Senior Topics

     During my many years working with the seniors I have been blessed to obtain a load of knowledge that I am honored to share with those of you who have questions and concerns. In my semi-weekly article in the Chico Enterprise Record the following questions have come my way and I am adding them to this page in hopes they will continue to help.

 

 

Financial Independance

 With the higher cost of everything now, and my retirement savings severely reduced, I am finding it hard to cover even my basic expenses without drawing on my savings.  As a proud senior citizen who has worked hard all his life, it is hard for me to think of getting a “hand-out”.    Are there any programs where I can get some assistance? 

Dear Art, You are like many of us who are concerned about our retirement years.  This is a new era for many of us.  I would think one way to save some money and your dignity would be to go the Senior Nutrition Site in your community where you will get an excellent meal at a very reasonable price.  You will also meet some very nice people.  You have already paid for some of this service through your tax dollars.  Call Passages at 898-5923 or Community Action Agency at 538-7534 for information on the Senior Nutrition Program. This program is in all the communities in Butte County.  The Chico Area Recreation District (CARD) also has a special monthly event called The Golden Grill where an excellent meal is served at a very reasonable cost, and again, you would meet some nice people.  I never clipped coupons before, but I am now.  They can save you money on the products you are already using.  I hope this helps.  Please let me know if you come up with other ways to save money!  Sincerely, Lyn

 

Alzheimers's Deisease Latest Report

 I have seen more and more reports in the news and in magazines about Alzheimer’s Disease.  Apparently there is a new report out.  Can you share the highlights of that report.   Sincerely, Carol-Paradise 

Dear Carol, You are correct.  At the recent Advocacy Day in Sacramento a new report on Alzheimer’s Disease was released.  Unfortunately the numbers are quite staggering.  There are currently 5.3 million people with Alzheimer’s disease and a new case is diagnosed every 70 seconds.  It is now the 6th leading cause of death.  These numbers will increase as the baby boomers age.  This is why it is so important that we learn how to “maintain our brain” and to advocate for funding for research and services to help those who care for loved ones at home.  I will be addressing these issues all year long so that as many people as possible are educated.  If you have questions, please feel free to e-mail or call me.  Sincerely, Lyn

 

 

Peace of mind

 My father passed away suddenly.  We did not have a close relationship, and there are issues that were never resolved.  What can I do to feel some closure and peace of mind? Fred, Paradise 

Dear Fred,   Feelings of hurt, anger and perhaps guilt do not go away when someone dies.  If you don’t find closure, you may carry these feelings into relationships throughout your life.  One good way to find closure is to write a letter to your father and then find a symbolic way to “send it”.  Some people have read it at the person’s place of burial and then burned it with the smoke as a message carrier; others have written on balloons and let the balloon send the message.  Prayer is another way to communicate your feelings.  I would also suggest talking to others who knew your father and would be supportive listeners.  There are  counselors trained in the grieving process who can help you find closure and peace of mind.  The death of a parent can be one of the most significant losses we face as adults.  I hope you can find resolution soon.  Sincerely, Lyn

 

Enjoy the Holiday

 I know you’ve written several articles on surviving the holidays for those caring for someone with Alzheimer’s disease and those widowed.  I don’t have these added stressors, but still the holidays are so difficult for me.  Do you have any suggestions to help to actually enjoy them?  Alicia, Oroville 

Dear Alicia,   Many of the people like yourself who dread the holidays tell me it’s usually because of 4 reasons:  (1) childhood disappointments and hurt (2) added stress due to added costs and demands on time and energy (3) unrealistic expectations, (4) the weather.  We can’t undo the past, but we can decide not to be victims of it.  We can control how much we spend and decide to prioritize how we spend our time to get rest.  We can have a mini-version of the things we love about the season.  We can even change our attitude about the weather!  I find being with children so therapeutic.  If you don’t have young children in your life offer to volunteer at a day care center or watch them at the Mall as they sit on Santa’s lap!  Helping someone in need also takes you from being a victim to being a victor and finding joy in this season.  Sincerely, Lyn  

Modified Holidays

 My husband has Alzheimer’s disease, and I care for him at home.  His condition has changed considerably since last Christmas.  I’m concerned that the activities around the holidays will be too stressful for both of us, but I love this time of year.  How can I enjoy them, but modify them for him.   Karen,Magalia 

