Sitting in the Food Court at our local Mall waiting for the work day to begin. I have a couple of hours until my "shift" so I bring along our computer and look for other work possibilities while also finding time to add to this blog.
We, meaning my daughter and I, have built a life; a life after tremendous challenges, suffering and heartbreak leaving behind weights to adjust and some to remove as time passes. It's been our individual choice and our mutual choice.
Each morning I drive her to her class -- a long drive from our suburban home into the city-- and come back to work. Then I head out after my work day, most of it standing and trying to secure business for a job that relies on "bringing people through the door", returning for another round trip downtown/suburbia.
We have one car. Thanks to my youngest son. It's got a lot of miles, needs some frequent repairs but is reliable and I know we're fortunate to have that much needed transportation as it allows us the continued "privilege" of living in an area with less than adequate public transportation.
Yes, we are struggling to maintain that "privilege" of home ownership. We still have a sizeable mortgage and this recent opportunity for daughter has come at high increased cost in her not being able to work, a sizeable reduction in our income level and a huge increase in cost to commute and to stay in the program.
We realize it's only through more sacrifice and continuing seeking and stretching our time and our available resources to change life as we have known it for the past few years.
It's our ticket, we both believe, out of this "rut" we've fallen into since our life changing experiences of surviving after the severe and challenging medical challenges of my husband/her father and my mother/her grandmother.
Their 24/7 care giving needs were more than challenging but the added weight of the Undue Influence, the false reporting of Abuse by me (financial and emotional) and the complications of this reporting within our family unit, with Mom and with her LTC facility, were weights and measures of our ability to survive, our perseverance and our tenacity.
Lessons my mother taught me. Lessons my daughter is learning. Lessons that if I'd not learned alongside my mother during our earlier life's trials and tribulations, I would possibly have given up, given in and "thrown in the towel" a long time ago.
But I haven't, I won't and I believe it would be detrimental to follow directives and demands placed on us by some family members who have no vested nor other interest in our well being and our lives. They walk away as they always have -- to their own lives.
Please don't believe you understand the daily life of a caregiver until you've spent days, weeks and months in complete survival mode; from minute to minute, hour to hour, day to day not knowing what's next, what will happen, what additional decision you must make and who will sit in judgement on you next without any concern for what is really going on in your life, with those you love and with you.
It was a bone of contention with my oldest son who was adamant we should sell our home of many years after my husband's death. Why did we need it? This from a son who told me in the months following his father's death about his greatest decision being purchasing properties and then renting them out.
I found it interesting he saw value in holding other properties but felt we should move out of the home we'd had for decades and the potential for providing for my later years after serving as a home for the two of us.
When I watch my daughter work in the garden she created, when we see the flowers bloom my husband and I worked so long and hard on to cultivate; when the same animals return, build nests and raise young, we are both given renewed strength of self and purpose. But to my son, this means nothing.
This son needs validation far beyond what I can provide. The road we've walked down together included many challenges and self inflicted damages.
Life changes and moves forward but without the healing of resolution and taking responsibility, the same errors and omissions, the same challenges and barriers emerge in new and continuing ways.
No, this son has turned his back. He can't face earlier times, earlier decisions he made and actions he took. He walks away as he turns to blame me, to blame us, for any problems or challenges in his life.
We live in the Midwest and he lives on the East Coast. In any given year it was maybe one time we made the drive to visit him but seldom he made the drive to visit us.
"We" included his aging Grandmother and that meant five people; we couldn't afford air tickets for all, so we drove and that was more than an 11 hour trip. For this son, it was the two of them and then children added every couple of years until there were three.
I realize the challenges for them; we drove cross country early in our lives to visit grandparents; we made the trip out of love and one year made it twice within a few months because one grandparent became hospitalized.
When his father was so sick, there was only one time he came to visit and his "help" was to use the riding lawn mower we had to cut the grass and to put up a small piece of wood to repair a hole in our cedar siding.
Out of fairness, this son has chosen a different "work style" that includes working for short periods of time (relative to most other people who work for one company and many who stay employed with that company for at least a few years to several years). This did not provide the same "luxury" of travel and allow him, as it did his brother, to make plans that included "swinging through" our city on his way to work in others.
This son refers to himself as an "entrepreneur" although he doesn't, to my knowledge, make any personal investment, is salaried and isn't dependent, as we were as entrepreneurs, on ensuring we produced income or weren't paid.
At the end of the week or two, he gets a payroll check, we were dependent on when we received payment from commissions we generated as to when they were received and what was "left over" from paying bills or providing for the business operating expenses.
It's his choice, his way of living and working. I admit it concerns me as the years pass but he and his wife make their own decisions.
According to him, I'm not "business saavy" although my record proves otherwise. Unfortunately, he's chosen to slander me through false, misleading and deceptive statements and that has widened the gap between us.
He claims to have been "abused" and shared that claim via email. When I finally questioned this accusation, he said a business problem we had that caused legal action made abused him. Did his life change? Not at all. Did he give up anything, lose anything, did anything lessen for him? No. He continued to lead a privileged life including attending a prestigious college.
Our only mistake was not seeing how wealthy and powerful the corporation was we were involved in a contractual agreement with and the multi million dollar strength they had and the legal abilities they had. We challenged Goliath and unlike David, we lost the battle and paid a heavy price.
What did the son lose? Nothing. But then there are other "twists" on his life he blames me for in particular and his father as well. With his father's death, of course, he minimizes that involvement and maximizes mine. I'm around to point a finger at while his Dad has become a memory and not as good a target.
There's a lot this son has yet to learn and I do see life offering significant challenges that will either provide a lesson learned or lessons yet to learn.
As the family turns. Interesting. Families are like people in that the true measure of a person comes during the difficult times; anyone can handle good times.
Life moves forward. Finally. Hopefully. Baggage brought along is sometimes heavy and sometimes we lighten the load a bit.
Saturday, May 30, 2015
Wednesday, May 13, 2015
Neglect and Retaliation: Reports and Current Experiences
Neglect and Abuse aren't limited to the Long Term Care Facilities and more importantly, there are NO FEDERAL OR STATE AUTHORITIES currently who have any way to monitor or enforce Individual Rights in other levels of facilities because this level is NOT subsidized by Medicaid or covered by Medicare.
Here's the resource: https://www.ncjrs.gov/pdffiles1/nij/grants/229299.pdf
It was a research project funded by a grant and finished/published in 2010. That's five years ago!
Direct quote from the beginning of the publication:
"This study focused on detection, investigation, and resolution of elder abuse and neglect complaints in what are known as residential care facilities (RCFs).
"These facilities are the most rapidly growing form of senior housing. This growth is a result both of the preferences of the elderly and their families and of public policy aimed at reducing nursing home use.
"RCFs are referred to by a variety of names across the states, including assisted living facilities, personal care homes, domiciliary care homes, adult congregate living facilities, adult care homes, and shelter care homes.
