Tuesday, February 15, 2011

Is 60 the New 40?

 
McClatchy Tribune Newspapers

It's just a word, really, but it conjures up all kinds of stereotypes and not-so-pleasant images: "Elderly."

But what it meant to the Greatest Generation doesn't hold for their offspring, the baby boomers.

And they are the first to tell you that.

"Most of us hear the word and think of our parents in wheelchairs," said Marcella Lorfing, who teaches a memoir writing workshop at the Davis Art Center in California. "Now that was elderly."

After a recent Sacramento Bee story described a 60-year-old woman as elderly, one 60-year-old reader called to complain. "What's up with you guys," she asked, "don't you know that's just plain wrong?"

And the statistics, not to mention a cultural shift in attitude in how aging is viewed, back her up.

Those in the 60-and-older crowd are living longer and healthier lives than their parents by adhering to today's doctrines of diet and keeping the mind and body active.

So what is the new elderly?

The consensus seems to be that 60 is the new 40. Or at least a 40 with far different pressures and responsibilities. If not retired, then working with less pressure. The kids are grown and gone. And there's just more time to do fun stuff.

There is no more irony in the Golden Years. They are plenty golden for more and more people.

New notions of what constitutes the elderly focus more on age ranges in the 80s and 90s. Yet even then, it's relative.

Several members of Lorfing's class gave this definition: Whatever your age, be it 55 or 85, add 15 and that's old. And don't forget to adjust that number yearly.

Proof that people are living longer and enjoying extended active years is in the numbers provided by the California Department of Aging.

In California, the elderly age group (defined by the department as those 60 and older) is expected to grow more than twice as fast as the total population between 1990 and 2020, according to the department's Web site.

So baby boomers are still booming, and the projections look good.

"We're all living longer. Seniors are healthy, they're working longer," said Pat McVicar, assistant director with the local Area Agency on Aging in California. "Most of the time, they don't consider themselves as seniors."

Bag the "elderly" tag, she said - the preferred terminology these days is "seniors" or "older adults." Like other experts, McVicar attributes the extended longevity to better knowledge and acceptance of the role of a proper diet and regular exercise.

And, perhaps most important of all, the wonders of life-prolonging and life-enhancing modern medicine that weren't available to earlier generations.

The Area Agency on Aging, which provides mental health and legal services, spends more of its budget on those 75 and older, its prime target population. Less is allocated for those in their 60s.


The evidence suggests that people not only are living longer but are staying young longer.

Lorfing and her writing class describe their retirement years as their second chance to do what they couldn't do when they were tied to jobs. They now find new meaning in new activities.

And at their workshop meetings, where the students are anywhere from their 60s to their 90s, it's a firing range of opinions.

"Being exposed to and finding something new to do keeps me going, and it's therapeutic," said Lorfing. "That's true for us all, any seniors."

Ernest, 63, is a Sacramento optometrist who in his spare time runs, and runs far. He recently ran in the Cowtown Marathon, completing those 26.2 fun miles in 3 hours, 29 minutes.

"Age is relative," said Takahashi. "When I was younger, I used to think that 50 was really old, but now, I'm physically fit and doing fine."

He said he owes his health to eating right and exercise. He runs between two and 50 miles on a given day and hasn't missed a day in 20 years.

"I've found that running is a good way to keep weight off and release stress," he said.

"It's never too late for anyone to start doing something to keep fit ... and for me, it's still a great feeling when I'm in a race and I see someone younger than me and I think, 'I can pass them.' "

Takahashi is one of many active seniors in the Sacramento area.

The Davis program taught by Lorfing, for example, is so popular that it is at capacity. It is connected with the nationwide Osher Lifelong Learning program and UC Davis.

The program, according to Lorfing, is beyond "learning how to knit." Instead, the program offers "intellectual entertainment."

Lorfing is retired from a career in teaching and writing and now helps older adults to write part of their life stories.

Barbara was writing about the Elvis concert she missed in her memoir, titled "Still Wishing for Elvis." Larry was expanding on his travels as a scientist in India in his "I Said 'Yes!' He Said 'No!'"

"I interact with people in their 80s and 90s, and they are active and their minds are alert," said Lorfing. "I'm pushing 70 myself, and when I think of my mother in her 70s, she was on her deathbed."

The classes have what Lorfing calls a "college feel." Everyone is around the same age and shares a connectedness about their past. It makes for a good setting to shoot the bull.

"The word 'elderly' has such a stigma," said Lorfing. "When I think of seniors ... I want to tell them to get up and go out" if they are healthy.

Cris, 66, of Woodland is one of Lorfing's students. He is retired and wanted to make sure he recorded some of his family history.

