Wednesday, May 20, 2015

"Ask the Doc" on June 18th





Front Porch is a not-for-profit support system for a family of companies that serve individuals and families through full-service retirement, active adult communities, and affordable housing communities.

More information is available at www.frontporch.net and www.walnutvillage.org

Thursday, May 14, 2015

Why I'm Not Buying the Retirement Gloom

In the emerging Unretirement movement, you are your best investment
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Gray wave. Age wave. Geezer tsunami. (Pick your favorite — or most hated — euphemism.) Catchphrases like these capture the realization that we’re living longer and that older Americans make up a growing share of the population. As economist Laurence Kotlikoff and columnist Scott Burns say in The Coming Generational Storm: “The aging of America isn’t a temporary event. We are well into a change that is permanent, irreversible, and very long term.”
Living longer should be a trend worth celebrating. But many people believe that America’s boomers can’t afford retirement, let alone a decent retirement. They fear that aging boomers are inevitably hurtling toward a lower standard of living.
And here’s their evidence: We’ve just been through the worst downturn since the 1930s, decimating jobs and pensions. Retirement savings are slim. Surveys show that boomers aren’t spending much time planning for retirement. The prediction that the swelling tab for Social Security and other old-age entitlements will push the U.S. government and economy into a Greece-like collapse seems almost routine.

The Unretirement Movement
Don’t buy into the retirement gloom. I’m not.

Here’s why: The signs of a grassroots push to reinvent the last third of life are unmistakable. Call it the “Unretirement” movement — and it is a movement.

Unretirement starts with the insight that earning a paycheck well into the traditional retirement years will make a huge difference in our future living standards. You — and your skills and talents — are your best retirement investment. What's more, if society taps into the talents and abilities of sixty-somethings and seventy-somethings, employers will benefit, the economy will be wealthier and funding entitlements will be much easier.
The Unretirement movement is built off a series of broad, mutually reinforcing changes in the economy and society that are transforming an aging workforce into a powerful economic asset. Boomers are the most educated generation in U.S. history and they’re healthier, on average, than previous generations. A century-long trend toward a declining average age of retirement has already reversed itself and — it’s safe to say — you ain’t seen nothin’ yet.
“Many people aren't slowing down in their 60s and 70s,” says Ross Levin, a certified financial planner and president of Accredited Investors in Edina, Minn. Adds Nicole Maestas, economist at the Rand Corp., the Santa Monica, Calif.-based think tank: “Yes, America has an aging population. The upside of that is a whole generation of people who are interested in anything but retirement.”
Your 'Next Big Thing'

Just ask Luanne Mullin, 60. She has done marketing for a dance company, opened a theater company and run a recording studio. These days, Mullin is a project manager at the University of California, San Francisco, overseeing the construction of scientific laboratories (she does mediation at the school on the side).
“I think there’s more and more of us at 60 who are saying, ‘OK, what’s my next career? What do I want to do that’s fulfilling?’” Mullin told me. “I’m all for what’s my next big thing.”

Mullin loves her work, but she’s also wrestling with the same questions as many of her peers. “What is this aging thing?” she wonders. “Am I living fully? Is this the second half of life I dreamed of, or if not, how do I pull it together?”
When Unretirement is Tougher

For many in their 50s and 60s, the transition to Unretirement is much tougher — especially for those who are involuntarily unemployed, like Debbie Nowak.
She didn’t see the layoff coming. Nowak worked for more than 30 years in customer relations for the pensions and benefits department at Evangelical Lutheran Church in America, in Minneapolis-St. Paul, Minn., In November 2011, at 58, she lost her job there.
Nowak, who has a high school diploma, let herself grieve until the holidays were over. In the New Year, she got her severance, went on unemployment and began thinking about embracing something completely different from her old job. “I never thought of myself as a risk taker,” she says. “After 30 years, I thought I should take a risk.”
Nowak had a stained glass hobby, making window panes, mosaic trays, and other objects. That led her to the idea of working in the wood finishing and furniture-restoring business. Last year, she got a certificate from The National Institute for Wood Finishing at Dakota Community Technical College in Rosemount, Minn. To pay for it, Nowak took out a loan and the state chipped in from its displaced workers fund.
Today, she has a part-time job at small furniture-restoration company. “It’s a crap shoot, a risk I was willing to take,” says Nowak. “This is also a way to produce additional income in retirement.”
As Mullin and Nowak demonstrate, we’re living through a period of experimentation while redefining retirement. Many people are stumbling about, searching for an encore career, a part-time job or contract work that offers them meaning and an income.
Some find it extremely tough to get hired, cobbling together a job here and a contract there, assuming they’re healthy. Especially vulnerable are less-educated workers who never made much money or never had jobs with employer-sponsored retirement and health benefits.
How Society Will Change

