Home Care; My Personal Experience

Home Care; My Personal Experience

Home Care Workers keep people with aging and disabilities in their homes

Home Care; My Personal Experience

Editor: Home Care programs administered through state and federal services are helping struggling families keep disabled family members living at home vs being placed in a nursing home. The following article is a reprint of an article written by me, nearly a decade ago. I will be publishing an update on the state of Home Care in 2023 sometime within the coming week.

By D. S. Mitchell

Caregiver Risks

Most of the people called on to help an ill or disabled family member have no training in being a caregiver. Not only that, but many spouses, sisters, brothers, sons and daughters have their own health problems and physical limitations. The risks of being a family caregiver is premature aging, sickness, death, depression, anger, resentment, and potential financial loss. Aside from that, it can be rewarding and more worthwhile than anything you will ever do.

Financial Resources Make the Difference

Receiving affordable or free home care may be what makes the difference between a family member being able to stay in their home or being moved into an assisted living facility or nursing home. One in five Americans provide unpaid care to family members so they can continue to live in their home, according to a recent AARP report.

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Grandma, Unhoused in America

Grandma, Unhoused in America

Grandma, Unhoused in America



By D.S. Mitchell

Face of the New Homeless

The lack of housing for low-income people or those on fixed incomes is a big problem and experts are working on it but there is no one size fits all solution to alleviating homelessness; certainly, more affordable housing units and additional housing vouchers are needed, but many of the homeless need specialized housing. Housing that offers wheelchair ramps, roll in showers, grab bars, single level units and other accommodating features to assist the many older and disabled individuals now facing homelessness.

55 and Over

As baby boomers age into senior citizens, a series of recessions and the lack of a strong social safety net have pushed more and more elderly people into homelessness — a number that’s only expected to rise. Jeff Olivet, executive director of the U.S. Interagency Council of Homelessness tells us that “Seniors over the age of 55 are the fastest growing group of people experiencing homelessness and for many of them, it is first-time homelessness.”

Why is this Happening?

Like with most things there is no simple explanation; the reasons are complex. Most obviously, the U.S. has an aging population. With aging, people are more at risk of poverty, more subject to traumatic events, such as the death of a parent or a spouse, and more likely to suffer with chronic illness, such as diabetes and heart disease,  and at increased risk for falls and other physical injury.

Stagnant Income

While their income is limited, rent costs have skyrocketed across the country. Housing protection and assistance available during the COVID-19 pandemic have expired, leaving many people on the street. In addition, many of these folks with stagnant incomes are of retirement age, but are still working part-time, at low pay hourly jobs with no chance of a raise, just to supplement their Social Security check.

Federal Action

On December 19, 2023, President Biden, alarmed at the unprecedented number of people with no place to live, across all age groups, released an ambitious federal plan to strategically reduce homelessness by 25% by 2025. The plan will address the lack of affordable housing, aid people in crisis, and prevent people from losing their homes to foreclosure in the first place. Focus of the action are those most seriously effected: people of color, veterans, the disabled, and the elderly.

Statistics On the Growing Problem

From 2009 to 2017, HUD statistics indicate the number of unhoused individuals aged 51-61 grew from 14% of the total homeless population nationally to nearly 18%. The percentage of people 62 years or older living on the street has nearly doubled. Predictions indicate that by 2030 the number of unhoused individuals over the age of 65 will triple compared with 2017.

From the 1990s                                                

The younger half of the boomer generation have long been the dominant group among unhoused adults. In 1990, on average those folks were 30 years old; today their average age is 62. But it isn’t just the long time homeless, many are newly unhoused; people tossed out of houses and apartments for the first time. These people often experiencing a total shattering of their lives.

Nothing New

The shortage of affordable housing in the United States goes back at least 40 years; Ronald Reagan’s war on “welfare queens” did incredible damage to the social safety net and it has never been repaired. This long-time problem has been exacerbated by a number of factors. Large corporations are buying up apartments and single-family homes and charging whatever the market will bear. In fact, rent and home prices have skyrocketed, while the country has recently experienced exceptionally high inflation on basics like food and gasoline. However, economics are only part of the explanation for the dire straits many elders find themselves in.

Growing Numbers

In 2023, homelessness shot up by more than 12%, with an estimated 653,104 unhoused individuals living on American streets and in her parks. I personally have a hard time accepting these numbers, because of the large number of displaced persons I see everywhere in my small southern Oregon town. All that aside, these numbers represent the sharpest increase ever in homelessness, leading to the largest unhoused population ever recorded in the United States.

Graying of the Unhoused

Recent HUD data shows that nearly 1 in 5 people in the United States (that’s ‘effin 20% of the population) have no permanent place to live and a good share of those people are 55 years or older. Some are calling the spike in unhoused older citizens the “graying of America’s homeless.”

 Intervention and Prevention

Advocates for the homeless preach intervention and prevention. For example, it might be better to pay for a seniors medication or arrange for meals than allow them to become homeless because they have had to choose between the landlord and the pharmacy.

