What does “successful aging” look like? Will boomers continue to be interested in senior centers and “villages?”
Two recent articles weigh in on topics that will have profound impact on services that may have to be modified as persons age. These aging persons are not “their father’s” peers. It is a very different time and will continue to be.
“Salem residents, including baby boomers, exercised at the advanced fitness class at the Salem Community Life Center.” – SUZANNE KREITER/GLOBE STAFF
“What Is Successful Aging?” – (This nextavenue article is excerpted from the new book Better with Age: The Psychology of Successful Aging by Alan D. Castel PhD. Copyright © 2019 by Oxford University Press. All rights reserved.)
“The phrase ‘successful aging’ has grown in popularity over the past few decades. At some point in life, people become concerned about aging and want to know what to expect, what to avoid and ways to adapt. New research has shown that important paradoxes exist regarding how we think about old age and how we actually age.
T”he term successful aging was made popular in 1987, when the scientists John Wallis Rowe and Robert Kahn published an influential book entitled Successful Aging. Rowe and Kahn stated that successful aging involved three main factors: (1) being free of disability or disease, (2) having high cognitive and physical abilities, and (3) interacting with others in meaningful ways.
“Extrinsic and Intrinsic Factors of Successful Aging
“Importantly, Rowe and Kahn acknowledged that successful aging involved both intrinsic genetic factors and extrinsic lifestyle factors. Extrinsic factors such as diet, exercise, personal habits and psychosocial aspects of aging are often underestimated if one takes the simplistic view that aging is guided by genetics.” – Click here to continue reading this article.
This Boston Globe article, “Senior groups struggle to attract ‘forever young’ baby boomers” sheds new light on what the “boomers” think about traditional senior centers and “villages.”
“I have no interest,” responded one person in the article when asked to visit the local senior center.”
Exciting things are happening in Lebanon County; one of them is the establishment of a Veterans Court that began in January, 2019.
“With a goal of rehabilitating veterans and reducing the prison population to below 500, John Shott, The Honorable Judge John Tylwalk, and Director of Probation Sally Barry presented a $20,000 Veteran’s Court for start-up costs.
“To help make the Court sustainable, a $500 Administration fee will be paid by participants. Participants may receive House Arrest and avoid jail time. Incentives in the form of gift cards are one reward for successfully completing the program. Volunteer veterans are sought as mentors to help fellow veterans through the process. Training is provided. Judge Tylwalk will meet with each veteran.
“This 24-month proactive program is one more tool in the toolbox along with DUI Treatment Court, the Renaissance Crossroads Program, Day Reporting Center, and pretrial diversion components of the IP plan already in place. Participants will perform community service projects. Sanctions include writing essays, loss of privileges, demotion to a lower phase, additional fines, curfew restrictions, incarceration, and removal from the program. The presence of the VA Medical Center provides an extra layer of support that many other counties do not have. Starting with 10 participants, there is room to grow the program to 50 participants. A 90% completion/graduation rate is anticipated.” – Click on the above graphic to watch a December 2018 video explaining the Veterans Court process.
“Veterans Courts assist veterans charged with crimes who are struggling with addiction, mental illness or co-occurring disorders and come in contact with the criminal justice system.
“Utilizing the successful drug court model, participants come before judges on a regular basis, receive support and guidance from veteran mentors, are supervised by specialized probation officers and receive treatment and support from the Veterans Administration to address underlying problems often caused by post-traumatic stress disorders. Pennsylvania’s first veterans court opened in Lackawanna County in November 2009. With more than 800,000 veterans, Pennsylvania has the fourth largest population of veterans in the country.” – Source: The Unified JUDICIAL SYSTEM of PENNSYLVANIA Website
Click here to read a VFW Magazine article about Veterans Courts: “Ten Years of Second Chances | A decade ago, officials at a New York court were stunned at how veterans charged with non-violent crimes responded to an offer of help”
“Dave Stroman, a life member of VFW Post 7397 in Lenexa, Kan., speaks during Garrett Cleek’s graduation from the Johnson County (Kan.) Veterans Treatment Court in October 2017. Stroman, a Vietnam War veteran, serves as a mentor to Cleek, an Afghanistan War veteran and fellow Post member, as well as other veterans in the program. Photo by Beth Lipoff.” – VFW Magazine
Click here to read a December, 2018 Lebanon Daily News article about the establishment of the Veterans Court.
