Thursday, December 27, 2018

Is Your Parent Really Ok?


Eventually you - the child grows up and begins to carve out a life.  You may have a job, fighting to make ends meet or perhaps things are going well for you and your significant other. You check in with your parent(s) with visits or phone calls and within those windows, everything seems fine. 


YOU:                  “Hey Mommy.  Just calling to check in on you.  How was your day?”

MOTHER:         “Oh baby, I went to town today, to get some things for the house and pick up some medication.  I saw a lady that gave me a help out, and I also stopped in at NIS to check on things. I’m alright. Got everything done. How are you Sunshine?

{The conversation continues with general chit chat.}

What the child may not know about the day, are the finite details.  Four buses refused to stop for her, as the grey hair bellowed in the wind, because “Tante, you will slow us down.” Then she continues waiting until she gets a spot within the second row of the bus, as it is the easiest to get into.  While standing in line to pay for groceries her walking stick falls and she cannot bend down to pick it up. She is saved by the kindness of a middle-aged person who takes pity. This senior citizen has shoulder and leg pain and it is a real struggle to lift those heavy bags of groceries onto the bus. It was the truth, she did go to the pharmacy to get medication, but did not end up purchasing it because she had to make a choice between food or medicine and chose food. Typically, the first defense is, she can ask for help.  Maybe she did once and felt embarrassed.  After been ‘in charge’ all your life, handling everything and then to turn around and HAVE TO ASK for assistance can be daunting.

Caring for a parent(s) is a delicate balance.  Not everyone had a great childhood.  In some instances, when the child ‘breaks free’ they do not look back as they move away from the verbal narcissistic, controlling, physically abusive, sexually tormenting, and/or emotionally deprived home.  When this child did return home, hoping for the relationship they always wanted, got burned time and time again and has given up trying.  Others had wonderful childhoods. The home was fully functional, full of love, peace, and present caregivers.  Visits to the home after independence for this child, are filled with smiles, laughter, hugs, shared stories about growing up and plenty kisses.  Based on these variables, no one can dictate to others what they ought to do. However, this Health Perspective is to encourage those with living parents to examine their parents' living condition, economic wellbeing, health care and emotional/mental soundness – as you are able. Or maybe you already are assisting, and the burn out does not allow you to see the new needs.

Here are five tips to consider:
1.      Assess

Invest a full day periodically with your loved one, especially errand days, and observe how they are moving around. Treat it as a Bonding Day.  Be present and help as necessary.  Be mindful, some parents may suddenly change plans, so you won’t be able to ‘see’ them at moments of weakness, nonetheless keep insisting. Also evaluate the cleanliness of the home.  In your estimation, can the parent continue keeping the outside and inside of the house tidy on their own – or do they now need help. Pop up visits work best for that, otherwise the parent may overexert themselves to clean before your arrival. Another point to consider is the parent expressing concern about living alone.  Will an aid at night make them comfortable, can children take shifts spending the night or can siblings rotate taking the loved one in for a year each – as a suggestion.  As Elder Abuse is a real thing, do inquire/observe if the parent seems uncomfortable with that family member who is currently living with them.
2.      Ask

Some persons are 100% reliant on their pension plans.  For many it is not enough to meet monthly expenses.  Write out all of the medical expenses, groceries, utility, medication and so forth that are required a month.  Then compare that total with their pension income.  Similarly ask the person, what can you do that would help them out a bit.
3.       Have a family meeting with siblings

Once it has been determined the new needs of your parent, have a meeting apart from the parent to discuss what you have learned with siblings or family members who can pitch in.  The parent does not need to privy to arguments or frank conversations about who can do what and for how long. Assistance can range from scheduled visits, one person committing to paying for medication, another utility, another food.  Or perhaps everyone agrees to provide a set amount every month, so the parent is no longer secretly stressed.

After everything has been ironed out, have another meeting, this time with parent present and share what everyone will be doing moving forward. Share this innovation in a manner that will be received as, “It is being done as general love, care, concern and a willingness to just be helpful.” Ignore their efforts to refuse assistance as you would have already assessed and discussed the situation.
4.      Reassess Monthly

Check in with those who made commitments and ensure that they can continue or if a reshuffling of responsibilities is needed.  This is an important point to consider because sometimes life happens and people’s responsibilities or obligations change.  If an obligation can not longer be met, that information must be discussed apart from the parent, with the core group, to come up with how it can be met.  If the parent is told, they may feel obligated to ‘cover’ for the person and others may be oblivious to break down in commitment.

These are just suggestions, with the hopes it can begin an important conversation as it relates to senior care.  The goal is simply to ensure that your parent is indeed ‘ok.’


Photo: Lifehacker.com
 Any excerpt or part of this article must be used with the permission of the author


Thursday, November 2, 2017

Official Statement: Grenada Diabetes Association (Diabetes Month)



GRENADA DIABETES ASSOCIATION
NOVEMBER 2017
DIABETES AWARENESS MONTH
STATEMENT


November is recognized as Diabetes Awareness Month.  For 2017, the Grenada Diabetes Association (GDA) with its Branches have planned several activities throughout the Tri island state.  For Grenada, the goal is to raise awareness of this disease and provide support to those impacted by it.

Activities organized by GDA for the month of November include: church services; health screenings; nutrition and diabetes management educational talks; distribution of educational materials (with the assistance of the Ministry of Education) throughout the school systems, appropriate for teachers to have a better understanding of Type 1 and Type 2 diabetes; social media campaign strategies; and encouraging the public to wear blue every Friday during the month to help raise awareness.

