Read the latest information on Community HealthChoices and more at the PA Helath Law Project’s monthly update; click on the above graphic or here to view the file.
POSTED BY KARA GAVIN-U. MICHIGAN
“A new tool ‘scores’ patients with multiple chronic conditions. Those with higher multimorbidity scores have faster memory loss, a higher suicide risk, and a higher overall risk of death, researchers report.”
“Assessing the effect of chronic disease on a person’s health is important because 45 percent of all adults have more than one condition—and that figure jumps to 80 percent after age 65, says researcher Melissa Wei, a primary care physician at Michigan Medicine, who led development of the new scoring system, called the multimorbidity-weighted index, or MWI.
“‘Multimorbidity scores’ can help doctors understand a patient’s overall prognosis—and can help identify special risks that people with multiple chronic illnesses face, researchers say.
“As reported in The Journals of Gerontology: Series A, people with higher scores had a much faster decline in thinking and memory abilities than those with lower scores, even though most of the chronic conditions included in the index had no direct relationship with brain health.”
“The need is great and growing for accessible, affordable housing” | maybe this is one step toward satisfying that need?
Shuttered stores dominate the interior of the Schuylkill Mall which has closed and been demolished in Frackville, Pennsylvania.
This article at Pennlive today, “Dead and dying malls of Pennsylvania, updated: More shopping centers are bleeding retailers.” prompted a revisited look at an idea that’s being floated across the nation.
What will become of these once-popular retail centers? Demolish them? Re-store them? Re-purpose them?
“The retail apocalypse has not been kind to malls. Credit Suisse recently studied the state of mall-based retail and predicted that that about one-fourth of the nation’s 1,100 shopping malls — or roughly 220 to 275 shopping centers — will close by 2022.”
The above is the lead paragraph from this Forbes Magazine article: “Why Malls Should Add Residential To Their Repurposing Plans.”
Te idea that malls offer ideal solutions for affordable, accessible residences is one that has to be considered. Many malls already are on public transportation routes; they already have plenty of parking and they’re “walkable.”
This white paper by New York State Assemblyman Stephen Englebright points out other benefits for older adults and people with disabilities:
- Mixed-use development that includes housing, shopping, amenities, and
access to transportation and professional offices provides easy, often
walkable, access to necessities for daily living and substantially reduces or eliminates use of personal cars—thereby, (1) helping non-driving older people and people with disabilities to remain independent for much longer periods of time, (2) keeping these individuals integrated with others in the community, and (3) significantly supporting the caregiving efforts of family members.
- Subsidized housing in place of distressed or vacant strip malls, or developed above prosperous malls, helps address the State’s significant need for additional affordable housing, thereby helping to keep seniors and people with disabilities living in their own communities instead of relocating.
- Small numbers of affordable units above a box store or strip mall, or incorporated as a component of a mixed-income larger redevelopment of a shopping center furthers the integration of low- and moderate-income families and individuals into the wider community.
Another Forbes Magazine shares the thought: “4 Models Of The Shopping Mall Of The Future.”
In Providence, RI, “You Can Now Live Inside America’s First Shopping Mall for $550 a Month: But there’s already a waiting list for these new micro apartments.”
“Your Professional Decline Is Coming (Much) Sooner Than You Think: Here’s how to make the most of it.” – The Atlantic
“The data are shockingly clear that for most people, in most fields, professional decline starts earlier than almost anyone thinks.”
by Arthur C. Brooks
“‘It’s not true that no one needs you anymore.’
“These words came from an elderly woman sitting behind me on a late-night flight from Los Angeles to Washington, D.C. The plane was dark and quiet. A man I assumed to be her husband murmured almost inaudibly in response, something to the effect of ‘I wish I was dead.’
“Again, the woman: ‘Oh, stop saying that.’
“I didn’t mean to eavesdrop, but couldn’t help it. I listened with morbid fascination, forming an image of the man in my head as they talked. I imagined someone who had worked hard all his life in relative obscurity, someone with unfulfilled dreams—perhaps of the degree he never attained, the career he never pursued, the company he never started.
“At the end of the flight, as the lights switched on, I finally got a look at the desolate man. I was shocked. I recognized him—he was, and still is, world-famous. Then in his mid‑80s, he was beloved as a hero for his courage, patriotism, and accomplishments many decades ago.”
This a “long read” — but maybe just right for a Sunday (or any other) morning. Click here to read this article at The Atlantic.
“When I get older losing my hair
Many years from now
Will you still be sending me a valentine
Birthday greetings, bottle of wine?
If I’d been out till quarter to three
Would you lock the door?
Will you still need me, will you still feed me
When I’m sixty-four?”
“Many of the regulars at The Allegheny Elks Lodge in Pittsburgh had a love/hate relationship with their 65th birthdays.” – Erika Beras/Marketplace
by Erika Beras
“For a lot of people, turning 65 is a kind of love-hate experience. At the Allegheny Elks Lodge in Pittsburgh, Pennsylvania, the people who’ve seen their 65th birthdays come and go refer to themselves as ‘geezers.’
“Like Joe Campisi, 69, who’s a retired police officer. He says that at 30 years of age, 65 seemed a lifetime away. At 60: ’65 seemed a long ways away. Now I’m going to be 70 … and I blew right through 65.’
“For Linda Nehrer, who turned 65 nine years ago, the 65th birthday came and went. She continued working as a school administrator, spending time with her friends and singing with bands. Still, she says, when she thinks of her age: “Some days I don’t like it as much as other days.”
“Then there’s JoAnn Azinger, 74.”
Many older adults want to grow old at home. As a caregiver, you can help by arranging supports for the person (and for yourself)!
- Personal care. Is bathing, washing hair, or dressing getting harder to do? As a caregiver, you can help. Or you could hire a trained aide for a short time each day.
- Household chores. Does the person need help with chores like house cleaning, yard work, grocery shopping, or laundry? Some grocery stores and drugstores will take an order over the phone or online and bring the items to the person’s home. There are cleaning and yard services you can hire, or maybe someone you know has a housekeeper or gardener to suggest. Some housekeepers will help with laundry. Some dry cleaners will pick up and deliver your clothes.
- Meals. Worried about your loved one not eating nutritious meals or being tired of eating alone? Encourage eating with others. Find out if meals are served at a nearby senior center or house of worship. Meal delivery programs bring hot meals into your home; some of these programs are free or low-cost.
- Money management. Many caregivers lend a hand in bill paying and money management. Volunteers, financial counselors, or geriatric care managers can also help. Just make sure you get the referral from a trustworthy source, like your local Area Agency on Aging. Learn more about legal and financial planning for older adults.
- Health care. You can help an older person set out medications for a week at a time using pill boxes. Ask the person if they would like company at medical appointments so you can take notes on what the doctor or nurse says. If the person is hospitalized and needs nursing care at home for a short time, make sure to talk with the hospital discharge planner to get help making arrangements.
Visit our website to learn more about aging in place