Anthropologist Margaret Mead addresses today’s aging issues

Photo: Margaret Mead

Weekly column in the Washington Times Communities by Laurie Edwards-Tate

“If you associate enough with older people who enjoy their lives who are not stored away in any golden ghetto, you will gain a sense of continuity and of the possibility for a full life.” Margaret Mead

Margaret Mead may be the only anthropologist most of us can name. Although she died over 30 years ago in 1978, her writings and insights on modern American and Western culture remain of interest.

Margaret Mead would have much to say about today's older generation.

Mead had strong views about what it means to age in modern society. In an interview with U.S. News and World Report in May 1963 about the state of the American family, Mead predicted the circumstances we now face in 2012. She is amazingly prescient about the challenges faced by the Baby Boomer generation and their families. Her thoughts are well worth revisiting.

In her interview, Mead was asked whether grandparents could contribute more to the stresses and strains upon parents in a modern family.

Mead:  Well, grandparents don’t live in the home to any great degree any more. Even when they do, people feel they shouldn’t be there. The grandparents feel they shouldn’t be there. The parents feel they shouldn’t be there. The children are taught they shouldn’t be there.

Q.  Isn’t this a change? What’s caused it?

Mead: It’s partly because of the size of the house, of people living in city apartments with no room for grandparents. Also, improved Social Security benefits mean that some grandparents can afford to live alone better.

And another thing: Twenty or so years ago young people married when they were older. Often they married people their parents had never met. Often the two sets of parents didn’t like each other and so the safest thing to do was to move away from both sets of parents, so you didn’t get involved in their disapproval. Besides, grandparents were supposed to be old-fashioned.

In the last 15 years grandparents have become popular again—but always provided they don’t live in the house.

Q. Why the regained popularity, then?

Mead: Children are marrying so young, they’re going steady so early, that the two sets of parents are almost bound to know each other, almost forced to like—or at least accept—each other. Often they are forced to combine to support their married children, and the grandchildren that come along.

Also we have that wonderful invention, the sitter. That’s a wonderful thing to do with your mother-in-law. You see, when she comes in, you can go out.

Margaret Mead remains America's most well-known anthropologist with much wisdom to share even though she died decades ago.

Q. Doesn’t this mean we might get back to the three-generation family—children, parents and grandparents living under the same roof?

Mead: No. There is, I think, a continuing trend away from it, especially in these “ghettos” that are being built for older people.

Q. “Ghettos”?

Mead: They are special preserves where only older people may live. In some, no one under 50 is allowed—like a maternity ward in reverse. As someone said of these places recently, “They’re programmed for death.” Instead of having the older people near the growing children and being part of the community, they’re putting them away in these boxes.

Q. Could grandparents really contribute to a family?

Mead: I think older people know much more about change than young people. What children have to learn is how to live in a changing world.

These children that are born now think the world was made the way it is today—complete with transistors. They need someone who gives them some kind of perspective—someone who can convince them that you could be born in one world, grow up in another, and grow old in a third.

Q. And could grandparents do that for them?

Mead: Grandparents could give them an idea it’s possible.

Q. Living apart as most of them do, what could these grandmothers do in the life of the family?

Mead: I think we could have GTAs—Grandmother-Teacher Associations. Grandmothers should be still tied into the school, should be going to the school, helping the school, conferring with the teachers about Jimmy’s spelling and Suzy’s arithmetic. They should be doing a lot of the chauffeuring. They have the time—much more time than young mothers.

Furthermore, that way we would not be turning grandmothers into cranky, disgruntled taxpayers. Now we graduate mothers from the PTA the day their last child leaves school.

We say, “You don’t belong any more.” And so they get cut off from the whole school life of the community. Instead of being an asset, they’re often just a group of rather unhappy critics.

Until next time, enjoy the ride in good health!

