Archive for the 'Leisure and Lifestyle' Category Page 2 of 18



Seniors share homes for income and company

Yahoo News, February 9th, 2011

Joyce Kane lives with two women who pay rent, don’t smoke and like her cats.

Kane, a 64-year-old divorcee, has been sharing her central New Jersey
home with strangers for 10 years and depends on them for both income and
company.

She is one of a growing number of seniors across the United States who
live with paying guests in their homes and find that the lodgers are not
only an economic lifeline but also an emotional anchor.

“In order to stay in my home after a divorce I needed additional
income,” said Kane, who has had seven sharers and describes it as a
wonderful experience, and one she recommends to others.

“I’ve had some great relationships with the homesharers,” she added.

In New Jersey, such partnerships are brokered by Homesharing, Inc., a
nonprofit group that links homeowners — often but not always seniors –
with people who can’t afford to buy or rent their own homes and are
willing to take a room or two in someone else’s house.

The service is free, although the group accepts donations from
participants. Both the homeowners and the people seeking a home are
thoroughly screened and everyone is interviewed.

“Our rate (of success) is better than first-time marriages,” said Renee
Drell, executive director of Homesharing, Inc, one of many similar
organizations across the United States.

Demand from both homeowners and those who want to live in their houses
increases every year, and has accelerated with the economic downturn.

“What has been happening the last few years is that more people who are
homeowners need this as other costs rise and their income remains
stable,” Drell explained. “And there is always the population that need
this program, but it has increased in intensity now as people have lost
their jobs. “

She has seen demand increase by about 19 percent from 1,610 clients in
2009 to 1,912 through November 2010. Those looking to move into someone
else’s home are often middle-aged women who have fallen on hard times.

Read more of this article.

View of Retirement at 107

Yahoo Finance, January 17th, 2010

Editor’s Note:  No links in this case, as this concerns more than simple retirement financial products, but the article below is a fascinating view of Retirement from someone who, by every possible measure, has gone through the entire process.  We could all stand to learn a great deal from Leonard McCracken.

Eight years ago, at age 99, Leonard McCracken failed the eye test for
renewing his driver’s license. He put his Lincoln Continental up for
sale and got $1,600. “I sold it in three days — I got a good price. I
love to haggle,” he says.

McCracken, who lives in Florida, has been living in retirement since
about 1969, when he left a position as a salesman with a now-defunct
steel company in Ohio. Since then, he’s been living on savings, Social
Security and a lifetime annuity that he purchased before he retired. He
has never had a pension. At 107, after living in retirement for 41
years, he’s still paying the bills and getting by on his own resources.

“Dad never made more than $10,000 a year in his life,” says his son Bob, a 73-year-old retired GE aircraft engineer.

How
does a guy with modest income manage such a retirement planning feat?
McCracken points to a half-dozen basic principles that have gotten him
through life and continue to serve him well.

Thrift

In
his whole life, McCracken says, he has only owned two new cars. The
rest of the time he bought used. He still shops at the thrift store. And
he remembers vividly the time that his wife was holding a garage sale
and left him in charge. When she returned, he had sold the living room
sofa for $100. “I had a very understanding, frugal wife (Dorothy, who
died in 2002 at 95 after 75 years of marriage). We gave up a lot of
things that other people were buying in order to break even.”

Read more of this article.

When Moving Seems Impossible

The New York Times, December 30th, 2010

Patricia Wendler had been trying to sell her Southport, N.C., home
for four years. Just before Thanksgiving, she finally got an offer, with
one major contingency: Mrs. Wendler, 80, had less than three weeks to
move, or no deal.

She and her husband, who died in 2008, had retired to Southport 16
years ago from New Hartford, N.Y. In that time, the Wendlers had
accumulated furniture that wouldn’t fit in her new apartment, tools she
wouldn’t need and years upon years of paperwork. “I kind of stored
everything,” she said.

Her daughter-in-law, June Wendler, described the task of relocation
as a “tornado.” She called Jane Roberts, a senior move manager in
Wilmington, N.C., for help.

Initially, Patricia Wendler was not thrilled.

“I was a little resentful,” she said. “Why would I need someone like that? I’m not used to having people do things for me.”

The Wendlers are among more than 50,000 families to hire a certified
senior move manager this year, up from 30,000 just two years ago,
according to the National Association of Senior Move Managers. These
services don’t come cheap: Most move managers charge $25 to $60 per
hour. A top-to-bottom move can require several days of planning, packing
and unpacking, running $1,500 to $4,000 or more — not including the
cost of the actual movers.

