One Friday Morning 05.10.13

A good friend of NASMM‘s, Dr. David Ekerdt of the University of Kansas, wrote the following blog post for The New Old Age blog of the The New York Times. Dr. Ekerdt has spoken at two (2) NASMM Annual Conferences about his research on household downsizing among older adults. We share his particular fascination around the relationship of later life well-being and our accumulated “stuff.” Please take a moment to read his post, just in time for Mother’s Day.(Hint: The 38 comments are worth reading as well ~ though many do not agree with Dr. Ekerdt. Your thoughts?)May 8, 2013  38 Comments

A Mother’s Day Gift

By DAVID J. EKERDT

Adults with older parents or even grandparents will soon be searching for suitable Mother’s Day and Father’s Day gifts. If these presents are not consumables — a box of chocolates or a bottle of spirits — then they will only enlarge the material convoy that accompanies Mom and Dad through their later years.

Older people want our love and affection, but they probably don’t need more stuff. A 2010 survey of Americans 60 and older found that 60 percent agreed they had “more things than you need.” Fully 75 percent said that the thought of dealing with their things made them somewhat or very reluctant to think about moving.

brown box as presentSo why pile on more? Instead, I suggest that you help whittle things down by making yourself available to receive some belongings your elders would like to offload.

It’s a myth that older people cling to their possessions. Of course they cherish certain things, but most homes hold uncounted thousands of objects, only some of them special. My studies of household downsizing in Kansas City and Detroit reveal that seniors feel almost universal relief at having lightened the load.

Transfers of possessions from older to younger family members normally require some occasion, such as a wedding or graduation, lest the gesture, coming out of the blue, be viewed with alarm. (“You’re giving me the antique table? You’re not planning on dying, are you?”) And the younger generation’s readiness to embrace what’s on offer — the crystal, the matched floor lamps, the baseball card collection — cannot be assumed.

But Mother’s Day and Father’s Day afford the perfect occasions for the unqualified reception of stuff. You can approach this a few different ways. For example, write this in a Mother’s Day card:

Mom, you have said so often that you don’t want me to give you one more thing because you already have too many things. So this year I am taking you at your word. I will make a contribution to your favorite charity and then, when you are ready, I will happy to take any of your things that you would like to unload.

Or you can suggest belongings she might give you. Lest anyone accuse you of stripping the shelves, propose things that live deep in the recesses of the home: vacation videos, excess flowerpots, sporting goods or long-ignored books. Stuff in the basement, the attic, the closets, the shed, the garage.

Ask for photo albums now, while elders can still tell you who all those people are. Suggest nothing that, like the tufted family rocking chair, will set off World War III among your siblings. In fact, siblings can organize themselves to receive things as a group, thereby forestalling the charge of having taken unfair advantage.

Another technique: Wrap an empty box as a present, with a note inside that says, “Fill me, please.” The gift will initially seem puzzling, but this becomes your chance to explain your intentions. And if the box is eventually filled and passed back to you, empty it and begin the cycle again. The transfers might become a habit.

If you try this for Mother’s Day, your father will almost certainly ask whether you are going to pull the same thing next month. “For you, especially,” would be a good reply.

When the jewelry, random houseplants, random hand tools and back issues of National Geographic come, you can archive, curate, sell, donate or regift them. All you need at the moment of exchange is a smile and the promise that you know “just the right place” for these things. Leave it at that.

The looking-glass nature of human connection means that receiving is giving, that taking things is a gesture of generosity. Honor your mother and father by welcoming their things no matter what, and then welcoming yet more.

David J. Ekerdt is Director of the Gerontology Center at the University of Kansas.

Life After Life: A Worthy Read

Lifeafterlife

Good afternoon ~
I was just catching up on some occupational aging services-related reading, and discovered this little gem. Would love to have an online discussion of this book if anyone’s interested. We could also do a conference call discussion. Let me know if you’re interested: marykay@nasmm.org.

Who knows? It could be the launch of an All Things Aging Book Club!

