March 2010 
Engage-new?
Dear Friends,
 
Are you looking forward to a walk in the sunshine? Sometimes a simple walk is enough to put a lift back in your spirits. However, as we get older, sometimes going for a simple walk isn't that simple. Health concerns, growing frailty and loneliness can all get in the way. This month we're engaging with ways to think about your own care. Boomers understand aging with care in ways different from their parents, care manager's provide company and resources that free your family to enjoy you and their own lives, and assessments help one understand one's own needs. There are so many resources now and for your future. Take a walk in the sunshine and think about what you need.
 
We hope you will share Engage with your family and friends.
 
Sincerely,
 
Institute on Aging
Helping Bay Area Seniors Live Independently
 
Will Boomers Be Any Different?
By Paula Span from The New Old Age Blog 
 
woman swimmer"Not every elderly person needs help, and not every elderly person who needs it resists it. But the No. 1 question I encounter when I speak to family caregivers is how to cajole old people into adapting to increasing disability when they are, to be a tad euphemistic, "fiercely independent."
 
It makes me wonder how much of this apparently widespread intransigence has to do with a particular cohort - anyone over 80 was shaped by the Depression, whether they were old enough to remember it or not - and how much of it is intrinsic to aging itself.
 
In 20 or so years, when we baby boomers enter the ranks of the "old-old" ourselves, will we be any different?
 
I vote yes, in certain important ways...." Read more.
 
Instrumental Activities of Daily Living 
 

In the wake of holiday hustle and bustle, you finally have a moment to reflect on recent interactions with aging friends and family members. During your holiday visits you may have noticed changes in what care professionals refer to as Instrumental Activities of Daily Living. These activities
vacumn
include light housework, preparing meals, shopping for groceries, using transportation, taking medications, managing money and paying bills, sorting through and handling mail, and using the telephone. Though not necessary for fundamental functioning, the ability to manage these activities is an important factor in whether an individual can continue living safely and independently in a community.

 

It's important to pay attention to and address these concerns as soon as possible. Early detection and treatment of cognitive and/or emotional changes makes a tremendous difference in an individual's response to care and long-tem quality of life. 
 
What can you do? 

If you are concerned by the way an aging family member or friend is handling (or not handling) some activities of daily living, you may want to speak with the individual about your concerns. If possible, you may also want to contact his or her primary care physician to find out whether a referral for a neuropsychological evaluation would be helpful. You can also call IOA for a consultation with one of our psychologists so we can help you sort through some of these issues and figure out how to best approach the situation. 
 
What is a neuropsychological assessment?
A neuropsychological assessment is a description of an individual's current cognitive and emotional functioning. This is determined through a full battery of neuropsychological tests. 
 
How is a neuropsychological assessment useful to the individual, family and caregivers?
Assessments are conducted to evaluate individuals within their environment. Recommendations are intended to enhance quality of life, promote independence, and help individuals use their strengths to attain the highest level of functioning. 
 
Learn more about what's involved in a neuropsychological assessment, how results from a neuropsychological assessment enhance the quality of life of the individual, and the costs involved in receiving Assessment Services.

 
Community Events  

The Golden Gate Express Garden Railway
The Conservatory of Flowers brings back its popular garden railway exhibition with new features & surprises sure to delight young & old alike. It's a celebration of the city of San Francisco as a model train, cable car & more wind their way through a lush landscape of dwarf plants & zip past mini versions of the city's landmark buildings.
When: Tues-Sun, 9am-4pm, through April 18, 2010
Where: Golden Gate Park Conservatory of Flowers, San Francisco
Cost: SF Residents: $5 general; $3 youth 12-17, seniors & students with ID; $1.50 children 5-11; ages 4 & under FREE; Non-residents: $7 general, $5 youth 12
Info: Call (415) 831-2090 or visit
www.conservatoryofflowers.org
 
Be Good to Yourself
Taking care of yourself is the first step to finding balance in life, managing stress and caring for others. This workshop will focus on the importance of being kind to yourself and will provide concrete tools for self-care. Learn how to make use of your inherent skills and community resources.
When: Wednesday, April 14, 12:30-2pm
Where: 2100 Webster Street, Suite 106, San Francisco
Cost: $10 donation suggested
Info: Please pre-register for all programs. Call 415-923-3155 or email cpmcchrc@sutterhealth.org. Visit www.cpmc.org/chrc for a detailed course description.
 
