Silver Innings Blog: For Senior Citizens and their Family
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Thursday, July 4, 2024
A world I want to see as an older person
Thursday, June 27, 2024
Caregiving and support for older persons
Learning and thoughts on Caregiving and Support for Older Persons at the Open-ended Working Group #OEWG14, UN headquarters, New York, 20th to 22nd May'24.
Hira Mehta, official Spokesperson of Silver Inning Foundation at 14th OEWG, UN HQ, NYC, May'24
Hira Mehta attended an in-person CSO Consultation on the implementation of Human Rights Council resolution on care and support during #OEWG14 on Ageing Rights for older persons (9 am-12 pm, 23 May 2024) at the UN Secretariat Building, UNHQ, New York as representative of Silver Inning Foundation. The meeting was chaired by Asako Hattori and moderated by Martyna Balciunaite, UN official. The topic of discussions were (1) what human rights are relevant for older persons as caregivers and receivers of care and support and (2) what are the specific challenges and rights issues faced by older persons facing discrimination in the context of providing or receiving care and support (older women, older persons with disability, older persons belonging to minorities, etc).
At this meeting, Hira spoke about Dementia and Alzheimer’s and grandparenting responsibilities, especially for women.
Most agreed with her thought that, grandparenting should be a choice and not an expected support. In urban India, the extended family living under one roof is not a given anymore and today's nuclear structure, means more expectations from older persons. In our culture, the role of the grandparent is perceived as a role to teach traditions, moral values, religious values and overseeing their well-being and more. Some older persons find themselves moving abroad every six months to look after the grand kids. While some easily adapt to a new place and society, others find it difficult to leave the old ways and find it difficult to adjust. The choice is often not given and that could cause a great deal of issues for older persons in the household.
Speaking about caregiving, Hira suggested that dementia be included in the disability package of health and health services as an essential, for providing comprehensive support, ensuring access to necessary medical and social services and alleviating the financial burden on families affected by dementia. Dementia causes significant cognitive impairment, affecting memory, reasoning, communication, and the ability to perform daily tasks. This aligns with the definition of disability as a condition that substantially limits one or more major life activities. She also mentioned that most of the time families treat it as old age issues and are unable to recognize it as dementia. Some are not willing to accept the fact and therefore early diagnose takes a back seat resulting in delay of treatment. Treating it as a disability will not only improve the quality of life for those with dementia, but also support the family and caregivers to deal with it effectively. Cost of care is high and dementia care will be expensive, with regard to medical treatments, long-term care services and out-of-pocket expenses. As dementia progresses, individuals will experience functional decline and require assistance with activities of daily living, such as bathing, dressing, eating, and managing medications. Individuals with dementia require regular attention and medical care to manage symptoms, monitor progression and treat comorbidity conditions. Long-term care is involved and many individuals with dementia will eventually need long-term care services, such as in-home care, adult day programs, assisted living, or nursing home care. Therefore, Hira requested that dementia be part of the disability package of health and health services, so that integrating it into disability packages will ensure that persons with dementia receive the support and care they need.
Irrespective of health and health services, governments and authorities should conduct public awareness campaigns to educate the public about dementia. It would help raise awareness about dementia, reduce stigma, and promote advocacy for better care and support services. Governments and health organizations also should develop policies that explicitly recognize dementia as a disability and outline the entitlements and services available. The society and community also need to support by expanding community-based support groups, adult day care centres and care programs.
UN 14th OEWG May'24 |
One of the sharing that hit Hira hard at this meeting, was the sharing of a lady from the Far East. Belonging to the LGBTQ+ community, she talked about the stigma and discrimination, especially if institutionalized in the past or after having overcome mental issues, including anxiety, depression and suicidal ideation. Support groups are limited in number and despite increasing visibility and acceptance world over, social stigma and discrimination continue to impact her well-being. She called for attention towards continued efforts needed to ensure comprehensive legal protections, improve access to competent healthcare and combat social stigma and discrimination.
