September/2009
Engage-new?

Engaging with life often means engaging with others, especially when a family encounters an unexpected illness, injury or change of ability. Caregiving may be a new and necessary change that affects the lives of the giver, the receiver, and those who love them. A tremendous gift that may come at a tremendous cost, caregiving requires grace, patience and generosity on all sides. And it can not be done alone. In this issue of Engage we offer perspectives on the relationship from different angles. How can a giver receive care? How can a receiver encourage and support those giving? How can our partnership in this sometimes painful endeavor serve as a lens for the future? We hope these articles will inspire conversations about how we care for one another in the changing circumstance of life.   

 
We hope you will share Engage with your family and friends.
 
Sincerely,
 
Institute on Aging
Helping Bay Area Seniors Live Independently
 
Compassion Meets Fatigue - What to Do?  
Featuring an article by Tim Jarvis of O, The Oprah Magazine
 
 
superheroThe next time someone dreams up a new superhero, she should be wielding a bedpan. And Kleenex. And playing cards and travel Scrabble.

As any of the more than 50 million Americans caring for an elderly, disabled, or chronically ill loved one knows, the task requires superhuman strength and patience -- and loads of compassion.

Given the constant demands on your time and energy -- for months or years on end -- as well as the stress and frustration involved, having large reserves of empathy is crucial.

Yet as strange as it sounds, all that empathy can backfire, flooding you with the other person's pain, and leaving you exhausted, angry, even unable to care anymore. No one likes to talk about these feelings; they seem selfish, shameful, indecent. They take a toll, however -- on both you and the patient. And they're a growing concern among physicians, who have a name for what's happening: compassion fatigue.
Planning Ahead for YOUR Life

golfing ladyAs a parent or an elderly friend navigates the changes that come with later life, we often stand beside them with a mixture of encouragement, concern and discomfort. They are facing challenges that will one day be before us; it is difficult not to squirm when we see the limitations they experience, whether they are physical, cognitive or financial. However, this time of watching our elders age can be a tremendous gift. The transition and reshaping of their lives serves as an education for our own. We have an opportunity to learn through their experiences what shape we would like our later years to take.

No matter your age or life circumstance, it is never too early to think about and begin planning ahead for life transitions. Declining health, accidents, or any of life's many curve balls can leave us suddenly in need of care and dependent on another for major decisions. Family, despite their best intentions, may be unable to help.

Make your preferences for health care, living arrangements, and end-of-life care known to your friends and family. Address financial issues such as wills, trusts, life insurance, and paying for long-term care. Communicate with the people you would like to execute your wishes. Designate a healthcare power of attorney and financial power of attorney, and make sure each person (your "designated agents") has copies of or access to any important documents, such as advance directives or insurance policies. Also, make sure your partner and family know where you store your paperwork.

In lieu of family or friends, you may also ask a professional to serve as your designated agent, trustee, or attorney-in-fact. IOA has offered this service to Bay Area seniors for many years and can provide a trusted resource as you explore the future.
 
Community Events  
 
Take a Break with: Portraits, Mandalas & Magic
Join IOA's Center for Elders & Youth in the Arts (CEYA) as we celebrate a year of art activity by Victorian Manor residents and students from Creative Arts Charter School and Stuart Hall High School. The exhibit will show are from classes led by professional artists Augusta Talbot, Nanilee Robarge and Judy Shintani. The exhibit will be open through April 2010.
When: Thursday, September 24, 4-6pm
Where: Victorian Manor
1444 McAllister Street, San Francisco, CA 94115
Cost: FREE
Info: Visit ceya.ioaging.org
 
How Fit is YOUR Brain?
A fun and interactive seminar with Dr. Eric J. Freitag, Psy.D, Neuropsychologist and Executive Director of Mt. Diablo Memory Center. Learn what it means to be "Brain Fit" and how people of all ages can lead a brain-healthy lifestyle. Topics covered include:
How the brain functions
Activities that promote active brain fitness
Diseases and conditions that affect brain function
When: Thursday, October 1, 6:00pm
Where: Contra Costa JCC LIBRARY
2071 Tice Valley Blvd., Walnut Creek 94595
Cost: FREE
Info: Call 925.938.7800, ext. 257, or register online: www.ccjcc.org/millman