Despite the expense, many families are finding senior move managers
indispensable, and not just because they handle the logistics. Tensions
can spill over when an elderly parent must relocate. Hundreds of
necessary decisions and actions can swallow time the family may not
have; the inevitable negotiations and concessions can trouble even the
best parent-child relationships.

Surveys show that the elderly overwhelmingly wish to remain in their
long-term homes, and to many of them moving represents a loss of
control. “These moves usually are precipitated by something that’s
happened — a health crisis, a death of a spouse, a loss of driving
ability,” said Margit Novack, a senior move manager in Philadelphia.

A good move manager helps to clear a path to the new home while
ensuring that the senior is always in control, regardless of who made
the first call. “These people don’t want anyone telling them what to do.
You have to walk a very fine line,” said Ms. Roberts.

Read more of this article.

Relocation Assistance:  Many Seniors who are retiring or downsizing elsewhere find that they need help in the herculean logistic task of getting to their new home with all their possessions, and setting themselves up there.  Relocation Assistance covers a variety of services that can help seniors with the often-traumatic process.

Portfolio Names Best Places for Seniors to Retire to in 2011

Yahoo News, December 12th, 2010

As retirement communities
and senior living facilities clamor for the hard-earned Social Security
funds and personal savings of today’s retirees, Portfolio names the
best places to retire to. What’s hot, what’s not and why?

Who are today’s Retirees?

Portfolio
selected its list of best places to retire to by matching retirement
communities and senior living options to the likely customers: baby
boomers. Estimating that roughly 3 million Americans will reach age 65
and seek out the best places for seniors in 2011, this huge chunk of the
population eligible for Social Security represents a surprisingly large demographic with equally sizable buying power.

What’s Hot?

The undisputed hot spot is Bradenton-Sarasota, Florida. Second and third on the list are Prescott and Lake Havasu City,
which give a nod to Arizona. The list of the best places to retire to
continues on with only Florida locales: Cape Coral-Fort Myers, Naples,
Palm Bay-Melbourne, Homosassa Springs, Ocala, Punta Gorda and Port St.
Lucie round out the top 10.

What’s Not?

The bottom five places on the 157-city list of the
senior living hot spots are Harrisburg (Penn.), Jackson (MS), Columbia
(SC), Baton Rouge (LA) and Ogden (UT).

What Differentiates Bradenton from Ogden?

According to the statistical data,
the total 2009 population of Ogden was 542,642. Those aged 65 and above
made up 48,798 of these residents, which translates to roughly 8.99
percent. The median age in Ogden is 30 years and the percent of seniors
born out of state is above 45.

In contrast, Bradenton-Sarasota featured a 2009
population of 688,126, of whom 184,455 (or 26.81 percent) are senior
citizens. The median age is slightly above 48 and the percentage of
those moving into the retirement communities from out of state topped 95
percent.

The main draw, says Portfolio’s editor to PR Newswire, is the presence of an already established senior living community. A warm climate is another big plus.

How Much Credibility Has the List of the Best Places to Retire to in 2011?

The entrepreneur ready to expand into the baby boomer
market may wish to take a few pointers from Portfolio and set up shop
in Bradenton-Sarasota and surrounding areas. That said, do not bet the
farm on Bradenton becoming a lasting hot spot.

Read more of this article.

Relocation assistance:  Relocating, even to a good area for seniors, is not an easy process.  There are companies and organizations that can help with the physical, organizational, and logistical aspects of relocating or downsizing your home.  Find out more at NewRetirement.com

Getting to Know You

The New York Times, December 13th, 2010

If you have a relative in a nursing home, you’ve probably had variants of these conversations:

Visitor: How’s my father doing today?
Aide: Which one is your father?

Or:
Visitor: Is my mother’s appetite better today?
Aide: I’m not sure; I wasn’t here yesterday.

Or:
Visitor: How’s my aunt getting along with her new roommate?
Aide: I’m sorry, I don’t know. I usually work on the third floor.

The problem isn’t that certified nursing assistants, who provide the
great bulk of hands-on care in nursing homes, are as a group callous or
unobservant.

It’s that they typically rotate through the facility, moving from one
floor or unit or shift to another as needed, which rarely allows them
to truly know the fragile old people in their care.

The idea that the same aides should care for the same residents, day
after day, has come to be known as “consistent assignment.” It hardly
seems a radical proposition.

