Showing posts with label Elderly. Show all posts
Showing posts with label Elderly. Show all posts

Monday, April 14, 2014

Those Useless Old People

Alex Schadenberg is the executive director of Euthanasia Prevention Coalition. He writes a regular blog on behalf of that organization. Sadly there are many who are urging the passing of new laws that support euthanasia and assisted suicide. This organization works to resist the passing of such. You can read more about their important work on their website. What interested me was what I read in Schadenberg's blog for May 25, 2010, "5 Reasons Why People Devalue the Elderly." I want to respond to what his guest columnist, Kitty Holman, wrote on that date.

She begins,
"All around us in modern Western society is evidence that elderly adults who cannot care for themselves on their own are being abused and neglected. I believe that much of this is a result of a general social disregard for this vulnerable population group. This broad disregard is such that many of them—especially those with disabilities and those living with chronic pain—would rather have their lives ended for them than go on living in a world where they perceive they are not valued."
As a pastor one of my several duties was to visit the elderly in nursing homes. Frankly, I went there with mixed feelings. That is to say, it sometimes tore my heart out to see old, frail men and women sitting in wheelchairs with their heads hung low, spittle dripping out from their mouths as they mumbled unintelligible words or said nothing while they stared blankly with unseeing eyes at their surroundings. Was this all that awaits each one of us?

Of course, there are always those delightful, loving folks who welcome one's visits, the reading of God's Word and prayer. But what about those with disabilities, sickness, pain and suffering? I was tempted to avoid any contact with them even though it was my pastoral responsibility. These are the folks Ms. Holman speaks about as she asks the inevitable question. Why does our society, our culture in general, feel it is acceptable to devalue these people? She posits five answers.

1) Social Role Valorization - SRV is a concept coined by Dr. Wolf Wolfensberger. He calls it "the application of what science can tell us about the enablement, establishment, enhancement, maintenance, and/or defense of valued social roles for people" (Wolfensberger, 1995a). He says that in North America there are as many as ⅓ of the population who are devalued and subjected to systematic neglect and abuse. This is because they are perceived as different and deviant. Such would include people with physical or functional impairments or low competence. That would certainly include many of the elderly who are put away in some of the frightening nursing homes I have visited.

2) The tendency to "shoot" our weak and wounded.  If evolution is your dominant view of the world that may fit in. Does the theory of evolution not say that the strong survive and the weak pass away? I certainly agree with Ms. Holman that this is the dominant way the business world works. A savvy CEO cannot afford to keep non-productive employees. He has to answer to the share holders who demand that the company makes money for them. So the elderly—crippled, diseased, with failing eyesight, hearing and memory—have got to go. What else can a thriving business do? This is how the world works.

3) Lack of compassion.  I have certainly seen some deep commitments to elderly parents and relatives among many I have known. The closest that Sylvia and I came to dealing with this was when her polio-disabled aunt grew weak and elderly. We were the closest relatives and the responsibility to care for her fell upon us for several years. Yet I have known of an instance when elderly mother was  considered a great burden—and the caretaker despised the task of caring for her. Both of them made life miserable for one another.

4) One's value is based on what one can contribute. Surely many of us know that caring for elderly parents is not always easy. Several senior citizens I've known were angry and frightened about getting old. Their arthritic pains increased their discomfort and they became demanding, complaining, troublesome people. They went out of their way to make everyone around them in the family feel their misery. Day after day they bemoaned their condition. When they died, their families sighed great sighs of relief. The only worth these people had in their eyes was the inheritances they left behind.

5) The U.S. is obsessed with youth. Indeed. You see it at every turn, in every ad, every magazine, every movie. Our children are worth fighting for, saving, helping, but the seniors—well, they've lived a "full life" and all they have to look forward to is more pain, more suffering and probably becoming a burden to their children. On the other hand, there are the young people. They are the future. They have the new ideas, the energy, the passion.

All this is rather dismal I know. Perhaps that's what Kitty Holman meant it to be when she made her comments. According to the Schadenberg blog you can contact her @ kitty.holman20@gmail.com . Perhaps she wants to shock us into more compassion. I've not seen that happen by making others feel guilty or angry. In my observation people learn compassion by example and the encouragement of God's mercy in Christ. Compassion comes from the heart of the one in whom the Spirit of Christ dwells, as the Apostle says,
We love because he first loved us. - 1Jo 4:19 ESV
I'd like to explore this business of getting old further. One of the fascinating areas of study these days is that of discovering why we age in the first place. More on that another time.




