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Showing posts with label fate care. Show all posts
Showing posts with label fate care. Show all posts

Home Funeral Trend

Americans - Not Caring for Our Own Dead
Periodically people you know and love will die. The one thing that is certain in life is death. There is no way around it. You and I, our family, community, the entire human civilization alive today will all pass sometime in the next century. This thought is one most Americans try to avoid.

Let’s say your grandmother has had a stroke and is near death at a local hospital. You go to her to be with her in her last moments, and then, the beloved person before you, who had cared for you, raised you, and loved you is gone. No sooner has she passed when, you are asked to leave the room. A doctor will be in to fill out the death certificate and then your loved one will be whisked away to the hospital morgue, or worse to be sliced and probed in autopsy (if the cause of death was unclear). You choose a funeral home and they take care of the rest of the process. Her body is now property of the state. The next time you see her will be for maybe an hour or two at the wake where she’s been specifically prepared for extended viewing time (some liken this as being turned into a human pickle). From there it’s time to head to the cemetery or collect her ashes. It is a process that is far removed from a personal and private investment with your loved one who has passed.

Knox (2009) explains how she felt when her young daughter passed. “I had given birth to her. She had lived with me every day of her life. I had carefully chosen what she was exposed to, what she ate, where she went to school. I was required by law to care well for her. But now that her heart had stopped beating, I was being told that her care was no longer my concern.” Knox (2009) No wonder Americans have such a hard time with loss. Death has been institutionalized and turned into a series of merchandising and purchasing obligations. The whole experience is empty, demoralizing and expensive.

In Support of Home Funerals
Home funerals assist in the healing of and recovery of survivors. One dangerous coping method of loss “is to deny its existence” (Roussell, 1999, p. 6). A home funeral gives people the extra time needed to adjust to the reality that their loved one is gone. Not only is it healthier for the grieving process to have this time, the additional responsibilities also aid the grieving process. Those who have cared for their own dead have found the experience both meaningful and empowering. Knox (1999) describes the home funeral she held for 8-year-old daughter:
We brought her home and kept her in her room for three days surrounded by her beloved toys and pictures and stuffed animals. Her friends came to be with her one last time, and took as much time as they needed to say goodbye. Her teachers came to stroke her cheek. Her brothers, her aunt and uncles, her cousins, her babysitters, her grandparents could all be with her. We could all sit with her for hours if we chose, trying, trying to get used to the idea, trying to take it all in. This small and mighty child had led us through the valley of death, and an entire community experienced a brilliant light in the deepest darkness of loss and grief. It was terrible and beautiful (p. 3).
A home funeral provides a loving, beautiful and meaningful way of saying goodbye, unconstrained by the schedules of a church or mortuary. It also gives the surviving loved ones extra time adjust to the loss. A home funeral is also more cost efficient. An average traditional funeral costs anywhere from $3,500.00 to $7,000.00, while a home funeral and natural burial can cost less than $500.00.

A good comparison of the differences between the two kinds of funerals (home versus mortuary) was showcased in the March 2009 Smithsonian magazine in an article titled “The Surprising Satisfactions of a Home Funeral”.

Legal Rights to Home Funerals
Many people do not know is that it is legal for them to take their loved ones home (in their own car) and to keep them (if cooled) for a number of days. Currently home funeral is legal in 45 states. Also, many people do not realize that embalming is not mandatory for burial and that it is actually a dangerous toxin for the environment. (Read more on the benefits of Green Burial.)

Legally, you can take your own dead home with you as long as you get the proper permit for transporting, and follow approved procedures for cooling, and length of time before burial. Even a home burial is not illegal in some states and counties.

Home Burial
The state of Oregon is silent on this issue. Title 97.120(2) says it is actually up to each individual county as to the laws concerning home burial. Most counties ask for a certain acreage amount, a distance of at least 150’ from a water supply, and at least two feet of earth on top. Before burial, the person in charge must sign the burial-transit permit and return it within 10 days to the registration of the county in which the death occurred. The practice is generally discouraged because of the potential affect on the property value. Because the practice is not common yet, society is still uncomfortable with it. Neighbors might find it disturbing to watch someone bring a body home, hold a funeral in their home, and then bury the body in their yard. However, a number of planned “Green Burial Preserves” are currently in development throughout the country to fulfill the demand for natural burials.


REF:

Alexander, M. (2009) The Surprising Satisfactions of a Home Funeral. Smithsonian Magazine. Retrieved from: http://www.smithsonianmag.com/arts-culture/Presence-of-Mind-Which-Way-Out.html

Knox, E. (2009) Crossings.

Knox, E. (1999). Resource Guide. A Manual for Home Funeral Care. Takoma Park, MD:
Crossings.

Oregon Mortuary and Cemetary Board (2009).

Roussell, J. O. (1999). Dealing with Grief: Theirs & Ours. New York: Alba House.

All content © Village Memorial. 2009-2010.

Alzheimer's: The Art of Losing

I found Ruth L. Ozeki’s piece, "The Art of Losing: On Writing, Dying, & Mom," of special interest because my grandmother suffers from Alzheimer’s. I wanted to learn how others deal with such a long-term loss of one who slips away slowly over several years. Though my grandmother’s health in other aspects is not bad, the fact that she cannot recall names, faces, places or family history is a death of sorts. It is a death of memory. Somehow families must push through with the awareness that their loved one is no longer who they once were in healthier times. We must learn to love a new person who looks a great deal like the old person, but may or may not remember us from day to day. We must learn to not hold anger or resent their loss of memories we revere, but learn to appreciate new memories we can create while they are still with us. I felt Ozeki really proved how important this step is. Ozeki’s adaptability enabled her to build new memories with her mother and prepared her for her mother’s passing. Ozeki’s piece was an inspiration to any person dealing with a loved one suffering from Alzheimer’s.

Ruth Ozeki discusses writing the article “The Art of Losing: On Writing, Dying, & Mom” which she was asked to consider renaming to “The Art of Letting Go”. Ozeki thoughtfully considers the alteration in meaning via a poem by Elizabeth Bishop titled “One Art.” Ozeki describes the poem as “clearly…a case where ‘losing’ and ‘letting go’ are not interchangeable.” Ozeki highlights some differences between letting go and losing: “When I let go, I’m in control; when I lose, I’m not. Letting go is a willful act; losing, a violation of my will.”

Ozeki then discusses the traditions her family’s Japanese culture and the custom of sitting zazen during spiritual meditation. Her mother as a 2nd generation Japanese American had so much distance from her Japanese roots that she did not meditate in the zazen position and this prevented her from attending her grandmother’s funeral. Her inability to sit in the position would be “an embarrassment to the family,” Ozeki explains. At the funeral in Japan Ozeki explains another Japanese custom called “honewake” or “dividing the bones, which is often practiced when a person’s family lives in different places.” She returned from Japan with some bones of her grandmother, which she was to deliver to her mother. The experience inspired her to film a documentary called “Halving the Bones.”

Once Ozeki’s father died, she asked her mother with Alzheimer’s to come live with her in 1999. She cared for her mother until her death in late 2004, but reflects on some of the exchanges that took place between she and her mother during those five years. Once mother expressed concern that the washer and dryer in the guesthouse she lived in would prevent Ozeki from washing laundry once she died and Ozeki rented the guesthouse to another person. Ozeki settled the concern by jokingly confirming she would bury her mom with the washer and dryer so she could keep her clothes clean in heaven. When her mother turned 90 in May of 2004, her mom was in disbelief that she was 90. She said she felt forty and when Ozeki confirmed that even she was “older than forty,” her mother replied, “You are? That’s terrible!”

Ozeki then reflected on the differences in how she handled the deaths of her father and her mother. When her father died, she wasn’t ready for it. She held much anger at him for not preparing for it. She drank too much during the grieving process. However, the time she spent with her mom prepared them both for her mother’s death. “I wanted to keep my wits about me. I didn’t want to run away." She also encourages that people “write your loss” – “I spent ten years losing my mom, little by little, day by day, but during that time, I wrote books, letters, e-mails, blog postings, stories, journal entries, and poems…I’ve been turning loss into letting go.”