LifeCycles is intended to provide inspiration and information only. If you are considering any health, dietary, exercise or lifestyle changes based on the information provided here, please seek advice from a qualified professional.
Laurie Edwards-Tate, MS, is President and CEO of At Your Home Familycare in San Diego, California. In addition to her positions as entrepreneur, health care executive, educator, radio segment contributor and media guest, Edwards-Tate is also a wife, daughter, and dog lover. Read more  LifeCycles in the Communities at The Washington Times. Follow At Your Home Familycare on Facebook and on Twitter @AYHFamilycare.
Please credit “Laurie Edwards-Tate for Communities at WashingtonTimes.com”when quoting from or linking to this story.
Copyright © 2012 by At Your Home Familycare

LifeCycles with Laurie Edwards-Tate – #77

Red alert! This is Laurie Edwards-Tate, President, At Your Home Familycare, with “LifeCycles.”

Vision and color play a major role in your eating habits.  A Boston University study found that people will eat 25 percent MORE if food is on a red plate instead of a white plate.

Many people suffering from dementia do not eat well. Forty percent of Alzheimer’s patients lose an unhealthy amount of weight. As a result, some nursing homes have switched to using red plates.

Sometimes a simple solution makes a big difference! For others needing to watch our eating habits, this is also useful information. We should stick to white or light colored plates.

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Copyright © 2012 by At Your Home Familycare

Ten foods that pack a positive and tasty nutritional punch

Weekly column in the Washington Times Communities by Laurie Edwards-Tate

Are you still sticking with your New Year’s resolution? You have almost made it through the first month. Congratulations! Scientific studies show that it takes 21 days to form a new habit. If you got started on New Year’s Day, you should have some healthy new habits in place.  This is something to be proud of.

If you did not make a New Year’s resolution about your health or diet, you can still make good choices to improve your eating habits by choosing more of the foods loaded with healthful nutrients including anti-oxidants, fiber, and protein, with less fats, sugars, and sodium.

So many healthy food lists seem unrealistic to me. They have exotic grains and fruits and vegetables that are not on the shelves at the average American supermarket. Who has time to go to a half-dozen stores for exotic specialty products?

In some cases, healthy foods seem more like prescriptions, not pleasurable eating experiences. No one would stick with them as part of their diet except for the most extreme and disciplined person which is also unrealistic.

This is a list of ten foods you should have no trouble finding which are also delicious and easy to prepare that appear on the lists from numerous nutrition experts.

The Ten Best

Greek yogurt is loaded with calcium and protein. Choose a low or nonfat version. Add berries and sprinkle with chopped nuts.

Greek yogurt is loaded with calcium and protein. Choose a low or nonfat version. Add berries and sprinkle with chopped nuts.

Salmon may be prepared in many different ways. It is rich in valuable omega-3s and antioxidants.

Salmon may be prepared in many different ways. It is rich in valuable omega-3s and antioxidants.

Broccoli is packed with valuable nutrients and delicious when you learn how to prepare it without overcooking.

Broccoli is packed with valuable nutrients and delicious when you learn how to prepare it without overcooking.

Green tea has numerous benefits and can be sipped hot or cold.

Green tea has numerous benefits and can be sipped hot or cold.