The Commonwealth Fund’s ongoing national campaign to improve nursing home quality
recommends that no more than eight staff members care for a single
resident in a month. (Six would be better, but because administrators
have to cover three shifts each weekday and three more on weekends, and
to find substitutes when aides take sick days or vacations, eight seemed
a reasonable goal.)

Nearly 43 percent of nursing homes have signed on to the Advancing
Excellence in America’s Nursing Home campaign, which began four years
ago. Yet Dr. Mary Jane Koren, the geriatrician who is leading the
campaign, estimates that only a quarter of homes practice consistent
assignment on weekdays and perhaps only 10 percent for all shifts on all
days.

“Estimate” and “perhaps” are the operative terms; nobody really knows
how many nursing homes meet this standard. But life could be so much
better for residents and staff if they did.

“A lot of research shows that by far the most important thing for
long-term residents, for quality of life and quality of care, is their
relationships with their caregivers,” said Barbara Bowers, a nursing
professor and researcher at the University of Wisconsin-Madison. “Most
people would actually take inferior technical care done by somebody they
care about, who cares about them,” over skilled care by a string of
strangers, she said.

Such relationships, hard to establish with revolving-door staffs,
provide more than warm feelings, important as those can be. They’re
often the first line of defense against health crises and preventable
hospitalization.

Read more of this article.

D.N.R. by Another Name

The New York Times, December 6th, 2010

Let’s imagine an end-of-life scenario. Your ailing and elderly
parent has been admitted to the hospital yet again with a condition
she’s not going to recover from. The medical team asks what they should
do if her heart stops. She’s always said she didn’t want to die “hooked
up to a bunch of machines,” but you’ve never really explored the
details. Besides, though she has a terminal illness, no one has yet
mentioned the d-word.

The key question: Should your parent have a D.N.R. order, meaning “do not resuscitate”?

Before you answer, another key question: Would that decision be any
clearer, easier or less painful if the order was instead called A.N.D.,
for “allow natural death”?

Some health care professionals think it might be. Even if the
staff’s subsequent actions were exactly the same, if in either case a
patient would receive comfort care to relieve pain but wouldn’t undergo
cardiopulmonary resuscitation, nomenclature might make a difference.

“It’s only beginning to come to people’s attention,” said Ruth
Wittman-Price, nursing department chair at Francis Marion University,
who assessed use of the new term
in a recent study in the journal Holistic Nursing Practice. “But a lot
of paradigm changes in society start with a language change.”

The phrase “do not resuscitate” signals an intent to withhold or
refuse, she pointed out. “It says you’re not going to do something.” To
“allow natural death,” on the other hand, connotes permission.

“It doesn’t sound so overwhelming or scary,” said Christian Sinclair,
associate medical director at Kansas City Hospice and editor of the Pallimed blog, who sees the term catching on.

Natural foods, natural childbirth — we’re inclined to favor natural stuff these days.

The palliative care specialists I talked with had very different
takes on this wording. Michael Nisco, a proponent, has written a new
policy implementing A.N.D. at St. Agnes Medical Center in Fresno,
Calif., where he’s medical director of hospice and palliative care.

“Everyone in health care has a different definition of what ‘do not
resuscitate’ means,” he said. It refers to forgoing attempts at
cardiopulmonary resuscitation, surely, but does it mean refusing a
ventilator? Avoiding the intensive care unit? Such understandings vary
not only from one hospital to another, but from one unit or even one
shift to the next.

“A new term is free of a lot of that baggage,” said Dr. Nisco.

Perhaps, but some critics see further evasion afoot. We still don’t
like talking about death, so we’ll find another way to tiptoe past it.

Besides, “it brings in a lot of vagueness, and that’s probably its
downfall,” said Eric Widera, assistant professor in the University of
California, San Francisco geriatrics division. “When something happens
very quickly, physicians and nurses want to know what to do.” He thinks
the more specific approach called “physician orders for life-sustaining treatment” offers more precision.

Personally, I’m not uneasy with the phrase D.N.R., and my own health
care proxy (carefully mounted on my refrigerator door for the ambulance
crew to find) specifies no resuscitation. But it also authorizes “the
administration of pain-relieving drugs.” Is that “natural”?

Dr. Wittman-Price’s study, based on a non-randomized sample of almost
200 physicians, nurses, medical and nursing students at Hahnemann
University Hospital in Philadelphia, is the most recent to show that
professionals like the new label. Eighty-three percent of nurses and
nursing students, and 78 percent of physicians and medical students,
said they’d be “highly likely” to consent to an A.N.D. order if a loved
one was near death.

