March,  2012 The Saugonian March,   2012

Geriatric Assistance
                      By John Macauda

Front Page
More News
Editorial
Things to Do
Here's to Your Health
Geriatric Assistance
More Pictures
Letters to the Editor
M.E.G. Foundation News
The Buzz
Police Log
Theater Review
Remember When...
Houses of Worship

 
                  GETTING BUSY
 
    If you are a fan of the movie Shawshank Redemption that was released in 1994, you may remember the line delivered by the character Andy Dushane (Tim Robbins) to Red (Morgan Freeman) on the eve of Andy's successful escape from prison. Stymied by the corrupt Warden's pertinacity in keeping him incarcerated despite evidence that he was falsely convicted of murder, Andy stated to Red that he had a choice "Either he had to get busy living or get busy dying".

 Despite the dreadful ordeal of his imprisonment, his twenty year plan and eventual escape demonstrated a capacity on his part to think beyond the walls of a hopeless and forbidden existence. He was determined to reclaim his freedom despite the near impossibility of succeeding. He took what was given to him and in the end was triumphant. It was a great movie which embodied the never give up attitude with a thought provoking ending.

You may ask the question as to why I chose to write about this movie's notable quote and how it may have some relevance in how we forge through through life. My answer is simple. We have choices on what path we choose to take that could determine the quality on how we live our lives.

From our younger years and through middle age, work, taking care of our families, maintaining a healthy life style and in general meeting all the challenges that life presents to us seemed to keep us so busy. We were happy and and for the most part we could declare that life was good. The years passed and all of a sudden we woke up one morning realizing that we actually had retired, the children had left the nest sometime ago, and that the annoying effects of aches and pains served as a reminder that we had become older adults. For those that were beset with illness and unable to to care for themselves, trying to continue living a more meaningful life became more exhausting. Though we tried to keep a positive outlook on what lay ahead in our future, in many ways some of us gave up.

Excuses had begun to take the place for actions. In essence, we chose a passive attitude in how we lived our lives. Could this not be considered a passing of a life once filled with enthusiasm  and purpose? Normal aging and personal hardships may indeed alter certain aspects of our lives. However, it should not deter our moral obligation to be persistent in making the most of all the years God has given us. Get busy enjoying the personal interests you use to have, make new friends and challenge your mind often. As I stated earlier, we have choices that determine the character of our lives in our more vulnerable years. The good life is still before us just as Andy found out.
               
John Macauda Director/Saugus Office Geriatric Assistance Inc.  Providing Geriatric Home Care and Senior Services in the North Shore, Merrimack Valley, and Southern New Hampshire
 

                    The Gift of Aging

       The title of this column probably has my readers wondering if I have lost my mind. In a culture that venerates the joys and energy of youthfulness, how could I possibly applaud the journey most of us take as we transition toward our maturation and beyond? What satisfaction could we possibly maintain as our hair grays or vanishes, wrinkles appear where a once flawless complexion graced the mirror, and let us not forget the few extra pounds that changed the physical appearance of our bodies?
      Those that have suddenly found themselves in the inveterate position of being physically challenged are certainly no less happier. At this point, you are most likely wondering how this gift that some associate with lack of vitality and uselessness is manifested. In order to perceive this notion, you must look beyond the most formidable years as only a youthful lifestyle and appearance can bring. Only then will you fully appreciate that aging is a natural process not to be associated with fear and apprehension.
       Let me begin by quoting Aristotle. He said " Happiness involves progress, it involves improving our skills, getting better at what we do well, and learning through experience". Now think back for a moment. Did we not spend the first half of our lives trying to accomplish what Aristotle identified with happiness? We were younger then and of course had to wrestle with immaturity as well as learning the hard way that speaking less and listening more is a good guide to live by.
      Oh my! Think of the precious time we wasted away on trying to find ourselves. I think by now you get the picture. Here we are, many of us are either approaching the twilight of our lives or already there. Most of us have discovered the meaning of happiness and how we got there. Aging taught us how to use our time well and make better decisions based on sound judgment and experience. The enormous energy we spent for so many years in pursuit of our ambitions has undergone some significant changes. Do we not place a higher value on a more meaningful relationship with our family and close friends? I certainly think that we do.
        Surely, getting older means losing some of our youthful strength and even having to depend on others for help. However, we have learned that a sharp mind, creative nature, and a zest to live becomes a lighting rod to our children and grandchildren. We may not realize it, but, they are observing us and at times wonder what will they be like when their time comes. Without a doubt, we are serving as role models and have an influence on those we love the most.
         If we did not age, our lives would have no meaning, memories, or any true sense of accomplishment. Aging allows us the opportunity to experience the prominence of all three. A gift is an award or special ability that is granted to an individual that has done a good deed or achieved a milestone in their lives that has been recognized by their peers. Value this gift that far too many never had the good chance of receiving.


