Home Care; My Personal Experience

Home Care; My Personal Experience

Home Care Workers keep people with aging and disabilities in their homes

Home Care; My Personal Experience

Editor: Home Care programs administered through state and federal services are helping struggling families keep disabled family members living at home vs being placed in a nursing home. The following article is a reprint of an article written by me, nearly a decade ago. I will be publishing an update on the state of Home Care in 2023 sometime within the coming week.

By D. S. Mitchell

Caregiver Risks

Most of the people called on to help an ill or disabled family member have no training in being a caregiver. Not only that, but many spouses, sisters, brothers, sons and daughters have their own health problems and physical limitations. The risks of being a family caregiver is premature aging, sickness, death, depression, anger, resentment, and potential financial loss. Aside from that, it can be rewarding and more worthwhile than anything you will ever do.

Financial Resources Make the Difference

Receiving affordable or free home care may be what makes the difference between a family member being able to stay in their home or being moved into an assisted living facility or nursing home. One in five Americans provide unpaid care to family members so they can continue to live in their home, according to a recent AARP report.

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Grandma, Unhoused in America

Grandma, Unhoused in America

Grandma, Unhoused in America



By D.S. Mitchell

Face of the New Homeless

The lack of housing for low-income people or those on fixed incomes is a big problem and experts are working on it but there is no one size fits all solution to alleviating homelessness; certainly, more affordable housing units and additional housing vouchers are needed, but many of the homeless need specialized housing. Housing that offers wheelchair ramps, roll in showers, grab bars, single level units and other accommodating features to assist the many older and disabled individuals now facing homelessness.

55 and Over

As baby boomers age into senior citizens, a series of recessions and the lack of a strong social safety net have pushed more and more elderly people into homelessness — a number that’s only expected to rise. Jeff Olivet, executive director of the U.S. Interagency Council of Homelessness tells us that “Seniors over the age of 55 are the fastest growing group of people experiencing homelessness and for many of them, it is first-time homelessness.”

Why is this Happening?

Like with most things there is no simple explanation; the reasons are complex. Most obviously, the U.S. has an aging population. With aging, people are more at risk of poverty, more subject to traumatic events, such as the death of a parent or a spouse, and more likely to suffer with chronic illness, such as diabetes and heart disease,  and at increased risk for falls and other physical injury.

Stagnant Income

While their income is limited, rent costs have skyrocketed across the country. Housing protection and assistance available during the COVID-19 pandemic have expired, leaving many people on the street. In addition, many of these folks with stagnant incomes are of retirement age, but are still working part-time, at low pay hourly jobs with no chance of a raise, just to supplement their Social Security check.

Federal Action

On December 19, 2023, President Biden, alarmed at the unprecedented number of people with no place to live, across all age groups, released an ambitious federal plan to strategically reduce homelessness by 25% by 2025. The plan will address the lack of affordable housing, aid people in crisis, and prevent people from losing their homes to foreclosure in the first place. Focus of the action are those most seriously effected: people of color, veterans, the disabled, and the elderly.

Statistics On the Growing Problem

From 2009 to 2017, HUD statistics indicate the number of unhoused individuals aged 51-61 grew from 14% of the total homeless population nationally to nearly 18%. The percentage of people 62 years or older living on the street has nearly doubled. Predictions indicate that by 2030 the number of unhoused individuals over the age of 65 will triple compared with 2017.

From the 1990s                                                

The younger half of the boomer generation have long been the dominant group among unhoused adults. In 1990, on average those folks were 30 years old; today their average age is 62. But it isn’t just the long time homeless, many are newly unhoused; people tossed out of houses and apartments for the first time. These people often experiencing a total shattering of their lives.

Nothing New

The shortage of affordable housing in the United States goes back at least 40 years; Ronald Reagan’s war on “welfare queens” did incredible damage to the social safety net and it has never been repaired. This long-time problem has been exacerbated by a number of factors. Large corporations are buying up apartments and single-family homes and charging whatever the market will bear. In fact, rent and home prices have skyrocketed, while the country has recently experienced exceptionally high inflation on basics like food and gasoline. However, economics are only part of the explanation for the dire straits many elders find themselves in.

