Still Clickin

Once you are called “elderly”, there is only one form of dependence that you care for, IN. Independence is treasured by the elderly because it validates their worth as a person. You despise the thought of moving to the “Home.”

Once you become a burden to others, especially family members, the chore of living escalates. You are delighted whenever family members come to visit until you realize that the main purpose of the visit is to check up on you. This threat to your independence can become terrifying.

But today, technology can provide facilities to extend independent living. There is a small, but growing, technology sector aimed at this need, and any savvy senior should become aware of it. Taking the time to learn about it, and implement a solution while you are still in control, is as common sense as installing a grab bar in the shower. It is important to think ahead. This NYTimes article is a good place to start.

Technology moves fast enough that these words are likely obsolete as they are being written. But they should give you a sense of what is happening. At this point, Caregiving Technology can be broken down into three sectors – measure, monitor, and manage.

Measure – This involves devices that quantify aspects of health status. For example, they can dispense medications or actually take blood pressure readings. These results can be automatically sent to family members or health professionals if desired. To get an idea, look at -

• Phillips Medication Dispensing
• Ideal Life

Monitor – Essentially, these are home security systems in reverse. Motion sensors are installed throughout the residence, and alerts can be sent if a door is left open or if too much or too little activity is observed at certain hours of the day.

• Phillips Lifeline
• Grandcare Systems

Manage – Once in a while, everyone needs a helping hand at any age. However, older people can be more reticent to ask for it. This technology establishes a network of local friends and neighbors that permit members to ask for help, e.g. a trip to the doctor on Thursday at 3:00 PM.

• Lotsa Helping Hands
• Beacon Hill Village

There really is an amazing number of choices. Some can be expensive, and others quite modest. The point is to learn about them now and become aware of new developments as they occur. Check the UCLA’s Wireless Healthcare Projects that will undoubtedly revolutionize Caregiving Technology within the next ten years.

Now, maybe it is time to get that grab bar mounted in the shower.

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Is there is a rowing machine in your storage covered with dust? Or a jump rope? Or weights? Or any number of other items meant to get you to move? We all seem to have them. We all know we should move our muscles. We all know we would sleep better if we did. We know a lot . . . but it is so easy to say, “Tomorrow, when we have time.”

But there are some basics to maintaining our health, at whatever age, that we should not put off until tomorrow. No doctor can do it for us. We have to do it for ourselves. It simply requires commitment and a positive attitude.

1. Move - How you do it doesn’t matter. Walk, swim, dance, or jog. It all moves the muscles, lubes the joints, and stirs the blood. Exercise lets our body know that we appreciate and need it. It circulates all those biochemicals that keep things in balance. Thirty minutes is good. An hour is better. Ten minutes is better than nothing. When the weather is ugly, a steady walk through the mall, without rest stops, is quite effective. As the Nike ad says, “Just do it!”
2. Sleep - For some reason, gray hair and sleep don’t seem to mix. Whether it is the urge to make a run to the bathroom, some memories that just won’t quit, or concerns about a relative or friend, there always seems to be some obstacle to a solid night’s sleep. But those obstacles invariably fade after a day of vigorous movement. And if those thoughts just won’t quit, get up and read something boring for 30 – 45 minutes to tire your eyes. Keep trying things until you find a routine that works for you. Sleep has too many health benefits to ignore.
3. Eat – We seem to have become a nation of poor eating habits. With all the quick-fix food items out there, it is easy to simply “grab something.” The excuses are legion . . . ”One little bite won’t hurt. Just a taste.” ”It’s not like you do it everyday.” ”Oh, I just need this now.”

   But the reality is that we do need to read the labels and balance our meals. Fruits and vegetables, fish and fowl, fiber and vitamins – all need to be a part of our regular diet. But it can be difficult to make the effort when you are eating alone. Without a social component, there is a strong temptation at dinner to just get it over with.

   Everyone’s situation is unique. But we all have the obligation to find a solution that works for us. Some eat their main meal at lunch. Others join a group that meets regularly and includes a meal. Still others may arrange to have meals delivered (e.g. Meals-On-Wheels). Whatever your solution, it is imperative that you take the effort to find one and make it happen.