The Retirement Home: Alive With Intrigue

By PAULA SPAN

“Who in the hell wants dinner at 5:30?” wonders Rachel Silverman, a sharp Boston lawyer who has mysteriously washed up in the fictional Pine Haven Retirement Community in the nonfictional Fulton, N.C.

“You don’t have to be Einstein to figure out how a place like this works; a later dinner would require a later work shift for those in the kitchen and so on. It’s a business,” Ms. Silverman reasoned.

Down the hall, Stanley Stone, a once-prominent local lawyer, listens over and over again to his Herb Alpert album. Although dementia seems to have turned him into a pro-wrestling fan who lobs scandalously inappropriate remarks at women, he seems content. “He lives in a little apartment with a good bed and good light. The windows of his bedroom face west so he sees the sun setting over the woods near the interstate.”

As ideas about aging continue to seep into popular culture, I’ve noticed senior communities, nursing homes and assisted living facilities playing a variety of roles.

They show up as detention centers for rebellious older characters to escape from, as in the comic novel “Breaking Out of Bedlam.” They’re the fate people struggle to avoid, as in the YouTube dramatic series “Ruth & Erica.” They provide the backdrop for investigations of age and loss, as in the Oscar-nominated documentary Kings Point.

In her new novel “Life After Life,” the author Jill McCorkle’s signal accomplishment is that she has rendered one of these places as a small but convincing universe.  She’s written a funny and moving book, but Ms. McCorkle doesn’t play Pine Haven for laughs or generate cheap drama by portraying it as a hellish dump. The community, apparently a continuing care retirement community, or C.C.R.C., emerges as a kind of small town with its own pleasures, conflicts and concerns. (In an essay about the book, the author mentions Thornton Wilder.)

Pine Haven’s residents come to know their new neighbors, share something of their pasts but not everything, change their minds, and change one another. Sadie, the 85-year-old retired teacher in a wheelchair, still thinks most people are third graders inside. She soothes Toby Tyler, a professor and yoga aficionado, when she angrily denounces the judgmentally religious Marge Walker.

Ms. McCorkle has noticed that in reality, age-segregated facilities aren’t so walled off from the rest of life. Outside Pine Haven, Ms. McCorkle has created families with rivalries and connections, homes, schools, and a cemetery.

Her characters include a middle-aged hospice volunteer who runs a hot-dog stand on the side, a misfit 12-year-old (daughter of one of Sadie’s former students) who escapes her parents’ miserable marriage by hanging out with the old people, and a tattooed young woman who does manicures and leads meditation sessions.

And a big orange cat whose mere appearance causes residents to scream and throw things at it, because of news reports about a cat in a nursing home who curled up with whoever was the next to die.

As you can see, Ms. McCorkle likes dark humor as well as secrets. And the great advantage of fiction is that she can tell us what people think as they die, or perhaps shortly afterward.

Death is omnipresent but not so threatening at Pine Haven — it’s almost become another resident that people get used to having around. It’s life that does the real damage.

Paula Span is the author of When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.

SOURCE

One Friday Morning 03.22.13

The_New_York_Times_logoWoo hoo! NASMM’s press fortunes continue to grow, as our growing association has, once more, been featured in the The New York Times. As always, due to the NYT paywall, I am attaching the entire article to this post so everyone can access it, and not just those of us who pay for the always top-shelf NYT content. 

A Gray Jobs Market for All Ages

(Photo credit: Nicole Bengiveno/
The New York Times)

Roseann Brown is a fitness instructor for older adults.

 

By KERRY HANNON
Published: March 18, 2013

INSIDE the lower-level studio of the McBurney Y in the Chelsea neighborhood of Manhattan, Abba’s 1970s hit “Dancing Queen” is thumping out: “See that girl, watch that scene, diggin’ the dancing queen.” Right in step to the bouncing beat is a senior squad of 40 slightly sweaty women and men, ages 60 to 85.

Ms. Brown leading an Active Older Adults Power class at the McBurney Y in Chelsea.

