Tuesday, 22 July 2014
Welsh Declaration of Rights for Old People
Last week, Wales became the first country in the world to adopt a Declaration of Rights for Older People. Deputy Minister for Social Services, Gwenda Thomas said,
“The number of older people in Wales is growing and there is no dedicated set of rights for older people in the UK. Age discrimination and ageism are widely tolerated across the world.
"We must dispel old-fashioned stereotypes of people based on their age, and recognise and value the enormous contributions that older people make in all of our communities across Wales.
“I’m therefore delighted that Wales is once again leading the way by publishing a Declaration of the Rights of Older People in Wales.”
According to NewsWales, Older People's Commissioner for Wales, Sarah Rochira, worked with elders themselves to create the Declaration,
”...which has received cross-party support in the National Assembly for Wales, is based on the UN Principles for Older Persons and sets out what older people have said they value and what rights they feel would support and protect them.”
The Declaration is meant not only to help old people understand their rights in Wales, but to be a guide for those who are responsible for the development and delivery of social services to Welsh elders.
Here are the six points in the Declaration along with the fuller explanations of each as laid out in the document:
I have the right to be who I am
Not all older people are the same and I have the right to be who I am. I am a unique person and have the right to be understood, considered and recognised as an individual. I have the right to be treated equally and without discrimination.
I have the right to be valued
Because I am human I have the right to be valued. My life is significant to me and those who care about me, and I have a right to live a life that has value, meaning and purpose. I matter. I am of worth both when I contribute to society and when I no longer do so.
I have free will and the right to make decisions about my life
I have the right to make decisions and be supported to do so if necessary. I have the right to exercise my free will and make choices. My opinion is the most important when decisions are being made about me and my life. I have a right to be supported to live independently.
I have the right to decide where I live, how I live and with whom I live
I have the right to decide where I live and to choose the person or people to spend my life with. I have a right to be in my own home and with the community I love.
I have the right to work, develop, participate and contribute
My life does not come to an end because I have reached a certain age. I have a right to work. I have a right to full involvement in my own community. I have a right to thrive and to continue learning, developing and growing. I have a right to support so I can continue contributing. I have a right to explore new things.
I have a right to safety, security and justice
I have a right to be taken seriously when I am afraid. I have a right to information and advice that addresses my worries and uncertainties. If I need the law to protect me I should not be treated differently because I am older. I also have the right to take risks if I want to.
You will find the full document here [pdf].
A big thank you to TimeGoesBy reader Allan Moult for bringing the Welsh Declaration to my attention. I was, of course, reminded of An Elder Pledge which I've shown you before and hangs on the wall by my desk. Each supports the other nicely - declarations from government and from elders themselves.
The Pledge was written by elderlaw attorney, Orrin Onken. The poster is 12 inches by 36 inches and can be ordered from the Syracuse Cultural Workers website for $15 unframed plus shipping. There are also postcards and bookmarks of the pledge.
As the population of elders increases dramatically around the world, I hope Wales will not be the only the first of many countries to adopt such a Declaration and make it binding.
At The Elder Storytelling Place today, Marc Leavitt: Reincarnation
Monday, 21 July 2014
Old Age Incontinence
According to a June 2014 report [pdf] from the Centers for Disease Control and Prevention, more than half the U.S. population age 65 and older (50.9%) report urinary and/or bowel leakage.
That's just the group of us who live independently; there are different numbers, higher and lower, for those in care homes of various kinds.
Because it's not a subject anyone likes to talk about much, we giggle and make jokes.
Although it is hard to openly discuss incontinence, it is important health issue that can have serious effects on people's lives. When WebMD reported on the CDC study, it noted,
"Bladder and bowel incontinence is a highly prevalent disease that has emotional, health, social and economic impacts in the daily life of our elderly population in the U.S.," said Dr. Farzeen Firoozi, a urologist at North Shore-LIJ Health System in Manhasset, N.Y.”
Ever since, when the subject comes up, I've laughed again and passed it on (so to speak) to others (with attribution, Cop Car).
The reason for that post was, as I explained then,
”...lately, when I laugh, sneeze or cough with too much force, I leak. Or, more bluntly, I pee in my pants. Not a lot, a few drops, and it happens not just when I need to visit the bathroom; it can happen even when I have just peed.”
So I did some research and reported to you. As I have further explained, more recently, losing weight solved the problem. No more leaks.
