For the slides from this presentation, visit · connected, ¼ more connected to a new group ......

1

For the slides from this presentation, visit:

www.teepasnow.com/presentations

Slides will be available for 2 weeks

© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.

Handouts are intended for personal use only. Any copyrighted

materials or DVD content from Positive Approach, LLC (Teepa Snow)

may be used for personal educational purposes only. This material

may not be copied, sold or commercially exploited, and shall be used

solely by the requesting individual.

Copyright 2017, All Rights Reserved

Teepa Snow and Positive Approach® to Care

Any redistribution or duplication, in whole or in part, is strictly prohibited,

without the expressed written consent of Teepa Snow and

Positive Approach, LLC

1

2

3

http://www.teepasnow.com/presentations

2


The ‘Sandwich

Generation’

as Caregivers


What is the ‘Sandwich

Generation’?

•Supporting ‘late bloomer’ children not

totally out of the nest and/or helping with

grandchildren: time, care, money

•Yet still in the role of children for their

parents who are beginning to struggle

physically, emotionally, and mentally


In General, Who is in the

‘Sandwich Generation’?

People born between 1946 and 1964

The Post-WWII kids

The Pre-Vietnam War kids

The largest number of babies ever born in US

The first majority ‘town’ generation

76 million strong!!!

4

5

6

3


Who is in the ‘Sandwich

Generation’?

• Roughly 54-73 years old

• Used to having their own ‘private’ home

• Used to working outside the home

• Finished or finishing raising their kids

• May be new grandparents

• Still have at least one parent alive

• Planning to retire and enjoy life

• In better health than previous generations


This Group Compared to

Other Generations:

• Has a history of more problems with money

management and time management

• Has been more mobile and flexible: less

stable in family, work, and living locations

• Spiritually changed: ¼ less connected, ½ as

connected, ¼ more connected to a new

group

• Less experience and contact with death: less

talking about it, not ready for it, deny it


Two Groups in the ‘Sandwich

Generation’:There are two distinct groups

•Low socio-economic with less education

•Higher socio-economic with higher education

Both groups are having problems

Both groups are more challenged than

ever before

Both groups are feeling the squeeze

7

8

9

4


Comparing the Two Groups:High Educational Group

• Expects care to be

delivered in the person’s

home or in a facility

• Expects to have $$$ help

with care programs or

government sources

• Expects to have options

in where and how care

will be delivered

• Has limited time for

caregiving and managing

care

Low Educational Group

• Expects to care for the

person at home

• Expects there to be

government help

• Expects other family

members to help

• Has more medical

conditions and problems

themselves

• Has limited time for

caregiving and managing

care


So What is Happening?

• Options for care tend to be limited and

frequently do not match the majority of

expectations or needs

• The cost is much more than anticipated

• The funding sources are limited

• The care receivers do not have the same

point of view as the caregivers

• Medical, legal, financial, and social systems

are complicated and hard to negotiate


What is Potentially

Happening?

•Working three jobs: parent, employee,

caregiver (or four if spouse or sibling has

problems)

•Physically stressed out: working hard, not well

•Emotionally stressed out: too much to do

•Financially tapped out: demands on both ends

•Mentally drained: always facing problems

•Spiritually concerned: unsure they can keep on

•Socially isolated: don’t have time for friends

10

11

12

5


The ‘Sandwich Generation’ as

Care Receivers:• They will be cared for by Generation X and Y

• They will expect more than previous generations in

care quality and options

• They will ‘know the system’

• They will want a lot for their money

• They will have trouble having the money they need

• They will live longer than previous generations

• There will be even more variation in what people can

afford and what they will expect

• They want to get their care in their preferred setting

• They think they will stay healthy and independent till

very near the end of their lives


Gen X and Y:Generation X – ‘Slackers’

• Born 1965-79

• 51 million

• Reacted negatively to

lifestyle and work

behaviors of previous

generation

• Highly individualistic

• Dislike and distrust of

formal structures and rules

• Technologically smart

Generation Y – ‘Echo Boomers’

• Born 1980-2000

• Over 70 million

• Different social norms: ’rude’

• Lots of action and attention

• Balance of fun and work

• Less respect for ‘authority’

• High energy: job changer

• Save for self and future

• Obesity and diabetes on rise


Oops!!!