The Art of Aging Gracefully: Women's Resource Fair 
Back for a third year, this upbeat, dynamic and informative event is devoted to women's successful use of resources in the quest for graceful aging. The day features health presentations by Kaiser Permanente and representatives from a broad spectrum of organizations and businesses. Visit the IOA's table! 
When: Tuesday, April 27, 9:30am-3pm
Where: JCCSF, 3200 California Street
Cost: Free
Info: Visit
jccsf.org 
 
 
ENCOURAGE
 
Dear Encourage,
I was talking with a friend of mine the other day and she told me she has a "care manager" who helps her organize her life. I had never heard the term before and wondered what kinds of services this person offered as I certainly need some help organizing my life! Ever since I moved to San Francisco from Seattle to be closer to my children, I have felt disconnected and lost. I just hate to bother my kids with all the little things I need because they have their own lives to lead. I raised them to be independent and to pursue their dreams...at my age, I want to remain as independent as possible and be a role model for them. I have been here now for almost a year and recognize that some things need to be different in my life because I can't do all the things I use to be able to do on my own. Does it sound like I need a care manager, too?

 

Dear Relocated One,

 

I hear similar stories from lots of people who relocate from their homes of many years to live closer to their adult children. First of all, I want to say, "welcome," and secondly to express my admiration for your courage in moving away from your familiar environment and being open to settling into a new place! Although there are benefits in living close to your children, I oftentimes wonder if children realize what a significant life transition this is for their parents and how much effort goes into the adjustment process. Obviously, you know as you describe feeling disconnected and lost...this is not surprising at all given the huge change you recently made in your life!

 

Your friend is smart to have elicited the support of a geriatric care manager because this is a trained professional whose primary purpose is to identify what services you need in order to live to the fullest in the environment you have chosen to live and then make sure you are connected with those services. A Geriatric Care Manager is trained and experienced in any of several fields related to care management, including, but not limited to nursing, gerontology, social work, or psychology, with a specialized focus on issues related to aging and elder care. Here are just some of the services they can provide:

 

ü      Conduct care-planning assessments to identify problems and to provide solutions.

ü      Screen, arrange, and monitor in-home help or other services, including assistance in hiring a qualified caregiver for home care.

ü      Provide short- or long-term eldercare assistance for those engaged in local or long distance care giving.

ü      Review financial, legal, or medical issues and offer referrals to geriatric specialists.

ü      Provide crisis intervention.

ü      Act as a liaison to families at a distance, overseeing care, and quickly alerting families to problems - especially important when families are engaged in long distance care giving for a loved one.

ü      Assist with moving an older person to or from a retirement complex, assisted care home, or nursing home.

ü      Provide consumer education and advocacy.

ü     Offer eldercare counseling and support.    

                                                                         

How do you find the right person for you? Call Institute on Aging (415-750-4111) and you will be connected with our care management services so that you can begin to feel more at home and more in control of your new environment. A smart person knows when to ask for help so I salute you for recognizing your unmet needs and being proactive in seeking out solutions!

 
Do you have a question about engaging with life as a senior? Send it our way. Please note, questions may be printed but will be kept strictly anonymous.  Click here to email us.
Issue 19
smiling man
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HERITAGE
 
 Every month we highlight a family tradition, such as a recipe, a craft, or a cultural holiday. Please suggest a tradition from your family!

This month's family tradition:
 
Quilting!
 
quilts hanging from barn

Though associated
 with colonial America, quilting didn't take hold in America until the 1840s. The industrial revolution brought about the widespread production of affordable textiles. This meant women no longer had to spend time spinning and weaving to provide fabric for their family's needs. They now had the inexpensive fabric and the extra time necessary to practice the ancient art of quilting.

If you are a quiltmaker, spend a minute to recognize and appreciate that you have been blessed with a special skill. If you are not a quiltmaker, wrap yourself in a quilt and enjoy the warmth.  

  
We'd like to feature part of your heritage. Share a recipe, tradition or family story. We'd love to print it!
Click here to email us.
Institute on Aging
415-750-4111