4. Wash – If you are not going out each day, you may be tempted to “take a pass” on the daily regimen of ablutions. But our skin, teeth, and feet need the respect of daily care. Don’t use a harsh soap that will dry your skin. Flossing is not an option; it must be done at least once a day. Your feet need special care since your mobility and balance depends on them; keep your toenails properly trimmed.
5. Monitor and Medicate – In 2011, Medicare will expand its coverage for preventative care. We should all know our numbers, i.e. blood pressure, waist size, HDL, LDL, TSH, and blood sugar. We should all have a stress test, an annual flu shot, and a colonoscopy every ten years. Most of us should take a daily multivitamin and baby aspirin. No one should smoke.
6. Smile – This is the key to making everything else work. Without a smile and a positive attitude, no one will make the effort to do all of the other things properly. We all can become experts for excuses and delays. But with a positive attitude, people create a purpose to their days, enjoy the surprises they encounter, cope with the difficulties, and aggressively engage life. You owe it to yourself, and to everyone around you, to smile.

Just doing these basic things each day will go a long way toward preserving our health. Aging still advances, but we improve our ability to handle those advances. “Just do it!”

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Apparently the best thing you can do to enhance your personal safety is to stay alert. That doesn’t mean being paranoid. But it does mean being observant and using common sense.

The experts warn us to be particularly aware of violent places, violent people, alcohol, and guns. Especially for women, the avoidance of these factors can improve your safety.

Violent People

Do you know any violent people? All of us ‘fly off the handle’ at times, but does that result in violence? The strongest indicators that someone may react violently are 1) a personal history of past violence, 2) a controlling, inflexible personality, and 3) heavy alcohol usage.

The warning signs of pending violence can be both verbal and non-verbal. Verbal signs include -

· Making threats

· Bragging about violence

· Bragging about anger

· Raising the voice

· Displaying paranoid attitude

· Using increased profanity

Non-verbal warning signs of violence include -

· Clenched hands

· Enters your personal space

· Heavy breathing

· Perspiring

· Intoxication

· Hits your chest with finger

Violent Places

The most dangerous place inside the home is the kitchen. Outside the home it is the parking lot. It is definitely not possible to avoid either place, but you should be aware that these are the places to be especially aware of your situation.

While you are walking through the Parking Lot, some good practices to adhere to are -

· Get your keys out while still inside the store and keep them in your hand while you walk to the car.

· As you are walking, notice if there are any people loitering about. If necessary, take a deliberate path to avoid them.

· If you notice people sitting in parked cars that are running, change your path so that you don’t get too close.

· Keep one arm free, i.e. the one holding your car keys.

· Carry a can of Pepper spray as an insurance policy.

Parking lot practices that you want to avoid include -

· Don’t be on the phone or using an iPod while going to the car. Be alert.

· As you look around, check license of any suspicious car. The fact that you are noticing adds a certain layer of protection all by itself.

· Keep pen and pencil in car, and write down suspicious license numbers after your doors are locked.

· If you feel that your car is being followed as you leave the parking lot, do not drive home. Instead, drive to a busy, public place such as the emergency ward of hospital, a nearby 7-Eleven, etc.

Alcohol

This substance is the most abused drug in the US. It not only impairs hand-eye coordination, but normal judgment as well. For a person prone to violence, it is the substance of choice that often justifies, in their own mind, their use of violence. There are four types of drunks – lovers, criers, sleepers, and fighters. If you sense a fighter, be on your guard.

Guns

Current estimates are that about 1 in 4 people within the USA own firearms, and on average, each of these owners possess four guns. That totals to about 350 million guns on the streets of our fair country. In addition, there are about 1,050 unregulated gun shows in the US each year.

It seems tragic that so many people within this country are living with the burden of that much fear. In certain states, it is now possible for these people to not only carry guns, but to carry them to places where alcohol is served. Since statistics would assert that a certain percentage of these people would be prone to violence, wisdom dictates that it may not be wise to stay out too late or mingle with such people.

What are the signs to notice that someone is carrying a weapon?

· They frequently check a certain part of their body.

· They can exhibit an awkward stride.