            John Macauda Director/Saugus Office Geriatric Assistance Inc.
             Providing Geriatric Home Care and Senior Services in the North
                 Shore, Merrimack Valley, and Southern New Hampshire

       Benefits of Planning                                 

My Last two columns focused on long term care options and what the costs might be for each. In addition, I attempted to give my readers an understanding of the services and benefits that Medicare and Medicaid provide as well as do not provide when long term care issues suddenly become a major concern. Remember that old adage "Failure to plan is a plan to fail"? Perhaps we can apply this same inference to an indifferent attitude that many of us have toward preparing for any long term care possibilities as we age. A blaring statistic that I obtained on a Health and Human Service site stated that 70% of individuals over age 65 will require at least some long term care services in their lifetime. Over 40% will need care in a nursing home. Most people purchase life insurance so that those left behind are not burdened with debt and uncertainty. In my opinion, preparing to meet long term care challenges both financially and emotionally bares the same weight as obtaining a suitable life insurance policy. Let's find out why.

Planning ahead on a basic level allows greater dignity and control and independence on how future needs are to be met. Having no options except what others decide for us can compound the emotional upheaval not only for the person involved but also family and friends . Therefore, avoiding a discussion on the topic with those closest to you because of its uncomfortable nature is probably one of the worst decisions you can make. Nobody wants to think about getting older, perhaps developing a disabling injury or disease that makes us completely dependent on others. But, as I have stated on numerous occasions in previous articles, aging is a process with unpredictable outcomes.

Let us assume for the moment that you have accepted the fact that having a plan to meet tomorrows care needs is a very good idea. You should then focus on what type of care your income and assets can actually support. Those with the most money usually have more choices. Finding a good attorney that can explain concepts such as health savings accounts, reverse mortgages, asset transfers, and personal savings will help you understand which options might be best for your particular situation. Moreover, you may want to become more familiar with the importance of designating someone as your health care proxy or having a living will drawn up.

Another option to consider is purchasing long term care insurance. Depending on your policy, this insurance could help with services provided in continuing care communities, adult day care, and assisted livings. As in any type of insurance policies, read it very carefully and know the scope of your coverage. Before committing to a plan, I would consult with an attorney. The older you become, the premium costs become more expensive. If you are a disabled veteran, you may qualify for some long term care benefits. Call the Veterans Administration and get the full details.

Again, Medicare does not pay for long term care and Medicaid has eligibility restrictions. Remember that you are never too old or for that matter too young to plan for your future health care needs. I will end with a quote taken from the National Care Planning Council that I believe will give you cause for thought. "The failure of the current pre-retirement generation to plan for long term care will have an even greater future negative impact on our culture and our families than the lack of planning does today".


            John Macauda, Director/Saugus Office Geriatric Assistance Inc.
      Providing Geriatric Home Care and Senior Services in the North Shore,
                Merrimack Valley, and Southern New Hampshire

 


Front Page / More News / Editorial / Things to Do / Here's to Your Health / Geriatric Assistance / More Pictures / Letters to the Editor / M.E.G. Foundation News / The Buzz / Police Log / Theater Review / Remember When... / Houses of Worship

Go To Saugonianplus Main Menu