"The best estimate is that some 50,000 facilities nationwide house a mainly older population in between 900,000 and one million beds. In addition, an unknown number of unlicensed homes house a mixed population of poor older persons and individuals with mental illness. By contrast, there are about 17,000 nursing homes with 1.6 million residents."
Let's do the math of this "best estimate": 50,000 facilities/between 900,000 and one million beds in Residential Care/Assisted Living facilities AND 17,000 nursing homes with 1.6 million residents.
MORE THAN 2 MILLION PEOPLE IN 2010 in some form of "Assisted/Full" Service Living. 2010 was the year Mom was "entrapped" and went into the LTC system and began her almost four years of incidents of neglect, abuse and torment in the name of "Long Term Care".
"Purpose of the Study. The federal government does not regulate RCFs, so this study focused on examining state processes for detecting, investigating, resolving and preventing elder abuse in RCFs. In addition, we sought to identify smart practices that might be replicated in other settings."
Five years ago. The author(s) ... used Federal funds provided by the U.S. Department of Justice..." and prepared a report specifically citing problems, challenges and "smart practices".
What were their findings?
"Vulnerability of Residents. An extremely vulnerable population resides in RCFs, with a mix of advanced age, chronic disease and disability, and social isolation. An estimated 87 percent of residents are not married, while 27 percent have no living family members, and many residents are poor.
"Many are cognitively impaired, while others have intellectual disabilities or persistent and severe mental illness, and some exhibit challenging behaviors. These characteristics make it difficult for residents to safeguard their own interests.
"Numerous studies suggest that cognitive impairment, behavioral symptoms, and limitations in activities of daily living (ADLs) increase an elder‟s risk for physical, sexual or psychological abuse.
"In addition, several studies have found that RCF residents suffer from chronic diseases, and such diseases or conditions are often misdiagnosed or “under-treated.”
"Such residents may be at risk for abuse because of their level of impairment, but as importantly, they face significant risk of neglect that may lead to premature mortality or increased morbidity."
INTERESTING. Sounds like what I've been writing about for several months only this comes from a report written in 2010 and written through a Grant to "investigate" Residential Care Facilities, not Long Term Care Facilities.
Listen up, Missouri and many of you other States who've enacted "Ombudsmen" programs as "mediators for Long Term Care Residents" and rely, as stated on the Missouri www.voyce.com website and on the Missouri DHSS website:
The published report above clearly states a high percentage of residents of facilities where they have more capabilities cannot communicate or represent their needs adequately yet Missouri publicly states these individuals are expected to contact the Ombudsman office directly.
Check out the Voyce site for Missouri, it clearly sends the message Seniors can "use the site" to connect -- yet how many in Long Term Care or any Residential Care Facility have access without supervision of a computer, their own private password OR CAN EVEN USE A COMPUTER?
Justification for the inability to provide services promoted to be provided by a federally mandated "watch dog" for Long Term Care Facilities due to "lack of volunteers" does not protect Senior lives.
How about hiring a someone with a degree in Geriatrics and practicing Social Worker and possibly also has an RN degree to make unannounced visits around the area interviewing "at random" residents of all abilities with a set list of questions about the realities of "Long Term Care Living".
Of course, we'd have to have a process through which these concerns can be made and a significant way to correct all findings. The DHSS can't seem to make it happen as they're limited, or so it seems, to one or two annual visits and then to some "unknown" systems and procedures for following up on any reports they receive.
WHAT ARE THOSE SYSTEMS AND PROCEDURES? I'VE BEEN TRYING TO FIND THOSE FOR ALMOST FOUR YEARS.
How about creating a real list of questions about possible Neglect and how about interviewing families of Long Term Care residents -- there are quite a few despite the claims made most Seniors have no one.
Many of us "take under our wings" others whom we meet in these facilities and could easily provide information about neglect and abuse but have no "legal power" as a "friend".
We all need concerned friends. We all need caring "neighbors" and "visitors" walking the halls of LTC's.
And, when, as we've experienced, an "employee" of an LTC admonishes us for "walking around" or "visiting someone other than whom we came to visit", there oughta be a law, a report form, a means to share this "information" about a facility that apparently doesn't want eyes that see and ears that listen to share neglect, abuse and just plain old poor work ethics to be shared and exposed.
HERE'S AN UPDATE on an earlier blog entry about the discriminatory practice at two earlier holiday meals where friends and family, for a set price, could eat with their family members who were residents of Mom's old LTC facility.
Well, at least this Mother's Day the lady I'd mentioned in another entry who was turned away from the main dining area of Mom's old facility was "accommodated".
That's the word for it -- accommodated. They put her and another resident (a fully mobile, walking, resident) in a side room that was set up with additional tables and chairs. Separate but equal, as they used to say.
Then, I saw a man, in a wheelchair, by himself, no visitors or family for the dining experience come in or be brought in (can't remember) and seated at a table by himself.
I understand. Some might have liked the "separate" dining experience but there was more than enough vacant seats and tables at the "first dining" we experienced for the two ladies yet they were left by themselves and had been told that was where they would eat.
People, including me, had "spoken up" about how she was treated.
The facility "accommodated" but for those of us who remember other "separate but equal" facilities including water fountains, restrooms, restaurants, etc., this "arrangement" was not right, it wasn't just and it was discriminatory decades after the marches and the protests.
There was room for all, for the few who always come to dinner in this dining room, in this place they call their "home" and where they are the few, the select who haven't lost the ability to communicate, to feed themselves, to "dine" with others and be "social" or not as they choose.
It brings tears to my eyes now to see so well how there is a separation, a segregation. I can understand now how Mom was adamant about NOT eating in the area "on the floor" as that was the place where those who were "less competent" and "less capable" were taken to dine.
So, she pushed herself. When she still had her walker, before the facility decided it was best "removed", she'd make herself take that long walk down the halls to the elevator and then the walk into the Main Dining Room.
She pushed herself. Rolling her wheelchair when no one would help her. Struggling to get to the place where she, still capable of thinking, talking and being a part of "regular life" to whatever degree remained of her brain being continually assaulted by Lewy Body Dementia, could be as "normal" as possible in this place she told me she never wanted to go.
I didn't want you to go either, Mama. I made a continual place in my life for you and so did my beloved husband. You were a part of our family for almost forty years. We were a part of your life.
Our lives were intertwined and we were happy, content and lived a life many others envied while a few sought to find "abominable". Sad for those few. We know the love we shared as a multi generational family. We cared about each other and for one another.
Age Discrimination is alive and well.
Ability Discrimination is alive and well.
Power & position are still wielded by those who have it.
Happy Mother's Day (again) even though you're not with us for the second year, Mama, you're in our thoughts and you live on in us in all we do because of who you were.
Here's the resource: https://www.ncjrs.gov/pdffiles1/nij/grants/229299.pdf
It was a research project funded by a grant and finished/published in 2010. That's five years ago!