Reference:
Ozeki R. L. (2008). The Art of Losing: On Writing, Dying, & Mom. Shambhala Sun Magazine. Retrieved from:
http://www.shambhalasun.com/index.php?option=com_content&task=view&id=3186&Itemid=244
All content © Village Memorial. 2009-2010.

Independence vs. Assistance

The elderly should be mindful of how much help they accept and caretakers should be cautious of offering too much help are the fundamentals of an idea called “wise independence”. Ruddick (1999) describes the idea of wise independence as “the capacity to plan and control one’s life, combined with the willingness to acknowledge one’s limitations and accept help in ways that are gratifying to the helper.” The elderly person and his or her caretaker should “create between them and for each other a workable balance between letting go and holding on, assertion and acceptance, intervention and letting be” (Ruddick, 1999).

A real risk exists when people let go of their independence to become too dependent on caregivers. Ruddick (1999) explains that, “a caring person should know that if she hovers and insists she may encourage in the person she cares for a despairing acquiescence that is as life-ending as the ‘fall’ she would prevent” (p. 58).

Clark (2003) experienced this situation with her mother who moved into a “nursing home for a few weeks rest.” Although her mother, in her late 70’s, had suffered debilitating arthritis for many years that was so bad that “she probably would have been confined to a wheelchair”, her independent life prevented it. Clark (2003) explained how “her [mother’s] need to do for other people was so great that she kept pushing herself, forcing activity on those aching joints willing them to function.” However, shortly after Clark’s mother entered the nursing home, she witnessed a drastic decline in her mother’s energy. Clark (2003) described that “as soon she began to take it easy, everything in her body slowed up…She could no longer take care of others” and she died a few weeks later.

A similar decline is occurring in an elderly relative who recently entered a retirement home. Pedro, who is in his mid 80’s, lived independently as a retiree without any caregiving assistance until two years ago when he suffered his first fall. Pedro. tripped over his rambunctious dog, Nero, and suffered a minor injury. Since then, Pedro began to accept the help of a caregiver. As Pedro began to increasingly rely upon his caregiver he did less for himself. He delegated errands, shopping, house care, yard care, and personal budgeting to his caregiver and thus began to require even more help until he moved into a retirement home in June this year. Since his arrival at the retirement home he has fallen multiple times. The last fall resulted in a broken elbow. He has since been hospitalized.

When Ruddick (1999) explains that “both living and caring well involve a changing process of adjusting, accepting and appreciating the living and caring that remains possible,” (p.58) I see how a lack of “wise independence” negatively affects the elderly. I believe that Pedro’s comfort level with caretakers just minutes away has led him to be less cautious when walking or moving about his apartment. In this sense, Pedro is becoming even more dependent on the caretakers and much less independent. I now fear for Pedro’s health, that it might decline even further now that he has no requirement to care for himself.

Wise independence is not merely just an encouraging idea; it is a vital component in the health and longevity of the elderly. Caregivers and the elderly must be mindful of the independence vs. assistance balance, so they do not create excessive vulnerability and dependence on the caregiver(s).

Reference:
Clark, M. H. (2003). Kitchen Privileges. New York: Simon & Schuster, Inc.
Ruddick, S. (1999). Virtues and Age. In M. U. Walker (Ed.), Mother Time. Women, Aging, and Ethics. (pp. 45-60). Lanham: Rowman & Littlefield Publishers, Inc.

All content © Village Memorial. 2009-2010.

Impairments = Missed Opportunities

Reduced mobility creates hardships for seniors interacting with the world around them. When one experiences falls, broken hips, broken wrists, lower back pain and or a reduction in or cessation of driving, opportunities for interpersonal communications diminish.

My grandfather developed severe back pain brought on by a crushed disc in his lower back earlier this year. Lower back pain in the elderly is common, as a recent national survey proved that in “patients aged 75 and older…back pain is the third most frequently reported symptom” (Bressler, et. al., 1999). His back pain caused him trouble walking and difficulties rising from chairs, walking up stairs, walking to the phone, and getting in and out of vehicles. Additionally, just a few months prior, he suffered a fall that resulted in a broken wrist. The broken wrist reduced his ability to write and in combination with the loss of mobility from the lower back pain, he experienced a lack of communications with family and friends.

While the impairments in the ability to walk and write do not initially sound related to traditional communication barriers like hearing or vision losses, they have affected my grandfather’s ability to do many things related to interpersonal communication. He is no longer able to walk to the phone fast enough to answer it. When he finally does receive a phone call, he seldom holds the phone for long because of the pain in his wrist. When someone comes to his front door, he seldom makes his way across the house to open the door quickly enough. He no longer writes letters or sends birthday cards to friends and family. These impairments have led him to hire a caregiver to run errands for him, drive him and write out checks for him, though the caregiver’s assistance does not improve his communications with outside family, friends or society.

Further compounding the lack of communication that my grandfather experiences with avoiding calls and not writing, is the fact that he has ceased driving due to the lower back pain. Now that he must rely on the caregiver’s schedule for transportation, it has lessened his opportunities for outings and social interactions. “The older person who reduces or ceases driving bears the brunt of the changes that occur in terms of monetary, social, psychological, and emotional costs” (Burkhart, 2007). Knopp (2009) notes, that “isolation and loneliness experienced by nondriving seniors can result in deteriorated physical and mental health.” Plus, older drivers who generally drive on six outings per week usually reduce outings down to two per week when they become reliant on receiving rides from others (Burkhart, 2007). Hence by discontinuing driving, my grandfather has lost additional opportunities to engage socially with others outside his home.

Sadly, the number of seniors who do not drive is not as uncommon as one might think. “SCOPE, the community planning group, cites national research indicating that about 21 percent of Americans age 65 or older don't drive and that, on any given day, 50 percent are home-bound due to lack of transportation options” (Knopp, 2009).

Falls in the elderly are also not uncommon. Warshaw (2006) reports that “after age 85, over half of women will suffer a fall” while “31 percent in the 80- to 84-year age group” of men experience falls. The complications from falls include fractures of the hip, and forearm [or wrist] (Warshaw, 2006). Earlier this month, the Pope at age 82, fractured his wrist when he fell (B92.net, 2009). A good friend, Marie, who was in her mid-70’s when she fell on pavement broke both her wrist and hip. “Because bones become brittle with age, fractures are common among the elderly” (Joseph, 2008). Interestingly, Warsaw (2006) also points out that “after a few falls, some people become so frightened and anxious that they will not attempt to stand even when there is adequate help and support.” As people become afraid to stand or walk after falls, they are not likely to return to outings that require walking or standing which also decreases their opportunities for interpersonal communications with friends, family and society.

When Marie experienced the impairments of a fractured wrist and broken hip, I witnessed a loss in her interpersonal communications. Like my grandfather’s experience, Marie’s reduced mobility in walking and writing, resulted in her not taking telephone calls, seldom answering the door and the end of her writing to friends and family. Additionally, Marie had been a very social person before her accident and had engaged in many senior group tours overseas and spent much of her time out with friends shopping and dining out. Her reduced mobility led to the end of her overseas vacations as well as her social outings with friends.

When looking at the losses of mobility from back pain, falls, broken wrists and broken hips, compounded with the cessation of driving, it becomes clear that seniors and the elderly lose opportunities for social engagement as mobility is reduced and they become increasingly homebound. Thus, even impairments unrelated to hearing and sight can equal losses in interpersonal communications for seniors and the elderly.

References
Bressler, H., et. al. (1999, Sep., 1). The Prevalence of Low Back Pain in the Elderly: A Systematic Review of the Literature. Lippincott Williams & Wilkins, Inc. Retrieved from: http://journals.lww.com/spinejournal/pages/articleviewer.aspx?year=1999&issue=09010&article=00011&type=abstract

Burkhart, J. (2007, Jan. 30). Mobility Changes: Their Nature, Effects, and Meaning for Elders Who Reduce or Cease Driving. Ecosometrics Incorporated. Retrieved from: http://trb.metapress.com/content/dlk6vw1r15245554/

Joseph, T. (2008, July 28). Colles’ Wrist Fracture. Medicine Plus. Retrieved from: http://www.nlm.nih.gov/medlineplus/ency/article/000002.htm


Knopp, T. (2009, July 12). Nonprofit service helps seniors retain mobility. Herald Tribune. Retrieved from: http://www.heraldtribune.com/article/20090712/COLUMNIST/907121023/2080/OPINION?Title=Nonprofit-service-helps-seniors-retain-mobility.

