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20 Mart 2017 Pazartesi

LGBT seniors marked for removal from survey on elder care services

The US Department of Health and Human Services has proposed the elimination of data collection for LGBT seniors from an annual survey that helps determine how billions of dollars are allocated for vital care services.


The National Survey of Older Americans Act Participants (NSOAAP) collects information about services including senior centers, home-delivered meals and transportation. The proposed 2017 survey is missing a question about the sexuality of respondents, which has been included since 2014.


“It’s a very bad sign because to strip LGBT older adults out of the survey suggests that the federal government believes that the needs of this elder population do not matter,” Michael Adams, chief executive officer of Services and Advocacy for LGBT Elders (Sage), told the Guardian.


Alongside basic demographic data, NSOAAP respondents give information as detailed as how many servings of meat they eat per day and what level of help they need for activities such as walking, dressing and eating.


Such information is used to measure the impact of government-funded services and is included in a report in the annual budget.


Adams said it was important to identify LGBT seniors in the survey because they are underserved.


“It doesn’t matter, frankly, whether LGBT elders are eating chicken or steak or fish in a senior center,” he said, “but what does matter is: are they eating in a senior center at all? Are they receiving care management services? Are they receiving caregiver support?”


Sage and other groups lobbied the Obama administration to include a question about sexuality in the survey. One was introduced in 2014.


The surveys from that year, 2015 and 2016 asked: “Which of the following best represents how you think of yourself: lesbian or gay; straight, that is, not lesbian or gay; bisexual; something else [which respondents were asked to clarify later]; refused; and don’t know [which respondents were also asked to clarify].”


A notice to the Federal Register dated 13 March 2017 said “no changes” had been made to survey. However, in its draft form it does not include the sexuality question.


The health department’s Administration for Community Living (ACL) said on a link to the draft that it “does contain modifications from the currently approved collection”. The agency is accepting comments on the proposal until 12 May.


The health department did not immediately respond to a request for comment. Adams said he would welcome a dialogue with the White House.


“In recent years, we have made significant progress in including LGBT elders in federally supported elder services and we will be watching very closely for any efforts to roll that back,” he said.


The disappearance of the sexuality question comes after moves by the White House to eliminate two federal statistical programs, igniting fears among senior statisticians that data that does not fit with administration policy could cease to be collected.


Last month, the Trump administration rescinded an Obama-era protection that allowed students unfettered access to bathrooms and locker rooms that corresponded with their gender identity.


On Monday, Sage launched a campaign to get LGBT supporters to respond to the call for public comments on the survey draft. As of Monday afternoon, nearly 700 people had sent letters opposing the planned change.



LGBT seniors marked for removal from survey on elder care services

10 Şubat 2017 Cuma

In Elder Care, Kratom Can Help Geriatric Patients Become More Lucid and Active

Elder care presents so many problems for the children who, in their prime working years, must arrange some way to care for their aging parents. Homecare is ideal, but most families nowadays have both spouses working, so this is impractical for most. 


Assisted living facilities present another option, but this has limitations and is more impersonal, more detached from friends and loved ones for those being cared for.


A Key Factor in Elder Care Is the Level of the Elder’s Disability


Many of the problems inherent in caring for geriatric patients may be caused by the multiple prescriptions and OTC medications they are taking. Doctors may deny this or say there is no way to avoid it, but they may have a vested interest that prevents them from seeing other possibilities. Besides, there are many natural drug-free ways to deal with most age-related disability (and many commonly prescribed drugs, such as statins, bring little benefit and large side-effect liability).


What if there was a way to reinvigorate those who now require elder care and even Alzheimer’s care, so that they are no longer impaired by so many medications, are more lucid, more comfortable, and more like their normal selves?


What if, instead of dozing most of the day in a chair, these elderly parents could once again feel like walking, joining their caregivers on trips to the store, visits to the park, and outings with the grandchildren?