Assisted living or Elder homes, is an option and respite for family caregivers, who need assistance during times of illness or travel or their own job constraints. Family members may get peace of mind knowing that their loved ones are receiving professional care and support in a safe and nurturing environment. Sadly, sometimes, older persons are not questioned about their preferences. Besides, older persons, may become vulnerable to exploitation, abuse, or neglect by caregivers and sometimes financially exploited too, if family does not pay attention or visit often enough. The 24/7 care by trained staff, helps ensure that older persons with complex medical needs or mobility issues receive the assistance they require. Dependence on caregivers for activities of daily living, the lack of mental stimulation and engagement in institutional settings, however, can accelerate cognitive decline, particularly for individuals with dementia or cognitive impairments. Older persons are at increased risk of experiencing depression, anxiety and other mental health issues with the loss of personal belongings and comfort, independence, social isolation and changes in assisted living environment with the limited privacy and loss of personal space. Financial burdens, particularly in places where long-term care services are expensive or not covered by insurance, often become the reason for home treatments for some families. High costs of care whether at home or assisted living option, can deplete the savings and assets, impacting financial status of the family. While institutionalization may be necessary for some older persons who require intensive care or support, it can have significant implications on mental health and quality of life.
In conclusion, caregiving is an essential aspect of an older person’s life cycle and therefore, it is necessary to continue raising awareness about the realities of caregiving and its cost. Advocating for policies that provide adequate support and resources, whether it is through community programs, government initiatives, or individual acts of kindness is important. There is a need to create a more compassionate and supportive environment, to ensure that both caregivers and care recipients receive the required assistance and resources.
~ Hira Mehta | Author | Podcaster | Motivational Speaker | Soft Skills Trainer
Monday, June 17, 2024
Silver Inning Foundation Oral Statement for UN 14th OEWG on Ageing
Hira Mehta - Spokesperson of Silver Inning Foundation presenting Oral Statement at UN 14th OEWG |
I am Hira Mehta from Silver Inning Foundation, an NGO working with older persons across India.
In India, 149 million older persons are in 60 plus age group belonging to diverse cultures. More than 65% live in rural area and 90% have no social security. Most of the older persons depend on the family support system. Today, changing values are weakening inter-generational ties that is hallmark of our traditional family institution.
At age of 58, I was mentally and physically fit, but I had to retire without choice. This left me feeling socially isolated, lost and disturbed for a long time, because I felt I was capable of more. Today, with meager 14$ pension per month, I struggle to live decent life and find it difficult to access and afford right health care.
Challenges that are significantly influencing older persons’ right to health are unavailability of healthcare facilities and services, lack of awareness, education, early detection and prevention, as also socio-economic factors, such as disparities between urban and rural lifestyle.
As Older Person I want to ‘Age with Rights’ to maintain healthy well-being with dignity. Therefore, multi-faceted approach with robust healthcare policies, increased investment in healthcare infrastructure, access, affordability and prioritization of preventive healthcare is required. More importantly, expansion of health insurance coverage for all older persons is also needed.
India, has sizable population of persons with Alzheimer’s disease. Illiteracy and social taboos surround this disease, I must admit that for a long time, even I did not know the difference between age related and dementia related issues. Hence, there is a strong need for awareness campaigns, training, well-defined policy and national dementia plan.
We align with the statement made by ‘Global Alliance for the Rights of Older People’, a ‘UN Convention for Older Person Rights’ would guarantee older persons’ access to affordable healthcare to help them maintain optimum level of physical, mental and emotional well-being and prevent or delay the onset of illness, to live life with dignity and self-fulfilment.
Date 20th May'24
Photo of Civil Society Group at UN 14th OEWG on Ageing |
Silver Inning Foundation Statement for UN 14th OEWG on Ageing
The 14th session of the UN Open-ended Working Group on Ageing (OEWG) was held between 20-24th May 2024 in New York. It is a critical time for civil society to maintain pressure for the adoption of a United Nations' Convention on the rights of older people.
On behalf of Silver Inning Foundation Ms. Hira Mehta - official Spokesperson and Ms. Ramaa Subramaniam Co Founder of Silver Inning Foundation participated in this esteem global meet.