All this came to mind a few days ago when I received the weekly mailing from Harvard Medical School selling their topical health booklets – this one titled Better Bladder and Bowel Control. The email itself, headlined Five Ways to Dodge Incontinence, provides some good advice:
“Watch your weight. Excess weight and incontinence can go hand in hand, particularly for women. One theory is that extra abdominal fat can weaken the pelvic floor muscles and lead to stress incontinence (leaking when coughing, laughing, sneezing, etc.). In some cases, simply losing weight can improve incontinence.
“Don’t smoke. Smoking threatens your health in many ways. It also doubles the likelihood that a woman will develop stress incontinence. Nicotine has also been linked to urge incontinence.
“Stay active. In the Nurses’ Health Study, middle-aged women who were the most physically active were the least likely to develop incontinence.
“Minimize bladder irritants. Caffeine and alcohol have been linked to urge incontinence (the feeling you need to urinate even when the bladder isn’t full). Carbonated drinks, the artificial sweetener aspartame (NutraSweet), spicy foods, and citrus fruits and juices cause urge incontinence in some people.
“Don’t strain with bowel movements. This can weaken the pelvic floor muscles. If your stools are frequently hard or take considerable effort to pass, talk with your doctor. In a study involving people ages 65 and older, treating constipation improved a variety of urinary symptoms, including frequency, urgency, and burning. Increasing the fiber in your diet and drinking enough fluid can help prevent constipation.”
As useful as those items are to know, you can't get the rest of Harvard's information on causes and treatment without shelling out a lot more money than I care to spend.
Therefore, as TGB public service, here are some links to reputable online sources of information on incontinence:
WebMD Incontinence & Overactive Bladder Health Center
Many links to full articles, explanations and discussions of all aspects of incontinence
Medscape Urinary Incontinence in the Elderly
A thorough, single-spaced, eight-page explanation meant for physicians but easily understandable by laymen
Mayo Clinic Urinary Incontinence
A good section with pages on definition, symptoms, causes, risk factors, complications, treatments, drugs, even home remedies
Incontinence is highly treatable with drugs, other interventions and in some cases, surgery. For me – like so many of the minor afflictions of age - just irritating, every single day.
I am grateful my bout of incontinence was so easily solved with weight loss. I always wondered, when I took up Cop Car's solution, what jokes the check out clerks at Rite-Aid were telling each other after this white-haired old woman paid for her Maxipads.
At The Elder Storytelling Place today, Vicki E. Jones: I Accept the Nomination
Sunday, 20 July 2014
ELDER MUSIC: 1956 Again
This Sunday Elder Music column was launched in December of 2008. By May of the following year, one commenter, Peter Tibbles, had added so much knowledge and value to my poor attempts at musical presentations that I asked him to take over the column. He's been here each week ever since delighting us with his astonishing grasp of just about everything musical, his humor and sense of fun. You can read Peter's bio here and find links to all his columns here.
What happened in 1956?
- Archie Roach was born
- Melbourne staged the Olympics Games
- Elvis appeared on the Ed Sullivan Show
- My Fair Lady opened on Broadway
- IBM invented the hard disk drive. It contained fifty 24-inch disks with total storage capacity of 5MB
- High Society was released
- Melbourne were premiers
I'll start the year with the inimitable LITTLE RICHARD.
Any year that starts with him can't be all bad. His song is one of his big ones, Rip It Up.
From real rock & roll to no rock & roll at all, in spite of the title. Around this time mainstream musos were trying to cash in on the craze and completely missing the mark. This is a good example by KAY STARR singing Rock and Roll Waltz.
What a shocker (the song that is, not the singer – Kay's pretty good).
My Prayer started life in 1926 as a song called Avant de Mourir written by Georges Boulanger who was a Romanian violinist, composer and conductor.
Around 1939, Jimmy Kennedy wrote English lyrics to the tune and it was recorded with some success by both Glenn Miller and The Ink Spots. More time passed and THE PLATTERS had a go at it this year.
Many others have turned their hand (or their mouth) to it, but The Platters' version is still the pick of them and the biggest selling as well.
Lincoln Chase wrote song Jim Dandy for LAVERN BAKER.
The song is all about how our hero Jim rescues women from all sorts of improbable situations. The song was successful enough that Lincoln wrote a follow up called Jim Dandy Got Married (I don't know if that counts as an improbable situation).
GENE VINCENT started his adult life in the navy, sailing to Korea at one stage.
Upon his return he was seriously injured in a motor cycle accident (hit by a drunk driver) that damaged his leg so he had a limp for the rest of his life.
He was discharged from the navy on medical grounds and started a band called Gene Vincent and His Blue Caps. He wrote a song called Be-Bop-A-Lula and they recorded a demo.