Dear Karen,  The key to success with the holidays is to keep it simple.  Decide which traditions you love and simplify and modify them.  For example, if you love to shop, do so on the week days in the morning.  It will not be as crowded and your husband will be more rested.  If you traditionally have a holiday dinner, suggest to your family a pot luck brunch or luncheon.  Use gift bags instead of wrapping gifts.  Simplify the decorations and avoid blinking lights.  Utilize the local adult day programs such as the Peg Taylor Center or The Country Club Adult Day Program if needed so that you can socialize with your friends and your husband can enjoy socializing with others.  Be sure to tell your children, grandchildren and friends that you are going to modify and simplify this holiday season.  Happy Holidays!  Lyn

 

The Different Dementia's

 I see more and more articles about Alzheimer’s disease and dementia.  I’m not sure I know the difference.  Please explain the terms to me.  Sincerely, Bob, Orland 

Dear Bob,  Dementia is the “umbrella” medical term for several types of diseases which cause damage to the brain.  The five changes one will see with all dementias are (1) memory loss (2) changes in speech (3) changes in behavior (4) difficulty doing tasks such as bathing and dressing and (5) inability to think abstractly, make sound judgments and carry out complex tasks.  Alzheimer’s disease is one type of dementia and accounts for 60-80% of all cases of dementia.  Vascular dementia which is caused by decreased blood flow to the brain is second in the number of cases.  Others are dementia with Lewy bodies, later stages of Parkinson’s disease, frontotemporal dementia, Creutzfeldt-Jakob disease and hydrocephalus caused by the build up of fluid in the brain.  Because of the expected dramatic increase in the number of people with Alzheimer’s disease as the Baby Boomers age, expect to see more articles about this disease.  Sincerely, Lyn

 

 

Getting everyone involved

My father died almost a year ago and now my brothers and I are seeing rapid changes in my mother.  She needs more and more help from us for her to stay independent.  My frustration is that it seems I’ve been chosen for doing most of the care giving even though I still work part-time and have a daughter in high school.  My brothers are retired and have grown children.  How can I get them to help me?  Sandy, Chico

 Dear Sandy,  Your story is a familiar one!  Often one sibling is assumed to be the caregiver even though there was never a family meeting to talk about sharing this role, and 80% of the time, it is the woman who is assumed to carry this responsibility for the siblings.  I would hope that you could ask for a family meeting with your brothers and grandchildren.  It is best to have a list of the areas for which your mother needs help and let each family member decide which responsibility they can take.  For example, my brother handled all my father’s legal affairs.  Another brother and I took care of the health related issues such as doctor appointments.  Take notes at the meeting and send each family member a summary of what you agreed upon so that each person is clear about how they will help your mother.  Family unity is so important when caring for an aging parent.  If you need more guidance, please let me know.  Sincerely,  Lyn

 

 

Senior Jobs

 I find I’m not able to live on just my social security and my small pension from my deceased husband any longer.  My health is good enough that I could some part-time work but with the job market as it is, I’m not sure I could get a job.  Do you have any suggestions?  Marge, Chico 

Dear Marge, I think there are many others in your position because I noticed a past article in the AARP magazine.  Here are their recommendations (1) home parties and sales have been around for a long time – remember Tupperware?  There are companies such as Mary Kay, and Tastefully Simple which sells gourmet seasonings and desserts and many others. (2)  Pet sitting and care-many busy will pay to have their dog walked, socialized and groomed.  (3)  Rent out a room-there is a free service (nationalsharedhousing.org) which will help you match with a renter.  Nationally the going rate is $400-$550/month. (4)  Take tickets at events or theaters-you get some extra cash (5) Sell your stuff-you probably have unused items to sell.  You can have periodic yard sales, craig’s list or e-bay.  (6)  be a mother’s helper a few hours a week. I hope this will put more cash in your pocket.  Sincerely, Lyn

 

Senior Falls

 My mother is 88 years old and insists on wearing shoes which are very feminine and attractive, but give her no support.  She says she won’t wear “old lady” shoes!  I’m concerned about her falling.  How serious are falls for the elderly?  Connie, Oroville

 Dear Connie, You are wise to be concerned about your mother’s risk of falling while wearing shoes that are not safe for her to wear.  As you know, there are now many fashionable shoes which would give her the support she needs.  Falls for the elderly are very serious.  According to Harvard Medical School’s report on Home Safety for Older Adults, one in three people over 65 fall in the course of a year.  Three to five percent of these falls cause a fracture.  People ages 65-74 are twice as likely to die from a fall as a younger person would and people ages 85 and older are almost 30 times as likely to die from a fall.  The facts about hip fractures are alarming and should motive adult children and aging parents to do all they can to prevent serious falls.  It takes from four to eight months to recover from a hip fracture; two out of three people will never be as active or independent as they were before and one in three will end up in a nursing home.  With this information she will hopefully be willing to wear better shoes!