Direct quote from the beginning of the publication:
"This study focused on detection, investigation, and resolution of elder abuse and neglect complaints in what are known as residential care facilities (RCFs).
"These facilities are the most rapidly growing form of senior housing. This growth is a result both of the preferences of the elderly and their families and of public policy aimed at reducing nursing home use.
"RCFs are referred to by a variety of names across the states, including assisted living facilities, personal care homes, domiciliary care homes, adult congregate living facilities, adult care homes, and shelter care homes.
"The best estimate is that some 50,000 facilities nationwide house a mainly older population in between 900,000 and one million beds. In addition, an unknown number of unlicensed homes house a mixed population of poor older persons and individuals with mental illness. By contrast, there are about 17,000 nursing homes with 1.6 million residents."
Let's do the math of this "best estimate": 50,000 facilities/between 900,000 and one million beds in Residential Care/Assisted Living facilities AND 17,000 nursing homes with 1.6 million residents.
MORE THAN 2 MILLION PEOPLE IN 2010 in some form of "Assisted/Full" Service Living. 2010 was the year Mom was "entrapped" and went into the LTC system and began her almost four years of incidents of neglect, abuse and torment in the name of "Long Term Care".
"Purpose of the Study. The federal government does not regulate RCFs, so this study focused on examining state processes for detecting, investigating, resolving and preventing elder abuse in RCFs. In addition, we sought to identify smart practices that might be replicated in other settings."
Five years ago. The author(s) ... used Federal funds provided by the U.S. Department of Justice..." and prepared a report specifically citing problems, challenges and "smart practices".
What were their findings?
"Vulnerability of Residents. An extremely vulnerable population resides in RCFs, with a mix of advanced age, chronic disease and disability, and social isolation. An estimated 87 percent of residents are not married, while 27 percent have no living family members, and many residents are poor.
"Many are cognitively impaired, while others have intellectual disabilities or persistent and severe mental illness, and some exhibit challenging behaviors. These characteristics make it difficult for residents to safeguard their own interests.
"Numerous studies suggest that cognitive impairment, behavioral symptoms, and limitations in activities of daily living (ADLs) increase an elder‟s risk for physical, sexual or psychological abuse.
"In addition, several studies have found that RCF residents suffer from chronic diseases, and such diseases or conditions are often misdiagnosed or “under-treated.”
"Such residents may be at risk for abuse because of their level of impairment, but as importantly, they face significant risk of neglect that may lead to premature mortality or increased morbidity."
INTERESTING. Sounds like what I've been writing about for several months only this comes from a report written in 2010 and written through a Grant to "investigate" Residential Care Facilities, not Long Term Care Facilities.
Listen up, Missouri and many of you other States who've enacted "Ombudsmen" programs as "mediators for Long Term Care Residents" and rely, as stated on the Missouri www.voyce.com website and on the Missouri DHSS website:
The published report above clearly states a high percentage of residents of facilities where they have more capabilities cannot communicate or represent their needs adequately yet Missouri publicly states these individuals are expected to contact the Ombudsman office directly.
Check out the Voyce site for Missouri, it clearly sends the message Seniors can "use the site" to connect -- yet how many in Long Term Care or any Residential Care Facility have access without supervision of a computer, their own private password OR CAN EVEN USE A COMPUTER?
Justification for the inability to provide services promoted to be provided by a federally mandated "watch dog" for Long Term Care Facilities due to "lack of volunteers" does not protect Senior lives.
How about hiring a someone with a degree in Geriatrics and practicing Social Worker and possibly also has an RN degree to make unannounced visits around the area interviewing "at random" residents of all abilities with a set list of questions about the realities of "Long Term Care Living".
Of course, we'd have to have a process through which these concerns can be made and a significant way to correct all findings. The DHSS can't seem to make it happen as they're limited, or so it seems, to one or two annual visits and then to some "unknown" systems and procedures for following up on any reports they receive.
WHAT ARE THOSE SYSTEMS AND PROCEDURES? I'VE BEEN TRYING TO FIND THOSE FOR ALMOST FOUR YEARS.
How about creating a real list of questions about possible Neglect and how about interviewing families of Long Term Care residents -- there are quite a few despite the claims made most Seniors have no one.
Many of us "take under our wings" others whom we meet in these facilities and could easily provide information about neglect and abuse but have no "legal power" as a "friend".
We all need concerned friends. We all need caring "neighbors" and "visitors" walking the halls of LTC's.
And, when, as we've experienced, an "employee" of an LTC admonishes us for "walking around" or "visiting someone other than whom we came to visit", there oughta be a law, a report form, a means to share this "information" about a facility that apparently doesn't want eyes that see and ears that listen to share neglect, abuse and just plain old poor work ethics to be shared and exposed.
HERE'S AN UPDATE on an earlier blog entry about the discriminatory practice at two earlier holiday meals where friends and family, for a set price, could eat with their family members who were residents of Mom's old LTC facility.
Well, at least this Mother's Day the lady I'd mentioned in another entry who was turned away from the main dining area of Mom's old facility was "accommodated".
That's the word for it -- accommodated. They put her and another resident (a fully mobile, walking, resident) in a side room that was set up with additional tables and chairs. Separate but equal, as they used to say.
Then, I saw a man, in a wheelchair, by himself, no visitors or family for the dining experience come in or be brought in (can't remember) and seated at a table by himself.
I understand. Some might have liked the "separate" dining experience but there was more than enough vacant seats and tables at the "first dining" we experienced for the two ladies yet they were left by themselves and had been told that was where they would eat.
People, including me, had "spoken up" about how she was treated.
The facility "accommodated" but for those of us who remember other "separate but equal" facilities including water fountains, restrooms, restaurants, etc., this "arrangement" was not right, it wasn't just and it was discriminatory decades after the marches and the protests.
There was room for all, for the few who always come to dinner in this dining room, in this place they call their "home" and where they are the few, the select who haven't lost the ability to communicate, to feed themselves, to "dine" with others and be "social" or not as they choose.
It brings tears to my eyes now to see so well how there is a separation, a segregation. I can understand now how Mom was adamant about NOT eating in the area "on the floor" as that was the place where those who were "less competent" and "less capable" were taken to dine.
So, she pushed herself. When she still had her walker, before the facility decided it was best "removed", she'd make herself take that long walk down the halls to the elevator and then the walk into the Main Dining Room.
She pushed herself. Rolling her wheelchair when no one would help her. Struggling to get to the place where she, still capable of thinking, talking and being a part of "regular life" to whatever degree remained of her brain being continually assaulted by Lewy Body Dementia, could be as "normal" as possible in this place she told me she never wanted to go.
I didn't want you to go either, Mama. I made a continual place in my life for you and so did my beloved husband. You were a part of our family for almost forty years. We were a part of your life.