A growing number of middle-aged parents in the “sandwich generation” — having learned about kratom for their own pains, anxiety, and fatigue — are finding that kratom also works wonders in the elder care of their parents.


There are so many unnecessarily sad stories at the end of otherwise happy, productive lives. The poor guidance we receive from our medical doctors and other public health “authorities” on how to eat, what foods to avoid, and on the importance — the necessity — of nutritional supplementation are to blame, according to Joel Wallach, ND.


Nevertheless, there is a inexpensive, gentle palliative aid that restores vitality and some of the sparkle that these geriatric patients had earlier in life, thanks to the daily administration of the herb kratom.


The usual solution of placing parents in a nursing home or assisted living is often a recipe for imminent decline due to the heavy use of a variety of painkillers, anxiolytics, antidepressants, antipsychotics, and other meds. The strategy of nursing home staff seems to be, “Keep them drugged up so they won’t be so demanding of our attention.”


Dozing in their wheelchairs, tied in so they won’t fall to the floor and break bones, is a sad way to treat these noble souls, warehoused in even the best nursing homes.


New Hope for Improved Elder Care with Kratom


What if the patients in elder care could be returned to a more active life, able to participate in trips to the store and conversations with loved ones and friends — all facilitated by the energy and mood-boosting qualities of kratom?


We know that a sedentary life is dooming many younger workers to obesity and early onset of a variety of diseases. Imagine what being left in a nursing home does to older adults, removed from family, given all sorts of prescription drugs, and possibly subject to abuse. Sitting all day and night, occasionally trying to converse with other drugged-up patients, moving into apparent senility accelerated by the drugs and poor quality food they’re fed.


That’s no way to treat our parents and grandparents! Some are finding a better way to make elder care more manageable, with kratom, an herb used for centuries in the Orient to gently help relieve pain, boost energy, normalize blood sugars, as well as improve mood and alertness. Research at Columbia University indicates that kratom and it’s chief alkaloids may be a much better choice than opioids, anxiolytics, and antidepressants — all in one herbal tea.


Just as this unique botanical helps restore vitality and elevate mood for younger folks, kratom is reported to create “night-and-day” turnarounds for those who have added the plant, made into a tea, into their parents’ and grandparents’ diets. Below are their stories:


Emanuel: “My Mother, who suffered from inoperable cancer of  bone and breast, took kratom for a while in place of the heavy narcotics they were giving her which neither she nor her body could tolerate. She did much better on the kratom, but when her digestive system eventually gave out, she couldn’t take it any longer… Kratom can work as a replacement for pain management, even in cancer patients.


Surprising that with all the pharma growth and medical industry success in this country, we’re still treating cancer by killing the patient…. It’s a profitable business, cancer… Don’t think it’ll go out of style anytime soon. I’d like to see a natural first approach to treatment in general… Nature is, after all, our first go-to doctor, and traditional treatment in the purest sense, not the other way around.”


Author’s Comment:  I have heard several doctors say that chemo and radiation “therapies” are what kills cancer patients, but the doctors can alway blame the disease. Chemotherapy is chosen because of its high profitability, not its success rate compared to natural therapies.


Emanuel:  “I agree. They had initially wanted to remove her whole digestive system, but she refused, thankfully. She lived ten years after the discovery of her cancer… Don’t think she would have had that long were she to listen to them… Chemo always put her in bed, progressively worse…”


Nancy:  “I wish I had a video of my 84 yr old Mom trying to toss and wash!! I ended up making her some tea ( which I should have done in the first place). But she so rarely takes a pain medication, that it’s just easier for her.”


James:  “I had an older lady, she is 89 years old now, that came in for massage every other week. She had been living with scoliosis for her entire life. Her back looked like one of those “curves ahead” signs on roads, almost a perfect “S”.


I offered her Kratom about 3 years ago. Massage was helping with her pain, but not stopping it completely. I wanted her to feel no pain.