Pope Falls and Suffers Broken Wrist. (2009, July 17). B92.net. Retrieved from: http://www.b92.net/eng/news/world-article.php?yyyy=2009&mm=07&dd=17&nav_id=60560

Warshaw, G. (2006, Apr. 10). Falls and the Elderly. University of Cincinnati. Netwellnes.org. Retrieved from: http://www.netwellness.org/healthtopics/aging/faq9.cfm

All content © Village Memorial. 2009-2010.

Selecting In-Home Caregivers

Marion is in her 90’s. She lives alone, but is across the street from her son and his wife. Her children have hired many caregivers for Marion. However, Marion is never invited to interview or choose her caregivers. So, the result has been that Marion often goes without care because she frequently dislikes who has been selected to care for her and usually fires the person or drives them away with menial tasks unrelated to caregiving (i.e. pulling weeds). This has left Marion in an unsafe situation - without regular care.

Once when Marion was chosen a caregiver she got along well with, the benefits of good communication were obvious. Because Marion was instructing the caregiver in what she wanted and needed done, Marion was happier and more responsive during visits. The caregiver made sure she got up and dressed every day (as opposed to sleeping in bed all day in pajamas). She helped Marion to look presentable, even helping her to dye her hair red. Marion was eating regular meals, looking healthier and feeling better. She boasted how good it felt to have her back scrubbed during her bath. She stopped falling trying to use the restroom during the night (perhaps because she did not sleep all day, she had more opportunities to go during the day.) This caregiver contentedly worked with Marion for over a year until Marion’s son cut her hours back and she was forced to move on.

The lack of communication between Marion and her children has been a losing situation for Marion’s health and wellbeing. Marion does not communicate her wishes to her children because she feels they do not care (likely because she is never included in the decision making). Marion does communicate her concerns to her grandchildren, but they have no control over the finances, Medicaid, or care giving decisions.

As in-home care is highly personalized, communication is key. If a senior is of mental clarity and can communicate for herself, this is ideal. This gives the senior a voice and a decision in the administering of her own care. However, when family members step in and make decisions without the senior’s input or consideration, as Marion’s family did, this is highly destructive to the senior’s sense of independence, as well as the quality of care she receives.

A properly placed caregiver, sensitive to the client’s personal needs, would ensure better care and a greater longevity of caregivers. Simply working in firms that had high turnover rates, one gets a glimpse of the stress that training new people or adjusting to changes in staff creates. I cannot begin to imagine how just how stressful it would be to add a turnover in caregivers to dealing with one’s own personal disabilities or unattended needs. It cannot be healthy for seniors to deal with such turnover, which makes the initial proper placement such a vital step in the care giving process.

Benefits of In-Home Care
• Significant financial savings to seniors and Medicaid
• Staying in one’s own home is generally preferable to entering a retirement community.
• People tend not feel sick if they are cared for at home.
• People are able to maintain some forms of independence, as they address some of their own needs themselves or by delegating difficult tasks to an in-home caregiver.
• Seniors do not have to lose the community they have grown comfortable with.


All content © Village Memorial. 2009-2010.

Green Departures

“Americans put 827,060 gallons of embalming fluid, 1,636,000 tons of reinforced concrete, 104,272 tons of steel [for caskets and vaults], 2,700 tons of copper and bronze, and 30 million board feet of hardwoods into the ground each year...the concrete alone…[is] enough to build 13,573 American houses.”
A growing trend is the practice green or natural burial, which compassionately cares for the deceased and protects the earth. However, this natural and safe method has been practiced for centuries.

Muslims wrap their dead in “white wrappings” and bury them directly onto the dirt of the grave (Jonker, 2006, p. 158). As Jonker (2006) explains, “No coffin is needed or wanted” (p. 158). The body is lowered into the grave “with shawls or lengths of cloth” and is “positioned as if sleeping” (Jonker, 2006, p. 158) with either a stone or pile of mud placed under the head for support (p. 158). The natural burial of the body in Islam (wrappings of just a shroud, no embalming and being placed directly in contact with the earth) allows for a more natural return to the earth. There is no use of unnecessary embalming fluid and coffin to slow the recycling of the body to the soil.

The Jews also bury directly in the ground, and do not allow interment in mausoleums “as this is not returning the body to the dust from whence it came” (Levine, 1997, p. 107). Additionally, like Islam, Judaism prohibits both cremation and embalming (Levine, 1997, p. 107). This law was designed to prevent destruction and or altering of the body, however it is also done for the compassion of the surviving loved ones (Levine, 1997, p. 107). Because “embalming…creates an illusion of life…[it] may hinder the bereaved from acknowledging the death of their loved one” (Levine, 1997, p. 108). These compassionate Jewish values honor the deceased, assist in the healing of loved ones and protect the planet.

Ecohumanist beliefs also support natural burial for the preservation of the planet. One of the principles shared on the Council for Secular Humanist (2009) is to “protect and enhance the earth, to preserve it for future generations, and to avoid inflicting needless suffering on other species.” When one considers all the pollution and waste from common contemporary burials (embalmed body in casket), one cannot ignore the significant and devastating effects upon the earth. Cullen (2006) presents some very startling statistics on contemporary burials.
“Americans put 827,060 gallons of embalming fluid, 1,636,000 tons of reinforced concrete, 104,272 tons of steel [for caskets and vaults], 2,700 tons of copper and bronze, and 30 million board feet of hardwoods into the ground each year...the concrete alone…[is] enough to build 13,573 American houses” (p. 52).
“Like the contents of any landfill, the embalmed body’s toxic cache escapes its host and eventually leaches into the environment, tainting surrounding soil and groundwaters” (Harris, 2007, p. 38). This happens because coffins are not leak-proof. Harris (2007) explains that the “combined body fluids, liquefied tissue, formaldehyde, bacteria, and corporeal acids…collect at the lowest spot of the casket, pooling in a…toxic soup” (p. 37). Wood caskets are porous offering minimal resistance to such toxic liquids, which can easily leak out (Harris, 2007, p. 37). While “metal caskets are more resilient…acids work to breach them as well” (Harris, 2007, p. 37). Cullen (2006) notes that green (natural) burials can “cut that waste [and pollution] dramatically” (p. 52).

Embalming and caskets are not only unnecessary, they are wasteful and harmful to the planet. Obviously the pollution of the earth and the waste of precious resources do not help to protect the purity or safety of our planet. Natural or green burials, as supported by Ecohumanists, are clearly the most ethical and compassionate methods of burial. They help protect the planet for future generations.

References:

Cullen, L. T. (2006). Remember Me. New York: Harper Collins.

Harris, M. (2007). Grave Matters. A Journey Through the Modern Funeral Industry to a Natural Way of Burial. New York: Scribner.

Jonker, G. (2006). The many facets of Islam: Death, dying and disposal between orthodox rule and historical conventon, in, C.M. Parkes, P. Laungani, & B. Young (Ed.), Death and Bereavement Across Cultures (pp. 98-130) London: Routledge.

Levine, E. (2006). Jewish Views and Customs on Death, in, C.M. Parkes, P. Laungani, & B. Young (Ed.), Death and Bereavement Across Cultures (pp. 98-130) London: Routledge.

The Affirmations of Humanism: A Statement of Principles. (2009). Council for Secular Humanism. Retrieved June 2, 2009, from: http://www.secularhumanism.org/index.php?section=main&page=affirmations
All content © Village Memorial. 2009-2010.

Dial-a-Ride Requires Good Communication

Dial-a-Ride is just a phone call and short wait away from safe and reliable transportation service for many seniors who cannot drive. However, using dial-a-ride services depends on good communication by both parties. Seniors who call must be able to hear well and speak clearly. They must be able to remember addresses and names of locations of where they are traveling to and be able to communicate that information when asked. Operators and drivers for the dial-a-ride service must be able to listen patiently and speak clearly to seniors in order to ensure destinations and pick up locations are accurate.