Silver Inning Foundation submitted this following official statement for The 14th session of the UN Open-ended Working Group on Ageing (OEWG) : https://social.un.org/ageing-working-group/documents/fourteenth%20session/INPUTS%20NGOS/Silver%20Inning%20Foundation.pdf
Date 9th April’24
The Chair,
Open-Ended Working Group on Ageing on Ageing
14th General Assembly, May’ 24
United Nations
New York
Statement of Silver Inning Foundation for Fourteenth Session of Open-Ended Working Group on Ageing (OEWG) on Ageing on “Right to health and access to health services”
Indian society is undergoing rapid transformation under the impact of industrialization, urbanization, technical & technological change, Education and globalization.
Consequently, the traditional values and institutions are in the Process of erosion and adaptation, resulting in the weakening of Intergenerational ties that were the hallmark of the traditional Family, this has great impact on older persons.
Senior citizens in India is a person who is 60plus and they belong to diverse groups. Consequently, the ageing issues are also different and a lot depends on the family support system the older persons enjoy. The heterogeneity among the older persons population must be factored into framing appropriate models of care for them.3
As per the latest report, there were 149 million persons aged 60 years and above in 2022 (as of 1 July) 2 comprising around 10.5% of the country's population. And, by 2050, this population will double to 20.8%, with the absolute number at 347 million.
The right to health is a fundamental right that ensures individuals have access to necessary healthcare services and a state of well-being. In India, the recognition and implementation of the right to health have evolved over time through constitutional provisions, legal frameworks, and judicial interpretations. 1
Challenges in Realizing the Right to Health: 1
• Healthcare Infrastructure: Inadequate healthcare infrastructure in
rural and remote areas, shortages of healthcare facilities, including
hospitals, clinics, and qualified healthcare professionals.
• Health Awareness and Education: Limited health awareness and inadequate health education among the population hinder preventive healthcare measures and early detection of diseases.
Addressing these challenges requires a multi-faceted approach involving robust healthcare policies, increased investment in healthcare infrastructure, prioritization of preventive healthcare, expansion of health insurance coverage, and targeted interventions to address health disparities and social determinants of health.1
Government Initiatives and Public Health Programs 1
The Indian government some
notable public health programs to promote the right to health and improve
healthcare accessibility across the country:
National Health Mission (NHM): The NHM is one of the flagship programs of the Indian government aimed at improving healthcare services, especially in rural and underserved areas. It encompasses two sub-missions: the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM to strengthen healthcare infrastructure, enhancing human resources for health, promoting maternal and child health, addressing communicable and non-communicable diseases.
Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY): is a health insurance program launched in 2018. It provides financial protection to over 500 million vulnerable individuals and families by offering cashless coverage for secondary and tertiary healthcare services.
Recommendations1
• Strengthening
Healthcare Infrastructure: Increase investment in healthcare infrastructure,
particularly in rural.
• Enhancing
Primary Healthcare: Strengthening primary healthcare services for comprehensive
and preventive care.
• Addressing
Health Disparities: To address regional and socio-economic disparities in
healthcare access and affordability.
• National
Dementia Strategy: Need for national policy with a very clear and well defined
action plan since India has a sizeable population of Alzheimer's disease
affected people and certain traits like illiteracy and social taboos make the
country unique.
• Universal
Health Coverage: Universal health coverage by expanding health insurance
schemes to all 60plus
• Focus
on Preventive Healthcare: Prioritizing preventive healthcare measures, health
education, vaccination campaigns, and early detection of diseases.
Conclusion: The right to health is a fundamental right in India, enshrined in the Constitution and supported by legal frameworks, judicial interpretations, and landmark court judgments. While progress has been made in promoting healthcare access and improving public health, challenges remain in fully realizing the right to health especially for the older persons.
We at Silver Inning Foundation strongly advocate and demand ‘UN Convention for Older Person Rights’ so that older persons can have access to healthcare to help them maintain or regain the optimum level of physical, mental and emotional well-being and to prevent or delay the onset of illness and Live life with dignity and self-fulfillment.