She still takes her kratom. I send it to her every month (she is on social security, so she can’t afford to buy it). She takes 14 ounces every month, and says her pain is gone on most days.


She was only taking pain medication (lortab) when she started coming to me for Massage. She is off of those now.


For her age, and her back being totally screwed up, she is in surprisingly good health. She says that she has more energy now, and even started a new rose garden last year.


I honestly believe this lady (Miss Mary) will outlive me.”


Wendi: “My 83 year old father in law LOVES Premium Bali kratom for All his aches and pains- and he has shared it with many of his friends in that age group!”


Ang:  “We just started my half-sister’s mother and her husband on kratom and what a life changer it has been for them. They are in their eighties.


 


She suffers from Addison’s Disease and they both were just having lack of energy and were just going downhill really, really fast just from old age, but Wow what a difference kratom made!


It’s getting them out and getting them active again when they were both home and bedridden, pretty much.


I just couldn’t believe the difference in my sister’s mother and her husband after the first 2 weeks — it was like night and day! I’m going to guarantee that it will probably prolong their life because they’re not dormant and stationary. Now they actually can get up and around the house and go on errands with my sisters whenever they have to go to the store for him and stuff.”


Kay: My elderly neighbor, that I was taking kratom to,  was eventually taken to the hospital because of some swelling in his arm. When he came back home on other meds along with OxyContins, he started going down from there. It was awful to watch my friend slowly “go away”. I went over one morning and saw that he had had a stroke, so he went back in the hospital and died. I know I can’t blame one thing, but he was doing good with the kratom and that was a big dose of “Oxies” for such a tiny frail man. Because of the Oxys, all he did was sleep and he could barely walk. I miss my buddy!”


Author’s Comment: It’s just my layman’s opinion, having read these accounts of happier outcomes in elder care with kratom — and my own experience of seeing my mother’s decline, due to a broken hip, a hospital stay, and the “best” nursing home care — kratom would have been a far better option if it had been available then for her elder care, compared to the mind-robbing medications and Electro-Convulsive Therapy they treated her with (the latter without my prior knowledge or permission, as her legal guardian). More humane methods of elder care are needed.


Paul Kemp writes often about the constructive uses of the herb kratom he has seen and heard about in the community of millions of medicinal consumers.


See Also: Encouraging Results Reported Supplementing Dementia Patients with Kratom


Recent Research on Kratom Shows Minimal Side-Effects Compared to Opioid Medications



In Elder Care, Kratom Can Help Geriatric Patients Become More Lucid and Active

26 Haziran 2014 Perşembe

The influence of the elder generation on England"s healthcare technique

The proportion of England aged above 65 has improved dramatically above the previous 50 years and looks set to expand even more in the coming decades


In 1951, eleven% of individuals were aged 65 and much less than 1% were in excess of 85. In 2011, people proportions had elevated to 16% and two% respectively. Government projections propose that by 2051, 1 in four will be in excess of 65 while seven% of the population will be 85 and over.


An older England means that the way healthcare is delivered (and the cost) will modify because of the various demands that age groups have. The Well being and Social Care Data Centre (HSCIC) have released a report compiling several of the statistics around the topic. We run via some of the essential figures below.


In 2012, people aged 65 plus produced up 17% of the population but more than half (54%) of the bed days (24 hours invested in a hospital). Although men and women aged 85 plus produced up just 2% of the population they took up almost 1 in 5 (18%) of bed days.


The number of these bed days for every single age group has declined in excess of the previous 20 many years except for these in that 85 plus bracket, who in fact took a tenth much more (even though the amount has truly decreased given that a higher in 2002-03).


In an indication of the differing care demands of older people, 65% of hospital admissions for individuals aged 85 plus had been emergencies in 2012-13 in contrast to 32% for those aged 64 and below.


A single in five of people aged 85 and over accessed all three of emergency, inpatient and outpatient care services in 2012, in contrast to just four% of those aged 64 and beneath for the 65 to 74 age bracket the proportion was 8%.