· The movement of their upper body can appear to be restricted.

· Their jacket sags to one side.

· There is a pronounced bulge underneath their clothing.

Increasing your awareness while in violent places, of violent people with alcohol and guns is obviously not a personal safety cure-all. But it should increase your odds.

Some other sources of information are –

Self Defense with Attitude

JWeekly

eHow

NCPC

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What Will You Do?

The smartest question I ever heard about planning for retirement was not, “How do you plan your finances?” Instead it was “What are you going to do?” Most of us don’t appreciate how much structure and purpose the daily grind of a job adds to our lives. It is easy to focus more upon the frustrations rather than the rewards. But work adds challenges, rewards, and interest to our everyday experience.

What happens when that is gone?

There are some people who truly delight at chasing a little white spheroid around a golf course, and plan to do it everyday of their retirement. Others can be just as passionate about the game of Bridge. Still others plan to exhaust the cruise circuit.

But some people are still fixated upon the idea of making a difference. This group of people are unsatisfied, or feel just plain guilty, unless they are spending a good portion of their time engaged in some activity that ‘Makes a Difference’ on this planet. Some examples available in most locales include –

• tutoring at local schools,
• providing support services at hospitals,
• fund-raising for charities,
• driving the local ‘Senior Van’, or
• volunteering at a community organization.

Unfortunately, none of these pursuits produce a shred of revenue, which has become a more urgent requirement for those with 401k’s and savings devastated by our current economy. Is it possible to ‘Make a Difference’ and ‘Make a Buck’ at one and the same time?

The answer is ‘Yes’. It is called the non-profit sector of the economy. Jobs are available, but all at lower pay scales than they would be in the for-profit business sector. As noted in this article, Volunteer Your Way to a Job, the best way to approach the sector is to first volunteer. Once you are inside the organization and make yourself known, you will be in a much better position to land a paying job doing work that ‘Makes a Difference’.

Some helpful sites for volunteering are -

• Learning and Volunteering
• Volunteer Opportunities
• Volunteering Approaches
• Volunteer Match

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What kind of pet person are you? There are bird-lovers, dog-lovers, cat-lovers, and goldfish-lovers. Everyone has their own particular favorite that was usually established during their youth. People that have had pets can even be classified as such. For example, we have dog-people, cat-people, and bird-people. Are you a certain pet-person?

If you are, maybe you are currently pet-less and rethinking that decision. Obviously, there are a number of pros and cons to such a decision, but the choice of the type of pet has a lot to do with most of them. There are a wide variety of pets that seniors may choose.

Dogs -
Dogs need and give love. Many studies indicate that having a dog really can help a senior’s health and attitude. Not only do they offer companionship, but their needs serve as an ongoing encouragement for some good exercise as well. Also, they are probably the best security system available on the market today.

If you are particular about breeds, you can contact the American Kennel Club and get a list of local breeders. Be prepared to open your wallet, however, since many breeds now go for $1,500 or more.

Another approach is to take a visit to the local animal shelter. These pets often have that wonderful price of ‘free’, although small donations are very welcome. These pets can vary widely, so you must look carefully to find the right dog for you. The people in the shelters understand animals and can provide you with a wealth of information. Don’t be afraid to ask. Before you “take the plunge”, consider -

• Age - If a dog is older than 18 months, it will not only be housebroken, its teeth will have grown in and it will also be less inclined to eat your slippers. If a dog is older than six, you may find not only health problems but an inability to adapt to new surroundings.
• Size - Golden Retriever mixes and Labrador mixes are great, but if you are going to walk the dog, you may need a smaller dog (who won’t pull you over when it chases after a squirrel). However, if you aren’t used to having a small dog around, you probably shouldn’t get a dog weighing less than 25 pounds. You don’t want to trip over the little thing because you didn’t see it.
• Allergies - If you have avoided dogs because you are allergic, look for dogs that don’t shed. Many terriers and poodles have this trait.
• Temperament - Undoubtedly, the vast majority of dogs have better temperaments than many people. A few, however, may have experienced poor treatment and developed a nasty streak as a consequence. Pay attention to how the dog reacts to you, since initially you are a stranger.