Our lives were intertwined and we were happy, content and lived a life many others envied while a few sought to find "abominable". Sad for those few. We know the love we shared as a multi generational family. We cared about each other and for one another.
Age Discrimination is alive and well.
Ability Discrimination is alive and well.
Power & position are still wielded by those who have it.
Happy Mother's Day (again) even though you're not with us for the second year, Mama, you're in our thoughts and you live on in us in all we do because of who you were.
Friday, May 8, 2015
Way To Go, North Carolina: Wake Up Other States
Adult Living for Seniors isn't always by choice.
Sometimes, it's by necessity or in our case by undue influence to gain financial advantage although as the alleged perpetrator has claimed "you can't prove it".
We believe it could be proven, we just don't have the financial ability to pursue her.
We believe the State of Missouri has missed a chance to remove a predator from practicing a trade of befriending and taking advantage of residents in declining health both mental and physical.
So, I continue my belief that awareness, full information and transparency creates safer living environments for us all, especially Seniors who have to live in Long Term Care residences.
Here's my latest "find" while randomly going through State websites trying to find out more about the similarities and differences in provision of safeguards and security for Seniors.
The first State website I've seen actively pursuing opening the doors and the windows in Long Term Care for a more accurate evaluation by current and potential residents, families and interested citizens.
ULTIMATELY, WE PAY THE BILL, EVERY US CITIZEN.
We pay through taxes, through deductions from our payroll, from increased costs in medical care due to "mistakes" on the parts of facilities incurring hospitalization and further medical care. And, through days and nights wondering, worrying when the "next call" will come from our loved one or the facility and another crisis, event or major concern has to be followed up, has to be taken care of.
Residents pay with their lives in "institutions" they call "home". Just as there are families and homes we see as hazardous to a person's health, there are residences getting your support and mine through tax supported programs and donations (NPO's) and other ways.
It's not perfect. The system itself leads to "cover up" and "non disclosure". More on that when I examine in detail those "Star Reports" so heavily relied on by families to "place" themselves or their loved ones into facilities.
You have the power. Speaking up, speaking out and sending emails and texts to your legislators and others about the serious problems within the walls of Long Term Care that are perpetrated and sustained due to the inability to get clear, concise, accurate and timely information to remedy small and large violations and ensure they do not reoccur.
Never before have we had such constant access to direct and timely communication and a media so expansive even the smallest voice among us can be heard.
Here's a sampling of what you can find on the North Carolina website referenced above.
As above, some of these methods like the Star Program I do not see as adequate and often misleading. Will go into that in another blog entry.
From the North Caroline referenced site:
Sometimes, it's by necessity or in our case by undue influence to gain financial advantage although as the alleged perpetrator has claimed "you can't prove it".
We believe it could be proven, we just don't have the financial ability to pursue her.
We believe the State of Missouri has missed a chance to remove a predator from practicing a trade of befriending and taking advantage of residents in declining health both mental and physical.
So, I continue my belief that awareness, full information and transparency creates safer living environments for us all, especially Seniors who have to live in Long Term Care residences.
Here's my latest "find" while randomly going through State websites trying to find out more about the similarities and differences in provision of safeguards and security for Seniors.
HATS OFF TO NORTH CAROLINA. Click to see the website
The first State website I've seen actively pursuing opening the doors and the windows in Long Term Care for a more accurate evaluation by current and potential residents, families and interested citizens.
ULTIMATELY, WE PAY THE BILL, EVERY US CITIZEN.
We pay through taxes, through deductions from our payroll, from increased costs in medical care due to "mistakes" on the parts of facilities incurring hospitalization and further medical care. And, through days and nights wondering, worrying when the "next call" will come from our loved one or the facility and another crisis, event or major concern has to be followed up, has to be taken care of.
Residents pay with their lives in "institutions" they call "home". Just as there are families and homes we see as hazardous to a person's health, there are residences getting your support and mine through tax supported programs and donations (NPO's) and other ways.
It's not perfect. The system itself leads to "cover up" and "non disclosure". More on that when I examine in detail those "Star Reports" so heavily relied on by families to "place" themselves or their loved ones into facilities.
You have the power. Speaking up, speaking out and sending emails and texts to your legislators and others about the serious problems within the walls of Long Term Care that are perpetrated and sustained due to the inability to get clear, concise, accurate and timely information to remedy small and large violations and ensure they do not reoccur.
Never before have we had such constant access to direct and timely communication and a media so expansive even the smallest voice among us can be heard.
Here's a sampling of what you can find on the North Carolina website referenced above.
As above, some of these methods like the Star Program I do not see as adequate and often misleading. Will go into that in another blog entry.
From the North Caroline referenced site:
Adult Care Home Violations and Penalties
- Listing of Facilities with Penalties
- Introduction
- Difference in Adult Care Homes and Nursing Homes
- Information on This Site
- Inspections
- Regarding Adult Care Home Inspections
- Other Information
- Facility Inspections, Ratings and Penalties
- Star Rating Program
- Adult Care Home Violations and Penalties
- Facility Licensure Information
- Staff and Contacts
- Branch Office Territories
- Facility Listings
- Announcements
- Rules
- Frequently Asked Questions
- Medication Testing Information
- Administrator Certification and Forms
- Continuing Education Course Information
- Training Resources
- Informal Dispute Resolution Procedures
- Forms and Application
While there is room for improvement, room for expansion, it's the first site I've found that provides actual information and doesn't rely on "puff and fluff" writing designed to state and restate how interested they are in "protecting" our Seniors and how there are directives in place, etc etc.
Facts, figures, full disclosure. Historical entries of more than one year. Violations that are specific and not generalized or using referenced numbers or categories that are vague and not comprehendable. These are what we need!
Today, NPR was talking about Millennials.
They're the current "focus generation" because they're in the marketplace, they're making buying decisions and soon or already have made major contributions and decisions.
Everyone was once where they are. Now look where some have been forced to go. Is this what you want for your loved ones? Are you really so sure you know what goes on when you leave for the day, are gone away where you cannot see and do not hear the real world of everyday living for Seniors in Long Term Care?
Transparency and full disclosure will provide that real safety net the DHSS and the Ombudsman cannot provide on a daily basis.
Once a year, maybe twice, "inspecting" facilities or four hours a week to get to know 200 or more residents of just one facility?
They may mean well but until they realize it's action and not words that create safety, security and peace of mind for all, this Blog will continue to ensure you and I see the reality behind the closed doors of many Long Term Care and other Senior Living facilities.