Capitol Records wanted an artist to compete with Elvis and they got to hear Gene's demo. They signed him immediately and they recorded it for real and it became a big hit and a very influential song indeed.
The charts of the day still contained artists from earlier times, one of whom was FRANKIE LAINE.
Even though he was renowned for singing cowboy songs, Frankie was at heart a jazz singer. This isn't quite jazz, although there are some inflections there. It's more big band pop. A Woman in Love.
TERESA BREWER really is A Sweet Old Fashioned Girl.
Scoobley dooby be doo be doo (etc).
Oh Eddie, what possessed you to record Dungaree Doll? Eddie is, if you didn't know, EDDIE FISHER.
I imagine he was still trying to remain relevant to the young folks but it was already too late. I don't know if you can still remember this one. I can, my sister played it all the time. Deep sigh.
Shirley Goodman and Leonard Lee recorded as SHIRLEY AND LEE.
Shirley and Lee were born only days apart in New Orleans and had several big hits together while they were still teenagers. They wrote those themselves.
They had an interesting style, not singing together, really two separate singers that seemed to work. Here's one of those early songs, one that's become famous as a sort of anthem of New Orleans - Let the Good Times Roll.
I'll finish with The King. ELVIS was already in the mix by 1956, but it was this year that broke him worldwide with Heartbreak Hotel.
He had several more hits this year (and every year for the decade). This is one of them, Don't Be Cruel.
You can find more music from 1956 here.
1957 will appear in two weeks' time.
Saturday, 19 July 2014
INTERESTING STUFF – 19 July 2014
84 YEAR OLD STUNS AMERICA'S GOT TALENT PANEL
The judges on AGT were pretty sure they weren't going to like Mr. Jessel. See what happened.
MARY PHILLIPS UPDATE
In last week's Interesting Stuff, 98-year-old Mary Phillips explained how she was fighting an eviction notice from the apartment she has lived in for 50 years. TGB reader Chrissoup sent in a followup report which includes a statement from the company that wants to evict Phillips.
”Today Urban Green CEO David McCloskey released a statement saying that Phillips would be allowed to remain in her Mission neighborhood apartment for the rest of her life cost-free.”
According to the rest of the story, that's not quite it. There is no provision for Mary Phillips' friend and caregiver to remain in her apartment which would, it seems, make the offer useless.
And it's even more complicated than that. You can read the report at SF Gate.
THE BEST LEMONADE FROM LEMONS STORY EVER
Joe Pleban, age 23, loved sports, extreme sports. He contracted a rare joint disease in his ankle that required amputation. You would think that would be a terrible blow to Joe. Think again.
The fullness of the human spirit can sometimes be astonishing. You can read more about Joe Pleban here.
U.S. DIALECT MAP
A bunch of folks at Harvard surveyed more than 350,000 people to identify some regional linquistic differences and then The New York Times turned it into an interactive quiz for its readers.
Here's my map:
Red areas are where my linquistic origins are most similar; blue is least similar. I don't think it is anywhere near correct but then, I've lived for short and long periods of time in ten U.S. cities scattered all over the map so I probably don't have an easily identifiable dialect.
You can try the quiz for yourself here.
JOHN OLIVER ON INEQUALITY AND AMERICA'S WEALTH GAP
What becomes more evident with each passing week of John Oliver's HBO program is that he, a comedian, is doing the best educational reporting on serious issues of any media outlet around – any, including print, online and television.
Here is his latest from last Sunday's episode of Last Week Tonight. It's lengthy and worth every moment.
LET'S HERE IT FOR WOMEN BISHOPS
At least one religious group is catching up to the 20th century. Last week the General Synod of the Church of England approved consecration of women bishops. Read about it here.
ELDERS REACT TO GOOGLE GLASS
I'm never quite sure if these videos of Elders React to [insert almost anything] are funny or ageist. Mostly I laugh because, depending on the topic, I could be one of the elders in the videos.
FOR SHERLOCK HOLMES FANS
I've been a Sherlock Holmes fan since I was a kid. I've read the entire oeuvre- oh, probably half a dozen times over my life although I'm not so far gone to have considered membership in the Baker Street Irregulars.
Now, production is underway in London of a new movie about Holmes, this time as a 93-year-old retiree living by the sea who is struggling with a failing memory. He is played by Sir Ian McKellan. This is the first public photo of McKellan in character:
The film, titled Holmes, is adapted from a 2006 novel by Mitch Cullen titled A Slight Trick of the Mind. I hope the film improves on the book which I found too tedious to finish.