A good senior friend, Marie, never drove anywhere, but depended on Dial-a-Ride for many years to run errands safely. She lived in LA County where public transportation was scarce and less reliable. Once when Marie called to be picked up and Dial-a-Ride recorded an incorrect address, she got mugged while waiting outside of a store. Her purse was snatched and she suffered a broken hip and wrist from hitting pavement when the mugger knocked her down. Had the communication between Marie and the dial-a-ride operator been better, perhaps Marie would not have suffered such a misfortune.

From what I was able to find through a quick search online, Dial-a-ride is available in many cities, counties and states throughout the US including: California (multiple cities), Phoenix, AZ., Illinois (multiple cities), Minnesota (multiple cities), Michigan (multiple cities), Florida (Charlotte County), New York (Tioga County), Fort Collins, CO, Oregon (multiple cities), Richland, WA, and many more.

Each city’s Dial-a-Ride has different restrictions, rules, operating hours and fees to use the service.

In Los Angeles, the ride for seniors and those with disabilities is only $0.75 one-way. Dial-a-Ride service runs 7 days a week. People do not have to pre-qualify or pre-register to use LA Dial-a-Ride services.
LA’s “Public Works provides dial-a-ride (paratransit) services that consist of curb-to-curb, demand response, dialaride services. Most of these are for the elderly and persons with disabilities who reside in unincorporated County areas…In most areas, Public Works provides these services by contracting with adjacent cities to include unincorporated County areas in the city's paratransit service.” (LAcounty.gov, 2009).

Bend, Oregon asks for an application to prove eligibility prior to service, and calling a day ahead to schedule a pick up. Bend’s Dial-a-Ride “provides service to low income seniors not living near a fixed Bend Area Transit (BAT) route” (City of Bend Oregon Website, 2009).

The Wilsonville “Dial-a-Ride is a SMART service providing curb-to-curb transportation for Wilsonville residents who are unable to use the fixed route service. Priority is given to Americans with Disabilities Act (ADA) eligible customers… Eligibility to qualify for ADA level service must be certified by a medical professional” (RideSmart.com, 2009).

References:
LA County Dial-a-Ride: http://ladpw.org/PDD/Transit/Page_01.cfm

Bend, Oregon Dial-aRide: http://www.ci.bend.or.us/bend_area_transit/dial_a_ride/index.html

Wilsonville, Oregon Dial-a-Ride: http://www.ridesmart.com/Index.aspx?page=23

All content © Village Memorial. 2009-2010.

Intergenerational Communication

Intergenerational relationships have added great value to my life. I have found each generation to be distinct and special in its own way, while each has its own lessons to teach. Hence, I would like to explore some of the differences I have observed in generational communication styles and the lessons that I have learned from them.

MTV Generation Perspective
My generation is “The MTV Generation” which is typically conceived as a "cusp" generation between Generation X and Generation Y that possess definable traits of both” (Wikipedia, 2009). From an MTV Generation (a.k.a. “Cold Y”) perspective, I find myself and age peers to be highly adaptable to new communication technology. This may stem from what Wikipedia describes as “being the last generation able to compare hardwired and analog technologies to wireless and digital technologies based upon personal experiences” (Wikipedia, 2009). Over the course of a few years we changed our methods of voice contact from dial phones to touch tone phones, from pagers, calling cards and pay phones to analog cell phones, then to digital cell phones. Desktop publishing and computers also evolved rapidly during our formative years. From electric typewriters we moved onto desktop computers that only provided non-online functions. Then we discovered Internet connectivity at local libraries, then dial-up Internet at home, then DSL, cable internet, wireless internet via laptop and now wireless internet anywhere via cell phone. The rapid development of changes in communication forced us to adapt quickly and move with current technology to conveniently stay in touch with friends and family. We learned to adapt in order to maneuver through the multitude of technological advances.

Generation X
While my Generation X friends are merely a few years older, I have found them to be considerably less comfortable with cellular phones, computers and the internet (including email) and they tend to use them less. They rely on the Internet less for communication and instead use it for less important activities like shopping, travel and entertainment. They seem less comfortable with online banking services like bill pay, and many still use paper checks. Most of my Generation X friends also keep a landline phone in addition to their cell phones, contrary to myself and other MTV generation friends that keep only a cellular phone line. Generation X friends have seemed more reluctant to trust online and wireless communications explicitly. While they have been willing to explore new communication technologies, they refuse to give up on the old, traditional and reliable communication methods they grew up with (land lines, handwritten communications, fax machines and snail mail).

Many of my Generation X friends have large numbers of friends, more than I could ever hope to amass in a lifetime. They often make time for frequent personal gatherings and truly value spending face-to-face time with their friends and families. By comparison, my MTV Generation peers and I seem to have less friends, usually with just a handful of very close friends, and we seldom make the time to gather in general, let alone in large groups.

Baby Boomer Generation

My baby boomer friends and family have been some of the best listeners I know. They are less judgmental and have always looked to help me to work through my problems or put things in a different perspective for me. They have offered suggestions and advice but not to the point of diminishing my problems, or making my experiences seem inconsequential. They usually make suggestions that are befitting of my lifestyle, personality and interests. The discussions I’ve had with my baby boomer friends and family have felt both meaningful and significant. We nearly always lose track of time in our lengthy, entertaining and fulfilling conversations.

While my baby boomer friends and family have mostly kept up with current technology (computers and cell phones), they are similar to Generation X in their preference to also maintain old methods of communication with fax lines, land lines and snail mail.

Silent Generation a.k.a. Traditionalists

My friends and family from the “Silent Generation” (a.k.a. "Traditionalists") tend to be more opinionated than my Baby Boomer and Generation X pals. Silent Generation friends and family sometimes seem more self-involved and perhaps a little less interested in listening to others. They tend to love sharing their own stories, which can be extremely interesting, but conversations can border on feeling one-sided at times if they run on for a while.

Silent Generation friends and family sometimes tend to diminish or entirely skip over my concerns or issues, especially when comparing them to their own experiences. When this happens, my discussions with Silent Generation pals have often felt lengthier to me. I have also noticed that Silent Generation friends and family often make suggestions or advise in ways that tend to be more befitting of how they personally would react or handle the situation.

However, at the same time, I’ve noticed that the Silent Generation has been the most devout to their family and friends. They have tended to bend over backwards for relatives and friends, and seem always willing to go the extra mile for them, often willing to drop everything to help someone they care about, even if it puts them at some risk.

For communications technologies, my Silent Generation friends and family have been the most open to learning new technologies. They use cell phones and computers, though they at times need help navigating them. Some have given up landlines, while others have not. Overall, they have been open to assistance, ask questions, and are willing to take classes.

Greatest Generation (a.k.a. G.I. Generation)
My Greatest Generation friends and family have been the most opinionated of all the generations I’ve interacted with. The have been strong willed, with viewpoints that cannot be swayed and are not afraid to say so. They know the value of money and spend it wisely. My Greatest Generation friends and family have been most generous with their time and extremely helpful to younger generations. They seldom ask for help, and are less willing to discuss personal matters which Baby Boomers, Generation X and MTV generation are more open with (i.e. medical conditions, wages, romantic relationships). I have found the Greatest Generation more willing to share advice or personal beliefs than personal information.

Unfortunately, most of my Greatest Generation friends and family are less savvy with current communication technologies. While some have cell phones and computers, few can use them well. Many times I’ve been hung up on while greatest generation family members have tried to maneuver through call waiting. A few I know have only an emergency pay-per-use cell phone (one that is not under contract.) Most of them keep using landlines in addition to cell phones, and rely on paper banking and handwritten communications.

