Specialist in Issues of Midlife & Older Adults

General

Baby Boomers & Older Adults – Healthy Aging in Marin

I will be posting articles and links more frequently that I hope will be useful and of interest to Marin baby boomers and older adults.

Note: As a Licensed Marriage & Family Therapist, I do not give medical advice. I do, however, point out situations where it might be a very good idea to consult with your MD. Please feel free to write to me and ask me to address any topics you want to suggest in future blog posts.  Best wishes, Nancy

Butler’s 3 Consequences of Ageism

From AgingWatch.com.  Aging Watch is an independent think-tank committed to ending ageism and the social marginalization of older people.

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In 1969, Dr. Robert Butler coined the term “ageism” to describe this process of systematic stereotyping and discrimination against older persons. The three most devastating consequences of ageism include:

  1. The underutilization or exclusion of older peoples’ knowledge and insights in our civil discourse.
    As a result of the negative stereotypes associated with growing old, elders are consistently responded to with sympathy and pity—often in the form of charity. While certainly well intentioned (and beneficial for many), this sympathy is a double-edged sword; the kindness it elicits is dripping with condescension and paternalism. Many elders are treated as vulnerable children in need of our protection and good will. And like children, the knowledge, voices, desires, concerns, choices, contributions, and opinions of elders are often devalued or dismissed altogether. “If older people are incompetent has-beens who lack self-sufficiency,” so the thinking goes, “then what could they possibly have to add to our society?” The result is that the vast knowledge and social contributions of older people are overlooked and squandered.
  2. The poor and unfair treatment of older adults that stems from age biases.
    Much like racism and sexism, ageism is a social disease that paints older adults as an “other” and fosters differential (and often unfair) treatment in many areas of life. In the workplace, for example, older job applicants are less likely to be hired, and are viewed as more difficult to train, harder to place into jobs, more resistant to change, less suitable for promotion, and expected to have lower job performances. Older workers typically suffer extended periods of joblessness after being laid off, and when they do find work, it is often at salary levels far lower than what they have earned in the past. According to the Equal Employment Opportunity Commission, age-based discrimination complaints in the workplace are currently at an all-time high.
  3. The assault on older individuals’ identities and self-esteems.
    In social interactions older people are assumed to be slow, weak, and forgetful. Researchers have documented the propensity of younger individuals to use “baby-talk” (i.e., exaggerated tone, simplified speech, and high pitch) when speaking to older adults. Elders are at risk of internalizing these low expectations, which can then lower self-esteem and foster bitterness and disillusionment. Instead of coming in contact with the harsh judgments of others, some elders become reclusive and completely withdraw from society; they become socially isolated and put themselves at increased risk for negative health outcomes (including depression, alcohol abuse, and suicide).

By addressing ageism and transforming the way our society sees older people we can appreciably enhance the lives of elders; and our social debates can benefit from an increased presence of elder wisdom.

Support Groups for Older Adults

There are many wonderful peer support groups for adults in Marin County. Some are targeted towards particular topics, while others are open to any and all of the concerns and interests of older people.

One of the ones I am familiar with and heartily recommend is called “Elders’ Circle”. It is a free, weekly drop-in support group for folks 60 years old and up. The group meets at Whistlestop Senior Center in San Rafael. Elder Circle is facilitated by two wonderful older men Herman Claussen and Steve Olian, both of whom are trained group facilitators with many years of group leadership experience. Both men and women participate in Elders Circle and all newcomers are welcome to talk about any issues at all and to find support and friendship. Elders Circle meets Wednesdays from 10-11:30AM. You can call Whistlestop at 415- 456-9062 for more information.

Another wonderful support group for older folks in Marin is called AgeSong. AgeSong is designed to be a place where men and women 65 and older can meet and discuss “concerns and desires, enlivening the search for deeper joy and satisfaction in our later years.” Topics for discussion include “How Did I Get to Be This Old?”, “Creating a New Old Age”, and “The Courage to Find New Possibilities in the Midst of Loss”. AgeSong meets for 8 weekly sessions, the cost is $80 for sessions, and scholarships are available. For information or to register, you can call AgeSong 415-491-5700, ext. 5726.

Another excellent resource in the North Bay is Senior Spectrum which offers opportunities for LGBT older adult men and women to come together for socializing, support, and community. Senior Spectrum also provides resources and referral as well as education and advocacy. For more information, you can contact Cristin Brew at (415) 472-1945 x203 or email cbrew@SpectrumLGBTCenter.org.