OPINION | “Seema Verma: Americans have the right to know their health care and hospital costs” – STATNews
by Seema Varma. Seema Verma currently serves as Administrator of the Centers for Medicare & Medicaid Services (CMS).
“Americans are prolific shoppers, constantly on the lookout for the best price for top-quality products and services. If you are searching for a new television, it’s easy to find prices and statistics transparently and prominently displayed at just about every store.
“Yet when it comes to maintaining our health, very few of us ever know price or quality before receiving a health care service. This is true whether it’s a simple visit to the doctor, a cancer screening, or a knee replacement.
“One reason health care costs continue to skyrocket is that the prices and quality of care are largely hidden from patients. That means health care providers don’t compete on cost or quality.”
Lebanon VA Medical Center announces the first “Building the Bridge” event | other dates and venues announced, too.
The first session of the Building the Bridge Series is scheduled for March 8, 2019. Enrollment will be available and onsite throughout the event. This event will be held at the U.S. Army Heritage Education Center (Carlisle PA), where we look forward to collaborating with key stakeholders from the Veteran community pertaining to supports and resources in Cumberland, Dauphin and Perry Counties.
This year’s topics include:
- Transition from Uniformed Services to Civilian Life: The common challenges in the transition process for both the Veteran and the family.
- Substance Use & Abuse: Identifying when someone is using drugs &/or alcohol to cope, how to respond and where to turn for help.
- Suicide Prevention: When warning signs of suicide begin to emerge & how family can help. Discussion pertaining to supports & local initiatives.
- Serving the Whole Veteran from a Wrap Around Perspective: Connecting Veterans before, during and after VA care with community partnerships.
Please join us for education, collaborative discussion and round-table sessions to further develop, strengthen and sustain working relationships.
Click here | To see a snapshot of disability in Pennsylvania
61 million adults in the United States live with a disability
- 26 percent (one in 4) of adults in the United States have some type of disability.
- The percentage of people living with disabilities is highest in the South.
Percentage of adults with functional disability types:
- 13.7 percent of people with a disability have a mobility disability with serious difficulty walking or climbing stairs.
- 10.8 percent of people with a disability have a cognition disability with serious difficulty concentrating, remembering or making decisions.
- 6.8 percent of people with a disability have an independent living disability with difficulty doing errands alone.
- 5.9 percent of people with a disability are deaf or have serious difficulty hearing
- 4.6 percent of people with a disability have a vision disability with blindness or serious difficulty seeing even when wearing glasses.
- 3.6 percent of people with a disability have a self-care disability with difficulty dressing or bathing.
Disability and communities.
Disability is especially common in these groups, older adults, women and minorites.
- 2 in 5 adults age 65 years and older have a disability
- 1 in 4 women have a disability.
- 2 in 5 non-Hispanic American Indians/ Alaska Natives have a disability.
Disability and health.
Adults living with disabilities are more likely to be obese, smoke, have heart disease and diabetes:
- 38.2 percent of adults with a disability are obese while 26.2 percent of adults without a disability are obese.
- 28.2 percent of adults with a disability smoke while 13.4 percent of adults without a disability smoke.
- 11.5 percent of adults with a disability have heart disease while 3.8 percent of adults without a disability have heart disease.
- 16.3 percent of adults with a disability have diabetes while 7.2 percent of adults with a disability have diabetes.
Disability and Health Care Access
Health care access barriers for working-age adults include
- 1 in 3 adults with disabilities 18 to 44 years do not have a usual health care provider
- 1 in 3 adults with disabilities 18 to 44 years have an unmet health care need because of cost in the past year
- 1 in 4 adults with disabilities 45 to 64 years did not have a routine check-up in the past year
Making a difference.
Public health is for all of us.
Join CDC and its partners as we work together to improve the health of people living with disabilities.
CDC and its partners work together to improve the lives of people with disabilities by:
- Promoting healthy living,
- Monitoring public health data
- Researching and reducing health disparities
- Building inclusive health program
- Improving access to health care.