Cats -
“For a balanced ego, a person that has a dog to adore him should have a cat to ignore him.” That old quote is harsh, but contains an element of truth. Cats are much more independent than dogs. As long as they are properly fed and stroked occasionally, cats require far less attention than dogs. They quickly learn how to use a litter box and can amuse themselves for hours with a favorite toy. This independence allows a cat to tolerate much longer absences from their owners than dogs.

If you are looking for a cat at a shelter, many of the same cautions for dogs apply to cats. Their sizes, however, are much smaller. They compensate for their small size by their pronounced ability to quickly leap out of the way.

Other Critters -
For the most part, other small animals kept as pets live in defined enclosures. This reality makes them far less intrusive than dogs or cats. They each offer their own special qualities that can both divert and delight. They still require care, however, and someone else must mind them if you take a trip.

If you do live alone, having another living creature around the mansion has distinct benefits for all involved. Yes, they do require you to expend extra effort and care, but that is a gift. Answering needs is what life is all about.

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A couple of weeks ago, I heard some news commentators talking about Page Plus Cellular. The story-line centered upon a subscriber to their “unlimited” service whose contract was canceled because of overuse. Obviously, there was a disconnect at many levels.

Without question, the marketing crew at Page Plus should change the plan name to “universal” or “vast”, but that is all they should change. I’ve been a customer of Page Plus Cellular for nearly a year, and I could not be more pleased. Their plans are flexible and aggressively priced, and their service is rock solid. I have recommended them on this site, and I continue to recommend them to family and friends.

You have to understand the realities of their business.

Page Plus Cellular is a re-seller. They buy large blocks of time from a network operator, i.e. Verizon, create usage packages for different market niches, and then service their customer base in an efficient and effective manner. This approach allows Verizon to supply users they would otherwise never capture, and users access to services they could otherwise never afford. It is a true win-win.

This service model breaks down whenever certain users lock onto a connection for an extended period of time, because the switch is prevented from reallocating its resources. An occasional incident is never a problem, but continued patterns do upset the apple cart. At the end of the day, any re-seller can only offer as much as it has acquired.

But I continue to find the Page Plus Cellular service compelling. It is so easy to buy one of their phones at the Circle K. Using their standard plan, a senior citizen can have 300 minutes of access to a reliable network for $30 a year. That is a service that offers both peace of mind and value. Who knows how many worries it has eased and lives it has saved.

Thank you Page Plus Cellular for your outstanding service!

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Most senior citizens simply stay put right where they are when they retire. They cherish the friendships they have established, the history they have lived, and their familiar grocers, doctors, druggists, etc. However, staying in the same town doesn’t necessarily mean staying in the same house. Downsizing is one trend that many active seniors embrace as a way of simplifying their lives and prolonging their independence.

The ties of family and grandchildren may pull others to unfamiliar locations where their children have become entrenched. Selecting new doctors, finding new dentists, and coping with this change can be a stiff challenge for any senior.

Others, especially those who have had to face frequent moves during their working lives, like the idea of a new place to retire. They are enticed by the latest “Best Places to Retire” article and the challenge of a new adventure.

On any “Now that I’ve Retired List”, location is placed first because it influences so many other choices. For example, telephones, taxes, insurance, legal, and caregiving all have rules that vary by state.

What’s a person to do??

Whichever you choose, re-evaluating your location is a healthy exercise . . . even if it is the old homestead. Your location can determine -

• to which hospital a call to 911 will deliver you,
• the range of community support services that are available to you,
• the types of activities that are readily available to you as well as,
• the amount of snow that will have to be shoveled to get you out of the house.

Some people make this choice quickly. Others spend time and consider the wide range of choices available, i.e.