Read more of this article.

Can Omega-3 Foods Prevent Eye Disease in Seniors?

Health Day News, December 1st, 2010

Eating a diet rich in
omega-3 fatty acids appears to protect seniors against the onset of a
serious eye disease known as age-related macular degeneration (AMD), a new
analysis indicates.

“Our study corroborates earlier findings that eating omega-3-rich fish
and shellfish may protect against advanced AMD,” study lead author Sheila
K. West, of the Wilmer Eye Institute at Johns Hopkins School of Medicine
in Baltimore, said in a news release from the American Academy of
Ophthalmology.

“While participants in all groups, including controls, averaged at
least one serving of fish or shellfish per week, those who had advanced
AMD were significantly less likely to consume high omega-3 fish and
seafood,” she added.

The observations are published in the December issue of
Ophthalmology.

West and her colleagues based their findings on a fresh analysis of a
one-year dietary survey conducted in the early 1990s. The poll involved
nearly 2,400 seniors between the ages of 65 and 84 living in Maryland’s
Eastern Shore region, where fish and shellfish are eaten routinely.

After their food intake was assessed, participants underwent eye exams.
About 450 had AMD, including 68 who had an advanced stage of the disease,
which can lead to severe vision impairment or blindness.

In the United States, AMD is the major cause of blindness in whites,
according to background information in the news release.

Prior evidence suggested that dietary zinc is similarly protective
against AMD, so the researchers looked to see if zinc consumption from a
diet of oysters and crabs reduced risk of AMD, but no such association was
seen.

However, the study authors theorized that the low dietary zinc levels
relative to zinc supplements could account for the absence of such a
link.

Anand Swaroop, chief of the neurobiology, neuro-degeneration, and
repair laboratory at the U.S. National Eye Institute, interpreted the
findings with caution.

Read more of this article.

Retiring right where you are

Reuters, November 18th, 2010

Most
boomers say they don’t want to retire and move to Florida or Arizona or
even Belize. They want to stay where they are, near family and friends
and in the home that they already know and love.

That may not work out for the
whole generation: Their kids might move away, or the expensive suburban
neighborhoods that served them well when they were working might prove
too taxing once they start cashing in their 401(k) accounts. Some may
change their plans. But anyone giving serious thought to retiring – and
ultimately aging – in place, can make that outcome more likely if they
start planning in advance.

“Don’t
just leave it to chance,” says Peter Bell, a reverse mortgage advocate
and also head of the National Aging In Place Council, a coalition of
businesses that sell to seniors. “Waiting until you’re in your 80s is a
mistake.”

So lay that groundwork now. You could always move later. Here are some pointers:

Draw
a line between retiring in place and aging in place. Early retirement
is a time of much activity; travel, hobbies and often, good health. You
may not need your home or your community to be very different during the
early stages of retirement, but by the time you hit your late 70s, you
may need an easier environment. Think about both early and late
retirement when you’re planning to stay put.

Get
your house in order. If you’re already remodeling, consider the kinds
of improvements, like wider hallways, first-floor bathrooms and walk-in
showers, that you’ll want when you’re older. The National Association of
Home Builders has a certification program for remodelers that
understand all of those enhancements. You can find one, and more
information about home remodeling, at (www.nahb.org/caps.)

Get
your neighborhood in order, too. Your town might have had a great
school system for the kids but you won’t love living there as an older
person unless it feels safe, has good sidewalks or easy walking paths,
good nearby health care and recreation centers and activities for older
people. It’s a bonus if you already have many friends there. Some
neighborhoods start out as kid-dominated places but turn into what’s
known in the business as “NORCs” or “naturally occurring retirement
communities.”

Read more of this article:

Retirement Calculator:  A viable retirement plan is required in order to “age in place” as the above article describes.  In order to ensure that yours is viable, you should consider running a retirement calculator, such as the one available on NewRetirement.com.

Late in Life, an Agonizing Choice Over Surgery

The New York Times, November 15th, 2010

Editor’s Note:  This one’s got nothing to do with retirement finance, but is, in the opinion of this editor, an important story to read for anyone considering a medical procedure with major quality-of-life implications at advanced age.  We make no suggestions or recommendations, as these decisions are and must be intensely personal.