Bigger Than the Finances

As already suggested, the issues are often more than just financial. Recent studies indicate that older unhoused people have problems performing daily activities and have greater difficulty with walking, seeing, and hearing. Furthermore, they are subject to falling, and their overall health is significantly worse than those of the same age in the general population. Importantly many of the identified individuals also have significant cognitive impairment.

In San Francisco

The problem is so significant that in San Francisco they are planning for at least one shelter set up specifically for older adults and those with disabilities. Similar shelters are being planned for New York, Washington, D.C., Chicago, and Boston.

Self-Medicating                                           

Exposure to the elements, poor diet, lack of sleep or fitful sleep, failure to take prescribed medication, shunning of professional services with doctors or dentists are commonplace among the homeless. Their physical circumstances trigger anxiety and depression, leading some to self-medicate with drugs and or alcohol. Such problems create a need for low barrier shelters, and housing, which are few and far between.

New Approach                                                  

Many experts are suggesting several types of shared housing situations that might be good solutions for the graying homeless population.  A homeowner takes in a tenant, cohousing (where there is a cluster of private mini homes with communal spaces or a large central building with separate bedrooms and shared kitchen and living room) or the immensely popular backyard Accessory Dwelling Units. ADU’s are springing up in neighborhoods across the country where zoning laws allow them. ADU’s are usually built on the lot of a single-family residence.

Conclusion

I wish I could conclude with a happy ending, but I see no happy ending here. As baby boomers age into senior citizens, a series of recessions and the lack of a strong social safety net have pushed more and more elderly people into homelessness — a number that’s only expected to rise over the next few years before common sense tells us it will drop off, probably after 2030, as the boomers die.

Mindfulness For Better Health

Editor: While I was researching this article I came upon a site that recommended mindfulness practice for children. I don’t know why I was surprised that mindfulness was as good for kids as it is for adults. Focusing on the present moment, and ignoring distractions is good for us all. Mindfulness promotes happiness and patience by lowering social anxiety and stress, teaching practitioners to stay calm in the face of life’s stressful times, like school shootings. Furthermore it improves attentiveness which is sure to improve the grade point average. And then of course the biggie; impulse control. It supports good habits for the future, and so much more. Look for The Mindfulness Minutes series to learn more about mindfulness and children.

 

Mindfulness for Better Health

Mindfulness can provide relief from modern day stress.

Mindfulness For Better Health

 

By D. S. Mitchell

It Came From the East

Mindfulness is a form of eastern spiritual meditation. Today’s mindfulness has expanded to include various practices that bring the individual back into their body and personal awareness. Practicing mindfulness techniques offer a broad spectrum of therapeutic benefits.

Ancient Techniques

Mindfulness is the ability to tune in to what’s going on inside of you and around you. It’s the act of being intentionally present in the moment and accepting things as they really are. Mindfulness is an old idea with lots of modern scientific backup. The practice may not turn you into a Jedi master, but it can help you develop the strength and resiliency to meet life’s challenges.

Lots of Case Studies

After reviewing more than 200 studies on mindfulness based techniques the American Psychological Association concluded that there appears to be real benefit for people experiencing a variety of psychological challenges, particularly, those experiencing stress, anxiety, depression, self-judgement, and brain fog. It has even been shown to promote and enhance compassionate feelings.  Furthermore, mindfulness based techniques have shown positive results in treating major depressive disorders, chronic pain, and improved immune function.

Present Moment Awareness

What does ‘mindfulness’ mean and how can it help? Basically, mindfulness is staying in the moment instead of revisiting past experiences, rehearsing for bad events, and any other variety of things that distract us from what is happening right now. ‘Present moment awareness’ helps us tolerate unpleasant emotions rather than trying to battle them endlessly. It allows us to place past experiences in perspective, to reduce the impact of PTSD flashbacks or phobic reactions. Mindfulness involves acknowledging the thoughts that detrimentally effect and frequently overwhelm us. Mindfulness allows us to gain new perspective on destructive patterns of thought, feelings, and behaviors.

Stress and the Disabled

Stress affects nearly every system in the body, including your musculoskeletal, respiratory, gastrointestinal, and nervous systems. If you are a person with disabilities you experience stress significantly more deeply than those without disabilities. When left untreated stress can develop into a chronic condition that negatively impacts an individual’s physical and mental health. Once acknowledged a person can then work toward healing. If you have had a stressful day consider implementing a handful of mindfulness techniques that will minimize the impact of stress on your health and well-being.

Engaged in the Present Moment

Although theoretically we all have access to the present moment, not everyone participates in it. So often people are distracted by normal things; their to-do lists, repeated negative thoughts, bad memories, and self-criticism. It is here that the intentional aspect of mindfulness comes into play. You can’t be consumed by your busy mind and your stressors, if you intentionally accept the time and place you are in. It takes practice.