1. Staying Put Keeping the same, familiar roof, where the pencil marks of the children’s heights on the door jam still mark the progress of their growth. Here, the support of old friends, the history with known doctors, and the connections developed over the years provide a personalized support network that is impossible to duplicate elsewhere.
2. Moving locally - Changing to another nest and neighborhood within the same community might offer a better fit for the needs of your newly evolving senior lifestyle while maintaining your lifelong network of friends and community around you.
3. Downsizing - Simplifying your life and reducing the demands required for the upkeep and care of your nest, a move to a smaller structure can prolong your ability to stay there as the clock keeps ticking.
4. Relocating farther away - Making a move to another community, state, ocean, or country is for the brave of heart. You can’t wait too long to make this move since the effort involved can be taxing. Evaluating destinations, together with its weather patterns, safety concerns, theater offerings, and recreation, can become a major project in and of itself. Once you decide on a place, those with wisdom advise renting for a year while you discover the innuendoes of the locale and its neighborhoods. During that time, you can address the challenges of a new place, e.g. to Find doctors, services as well as Finding new friends.
5. Retirement communities - For those that prefer the amenities of a planned community, developments designed for the 55+ crowd offer an alternative that many people find very attractive. It’s like moving into a neighborhood with an established network. Many people make this choice because the want to follow friends who are already there.
6. Active/Assisted living facilities - If one member of a couple has an emerging health issue, these facilities with built-in medical services can provide a support structure that tiers the living accommodations to the health of the individuals,where care is provided with housing
7. Living abroad - This move can scratch a lifelong itch of an adventurous soul. However, if adaptability is your strong suit, there are many locations in the world where you can stretch your dollar.

Of course, once you make your decision, then the financial issues, Renting versus Home Buying and Selling, must be considered. These are quickly followed by the practical issues of Moving and Home Maintenance.

For further reading, try the AARP Article on Housing Choices.

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If you’re reading this, you already know about the Internet. The use of the Internet by the senior community is continually expanding. And it doesn’t have to cost you anything. At local libraries, computers are siting there waiting for your curiosity and fingertips.

What do seniors do with the Internet when their fingertips start moving? According to a report by the Pew Research Center, they are involved with -

*Email - This still drives their primary usage of the Internet. Keeping in touch without the hassle of time zones and time charges, email remains the primary reason why people keep going back to the Internet. It’s especially delightful when the message is from your grandchildren. Free email accounts can be established at Yahoo and other services.

*Finding Information - Once they finish with their email, people typically switch to Google or Yahoo to find out about something. They might be planning a trip, researching a problem, or comparing different brands of toasters. Not surprisingly, Most Internet searches on health topics are performed by seniors.

*Online Shopping - Once they have completed their research, seniors are not afraid to actually make a purchase. As noted in the Pew Report, nearly 50% of the online seniors actually are making purchases. One area of particular interest is travel, both planning and booking tickets. They also are not afraid to both sell and buy items on eBay.

In addition to these top three activities, seniors also explore other facets.

*Reading News - If they’ve moved away, seniors are very likely to scan the pages of the old hometown newspaper online. They are also avid readers of specialized news topics on politics, entertainment, and other targeted sectors. Even the headlines of major newspapers, e.g. New York Times, are available online.

*Sharing Photos - Whether directly through email or via a service like Flickr, seniors love to see the latest images of their grandchildren, grandnieces, and grandnephews.

*Skype - If you are geographically removed from loved ones, skype is a treasure for everyone regardless of age. Simply speaking, skype not only allows you to talk to those you love, but to see and interact with them from many miles away. The visuals of loved ones make them feel so much closer, and it can ease the worries and loneliness that distance can engender.

*Social Sharing - Seniors have not flocked to Facebook or Twitter. They might view a My Space or You Tube link contained in an email, but they are not going to enroll. At this point in their lives, seniors are far less intrigued by the social and gaming aspects of the Internet than are the younger members of our society. Instant messaging holds as little appeal as instant gratification. They prefer to respect privacy and to savor the anticipation of a thoughtful reply. They find important items more interesting than urgent ones.

*Blogs - Because seniors have the time, there are a surprising number of blogs by, for, and about seniors. They are quite often frank, intelligent, and very thought-provoking. They can not only make for fascinating reading, but they can often make you chuckle, cry, and pray. One huge favorite blog that publishes links to many others is Ronni Bennett’s Time Goes By A visit to Ronni’s site is always worthwhile.

The Internet presents all of these facilities and more. It has become an indispensable part of our lives. You should encourage any of your friends that are not involved to take a free course at the library. They may feel uncomfortable at first, but they will thank you profusely later.