This Active Older Adults Power class is filled to capacity. The high-energy 59-year-old instructor, Roseann Brown, is not surprised. Attendance has doubled in these kinds of active adult exercise classes since she became a senior fitness instructor four years ago. Little wonder that the number of fitness clubs and gyms across the country offering these special classes is rapidly multiplying, according to fitness industry experts.

Ms. Brown has tapped into a budding field. As the population ages, jobs like senior fitness trainer and other jobs in health care, housing and other areas are on the rise. By 2050, according to Pew Research projections, about one in five Americans will be over 65, up from 13 percent of the United States population now. This demographic shift is already creating new fields and opportunities for workers of all ages.

“As tens of millions of people live into their 80s and 90s, we’ll need millions of others in their 50s and 60s and 70s to help care for them — not just within families, but through second careers,” said Marc Freedman, author of “The Big Shift: Navigating the New Stage Beyond Midlife.”

“They’ll be able to fill millions of positions we will need to fill — as nurses, home health aides, health navigators and roles we’ve yet to even define,” he said.

Certain workers are already clearly in demand, including fitness coaches like Ms. Brown, people who modify homes to make them safer, certified financial planners and people who can offer monthly help with finances and bill-paying.

How do you exploit the emerging gray-jobs marketplace?

First, you probably need to bolster your résumé with new skills. But if heading back to school for a full degree program or a master’s seems too expensive and time-consuming, there are less expensive and faster certificate programs that could fit the bill. In recent years, they have been proliferating at community colleges and universities across the country. And employers and clients are increasingly accepting professional certifications as proof of one’s expertise.

Here is a sampler of growing job sectors serving an aging population and the continuing education you may need for a job:

Home Modification Pro

A recent report from Harvard’s Joint Center for Housing Studies predicts a continued period of recovery and growth for the American home improvement industry, powered in large part by the many older homeowners who are preparing to age in place.

So the industry is likely to look different from just a few years ago. Rather than building an addition to a home or refinishing a basement, jobs are likely to involve remodeling to make homes easier for older adults to live in after retirement. “It’s a concept whose time has come,” says Esther Greenhouse, an independent consultant on elder- and disability-friendly design and policy based in Ithaca, N.Y.

Pay can start at $40 an hour, but experts like Ms. Greenhouse, 42, who teaches courses on aging in place for the National Association of Home Builders and consults for major manufacturers, charge $150 an hour.

According to the Remodeling Futures program, as of 2011, nearly half of all United States home improvement spending came from homeowners over 55 (10 years ago, they were responsible for less than a third of it).

Although most owners 55 and older have a bedroom on the first floor to avoid stairs, only a third have wheelchair-accessible kitchens, and fewer than one in six have raised toilets, lever door handles rather than knobs, or wider doorways and hallways for easier navigation, according to the Harvard report.

To prepare for this job, Certified Aging-in-Place Specialist courses from the National Association of Home Builders teach design and building techniques for making a home accessible to all ages. The program consists of three individual classes that cover such things as design basics, building standards, how to do a home assessment and the best methods to market services. Total fees for the combined courses are typically under $1,000.

Many in the program are professional builders and remodelers, but interior designers and occupational therapists enroll, too. Even landscape designers take it to help them create retiree-friendly gardens and outdoor spaces in private residences.

Surprisingly, according to Jeff Jenkins, the home builders’ association’s director of education, women make up a large share of those who attain the designation.

Courses are offered at N.A.H.B.-sponsored events like the annual International Builders’ Show and the Remodeling Show in the fall. They are also scheduled at builder association locations across the country. Every three years, continuing education is required to maintain the designation.

“There is so much more than stairs and tripping hazards,” Ms. Greenhouse said. To teach awareness of the environment and help her students understand what their clients are dealing with, she asks them to explore a living space with earplugs, or glasses with dark lenses smeared with petroleum jelly to simulate macular degeneration. They might ride around in a wheelchair or use a walker.