 

Getting Involved

In a recent column you listed several resources for activities for aging parents.  I didn’t realize so much was available for seniors.   Now, my question is, how do I get my mother involved?  She lives alone, does not drive and depends on me for most of her social interactions.Mike, Chico 

Dear Mike,  I have this question asked of me so often.  As you know, “you can lead a horse to water, but can’t make him drink”.  So, you need to gently ask your mother for the reasons why she may be resistant to taking part in the activities.  In my experience I have found at least four reasons why our aging parents are reluctant to venture forth.  The first may be a medical reason.  Can she ambulate safely; can she see, can she hear, does she have a problem with incontinence.  If there are no medical reasons, is she lacking in confidence.  It’s hard to go places alone for the first time.  Remember when you were the new kid at school or the new hire at a job.  I would suggest going with her a few times until she feels comfortable and makes a friend.  (3)  She may think that everyone else is “old” and she does not see herself that way.  At 85, my father did not want to mingle with “those old people”.  We all see ourselves as 10-15 years younger than we are.  By visiting a variety of activities, she will  see that there is a large range in the ages of seniors.  Lastly, transportation..it is best if you can take her, but if you can’t or can’t hire a driver, the Butte County Transit has services available for seniors—1-877-232-7433.  I hope your Mom will discover a whole new world awaiting her!  Sincerely, Lyn

Finding Reliable Help

My mother wants to stay in her own home, but my sister and I can see that she will need help in order to do so.  We both work and have grandchildren to care for so we’re unable to give her as much help as she needs.  Where can we find reliable help?Sherry, Paradise

Dear Sherry,  Every older adult I know would prefer to stay at home for as long as possible.  There are some factors to consider, however.  Often the aging parent will not readily accept a stranger in their home.  This is especially true if your parent is not convinced he/she needs help.  My aging father fired many caregivers!  Eventually it was actually better for him and all of us when he moved into a nice care facility.  Another consideration is cost.  If you use a home health agency, they will screen and train staff and provide the workers’ comp insurance, etc.  If you hire on your own, you will need to do this and be willing to cover a shift if the individual cannot show up.  There are many agencies which provide caregivers.  These will be listed in the phone book.  Other resources are Passages Adult Resource Center-898-5923 and Independent Living Services at 893-8527.  Sincerely, Lyn

Safe at Home

My parents insist on living in their own home even though they are 96 and 92 years of age.  Is there anything I can do to help ensure that they are safe at home?

Dear Joyce,  Many elderly parents wish to stay at home.  To help ensure their safety, the Harvard Medical School’s report on Home Safety for Older Adults offers the top five ways to stay safe at home(1) understand the physical changes that occur with age and have regular physical exams to detect problems early (2) reduce the risk of falling by exercising to improve strength and balance (3) eliminate hazards by doing a room by room safety check especially for fall hazards(4)avoid medication overdoses and interactions(5)install and maintain smoke alarms on every level of their home.  Grab and adequate lighting are also very important.Sincerely, Lyn

Downsizing

 My father may have to move in with us because he lost a great deal of his retirement funds recently.  Our house really isn’t big enough to give us all the space and privacy we need.  Do you have any suggestions? Rachelle, Chico 

 Dear Rachelle, There are so many who have been affected by the stock market “crash”.  I can only offer two suggestions. ..(1)  for him to downsize even if just to a smaller apt. or mobile and/or to negotiate with his landlord to reduce his rent.  I have heard that others have been successful with this.  (2)  The City of Chico may allow a second unit on your property.  You will need to call the Planning Dept. and ask for information on the Second Dwelling Unit (SDU) requirements.  I know that there are at least 2 companies locally who have modular units which are readily available for placement and relatively inexpensive.  Call Steve Canterbury at Canterbury Cabins-899-3336 or Cousin Gary’s  343-8494 for more information on these units.  I hope this is helpful to you.  Sincerely, Lyn