The rise of Unretirement calls for a whole cluster of changes in how society rewards work, creates jobs, shares the wealth and deals with old age. Unretirement will affect where Americans live out their lives, too, as they seek communities and services equipped for them.
Taken altogether, boomers will construct a new vision of their retirement years, which will impact how younger generations will think about their careers.
“People tend to learn from examples or stories handed down from previous generations — but there are few stories to navigate the new context of old age and retirement for the baby boomers,” writes Joseph Coughlin, the infectiously enthusiastic head of MIT’s AgeLab, a multi-disciplinary center. “When there are no set rules you make them up. The future of old age will be improvised.”


Copyright© 2014 Next Avenue, a division of Twin Cities Public Television, Inc.

Front Porch is a not-for-profit support system for a family of companies that serve individuals and families through full-service retirement, active adult communities, and affordable housing communities.
More information is available at www.frontporch.net.

Wednesday, May 6, 2015

Volunteer Puppy Love: Raising a Service Dog

Service groups rely on volunteers to socialize their dogs. Could you be a puppy raiser?
By Debbie Swanson for Next Avenue
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Today's new breed of service dogs provides assistance in a variety of ways beyond their best-known role as escorts for blind companions. They retrieve household objects for people with limited mobility, act as ears for hearing-impaired individuals, monitor children with life-threatening food allergies and more. Some researchers are even exploring the role dogs can play aiding adults suffering from dementia.
All of these impressive adult dogs, though, start life much like any other puppy, growing up in a home where they're loved, socialized and taught basic obedience. Volunteers are a critical part of this process. Because of the high demand for service animals, most training organizations rely on outside help to oversee their dogs' early care, usually from the time a puppy is about 2 months old until sometime between his first and second birthday.
"We could not do what we do without our puppy raisers," says Nancy Fierer, director of Susquehanna Service Dogs in Pennsylvania, which has more than 60 puppies receiving early socialization in volunteers' homes at any given time.

Who Makes a Good Volunteer?
An extensive background with dogs is not required to raise a service pup, says Joyce Thielen, board member (and three-time puppy raiser) with Canine Partners of the Rockies in Colorado. If you want to bring some puppy love into your empty nest — and make a difference in your community — becoming a volunteer "puppy raiser" may be for you.

"Puppy raising is an opportunity for someone who is nurturing and interested in the way a puppy learns," Thielen says. "You're expected to give the puppy your time, energy and love and attend regular training sessions."
Agencies ask that everyone in your home be consistent with the training methods and remain mindful that the puppy isn't a permanent member of the household. "Stay flexible, do your best, listen to your pup, ask for help and enjoy the lovely dog you are raising," Thielen says.

Many service-pup hosts are empty-nesters for whom the companionship enlivens otherwise quiet homes. "I received my puppy to train as my youngest child went off to college," Thielen says. "I had wrapped up my career with the public-school system and had just lost a parent for whom I was the primary caregiver."