A profession complementary to Aging in Place home modifications is installing home automation systems. “If Grandma has a system where she can see who is at the front door via video, can unlock the front door remotely, can control her heating, cooling, window shades and lighting from a tablet, that is an enormous step for safety and independence,” Ms. Greenhouse said. Go to the Custom Electronic Design and Installation Association for training and information.

Move Manager

For those downsizing to smaller quarters later in life — usually an apartment or retirement community — a move manager can coordinate a move and configure a new home setup.

Clients need advice on choosing which furniture, collectibles and household goods make the cut to head over to the new residence. A move manager can assess what can be sold, donated or given to friends and family, and might even be in charge of shopping for new furniture that suits the new home, or organizing and running an estate or yard sale.

This job calls for configuring and cajoling, and the moves involved are fraught with emotion. A calm but take-charge demeanor is a desirable personality trait.

Fees range from $30 an hour to more than $75. Knowledge of interior design is essential. A relationship with a real estate agent can jump-start your business as well as provide a steady clientele down the road. For more information on courses and certification, contact the National Association of Senior Move Managers.

For leads on jobs, move managers can stop by real estate offices and visit retirement and assisted-living communities to ask about their future residents’ needs. Find out who is handling this type of work for them. The community’s management office usually provides arriving residents with suggestions for moving specialists to lend a hand with what can be a daunting endeavor for downsizers of any age.

Patient Advocate

Last fall, Kelly Lonigan, a 71-year-old former clinical social worker who lives in Sacramento, decided to “unretire” after five years out of the job market.

On the radio, she heard an interview with a cancer patient who said the best $4,500 he ever spent was to hire a patient advocate to help him deal with his health care.

That clicked with her. She looked up “patient advocate” online, and the patient advocacy certificate program from Empowered U.C.L.A. Extension came up on her screen. “My heart just opened. This is something I can get my heart into again,” Ms. Lonigan said.

The role of patient advocate varies. Some advocates tackle billing mistakes and insurance coverage rejections. Others might help in choosing doctors, offer guidance in treatment choices, assist in locating a specialist or hospital, go with patients to doctor appointments and keep track of prescriptions.

Job opportunities might include working privately for one person or a couple, or working on staff as an advocate or patient navigator at a hospital. Fees vary from $15 up to $150 an hour.

Empowered U.C.L.A. Extension is an online education company that offers fast-track certificate programs for older adults. These 20- to 25-student classes are taught on an iPad screen through an app that delivers audio, face-time video and discussion boards.

Once enrolled, students meet with their career counselors as often as they like, through face-to-face video chats, phone calls, e-mail and group webinars. Dedicated career counselor support will last for two years starting when the first school bell rings.

“I know I’m pushing my neurons,” Ms. Lonigan says. “And that’s a good thing at my age.”

To enroll in Empowered’s Patient Advocacy certificate program, you need a bachelor’s degree in any field, or an associate degree in nursing, respiratory therapy, occupational therapy (assistant) or physical therapy (assistant). Tuition is $7,400.

Community colleges and nonprofit organizations also are developing training and certification programs for patient advocates. Nurses, social workers, medical professionals and insurance experts are in high demand for these positions. But someone who has steered his or her own hair-pulling path, or a parent or partner’s, through the medical system might be the perfect person to take on this role.

No licenses are required, but there are credential programs available. Contact the National Association of Healthcare Advocacy Consultants in Berkeley, Calif., and the nonprofitPatient Advocate Foundation for information. The Master List of Health and Patient Advocacy Educational Courses, Programs and Organizations is a good resource for workshops and courses across the country.

Fitness Trainer

Get-up-and-go and good communication skills are prerequisites. Trainers teach group classes and one-on-one sessions that typically run 45 minutes to an hour. An understanding of human physiology, proper exercise practices and an ability to judge a client’s fitness level is essential.

Aqua aerobics is a growing specialty, as is “accessible” yoga, which adapts techniques for people with chronic illness and disabilities. Instructors tweak traditional yoga positions for people who are in a chair or wheelchair or have other physical issues.