  1. Berries – Blueberries, strawberries, raspberries, blackberries, they are all packed with anti-oxidents and provide that bit of sweetness we love without processed sugar. Frozen berries lose a minimum of nutritional punch so there is no excuse not to eat them year-round.
  2. Yogurt – This is not the sweetened, frozen kind, or the fruit on the bottom type loaded up with sugar. Choose unsweetened, low (2%) or non-fat yogurt. If you have not tried Greek style yogurt, you may be pleasantly surprised. Add a touch of cinnamon, honey and nuts.
  3. Sweet potatoes –  Packed with Vitamins A, C, and loaded with fiber if you eat the skin. Eat them in soup, salad, casseroles, or pureed. If you need a little indulgence, cut them into fries, dust with seasonings and a light touch of olive oil and bake them for healthy but indulgent fries. Avoid Grandma’s version loaded with syrup, brown sugar and marshmallows.
  4. Salmon – Salmon is rich in cancer-fighting omega-3 fatty acids, which also prevent heart disease and have been linked to a reduced risk of depression. A serving also contains niacin, which is thought to protect you against Alzheimer’s disease and memory loss. Go for wild salmon to maximize the benefits.
  5. Garbanzo Beans – These beans are packed with iron, trace minerals, protein and fiber. You can hardly do better! One serving has more than 30% of the protein and almost 50% of the fiber you need daily. Add a good fat such as olive oil to help fully digest the protein. Hummus on vegetables or crispbread is a great choice that feels indulgent.
  6. Broccoli – Jam packed with cancer fighting agents, vitamin C, and fiber. Microwave it in a covered bowl with a little water, and drizzle with lemon or flavored vinegar.
  7. Nuts – Full of omega-3s, almost as much as salmon, plus antioxidants. Walnuts, almonds, and Brazil nuts are good choices. Avoid overly salted nuts, and watch out for overdoing it as you can end up eating a lot of calories. Use them on top of other dishes as a garnish or eat a handful as a snack.
  8. Green tea –  Researchers keep learning more about green tea’s potential to fight cancer and heart disease, lower cholesterol, burn fat, prevent diabetes and strokes and protect against dementia. Green tea drinkers have lower blood pressure. Drinking green tea instead of sugary drinks or coffee loaded with cream can aid weight loss. Drink it hot or cold, and as much as you like.
  9. Barley – Barley is a low-glycemic grain (meaning it does not spike blood sugar). It is high in both soluble and insoluble fiber, which lowers cholesterol and reduces the risk of colon cancer. It helps the body metabolize fats and other carbohydrates. It is also tasty and readily available. Use it as a delicious breakfast cereal, in soups and stews and as a rice substitute.
  10. Spinach – Popeye was right. Spinach is one of the most nutrient-dense foods that exists, packed with antioxidants, fiber, calcium, protein, folate and iron – and a cup is only 40 calories!  It helps prevent cancer, improves brain function and memory, strengths your cardiovascular system, and protects you against aging. Talk about motivating! Add it to smoothies, soups, put it on sandwiches, sneak it in wherever you can.  

It is unrealistic to expect anyone to radically change their diet by eating all ten of these foods at once. Consider trying to add servings of two per week while continuing to cut back on unhealthy foods in your diet.

Look up appealing recipes in publications such as Prevention Magazine. You may find some new favorites and you can feel great about your positive health changes!

Until next time, enjoy the ride in good health!

LifeCycles is intended to provide inspiration and information only. If you are considering any health, dietary, exercise or lifestyle changes based on the information provided here, please seek advice from a qualified professional.
Laurie Edwards-Tate, MS, is President and CEO of At Your Home Familycare in San Diego, California. In addition to her positions as entrepreneur, health care executive, educator, radio segment contributor and media guest, Edwards-Tate is also a wife, daughter, and dog lover. Read more  LifeCycles in the Communities at The Washington Times. Follow At Your Home Familycare on Facebook and on Twitter @AYHFamilycare.
Please credit “Laurie Edwards-Tate for Communities at WashingtonTimes.com”when quoting from or linking to this story.
Copyright © 2012 by At Your Home Familycare

CAHSAH’s 2012 Town Hall Meeting

Laurie Edwards-Tate, MS, President and CEO of At Your Home Familycare, participated in CAHSAH’s 2012 Town Hall Meeting in Anaheim, CA, January 19, 2012.

At Your Home Familycare's President and CEO, Laurie Edwards-Tate, with CAHSAH President, Joe Hafkenschiel.According to Edwards-Tate: “Home Care is embattled by special interests and politics, and particularly Non-Medical In-Home Care which serves seniors and disabled. CAHAH’s Town Hall Meeting was relevant, energizing, and informative, and helped us better-understand the impacts and issues surrounding California’s SB 411 and AB 899.”

Attended by members of the home care community throughout Southern California with a strength of purpose, At Your Home Familycare’s President and CEO, Laurie Edwards-Tate, is photographed at right with CAHSAH President, Joe Hafkenschiel.

LifeCycles with Laurie Edwards-Tate – #76

Do you like to get your 40 winks and more? It might be in your genes!  I’m Laurie Edwards-Tate with “LifeCycles.”

New research from Germany has found a gene that influences how much you need to sleep. This gene is also linked to heart disease, providing new evidence that cardiovascular health and getting enough sleep are related.

Our society sometimes considers getting a lot of sleep or taking naps as a sign of laziness. But sleep is turning out to be part of our individual genetic profile. It is not related to character or motivation.

Just be sure you are smart about getting enough sleep to stay healthy and alert.