What's Expected
Once a service dog starts working, he will accompany his future client everywhere, from medical appointments at hectic clinics to raucous family gatherings to quieter work or school environments. Time spent with a puppy raiser in a variety of situations is invaluable training. "The most important part of being a puppy raiser is to work on socialization and house manners," says Carol Nesbitt, who has raised three pups through Susquehanna Service Dogs. "You need to teach the dog self-control, house training skills and crate training."
Since socialization is so important in preparing a puppy for his career, volunteers are asked to take the dogs out as much as possible, even if it slows their routines down a bit. "You'll have the puppy with you most of the time," Nesbitt says. "That means a quick trip to the grocery store may take an extra 30 minutes. Some raisers bring their puppy to work and have a crate there."
Puppy raisers must also attend basic training classes with their charges, typically at the service organization overseeing the dogs or with an approved service-animal trainer. You'll learn how to teach basic obedience skills and will be expected to practice drills frequently. But you don't have to do it all on your own. You'll be supported by an extensive network, including professional trainers and more experienced volunteers. Most organizations also have pre-approved dog sitters on call should its volunteers need short-term puppy care.
Rough Goodbyes
It's only natural that after sharing your home and watching a puppy learn and grow, turning him over can be emotional. "It is very hard," says Donna Travis, a volunteer with Susquehanna Service Dogs who recently completed training a puppy for the first time. "The puppies are so cute and you've bonded."

While there's no easy solution for the pain of separation many volunteers experience, most say they find comfort thinking about the good work the dogs will do for others. "As a raiser," Travis says, "you are reminded always that it is not your dog. They're not pets; they have a job to do."
Travis received Judge, a black Labrador retriever, when he was 8 weeks old. When he was 1 1/2 years old, he began living weekdays at an advanced-training kennel, returning to her home on the weekends. At age 2, Judge left permanently to begin serving his client. Like most such agencies, Susquehanna Service Dogs does not allow puppy raisers to visit with dogs once they have moved on, but it does send Travis photos and updates about Judge's success.

"We know he is loved and cared for and has a fulfilling life," she says. "It blesses us over and over each time we think of how he is helping someone have a life in the community again. You feel very proud knowing you had a part in that.
"It is bittersweet, but we would do it again and again," she says. "You just can't say no. Instead, you say, 'How can I not raise a puppy to be a service dog for someone?'"

Copyright© 2014 Next Avenue, a division of Twin Cities Public Television, Inc.

Front Porch's Peggy Buchanan and Mary Miller talk about their passion for raising service dogs




Front Porch is a not-for-profit support system for a family of companies that serve individuals and families through full-service retirement, active adult communities, and affordable housing communities.

More information is available at www.frontporch.net.


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Friday, May 1, 2015

Music and Memories

by Davis Park, Executive Director of the Center for Innovation and Wellbeing

I’m not a devout Connie Francis fan, but there’s something about her song “Among My Souvenirs” that spawns an intensely warm memory. Back when it wasn’t illegal to leave children under the age of six unattended in a vehicle, my parents often would drive into a store parking lot, pop in an 8-track tape, and tell my younger sister and me to wait while they ran a quick errand.

With the dreamy melody of Connie’s voice piping through the car’s speakers, we played inside our Volvo station wagon. The familiar smells in the car and the texture of the soft seats are still so salient in my memory that whenever I hear that song, I’m instantly whisked back to my childhood happiness.

We all have similar recollections of our past conjured by certain melodies and songs—specific and unique to us. These experiences tend to stay with us forever, even as we struggle with cognitive decline through age. Musical recognition, researchers say, is one of the last abilities that we’re able to retain through late-stage dementia.

The Front Porch Center for Innovation and Wellbeing (FPCIW) wanted to research solutions that could support memory care for older adults who are socially withdrawn, non-responsive or anxious. We came across Music and Memory, an innovative yet accessible and simple program built on the premise that individualized playlists can stimulate memories and engage people in late-stage dementia. Backed by many research studies, Music and Memory is an evidence-based approach that harnesses the use of music players, such as iPods or other MP3 players, with personalized musical selections to support memory care and help people age with dignity.

Read article in full at LongTermLiving.com

Wednesday, April 29, 2015

5 Steps to Combat and Prevent Elder Abuse

What a new federal report recommends to curb this scourge

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Not long ago, my aunt, who is in her 80s, was the victim of financial exploitation by an in-home health aide. It started with trips to the drugstore and small loans. Before long, the caregiver was regularly taking my aunt and her credit card to department stores to purchase clothes and other items — not for my aunt.  


Eventually, a clerk noticed what was going on and alerted security and our family. By then, however, my aunt was out hundreds, possibly thousands of dollars. No charges were filed, but the caregiver was dismissed.