He also wanted to share his story of what it was like growing up in Marysville during the '40s and '50s as well as experiencing San Francisco's Haight Ashbury in the '60s.

In his free time, he drives the Community Care Car in Woodland, helping seniors who are not able to drive.

He said he doesn't feel his age nor does he look at his peers and think of them as "old."

"It's all in the eye of the beholder," Gray said. "And to me, this is the prime of life."

Tuesday, February 8, 2011

Assisted Living Facilities: 11 Things To Ask Yourself Before Moving In


Moving Into An Assisted Living Facility Is A Life-changing Experience. Any senior who is considering such a move will probably feel a bit hesitant and more than likely have more than a few questions. The first course of action is to become fully informed about the assisted living lifestyle so you can make an educated decision.


11 things to ask yourself before making the life changing step of moving
into an Assisted Living Facility.

1. Is the Assisted Living lifestyle A Right Fit For Me? An assisted living residence is a special combination of housing, personalized supportive services and health care designed to meet the needs — both scheduled and unscheduled — of those who need help with activities of daily living. Assisted living covers a wide variety of needs and can work for just about anyone. Right now it is estimated that more than a million Americans live in approximately 20,000 assisted living facilities. And no two of them are alike. Some residents need some help cooking for themselves, or taking daily medication. This can be a concern for their family while they love and worry about them; assisted living is a perfect solution for you both. While other residents move to a facility just to enjoy the social life!

2. What Kind of Services Can I count on At an Assisted Living Facility? Everyone is different and has different needs, so no two residents will have the same needs. However, your specific needs will be met. When you meet with the facility in advance let them know your needs and they will inform you of what they can and can’t do for you. Chances are your day to day needs will be no problem.

Services provided in assisted living residences usually include:

• Three meals a day served in a common dining area
• Housekeeping services
• Transportation
• Assistance with eating, bathing, dressing, toileting and walking
• Access to health and medical services
• 24-hour security and staff availability
• Emergency call systems for each resident’ s unit
• Health promotion and exercise programs
• Medication management
• Personal laundry services
• Social and recreational activities

3. Are The Activities At An Assisted Living Facility Fun? Yes, assisted living can and will be FUN! Most facilities offer a wide variety of activities to fit the personal preference of all their guests. Everything from movies, fishing and shopping to enjoying the great outdoors and having a cocktail at the bar! There’s something for everyone to enjoy.

All activities are designed to enhance and encourage each resident’s independence, special needs and enjoyment. Some of the activities that are offered are:

Day trips and outings
Educational Seminars
Daily exercise program
Fellowship and inter-faith programs
Wide range of entertainment
Arts and Crafts

4. What About My Privacy At An Assisted Living Facility? A main concern of new residents is whether or not they will retain their privacy. But not to worry, assisted living centers pay a great deal of attention to your privacy wants and needs. Unlike a nursing home or a skilled nursing facility, which is quite a bit less private, assisted living gives you all the privacy you require, whether it be to sit alone and enjoy a good book or visit with a loved one.

5. What Should I pack when Moving Into An Assisted Living Facility? Packing for you move is very important, but what you need to bring heavily depends on the senior center you select. Some offer fully furnished rooms, where others you’ll have to provide yourself with any furniture you’d like. Visit the room in advance and make sure it suits your needs. Stop by the apartment you’ll be moving into and take a look around, what is provided, what will you need, take some measurements so you’ll know what fits and what doesn’t. Be sure to ask if you can paint the walls your favorite color and many times they will do one wall for free.

6. Assisted Living Facility have interesting terminologies for services, for example, what are ADL’s And IADL’s? These are two abbreviations you may start to hear about a lot while doing your research and visit different locations. They both refer to the kinds of needs seniors typically have, and what kind of day to day care they will need when they move into the Assisted Living Center. ADL’s are Activities of Daily Living, such as bathing, dressing and eating. IADL’s are Instrumental Activities of Daily Living, such as paying bills, cleaning, and doing laundry. These activities, by nature, are less time sensitive.

7. Location Is Very Important When Considering An Assisted Living Facility! Make sure you are picking a location you are happy with. Think about what’s most important to you to have nearby. Some may want to visit somewhere new and enjoy a new and exciting atmosphere. For example, assisted living in the San Francisco Bay Area can offer you some amazingly beautiful landscapes to enjoy, fishing, shopping, and the general peace and beauty of the great California outdoors! However most feel that there is no place like home and wants to have their family and friends nearby. So if your family is in the San Francisco area you’ve really hit the jackpot! The best thing for you to do is check out the surrounding towns and cities, your family will want to visit you and you want to make sure there are places to stay nearby and fun things to do together!