Tuesday, May 5, 2015
Reference List: Recent Laws Enacted for Older Americans
A list of recent Laws enacted to provide support and protection for Older Americans for your reference
Section 202
Supportive Housing for the Elderly Act
(Signed into law January 4, 2011)
Elder Justice Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Home and Community Balanced Incentives Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Medicare Payment Improvement Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Money Follows the Person Demonstration Program
(Originally signed into law in 2005 as a part of the Deficit Reduction Act and reauthorized on March 23, 2009 as part of the Patient Protection and Affordable Care Act)
(Signed into law January 4, 2011)
Elder Justice Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Home and Community Balanced Incentives Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Medicare Payment Improvement Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Money Follows the Person Demonstration Program
(Originally signed into law in 2005 as a part of the Deficit Reduction Act and reauthorized on March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Nursing Home Transparency and Improvement Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Patient Safety and Abuse Prevention Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Physician Payments Sunshine Act
(Signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Retooling the Health Care Workforce for an Aging America Act
(Key provisions signed into law March 23, 2009 as part of the Patient Protection and Affordable Care Act)
Older Americans Act
(Originally signed into law in 1965 and reauthorized in 2006)
Saturday, May 2, 2015
And A Child Shall Lead Them
If you are or have been a parent, you know the challenges of everyday family life.
Working with someone who's changing, has individual needs and wants and many of these may or may not coincide with the point in life or needs of the moment where you are, is a constant and ongoing challenge.
Care giving a Senior loved one has many of the same challenges.
The differences between being a parent to a child and parenting a parent are many as are the similarities.
My first entry on this blog was titled: When The Child Becomes The Mother It was April, 2013 and our family had changed from "average" to "in crisis" long before that date on a journey we're still trying to understand.
Recently, I read about Lewy Body Dementia behaviours and attributes and treatments. on the lbda.org website.. The subject of the entry was medications and LBD, the title of the article: LBD Frequently Asked Questions: When To Consider AntiPsychotic Medications in LBD.
While the LBDA has many good topics and provides valuable information, I find this entry to be less than helpful and even harmful.
THREE SUGGESTIONS
(1) Anti psychotics whether "new" or "old" all carry risks. Listen to your TV ads any day for law firms pursuing actions and class action suits against companies who manufacture drugs that have "side effects", many of which can cause severe reactions.
(2) Skilled Nursing Centers are referred to as "Medical facilities" -- they are far from qualified and very low on the quality level. Ask to see an "examining room" or any equipment for general use should a patient need it. You'll probably find it in a Medical dispensary off premises usually owned by the Long Term Care facility or with whom they have a "preferred" realtionship but not on the premises.
(3) Check out the quality of the equipment "provided" to the residents. If it's good quality, chances are it comes from private pay insurance or provided by a family member. Residents less fortunate are given equipment that isn't fit to their bodies, their abilties/challenges,(which should be a primary concern to ensure further damage isn't done by equipment like it was to my Mom when they put her in a Gerri chair that had uncovered metal pieces where her leg would slip in and be cut and bruised).
I don't believe we should compare an adult to a child or a Senior's behaviour to a child's behaviour, HOWEVER, I do see similarities in HUMAN RELATIONSHIPS, especially those of adult/child, supervisor/employee, friend/friend.
As with life in general, taking a step back, examining, evaluating and "putting our feet in the moccasins of another and walking in them" are the best directions forging paths of understanding and positive change.
In the four plus years I've been on this journey trying to understand the "system" prevalent in the United States of how we age and how we treat those who are "aging", I see little focus on what "we" are doing and more on what "they" are doing -- meaning TOO LITTLE EXAMINATION of the SYSTEM, the PROCEDURES and the way we INCARCERATE many Seniors RATHER THAN CARE FOR AND ABOUT.
There's medical proof many "symptoms" of Dementia and especially LBD are caused by neurological conditions affecting the brain and the body in general.
HOWEVER, we may be attributing many behaviors or what is classified as "behavioral symptoms" including aggression, agitation, apathy, depression and anxiety to the Dementia when it's source and cause may be from surroundings and other medical challenges including medications given, neglect on the part of the person or the care givers, UTI's, sores or cuts, bruises or even something as easily corrected as ingrown toenails.
Look. Listen. Learn. Remember . . . you may be next to enter through those doors and sooner than you think.
AND, MOST IMPORTANTLY ... remember Seniors deserve the same high quality concern and attention as Children. Let's follow the same enlightenment path we began walking down when we chose to change parent/childcare for caregiver/Senior.
Working with someone who's changing, has individual needs and wants and many of these may or may not coincide with the point in life or needs of the moment where you are, is a constant and ongoing challenge.
Care giving a Senior loved one has many of the same challenges.
The differences between being a parent to a child and parenting a parent are many as are the similarities.
My first entry on this blog was titled: When The Child Becomes The Mother It was April, 2013 and our family had changed from "average" to "in crisis" long before that date on a journey we're still trying to understand.
Recently, I read about Lewy Body Dementia behaviours and attributes and treatments. on the lbda.org website.. The subject of the entry was medications and LBD, the title of the article: LBD Frequently Asked Questions: When To Consider AntiPsychotic Medications in LBD.
While the LBDA has many good topics and provides valuable information, I find this entry to be less than helpful and even harmful.
THREE SUGGESTIONS
(1) Anti psychotics whether "new" or "old" all carry risks. Listen to your TV ads any day for law firms pursuing actions and class action suits against companies who manufacture drugs that have "side effects", many of which can cause severe reactions.
(2) Skilled Nursing Centers are referred to as "Medical facilities" -- they are far from qualified and very low on the quality level. Ask to see an "examining room" or any equipment for general use should a patient need it. You'll probably find it in a Medical dispensary off premises usually owned by the Long Term Care facility or with whom they have a "preferred" realtionship but not on the premises.
(3) Check out the quality of the equipment "provided" to the residents. If it's good quality, chances are it comes from private pay insurance or provided by a family member. Residents less fortunate are given equipment that isn't fit to their bodies, their abilties/challenges,(which should be a primary concern to ensure further damage isn't done by equipment like it was to my Mom when they put her in a Gerri chair that had uncovered metal pieces where her leg would slip in and be cut and bruised).
I don't believe we should compare an adult to a child or a Senior's behaviour to a child's behaviour, HOWEVER, I do see similarities in HUMAN RELATIONSHIPS, especially those of adult/child, supervisor/employee, friend/friend.
As with life in general, taking a step back, examining, evaluating and "putting our feet in the moccasins of another and walking in them" are the best directions forging paths of understanding and positive change.
In the four plus years I've been on this journey trying to understand the "system" prevalent in the United States of how we age and how we treat those who are "aging", I see little focus on what "we" are doing and more on what "they" are doing -- meaning TOO LITTLE EXAMINATION of the SYSTEM, the PROCEDURES and the way we INCARCERATE many Seniors RATHER THAN CARE FOR AND ABOUT.
There's medical proof many "symptoms" of Dementia and especially LBD are caused by neurological conditions affecting the brain and the body in general.
HOWEVER, we may be attributing many behaviors or what is classified as "behavioral symptoms" including aggression, agitation, apathy, depression and anxiety to the Dementia when it's source and cause may be from surroundings and other medical challenges including medications given, neglect on the part of the person or the care givers, UTI's, sores or cuts, bruises or even something as easily corrected as ingrown toenails.
