Medicare—from Medicare coverage options and coordination of benefits to the appeals process and assistance programs for clients with low incomes.

“For over 25 years, social workers have been turning to Medicare Rights’ helpline counselors for clear and concise information on how to help their clients access the affordable health care that they need,” said Joe Baker, president of the Medicare Rights Center. “Now social workers can enroll in MI Pro and learn—or enhance—their Medicare knowledge at their convenience while fulfilling their continuing education requirements.”

The Medicare Rights Center, a national nonprofit consumer service organization, is the largest and most reliable independent source of Medicare information and assistance in the United States.

Licensed Master Social Workers and Licensed Clinical Social Workers can earn continuing education hours when they successfully complete any of the four MI Pro programs: Medicare Basics; Medicare Coverage Rules; Medicare Appeals and Penalties; and Medicare, Other Insurance, and Assistance Programs. Each MI Pro program is comprised of four to five course modules.

All MI Pro programs are active for one year following registration.

MI Pro courses are nominally priced. Additionally, social workers who purchase all four programs at once will receive an automatic 20 percent discount.

Medicare Rights Center is a national, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through counseling and advocacy, educational programs, and public policy initiatives.

Available only through the Medicare Rights Center, Medicare Interactive (MI) is a free and independent online reference tool that provides easy-to-understand answers to questions posed by people with Medicare, their families and caregivers, and the professionals serving them. Find your Medicare answers at www.medicareinteractive.org.

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Elder Care

The Critical Role of Caregivers, and What they Need from Us

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Caring for loved ones who have aged or become disabled is not a new concept. Many of the services provided in hospitals, clinics and even funeral homes were once provided by families at home. Particularly in communities where traditional cultural beliefs are highly valued, taking care of an aging parent or grandparent is still a responsibility that families (usually women) are expected to take upon themselves. Inner discord can arise when caregivers challenge these traditions which can lead to guilt and in some cases lawsuits.

For example, proceedings from a roundtable hosted by the National Hispanic Council on Aging revealed that caregiver stigma is prevalent among Latinos, which can prevent them from seeking support and resources. Without help, the risk for burnout increases.

Results from a 2015 study by the National Alliance for Family Caregiving and AARP revealed that “an estimated 43.5 million adults in the United States have provided unpaid care to an adult or a child in the prior 12 months”. This number is likely to increase in the coming years due, in part, to an aging population.

Family caregivers perform a variety of services, including helping with ADLs, dispensing medications, managing finances, attending doctor appointments and advocating. Many do so while maintaining full-time employment outside of the home.

Respite is Essential, but lacking

The physical cost of caregiving is staggering, and there are few opportunities for respite. Even when respite is available, caregivers must consider the care recipients’ safety, and their desire to leave home. A person who has a disability or is ill can still make decisions regarding their care. So when they say no to respite care, it can’t be forced upon them. Desperate for a break, some caregivers have gone to extreme measures such as dropping off their loved one at the emergency room for respite. This is a problem that should be addressed in the years to come. But how?

Changes in the workplace

More companies and organizations are beginning to understand that caregiving without support can negatively impact worker productivity. In response, some companies have revisited their policies regarding family leave, allowing flexible work schedules and work from home opportunities. As employers seek new talent, they may find that policies such as these are attractive to job seekers. Two major companies, Deloitte and Microsoft, made headlines after incorporating paid time into their family leave policies. Other companies have adopted similar models.

As the nation grapples with how to provide better support to caregivers, it will need to improve major areas like extending paid leave to family caregivers, creating financial stability for those who need to provide full time care, and providing necessary training and respite to ensure the mental and physical well being for both the caregiver and the recipient. These changes require a shift in how we think about providing care, and changes in policy.

Accessible resources

Caregivers are operating on tight schedules and don’t always have time to attend in person support groups. So having the option of connecting with others through online chats and support groups is more convenient for some caregivers. In addition, they could benefit from ongoing training and resources that will help them to more effectively and safely care for their loved one. This past September, the U.S. Senate passed the RAISE Act, which would require the development of a national strategy to address the growing challenges and economic impact of caregiving. The bill must now go before the House of Representatives.

Money

The financial costs of caregiving cannot be ignored, and the average social security beneficiary does not earn enough to shoulder the burden of the financial costs they incur. Most caregivers likely work not only to maintain a sense of identity but also out of necessity.

Caregivers can face stressful decisions when it comes to choosing between work and providing care, particularly when their loved one is seriously or terminally ill. Too often, relatives are not eligible to be a paid for their time. And when they are, the earnings are not enough to make ends meet. Unfortunately, many caregivers often place their loved ones in skilled nursing facilities, simply because they cannot afford to care for them at home.

The question of who should provide care and how they will provide is one that has yet to be answered. While they wait, however, caregivers are facing stress and financial burden with few desirable options for support. And care recipients aren’t getting the care they so desperately need.

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