8. Sometimes There’s An Emotional Transition Moving Into An Assisted Living Facility: Chances are you will eventually be very pleased with your decision to move into assisted living Center, the beginning transition can be a struggle for some. When you first arrive you may not know anyone, or just a few, but remember that everyone there once went through something very similar to what you are going through now. These people are your allies and can bring a sense of understanding and compassion to the new situation. They can help you adjust for your new life living at an Assisted Living Center. You may feel compelled to stay in your room and keep to yourself, however getting out and making new friends and getting involved will make the transition much smoother and is said to be the very best way to assimilate into your new home.

9. Who Pays The Assisted Living Facility Monthly Bill? Most Assisted Living Centers are privately owned businesses, so in most cases the senior residents will be paying the bill out of their own savings, retirement or long term health insurance. Residents and their families typically pay the entire, or at least the bulk, of the assisted living expenses themselves. However, before you start paying the bills out of your own pocket, don’t forget to check your health insurance long term care policy, some or all costs may be reimbursed. Unfortunately, there has been very limited government aid for assisted living, so you should look to your insurance coverage for financial assistance.

10. Is the Assisted Living Facility Family Owned or Corporate owned? Corporate owned Assisted Living Centers sometime are out to please the stock holders and can take awhile to implement needed changes. A family owned Assisted Living Center can tend to be much quicker to implement needed changes and the owners are usually assessable to the residents so you get to speak to the top if there are issues or concerns.

11. You Become What You Think About All Day: It’s important to stay positive and upbeat during the decision making and moving process, for both the individual and immediate family and friends. It can be difficult at times, even a bit emotional to let go of your home and some possessions you’ve enjoyed through-out the years. Giving up some of your independence and admitting you may need a little help can be a challenge for some. But don’t focus on the things you are letting go of, instead think of all the new opportunity there is to do all the things you really enjoy doing. No more cleaning the kitchen or having to do the laundry. No more taking the trash out or fixing a sub-par meal. You’ll be eating three square meals a day with new friends and perhaps a great movie or some live entertainment afterwards. This is a new adventure you’re embarking on! You may be pleasantly surprised how much you’ll have in common with your new neighbors and friends.

Can Meditation Increase Your Pain Tolerance?

One scientist from the University of Montreal seems to think so. When performing a study on long-time Zen meditators, Joshua Grant and his colleagues discovered that their tolerance for pain far outweighed the tolerance of the subjects in the control group. This was a result of the thicker layer of gray matter in the area of the brain that processes pain sensory, most likely the result of sustained activity of the brain – much like working out a muscle. Not only does old age work against the thickness of gray matter, but also the lack of mental activity for those in their middle ages. Therefore, seniors who are consistently doing things like meditation, crossword puzzles and other “thinking games,” have improved memory and mental capacities.

According to a study conducted in 2008 by a team from Harvard Medical School, additional benefits of daily meditation include lower stress levels, eased blood pressure and added cell protection from aging.

Therefore, try adding meditation to your daily to do list. Whether it’s an exhilarating AM wake-up call or much needed time to unwind, meditation offers irreplaceable health advantages. Not to mention, it is also a nice bonding experience for you and an elderly loved one.

Friday, February 4, 2011

The Benefits of Walking


Walking is one of the simplest exercises that you can do. Many don’t think of walking as an exercise because they do it all the time.  After all, they’re just walking.  However, walking can become your favorite fitness program. Walking is an easy exercise program to start, which makes it the perfect choice for people over 40.  Walking is one of those exercises that almost everyone, no matter their fitness level, can do and get great results.

New reports say that to maintain a healthy level of fitness as we grow older, daily activity must include 60 minutes of physical activity. This can be a frightening thought if you’ve been sedentary for a good number of years.  Many people have the misconception that unless you are sweating like crazy during a workout, you are not going to see any benefit from exercise. That couldn’t be farther from the truth.

For seniors, walking is an exercise that can grow with you as you increase your activity level. Your walking program may begin with a Sunday stroll in the park, but then your walking workout will grow and have a purpose – to get fit.

Here are a few benefits of walking:
  • Improved cardiovascular endurance
  • Proper posture
  • Improved mood
  • Weight loss
  • Improved sleep
  • Increased muscle tone
Walking can be done most anywhere and at just about any time. You may want to begin in a mall with other early morning walkers.  There may be a track at your local high school or university.  You can go out in the rain or cold as long as you wear proper gear and walk flat paths for safety.  Walking is a very versatile exercise program.  Just keep your shoes with you so whether you’re on vacation or a business trip you can go on your walk.