Look. Listen. Learn. Remember . . . you may be next to enter through those doors and sooner than you think.
AND, MOST IMPORTANTLY ... remember Seniors deserve the same high quality concern and attention as Children. Let's follow the same enlightenment path we began walking down when we chose to change parent/childcare for caregiver/Senior.
Wednesday, April 29, 2015
Blog Stats: A Rising Tide of Interest From Far And Wide
In the very beginning with this blog my focus was on making sense of an often senseless world. Today, it remains the same, just with a reframing of the challenges into a broader perspective.
We are not alone. The world is watching, listening and learning. About Us. About Themselves.
I've been fortunate to travel extensively and gave my Mom the gift of travel starting when she turned 62 and began receiving "retirement" benefits.
It was one of my greatest gifts to her -- freedom to make choices and decisions when she had the greatest ability and when life hadn't thrown her the last curve ball of Lewy Body Dementia.
I'd always wanted Mom to have this opportunity because she loved history, archaeology, different cultures; she was far ahead of her time and of her "economic place".
Mom never had the benefit of higher education when she was young; she walked a long distance to go to school in a rural Illinois town and then she was needed at home to care for a sister and brothers.
When she decided to go back for her High School GED in her early 50's when I was in college (thanks to her guidance, a scholarship and my determination), I was so happy for her and proud of her achievement.
She'd weathered Cosmetology School when I started attending school all day; a plan to escape the hardships and the degradation imposed on both of us by a marriage that was crippled by my father's alcoholic addiction.
When life presented a challenge (Mom fell and broke her wrist and had to close her small beauty salon), we did what we'd always done and turned it into an opportunity -- to become a multi generational family.
Multi Generational Family Living -- A choice we believe to this day was beneficial to every member when it was made and throughout almost forty years of living together as a family unit and beyond.
Mom traveled the world, literally. She faced modes of transportation we'd call archaic and physically challenging in countries that were still struggling to come into the 20th Century. They had amazing histories, wonderful scenery and emerging societies we're just beginning to understand.
We believed and still do, we keep the doors of the world open one trip at a time. I believe we also keep the world open one blog entry at a time and the Stats for where this blog is reaching are reflecting that belief.
The United States gets lots of hits but so do far lesser known areas including Moldova.
The Stats I see are amazing as days often produce more readership from countries we see as far less technologically advanced than the United States.
Touching peoples minds and hearts. Opening windows and doors of opportunity. If just one person sees and makes a difference this blog has succeeded in making positive change.
In Peace and Justice life continues and aging is natural and often longer. With expanding ability to provide better healthcare and share information we give longer life to one another.
Age is wisdom, experience and knowledge if we chose to value it.
Some societies have believed we need to "erase" the past and that includes various people and ideas.
What are you choosing to share today? What will you bring to the table tomorrow? Where will you spend time and what will you do with the minutes, hours and days you've been given?
As another Mother's Day approaches, I give thanks for my mother, my friend, my life companion, my guide and my mentor. Through this Blog, her story and ours is a reference, a reflection and a rekindling of the spirit of family and the spirit of Love.
We are not alone. The world is watching, listening and learning. About Us. About Themselves.
I've been fortunate to travel extensively and gave my Mom the gift of travel starting when she turned 62 and began receiving "retirement" benefits.
It was one of my greatest gifts to her -- freedom to make choices and decisions when she had the greatest ability and when life hadn't thrown her the last curve ball of Lewy Body Dementia.
I'd always wanted Mom to have this opportunity because she loved history, archaeology, different cultures; she was far ahead of her time and of her "economic place".
Mom never had the benefit of higher education when she was young; she walked a long distance to go to school in a rural Illinois town and then she was needed at home to care for a sister and brothers.
When she decided to go back for her High School GED in her early 50's when I was in college (thanks to her guidance, a scholarship and my determination), I was so happy for her and proud of her achievement.
She'd weathered Cosmetology School when I started attending school all day; a plan to escape the hardships and the degradation imposed on both of us by a marriage that was crippled by my father's alcoholic addiction.
When life presented a challenge (Mom fell and broke her wrist and had to close her small beauty salon), we did what we'd always done and turned it into an opportunity -- to become a multi generational family.
Multi Generational Family Living -- A choice we believe to this day was beneficial to every member when it was made and throughout almost forty years of living together as a family unit and beyond.
Mom traveled the world, literally. She faced modes of transportation we'd call archaic and physically challenging in countries that were still struggling to come into the 20th Century. They had amazing histories, wonderful scenery and emerging societies we're just beginning to understand.
We believed and still do, we keep the doors of the world open one trip at a time. I believe we also keep the world open one blog entry at a time and the Stats for where this blog is reaching are reflecting that belief.
The United States gets lots of hits but so do far lesser known areas including Moldova.
The Stats I see are amazing as days often produce more readership from countries we see as far less technologically advanced than the United States.
Touching peoples minds and hearts. Opening windows and doors of opportunity. If just one person sees and makes a difference this blog has succeeded in making positive change.
In Peace and Justice life continues and aging is natural and often longer. With expanding ability to provide better healthcare and share information we give longer life to one another.
Age is wisdom, experience and knowledge if we chose to value it.
Some societies have believed we need to "erase" the past and that includes various people and ideas.
What are you choosing to share today? What will you bring to the table tomorrow? Where will you spend time and what will you do with the minutes, hours and days you've been given?
As another Mother's Day approaches, I give thanks for my mother, my friend, my life companion, my guide and my mentor. Through this Blog, her story and ours is a reference, a reflection and a rekindling of the spirit of family and the spirit of Love.
Thursday, April 2, 2015
2007: Experts Recommend Personality Tests To Quickly Detect Dementia With Lewy Bodies
Sometimes my ability to uncover information astounds me.
I'm always researching but realize the internet is often "the luck of the draw" and thankfully my "luck" is high when it comes to finding very necessary information on Dementia and other subjects related to Seniors.
The following is a selection from the website: http://news.wustl.edu/news/Pages/9560.aspx#.UG2PJYp39wY.email and I've taken the liberty to highlight sections I've found most valuable.
The date is May of 2007. I'm speechless. In 2012 when I started this blog I couldn't find information and yet the same general resource, Washington University in St Louis who is associated with BJC and Barnes Hospital where my Mom was diagnosed with possible LBD, had this information in their files.
This blog is for you if you're looking for somewhere to turn where someone is dedicated to finding and citing specifics often buried under tons of other papers yet so prevalent to making choices and decisions about yourself or someone you love who's aging.
"Washington
University St Louis
Personality
changes may help detect form of dementia
May 29, 2007
By Michael Purdy
A simple personality test could help doctors
more quickly detect dementia with Lewy bodies, a form of dementia often
confused with Alzheimer’s disease, according to a study led by researchers at
Washington University School of Medicine in St. Louis.