Growing Numbers

In 2023, homelessness shot up by more than 12%, with an estimated 653,104 unhoused individuals living on American streets and in her parks. I personally have a hard time accepting these numbers, because of the large number of displaced persons I see everywhere in my small southern Oregon town. All that aside, these numbers represent the sharpest increase ever in homelessness, leading to the largest unhoused population ever recorded in the United States.

Graying of the Unhoused

Recent HUD data shows that nearly 1 in 5 people in the United States (that’s ‘effin 20% of the population) have no permanent place to live and a good share of those people are 55 years or older. Some are calling the spike in unhoused older citizens the “graying of America’s homeless.”

 Intervention and Prevention

Advocates for the homeless preach intervention and prevention. For example, it might be better to pay for a seniors medication or arrange for meals than allow them to become homeless because they have had to choose between the landlord and the pharmacy.

Bigger Than the Finances

As already suggested, the issues are often more than just financial. Recent studies indicate that older unhoused people have problems performing daily activities and have greater difficulty with walking, seeing, and hearing. Furthermore, they are subject to falling, and their overall health is significantly worse than those of the same age in the general population. Importantly many of the identified individuals also have significant cognitive impairment.

In San Francisco

The problem is so significant that in San Francisco they are planning for at least one shelter set up specifically for older adults and those with disabilities. Similar shelters are being planned for New York, Washington, D.C., Chicago, and Boston.

Self-Medicating                                           

Exposure to the elements, poor diet, lack of sleep or fitful sleep, failure to take prescribed medication, shunning of professional services with doctors or dentists are commonplace among the homeless. Their physical circumstances trigger anxiety and depression, leading some to self-medicate with drugs and or alcohol. Such problems create a need for low barrier shelters, and housing, which are few and far between.

New Approach                                                  

Many experts are suggesting several types of shared housing situations that might be good solutions for the graying homeless population.  A homeowner takes in a tenant, cohousing (where there is a cluster of private mini homes with communal spaces or a large central building with separate bedrooms and shared kitchen and living room) or the immensely popular backyard Accessory Dwelling Units. ADU’s are springing up in neighborhoods across the country where zoning laws allow them. ADU’s are usually built on the lot of a single-family residence.

Conclusion

I wish I could conclude with a happy ending, but I see no happy ending here. As baby boomers age into senior citizens, a series of recessions and the lack of a strong social safety net have pushed more and more elderly people into homelessness — a number that’s only expected to rise over the next few years before common sense tells us it will drop off, probably after 2030, as the boomers die.

Stretch For Life; From A Chair

Stretch For Life; From A Chair

Stretching is a great way to increase overall fitness and well being. You can stretch anywhere anytime, even from a chair.

Enjoy The Physical Benefits of Stretching 

Stretching Can Be Done Anywhere, Anytime, Even From A Chair. Got tight Muscles? Got Back & Joint Pain? Stretching Can Relieve Chronic Pain. No More Excuses, Str-r-e-etch. 

Stretch For Life

By D. S. Mitchell

Stretching Benefits Young And Old

A regular stretching program will improve your blood flow and make your arteries healthier. Within a couple months of starting a stretching program you could lower your risk of heart attack, stroke, high blood pressure, erectile dysfunction and more. If you stay loose and limber, your muscles respond better to stressors-expected and unexpected-that might otherwise result in injury.  Stretching is not a magic elixir, but if you stretch regularly you will, according to science, feel better and be healthier.