The IDF produces a theme for each year’s celebration. The theme for 2017 is, Women and Diabetes – Our Right To A Healthy Future.  Three key messages about diabetes as it relates to women are highlighted in this year’s campaign:

All women with diabetes require affordable and equitable access to care and education, to better manage their diabetes and improve health outcomes.
Pregnant women require improved access to screening, care and education to achieve positive health outcomes for mother and child.

Women and girls are key agents in the adoption of healthy lifestyles to improve the health and wellbeing of future generations.

According to IDF:
·        There are currently over 199 million women living with diabetes. This total is projected to increase to 313 million by 2040.
·        Diabetes is the ninth leading cause of death in women globally, causing 2.1 million deaths per year.

In Grenada 10 percent of the adult population are living with diabetes some of which have complications including: kidney disease, eyes complications, strokes, heart disease, nerve damage, foot problems including amputations, impotence, skin conditions, depression and pregnancy related conditions.

Up to 70% of cases of type 2 diabetes could be prevented through the adoption of a healthy lifestyle. By focusing on women and empowering them to adopt healthy lifestyles it is hoped that their influence in the home and community would have a positive impact on the lives of their children, husbands and significant others. So, even while empowering our women our concerns are still very much with our men and children. 

One important goal of GDA’s Executive is to increase activism within its respective Branches.  Each parish has a team of persons who organize monthly meetings and outreach efforts.  If you would like to become active within the GDA’s Branch in your parish, or learn more about GDA’s efforts call 440-0888 or LIKE GDA’s Facebook page.

Tuesday, October 24, 2017

100% Goes To Grenada Cancer Society




To address the need for more education and to assist patients with their cancer treatment, Project Blue has launched a fund raiser of which 100% of the proceeds will go to the Grenada Cancer Society.  

Project Blue is a new cancer education fundraising organization that was launched in August.  The focus of this year’s initiative is colon and prostate cancer awareness. The local leader for the organization Rhema Lewis is encouraging the public to purchase t-shirt and to wear them on Friday November 10, 2017. “Blue Friday, is beyond wearing a t-shirt, it is a way to support those who may feel that they are in this battle for their lives alone,” said Lewis.

In a recent video with Now Grenada, Senior Medical Officer for the Ministry of Health Dr. Francis Martin, stated that the upward trend of cancer cases is now more than before in Grenada. “Over the last decade or so, we recognize that incidences of cancer are increasing almost yearly,” said Dr. Martin. Within the video, data shows that prostate cancer is the leading cause of death in Grenadian men.

President of the Grenada Cancer Society - Dr. Barrymore Mc Barnette says the funds will be welcomed, “Funds are always welcome, because of the high cost of cancer treatment and the great need for public education.”

The November 10, 2017 Blue Friday t-shirts are on sale for $25 and can be ordered at projectbluegrenada@gmail.com or call the Grenada Cancer Society at 473-435-9869

Wednesday, August 9, 2017

Grenada Diabetes Association: Election Results



Grenada Diabetes Association: Election Results 

(St. George’s, GRENADA, August 8, 2017) –  The Grenada Diabetes Association held elections on Wednesday July 5, 2017.  The new members of the Executive are: Dr. Alister Antoine (MD) - President; Ms. Roslyn A, Douglas, MA – Vice President; Mrs. Antonia Sandy Antoine - Secretary; Dr. Roger Radix (MD) - Treasurer; and Mr. Alexis Simon – Public Relations Officer. 

Strengthening the Association and building on the foundation laid is the priority for this Executive.  Since elections the Executives have been meeting to draft a strategic plan, and review the 35-year-old Association’s Constitution and By Laws.  It is their goal to provide more support to GDA’s branches, namely: St. George, St. David, St. Andrew, St. Patrick, St. John/St. Mark and Carriacou & Petite Matinique; stabilize its central office; consider SMART initiatives that will assist with the dissemination of relevant and accurate information regarding diabetes; and establish additional relationships with local and international partners, governmental and non-governmental.

The new executive of the Association recognizes the years of selfless service and dedication of past and present members, including Former President Nurse Rosalind Alexis. Nurse Alexis has provided exemplary service in health care especially in Chronic Disease Management, throughout her entire nursing profession. Alexis has also been: a mentor to youths; an advocate to the elderly and under privileged; and offered humanitarian services to a broad section of the community, in a caring and nurtured manner.  As it relates to GDA Nurse Alexis has orchestrated several educational sessions, health services and campaigns promoting the prevention and control of diabetes in Grenada. Although she has stepped down from leadership, she remains committed to GDA. 

Diabetes can be largely a self-management disease. Patients are responsible for their own care in between doctor visits.  That responsibility over time can not only be challenging but also discouraging, especially if there is no family or emotional support.  In 2011, the Ministry of Health conducted a step survey which showed that 10% of the adult population (25-64) were living with diabetes. That percentage could be even larger now. The Ministry of Health recently reported that patients with uncontrolled diabetes coupled with hypertension or another non-communicable disease often stay in the hospital on average six days costing the government approximately $4,000 per patient to treat. It is the intention of GDA’s new Executive to provide gap services for patients in between doctor visits in areas of prevention and control of diabetes, to compliment the efforts of local health services.
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The Grenada Diabetes Association (GDA) is a Non-Governmental Organization which seeks to further the acquisition and dissemination of relevant and accurate information regarding diabetes mellitus. GDA facilitates these aims and objectives by undertaking activities that will improve the physical and socio-economic welfare of persons affected by this disorder. For more information contact 473-440-0888 or email diabetesresourcecenter@gmail.com