Ageism and Mental Health Funding

Something I have run into in our society is a seemingly widespread belief that mental health services are primarily for younger people and not older individuals. I have heard people say that older people have had their chances and that mental dianabolos 10 health funding should go to young people where it can make a bigger difference. While I love young people, and think that kids need and deserve a lot of support, I also am saddened to think that there is a bias towards older people not getting mental health help.

This attitude seems to reflect our youth-oriented culture which emphasizes staying young in order to be important. Where is the care and compassion and respect due to our elders? The aging journey very often brings up old fears, old triggers of insecurity, old pains, old losses even from childhood. Why should older individuals – who have given to their communities all of their lives – not  benefit from compassionate support as they continue their life journeys? Where is our culture’s realization that we need to hear the stories our older folks can tell us in order to gain from their wisdom and experience?

It seems to me as I grow older that I see our society having a shorter and shorter collective memory. After one year is over, we tend to go on and focus on immediate problems and immediate gains, forgetting the lessons we might have learned from what happened earlier.

While our country’s economy has been severely impacted in recent years, it has been enormously helpful to me to listen to elders’ tips about how they got through the trying years of the Great Depression and WWII. As Joan Erikson explained once, “wisdom” is not necessarily about knowing “why” but about knowing “how”.

I hope that a fair portion of mental health funding allocated by government at different levels will go to mental health services for older people. It  behooves us to take care of our elders, to listen to their stories and to afford them the respect they deserve. They are survivors. We need them. We can learn things from them!

Patient Advocacy for Older Adults

Patient Advocacy for Older Adults

 

One lesson I learned years ago from my mother (a retired nurse) and have continued to see the importance of to this day is how critical it is for older adult patients to bring a family member, friend or companion with them when they visit their doctors.

 

It is important for everyone to do this when possible but especially vital for older people who can use the help of someone they trust to remind them of their questions for the doctor and to write down what the doctor’s answers are.

 

Prescribed medications tend to increase as we age and many medications have side effects which are compounded by the combinations, potential contraindications, various times they need to be taken, etc. All of this information can be both confusing to remember and necessary to review on a regular basis.

 
Doctors can tend to change dosages and prescriptions and sometimes generic medications are suddenly substituted rather than brand ones when the generic versions become available. It is important for patients to log the effects of any of these medication changes.

 

A written log/chart can be brought to the doctor with them. The patient advocate can remember to bring the chart, remember questions, and write down explanations. If the patient is feeling poorly, it is especially important to be accompanied. Patients who are symptomatic at the time of the visit can find even more challenge to communicate since they are dealing directly with their illnesses and associated pain, weakness, side effects of treating medications, etc.

 

My experience and that of many others is that, more often than not, doctors will pay better attention to you if you are accompanied by a friendly patient advocate.

Dehydration Can Cause Dizziness

It is my experience and research backs this up that older people are often dehydrated. A region in the brain called the mid cingulate cortex predicts how much water a person needs, but this region malfunctions in older people. So, in essence, our aging brains underestimate how much water we need to drink in order to steroid-usa rehydrate. Our sense of thirst decreases.

One of the side effects of dehydration can be dizziness or lightheadedness. If an older person experiences dizziness, particularly in the morning, he should consult with his MD of course. If he does not have ear problems which can cause dizziness, and if his medications are not the problem, and no other obvious medical problem seems to be the cause, it is a very simple step to see if dehydration might be the root of the problem.

The Mayo Clinic advises this routine: Put a large glass of water (10-12 oz) on your nightstand. In the morning *before getting out of bed*, sit up and drink the entire glass of water. Wait about 15 minutes before getting up. Try this several mornings and see if your dizziness lessens. I have seen this help numerous people. It’s free, it’s non-invasive, good for us and easy to try!

It may not help but if it does, what a relief for dizziness sufferers!

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From Mayo Clinic website article on dehydration:

Older adults. As you age, you become more susceptible to dehydration for several reasons: Your body’s ability to conserve water is reduced, your thirst sense becomes less acute and you’re less able to respond to changes in temperature. What’s more, older adults, especially people in nursing homes or living alone, tend to eat less than younger people do and sometimes may forget to eat or drink altogether. Disability or neglect also may prevent them from being well nourished. These problems are compounded by chronic illnesses such as diabetes, by hormonal changes associated with menopause and by the use of certain medications.

Hello!

Welcome to my blog site!

In 2010, my goal here is to offer you snippets of information about various aspects of aging in our culture today. Things I have learned in my years of working as a counselor and case manager with older adults.

I will write about topics such as physical health, exercise, nutrition, emotional health, relationships, depression, anxiety, legacy, stories, reminiscence therapy, spirituality, grief and loss, medicine, dehydration, socialization, activities, loneliness, isolation, transcendance, wisdom, and more.

Thanks for visiting!