Five Techniques 

Experience natural stress relief by following these 5 techniques:

1.) Body Scanning

Body scanning is the process by which a person tunes in to the sensations in their body.  Your busy mind slows down, while increasing body awareness. The common result is an increase in your energy level and more focus. The length of time spent on this exercise is optional.

Find a comfortable spot, lying or sitting; then close your eyes. Next, focus your attention on the expansion and contraction  of your chest and the movement of oxygen into and out of your lungs. As you begin to feel settled, visualize a specific body part. Start with your toes. What do you feel? Do you feel clothing, pain, warmth, cold? Acknowledge those feelings, spend a few moments absorbing the sensations before moving on to another body part. Repeat the action, until you have spanned your entire body.

Now, imagine calm energy spreading throughout your body. Visualize calm. Let it form a picture in your mind; visualize it as a glowing light, as a warm liquid, or whatever you imagine calmness to look like. As the calmness flows through your body you can slowly bring yourself out of the meditation. You will be extremely relaxed. Good job.

2. Recorded Sessions

Body scanning is one type of meditation, but there are many more. If you are curious, go online. there are a wide variety of free meditations, using a variety of techniques, including breathwork, awareness, imagining, and relaxing to natural sounds. There is something for everyone. You can chose between meditations that lasts for 5 minutes, or several hours. Guided meditations involve a narrator who quietly suggests different ways to focus your attention, breath, and thoughts. The results are a relaxed state of mind, and noticeably reduced stress level.

3.) Engage the Senses

If you are feeling the physical symptoms of stress, such as rapid heart rate, elevated blood press, gastric issues, and sleeplessness take five and unwind. During these five minutes, focus on your five senses.  Take one minute and direct your mind to your hearing. Notice all that you can, make no judgement or criticism. Next take another minute and focus on smell. Then the next minute on sight, the next on taste, and finally touch. It is human nature to let the mind wander. If you notice this happening, gently redirect yourself back to the sensations you are feeling.

This practice disconnects you from stressful thought patterns by linking you to the present moment. If you have a sensory disability you can still do this exercise within your ability.

4.) Write a Gratitude List

Cortisol is a hormone produced when we become stressed. It is basic for human survival. It is the body’s biological response to a life-or-death situation. Most of our daily activities are not a fight or flight situation. However, sometimes our amped up body doesn’t seem to understand the difference between life and death, and 21st century drama-trauma. At such times the body manufactures a fresh batch of cortisol and dumps it into the bloodstream leading to high levels of stress hormones which then speed up your heart, stun your immune system, and shut down your digestive track. None of which are a good thing for healthy living. One great suggestion to combat day-to-day stress is to write a gratitude list.

Researchers have shown that expressing gratitude can reduce stress hormones by nearly 25%, while elevating ‘feel good’ transmitters like serotonin and dopamine. Get out pen and paper and jot down all the fab things in your life. It can be big things or small things. I’m damn glad I have food in the fridge and a roof over my head, but I also have long time friends, good health, and a sound mind. The idea is to find as many things as possible to be grateful for, regardless of how big or small the thing is. You can be grateful for your family, a rainbow, or a flowering rose bush, just express thankfulness.

5.) Change Your Environment

If you are experiencing stress, try to change your environment. It could be a simple jog in the park, getting out and playing 9 holes. It could mean taking a trip, going into nature, or simply sitting outside on the back deck in the sun. Studies have proven that getting outside can reduce psychological stress. Apparently, you don’t even have to be doing anything; simply being outside has therapeutic benefits.  Just make sure you silence your cell phone..

Keep in mind, not all stress in within your control. If you’re experiencing unfair working conditions, look for a new job. Sometimes it is the situation that is causing the stress and pain. Be honest, if you are in a bad relationship daily mindfulness practices won’t fix the problem.. Once you identify the source of your stress look for support to change your environment. This means changing the people you socialize with, perhaps even a person you think you love. Whatever that stressful situation find someone to talk to, a friend, a teacher, a parent, but talk to someone. Each of us deserves as little stress as possible, it is all about our health and wellbeing.

 

Looking At Elder Care

Looking At Elder Care

Caring for an elder family member requires strength, patience, and support.

Looking At Elder Care

The Build Back Better legislation stuck in the Senate would provide relief for many American family members struggling to keep a family member living at home vs being placed in a nursing home.

By D. S. Mitchell

Caregiver Risks

Most of the people called on to help an ill or disabled family member have no training in being a caregiver. Not only that, but many spouses, sisters, brothers, sons and daughters have their own health problems and physical limitations. The risks of being a family caregiver is premature aging, sickness, death, depression, anger, resentment and potential financial loss. Aside from that, it can be rewarding and more worthwhile than anything you will ever do.

Financial Resources Make the Difference

Receiving affordable or free home care may be what makes the difference between a family member being able to stay in their home or being moved into an assisted living or nursing home. One in five Americans provide unpaid care to family members so they can continue to live in their home, according to a recent AARP report.

Continue reading