Start at a pace that you can maintain and still hold a conversation. This will be faster than a stroll but you won’t be race-walking either. Start with a half mile or a mile walk. As you walk faster you can walk farther as a way of continually challenge yourself.

As you get more fit and start to look for greater fitness challenges, move off the track or mall and onto walking paths that have hills.  Walking up and down hills will not only improve your muscle strength, but your heart and lungs will get a good workout, too.  If you live in a neighborhood that has nice sidewalks and streets, choose your path and take a walk.  Call a friend to join you and enjoy your walk even more!

Walking is a great avenue toward better health for people over 40.  It is an activity that is easily customized and other than the cost of the clothing and shoes, it is free (and who doesn’t like free?). You can vary your terrain, vary your speed, and walk farther to challenge yourself and make your fitness program more effective.

You can get started walking for exercise today with just a pair of good shoes and comfortable clothing.  Before you know it, you’ll be feeling better and well on your way to a new, healthy lifestyle.

Thursday, February 3, 2011

Simple Prepared Meal Delivery Services for Family Caretakers Of Seniors

Almost all daughters and sons who take care of their older parent, or elderly parents, usually do not imagine themselves as caregivers. They just consider themselves as attending to their parents. A caregiver is defined as somebody that provides support for another person who may not be able to reside on their own as a result of bodily, psychological, financial, or mental limitations.

Caregivers are likely to be thought to be specialists or volunteers who stop by the home of the person they may be looking after as needed. In situations where an expert will not be necessary, the duty will most likely drop on the siblings of the family. This could consist of errands, housekeeping, yard maintenance, managing finances, food shopping, and cooking meals in advance.

Surveys differ, but as many as 80% of all caregiver services in the U.S. are provided by family members. This adds up to practically 50 million men and women, and approximately a third of every U.S. family has an unpaid caregiver attending to the needs of an older parent in some capacity. 86% of caregivers are family members, and 66% tend to be female. The average family caregiver can assume this obligation for as long as nine years.

While there are several jobs and commitments a family caretaker will expect, 65% of all services consist of cooking food, and 40% are maintaining specific nutritional diets. 75% of family caregivers state food shopping is often a regular part of their duty. Senior citizens make up the largest percentage of people in society who need diabetic, weight loss, low sodium, and heart healthy diet programs. Preparing meals in advance for parents is usually a significant task in itself. Preparing meals regarding special diets, calls for further expertise with respect to both food shopping, and cooking.

Family caretakers who reside nearby will have a much easier go regarding cooking and taking care of their aging parents compared to those that live further away, or perhaps in another state. With the fast paced routines of employment and rearing their own families, it is no surprise 40% of family caregivers find caring for a mother or father, or parents, can be a burden. 32% say it is a excessive responsibility and results in emotional tension, but when it comes to taking care of an aging member of the family, it is usually a labor of love.

Prepared Meal Delivery Solutions

Nourishing an aging parent, or parents, can be one of the most frequent, and time intensive responsibilities a family caregiver can provide. Having prepared meals delivered, in some capacity, is often a potential option that helps both the family caregiver and the parent. Menus can be as simple as one dinner a day, to a comprehensive selection of breakfast, lunch, and dinner. Most companies that offer premade meals ship their meals frozen allowing it to easily be heated up in a microwave oven.
  • DineWise is a nationwide meal delivery service that delivers frozen senior meals across the country. They have a substantial choice of foods, and offer nutritional options for individuals with diabetic, weight loss, and low sodium requirements. Repeated food deliveries may be booked for any time frame, as well as any budget. DineWise meal costs average $12 per meal.
  • HomeStyle Direct is a service that accepts medicaid for residents who live in Idaho, Michigan, Montana, Nevada, Utah, or Wyoming. Their menu offers significantly less selection and does not cater to specific nutritional diet programs, but they do offer less expensive cost option. Their average meals will cost around $6 each.
  • Meals On Wheels is a local service which provides hot meals to homebound senior citizens, typically more than 60 years old. Restrictions, qualifying criteria, and rates, in the form of contributions, varies depending on the county you live in. The service is not offered nationally. These agencies are usually financed through charitable efforts and local governing bodies.
National prepared meal delivery service corporations give family caretakers the ability to reduce stress and lower the burden of taking care of an aging parent, or parents. They also offer a benefit to the elderly in that they are simple to reheat, and enable seniors a sense of remaining self-sufficient. They may be bought in just about any volume, and optionally planned for regular shipping and delivery dates. Having precooked meals on hand also offers convenience for family caregivers in situations where they go away, or cannot attend for their parent, or parents.

