Alzheimer’s Disease in Belize by Christy Kessens

During the summer of 2008 I had the opportunity to volunteer with the National Council on Ageing (NCA) in Belize, Central America. My time there consisted of developing educational brochures regarding Alzheimer’s disease (AD) and participating in an educational radio program that focused on older adult issues. Throughout the following year I maintained a relationship with the NCA and discovered that the Alzheimer’s disease information I had developed was welcomed with an overwhelming response. For the first time family members were learning the cause behind the unusual behaviors and personality changes experienced by their loved ones.

Aware of the positive impact additional Alzheimer’s disease education could have on those living in Belize, I chose to complete my Master’s degree program by interning with the National Council on Ageing. Between August 31 and October 9, 2009 I had the opportunity to participate in community outreach and interview family members who provide care for someone with Alzheimer’s disease.

Using the resources provided by the NCA, I was able to interview several family caregivers while in Belize. They consisted of husbands, wives, adult children, granddaughters, grandsons, sons-in law, and daughters-in-law. They expressed feelings of guilt, helplessness, anger, and frustration. Most were eager to share their feelings and experiences while others refused to acknowledge that their loved one had a memory problem. Regardless of their situation, it was apparent that all of them were facing the challenges of caregiving and doing the best they could given their current situation.

The stigma associated with Alzheimer’s disease is very prevalent in Belize. The shame attached to this disease keeps family members from feeling comfortable talking openly about the challenges they are experiencing. It often leaves them feeling frustrated and alone. Through public television programs and local radio stations, we were able to provide caregivers the opportunity to learn about what they are going through, offered tools needed to help them provide appropriate cares for their family member, and hopefully helped them understand that they are not alone.

The purpose of this internship was to develop a support group that would provide assistance to family caregivers who support a loved one with Alzheimer’s disease. After interviewing family members, visiting care facilities, and working on public awareness programs, it became apparent that the lack of available respite care services and the stigma attached to AD would hinder the development of a support group at this time. Instead it was determined that a workshop geared towards community advocates would have a greater impact on improving the lives of Alzheimer’s disease caregivers.

The 21 guests who attended the workshop included community nurses, psychiatric nurses, nursing professors from the local college, senior advocates, as well as a social worker and police officer. Over the course of the day participants learned about the impact Alzheimer’s disease has on the brain, took part in fun learning activities, and worked in small groups. We discussed behaviors experienced by AD patients and how to best support families who are struggling with these stressful situations. The group remained focused and open to learning, shared their own personal stories, and discussed ways to use the information gained when working with caregivers.

With the participants’ desire to learn and positive feedback received after the workshop, I believe the Educational Workshop for Community Advocates was successful and will ultimately benefit family caregivers. Working with the National Council on Ageing, I hope to return to Belize in 2011 to conduct additional workshops, allowing caregivers and community advocates the opportunity to continue learning about this debilitating disease.

How I Acquired a new Superpower at Global Action on Aging By Marium Abdul Sattar

From the first day I came to Global Action on Aging in April, I knew that I would be offering my services to help older persons by researching issues concerning them and advocating for their rights. What came as a surprise to me is that Global Action on Aging also helps the younger generations: the interns. The various research topics assigned to us, and the experiences we shared has enabled GAA to change our perspectives.

Finding articles on pensions and elder rights for the global aging website is one of my responsibilities. On my first day, not knowing what pensions were or how they worked presented a challenge for me. I soon realized that pensions support people in their old age when they no longer have a steady income and is often provided by an employer or insurer. Yet, that is just the icing on the cake since there are several more sources of pensions such as the state and unions. While preparing a report on pensions I learned that Germany was one of the first countries to pioneer this practice. In fact, Otto Von Bismarck suggested this idea as early as the 19th century in hopes that it would encourage Germans to work harder and create a stronger national economy.

Spending time at GAA gave me a certain superpower; it enabled me to see life from the perspective of an older person. After reading vast amounts of material about issues affecting older persons, I was able to learn about some of their primary concerns. I learned that society has the potential to be much friendlier to older persons, and that the word ‘elderly’ is a blanket term which categorizes people. For example, although it is used to describe a range of ages, it puts those aged 60 and above into a category despite the fact that it refers to a huge population; one which is ever-growing as the baby boomer generation begins to retire.

One of my most daunting experiences during my time at GAA occurred when I was near our office and I met an old woman who seemed lost. She also seemed to be tired from standing in the summer heat, and was unable to locate her home. When I asked her how I could help her she became more agitated and upset. I realized that I was not prepared for handling the situation at all! In hindsight, I learned that in this situation, it is best to seek out a police officer and inform him or her of the senior citizen who needs help to locate their place of residence. So I feel that we all have the potential to help our elders, as long as we know how to help them.