• There are many more in the Sandwich

Generation than Gen Xers (76 versus 51

million)

• There are not enough resources and services

for the number of people in the ‘Sandwich

Generation

• The cost of care for this generation is going

to be very high!

• The number of those living with brain change

is going to be very high!

13

14

15

6


Oops!

• Gen X and Y have different caregiving histories

and backgrounds: less experience

• Gen X and Y: more divorces and two-income

families, even less time to give care

• Gen X and Y: more transitory

• Gen X is worse with money and savings than

the Sandwich Generation

• Gen Y is saving for themselves


What Can We Do to Help

Ourselves?• Reach out and find out, learn

• Talk about the future

• Get our own house in order:

• Legal

• Financial

• Housing

• Physical health

• Mental and cognitive health

• Spiritual health


Financial Opportunities:

Discuss and decide on:

•Financial planning with an elder law expert

•Will and financial PoA

•Long Term Care insurance

•Retirement

•Savings – Pensions – IRAs - Trusts

Consider need for changes to have what you

want and need later

16

17

18

7


Legal and Health Care

Opportunities:Talk with your significant others and decide:

•Plan ahead for probable health care needs

•Durable Health Care PoA

•Advance directives

•What types of care you want in these situations:

•Curative, Restorative, Maintenance, Palliative

•What locations of care are available, pros/cons:

CCRC NH RH FCH

ALF SCALF Home Care Others


Housing Opportunities:

• Private home with ‘universal design’

• Shared housing: caregiver space, mother-in-

law apartment

• Retirement/senior community

• Multi-generational housing

• Apartments or condos

• Complexes with multiple levels of care on site

• Assisted living facilities or family care homes


For Those in the ‘Sandwich’:• Learn to set limits and live within them

• Take breaks and step away

• Get to know what you need to:

•Keep going

•Get re-energized

•Get or stay healthy: physically, mentally,

emotionally, cognitively, socially, and

spiritually

Start to make the changes!!!

19

20

21

8


‘Sandwich Generation’ Care

Partners:

Take Care of Your Own

Physical Health


Do You…???

- Have any family members who got dementia before

age 65?

- Have many family members who got dementia after 70?

- Have a history of a head injury?

- Have diabetes or sugar problems? Do you cheat?

- Have blood pressure problems?

- Do you sometimes skip your medicine?


Do You…???- Have high bad cholesterol?

- Eat fast food or fried foods more than 3 times a week?

- Eat red meat more than once a day?

- Eat ‘white’ bread, biscuits, or rolls?

- Have your big meal in the evening?

- Snack a lot at night?

- Weigh more than you should? Women x2

- Do a lot of ‘sitting down’ or ‘hanging out’?

- Work hard, but not move a lot?

- Watch TV more than 3 hrs a day?

22

23

24

9


Do You…???- Drive/ride everywhere you need to go?

- Stay at in your place all the time?

- Avoid talking or socializing when out?

- Do the same things the same way, day after day?

- Feel bored and down most of the time?

- Worry a lot or have a lot of stress in your life?

- Sleep less than 6-8 hours a night?

- Feel too tired to do anything?

- Smoke?

- Drink a lot or never touch the stuff?

- Rarely, if ever drink water?


If You Said Yes:

There are things you can do

to reduce your risk

of getting dementia

There are things you can still do

to get or stay healthier and more

mentally and physically fit!


In Simple Words:

Lower Your Stress!

and

Raise Your Activity!

If its good for your

heart, it’s good

for your brain!