 

Meaningful Chat

 My mother has mild memory loss which made it necessary for her to move in with us.  My adult children are resistant to spending time with her because they don’t know what to talk about.  Do you have any suggestions?  Shirley, Paradise 

Dear Shirley, Your mother, like the majority of us, probably likes to feel useful and likes to reminisce about “the good old days”.  Your children could ask her about her childhood and even about what you were like as a child.  They need to use open ended sentences like, “tell us how you met Grandpa” or” what did Mom like to do as a child?”  Avoid statements like, “don’t you remember when we…..”.  She may also enjoy going to their home and helping with simple tasks that she can still do like folding laundry, gardening, housekeeping, or helping to prepare a meal.  This would be an enjoyable time for her and them and be helpful to them at the same time.  Sincerely,  Lyn

 

Time to Move

 My father lives in Rhode Island where my brother lives.  My other two siblings live here in Chico.  My brother is an attorney and takes care of my father’s affairs; however, he doesn’t have time to really visit with him or help him get out to socialize with his peers.  When I talk to my father on the phone, he seems quite confused.  My brother has not mentioned this.  We’re thinking of moving my father to Chico.  How should we approach my brother and my father with this idea?   Carla, Chico 

Dear Carla,  Since your father’s well being is obviously a concern of yours, I am assuming that other family members are in agreement with you and will also help you with a plan to meet his social and care needs.  Your brother in Rhode Island could still take care of the financial and legal affairs and you and/or one of your siblings could be in charge of his physical needs.  There are separate powers of attorney for these needs.If you all agree that it is in your father’s best interest to move to Chico, you can begin the process by telling your father that it will be for the winter and then reassess in the spring.  Using a “trial” period of time has worked well in convincing others in your situation.  I hope this works for you.  Sincerely, Lyn

 

Leaving Mom

My mother lives with us which has worked out very well.  My wife has been invited to her high school class’ 50th Class Reunion in Michigan this June.  She wants me to go with her, but we know we can’t leave my mother alone.  I need your advice on where to get care for my mother while we’re gone.  Joe, Magalia 

Dear Joe,     I’m guessing your wife’s first thought was “it can’t possibly be my 50th reunion”!  Now to answer your question.  There are three ways to get help for your mother.  (1) Make arrangements for a trusted friend or relative to stay with her(2) hire a home health or senior companion agency who will send a caregiver who is trained and bonded (3) have your mother go on her own little “vacation” by staying at one of the local assisted living facilities which offer respite care.  The term respite means relief so a designated respite room is usually for stays of 30 days or less.  The rates are much lower than if you had someone come into your home.  We will begin offering respite care in May.  If we do not have space available, we will guide you to other facilities who also offer respite care.  Do make your reservation as soon as possible since there are few respite rooms in the Chico/Paradise area.  Enjoy peace of mind knowing your mother will be well cared for while you share memories at the reunion.  Sincerely, Lyn

Role Reversal

I’ve heard the term “role reversal” used when my friends and I talk about caring for our aging parents.  For me, it doesn’t really feel like role reversal—she is still my mother even though she needs my help now.  Am I wrong about this?Alice, Paradise 

Dear Alice,  I’m so glad you asked this question.  I, too, often hear this and feel the way you do.  I clearly remember the day a saw the emotional control a very frail 93 year old woman had on her daughter.  The daughter provided care for the mother, but there was no “role reversal”.  My own father could turn me into a frightened 5 year old with his look and tone of voice.  It is important that we continue to treat our parents with respect.  Dr. Terry Hargrave suggests reminiscing about events in both the adult child and parent’s lives to help shift from the task at hand of care giving in order to maintain the relationship.  If you have a parent who is forgetful and keeps reminiscing about the same event, keep a list of key events handy so that you can share many wonderful memories.  This makes care giving so much more enjoyable and meaningful.  Sincerely, Lyn

Lifestyle Change

 My life has been changing so much in the past year.  Everything is more expensive at a time when my savings has declined.  Do you have any more tips on how to save without totally changing my lifestyle?  Lydia, Magalia 