Prescriptions are also weighted towards the older generation with 600m of the 1bn (60%) of drug products dispensed in the neighborhood in the course of 2013 going to the 65 and ups. When that is adjusted for cost, as in the chart above, it still falls in direction of the increased age groups in terms of total prescription allocations.


In spite of warnings about weight problems in young children, 7 out of 10 of those aged 45 and over are obese or overweight. That compares to 36% of those in the 16-24 bracket.


There are also certain illnesses more most likely to be suffered by folks in older generations, like ones linked to being overweight this kind of as diabetes. The above chart displays how the proportion of men and women struggling the illness improved with age in 2012.


However the report did not go into any costings. Earlier this year, the former head of the NHS warned that there was most likely to be a crisis if funding was not elevated to the system.


With the improved demands that an older population will place on English healthcare, it appears that planning will be needed to make certain these demand can be met.


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The influence of the elder generation on England"s healthcare technique

24 Nisan 2014 Perşembe

Here is Why Elder Care May Be The Next Billion Dollar Engineering Chance

I was asked recently which industries will be most disrupted by the the Internet of Things. While no doubt all industries will be impacted long-term, I said some of the greatest alterations will be in the elder care marketplace.


Here’s why:


The value of elder care is massive


Elder care is projected to be approximately $ 319 billion in the US alone by 2016.  While this is a enormous income possibility for the incumbent elder care market, the other side of the ledger represents a enormous price for fixed-revenue seniors and their loved ones.


One of the quickest expanding segments of this industry is at-home elder care companies. While the good side of this is that the ‘at-home’ care section is portion of a broader trend in direction of aging-in-place (which relieves the burden on the elder care and assisted residing infrastructure), conventional at-residence care is still costly for each seniors, their family members and society in general.


Engineering for managing elder care is in it is infancy


We’ve come a prolonged way from the ‘I’ve fallen and I can not get up days’. Security monitoring and support technologies are enhancing rapidly, being driven by advances in bio-sensing, sensory networks, robotics, telecommunications and cloud computing.


But it is not just the enabling technologies that are getting far better. New buyer-facing engineering categories like wearables will aid in the elder care area as well. New firms like VitalConnect are establishing wearable health sensors that not only can detect body vitals like temperature and heart fee, but can also detect falls and other varieties of incidents.


Applying technology decreases costs


New technologies can carry down charges: Britain has been able to track a reduction in emergency space visits by twenty% by way of the use of a  telehealth monitor.  The FCC FCC has estimated use of body sensors decreases fees of hospital born infection by $ twelve,000 per patient.


But possibly the biggest value for families is that of live-in care.  The price for standard home care fees for live-in care – ranging anywhere from $ 300o to $ 6,000 a month – can be back breaking, and if new technologies can support reduce or hold off these expenses for a couple of many years, there is no doubt that elderly and their families will embrace them.


Increases high quality of lifestyle and autonomy


Healthcare is part of a hugely regulated and convoluted bureaucracy. By embracing preventative and dwell-in-place technologies enabled via the IoT, the elderly and their loved ones can get more control of their very own wellness and properly-getting in the long-term.


In quick, by trying to keep them out of the the healthcare and expensive caregiver market longer, they’ll have more many years and much more cash down the line.


It is Early Still



Here is Why Elder Care May Be The Next Billion Dollar Engineering Chance

8 Ocak 2014 Çarşamba

Swiss Daughter Sends Mom, 91 To Thailand For Elder Care

Elderly Woman with daughterA latest article in the BBC news, Exporting Grandma to care residences abroad , describes how a middle aged daughter in Switzerland chose to send her 91 year outdated mom with dementia to a care residence in Thailand, exactly where good quality care is a lot far more cost-effective.   Her factors integrated that her mother has dementia and does not genuinely know where she is and that she is pleased and well taken care of there. Her mom became too challenging for the daughter to carry on caring for her at residence.  She can get a good deal far more care for the money in Thailand than she can in Switzerland.