The Benefits Of Starting A Stretching Routine

  1. Improved Flexibility: Essential to overall health. Improved flexibility allows adults, particularly seniors to perform everyday activities with ease and naturally delays reduced mobility issues, common with aging.
  2. Improved Range Of Motion: The ability to move a joint through its full range gives freedom of movement. Essential for healthy aging.
  3. Improved Performance In Physical Activities: Doing dynamic stretches prior to activities is proven to prepare your muscles for the exercise.  It may also improve your performance in the activity.
  4. Increase Blood Flow To Muscles: Improves your circulation, increased blood flow to your muscles, which can shorten your recovery time and reduce muscle soreness or delayed onset muscle soreness (DOMS).
  5. Improved Posture: Poor posture is often the result of muscle imbalances. A combination of strengthening and stretching specific muscle groups can reduce musculoskeletal pain and encourage proper alignment, thus improved posture.
  6. Helps Heal And Prevent Back Pain: Tight muscles can lead to a decrease in your ROM. When this happens you increase the likelihood of straining the muscles in your back. Stretching can help heal an existing back injury by stretching the injured muscles. A regular stretching routine can also prevent future back pain by strengthening your back muscles and reducing your risk of muscle strain.
  7. Stress Relief: Stress leads to tense muscles. Muscles tighten up in response to physical and emotional stress. Focus on areas of your body where you tend to hold your stress, primarily the neck, shoulders, and upper back.
  8. Calm The Mind: A regular stretching routine can calm the mind. While you stretch focus on mindfulness and meditation exercises. Give your mind a break.
  9. Reduce Tension Headaches: Tension and stress headaches can interfere with activities of daily living. Stretching reduces the tension and anxiety you feel from headaches.

The best stretches are ones you can do whenever, wherever — including from the comfort of a couch or chair. If you are having trouble getting down on the floor and then back up again I’ve got 10  popular seated stretches to add some beneficial stretches into your daily routine; you’ll notice very quickly the improvement in both mobility and flexibility.   

Suggested Seated Stretches

I suggest you do each of the suggested stretches only once and see how your body responds. Once comfortable with a stretching move incorporate those chosen poses into your daily routine. If each stretch feels good, do each stretch in the order listed below for an effective full-body session.

Ear-to-Shoulder Stretch

How you do it: This simple movement will release neck and shoulder tension. Place your feet flat on the floor and sit up straight in a chair. Your arms are hanging at your sides with your shoulders down and relaxed. Without rotating your head, drop your head to the side. Go as far as you can without straining or lifting your shoulder. For the greatest muscle relaxation, breathe deeply throughout. To deepen the stretch you can use your hand to gently pull your head toward the shoulder. Hold for 15 seconds. Remember to take slow, deep breaths. Switch sides and repeat. Do two, each side, each with a 15 second hold time.

Chin-to-Chest Stretch

How you do it: Keep your feet flat on the floor and sit nice and tall in a chair. Interlock your fingers and place behind your head; then gently lower your chin toward your chest, keeping your hands on the back of your head. Hold the pose for 15 seconds, taking slow, deep breaths. Do four 1poses each with a 15-second hold. The key to the chin-to-chest move is being gentle. 

Shoulder Roll Stretch

Rounded Back Stretch

How you do it: Sit straight and tall in a chair with your feet resting flat on the floor. Lean slightly forward and place your hands on your knees with arms extended. The idea is to focus on not just rounding your upper back, but also involving your lower back by tucking your tailbone on the chair’s seat. Now push down on your knees to round your back, now bring your chin toward your chest, tuck your tailbone slightly, imagine your upper body forming the letter C. Take slow, deep breaths, hold for 15 seconds then release. Do four poses, holding each for 15 seconds.

Cross-Chest Stretch

How you do it: If you spend a lot of time hovering over a computer or a book this stretch should help release the tension through the shoulders and upper back.  Sit up straight with your feet flat on the floor. Cross one arm in front of your chest and place your opposite hand on the arm crossing your chest and brace it at the elbow to support. If it feels good, you can gently apply pressure to your arm to increase the stretch. Hold for 15 seconds, then switch sides and repeat. Do four holds per side. 

Overhead Triceps Stretch

How you do it: We carry tension throughout our bodies, one place that might surprise you is the back of our arms. The triceps stretch will relieve the pressure. Sit straight in a chair with your feet flat on the floor. Raise one arm overhead and bend your elbow to lower your palm between your shoulder blades, as far as you comfortably can. Place your opposite hand on your raised elbow for support. If it feels good, gently press on your elbow to increase the stretch. Hold for 15 seconds, then switch sides and repeat. Do four on each side, hold for 15-second holds per side. Be sure not to let your lower back arch.