Conclusion
Each generation has handled communication differently. Each generation’s approach is valuable in its own way. My Greatest Generation friends and family have taught me the value of being there for younger generations, for holding true to one’s beliefs and for being cautious with spending money. My Traditionalist friends and family have shown me the value of loyalty to loved ones, being willing to learn new things, and the importance of sharing stories with future generations. My Baby Boomer friends have taught me the importance of listening, of sharing new perspectives and being nonjudgmental. My Generation X friends have shown me the value in maintaining relationships and making time to gather with friends and family.

I am grateful for all of the intergenerational relationships I have had over my lifetime thus far. I shall look forward to maintaining current and building new intergenerational relationships as opportunities arise.

Reference:
List of Generations. (2009). Wikimedia Foundation Inc. Retrieved from: http://en.wikipedia.org/wiki/List_of_generations

All content © Village Memorial. 2009-2010.

Transitions: Retirement

Retirement is a difficult transition for seniors to adjust to. It is a stage of life in which most aspects of an individual’s life change. Income, social networks, social status, time management and sense of utility or purpose all change (Donovan, 2008). Thus, the transition into retirement requires personal adjustments on multiple levels.

According to retirement coach, Donovan (2008), the five main benefits one obtains through full time work: the paycheck, time management, sense of utility or purpose, status, socialization, are essential to recreate after retirement. “Part of the planning for a vital retirement involves finding replacements for each of these five benefits” (Donovan, 2008). Also affecting the adjustment into retirement life are “activities with friends and family, feelings about rest and tranquility, and activities that fill up free time” (Nussbaum, et. al., 2000, p. 123).

The unique part about retirement as a stage of life is that it lacks the vital elements and expectations that provide fulfillment during the other stages of life. According to Walker (1999):
Youth, adulthood, and old age fit us for the school, the workplace and retirement...But retirement, unlike school and workplace is not a place. It is not an activity like education or work, nor a role defined by the development of skills or exercise of competence, like that of a student or worker. Retirement is defined instead as the cessation of the adult role of worker (p.104).
Retirement is not a destination nor is it an achievement on its own. The cessation of expectations for growing, learning and working into later life can have negative effects on individuals.

As Bartky (1999) explains, “I have seen the effects of professional obsolescence on older men in my profession” (p. 63). When her dissertation adviser retired she says, “he died shortly after” (Bartky, 1999, p. 63).

As seniors transition into retirement, one must consider the “importance of an individual’s social network” (Nussbaum, et. al., 2000, p. 117). The people whom the individual feels close to or comfortable around during his working years are the same people he will wish to spend time with during retirement and this can be a problem “for elderly people, whose close social network may no longer be living” (Nussbaum, et. al., 2000, p. 118). Equally disrupting to the adjustment to retirement is the loss of one’s social network through a post-retirement move. Seniors often choose move to locations that provide a warmer climate, although “the adjustment to retirement is often made easier by the support of families and friends” (Nussbaum, et. al., 2000, p. 123). When one moves to a new community, one loses vital support networks and must build new friendship networks or face isolation (Nussbaum, et. al., 2000, p. 123). As individuals lose friends or acquaintances through retirement, relocation, or death, there is a risk of social isolation if the individual does not find new opportunities to meet people.

For couples, the transition into retirement is additionally complicated. Bloir (2007) describes how the adjustment of retired couples takes time. They will first experience a short honeymoon phase with things running smoothly. However, when reality sets in, the excitement will wane and as Bloir (2007) explains it, “many [couples] find they’re not quite as excited about the prospect of being a senior citizen or ‘stuck’ with each other.” Spouses might feel the other is getting in the way. Such issues are compounded when the retirement was not taken voluntarily. However, as couples take on new tasks, hobbies, and interests, Bloir (2007) insists that “communication is essential.” Bloir (2007) suggests that couples remain open and honest in a loving way, about “ideas, opinions, likes, and dislikes” because, “a few minutes of heated discussion is better than weeks of repressed anger and resentment.” Couples can survive the adjustment into retirement with considerate communication and by engaging in both common and separate interests that help generate a new sense of purpose and meaning.

Activities of leisure can open up new possibilities for interpersonal communication among retired seniors, hence assisting the adjustment to retirement life. Nussbaum, et. al. (2000) explores three activities of leisure that can be completely enriching interpersonal experiences: “television, playing poker, and learning about computers” (p. 119). Television provides individuals with current events to discuss. Poker provides a group environment in which the players can have ample opportunity to interact. “The entire context of the poker environment is social” (Nussbaum, et. al., 2000, p. 119). Computer courses allow additional opportunities for communication as individuals share information and help one another. Computer courses also give individuals a chance to discuss information with others outside their class. As Nussbaum, et. al. (2000) explains, their familiarity with computers gives them “practical skills and conversational skills…[that] can lead to intergenerational relationships” (p. 119). Plus, the improvement of seniors’ abilities in computer literacy can improve social status, allow seniors to “remain connected with their larger social development and to develop new relationships with those who have similar interests” (Nussbaum, et. al., 2000, p. 120). Thus, through activities that on the surface appear quite casual, seniors can find abundant opportunities to improve communications and find fulfillment during their post-working years.

Bartky, S. L. (1999). Unplanned Obsolescence: Some Reflections on Aging. In M. U. Walker (Ed.), Mother Time. Women, Aging, and Ethics. (pp. 61-74). Lanham: Rowman & Littlefield Publishers, Inc.

Bloir, K. (2007, October 8). "Honey, I'm Home!" - For Good: The Transition to Retirement. Ohio State University. Retrieved July 9, 2009, from http://ohioline.osu.edu/hyg-fact/5000/5159.html

Donovan, J. H. (2008, October 3). Coaching: Transition into retirement. Keys to success in the next part of your journey. BizTimes.com. Retrieved July 10, 2009 from: http://www.biztimes.com/news/2008/10/3/coaching-transition-into-retirement

Nussbaum, J. F., Pecchioni, L. L., Robinson, J. D., & Thompson T. L.. (2000). Communication and Aging. (2nd ed.). London: Lawrence Erlbaum Associates Publishers.

Walker, M. U. (1999). Getting Out of Line: Alternatives to Life As a Career. In M. U. Walker (Ed.), Mother Time. Women, Aging, and Ethics. (pp. 97-111). Lanham: Rowman & Littlefield Publishers, Inc.

All content © Village Memorial. 2009-2010.

The Whales of August

Having recently been catching up on the long, historic career of Bette Davis, I was looking forward to watching one of her last films, “The Whales of August.” In the film, Bette Davis and Lillian Gish play elderly sisters. Bette’s character, “Libby” is blind and her sister “Sarah” (Lillian Gish) cares for her and maintains the home they share.

This film shed a very positive light on aging. Seniors were depicted as independent and able to care for themselves. They helped each other instead of relying on younger friends, family or caregivers. I wish I saw more of this in television and advertising. The only other media depiction of seniors I’ve seen that comes close is the “Golden Girls” where the women support each other through life’s events. However, even one of the characters on the Golden Girls, (Sofia), is cared for by a younger, though senior aged, daughter.

“The Whales of August” depicts seniors as active (walking, cleaning, cooking, maintaining health and wellbeing, visiting friends, paining oil paintings and arranging flowers). The characters blend their past, present and futures in healthy ways as they hold onto and honor traditions, but still find enjoyment the present and find future events to look forward to.

What was also notably different in this film was the way the characters embraced aging. Blind Libby asks her sister if her hair was as white as a swan. When her sister says she believes it is, Libby comments that she’d always had beautiful hair. I cannot recall any film or media character embracing age so gracefully. The two sisters in the film also dressed up for company and took great pride in the care of their hair. They did not complain about their age, appearance, or life. While I do not see this as being realistic for many, as many people have real problems to contend with, I do see it as a model for enjoying life.

By not focusing on the negatives (not once does Libby complain she is blind or cannot see what others are discussing - photos, jewelry, flowers, ocean view), there is more time to focus on the positives or approach things a new way. For instance, blind Libby is able to feel the flowers, jewelry, or sunshine, and hear a description of the photographs. She even agrees to the installation of a picture window in their living room, though she won’t be able to see out of it herself. She comments on how nice the day feels by the warmth of the sun coming in through the window. Libby depicts a woman who is perfectly content with these filtered observations, and I imagine the lesson to viewers is to enjoy interacting with others regardless and not feel sorry for oneself.

