Neurotic – A Nursing Home May Be in Your Future

Researchers from various institutions, including the University of Rochester Medical Center Department of Public Health Sciences and the University of Chicago collected data from 1,074 community-dwelling seniors participating in a Medicare demonstration to see if there was a correlation between personality types and the likelihood of certain healthcare outcomes.

They completed a self-report questionnaire measuring the “Big Five” personality traits: Neuroticism, Extraversion, Openness to Experience, Agreeableness, and Conscientiousness. During the next two years, the participants maintained daily journals of their use of health care services.

Their hypothesis was that higher Neuroticism would be associated with greater health care use. ThatåÊ was confirmed for three services‰ÛÓprobability of any emergency department (ED) use, likelihood of any custodial nursing home use, and more skilled nursing facility (SNF) days for SNF users.åÊ

Higher Openness to Experience was associated with a greater likelihood of home care use, and higher Agreeableness and lower Conscientiousness with a higher probability of custodial nursing home use.åÊ

Researchers concluded that personality traits are associated with Medicare beneficiaries’ use of many expensive health care services, findings that have implications for health services research and policy. Accordingly, profound advances in personality psychology should be considered as useful interventions.

I for one am for “higher openess to experience.”

Time Passages

The following is a guest post from Dorothy Robinson.
Doro as she prefers to be called is from Canada, and has written many articles about life‰Ûªs moments. Now well along into her senior years, she savors the richness of life in each day, and often sees a good story in what may just seem ordinary. Her attitude is summed up in the French expression ‰ÛÏLa joie de vivre‰Û, the joy of life. åÊåÊåÊåÊåÊåÊåÊ

Where have all the years gone we hear so many seniors reflectively ask. Except for a few that were particularly challenging or for some reason special, they tend to blend together.åÊ Time has moved forward and carried us along with it; and all too suddenly we find we are living the golden years. åÊAs one senior said ‰ÛÏIf I‰Ûªd have known I was going to live this long, I would have looked after myself better!‰Û

Arriving at the senior years is interesting and challenging to say the least.åÊåÊ The famous comedienne and interviewer Art Linkletter once coined a phrase which epitomizes the aging process.åÊ He said, Getting old isn‰Ûªt for sissies. Although humorous this statement says volumes about attitude and how you cope with the changes that inevitably come. Keeping oneself in the game of life takes tenacity, courage, and being open to change. Topping this list is staying young at heart or as the French say it best la joie de vivre! The joy of life. Attitude and an appreciative heart can make such a difference.åÊ

A few years ago my mother in law Belle explained to me how she felt to be 94 years of age. She had just relented and finally agreed to a homemaker coming in to help her out in her apartment. She was still making her own bread and cookies, kept her nails manicured, and enjoyed a drink of Rye and seven up at 4 o‰Ûªclock in the afternoon. She explained to me there was still a young 18 year old inside; in fact there were all the stages of life tucked away, she had lived them all. When I took her shopping for a new dress, she emphatically made it clear, ‰ÛÏNow dear remember, I don‰Ûªt want to be looking at old ladies dresses!‰Û åÊNow that‰Ûªs what I call young at heart. Being content in her circumstances was very evident too.

In keeping with that theme, this is not about cold statistical facts on seniors. It‰Ûªs not about why people are supposedly living longer, or what medication works best for certain ailments. What it is though are some heartfelt reflections from different people who are there, how they feel about what‰Ûªs important and what isn‰Ûªt. It‰Ûªs mostly about expressing appreciation for the things in their lives things they‰Ûªre grateful for.

Here are a few of the quotes:

  • It makes me feel good when my kids respect me and that I have some wisdom to share with them.
  • I don‰Ûªt live by the clock so much anymore; but I try to make the days count.
  • My coffee break with my wife now goes from 9am to 11.
  • I appreciate my friends who put up with me, so I try not to be critical of others.
  • I have been with both smart people and kind ones, but I prefer being around kind people. If some don‰Ûªt like me it‰Ûªs none of my business.
  • It‰Ûªs a good thing the future comes to us just one day at a time, that‰Ûªs about all we can handle.
  • I come from a time when your handshake was your word. I still feel that way.

Yes, being a senior is certainly a very interesting time of life. With Appreciation and gratitude, we can make our days into more pleasant ones, not only for ourselves but others too.

CDC‰Ûªs State of Aging and Health in America 2013 Offer a Comprehensive and Holistic Look at Trends and Needs

The CDC released The State of Aging and Health in America 2013 that provides a snapshot of our nation’s trends and progress in promoting prevention, improving the health and well-being of older adults, and reducing behaviors that contribute to premature death and disability.

The older adult population aged 65 years or older will double during the next 25 years to about 72 million. By 2030, older adults will account for roughly 20% of the U.S. population.

During the past century, a major shift occurred in the leading causes of death for all age groups, including older adults, from infectious diseases and acute illnesses to chronic diseases and degenerative illnesses.

The National Report Card on Healthy Aging reports on 15 indicators of older adult health, 8 of which are identified in Healthy People 2020, the national health agenda of the U.S. Department of Health and Human Services. These 15 indicators are grouped into 4 areas: Health Status, Health Behaviors, Preventive Care and Screening, and Injuries. The United States has met or exceeded six of the Healthy People 2020 targets in this report.