You can read more about McKellen's new role here.
HIDDEN MIRACLES OF THE NATURAL AND SCIENTIFIC WORLDS
Filmmaker Louie Schwartzberg gave a Tedtalk recently about a film that makes use of high-speed cameras, time lapses and microscopes to show us the world around us that cannot be seen with the naked eye.
Thank Darlene Costner for sending this video which is a collection of excerpts from a new 3D movie titled, Mysteries of the Unseen World. It's great fun to watch.
Interesting Stuff is a weekly listing of short takes and links to web items that have caught my attention; some related to aging and some not, some useful and others just for fun.
You are all encouraged to submit items for inclusion. Just click “Contact” in the upper left corner of any Time Goes By page to send them. I'm sorry that I probably won't have time to acknowledge receipt and there is no guarantee of publication. But when I do include them, you will be credited and I will link to your blog IF you include the name of the blog and its URL.
Friday, 18 July 2014
The Power of Music for Dementia
A couple of years ago, my friend Jim Stone and several others readers sent me a remarkable video about Henry. At the time of filming, he had been 10 years living in a nursing home in dementia care - listless, unresponsive and as one person says in the video, hardly alive.
Then he was given a iPod filled with music from the era of his youth. Watch what happened:
Henry's life was changed due to the efforts of social worker Dan Cohen to bring iPods full of music to dementia care homes throughout the United States and Canada. The results are remarkable. As explained on Cohen's website, Music and Memory,
”...our brains are hard-wired to connect music with long-term memory.
“Even for persons with severe dementia, music can tap deep emotional recall. For individuals suffering from Alzheimer’s, memory for things — names, places, facts — is compromised, but memories from our teenage years can be well-preserved.
“Favorite music or songs associated with important personal events can trigger memory of lyrics and the experience connected to the music. Beloved music often calms chaotic brain activity and enables the listener to focus on the present moment and regain a connection to others.”
Today, 18 July, a movie about Cohen's efforts to bring music to millions of dementia patients opens in cities around the United States. It is titled Alive Inside and it reveals the power of music to restore a measure of life, memory and pleasure to people who have been semi-comatose.
This is the official Alive Inside trailer.
There is a list of opening dates and venues in various U.S. cities for the movie at the Alive Inside website.
At the website for Dan Cohen's Music and Memory nonprofit organization, you can make a tax-deductible contribution to help bring music to more dementia patients, and you can read about the research and science behind the music that is changing the lives of patients and their caregivers.
As I was writing this story, it occurred to me that perhaps among all the papers we have for end-of-life issues, we should all make a list, or even a thumb drive, of the music we loved in our youth and listened to throughout our lives so that should dementia become our fate, caregivers would not need to guess.
This is a local news story showing how music has affected the lives of some residents in care home in Pennsylvania:
At The Elder Storytelling Place today, Mary Mack: Dinner With Mom
Thursday, 17 July 2014
How Do You Feel About Your Appearance?
It doesn't take long for little kids to understand that physical appearance - whether you are beautiful or handsome or not in the eyes of others - matters a great deal in the world.
Those who win the beauty lottery have all kinds of advantages over the rest of us including, according to repeated surveys, higher income throughout their lives. Relatedly, one of the reasons old people are marginalized is that younger people think we are unsightly – you know, all those ugly wrinkles.
It doesn't seem to be true for men (I could be wrong about that), but pressure on girls and women to make themselves as attractive as possible is what keeps companies that sell cosmetics, hair care products and chemical enhancements wealthy, billions of dollars style wealthy.
That's because the entire industry is geared to make all women who are not Angelina Jolie believe they are unattractive and most of us buy into it.
In regard to my appearance, I have always been adept at selective vision – seeing only what I want to see about my hair, face, body. During the decade when I got fat, before my recent weight loss (40 pounds), I never actually looked at my body.
That was easy while I was still living in Maine; I had no full length mirror. But even in this home that came with several full length mirrors, it was as though there was a veil over my eyes that made me invisible in the reflection.
Nowadays, I'm quite happy to see myself clearly in the mirror. Even the remarkably high number of new wrinkles that come with weight loss in old age (in places where I've never had wrinkles before) doesn't bother me.
According to a new survey from Gallup of more than 85,000 adults age 18 and older, I am far from alone in being comfortable with my appearance in old age.
”Though many may pine for the physical appearance they had in their younger years, America's seniors are the most confident in their looks. Two-thirds (66%) of Americans aged 65 and older 'agreed' or 'strongly agreed' that they always feel good about their physical appearance...”