Anderson, L. (Director), Berry, D. (Writer). (1987). The Whales of August. [DVD]. USA: MGM.


All content © Village Memorial 2009-2010.

Crone Energy: A Traveler

I met Mrs. S on a flight to Los Angeles last December. She was heading to visit her son and daughter-in-law for the holidays. As retired widow, Mrs. S spent much of her free time traveling. She’d been to more countries than I can recall, but listed some in Africa, Europe, Asia and South America, just to name a few. Her last trip had been to take her granddaughter on a cruise to the Netherlands. (She made a point to take one of her children or grandchildren on nearly each of the trips she made.) Although, she usually traveled with friends. Their rule was to go to as many countries as possible and whenever someone asked why they'd gone someplace unusual, they replied, “Because we’ve been everywhere else.”

Besides travel, Mrs. S’s calendar was full with activities and personal hobbies:
  • She was in the process of building a large family historical cookbook database.
  • Refusing to watch commercials, she recorded all her favorite television programs on TiVo so she could watch them later and forward through the ads.
  • She was also working on filling up her new Ipod with music – a free gift she got from opening a new account at her bank.
  • She was a speed-reader and could read several books in one sitting.
  • She used a travel points credit card and got many of her flights for free (including the one I met her on.)
  • She loved to cook, but as she lived alone, she made use of the large meals by breaking them into smaller portions and freezing them for later meals.
  • She ran a birthday club in her hometown.
  • On top of all this she made time to meet friends and dine, attend musicals or plays, films and concerts.
Mrs. S was truly an inspiration to me. She was more vital and active than most younger people I know. She maintained close relationships, good health, hobbies, and still found time to travel. She was intellectual, clever and kept up with current technology, including making the most of financial rewards and incentives programs. I can only aspire to be as well rounded as Mrs. S. She is a role model for life in general as well as an inspiration for living when I reach her age. I can only hope that I will find myself as well balanced and vital as her when I am in my 80’s.

All content © Village Memorial. 2009-2010.

Musings on Growing Older


Valerie Harper (2001) opens her book with some American perceptions on aging and women’s beauty. She mentions the invisible “shelf life” on women in the media as “ageism is practiced by the networks” to the point of being unrealistic. “If life imitated television…mom would be thirty, and grandma would be thirty-three” (p. 10-11).

Harper mentions a couple positive ways in which American beauty standards have changed over the last few decades. “Flight attendants now look like America,” Harper says, as they are no longer bound to 1940’s era rules of being “single, female, white, under age twenty-seven, between 105 and 125 pounds, and between 5 feet 2 inches and 5 feet seven inches” (p. 24). Sizes of dresses for women have also lowered. What used to be a size 10 is currently a size 8 or 6.

Harper touches on the extremes women go through to maintain beauty (hot waxing, breast implants, lip plumping), and the ridiculousness of dieting (diet fibs, beating oneself up mentally, and diet fads). She easily sums up the mind of many dieters when she says, “many of us think of food in one of two ways. It’s either legal (a lettuce leaf) or illegal (a brownie)” (p. 84). She makes a personal realization of overeating, “I…came to the understanding that the problems I once had with food were not merely about food Eating was a way of trying to fill up the emptiness, to provide comfort” (p. 88).

Harper moves on to role models for women. She mentions FLASH (“a senior woman’s hockey team in Chicago”), Gloria Steinem’s first marriage at the age of 66, and actress Ruth Gordon’s remarkable attitude on growing older (p. 95). Ruth once told Valerie, “I made a decision…that I could get old, or I could get older. That was my choice. I didn’t have the choice to stay young. I decided to get older instead of getting old. Because old is a destination. Older is a process and a path” (p. 95-96). Harper also quotes actress Sophia Loren, “There is a fountain of youth. It is your mind, your talents, the creativity you bring to your life and the lives of the people you love. When you learn to tap this source, you will truly have defeated age” (p. 155).

Harper also explores the power of positive thinking with her chapter on “humor replacement therapy.” Humor has been shown to reduce stress, raise your pain threshold, and boost your immune system. In one study, people listening to twenty minutes of [comedienne] Lily Tomlin doing her telephone operator routine were much less sensitive to pain than those listening to an academic lecture” (p. 132). She points out some favorite comics she follows online “MinniePauz.com”(p. 139) and leads out of her book with some additional encouragement. “Wouldn’t it be great if we didn’t care so much what other people thought of us?” (p.144) “Wouldn’t it be great if looking good wasn’t tied up with looking young?” (p. 144).
-----
Always curious on new attitudes on aging, I was interested in to read actress Valerie Harper’s views as she entered her sixties. This book focuses on the positives of life and aging, of looking at life in a more confident way, and not putting oneself down. It lightheartedly addresses some of the darker or more comical things in our American beauty standards, but without putting people down who engage in such practices. It asks questions without accusing and reminds me a great deal of author/poet Judith Viorst’s poems on aging which approach aging with a touch of humor that is more positive than negative.

Harper, V. (2001). Today I am a Ma’am, And Other Musings on Life, Beauty, and Growing Older. New York: Cliff Street Books.

All content © Village Memorial. 2009-2010.

Seniors & Communication - 4 Important Issues

Medical Needs Must Be Communicated
Mr. S., an artist in his 80s, kept communicating to a friend a plaguing pain he was dealing with. Although Mr. S had seen his doctor for other issues he only communicated his current problem to a close friend, never his doctor. Finally, when he became too ill to ignore his problems, he went to ER and it turned out that he had an advanced stage of prostate cancer. Had Mr. S. communicated to his physician earlier of the pain he was experiencing his condition might have been curable.

When seniors do not communicate their issues and concerns to the health professionals treating them, they do not get the proper care they need. This results in less productive office visits, which in turn would likely end up costing them more (financially and health wise) as they might require additional follow up appointments to diagnose problems and if a condition were serious it might not be as treatable upon later diagnosis.


Physical Impairments Preventing Communication = Depression
The National Institute of Mental Health has proved the “relationship between hearing loss and depression” due to the social isolation the impairment causes. Additionally, I would add another couple impairments to this list: walking and writing.

Mrs. R, a good friend and elderly neighbor in her late 70’s, fell on pavement. Her fall resulted in a break of her right wrist and hip. She discontinued writing letters (because of her broken wrist) and shopping, eating out, or getting together with friends (because her walking was impaired by the accident.) It was even a chore for her to walk to answer her telephone. Although her body seemed to have healed several months later, she never returned to writing friends and family from out of state, she seldom answered telephone calls, and she gave up walking to do her own errands (shopping, bank, Laundromat). A once vital and independent person became socially withdrawn and very depressed once she no longer was able to communicate and perform the tasks she once had.

Lack of Communication With Regard to Government Benefits/Programs
It has been proven that “many retirees are not receiving an appropriate level of care or are ending up in nursing homes because they don’t know about services that would have allowed them to remain independent.” On the flip side of this, some seniors might not even be aware of programs or services that can help them afford retirement/assisted living homes, by significantly reducing their financial burden.

Mr. P, a WWII vet who recently moved into a retirement home, found he could benefit from Veteran’s Assistance when he was choosing his retirement home. The small 1-bedroom apartment in the transitional retirement to assisted living facility would have cost he and his wife $4,000 a month. However, because the home communicated the veteran’s discount to him, and provided him the necessary paperwork to fill out, he was able to register for a discount program that cut his monthly rent at the retirement home by 50%. For his $4,000 rental, he pays $2,000. For seniors living on fixed incomes, a financial saving of this proportion is crucial.

Senior Suicides and Mental Health Issues
It was most startling to learn of the number of suicides that take place among the senior population. While their percent of the population is just at 13.7%, they still make up “at least 25-30 percent of all successful suicides.” It is interesting and disturbing, how few senior suicides are brought to the attention of the public. Most news sources focus on suicides up through middle-aged adults. I actually cannot recall having heard of senior suicides before, other than in cases of the terminally ill where the individual chose when to end their life and suffering. This fact is one that should be communicated to society more widely. Without proper knowledge of issues such as senior addictions, senior mental health impairments and senior suicide rates, less attention is being paid to the very individuals who would benefit from the attention most.