Monday, February 13, 2012

Home Health Care For Seniors

As loved ones age the question of care inevitably rises in families. Should the time come when Mom and/or Dad needs care, how will we children manage it? Should they move into our home? Will they need to move at all? What if they stay where they are and are cared for by caregivers right in  their home? And central to all these questions, What do they want to do?

In recent news the following appeared:
Consumer Watchdog: Insurance Company Sued for Denying Elderly Sick Their Home Care Benefits - PR Newswire - sacbee.com: The suit charges that SHIP – which services policies that were originally sold by Conseco, American Travelers Life, Transport Life, United General Life, and Continental Life Insurance Company – is telling policyholders who file claims under their long-term care policies that caregivers who come to their home must be licensed when in fact licensing is not required. According to the suit, the company is also requiring policyholders to produce extensive documentation not required by the policy and requiring policyholders to undergo unnecessary medical examinations by personnel selected by SHIP. Examples of SHIP's abusive documentation practices aimed denying coverage include requiring multiple claim forms requesting duplicate information, forms authorizing SHIP to obtain medical records, proof of caregiver certification, and detailed daily caregiver notes.
Not good to hear. Doubtless care must be taken in signing up for long-term insurance. It is usually wise for the entire family to discuss these issues together.

Home Health Care is a growing industry. According to the Bureau of Economic Analysis, from 2000 to 2007 Home Health Care Services ranks 41st among the 491 industries that make up the North American Industry Classification System (NAICS), the standard used by Federal statistical agencies in classifying businesses in order to collect, analyze and publish statistical data.
During that generally expansionary economic period, Home Health Care ranks higher than breweries, wineries, legal services, insurance carriers, electromedical apparatus manufacturing, and even nitrogenous fertilizer manufacturing. Amazingly, since the beginning of 2008 (inclusive of our deep recession), it has certainly moved up that chart and is likely now in the top 15 — hobnobbing with the likes of information services and petroleum refineries.
The over 65 age group is growing in the United States, primarily because seniors are living longer. The Centers for Disease Control and Prevention provides data for the U.S. Check the link for more details.
  • Number of U.S. residents age 65 and over: 38.9 million (2008)
Life expectancy
  • Men at 65 years: 17.6 years
  • Women at 65 years: 20.3 years
Health status
  • Percent of noninstitutionalized persons age 65 and over in fair or poor health: 24% (2009)
  • Percent of noninstitutionalized persons age 65 and over who need help with personal care from other persons: 7.0%
The charts and reports are endless. What emerges from all this data? We seniors are living much longer these days. Seniors will soon be 40 million strong in the United States and over 75% are doing pretty good. And they're going to be around well into their 80s and beyond, going and coming, living in their own homes. The 25% who aren't so blessed will feed the Home Health Care industry and provide challenges for their families.

Here are some guidelines from the Bible about caring for the elderly of your family.
"In all things I have shown you that by working hard in this way we must help the weak and remember the words of the Lord Jesus, how he himself said, ‘It is more blessed to give than to receive.’" - Acts 20:35 ESV

Do not rebuke an older man but encourage him as you would a father, younger men as brothers, older women as mothers, younger women as sisters, in all purity. Honor widows who are truly widows. But if a widow has children or grandchildren, let them first learn to show godliness to their own household and to make some return to their parents, for this is pleasing in the sight of God. She who is truly a widow, left all alone, has set her hope on God and continues in supplications and prayers night and day, but she who is self-indulgent is dead even while she lives. Command these things as well, so that they may be without reproach.  
But if anyone does not provide for his relatives, and especially for members of his household, he has denied the faith and is worse than an unbeliever. Let a widow be enrolled if she is not less than sixty years of age, having been the wife of one husband, and having a reputation for good works: if she has brought up children, has shown hospitality, has washed the feet of the saints, has cared for the afflicted, and has devoted herself to every good work. - 1Ti 5:1-10 ESV