The State of Aging and Health in America 2013 presents several calls to action intended to encourage individuals, professionals, and communities to take specific steps to improve the health and well-being of older adults. They include the following:

åÊåÊåÊ Developing a new Healthy Brain Initiative Road Map
åÊåÊåÊ Addressing lesbian, gay, bisexual, and transgender (LGBT) aging and health issues
åÊåÊåÊ Using data on physically unhealthy days to guide interventions
åÊåÊåÊ Addressing mental distress among older adults
åÊåÊåÊ Monitoring vaccination rates for shingles.

Read my about.com blog here where you can also link to the full report.

http://assistedliving.about.com/b/2013/10/14/cdcs-state-of-aging-and-health-in-america-2013-offer-a-comprehensive-and-holistic-look-at-trends-and-needs.htm

The Old Meets New in Maxine’s Kitchen

The following is a guest post from Dorothy Robinson.
Doro as she prefers to be called is from Canada, and has written many articles about life‰Ûªs moments. Now well along into her senior years, she savors the richness of life in each day, and often sees a good story in what may just seem ordinary. Her attitude is summed up in the French expression ‰ÛÏLa joie de vivre‰Û, the joy of life. åÊåÊåÊåÊåÊåÊåÊåÊ

ItåÊfelt goodåÊto be sitting in Maxine’s sunnyåÊkitchen that beautifulåÊautumnåÊday soåÊmany years ago. IåÊwatchedåÊintently as sheåÊput the finishing touches on our muchåÊanticipated lunch.

Delicate handmadeåÊUkrainian perogies were ready to be served to three appreciative and hungry grandmothers. We all loved to cook, and we knew the work Maxine had gone to in preparing theseåÊfrom scratch for us.
As sheåÊspooned the crispy fried salt pork over the perogies it became apparent to me that Maxine‰Ûªs traditionalåÊmethodsåÊwere very deeply rooted in her Ukrainian heritage. It might have been easier to buy a pound of bacon and fry it up, but no, this was theåÊthe way she was taught to dress her perogies.åÊåÊåÊåÊåÊåÊåÊ
åÊåÊåÊåÊåÊ
Salt pork was a European staple thatåÊsustained many through long hard winters. So wheneveråÊI happen to taste perogies made in this traditional way, it brings back manyåÊmemories.åÊMy Polish parentsåÊwent into the winter prepared with many staples for the cold months ahead.åÊ Amongst these wereåÊthe very important salt pork, a barrel ofåÊsauerkraut, and a crock filled with butter layered with salt to preserve it. Sacks of potatoes and other root vegetables ensured we had interesting meals on the table all winter long.
Our lunch wasåÊdelicious and memorable.åÊ As we passed the sour cream and perogies,åÊI recall with aåÊgreat deal of humoråÊhowåÊvery technical ouråÊconversationåÊbecame as we spokeåÊabout our computers. Gigabyte was a brand new wordåÊ and high speed was coming on ‰ÛÏstream‰Û.åÊ We wanted to be savvy in navigating our way around.åÊ This new world called the “information highway”åÊhad arrived!åÊOurs was a moment encapsulated in time where theåÊoldåÊand theåÊnewåÊseemed to come together seamlessly.åÊåÊA time tested recipeåÊdating back into antiquityåÊwas sittingåÊon our plate.åÊ åÊAs weåÊsavoured it weåÊwereåÊspeaking ofåÊthe future,åÊof the computer age that was here now,åÊand we wanted to be a part of it. This struck me as a real paradox of how quickly technology canåÊchange our world. It‰Ûªs as though we have had our feet planted in two worlds the old and the new, and surprising to some, how veryåÊadaptable seniors can be at any age embracing and understanding this new technology.
On another occasion recently the new and the old met once again. I was speaking to my great granddaughter who was going to give me a pedicure with the latest bake on acrylic nail polish. I had an opportunity to tell her a bit about my early years, and how life was then. To a seventeen year old who was diapered in Pampers when a baby, to learn that her grandmother wore diapers made from flour sacks was quite a revelation.åÊ Yes, I told her, ‰ÛÏWe had the words Robin Hood Flour written in red ink plastered on our diapers until the red ink faded after many washings. These were made from a hundred pound sacks that were large enough to make a couple of good sized diapers‰Û. Women cherished those flour sacks; they would embroider them and make many pretty household items from them. She was shocked to learn that I was born and raised in a sod buster‰Ûªs shack on the prairies during the years of the Great Depression, and that I learned to crawl on a dirt floor. åÊAt that point she raised her eyes up from what she was doing and said ‰ÛÏWow Baba, I didn‰Ûªt know that‰Û.
Yes, time seems to quickly move forward, and the momentum of all the changes taking place to-day can be very daunting for many of us. As the words of the poem by Ralph Hodgson so succinctly put it
‰ÛÏTime you old gypsy man will you not stay,
And put up your caravan just for one day‰Û.
No matter though how busy we are, or how full our day has been working in a very technologically oriented atmosphere, it‰Ûªs still wonderful to think of coming home to something ‰ÛÏold‰Û something timeless, a delicious plate of homemade perogies.

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