All content © Village Memorial. 2009-2010.

Bad Marketing to Seniors

Walker discusses advertising campaigns that include what he describes as “Hilarious Old People.” He recalls the lovable Clara from the “Where’s the Beef?” commercials, and notes that the amusing elder archetype has been in low demand in recent years. He believes this might be related to the growing number of “mature consumers who happen to have money to spend and don’t think of themselves as (barely) living punch lines” (Walker, 2003).

Walker then focuses in detail on two commercials produced by “Boost Mobile.” Both commercials use minority Americans speaking slang. Both commercials are followed with the condescending tagline: “Designed for young people. But it’s just more fun showing old people.” Walker explains, “These ads are saying: ‘Oh, stop feeling guilty and just admit it: Old people are funny!’"

I was interested in Walker’s piece because as an infrequent watcher of television, I recently witnessed some stereotypical jokes and comments on seniors that took place on an episode of the 1974 series “Rhoda”. On episode 10 of season 1, title character “Rhoda” and her new husband “Joe” are given the gift of a honeymoon cruise. The comedic part is that the cruise also happens to be hosting a senior citizens convention.

Some of the ageist jokes at the expense of seniors included:
• An emcee addressing the cruise crowd as: “Ladies and Geritol – and there’s plenty of it in this room.”
• An onboard doctor who quips that the boat should have a red cross painted on the side of it. (He even takes anyone’s pulse that he finds sleeping, because he never knows.)
• A convention workshop on Polydent.
• A senior lady whose line gets loud audience laughs when she tells 30-something aged “Joe” during a dance: “Let me know if you get tired.”

Sadly, as Walker’s article on seniors in advertising highlights, seniors have not come very far in their depictions on screen. However, Walker is inaccurate in his claim that this is a returning phenomena, which implies that it stopped or slowed. Seniors have continued (if we begin counting forward from this 1974 episode) for over 3 decades to be portrayed as comedic archetypes. Though, I would like to make note of the fact that I clearly recall senior comedic archetypes appearing as far back as in 1950's episodes of "I Love Lucy."

It is difficult to believe this trend of “hilarious old people” continues when one considers how many boomers are set to become seniors over the next couple of decades. Only the companies with the highest integrity, offering consumers the best value for their money, delivering fantastic and engaging storytelling will successfully grab the senior market.

Walker, R. (2003). The Return of Hilarious Old People. Ads That Make Fun of the Elderly. Slate Magazine. Retrieved from: http://www.slate.com/id/2083463/

Rafkin, A. (Director), Banta, G. (Writer), Nardo, P. (Writer), Burns, A., (Creator), Brooks, J. L. (Creator). (1974). Rhoda: Season One. [DVD]. USA: Shout Factory.

All content © Village Memorial. 2009-2010.

Library Services for Seniors

The Washington Country Library System in Oregon offers a service called “Homebound: Books-by-Mail Service.” Their website states: “For homebound, elderly and disabled people, a good book can be as important as a good friend.” Through this free program patrons are mailed “large print, standard print, books-on-tape, magazines, cassettes and videos” with a return postage label.

One patron who commented on the service said, “Thank you for the kindness you always showed to my mother... You took the time to listen to her. She looked forward to the books and movies, but more than that she knew she could call you and you would treat her like a person that mattered.” Many other patrons who reviewed this service thanked the library for their kindness, for prompt responses to requests and for the improvement in their quality of life.

The library is listening to senior/disabled patrons, fulfilling their requests and paying attention to their specific needs by offering media in appropriate formats (i.e. large print or audio). This service has opened a door for the homebound elderly and disabled to enjoy reading, hearing or viewing books and media they value.

Reference:
http://www.wccls.org/library_services/homebound/index.html

All content © Village Memorial. 2009-2010.

Reviews: PERS (Personal Emergency Response System)

A friend recently purchased a medical alert system (or Personal Emergency Response System – PERS) for her grandmother. She made her decision by the monthly cost and equipment fees.

Fate Care reviewed 8 companies (AlarmCare, AlertOne, Life Alert, LifeCall (aka Connect America), LifeLine, LifeLink, LifeStation and MedScope America and chose 3 based on overall costs and service contract lengths. VIEW THE FULL REPORT HERE.

LifeStation offers
• $29.95 Monthly Fee
• NO contract
• NO set up or installation fees
• Large customer base (1,600,000 customers)
• 30-Day Trial

AlertOne offers
• $29.95 Monthly Fee
• NO contract
• NO set up or installation fees
• Free Equipment (present sale offers $80 worth of equipment for free)
• 30-Day Trial

LifeLink offers
• NO monthly service fee
• NO contract
• A one-time set up & equipment charge of $199 (present sale is $199, usually costs $289)

This report was generated on July 20, 2009.
FateCare.com is not affiliated with any of the above companies, nor does it endorse these companies.
Need more information to help make a decision?
VIEW THE FULL REPORT HERE.

All content © Village Memorial. 2009-2010.

Age Limits in Golf

With all of the excitement following Tom Watson’s last chance (at age 59) to win at the British Open (that restricts players age 60+) last weekend, FateCare decided to investigate what sounded like an incredibly ageist agenda.

FateCare looked at three specific questions 1) are age limits in golf common, 2) what are the health benefits to playing golf, and 3) is golf any less beneficial or even dangerous to senior players?

1. Age limits in golf are not common.


• “The British Open is the only major that sets an age limit for its champions” (Ferguson, 2009).
• Augusta National “announced an age limit of 65 this decade” (Ferguson, 2009), but never imposed the limit.
• The Masters lets players decide when to stop. (Ferguson, 2009)
• The PGA Championship claims no limit, but seldom has “champions over 50 compete” (Ferguson, 2009).

2. Golf promotes several health benefits.

• Golf requires cardiovascular exercise that promotes a healthier heart and lower cholesterol (Think-Golf, 2006). If a player walks, instead of using a golf cart, he can end up walking “several miles around the course” which can be up to 3 to 5 miles of walking in an 18-hole game. (GoGolfNW.com, 2009).

• The weight bearing exercises associated with golf, when practiced “two to three times a week can create long, lean muscle mass, which helps support a strong skeleton” (Think-Golf, 2006). The swinging of clubs and putting “help tone muscles in the arms, back and shoulders. It may also improve flexibility and range of motion. Golf also helps to strengthen hand-eye coordination and balance. It can be a great way for older players to remain spry and active in a low-impact way” (GoGolfNW.com, 2009).

• Vitamin D is produced when one spends time out in the sunshine. “Vitamin [D] is essential for strong bones, it regulates the amount of calcium and phosphorus in the blood. Vitamin D also helps regulate the growth of skin cells” (Think-Golf, 2006).

• Golf also allows players to engage in social interaction “spending time with friends and other players and engaging in conversation” (GoGolfNW.com, 2009).

• Golf is also useful in behavioral therapy of Alzheimer's patients. By giving Alzheimer's patients "an activity that once brought about true pleasure...their minds can clear, and memories related to that activity can return" (Futterman, 2009). Activities like golf have proven "helpful in both making people with dementia feel competent and generating periods of lucidity" (Futterman, 2009).

3. Golf is less beneficial to seniors in Vitamin D production and creates risk for injuries if participation is unsafe.

“Studies have shown that as we age, we tend to produce less vitamin D even with adequate sun exposure” (Benefits of Vitamin D, 2009), further supporting the need for supplementation. Vitamin D plays a key role in human longevity “the risk of death from all-cause mortality may increase by 26 percent due to inadequate vitamin D” (Archives of Internal Medicine, 2008).

Golf can be of risk to seniors when participation is unsafe.
Although playing golf provides a moderate intensity exercise stimulus for seniors, musculoskeletal injuries can also result from unsafe participation, as can the aggravation of pre-existing musculoskeletal problems. Strategies for targeted management of the senior golfer's typical concerns are summarized into 4 categories consisting of: injury rehabilitation coordinated by therapists, warm up routines; club-fitting/coaching on proper technique, and pre-season conditioning programs. (Cann, et. al., 2005).
Summary

Golf is beneficial and safe for seniors when played according to proper techniques. Of course before beginning with any new physical activity program, one should consult with their physician first.