Brought to you by the National Center on Birth Defects and Developmental Disabilities. Centers for Disease Control and Prevention
Contact us: firstname.lastname@example.org
- Okoro CA, Hollis ND, Cyrus AC, Griffin-Blake S. Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults — United States, 2016. MMWR Morb Mortal Wkly Rep 2018;67:882–887. DOI: http://dx.doi.org/10.15585/mmwr.mm6732a3External.
- Centers for Disease Control and Prevention. Disability and Health Data System (DHDS) [Internet]. [updated 2018 May 24; cited 2018 August 27]. Available from: http://dhds.cdc.gov
Lest you think this cannot happen here in the Berks-Lancaster-Lebanon Counties area, do not be deluded. Romance scams do happen here and we have evidence that some people have lost lots of money in the pursuit of companionship. The Federal Bureau of Investigation warns about “Romance Scams | Online Imposters Break Hearts and Bank Accounts.”
“On the internet, you can become anyone you want to – at least for a while. And though deception doesn’t fit well with lasting romance, people lie all the time: Fewer than a third of people in one survey claimed they were always honest in online interactions, and nearly nobody expected others to be truthful. Much of the time, lies are meant to make the person telling them seem better somehow – more attractive, more engaging or otherwise worth getting to know.
“‘Catfishing’ is a more advanced effort of digital deception. Named in a 2010 movie that later expanded into an MTV reality series, a catfish is a person who sets up an intentionally fake profile on one or more social network sites, often with the purpose of defrauding or deceiving other users.
“It happens more than people might think – and to more people than might believe it. Many times in my own personal life when I was seeking to meet people online, I found that someone was being deceptive. In one case, I did a Google image search and found a man’s profile picture featured on a site called ‘Romance Scams.’ ”
You can read this article in its entirety at The Conversation, click here.
“Ageism is the stereotyping, prejudice, and discrimination against people on the basis of their age. Ageism is widespread and an insidious practice which has harmful effects on the health of older adults. For older people, ageism is an everyday challenge. Overlooked for employment, restricted from social services and stereotyped in the media, ageism marginalizes and excludes older people in their communities.
“Ageism is everywhere, yet it is the most socially ‘normalized’ of any prejudice, and is not widely countered – like racism or sexism. These attitudes lead to the marginalization of older people within our communities and have negative impacts on their health and well-being.” – SOURCE: World Health Organization
Watch this 11 1/2 minute TEDTalk and for a look at ageism in this country.
“Take the Ageing Attitudes Quiz as a first step in your Stand Against Ageism. Check your attitudes against these commonly held views of ageing and older persons and find out how much you know about ageing and older people.”
“What you need to know about sleep medications, their side effects and other issues” – The Washington Post
(Zach Meyer for The Washington Post)
by Jill U. Adams
“A lot of people out there don’t get enough sleep — more than 1 in 3 American adults, according to the Centers for Disease Control and Prevention.
“If you’re one of them, you probably know there are two main treatments for improving sleep: behavioral methods and medications.
“When you’re desperate for a good night’s sleep, medications sure do sound appealing. But there are caveats with them all — the prescription pills, the over-the-counter products and the herbal supplements.
“Before describing the medications in detail, I’ll remind you that the prevailing wisdom is that cognitive behavioral therapy, which involves changing habits and bedtime rituals, is the first-line treatment for insomnia. Sleep experts say CBT is more effective and longer lasting than medication for most people — but maybe you’re not most people.”
Click here to read this Washington Post article in its entirety.
by Maria Castellucci
“About 30% of emergency department visits among patients with common chronic conditions are potentially unnecessary, leading to $8.3 billion in additional costs for the industry, according to a new analysis.
“The report, released Thursday by Premier, found that six common chronic conditions accounted for 60% of 24 million ED visits in 2017; out of that 60%, about a third of those visits—or 4.3 million—were likely preventable and could be treated in a less expensive outpatient setting.
“The frequency of unnecessary ED visits from the chronically ill is unsurprising given the fee-for-service payment environment the majority of providers remain in, said Joe Damore, senior vice president of population health consulting at Premier. On average, only 10% of providers’ payment models are tied to value-based models, he said, so providers don’t have an incentive to effectively manage patients to prevent disease progression and promote wellness.”