“No one likes to see a lessening of themself.”
Julia age 80+
I’ve never forgotten a counseling course at Teachers College. We were told how important it is NOT to take something away from one’s psychological foundation (it gives us our psychological strength/confidence) without replacing it with something positive/helpful. To take something away and not replace it, weakens the foundation.
Yet normal age-related changes can take away–or at best lessen vision, hearing, energy, flexibility, strength and much else. As we try to help parents age well at some point we become aware of the “lessening” (which parents may have tried to cover up–think driving).
How can we support, compensate, empower or substitute so elders can continue to “do?”
While we know one size doesn’t fit all, we can do some of the leg-work and perhaps partner in the final “doing.”
1. Julia, a noted master gardener and very proud woman–then in her 80’s– had less energy, less muscle strength and was physically less flexible. Bending and digging in her garden was painful. As a Mother’s Day gift, her adult children accompanied Julia (she still drove) to the nursery. She selected the plants; they planted Julia’s garden. Julia could continue to pick and enjoy the vegetables and flowers and pull a few weeds when she wanted to. With her children doing the physical labor, Julia continued to do what she loved.
2. Karen was an instinctively supportive daughter. She always bought more than she needed when items were on sale at the grocery store. Her mother (87) loved cooking, but food shopping was difficult and tiring, especially in NYC with taxis involved. So Karen, who worked full-time, would plan–on a weekly basis– an afternoon, take the “extras” to her mother and they’d cook together. Karen’s mother could continue to “do.” Priceless togetherness–plus her mother had a new supply of nutritious, delicious prepared food–some of which they froze.
3. Failing hearing was creating a significant loss for Linda’s friend’s mother, whose mainstay was playing bridge. Her bridge group no longer wanted to play with her because of her hearing loss. The friend’s idea: replace She continued her mother’s weekly bridge games–by asking 6 good friends to play in every-other-week rotations. (See “How a Good Friend Helps.”)
4. Mobility problems can cause additional problems from falling to isolation. Thus how we support and substitute is key. If it isn’t easy for elders (and those who transport them) to get around, they don’t. This means doing the research and getting it as right as possible the first time. Translated: initially buying the best required equipment, making certain it’s adjusted so the fit is right, and making certain one uses it correctly–especially canes and walkers (light-weight ones, heavier ones with a basket or tray and/or seat); and wheelchairs (companion wheelchairs, “regular” wheelchairs). For still-driving people, perhaps a mini-van, whose back area easily accommodates a wheel chair (and obviously a walker), makes everything more doable.
(A polio victim’s son found a used Chrysler Town and Country mini-van for his 74-year-old mother, with a remote that opens/closes doors and the tailgate and a pushbutton inside that opens/closes the aforementioned. She has continued her life, causing little additional burden to anyone.)
5. Safe driving requires good vision, hearing and reflexes. Carefully-planned solutions need to be substituted or result in isolation or unsafe driving. One daughter offered transportation for social outings when parents no longer drove at night. Since she or her siblings needed to know ahead of time, they and the parents decided on the one night parents would go out each week. With advanced notice they’d make themselves available 1-2 additional nights.
Towns/cities provide transportation services for seniors. Getting them to replace being able to jump into the car and go at will with a bus schedule can be difficult. That said, Aunt Mildred took the bus downtown to the Beauty School in Portland until she was in her early 90’s (and baked cookies for the drivers). When she moved to assisted living, a small bus came, by appointment, so she could continue her hair appointments at the Beauty School (where she also enjoyed gossip, and her manicure).
Creative thinking isn’t everyone’s forte. But we can tap our parents’ doctors, out-of-the-box-thinking friends with aging parents, and professionals specializing in geriatrics (ie. geriatric social workers) for ideas to supplement the “lessening”—as we try to help parents age well by continuing to “do.”
RELATED: Mayo Clinic article on Canes
NY Times article re: problems from non-fitting canes
How to buy a cane
The Right Cane for Aging Parents 8/13/11 Help! Aging Parents
Note: “Of Current Interest” (right sidebar). Links to timely information and research from top universities, plus some fun stuff–to help parents age well.
I’d like to share a few examples of empowering….after a vicious cycle of falls, hospitalization, and nursing home rehabilitations my mil moved in with us. I regularly took her to the senior center to play bridge, we’d have lunch and bridge parties at our home, she was a part of our family celebrations.
When Hospice became involved, we focused on maintaining social relationships and activities. Hospice supplied a transport chair (I could take to the senior center), and oxygen.
With all the difficulties, I feel good that we did the best we could to empower my mil.