25

26

27

10


Risk Factors for Dementia:

- Uncontrolled Blood Pressure

- Uncontrolled Sugar Problems

- High Cholesterol

- Being Overweight

- Not Doing

- Not Thinking

- Not Getting Out and Getting Together

- Bad Eating Habits


Top Three:

- Exercise more

- Eat right

-Use your brain


Exercise:- Get MD’s permission

- Do what you like

- Buddy up

- Aerobic:-A little short of breath

-15 - 20 minutes at a time

-At least 100 minutes a week-70% of your Max Heart Rate

(220 – your age = Max Heart Rate) x .7

28

29

30

11


Eat Right!

- More fruits and veggies with antioxidants

-Less fat and sugar

- More water!

-Less coffee, tea and soda

- More Omega 3 fats (canola, olive, flaxseed)

-Less trans-fats (‘partially hydrogenated’)

- More broiled meat, whole grains and fish

-Less red meat, fried food and packaged food

-Drink one glass of alcohol per day***

-Not more


Use Your Brain!

- Solve puzzles

- Take classes

- Try something new

- Play an instrument

- Join a study group or book club

- Read

- Play games


Animals Colors Vegetables Countries

M(ex: Baboon)

L

A

P

Category Game

31

32

33

12


Memorize these pairs:

Apple - Orange

Black - Red

Beans - Tooth

Watch - Glass

Pencil - Shirt

Hand - Hammer

Hanger - Button

Paper - Eye

Flag - Meat

Cup - Shoe


What is the missing word?

Hanger –

Pencil –

Flag -

Paper –

Apple -

Beans –

Paper –

Cup –

Black -


Other Things to Do:- Stop smoking

- Lose weight: women > men – up to age 80

- Socialize

- Laugh and de-Stress

- Get enough sleep

- Get sleep apnea and depression treated

- Control blood pressure and diabetes

- Take meds carefully

35

36

37

13


And:- If you see changes in…

-Memory

-Thinking or judgment

-Personality or emotions

-Language or speech

-Enjoyment of life

-Sleep and appetite

-Episodes of confusion or disorientation

Get to the doctor and tell them your

concerns!


Mental – Cognitive Health:

• Know what is normal and what is not

• Establish baselines for yourself on:

• Cognition

• Emotional well-being

• Stress levels

• Sleep patterns

• Get supported

• Socialize, sleep enough, de-stress, use

resources


Spiritual Opportunities:

• Consider your spiritual needs and how to

meet them

• Learn about the latest thinking on later life

achievements and successful aging

• Talk about death and dying - the end of life

• Consider your role in connecting to others

• Find out about palliative care, hospice,

sitting vigil, life-review and story-telling

• Find a community of faith you can share

38

39

40

14


First Steps?

Where are you? What can you do?

Start the conversations with both sides of the

‘sandwich’

What are top priorities?

Money, legal issues, housing options,

physical health, mental/cognitive health

spiritual well-being

Get started…it won’t happen if you don’t!


The content contained in this presentation is strictly for informational purposes. Therefore, if you wish to apply

concepts or ideas contained from this presentation you are taking full responsibility for your actions. Neither

the creators, nor the copyright holder shall in any event be held liable to any party for any direct, indirect,

implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use

of this material, which is provided as is, and without warranties.

Any links are for information purposes only and are not warranted for content, accuracy or any other implied

or explicit purpose.

This presentation is copyrighted by Positive Approach to Care and is protected under the US Copyright Act of

1976 and all other applicable international, federal, state and local laws, with ALL rights reserved. No part of

this may be copied, or changed in any format, sold, or used in any way other than what is outlined within this

under any circumstances without express permission from Positive Approach to Care.

Copyright 2017, All Rights Reserved

Teepa Snow and Positive Approach to Care

DISCLAIMER


To learn more about the

information covered in this

educational presentation,

join our email list:

Text TEEPA to 22828

Resources are provided free of charge

Message and data rates may apply to text

41

42

43

For the slides from this presentation, visit · connected, ¼ more connected to a new group ......

Documents

Transcript of For the slides from this presentation, visit · connected, ¼ more connected to a new group ......