Behind-the-Back Stretch

How you do it:  This simple movement is quite effective when done gently and consistently, it helps maintain and improve your shoulder mobility. Sit with your back straight in a chair with your feet flat on the floor. Let both arms hang down at your sides. Keeping your shoulders back and down away from your ears, place the back of one hand on the small of your back. Hold for 15 seconds, then switch sides and repeat. Do four per side.

Spinal Twist Stretch

How you do it: Our spines are meant to move in all directions. This simple twisting pose will improve spinal mobility and release hard to reach muscles in your back. Sit with back straight in a chair with your feet flat on the floor. Place one hand on your opposite knee and the other on the seat behind you. Gently rotate your torso toward your hands. If it feels good, you can gently press on your knee to increase the twist. Hold for 15 seconds, taking slow, deep breaths, then switch sides and repeat. Do four times per side.

Figure 4 Stretch

How you do it: This stretch is good for people suffering from sciatica, it targets lower body tightness and subsequent back pain due to long periods of sitting. Sit tall and straight in a chair with your feet flat on the floor. Cross one ankle over your opposite thigh, just above your knee. Gently press the knee of your raised leg down toward the floor, allowing your torso to lean forward slightly as you do. Hold pose for 15 seconds, then switch sides and repeat. Do four per side.

 Shin Stretch

How you do it:  If your shins are tight this simple movement can relieve the tension and ease shin splits and improve ankle mobility. Sit, back straight in a chair with your feet flat on the floor. Slide one foot in until it’s in line with your hips — either bringing it underneath the seat of the chair or beside it. Point your toes and place the top of your foot on the floor. If it feels good, gently apply pressure to the top of your foot to increase the stretch. Hold for 15 seconds, then switch sides and repeat. Do four on each side.

If you think you would like to try a stretching program go to YouTube and check out the myriad of stretching programs that you can visualize and get your technique perfected. Thank you, Silver Sneakers for this series of suggested exercises. Happy stretching!!

 

 

 

 

 

 

 

 

 

Body Fat and the Health Risks

Body Fat and the Health Risks

Obesity in the US is growing. For folks over 60 years of age 42% are considered obese. Startling numbers.

Body Fat and the Health Risks

Studies repeatedly indicate, without a doubt, obesity is dangerous to our health. As we grow older our bodies accumulate fat and then deposit most of the accumulated fat around our waistlines. At the same time we are losing muscle mass. The combination of those factors are a pathway to health problems; most particularly Type 2 diabetes, high blood pressure, sleep apnea, elevated cholesterol, and overall mental decline.

By D. S. Mitchell

 

Body Fat

Mention body fat and a lot of us start to get anxious. It’s not that the bathroom scale tells the whole story, but it does tell how much body fat we are carrying. We mostly choose not to think about it until our pants won’t zip up or when we pass a full length mirror. More and more information shows that there are serious health risks in carrying extra body fat. Experts tell us that the accumulated body fat begins to act as an endocrine organ. The endocrine system is a complicated network of organs and glands that uses hormones to control multiple body functions. Most specifically, body fat is involved in the metabolism of sex hormones, blood clotting, blood pressure, and insulin sensitivity.

Measuring the BMI

Physicians use the BMI to measure body fat, and diagnose whether the client is underweight, healthy weight, overweight, obese, or morbidly obese.  A BMI of less than 18.5 is underweight, 18.5-24.9 is healthy weight, 25-29.9 is overweight, and 30 plus is obese, 40 or more is morbid (severe) obesity. Where an individual carries their extra pounds seems important. The visceral fat; that’s fat that is carried in the belly means higher risk of heart disease, stroke, and Type 2 diabetes. In fact, many doctors now suggest patients regularly monitor weight, BMI and waist measurement just as we currently monitor blood sugar, blood pressure, and cholesterol. In a 10 year study with 190,672 participants, obesity tripled the risk for heart attack, stroke, and heart failure.

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Michael Trimble Unlikely Candidate

Editor Comment: Normally CNP steers away from local political news and candidates (Oregon and SW Washington), concentrating primarily on national issues. However, Mike Trimble, a black horse in the race, is a fascinating fellow and deserves some national exposure. Thanks, Megan Wallin for sharing your great interview with Mr. Trimble.  Thank you, Mr. Trimble for sharing your thoughts and your pictures.