Reference:
1The Right to Health as a Fundamental Right
in India: JETIR June 2023, Volume 10, Issue 6 https://www.jetir.org/papers/JETIR2306301.pdf
3 https://loksabhadocs.nic.in/Refinput/New_Reference_Notes/English/06072020_122044_1021205239.pdf
Sailesh Mishra, Founder President, Silver Inning Foundation
Monday, August 7, 2023
How to Connect with your Elders
We live in 21st century where Change is fast and constant, there is so much happening in our life and its difficult to keep the pace and take everyone along. New Development, urge to grow, explore new things and stay ahead from all; is not only taking toll on our mental and physical health but also on our relationship. In all this, fast 'vertical growth' of our life we unknowingly leave behind some and the gap between generations is growing. While we move ahead we forget basic ethics of life which can keep bond between families and humans intact. In this life journey our Elders at home and elders in our life suffer most and they live life in isolation and loneliness. Our Elder deserve Respect and they need us, they need youth to connect with them. Different generations coming together will not only help our human development and keep family together but it will also let our Elders know that we value them, we care for them, we respect them.
Don't Leave Your Elders Behind
With our Silver Innings experiences and wonderful article by 'Wits End Parenting and Hunter Rising' we have found out some basic ways, Tips; which will help you to start the conversation and connect to your Elders and these meaningful ways will help to build wonderful relationship with your elders. Our mission is to #LeaveNoOneBehind .
Tip 1 : Give them a Call, it can be either audio call or video call and message them when ever you have time. It might be not possible to visit them, but hearing your voice or seeing you, will make them feel good and they will appreciate it.
Tip 2 : Whenever possible visit them it can be surprise visit. Plan a visit according to their daily routine, seeing you in person and that face to face chat will boost their well-being.
Tip 3: Elders like when someone greets them, shake hand, giving hug or say Namaste. Talk to them in normal tone, talk slow and in simple language; remember happy face makes things better; communication is important for any relationship.
Tip 4: Elders love when we seek their Advice. They are rich source of experience, they have knowledge, they have lived the life of ups and down. You can seek their advice on job, relationship, happy life and issues you are not clear about, elder like to be heard and let them know you appreciate their advice.
Tip 5: Everyone of us has a story and our Elders have many stories to be told. They love to talk about their life, their job, their travel, their friendship, their family moments, their struggle; give them ears and they will love you.
Tip 6: Elders like when you give them compliment and when you admire them; tell them that they have made good contribution to family, they have made positive contribution to you and people around. Appreciate them.
Tip 8: There is nothing in this world better then enjoying meal together; sitting down and having tea, coffee, snack or meal together is excellent way of socializing and bonding. Have a 'Meal Date' with Elder and make that small meal chat, its Friendship between generation.
Tip 9: We all love Celebration, whether its festivals, match, win or our special days, birthdays. Celebrate these Special days with your elders, either at home, planned holiday or hotels. Let them know they are not Forgotten.
Tip 10: Due to ageing, ours Elders have specific needs, it can be while sleeping, seating; make them comfortable, be gentle to them, understand them and ask them if they need anything.
Tip 11: It is always better to make person independent and not be over protective, Elders will need space, let them do things till they can. Make things easier for them.
Tip 12: If you don't have your home nearby or your elder staying near you, its nice to reach out to elders in community, society, elder home, nursing homes, assisted living, dementia home, adult day care. Visit once a week or when ever you have time and spending meaningful time with elders through activities, events, picnics, recreation, entertainment; will only add life to years of these elders.
Creative by Gayatri Patel - GGrafix360
Concept by #SilverInnings
Saturday, April 29, 2023
Intergenerational Benefits for Older Adults
Intergenerational Connections: Importance for Older Adults
As people age, they often find themselves disconnected from the younger generation, which can lead to feelings of loneliness, isolation, and disconnection. However, studies have shown that intergenerational connections can have numerous benefits for older adults, including improved mental and physical health, increased social support, and a sense of purpose and meaning in life. In this essay, we will explore the importance of intergenerational connections for older adults and how they can benefit from these relationships.