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Copyright © 2012 by At Your Home Familycare

Our nation’s veterans not immune from elder abuse

Weekly column in the Washington Times Communities by Laurie Edwards-Tate

Photo: Courtesy PearlsOfHonor.blogspot.com

Of the 60,000 military personnel present for the attack on Pearl Harbor, Hawaii on December 7, 1941, about 3,000 are still alive. Seventy-four of them belong to the San Diego Chapter of the Pearl Harbor Survivors Association. Their numbers are rapidly declining and the vast majority of them are in their late 80s or 90s. They are a national treasure, a link to an important place and time in American history.

When they are gone, this living link will die with them. During their days on earth, they should be afforded the utmost respect and gratitude this nation has to offer.

Max Bauer (center) holding the banner of the San Diego Chapter of the Pearl Harbor Survivors Association on July 4, 2005. Courtesy PearlsOfHonor.blogspot.com

In many ways, 93-year-old Arnold V. “Max” Bauer considered himself a typical but proud Pearl Harbor survivor. He had a special Pearl Harbor survivor’s license plate on his car. He appeared in a documentary about the attack in 2009.  Now he is in the news again, but for all the wrong reasons. After his wife of 62 years died in 2007, he grew frail and a caregiver, 63-year-old Milagros Angeles, moved into his suburban San Diego County home.

Several months ago, Angeles was arrested when sheriff’s deputies discovered she and Bauer were living in unimaginable squalor. Alert employees at Bauer’s Chase Bank branch became suspicious about the absence of activity on his account and reported it to authorities. Angeles has been charged with elder abuse, false imprisonment, theft by a caretaker and being in possession of altered checks. Authorities found $9,000 in cash in her bedroom. Prosecutors said Angeles had written 56 checks to herself totaling $5,600. She had pled not guilty.

While she awaited trial, in November 2011 Max Bauer died of pneumonia after several months in a veterans rest home. Authorities suspect his illness was as a direct result of the neglect by his caregiver. Now the San Diego District Attorney’s office is investigating to determine whether Angeles should be charged with the murder of Max Bauer.

It is a bold move, and I applaud the Elder Abuse Unit for considering it. This episode is so painful to me on several levels. First, that one of our nation’s most venerable and noble citizens should ever be subjected to this kind of treatment.

But even more so, as the president and founder of a private duty home care agency for 28 years, without a doubt that this should not have happened. Not if whoever hired Angeles as Bauer’s caretaker had been diligent in doing his or her homework and hiring a caregiver from a reputable, accredited agency that does background checks on all its employees and maintains independent supervision of them. See this helpful checklist with the type of questions a person should ask before hiring a caregiver.

My great fear is that we are now going to see this happen more often, due to the threatened loss of the Companionship Exemption as recommended by the U.S. Labor Department and supported by President Obama.

Many more families will resort to hiring people through Craigslist or the like without having the ability to conduct background checks or properly supervise their loved ones’ caregiver, because it will cost them more to hire someone legally and pay them increased wages or overtime pay. They will roll the dice and pay someone under the table.

The good news is this: it is possible with minimal assistance from a professional caregiver provided through a reputable organization for seniors to stay safely in their homes and maintain their autonomy, dignity, and independence. But it must be allowed to remain affordable. The Companionship Exemption has worked perfectly well for decades. There is no reason to change it other than pressure from labor unions who want to organize these home care workers.

Those of us concerned about the welfare of seniors and the disabled and the ability of their families to secure high quality care must speak up and let the Labor Department know that we oppose removal of the Companionship Exemption when the mandatory 60-day comment period begins. See the January 9 LifeCycles column to learn how.

In addition, we must as a society devote more resources to this type of support and we must ensure it is cost-effective. It is the most humane way to care for the men and women who devoted themselves to their family and to their nation. We owe them this much.

We owe our nation's veterans dignity, respect and protection in their later years. Photo Tony Hathcock.

Max Bauer was honored during services commemorating the anniversary of the attack n Pearl Harbor in San Diego this past December 7. Bauer’s cremated ashes will eventually be scattered at the Pearl Harbor National Monument.

Until next time, enjoy the ride in good health!

Visit the Pearls Of Honor website here.