According to The Elder Justice Roadmap, a report just released by the U.S. Department of Justice and the Department of Health and Human Services, my aunt is one of 5 million Americans affected by some form of elder abuse each year (physical or mental abuse, neglect or financial exploitation). Most families, like ours, don't report such abuses to authorities; only one in 24 do, according to the study.


A Widespread Problem


The Elder Justice Roadmap is intended to help people and organizations recognize, prevent and address the abuse and exploitation of older adults. One in every 10 people over 60 who lives at home suffers some form of abuse, neglect or exploitation, the report says. Those with dementia are far more likely to be abused or neglected by caregivers.


Contrary to popular belief, older adults are more likely to suffer abuse at the hands of their own family members than by a paid caregiver, according to Laura Mosqueda, a geriatrician and director of the National Center on Elder Abuse at University of California Irvine who served on the Elder Justice Roadmap steering committee.


Family caregiver abuse can stem from stress or financial motives. Mosqueda hopes the report will lead to more attention being paid to the factors that can lead to abuse and neglect at home.


"As a provider, I've seen families come in on the cusp of abuse and they are good people," she says. She hopes public awareness of elder abuse will rise to the level where families can get help before it's too late.


5 Steps for Combating and Preventing Abuse


The 40-page report, based on interviews with more than 750 experts and professionals who work with older adults, recommends specific action in five areas:
1. Awareness The report calls for an increase in public awareness of elder abuse — a multi-faceted problem that requires a holistic, well-coordinated response in services, education, policy and research.


2. Brain health It also wants to see more research into brain health, with an enhanced focus on cognitive capacity (and incapacity) and mental health. These are critical factors both for elder abuse victims and for perpetrators.


3. Caregiving There should be better support and training for the tens of millions of paid and unpaid caregivers who play a critical role in preventing elder abuse, the Elder Justice Roadmap says.


4. Economics The authors want to see the costs of elder abuse quantified, particularly because this national problem includes huge fiscal costs to victims, families and society.


5. Resources The report says the nation needs to strategically invest more resources in services, education, research and expanding knowledge in order to reduce elder abuse in America.


How to Recognize Abuse


Beyond its recommendations for the future, the report has already produced immediate benefits. The Department of Justice has created training modules to help attorneys recognize and address potential financial exploitation of older Americans. Also, the Department of Health and Human Services (HHS) is developing a voluntary national adult protective services data system to capture and analyze reports of abuse.


Mosqueda says healthcare providers and social workers need training to recognize the signs of abuse in their patients and clients. "So many age-related changes can mimic or mask signs of elder abuse — a fracture, bruise or pressure sore or burn — a lot of it is missed," she notes.


“Turning the tide against elder abuse requires much greater public commitment, so every American will recognize elder abuse when they see it and know what to do if they encounter it,” said Kathy Greenlee, HHS’ assistant secretary for aging and administrator of the Administration for Community Living, in a statement.


Toward that end, The National Center on Elder Abuse has developed an instructive Red Flags of Abuse Factsheet listing the signs of and risk factors for abuse and neglect.


The Administration on Aging says if you suspect that someone is in immediate danger of being an elder abuse victim, call 911 or contact your local adult protective services agency, which can be found through the National Center on Elder Abuse website or by calling 800-677-1116.


“We must take a stand to ensure that older Americans are safe from harm and neglect,” said Associate Attorney General Tony West in a statement. “For their contributions to our nation, to our society, and to our lives, we owe them nothing less.”



Copyright© 2014 Next Avenue, a division of Twin Cities Public Television, Inc.


Front Porch is a not-for-profit support system for a family of companies that serve individuals and families through full-service retirement, active adult communities, and affordable housing communities.

More information is available at www.frontporch.net.

Thursday, April 16, 2015

Stretches and Exercises for Tired, Achy Legs

4 ways to ease leg and knee pain caused by overdoing it
By Linda Melone for Next Avenue
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Whether you took a longer walk than usual, tried a new exercise or simply spent all day on your feet, achy legs can make your whole body hurt.
If the achiness stems from exercise, blame it on micro-tears in the muscle cells themselves, says Irv Rubenstein, an exercise physiologist and founder of S.T.E.P.S., in Nashville, Tenn. The little tears spark an inflammatory process that’s necessary for healing. “It occurs and enables proper reconstruction of the damaged tissue,” Rubenstein says.
Another cause of achy legs and knees is the normal aging process. We experience changes in connective tissue (cartilage), which can cause tightness, according to John Fenger, manager of outpatient rehabilitation at Orange Coast Memorial Medical Center in Fountain Valley, Calif.