The importance of intergenerational relationships for older adults cannot be overstated. Interacting with individuals from different generations can provide many benefits for older adults, including enhanced cognitive abilities, improved emotional well-being, and a greater sense of purpose and meaning in life. This essay will explore the various benefits of intergenerational relationships for older adults and provide examples of how older adults can engage with younger generations.
Firstly, intergenerational relationships can help older adults maintain cognitive function. Research shows that older adults who engage in intergenerational activities have better cognitive abilities, such as memory, attention, and problem-solving skills. This is because intergenerational interactions challenge older adults to think outside of their usual patterns and perspectives, which can stimulate their brains and enhance their cognitive abilities. For example, older adults who engage in activities with younger generations, such as playing games or solving puzzles together, can improve their cognitive abilities and prevent cognitive decline.
Secondly, intergenerational relationships can improve emotional well-being for older adults. Older adults often experience loneliness and social isolation, which can have negative effects on their mental health. However, intergenerational relationships can provide older adults with social support, companionship, and a sense of purpose. For example, older adults who volunteer with younger generations, such as mentoring or tutoring programs, can experience a sense of fulfillment and satisfaction from helping others. Additionally, intergenerational relationships can provide older adults with opportunities to learn new skills or knowledge from younger generations, which can boost their confidence and self-esteem.
Thirdly, intergenerational relationships can give older adults a sense of purpose and meaning in life. Older adults may feel a loss of purpose or relevance as they age, especially if they have retired or experienced other life transitions. However, intergenerational relationships can provide older adults with a sense of purpose and a reason to keep learning and growing. For example, older adults who engage in intergenerational activities, such as teaching or mentoring younger generations, can feel valued and important. Additionally, intergenerational relationships can help older adults see the world from a different perspective and gain a deeper understanding of the needs and challenges of younger generations.
Furthermore, intergenerational connections can provide older adults with increased social support, which can be particularly important for those who live alone or have limited social networks. Studies have shown that older adults who have regular contact with younger people report higher levels of social support, which can lead to greater feelings of happiness, well-being, and life satisfaction. Additionally, intergenerational relationships can provide older adults with opportunities to mentor and guide younger people, which can help them feel valued and respected within their communities.
Another benefit of intergenerational connections for older adults is the sense of purpose and meaning that comes from engaging with younger generations. Many older adults struggle with finding purpose and meaning in their lives after retirement, particularly if they feel disconnected from the larger community. However, intergenerational programs and relationships can provide older adults with opportunities to share their knowledge and experiences with younger people, which can give them a sense of purpose and meaning in life. Additionally, older adults who participate in intergenerational programs often report feeling more connected to their communities and more engaged in civic life.
There are many ways in which older adults can engage with younger generations to experience the benefits of intergenerational relationships. For example, older adults can volunteer with organizations that work with children or young adults, such as schools, libraries, or community centers. They can also participate in intergenerational programs, such as mentoring or tutoring programs, where they can share their knowledge and skills with younger generations. Additionally, older adults can engage in activities that bring together people of different ages, such as community service projects or cultural events.
Finally, intergenerational connections can help to break down age-based stereotypes and promote understanding between generations. In today's society, age-based stereotypes are often perpetuated by the media and other cultural institutions, which can lead to negative attitudes and beliefs about older adults. However, intergenerational relationships can help to challenge these stereotypes and promote greater understanding and respect between generations. When older adults interact with younger people, they can share their experiences and perspectives, which can help to break down stereotypes and foster greater empathy and understanding.
In conclusion, intergenerational connections are important for older adults because they can improve their mental and physical health, increase their social support networks, provide them with a sense of purpose and meaning in life, and promote understanding between generations. As the population ages, it is increasingly important to promote intergenerational connections and programs that bring together people of all ages. By doing so, we can help to create more vibrant and connected communities that benefit people of all ages and backgrounds.