Hours are generally flexible. Pay is $17 to $30 an hour, but in larger cities, rates can increase to $60 or more. Most health clubs collect the cost for the session from members and dole out a percentage to you.

Certification is not required by law, but most fitness clubs require it. Several groups offer some type of credential. These include the Aerobics and Fitness Association of America, the American Council on Exercise, the International Sports Sciences Association, the National Exercise Trainers Association, the National Strength and Conditioning Association, Y.M.C.A. Silver Sneakers and the Arthritis Foundation.

Such programs cost about $200 to $400 and usually consist of a written test and a practical exam. For all credentials, an additional certification in cardiopulmonary resuscitation is required. Insurance might also be necessary.

At the Y in Chelsea, Ms. Brown says fitness instructor is her dream job, after three decades working in the garment industry. She leads 17 classes a week in groups of 15 to 40 older adults at a variety of locations and earns about $40 to $50 an hour.

She is gratified when she sees a client who once was unsteady on her feet gradually growing steadier and more confident. “There’s a certain vitality that shows through in their smiles that’s hard to describe, but it’s magic,” Ms. Brown said.

Kerry Hannon is the author of “Great Jobs for Everyone 50+: Finding Work That Keeps You Happy and Healthy … and Pays the Bills” (John Wiley & Sons)

Words to Live By?

This article captured my attention this morning, and I thought I’d share it with you. Strangely, these quotations all speak to one aspect or another of who I am (or think I am). My favorite among these 12:

quotation-marks“To get something you never had, you have to do something you never did.”

Ouch! So true…

The scariest quote among the 12, just because it’s so darn true, is Numero Uno:

1. “The cave you fear to enter holds the treasure you seek.”  ~Joseph Campbell.

Quotations have always played a role in my life. My Dad, who will celebrate his 89th birthday in two weeks, always peppered our childhood conversations with maxims handed down to him from his Irish-born father. (How appropriate since St. Patrick’s Day is on Sunday!) Among the most-frequently quoted sayings of my childhood in the 1960s and 70s:

“You’ll lick where that lay.”
“Don’t bring that home with you.”
“Don’t trouble trouble until trouble troubles you.”
“A cobbler’s son has no shoes.”
“Always expect the worst and you’ll never be disappointed.”
“If everyone could put their problems on the table,
you will be happy to take yours back.”

You see a theme here, don’t you? Scarcity and misery from his own Great Depression childhood. That dark, difficult decade had an indelible impact on him as he grew from 6-16 years old in the 1930s. Never forget.

What truisms do you remember from your childhood? Also, what sayings do you spout to your children or grandchildren you hope they will remember 30, 40 or 50 years from now?

One Friday Morning 03.01.13

Love Your ParentsHappy Friday!

One Friday Morning 02.22.13

NASMM@HOME logo-final

Please click on the NASMM@HOME logo above for more information!

One Friday Morning 02.15.13

We think this contest is a wonderful opportunity for NASMM Senior Move Managers! Can you illustrate your passion, purpose, and professionalism for serving older adults in transition with a single photo? Here’s your chance, courtesy of The New York Times Small Business Blog:

boss_main

 

THE MONEY SHOT
Your business in a photo.
The New York Times
February 14, 2013  

Can You Capture the Soul of Your Business in a Photo?

By: YOU’RE THE BOSS EDITORS

Introducing the Money Shot.

Here at You’re the Boss we’ve started a new feature intended to help people understand what it means to run a small business. If you can capture the soul of your business in one photograph, please submit it here along with a paragraph (200 words or less) that identifies anyone or anything in the photo that requires identification and explains what the photo says about your business.

Please don’t send us product shots! And please don’t send us marketing shots! Instead, see if you can capture something about the ups and downs, the endless learning curve, the grind, the freedom, and the rewards of, yes, building something.

If we choose your photograph, we will include it in a special archive and we may also post it on our Facebook page and highlight it on this blog.