Wednesday, February 2, 2011

Dance: the movement activity for the elderly ( www.bestlocalassistedliving.com )

Just gotta dance!
Here is an all-purpose -- and inexpensive -- activity providing many benefits:

Dance equals the most vigorous of sport participation and it may provide the same physical exertion that sports and games provide with less space requirements. Dr. Kenneth Cooper, founder of the Aerobics Center in Dallas, states "ballroom dance is a fairly minimal activity, but if you can combine frequency per week with duration, you can get a nice training effect." Other possible physical benefits of dance for older adults include: improved balance, coordination and kinesthetic awareness, improved alignment with decreased arthritis difficulties, insomnia, neuromuscular hypertension, and low back pain. Dance also seems to maintain interest better than a regimen of calisthenics.

Dance may contribute to the physical fitness of its participants through versatile exercise that aids muscle tone, weight control, gracefulness, general body control, and health. In 1988, Sutton at the University of Minnesota found that middle-aged men who participated in moderate activity over a seven year period reduced the risk of fatal coronary heart disease incidence by thirty-seven percent. Simmons measured changes in the cardiorespiratory systems of older adults after participating in thirty sessions of dancing and no form of aerobic dance was used, only modified folk, couple, and square dances. Results identified that low to moderate intensity in a regular dance program did contribute significant improvements in predicted V|O.sub.2~ Max and resting systolic blood pressure. These findings support the premise that dancing is a legitimate aerobic workout for older adults.

Creativity

Dance provides for self expression, even if it's only shuffling movements, which still have some element of "creating one's own routine". Each individual shuffles their feet as they wish to. Though some dance forms such as square and folk have very structured steps and formations, ballroom and social dance allow individuals to be creative and try different steps and moves.

Dance has long been a rationalization for getting people together. Unlike other activities, dance allows participants to concentrate on each other rather than play to an audience or strive to meet regimented skill specifications. Dance may decrease isolation, loneliness and boredom, increase tactile support, cooperation and enjoyment, and it also gives participants something to do with their hands, feet, and body if communicating on a purely verbal level is awkward.

Other areas that dance may contribute to include:

Rhythm and coordination
Relaxation and escape
Recognition and understanding of one's own culture
Opportunity for adventure and new experience

Characteristics of the Aged

According to Shephard, there are two primary questions that the leader of an older adult dance program must consider. First, what movements and fitness demands are required to successfully perform this dance? Dances with slow tempos and very little locomotion involved should be chosen for those individuals with minimal fitness levels. As fitness levels improve the tempo and amount of space that steps cover may be increased.

Secondly, what is the skill complexity and cognitive demands of this dance? Older individuals need clear and concrete instructions and an opportunity to learn at their own pace. Begin with only the basic steps of a social dance or the most simple degree of difficulty for folk and square dances. Progression on step complexity should be slow with sufficient repetition for learning. The gradual loss of sensitivity in the feet will affect the older adult's sense of position and balance; therefore, steps requiring rapid change in motion or direction should be avoided.

Individuals should have a medical examination before participation in dance programs. After the examination the instructor then needs to assess the biomechanical capabilities and weaknesses to determine appropriate type and intensity of movement according to the need of each individual. There should be sensitivity to the variability of present fitness and mobility levels within the dances called. Traditional movements and their style of execution should be modified in response to signs of over-exertion. The risk of injuries, such as strains, and sprains increases with age, particularly after the age of 55. Furthermore, many older adults fear bodily injury during a movement activity, and for good reason, since an injury can be a serious blow to self-sufficiency and personal freedom.

In short, dance leaders should possess a sound understanding of these limitations and be able to teach the participants rules of safe participation.

Social/Emotional Characteristics

Motivation of the older adult to seriously participate in a dance program requires the leadership of a caring person who has a personality that assures the participant of success and well-being. The leader's ability to provide meaningful feedback that conveys an appreciation of the older adult's accomplishments will also be motivational.

Different types of dance can lead to different types of social interaction. Line and folk dances allow for simultaneous interaction among the group. Mixers allow for short acquaintances with everyone participating in the dance. Square dances provide interaction for a small group of friends. Social dances allow a couple to interact apart from the group, although the steps from the social dances can be performed in line formation without the need for separating into couples.

The Dance Routine

The first dances should always be chosen to slowly warm-up the body. The last dances should also be slow for a cooling-down effect. The routines between might alternate among fast, moderate, or slow tempos as long as continuous movement is sustained throughout. It is often helpful to end each class session with a short period of relaxation.

Any or all of these can be used to provide residents with exercise, social opportunities and fun -- and sustain and improve the independence they have remaining.