Family Support for Older People
Family systems are the foundation of our society. A family system consists of various individuals who are related by blood, marriage, or adoption. Family systems vary from culture to culture, but their importance remains the same. The role of family in caring for older people has become increasingly important due to demographic changes and the growing aging population. This essay explores the family system and how it can help our older people.
PICTURE: https://sanalake.com/wp-content/uploads/2020/11/Family-Roles-in-Addiction-Treatment-.jpg |
The family system refers to the various roles, relationships, and interactions that exist between members of a family. Family systems are important as they provide a sense of belonging, emotional support, and security. They also serve as a source of socialization, education, and values transmission. Family systems can have a significant impact on the physical, mental, and emotional health of their members.
The Importance of Older People
Older people are an essential part of our society. They have contributed to our communities, economy, and culture throughout their lives. However, as they age, they may experience physical, mental, and emotional challenges. These challenges can lead to social isolation, loneliness, and poor health outcomes. It is, therefore, essential to ensure that older people have access to the care, support, and resources they need to age with dignity and respect.
Family System and Older People
The family system can play a vital role in supporting older people. Family members can provide emotional support, practical assistance, and social interaction that can improve the quality of life for older people. Family systems can also help older people maintain their independence, dignity, and sense of self-worth.
Emotional Support
Emotional support is essential for older people as they age. Family members can provide emotional support by being there to listen, provide encouragement, and offer reassurance. This emotional support can help older people cope with the challenges of aging, such as chronic illness, loss of mobility, and social isolation.
Practical Assistance
Older people may need practical assistance with daily activities such as cooking, cleaning, and shopping. Family members can provide this assistance, which can help older people maintain their independence and quality of life. Practical assistance can also prevent older people from having to move into residential care or assisted living facilities, which can be expensive and may not provide the same level of comfort and support as the family home.
Social Interaction
Social interaction is vital for older people as it can help prevent social isolation and loneliness. Family members can provide social interaction by visiting, taking older people out, and involving them in family activities. Social interaction can improve the mental and emotional health of older people and reduce the risk of depression and anxiety.
Maintaining Independence
Maintaining independence is essential for older people as it can help them maintain their sense of self-worth and dignity. Family members can help older people maintain their independence by providing practical assistance, emotional support, and social interaction. This support can help older people stay in their homes for longer, which can have a significant impact on their quality of life.
Challenges in Family System Support
While the family system can provide significant support for older people, there are also challenges that need to be addressed. These challenges include:
Family Conflicts
Family conflicts can arise due to differences in opinions, expectations, and values. These conflicts can make it difficult to provide effective support for older people, and may even lead to neglect or abuse. It is essential to address family conflicts and find ways to resolve them to ensure that older people receive the support they need.
Caregiver Burnout
Family members who provide care for older people may experience caregiver burnout. This burnout can lead to stress, anxiety, and depression, which can impact the quality of care provided. It is essential to provide support and resources to family caregivers to prevent burnout and ensure that older people receive required care and love.
Financial Strain
Providing support for older people can be expensive, especially if they have significant health or mobility issues. Family members may need to provide financial assistance, which can strain their own finances. It is essential to plan for the financial costs of supporting older family members to ensure that everyone is prepared for the financial strain.
Distance
Family members may live far away from each other, making it challenging to provide support for older family members. Distance can limit the amount of practical assistance and social interaction that family members can provide. It is essential to find ways to overcome the distance barrier, such as through regular phone or video calls, or by arranging visits when possible.
Limited Resources
Some families may not have the resources to provide adequate support for older family members. This may be due to financial constraints, health issues, or other challenges. It is essential to identify available resources and support services that can help families provide the necessary support for older family members.
Conclusion
In conclusion, family systems can play a vital role in supporting older people. Emotional support, practical assistance, social interaction, and maintaining independence are all crucial elements of the support that family members can provide. However, there are also challenges that need to be addressed, such as family conflicts, caregiver burnout, financial strain, distance, and limited resources. It is essential to find ways to overcome these challenges and provide the necessary support to ensure that older people age with dignity and respect. The family system remains an essential component of our society, and we must continue to value and support it in caring for our aging population.