Dear Lydia, I’ve been thinking the same thing!  Here are some suggestions I found (1) If you like to eat out, go early-about 4:30 for the early bird specials.  Many restaurants are now offering 2 for 1 meals.  Look for these as well.  (2)  do more home entertaining with friends…potlucks are in vogue again!  (3)  check with Passages Adult Resource Center to be sure you get all the benefits/services you are entitled to receive (4) don’t use your credit card—research shows people spend 20% when they use their credit card rather than cash (5) think twice before you make a purchase.  Use what you already have instead.  With all of our taxes increasing, an item with a $10 price tag will likely cost you over $1 more when you consider the gas tax and the sales tax.  Finding ways to save rather than spend can be an interesting and rewarding challenge!  Sincerely, Lyn

 

 

Senior Moment's

I am concerned about my own memory.  How will I know if I’m having a “senior moment” or early stage Alzheimer’s disease?  Katharine, Oroville

Dear Katharine,There are many of us asking the same question.  The following are guidelines from the National Alzheimer’s Association. (1) A person with Alzheimer’s disease will not “eventually” remember as we sometimes do in “the middle of the night”.  (2) will have difficulty performing a familiar task (3) will forget simple words or substitute unusual words (4) will have poor or decreased judgment and problems with abstract thinking (ex. May not dress appropriately), (5) will put things in unusual places such as clothes in the refrigerator.  If you feel you may have a serious memory loss, see your physician ASAP.  There are now medications to help with memory loss.  Now, don’t forget!  Sincerely, Lyn

Moving In

 My son just lost his job and his wife is pregnant she so is unable to work.  They also have a 4 year old.  They do not want to relocate so have asked if they can move in with me until he can find a job.  I have the room and I want to help them, but I have concerns about living in the same house with them.  Do you have any suggestions that might help to make this possible?  Marilyn, Paradise

  Dear Marilyn, Boy, you are not alone in this new situation for our generation.  I turned to an article by Dennie Hughes and one by Martha Beck for some guidelines.  Here is their advice.  (1)  have a plan in place before they move in.  Discuss expectations and assumptions.  As Martha Beck points out there are four options when there is a conflict in the way we do things (a) your way (b) their way (c) our way (compromise) (d) both ways.  (2)  negotiate needs from a “why” position rather than a “want” position (3)  discuss chore responsibilities –are you going to babysit, for example (4) don’t interfere with their parenting style (5)  don’t parent your son and daughter-in-law  (6)  allow each other plenty of personal space and time.  If all goes well, this could be a memorable bonding time for all.  Sincerely,  Lyn

 

 

Stress reliever I’m the caregiver for my mother, age 89.  She is frail so I don’t like to leave her alone.  I also have my daughter and her 3 year old living with me.  I often care for my grandson while my daughter is working.  I now realize that so many people depend on me.  How can I relieve the stress I feel?  Lee Anne, Willows

 Dear Lee Anne, I just read an article by Martha Beck which offered valuable advice.  The harder, scarier, and more important task you’re undertaking, the more you’ll benefit from relaxing.  Simply remind yourself to take a deep breath and reduce your stress.  Taking just a few minutes at a time to do something that you find relaxing will rejuvenate you.  This can be as simple as looking at a small flower bed outside, to do some hobby, a 5 minute bubble bath or some exercise.  You don’t have to make the “all or nothing” choice.  A few minutes here and there will help relieve your stress.  Feel free to call or e-mail me for more ideas.  Sincerely, Lyn

Holiday Let Down

 Now that the holidays are over and the relatives have gone home, I’m afraid my mother will fall into a depression.  Is there anything I can suggest to her to help her get through the winter months?  Louise, Chico 

Dear Louise, Winter can be difficult because of the rainy, cold weather and the let down from the companionship and activities of the holidays.  There are many opportunities for seniors to be involved with organizations which are stimulating and would give your mother some socialization.  The Chico Area Recreation District (CARD), 895-4711, has an active senior program, California State University offers non-credit courses through the Osher Lifelong Learning Institute, 898-6679, The Lodge at The Terraces Senior Living 894-5429 has a social and fitness club for a monthly membership fee, Passage Adult Resource Center – 898-5923 has volunteer opportunities and there is an on-line volunteer web site Caring Choices Volunteer Center.  Butte College -879-4377 has an outreach program for seniors which offers several exercises classes held in various locations in the community and there are two adult day programs in Chico—The Peg Taylor Center at 342-2345 and The Country Club at the Commons-342-7002.  So, as you can see, there is a wide variety of choices for stimulating activities for your mother.  Sincerely, Lyn