Dementia with Lewy bodies is the second most
common neurodegenerative cause of dementia. It shares many characteristics with
both Alzheimer’s and Parkinson’s disease. Getting the correct diagnosis is
important because some medications used to treat the mental health symptoms of
Alzheimer’s disease can be potentially dangerous for people with dementia with
Lewy bodies.
“Patients with Lewy body dementia often have
hallucinations and other behavioral problems, so they’re frequently treated
with antipsychotic drugs early in the course of their illness,” says lead
author James Galvin, M.D., assistant professor of neurology. “However, some
types of antipsychotic drugs may put them at risk of serious side effects, so
it’s important for physicians to be able to quickly determine who has Lewy body
dementia.”
Such side effects include neuroleptic malignant
syndrome, a condition where muscles become rigid and the body’s ability to
regulate its own heat production breaks down. This can lead to renal failure
and death.
The study appears in the May 29 issue of Neurology,
the scientific journal of the American Academy of Neurology.
In Alzheimer’s disease, a protein known as
amyloid accumulates in the brain. Amyloid is also often found in the brain in
patients with Lewy body dementias, but the key diagnostic indicator is the
presence of aggregates of the protein alpha-synuclein in brain cells. These
clumps are called Lewy bodies.
Lewy body dementia can cause fainting,
hallucinations, Parkinson’s-like symptoms such as tremor, rigidity and motor
impairment, intermittent alterations in attention and awareness, and memory
loss.
The study involved 290 people who were part of a
larger study and were tested every year for an average of about five years.
By
the end of the study, 128 of the participants had confirmed cases of dementia
with Lewy bodies, 128 had Alzheimer’s and 34 had no form of dementia.
Researchers followed the participants through death, including autopsy results.
During annual interviews, participants or their family members were asked about
changes in personality, interests and drives.
BLOG AUTHOR'S NOTE: Interesting. A five year study. This was written in 2007 so that would be a study that started in 2002.
Why hasn't more information been placed predominately in the press about this disease that's obviously been important enough to be studied by a world class educational institution focused on medical studies.
BLOG AUTHOR'S NOTE: I've taken the liberty of highlighting the following passages:
Even
prior to diagnosis, researchers more often found passive personality changes in
people with dementia with Lewy bodies than people with Alzheimer’s. Such
changes included diminished emotional response, disinterest in hobbies,
repetitive behaviors, and growing apathy, or lack of interest.
People
with dementia with Lewy bodies were two times more likely to have passive
personality traits at the time of the first evaluation than people with
Alzheimer’s disease. By the time of death, up to 75 percent of those with dementia
with Lewy bodies had passive personality changes compared to 45 percent of
those with Alzheimer’s disease.
“Currently
we mainly look for memory problems and other cognitive problems to detect
dementia, but personality changes can often occur several years before the
cognitive problems,” says Galvin. “Identifying the earliest features of
dementia may enable doctors to begin therapy as soon as possible. This will
become increasingly important as newer, potentially disease-modifying
medications are developed. It also gives the patient and family members more
time to plan for the progressive decline.”
Galvin
said more detailed personality tests are not often used in most office settings
because of time and lack of training. “Our results show incorporating a brief,
simple inventory of personality traits may help improve the detection of
dementia with Lewy bodies,” said Galvin.
IMPORTANT: Missouri Medicaid requires the Mini Mensa be administered to recipients residing in Long Term Care facilities on a regular basis.
This test is often cited as being inaccurate and not a good basis for accessing the mental abilities of individuals with Lewy Body Dementia.
Why hasn't this possible "test" cited in the article replaced the Mini Mensa?
My Mom had all of these "signs" and I'm just now learning they were hallmarks of the disease. It brings me to tears. So much time passed, she endured so much and so did we because no one cared enough to want to learn more about Lewy Body Dementia.
Long Term Care facilities aren't there to really provide medical care as is their cited purpose; if they were, there would be more research by Administrators, Head Nurses and especially the Doctors who are "admitted to practice" at the Long Term Care facilities.
My professional life isn't medicine and I don't work every day with individuals in need of my learning and becoming more knowledgeable about ageing. They do. It's their job to know and their job to provide accurate information.
LIVES DEPEND ON THEIR ACTIONS AND REACTIONS.
Without knowing these "personality" traits each aspect of the life they administer and create is cause for escalating the disease due to their failure to treat it accurately.
After all, if Lewy Body Dementia is the second leading type of Dementia, shouldn't there be a movement within the medical community to ensure a more accurate means of assessment is used within Long Term Care facilities?
How many more will waste away in Long Term Care facilities because we continue to shelve them and don't care enough to share information about the most basic and prevalent information concerning the health and welfare of Seniors.
If they and we don't know Lewy Body Dementia, the second most prevalent Dementia can probably be identified and worked with at a much earlier stage, are we providing a quality of life in these United States that measures up to our claims to be the best nation on earth for its residents?
Saturday, March 28, 2015
Population of Seniors in US Reaches 1 in 5
Listening to NPR and new stats of 1 in 5 United States citizens will be aged 65 and older very shortly.
Listen Up America. This generation is followed by another record breaking generation no one's mentioning -- the Baby Boomer's Children or Generation X.
And, with life expectations lengthening, we'll soon have a record breaking population of Seniors in the 65 to 95 age bracket.
What are we doing to increase the health and well being of our aging population?
Well, we're continuing to break them down with ageism and lack of accommodation.
Example: Daughter's in a class that includes a man in his 70's who is being "harassed" by a man in his 50's.
Both had to pass exceptional ability tests of all ages few survived including those in their twenties and early thirties.
Both "belong" by these standards and by their daily performance, but this man is already concerned there won't be enough "share of the pi" to go around, apparently.
Of course, the "younger" man cites the "older man" should "make way for the much younger generation" but the 50's something guy should be glad the 70 something man is there.
Replacing him with a 20 or 30 something individual would be statistically more detrimental to the 50 something man. Think about it -- younger, more years to work, better investment for a company, etc etc.
The 50's something man is typical of his age group and of our society as a whole.
He's reached the age of seeing the future and he doesn't like it. He's experienced the end of life as he knew it -- no longer employed.
By 40 something in most jobs, there's weeding of personnel. Those who are "chosen" get the opportunities and advancement, those who are "left behind" begin the weeding process that starts around this age and by 50 is in full swing.
Early retirement to forced retirement or even lay offs, discontinuation of a position (change of position with requirements known the individual cannot fulfill) and so many other ways to "cull and remove".
The 50's something guy is smart. He's realized he has to retrain and do it quickly in a field that needs so many more people than it has because he has a higher chance of getting a coveted job simply because of the scarcity.
He also knows he has to survive and survival means "attacking" or somehow overcoming any member of the species that seems "weaker" or "vulnerable".