A Good Night's Rest
There may be many factors preventing you from getting a good night's rest, such as stress, environmental causes, a medical condition or anxiety. This workshop will focus on concrete self-care strategies and simple relaxation techniques in order to create outcomes including a stronger immune system, more energy and greater vitality. From the Community Health Resource Center
When: Thursday, October 15, 12:30-2pm
Where: 2100 Webster Street, Suite 106
San Francisco, CA
Cost: $10 donation suggested
Info: To pre-register call 415-923-3155 or email cpmcchrc@sutterhealth.org. Visit www.cpmc.org/chrc for detailed course description.

 
ENCOURAGE
 
Dear Encourage,
I am a care-receiver, not a caregiver and let me tell you, this role did not come with a how-to manual. I am struggling in many ways- not only in that I need help with things I used to be able to do on my own, but also because I'm not used to being taken care of in this way and I'm uncomfortable with it all. The magazines highlight how important it is for caregivers to take care of themselves, read books, and go to support groups so that they're not alone in their labor of love. I realize the strength and courage it takes to provide daily care and watch the changes in your loved one-- I cannot even imagine life without my wife's support, kindness, and daily assistance.  But what I am missing is guidance on how to receive her help without becoming resentful, impatient, and frustrated.

Dear Care-Receiver,
 
What comes to my mind as I think about how to answer your thoughtful question is an excerpt from the book entitled, Soul Food: Stories to Nourish the Spirit and the Heart, written by Jack Kornfield and Christina Feldman. I paraphrase from the section called, The Courage Within Us.
 
"Every journey whether an attempt to scale a mountain or to awaken the spirit, calls for great courage and steadfastness. To fulfill any significant quest or possibility in our lives we need to call upon inner resources of fearlessness, dedication, and perseverance. For in every journey we enter into unfamiliar territory, and inevitably fear, doubt, and uncertainty will be occasional companions in our travels. Yet we must travel on. Again and again we make new beginnings in our lives, initiate new directions. The very unfamiliarity of our travels means that there are few signposts we can rely upon for reassurance. Inevitably there are times when we lose our way, make mistakes or flounder in doubts about our ability to complete our journey. Part of bringing our journey to completion is learning how to accept difficulty with graciousness, how to grow through the mistakes we make. It is our own courage that allows us to find a place of serenity and truth amid the storms and difficulties."
 
Showing appreciation and gratitude to those we love oftentimes takes a lot of courage because it puts us in a vulnerable position. I encourage you to express to your wife what you have expressed to me-to have an honest dialogue with her about your journey in the uncharted waters of being a care-receiver. I have a good feeling she will be touched by your strength to bring up the subject, your openhearted sincerity, and most importantly, your courage.


Do you have a question about engaging with life as a senior? Send it our way. Please note, questions may be printed but will be kept strictly anonymous.  Click here to email us.
Issue 14
smiling man
Join Our Mailing List
 
HERITAGE
 
 Every month we highlight a family tradition, such as a recipe, a craft, or a cultural holiday.  Please  suggest a tradition from your family!

This month's family tradition:
 
Respect for the Aged Day 
September 21st
 
japan
On this special day in Japan, people show respect to long-time contributors to society, celebrate their longevity and pray for their health. Cultural programs and athletic events spotlighting the elderly are held in the community.

In schools, children draw pictures and use arts and crafts to make gifts for their grandparents or other elderly residents in their community.

Throughout the year elders are honored as they become centarians. On their 100th birthday Japanese citizens receive a silver cup and a certificate from the Prime Minister of Japan, honoring them for their longevity and prosperity in life.
 
We'd like to feature part of your heritage. Share a recipe, tradition or family story. We'd love to print it!
Click here to email us.


Institute on Aging
415-750-4111
Institute on Aging | 3330 Geary Blvd. | San Francisco | CA | 94118