Tuesday, April 25, 2017

Life hacks for aging boomers’ aging parents

Many of us baby boomers have been lucky enough to have parents and relatives live long enough to still be around. As the years go by, roles shift from cared for to caregiver.

Just about everyone I know either has been there or is now going through it. Advice, resources, and tips are mouse clicks away. But because every situation and every person is different, there are no universal solutions.

Still, it’s worth sharing a few life hacks I've found in case they work for you and yours.

1)    More is less with meds
There is a pill for everything, but not every condition needs a pill – or, if it does, there's no need to take it forever. More meds mean more potential for drug interactions and greater confusion about what to take when. So I was glad when my mother’s doctor cut out medications that were “nice to have,” “could be helpful,” and “not necessary at her age and could be harmful.”

2)    Play along
The lung disease COPD has no cure, but that doesn't mean the music ends. Some brilliant person made the connection between breathing exercises to strengthen lung function and playing the harmonica. Now “Harmonicas for Health” is a program offered by the COPD Foundation and Pulmonary Education Program. (Musical talent not required.)

3)    Daily reminders
We all have asked: “What day is it?” But when it becomes a daily or hourly question, it can signal a deeper problem. External memory aids sometimes help, at least in the short term. Among the tools we’ve used in the family are big wall calendars, wooden-block perpetual calendars, digital time-and-day calendars, and even Alexa. Yes, there is an Amazon Eco Dot in my mother’s apartment. When she asks, Alexa tells her the time, the day, or the temperature—and will even play Willie Nelson for her. She just has to remember to ask.

4)    Go for the assist
When broken hips mend, flexibility can be lost. Some helpful aides we’ve found include the Carex Upeasy Seat Assist, with a hydro-pneumatic spring that slowly activates as the user leans forward to stand. Even less high tech is the sock horse for help in bending down to put on socks.

5)    Help I’ve fallen
…And I can’t get up. Baby boomers have laughed at commercials for medical alert systems for years. Now the joke’s on us, as we scramble to research the various companies to determine what’s best for elderly relatives. Is it waterproof for the shower? Does the range extend into the yard? Can it detect falls? Is it GPS-enabled? Some independent-living communities even have their own devices. While any of these options are viable, there’s a bigger issue: getting Mom (or Dad or Auntie) to wear it. After a few accidental activations, my mom resists wearing her pendant necklace. It now sits on a nearby surface, safe from being activated but very unsafe for her.

The biggest change for me at this stage is being in a position to make life decisions for those who once cared for me. I'm sure I was no picnic for them back then. When my mom says I slept like a baby, she probably meant I cried all night and wet myself. I guess turnaround really is fair play.

Tuesday, April 18, 2017

Just four questions?

Four questions are an essential element of the Passover Seder. This was one of the first things learned by the non-Jewish Wikipedia-skimming couple who celebrated with us this year.

The purpose of the four questions is to engage children in the story of Passover, with the youngest asking why the holiday’s customs and foods are different than those of all other nights. That’s a lot of information to convey through just four questions.

Journalists use at least six in their reporting: Who? What? When? Where? Why? How?

I’m not a journalist, but I do interview clients to get to the heart of a story. And I do ask a lot of questions.

In some cases, clients ask for a list of questions beforehand. And while that’s easy enough for me to generate, it isn’t always helpful. After the first few questions, interviews usually take on a life of their own. They become what I call fishing expeditions. I let the conversation go where it will so I can discover things I may not have known enough to ask about. 

Questions don’t even have to be fully formed thoughts. If there’s good back-and-forth in an interview, just mentioning a key word or phrase can prompt the subject-matter expert to respond.

Generic questions also work better than you might expect:
  • Why is this topic important for readers?
  • What are the two or three key things you want them to know?
  • What are competitors saying about this topic?
  • What haven’t we covered?
  • Is there anything else you want to add?
I might even ask “Anything else?” a few times, until the final answer is: “No. I think we’ve covered it all.

One of the best questions I’ve found is a single word: Why? By asking “why” over and over, you can drill down into any topic until the relevant detail surfaces. It’s an approach most of us used as small children, to annoy our parents: Why? Why? Why? 
 
As an adult asking the same question, I can see why it’s so effective. The answer either starts with “Because…” or winds up providing background or rationale that puts the content into perspective.

Questions are useful tools for acquiring information...which leaves me with a final question about the Passover Seder: Why only four questions?