Reference:
Cann AP, Vandervoort AA and Lindsay DM. (2005). Graduate Program in Rehabilitation Sciences. University of Western Ontario. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/16386170

Explore the Health Benefits of Golf. (2009, June 29.) GoGolfNW.com. Retrieved from: http://www.gogolfnw.com/stories/2009/jun/29/explore-health-benefits-golf/

Ferguson, D. (2009, July 20). British Open age limits could bar Tom Watson after 2010. Detroit Free Press. Retrieved from: http://www.freep.com/article/20090720/SPORTS15/90720037/-1/RSS07

Five Health Benefits of Golf. (2006, Nov. 22). Think-golf.info. Retrieved from:
http://www.think-golf.info/archives/87/five-health-benefits-of-golf/

Futterman, M. (2009, Apr. 16). Memories Slip, but Golf Is Forever. Alzheimer's Patients Perk Up On Outings to the Greens. The Wall Street Journal. Retrieved from: http://online.wsj.com/article/SB123914598587898813.html

Healthy Heart Beats. (2008). Department of Food Science and Human Nutrition. Colorado State University. Retrieved from: http://www.ext.colostate.edu/pubs/healthyheart/0810-12a.html#vitd

The Benefits of Vitamin D. (2009, Apr. 15). Health.learninginfo.org. Retrieved from: http://health.learninginfo.org/benefits_vitamind.htm

All content © Village Memorial. 2009-2010.

Crone Energy: A Blogger

When I think of a crone energy role model who has benefited from her great communication skills, I could think of none other than the ‘blogging granny,’ as she was nicknamed. María Amelia López Soliño dubbed “the world’s oldest blogger,” was 95 when she began her blog in December of 2006. Her blog, set up as a gift from her grandson, quickly became her treasured hobby as she communicated with readers around the world. From Muxia, Spain, “her blog, at amis95.blogspot.com, became a global hit, notching up more than 1.5 million visits” (Kendall, 2009).

Being able to communicate with the world was a life changing experience for Soliño. She explained, “My grandson gave me a present, this blog when I was 95 years old … and my life changed … now, I can communicate and interact with the world” (Kendall, 2009). She described the Internet as "a whole new universe," comparing blogging to “having a conversation, and those who read what I say become my friends" (Burnett, 2007).

Soliño used her blog to communicate lighthearted “humour, warmth, optimism [and] nostalgia” (Tremlett, 2007), and “touched on many aspects of her long life, from political memories of the Franco era to intimate musings on her increasingly fragile state of health.” (Olive Press, 2009).
Soliño also used her blog to comment on important issues related to aging and seniors’ rights. She joined “Facebook to…set up a group…to defend the rights of the elderly” (News Bizarre, 2009). She also discussed her opposition to retirement and assisted living homes, which she criticized “for drugging their clients so they spend their final days snoozing quietly in front of the television” (Tremlett, 2007). While she said she blamed the children of the elderly for not personally helping their parents, she also blamed the retirement homes themselves for their "do-nothing and wait-to-die" (Tremlett, 2007) culture and the lack of Internet provided to older people (Tremlett, 2007). Soliño said, the "Internet has given me a new lease of life, but I don't see any old people's homes offering their residents Internet" (Tremlett, 2007). Soliño believed and preached that seniors needed to use the Internet saying, "Elderly people like me - and there are a lot of old people who are younger than I am - should all have someone who shows them how to use the Internet…You have to stay informed" (Burnett, 2007).

When Soliño received criticism from the other seniors in Spain who opposed her blog, she did not shy away but wittily addressed it. "To all the little old women in Spain, and those who think that I am not well [in the head] … This old woman is on her own right now, but she is chatting on the internet and having a fantastic time" (Guardian, 2009).

Soliño’s blog gained worldwide respect. Although “much of her traffic comes from Spain and Latin America, … newspaper and television interviews, …[and] YouTube links given on her blog, have spread her name beyond the Spanish-speaking world” (Tremlett, 2007). Posts came in from “fans in Alaska, Australia, China…Nigeria” (Tremlett, 2007), “Chile, Venezuela, Russia, and Japan” (Burnett, 2007). She also received national attention from Spanish Prime Minister José Luis Rodríguez Zapatero, whom she was eventually granted a meeting with. “A letter from his office is one of many documents that she has posted on the website. ‘May you keep going with this for a long time,’ the prime minister told her” (Tremlett, 2007).

Soliño successfully kept her hobby going by communicating with others in her life. Due to the impairment of her vision by cataracts (News Bizarre, 2009), she would dictate her blogs to her grandson Daniel (Burnett, 2007). “When Daniel is not to hand, other assistants pop up on her blog, be they friends or hotel cleaners in Brazil” (Tremlett, 2007). Soliño did her best to reply to as many people as she could, but noted, “So many people write to me that I can't hope to reply to them all, though I want to" (Tremlett, 2007).

Soliño not only used the Internet to communicate with others, but she also made use of the Internet for her own personal entertainment and information. She liked “to read online newspapers…and stay up-to-date with medical and scientific advances” (Tremlett, 2007). Oftentimes she had her grandson print out pages in larger type for her. “He prints out biographies and news articles from the Web for her to read, as well as responses to her blog…she says she tires quickly of reading text on a computer screen” (Burnett, 2007).

Soliño found fulfillment in her communications over the web, highlighting how beneficial Internet communications could be for seniors. “She wrote frequently of the benefits of the online community she had created” (Kendall, 2009). She blogged once that the Internet “took 10 years off my life...the Internet makes me feel less lonely" (Burnett, 2007). She later wrote, "It took 20 years off my life…my bloggers are the joy of my life" (Associated Press, 2009). In February 2009 she said, "When I'm on the internet, I forget about my illness. The distraction is good for you – being able to communicate with people. It wakes up the brain, and gives you great strength" (Kendall, 2009).

Soliño’s savvy communication skills led to her success as a blogging senior, bringing worldwide attention to seniors’ issues and illustrating the benefits of Internet communications for seniors. Her communications with friends and family also allowed her to function fully as visually impaired blogger. Through blogging, Soliño found solace, friendship and was able to live a fulfilling life. Soliño once said, “I've had 1,570,784 visits from bloggers from 5 continents who have cheered up my old age" (Reuters, 2009). Soliño is true inspiration to all. She illustrates how fulfilling communication is at any age. Soliño also said, “You have to live life…not sit around in an armchair waiting for death" (Guardian, 2007). Soliño did just that until her passing on May 20, 2009.


All content © Village Memorial. 2009-2010.

Crone Energy: Mary Higgins Clark

After reading the intriguing memoir “Kitchen Privileges” by Mary Higgins Clark, I was inspired by this prolific writer who overcame the odds and exhaustion of single motherhood (as a widow) and still made time to rise at 5am each morning to work on her writing, before getting her five children off to school, and heading off to her job.

Considering Mrs. Clark’s wide success in spite of her challenges and the fact that since age 63 she has published over 50 books, it seemed appropriate to choose her as a role model of crone energy.

Mrs. Clark's “books are world-wide bestsellers. In the U.S. alone, her books have sold over 80 million copies” (MaryHigginsClark.com, 2009). Although her specialty is suspense novels, she started out with short stories and has written a biographical novel “Mount Vernon Love Story” and co-authored three books with her daughter and fellow writer Carol Higgins Clark.

At age 81, Mrs. Clark has just published another novel in April of this year called “Just Take My Heart”. A dedicated woman with an unmatched determination to write, Mrs. Clark is definitely a role model for any writer.

Reference:
About Mary Higgins Clark. (2009). Retrieved from: ttp://www.maryhigginsclark.com/mary_higgins_clark.php

Photo Reference:
Coggins, M. (2009). MaryHigginsClark.jpg. Wikimedia Commons. Retrieved from: http://commons.wikimedia.org/wiki/File:MaryHigginsClark.jpg

All content © Village Memorial. 2009-2010.