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Older citizens have seen a lot of new technology both come and go. Television, digital computers, digital cameras, digital anything, fax machines, scanners, the Internet, Betamax, VCR’s, DVD’s, cell phones, blackberries, iPods, and tweets. The list could go on and on.

Although it has changed, from party-line to private, rotary dial to touch tone, analog to digital, and wired to wireless, the old ‘home’ telephone has been one of the few constant technologies that has been with us throughout our lives. Telephones could always be relied upon. In the trade, they called it five-nines, i.e. 99.999%, reliable. There are no dead zones to break the connection of a wired ‘home’ phone, and it often still works whenever a house loses its electric power.

But mankind isn’t satisfied to leave things alone. So -

• wireless phones were introduced to the home. It was nice to be free of the cord, but now service is lost whenever you lose power.
• phone connections changed. New area codes, satellite and Internet connections, and fixed long distance charges have become the new standards.
• cell phones are replacing the ‘home’ phone. That social anchor called the ‘home’ phone is being abandoned for the ‘personal’ cell phone in many homes.
• payments for phone usage have never been more varied.

Although most seasoned citizens are keeping their reliable ‘home’ phone, change keeps intruding.

• In addition to the local telephone company, the cable company and others may offer the service.
• With an Internet connection, you can use skype or Vonage to route your calls directly over the Internet.
• Typically, long distance calling is bundled together with local calling for a flat monthly fee. How long you talk is no longer an issue.
• Now, you own your own phones, and you must buy and set them up yourself. The features and choices can become quite confusing.
• Internet and television services can also be bundled together with your phone service.

Most people don’t make a change until they must. If you must, however, what is a reasonable approach?

1. Service Provider -

• Because of the Internet, your choices have expanded. Often, you are not limited to the local franchise, e.g. Verizon, you can also consider other providers like Vonage, Earthlink, or Comcast.
• The simplest way to find out what choices your have for your home is to go to White Fence, a web site that searches the Internet for all of your options. All you have to do is enter your home address.
• Another search service is Connect My Phone, but is not as comprehensive.

2. Telephone Sets -Typically, you now have to buy your own phone. There are a wide variety available - wired, wireless, multi-line, answering machines, etc. To help with this decision, go to any of the price comparison sites, e.g.

• BizRate,
• NexTag, or
• Deal Time.

These sites can give you a sense of the variety available and their costs. However, if you want local support, don’t forget the local Radio Shack or Sears.

If you know that you’ll have to make a change at some time in the near future, don’t wait to do your research. The last thing you want to do is be without a phone!

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Most of us picture our homes as castles or nests. Places of comfort and security. Insurance agents look at things differently. They have to. Its their job.

“Picture your own home on fire”, was the comment of an old insurance pro that had been in the field for years. “Think of all the questions that the firefighters have to answer.”

“In what part of the home did the blaze start? Are there people inside? How many trucks have responded? Are any ambulances on the way? How close are the hydrants? Is the water pressure adequate? Is there natural gas or propane at the home? Is it turned off? Are there cars, i.e. mobile gas tanks, inside the garage? Are there cars in the way on the street? Are any nearby homes threatened?”

As you envision these questions and their responses, think of the actions that you, as a homeowner, could take to prepare. It may be time to review your escape plan for every member of the family and practice it. Also -

• Do you have the fire alarm number on your speed dial list?
• Do you have a working flashlight near the bed?
• Have you put new batteries into your smoke detectors this year?
• Do you have a working fire extinguisher near the stove?
• Do you know where your gas main shutoff valve is?
• Does your assembly point still work, or have those people moved?

Also consider how your home is situated. Is there someone you can call to assess your location?

• How close are you the fire station?
• What is the water pressure like in your area?
• Can the fire engines access your home easily?

Any thought of a home fire is terrifying. The preparation necessary to develop an escape plan is sufficiently worrisome that people can put it off so that they will not have to have think about it. But that is short-sighted. A handy extinguisher or a quick exit give you options in the event of a calamity. They can help a great deal.

For more information, look at the -

• Fire Safety site,
• USFA guide, and
• NACHI check list.

Have you practiced your escape plan lately?

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