And from the description, the price of private elder care in Switzerland is as expensive as it is in the U.S.  The article highlights the difficulty the U.S. also faces, that we cannot afford to shell out for our ourselves, our very own kids and aging parents with dementia at the identical time. Several of us face this problem.   Is exporting our elders the response?


In my see, it is most likely not a great remedy for most individuals.  No matter where elder care requires area, it is up to family to guarantee that our elders are kept secure. There is no assure that just because caregivers are situated in Thailand, the Philippines or in any other nation that has a tradition of offering great care to its very own elders, that 1 of our family members would constantly receive suitable care there.  People are human wherever elder care will take spot.  That signifies that at some point the caregiver can get frustrated, angry, or exasperated with an aging individual who is tough to deal with. Neglect can take place in the greatest of assisted living homes and nursing homes right here, no matter what you pay for the care. If Mom is 8000 miles away, how would you know if she had been becoming improperly taken care of, or had bruises or a bedsore?


I spent a honest sum of my 10 year nursing job caring for aging folks at property and in nursing houses.  Some had dementia, some had other illnesses and conditions needing consideration.  The frequent ground amid all of them was the need to have for loving vigilance by family over what happened to them as they moved by way of the last phases of their lives.  I would not want to give up that obligation to caregivers so far away that I would seldom have a opportunity to see my loved a single.  With the individual encounter I have, I couldn’t trust anybody at this kind of a distance to preserve proper care.  I’ve observed too considerably of what goes incorrect.


I think that the greatest downside to sending a loved one particular, even with dementia to a care facility in a foreign nation is that care demands modify more than time.  We cannot expect grandma to be the identical following year as she is correct now.  It would make me very uncomfortable to lose touch with individuals modifications by being also far away to keep track of them.  There is no substitute for a encounter to encounter meeting.  It’s real for family as considerably as it is for organization.


What about electronic monitoring, you might ask?  Can’t you pay a visit to on Skype or an additional indicates of video imaging? The Swiss daughter talks to her mother practically every day on Skype. Yes, but you will see your loved one at a time the caregiver chooses and you will in no way see the whole picture. To me, that’s harmful.


There is no question that we have a serious and mounting dilemma all around the world with the care wants of aging individuals.  We are living longer than ever and our aging parents can effortlessly outlive their assets.  Longevity is excellent as extended as you are wholesome in thoughts and body.  But the older we get, the far more we are at danger for the well being concerns that accompany aging.  Dementia, and the underlying Alzheimer’s Illness of which it is most often a portion are forcing hundreds of thousands of families all over the place to grapple with the fiscal affect of an aging mother or father or other loved one particular shedding independence.  Someone has to care for the vulnerable elders between us. An individual has to bear the cost.  We are not prepared for this as a nation and our government is not most likely to be a source of aid for the majority of our aging loved ones till they run out of assets.


This scenario does make a situation for buying extended term care insurance coverage for oneself and your aging parents. But, since only about ten% of elders have this coverage, to at least aid defray a element of the higher costs of care, it is not going to support most folks.  Exporting an aging parent to a foreign nation is not going to appeal to most of us both.


There are no easy solutions.  We need to have to get operating on how to develop programs to assist these who are not wealthy enough to spend for elder care, nor minimal income adequate to qualify for Medicaid.  Does this suggest government involvement and taxpayer burden? It just might.  Otherwise, much more families may well discover that the greatest way to deal with the issue is to export the ones they love to foreign countries the place care is inexpensive.


As for your own household, what are you undertaking to tackle the possible (or very likely) charges for an aging loved one’s long phrase care?  I would like to hear from you.  We’re in this together.  My mother in law is 91. She’s nonetheless independent, but we never ever know for how prolonged.


Until up coming time,
Carolyn Rosenblatt
AgingParents.com



Swiss Daughter Sends Mom, 91 To Thailand For Elder Care