However, if your legs cramp up when you’re walking down the street for no obvious reason, it’s time to schedule a doctor’s appointment, Fenger says. “The pain may be due to an occlusion (blockage) or it may be neurological,” he notes.
For normal aches and tightness, simple stretches and specific exercises can help you ease back to your normal routine sooner.
Here are four ways you can help ease leg aches and pains:
1. Try hair of the dog. Perform a lower intensity, lower volume (reps, sets) version of the activity that made you sore, suggests Rubenstein. If you usually walk vigorously, slow down your pace and cut down the distance. If your soreness is due to lifting weights, cut the weight or do the move without weight and go with fewer sets and repetitions.
In addition, extend your warm-up, suggests Rubenstein, since muscles are not just sore but stiff.

“This way, you can be sure you’re pushing blood (and its accompaniment, oxygen) into muscles to speed healing,” he says, while helping the lymphatic system remove the "damaged" tissue and toxins.
2. Break up your workouts throughout the day. To strengthen legs and ease knee pain, try intermittent squats. “Recent studies show that performing squats may be beneficial to knees when done in small increments during the day, but not when sets are done one after the other,” says Fenger.
For example, instead of performing a set of 15 reps followed by a second set, do one set and then another four hours later and so on during the day to stave off pain without wearing down the knee joint.

Sequential sets may lead to the breakdown of the integrity of the knee cartilage. “Each set causes further breakdown," explains Fenger. "But this does not happen if you allow a rest period in between.”
3. Do tai chi or yoga. A number of studies show the benefits of tai chi on pain relief, including when the pain stems from fibromyalgia, osteoarthritis and low back pain.

“This gentle martial art includes many movement patterns and benefits people with leg pain and fatigue,” says Fenger, who also recommends modified and gentle styles of yoga. Qualified tai chi instructors may be found online at AmericanTaiChi.net, or check Amazon for DVDs for guidance. (Always tell your tai chi or yoga instructor if you are in pain, and ask for modified moves if necessary.)
4. Stretch. Stretches allow for better post-exercise mobility and ease of getting around. “And they may help you feel better,” Rubenstein says. Stretches for specific, common achy muscles include:
Calf stretch:
  • Stand behind a chair and hold your hands on the back for balance.
  • Stand on your toes and hold the position for a few seconds then lower your heels back to the ground. Repeat several times. Avoid overstretching.
Quadriceps stretch (front of thighs):
  • Stand on one leg and raise the other leg off the floor, bending at the knee.
  • Gently pull your foot with the opposite hand and bring your foot close to your buttock.
  • Hold onto a wall or a chair for balance. Hold 20 to 30 seconds and repeat with the other leg.
Hamstring stretch (backs of thighs):
  • Sit on the ground and bend one leg, resting the foot of the bent leg on the inside of the opposite outstretched one.
  • Bend at the waist and stretch forward, reaching the toes on the outstretched leg. Hold for 20 to 30 seconds and repeat on the other leg. Move slowly and gently; avoid bouncing.
Hip flexors (front of thighs, often responsible for low back tightness):
  • Stand facing a bench approximately a leg’s length away; place right foot on the bench.
  • Slowly lunge forward by bending the right leg to a lunge position, keep hands on hips and chest high while maintaining a straight left leg with heel on the ground. As you lean forward into the stretch you should feel a slight pull in your left hip flexor (just below the hip bone). Hold 20 to 30 seconds and switch legs.
Back pain stretch (this extended stretch takes gravity out of play, allowing back muscles to relax):
  • Lie on your back, legs up and over a chair with knees bent at 90 degrees with arms straight out from the shoulders with palms up; relax and feel the body and low back settle into floor (do not force). Hold five minutes.


Copyright© 2014 Next Avenue, a division of Twin Cities Public Television, Inc.

Front Porch is a not-for-profit support system for a family of companies that serve individuals and families through full-service retirement, active adult communities, and affordable housing communities.

More information is available a www.frontporch.net.