Elders even beat 18- to 34-year-olds in the survey. Sixty-one percent of them like their appearance. The middle-aged are least likely (54 percent) feel good about their appearance.
As you might suspect, throughout life men are more confident about their looks than women and they hit their peak – when the largest number are comfortable with their appearance (74 percent) - at age 80-84.
That age for women (69 percent) is 85 and older.
Now we could attribute that result to poor eyesight but it's much more fun to believe that at last, toward the very end of our lives, we finally achieve a measure of wisdom as to what is really important and what is not.
You can read the entire survey results at the Gallup website.
At The Elder Storytelling Place today, Clifford Rothband: The Chance of a Lifetime
Wednesday, 16 July 2014
Myths of Age Quiz
People old and young believe a lot of twaddle about elders. I first wrote about that during the inaugural year of this blog, 2004, when hardly anyone was reading it.
A portion of Erdman Palmore's Facts on Aging Quiz had appeared online (the page is gone now) and I used it to help readers test themselves about what age myths they might still believe.
Palmore is emeritus professor of medical sociology at Duke University, a gerontologist who is a widely respected expert on aging and ageism with several books on the those topics to his credit.
It might be useful for TGB readers to try his quiz now, a decade later. Given your often enlightened and enlightening comments on this blog, I expect you to do well:
- The majority of old people – age 65-plus – are senile.
- The five senses (sight, hearing, taste, touch, smell) all tend to weaken in old age.
- The majority of old people have no interest in, nor capacity for, sexual relations.
- Lung vital capacity tends to decline with old age.
- The majority of old people feel miserable most of the time.
- Physical strength tends to decline with age.
- At least one-tenth of the aged are living in long-stay institutions such as nursing homes, mental hospital and homes for the aged.
- Aged drivers have fewer accidents per driver than those under age 65.
- Older workers usually cannot work as effectively as younger workers.
- More than three-fourths of the aged are healthy enough to do their normal activities without help.
- The majority of old people are unable to adapt to change.
- Older people usually take longer to learn something new.
- Depression is more frequent among the elderly than among younger people.
- Older people tend to react slower than younger people.
- In general, old people tend to be pretty much alike.
- The majority of old people say they are seldom bored.
- The majority of older people are socially isolated.
- Older workers have fewer accidents than younger workers.
- More than 20 percent of the population is now 65 and older.
- The majority of medical practitioners tend to give low priority to the aged.
- The majority of old people have incomes below the poverty line, as defined by the U.S. federal government.
- The majority of old people are working or would like to have some kind of work to do, including housework and volunteer work.
- Old people tend to become more religious as they age.
- The majority of old people say they are seldom irritated or angry.
- The health and economic status of old people will be about the same or worse in the year 2010, compared with younger people.
Answers: All odd-numbered statements are False. All even-numbered statements are True.
However, by 2050, No. 19 will be true and I suspect that with the growth in numbers of elders as the boomers age, No. 20 may no longer be true or will not be much longer. I don't know if No. 25 is still so or not. The original quiz was published in 1976 and updated twice, in 1988 and 1998.
The page I linked to in 2004 with explanations of the answers is gone now so the only place to find Palmore's commentary, I suppose, is the book which is not currently in my budget.
There is a modern myth of aging that I believe has developed too recently for the good Professor Palmore to have addressed in his quiz updates: that the best, most admired kind of elders are those who most resemble young people, those who “act young.”
So people like the first President George Bush, who jumps out of an airplane every few years (most recently on his 90th birthday last month), are held up as exemplars of good aging, a standard to which all others, it is implied, must aspire or they will be tagged with having failed old age.
Mainstream media loves to tell stories of “redefining old age” by recounting the few who run marathons or take on daredevil motorcycle stunts or, a few years ago, three who made it to the top of Mt. Everest.
That's fine for those people and I certainly don't begrudge them their effort and thrills but they are not anywhere near the average elder anymore than the young who take these risks represent the average in their age groups.
Also, I don't see these extreme sports elders as particularly brave – or perhaps I mean that their kind of bravery is least impressive.
The media ignores all the old people who day in and day out keep on trucking in the face of cancer, Parkinson's disease, varieties of disability and dementia that commonly afflict the aged along with always, in our late years, the near prospect of certain death.
These days I would add a 26th – even numbered, therefore true – statement to Professor Palmore's quiz: Being old requires more courage than other stages of life and most elders accept the challenge with grace and forbearance.
At The Elder Storytelling Place today, Henry Lowenstern: Rhymer's Lament