He's found what he believes is an easy target and one he believes others will also select for "removal" or at least for "overlooking" in their own favors.
However, as with any other skill set or requirement, soon there will be an influx of "newbies" trained along the way from high school onward and needing a little extra "monitoring" but still workable and hireable.
Many are "taking courses" on line for the "new" world we've created. It's common knowledge in the computer coding community, for example, people are training and learning by themselves and therefore need less "help" and instruction.
Machines instructing could be replacing the vast collegiate market created with the Baby Boomer generation.
Already they're being used as the "main instructor" with previous lead instructors becoming mentors, advisors and providing clarification or assistance rather than being a main source of securing basic information and instruction.
Then what? With this advent of learning when and where you want, what will our economy look like in the future with less need for "classroom" instruction and those college degrees that cost so much and took so much time?
What will we do to control the influx of new talent and ability to maintain a balance within the 25+ age groups if we reduce the age of challenging others for space in the job market reduces from 20 something to 18+?
When we become a nation of data entry, data movers and data providers, isn't that moving the needle backwards to the time of having more jobs at lower pay because less education was needed? Or, at the very least, positions that are easier to fill and therefore have a higher turnover rate?
My opinion is the most affected segment of the population are those currently past 65 and the many more entering this age group daily and the Millennials who are behind the next generation of Seniors and in front of those who were "born into" the Computer Age and basically given internet access as a birthright and entitlement.
After all, schools have changed and society has changed -- computer access can be everywhere including at libraries and training starts early in the most current computer procedures, applications and configurations.
Yes, the 50 something man has the most challenging role to play in life as he sees it. But he's already in the Senior category and if he doesn't value that age group and their needs and rights now, he'll soon be experiencing first hand what he failed to recognize and take action to change.
Our society cannot succeed with so many NEW Seniors "put out to pasture" at an age that once was "acceptable" for "retirement" but now leaves the door of many more years of life for which to provide.
Seniors today can do just so much "socializing". Faced with many more years and skyrocketing medical and even basic costs of living including the cost of food, utilities, property taxes, transportation, the savings for many has been greatly affected by each decade's monetary crisis from the 1970's onward and from dynamically climbing costs of living.
Yes, there are and will continue to be a select number of people who are "well off" but those figures are swiftly declining as our economy shifts to placing even our younger members into the ranks of the unemployed while we adjust to the "new economy" and "new work world".
Jobs should not be allocated or designed to exclude or eliminate. All age groups are valuable assets.
Ageism is the new way we control economic adjustments we haven't been able to control with creating jobs that value and recognize differences and abilities.
Listen Up America. This generation is followed by another record breaking generation no one's mentioning -- the Baby Boomer's Children or Generation X.
And, with life expectations lengthening, we'll soon have a record breaking population of Seniors in the 65 to 95 age bracket.
What are we doing to increase the health and well being of our aging population?
Well, we're continuing to break them down with ageism and lack of accommodation.
Example: Daughter's in a class that includes a man in his 70's who is being "harassed" by a man in his 50's.
Both had to pass exceptional ability tests of all ages few survived including those in their twenties and early thirties.
Both "belong" by these standards and by their daily performance, but this man is already concerned there won't be enough "share of the pi" to go around, apparently.
Of course, the "younger" man cites the "older man" should "make way for the much younger generation" but the 50's something guy should be glad the 70 something man is there.
Replacing him with a 20 or 30 something individual would be statistically more detrimental to the 50 something man. Think about it -- younger, more years to work, better investment for a company, etc etc.
The 50's something man is typical of his age group and of our society as a whole.
He's reached the age of seeing the future and he doesn't like it. He's experienced the end of life as he knew it -- no longer employed.
By 40 something in most jobs, there's weeding of personnel. Those who are "chosen" get the opportunities and advancement, those who are "left behind" begin the weeding process that starts around this age and by 50 is in full swing.
Early retirement to forced retirement or even lay offs, discontinuation of a position (change of position with requirements known the individual cannot fulfill) and so many other ways to "cull and remove".
The 50's something guy is smart. He's realized he has to retrain and do it quickly in a field that needs so many more people than it has because he has a higher chance of getting a coveted job simply because of the scarcity.
He also knows he has to survive and survival means "attacking" or somehow overcoming any member of the species that seems "weaker" or "vulnerable".
He's found what he believes is an easy target and one he believes others will also select for "removal" or at least for "overlooking" in their own favors.
However, as with any other skill set or requirement, soon there will be an influx of "newbies" trained along the way from high school onward and needing a little extra "monitoring" but still workable and hireable.
Many are "taking courses" on line for the "new" world we've created. It's common knowledge in the computer coding community, for example, people are training and learning by themselves and therefore need less "help" and instruction.
Machines instructing could be replacing the vast collegiate market created with the Baby Boomer generation.
Already they're being used as the "main instructor" with previous lead instructors becoming mentors, advisors and providing clarification or assistance rather than being a main source of securing basic information and instruction.
Then what? With this advent of learning when and where you want, what will our economy look like in the future with less need for "classroom" instruction and those college degrees that cost so much and took so much time?
What will we do to control the influx of new talent and ability to maintain a balance within the 25+ age groups if we reduce the age of challenging others for space in the job market reduces from 20 something to 18+?
When we become a nation of data entry, data movers and data providers, isn't that moving the needle backwards to the time of having more jobs at lower pay because less education was needed? Or, at the very least, positions that are easier to fill and therefore have a higher turnover rate?
My opinion is the most affected segment of the population are those currently past 65 and the many more entering this age group daily and the Millennials who are behind the next generation of Seniors and in front of those who were "born into" the Computer Age and basically given internet access as a birthright and entitlement.
After all, schools have changed and society has changed -- computer access can be everywhere including at libraries and training starts early in the most current computer procedures, applications and configurations.
Yes, the 50 something man has the most challenging role to play in life as he sees it. But he's already in the Senior category and if he doesn't value that age group and their needs and rights now, he'll soon be experiencing first hand what he failed to recognize and take action to change.
Our society cannot succeed with so many NEW Seniors "put out to pasture" at an age that once was "acceptable" for "retirement" but now leaves the door of many more years of life for which to provide.
Seniors today can do just so much "socializing". Faced with many more years and skyrocketing medical and even basic costs of living including the cost of food, utilities, property taxes, transportation, the savings for many has been greatly affected by each decade's monetary crisis from the 1970's onward and from dynamically climbing costs of living.
Yes, there are and will continue to be a select number of people who are "well off" but those figures are swiftly declining as our economy shifts to placing even our younger members into the ranks of the unemployed while we adjust to the "new economy" and "new work world".
Jobs should not be allocated or designed to exclude or eliminate. All age groups are valuable assets.
Ageism is the new way we control economic adjustments we haven't been able to control with creating jobs that value and recognize differences and abilities.