Another topic which I have researched is ‘Elder Rights’ which monitors some of the rights that older people enjoy but also, unfortunately, describes the infringements on their rights. At this time, I came across several articles that identify the point when a person needs some form of assisted care. One author indicated that immobility experienced during old age causes some people to lose weight due to their inability to even pick up heavy groceries or travel to the supermarket – something most people take for granted. I realize that this is the difficult side of aging, however, society usually only focuses on this bleak side of aging.

For example, did you know that by volunteering with older persons, you are more than likely to have a rewarding experience? Some have even termed it the ‘volunteer’s high.’ During my time at GAA, I have certainly learned to become more aware of my surroundings and older persons which might need help. On my way crossing a large intersection the other day, I noticed an old gentleman using a walker who was having trouble crossing the road in time before the traffic light changed from red to green. I saw through his eyes, and a seemingly normal road suddenly became a rocky path full of hazards. The gentleman said to me: “It feels like each of these potholes is out to get me.” Those who are shy don’t even need to speak to the older person crossing the street, but just accompany or be aware of them to make sure they are able to manage it.

By becoming more empathetic to the needs of older people, and seeing through their eyes, both old and young can benefit from these experiences. The younger generation can learn from the experience of older persons. We need to know how to help older persons and channel our superpower of empathy rather than sympathy.

Six Months After the Earthquake, Older People in Haiti still need help.

Six months after the earthquake that devastated Haiti in January, older people need further help. As they are often affected by health issues, they can be as vulnerable as five-year old children. According Help Age International, around 800 000 Haitians, or about 7% of the population, are more than 60 years old. The number of older people affected by the earthquake is estimated at 200,000 persons. Many of them are homeless and lonely because they lost their close family members and relatives due to the earthquake or because they left Haiti. Some NGOs are reaching out to them.

One of the most important NGOs that is providing help to older people in Haiti is the charity “Mary’s Meals.” While its main focus remains feeding school children, the organization has extended its program to provide meals to additional vulnerable people, particularly old persons. Mary’s Meals provides them with a daily sit-down meal in schools during the week and gives them rations to take home for the weekend.

'’A lot of older people have been left unsupported because their families have moved away since the earthquake – they really need this support and we intend to continue to give it for the foreseeable future,’' stated Magnus MacFarlane-Barrow, the founder of Mary’s Meals.

Older people make up a constituency who can help to rebuild Haiti. They know the country very well and are part of its history. The country should appeal to older people to plan its rebuilding.

Do you think that older persons could help re-build Hait? How could this be achieved? Have you had first-hand experience in a natural disaster? What happened? How did you manage this terrible challenge? Do you have skills that you could share with Haitians? If so, what are they?

Europe Tries to Change Pension Provisions

Many European Union members will try to change their pensions during the next few years. Most want to increase the retirement age to respond to increasing life expectancy.

French news reports have fixed on the daily struggle between the government and many of it citizens. In mid-June, the government unveiled its planned overhaul of the pay-as-you-go pension regime. It claimed that without major changes the system would run up deficits of 100 billion euros ($134.2 billion) by 2050. To avoid this cost, the government wants to raise the retirement age from 60 to 62 years. In reaction, French labor organizations mobilized a nationwide strike. Hundreds of thousands of workers took to the streets to protest. But the government announced that it would stick to its plan.

In Germany, the current retirement age is 65 years. The government wants to raise mandatory retirement age from 65 to 67 years. Between 2012 and 2035 the initial retirement age will go up by one month a year. The government also intends to enhance job prospects for older employees through a program called, “Initiative 50 Plus.”

In the United Kingdom, the Guardian (June 23, 2010) disclosed that the government had decided that “The state pension age for men was going to be raised to 66 as early as 2016.” Moreover, the government wants to raise the retirement age to 68 years to "be fair to the next generation of taxpayers." Women are already experiencing a gradual increase in their state pension age from 60 to 65 years by 2020.

Spain faces one of world’s most severe demographic challenges. The retirement age is currently 65 years for both men and women. The Socialist government adopted legislation to raise the retirement age to 67 years .The reform will be introduced gradually, beginning in 2013.

Under significant pressure from other European countries, the Greek government introduced pension system changes to reduce its debt. Currently, the retirement age is 65 years for men and 62 years for women. Soon Greek women’s retirement age will go to 65 years. In addition, the planned Greek changes would eliminate most early retirement schemes, merge pension funds and cap auxiliary pensions.

What are your worries at your age about retirement? What do you want for your support, for your children and grandchildren? Where does your government stand in allocating sufficient monies for its citizens’ retirement?