Forgoing a potentially life-saving medical procedure may be easier at
age 94 than age 54, but for my patient George Pollack it was a wrenching
decision anyway. Suffering from a severe foot ulcer that would not
heal, he was told his only chance of a cure was a partial amputation of
his leg. Even then, there were no guarantees.

George was a savvy medical customer. He had been a lawyer in New York
for more than 60 years — among other things, serving as executor for the
estate of Lou Gehrig’s widow, Eleanor, and making sure that any payments from the use of Gehrig’s image went toward A.L.S. research at Columbia University Medical Center. I originally met George when I was doing research on Lou Gehrig’s illness.

George was suffering from peripheral vascular disease,
or obstruction of the arteries that feed the limbs. Early on, it is
possible to reopen clogged blood vessels with a balloon. But when the
disease worsens, blood-starved areas, usually the feet, may develop
life-threatening ulcers.

By the time I met George, in 2002, he was already prone to ulcers — a result of flat feet and decades of poor circulation — and he required a complex combination of antibiotics,
ointments and dressings. I gave what advice I could, referring him to
an infectious-disease specialist who helped cure one of the largest
ulcers.

By April 2009, things were worse. George had a large ulcer that would
not heal on his left foot and was requiring hospitalizations and
intravenous antibiotics. One surgeon strongly advised a below-the-knee
amputation of the left leg.

George got a second opinion from Dr. Alan I. Benvenisty, a surgeon and
director of the vascular laboratory at St. Luke’s Hospital. In August,
hoping to try a balloon procedure, Dr. Benvenisty sent him for an angiogram,
a dye study that generates images of the arteries. But the test showed
that a balloon was out of the question. Amputation was the only surgical
option.

So Dr. Benvenisty did what any doctor should: he laid out the options,
pro and con. He told George that surgery was very risky and that the
wounds did not heal properly in roughly 30 percent of below-the-knee
amputations. A
study of 704 such operations, published in The Archives of Surgery in
2004, found that patients were at risk for “significant morbidity and
mortality.”
In George’s case the odds were even longer: he was 94 and had suffered a mild heart attack during his angiogram.

And then there was rehabilitation. At the very least, George would require two taxing months of aggressive physical therapy in a nursing facility.

What was the other option? Without surgery, Dr. Benvenisty told George,
the vascular disease would probably kill him in a matter of months.

I was among the many people to whom George spoke. Part of him clearly
wanted to try surgery. After all, he told me, who does not want to live?

Read more of this article.

When Possessions Lead to Paralysis

The New York Times, September 4th, 2010

David J. Ekerdt, who directs the gerontology center at the University
of Kansas, has a knack for digging into aspects of aging that most of
us register only in passing. I’ve been a fan since I read his work on
the “busy ethic,” a phrase he coined to describe our attitudes towards retirement.

So I was delighted to learn that in his new research, underwritten by
the National Institute on Aging and undertaken with colleagues from
Wayne State University, he’s investigating Stuff.

Dr. Ekerdt can’t document — yet — that Stuff often prevents old
people from taking good care of themselves, especially when that
involves moving to another location. “It’s entirely unproven,” he
acknowledged in a recent conversation.

But the social workers, geriatricians, retirement community
administrators and family members he’s been talking to since 2002
universally believe this: The sheer volume of objects in a typical
household, the enormous physical and cognitive effort involved in
sorting out what’s essential, the psychological toll of parting with
what’s disposable — all can lead to a kind of paralysis that keeps
seniors in place, even when the place isn’t the best place.

“The premise is that possessions are an obstacle to people living
where they can better manage their health and well-being,” Dr. Ekerdt
said.

We’re going to have to wait a couple of years while Dr. Ekerdt’s team
repeatedly visits and interviews seniors who are moving or have moved,
then analyzes the findings and publishes them. But in the meantime,
he’s noticed that family members who help with downsizing — he uses the more elegant academic term “household disbandment” — fall into two categories. They assist, or they assert.

If you assist, Dr. Ekerdt explained, “the elder runs things. You
say, ‘You’re in charge, Mother. How can we help you?’ ” It’s the
approach he favors, when possible, because it preserves the older
person’s autonomy. Besides, he pointed out, “family members don’t know
as much about these possessions as the elder does, or care as much.”

He’s seen real team efforts to accomplish this disassembly. “Family
members will travel across many states multiple times to help an elder
move,” he said. “They’ll rent trucks. They’ll help organize the new
place.”

“A number of families remember this as a pleasant process,” he added. “Everyone came and helped.”

Read more of this article.



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