LifeCycles is intended to provide inspiration and information only. If you are considering any health, dietary, exercise or lifestyle changes based on the information provided here, please seek advice from a qualified professional.
Laurie Edwards-Tate, MS, is President and CEO of At Your Home Familycare in San Diego, California. In addition to her positions as entrepreneur, health care executive, educator, radio segment contributor and media guest, Edwards-Tate is also a wife, daughter, and dog lover. Read more  LifeCycles in the Communities at The Washington Times. Follow At Your Home Familycare on Facebook and on Twitter @AYHFamilycare.
Please credit “Laurie Edwards-Tate for Communities at WashingtonTimes.com”when quoting from or linking to this story.
Copyright © 2012 by At Your Home Familycare

Join me at the 2012 Private Duty Home Care Leadership Summit & Exposition

Please accept this personal invitation to come and hear me speak at the 2012 Private Duty Home Care Leadership Summit & Exposition,  January 23-25, 2012 in Las Vegas, NV.

What else can you see while you are there? This year’s program is focused on solid operational, sales, and marketing content with immediate takeaways for private duty agencies. Hosted by the Private Duty Homecare Association of America (PDHCA), an affiliate of the National Association for Home Care & Hospice (NAHC), there is a great lineup of expert speakers, including me!

The conference is a packed three days, full of innovative and easy-to-implement ideas geared for growing a private duty home care agency. To register or for more information on the conference, please visit  http://www.nahc.org/Meetings/PD/12/.

Be sure to mark your calendar and I hope to see you there. Viva Las Vegas!

Laurie Edwards-Tate on “The Rick Amato Show” KCBQ Radio – January 10, 2012

Laurie Edwards-Tate, President & CEO of At Your Home Familycare, joins host Rick Amato for a discussion about her most recent columns for Communities at Washington Times on proposed changes in labor laws removing the “Companionship Exemption,” which threatens seniors and their families as well as the jobs of caregivers on KCBQ AM 1170, San Diego.

Click here to listen to the discussion »

LifeCycles with Laurie Edwards-Tate – #75

What favorite Baby Boomer TV show from the past would you bring back to life? This is “LifeCycles” with Laurie Edwards-Tate, At Your Home Familycare.

Can you guess which of their childhood favorites were most popular?

In a recent survey, westerns led the list with “The Rifleman,” “Maverick,” and “The Wild West West.” Family shows like “Andy Griffith” and “Father Knows Best” got nominations. So did comedies like “The Mary Tyler Moore Show” and “That Girl.”  The original “Twilight Zone” and “The Ed Sullivan Show” had fans.  By far the number one choice: the original “Gunsmoke” which still holds the record as the longest running drama on network television. The runner-up? Law and Order.

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Copyright © 2012 by At Your Home Familycare

President Obama supports labor law change threatening America’s seniors

Weekly column in the Washington Times Communities by Laurie Edwards-Tate

Photo: Associated Press

A disaster looms on the horizon for the home care industry, its workers, and for the seniors and disabled adults and their families who rely on affordable, quality home care to remain independent. This safety net is being threatened by a Labor Department proposal backed by President Barack Obama as a way to get around stalled jobs legislation in Congress.

As expected, Labor Department officials have officially recommended removing the “companionship exemption” from the Fair Labor Standards Act (FLSA).  This change, while perhaps well-intentioned on the surface, threatens the quality of home care for many of America’s seniors and disabled adults and will put thousands of people employed in the home care industry out of work.

Currently the FSLA exempts most home care workers (also known as personal care assistants or companion care workers) who provide “companionship services for individuals who because of age or infirmity are unable to care for themselves” from minimum wage and overtime pay requirements. The U.S. Supreme Court recently affirmed this companionship exemption.

Speaking at a White House ceremony in December to announce this action, President Obama was surrounded by a dozen home health care workers. “They deserve to be treated fairly. They deserve to be paid fairly for a service that many older Americans couldn’t live without.”

Make no mistake. Many seniors and their families will be the ones to pay the price, going without home care services when they can no longer afford it as a direct result of this ill-considered proposal.

Seniors could face losing their homes if a proposed labor law change makes quality home care unaffordable. Photo Ginny Austin.