Michael Trimble:

Unlikely Oregon Gubernatorial Candidate

By Megan Wallin

Michael Trimble is a fresh face on the political fied

A Bit of Background

The first thing someone might notice about Michael Trimble, one of Oregon’s more unlikely gubernatorial candidates, is not the fact that he lacks arms—or the fact that he is usually wearing a bike helmet as he commutes almost exclusively via a modified bicycle—but his enthusiasm.

Trimble is the odd man out in the Oregon governor race, something he would be the first to own, calling himself a true “grassroots candidate.”

“I’ve always been an advocate, because I was born in an orphanage, and I never met my biological parents,” he began, before elaborating on how that impacted him. “So in an orphanage, you basically learn at a very young age that you have to fend for yourself, and since I had no arms, that just doubled down.”

“And then when I was adopted by Christian evangelical parents who were ‘told by God’ to adopt a boy without arms and a girl who had legs but could not walk, that became my next challenge.” Their religious beliefs led them to adopt the young Michael.

In his words, he “went from the frying pan of the orphanage system in Russia into the fires of Christian evangelicalism.”

Trimble spoke more about the uniqueness of his situation, explaining that while most people within the foster system have been taken out of their biological homes and are seeking adoption, he went to caseworkers seeking protection from abuse within his adopted home.

The abuse, he stated, was widely overlooked due to the family’s religious practices, which seemed to indeed cover a multitude of sins in the state of Pennsylvania.

“Technically, in Pennsylvania, they didn’t consider what was being done to me as child abuse even though all the social workers said, quite frankly, it was unforgivable.”

We didn’t really get along from day one,” he said of his adoptive parents in the states, calling the situation “unfortunate.”

“It was a very stormy relationship,” he concluded. “Some families are just never meant to be, and we were definitely an example. They adopted me with good spirits and good intentions, but the execution was really, really poor.”

While he acknowledged this answer may seem a bit “long winded,” his point was clear: He has been resourceful and independent from a young age.

“I would like to extend that fighting spirit…as governor and fight for those who don’t fight for themselves.”

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With A Little Help From Our Friends

A blind horse is helped by another horse and a bell

“With A Little Help From Our Friends”

By D. S. Mitchell

Facebook Post

The following story was posted on my Facebook page. I thought I had heard the story; or something similar in the past, but I’m not sure. Anyway, I really liked the message. The author is listed as unknown. I liked it so much that I thought it was worth sharing with Calamity News and Politics readers. Just remember, none of us are perfect, we all need a little help from someone at some point. The holidays are coming and I’m going to challenge you ‘to be someone’s bell.’

Up The Road
Just up the road from my home is a field with two horses in it. From a distance, each looks like every other horse. But if you stop your car or are walking by, you will notice something quite amazing. Looking into the eyes of one horse you quickly realize he is blind. It is clear his owner has chosen to make a good home for him rather than put him down. This alone is amazing.
A Small Bell
If you listen you will hear the sound of a bell. Looking around for the source of the sound, you will see that it comes from a smaller horse in the field. Attached to her halter is a small bell. It lets her blind friend know where she is, so he can follow her. As you stand and watch these two friends, you’ll see how she is always checking on him, and that he will listen for her bell and then slowly walk to where she is, trusting that she will not lead him astray.
Follow The Sound
When she returns to the shelter of the barn each evening, she stops occasionally and looks back, making sure her friend isn’t too far behind to hear the bell.
Imperfect
Just because we are not perfect, or because we have problems, or challenges does not mean we are unworthy. We still have value. Disability does not mean we should be discarded. Just think where the world would be without Franklin Delano Roosevelt, Stephen Hawking, or Helen Keller. With the virtue of family, church and community programs others enter into our lives to help us when we are in need.
See The Way
Sometimes we are the blind horse being guided by the little ringing bell of those whom God places in our lives. Other times, we are the guide horse, helping others see the way. Good friends are like this. You don’t always see them, but you know they are always there.
“Please listen for my bell, and I’ll listen for yours.”
Author Unknown