Live-in and sleep-over time is vitally important as a critical safety net. It often provides respite to family caregivers. But it is often no more than being available.  Little or no work is being performed for many of the hours of these shifts.  Overtime is difficult to justify under these circumstances. The cost of overtime especially will make in-home non-medical care unaffordable for many, if not most, of the seniors and persons with disability we serve.

Modifying the exemption will have unintended consequences. In 29 states, including California, an agency will employ a live-in caregiver for a 24-hour shift. If the overtime exemption is eliminated, the agency will staff this case with three workers in eight-hour shifts instead. The workers’ pay will drop and the client will lose continuity of care and the safety it provides with three workers rather than one.

Loss of an affordable in-home non-medical care option will force many seniors and people with disabilities into institutional care, which is often paid for through Medicare, Medicaid or another government program. This puts the burden on taxpayers.  At a time where the nation is taking a hard look at cutbacks in these programs, this is a cost Americans can ill-afford.

People who need private duty services who can no longer afford the professional, caring services offered through private duty companies will simply employ people through the underground economy. They put themselves at risk for substandard care, even elder abuse. Governments will lose tax revenue, while the caregivers will lose important employee protections.

PHI, a national advocacy organization for home care workers, estimates that personal care aides are projected to be the fourth fastest-growing occupation in the U.S. between 2008 and 2018, increasing by 46 percent.  This is no surprise, as we know the U.S. population over 65 is expected to double in the next 20 years.

No one opposes adequate and fair wages of those doing such admirable work. But this need must be carefully balanced with the unique needs of seniors and people with disabilities who need home care and keeping that type of care affordable.

For a patient with dementia who needs 24-hour care, for example, a family is currently allowed to pay home aides at a flat hourly rate. Lindsay points out that if overtime rules apply, the cost of care could triple. How many families could afford a service that triples in price overnight? How many seniors on fixed incomes could even begin to afford it? Many struggle just to pay for food, housing, and medications.

Most home care providers are small business with limited resources.  Eliminating the companionship exemption would result in reduced availability of care to seniors and the disabled, and increase the costs of service delivery with no corresponding increase from third party payers, such as Medicaid.  Federal and state programs are already in jeopardy, and in no position to increase their payment rates to meet the added costs of overtime compensation.

When the proposed regulations are formally published in the Federal Register, there will be a 60-day period to submit comments. According to health care law attorney Elizabeth E. Hogue of Burtonsville, Maryland, in the past input has been effective making an impact on proposed Labor Department regulations addressing such exemptions.

It is imperative for seniors, their families, agencies, and anyone else concerned about the impact of these burdensome and costly regulations to speak out and let the federal government know the damaging effect these changes will have on them.

To preserve your right to affordable, reliable home care services, it is critically important that you contact the Labor Department and tell officials you oppose this change.

To make an official comment, you can do so online through the Federal eRulemaking Portal. Comments must be received on or before February 27, 2012. In order to leave a comment, please click on this link. When you reach the page, click on the “Submit a Comment” button and enter your comment.

Please note that you will be required to give your contact information in order to comment and that it may be publicly posted.

You may also mail a letter to:

Mary Ziegler
Director, Division of Regulations, Legislation, and Interpretation
Wage and Hour Division
U.S. Department of Labor, Room S-3502
200 Constitution Avenue NW
Washington, DC 20210

All submissions must include the agency name and Regulatory Information Number (RIN) 1235-AA05.

Take a few minutes and contact your representatives in Washington. Let them know how these changes will negatively impact your family and your community. It could make all the difference.

Until next time, enjoy the ride in good health!

LifeCycles is intended to provide inspiration and information only. If you are considering any health, dietary, exercise or lifestyle changes based on the information provided here, please seek advice from a qualified professional.
Laurie Edwards-Tate, MS, is President and CEO of At Your Home Familycare in San Diego, California. In addition to her positions as entrepreneur, health care executive, educator, radio segment contributor and media guest, Edwards-Tate is also a wife, daughter, and dog lover. Read more  LifeCycles in the Communities at The Washington Times. Follow At Your Home Familycare on Facebook and on Twitter @AYHFamilycare.
Please credit “Laurie Edwards-Tate for Communities at WashingtonTimes.com”when quoting from or linking to this story.
Copyright © 2012 by At Your Home Familycare