How did we become such a burden!

(Unraveling the demographic and economic clash.)

Everyone agrees there are a lot more older people around these days because they are all living longer.  Trouble is they are also a lot frailer which is why they are costing so much more to look after.  How did this creep up on us?  Like a Tsunami you don’t know its coming until  – one day BAM!

But hold on – demographic changes don’t happen suddenly, they are born over decades, centuries even.

The Victorians have a lot to answer for; they sowed the first seeds of today’s longevity – out of the era of dark satanic mills when people worked themselves into an early grave.  Additionally in the 19th Century major epidemics like cholera and typhoid played a significant part in killing off large numbers of the population, especially children.  From this hell hole of early death came major social reforms in employment and very big improvements in sanitation and public health.

However before these things could really make a difference the First World War intervened and culled a generation of young men.  Out of the carnage of the trenches, advances in medical care were born and in the post war period infant mortality also reduced.  Longevity was on the increase but would take many more years to be noticed.  The second world war obscured this understanding but in its aftermath it created an urgent enthusiasm for social reform to deal with the inequalities of the past, from which there was no turning back.

Beverages welfare reforms created expectations of universal rights for the home-coming heroes and their families to survive and thrive.  Then Nye Bevan set out to erase the inequalities of the health care system by founding the NHS – a safety net free for all.

This raised everyone’s eyes to the prospect of a longer, healthier and wealthier life.  The untimely deaths of the Victorian era were banished to history and the dire poverty of the interwar depression were forgotten.

Today’s generation of grannies and granddads have memories of that period they prefer to forget but a dangerous seed was sown in the minds of the baby boomers born after the second world war.  A something for nothing mentality in a new generation of all hope and expectation but little sense of history.  Indeed, they were not taught modern history, rather they learned about Britain’s great past – the all conquering, all consuming British empire.  A rose-tinted view of global domination and exploitation, at a time of 1851 – innovation and cultural enlightenment.  The more relevant recent past of the 20th century where there were important lessons to be learned, was too tragic and raw to discuss, so we left it out!

So now our young people live life in the fast paced space age generation leaving behind the baby boomers to enter retirement and boldly go where no man (or woman) has gone before.  In an era of longer lives, huge expectations and few resources to cover the cost of old age, we are left with the question

“How did we all get to be so old and so frail so suddenly”

Posted in ELDERLY UK POLICY | Tagged | 1 Comment

Happiness and Healthiness are Linked!

What a surprise!  More money being spent to prove something that Grannies’ common sense could tell you for nothing.

Yet another research study in America, at the University of Kentucky – this time by sticking needles into students – not old people thank goodness.  The results suggest that staying positive helps boost the immune system and keeps you healthy.  The study took a year to establish that more optimistic people had stronger immune systems and could therefore be less susceptible to viral infections.

Blindingly obvious and common sense the results may be, nonetheless, they are important. So often our social policies lead older people into unhappy lifestyles and then we wonder why so many suffer them so much ill health.

We surround the elderly with negative images of growing old, retire them to a life of inactivity and daytime TV.  Constantly tell them they are a burden on society.  Hardly surprising then that so many older people succumb to this pessimistic outlook on life and present themselves at their GP’s surgery, or worse still, end up occupying one of the almost two thirds of all hospital beds that are taken up by older people.

The implication of this little research exercise could be far reaching if taken seriously and acted upon in the development of future social policy for older people.

Reduction in GP visits would save £000’s in the drugs prescribed just to make you feel better.

Reduction in hospital stays might follow if you had something to look forward to when you get out.  This could save £000,000’s.

Encourage older people to continue working part-time.  Their more positive outlook on life will help their employer and improve the older person’s health.

A small amount of money invested in promoting positive approaches to ageing could lead of massive dividends in terms of healthier lifestyles for older people.  This would also free up hospital beds and hours of GP time with significant financial saving to the NHS.

Can it be that simple ?

Granny used to think so.

Posted in HEALTH | Tagged | 1 Comment

Lucy died today

I assisted Lucy to die today.  Although she could not tell me her wishes at the end, I thought I had to be cruel to be kind.  She had been a valued member of our family for 20 years, and wonderfully affectionate for so long.  In the last nine months of her long life, she had become very arthritic and her mobility was limited to staying around the house.  She hid away and slept most of the time, lost her appetite and didn’t look after her appearance they way she used to.  Her status as the grand old lady of the house created some jealousy among the other residents.  It brings a lump to my throat as I write this but today she seemed to have a minor stroke and we found her walking around in circles looking lost and confused. Out of kindness we had her put down.  It was quick and I stayed with her until the end.  Now she is home again and buried in the garden she loved.

Twenty years is a long life for a cat, but how much more complicated this chapter of her life would have been if she were human.

The same day I read an article in the Times about Debbie Purdy, the lady with Multiple Sclerosis who wants to know that her husband would be free from prosecution if he helped end her life, at some point in the future when she was too frail to do it by herself.

As a sufferer from MS, I found it difficult to read about Debbie’s case, it was easier not to think about it than to confront the issue head on.  Debbie must have thought that too, especially when so many people found it easy to pronounce on the matter with great self-righteousness.  Life looks simpler from the lofty pedestal of good health.

Debbie and her husband are young enough not to have raised their heads above this parapet of taboo’s about assisted suicide.  So what a brave decision it was to talk about an issue which usually only has meaning when its too late to talk.  Yet really the only time to confront it is when it must be painful in your heart to do it.  That’s real bravery.

The parallel with Lucy is not a trivial one.  It had crossed our minds months ago to have her ‘put to sleep” but we hung on to her life because she was precious to us and because deciding to end her life was not easy.  She could not tell us her wishes nor could she choose when to die.  When the decision was made there was no-one to judge us but ourselves and no-one questioning our right to do it.  “Being cruel to be kind” were the only words of condolence.

If we can be kind to cats shouldn’t we, with appropriate safeguards, be able to extend this kindness to humans.  As medical advances allow us to prolong life, isn’t it time we had a much more open discussion about living wills ?

God Bless you Lucy and thank you Debbie for the courage to think ahead.

Posted in ELDERLY UK POLICY | 1 Comment

Lest we forget

Dementia is an illness which through its actions society most wants to forget.  The forgotten army are the hundreds of thousands of carers, usually spouses or devoted daughters desperately holding on to a loved-one who is slowly disappearing before their eyes.  They receive little help or understanding and indeed may well disguise what is happening for fear of embarrassing their husband, wife, mother or father.  Until the burden becomes too great or their own health suffers and they are no longer able to cope.

The scale of this unfolding tragedy is seldom spoken about because the reality of the numbers is overwhelming and society’s response is so inadequate.  There is no cure and few therapies are available.  Nonetheless, this is all the more reason to encourage an open discussion and to seek more research into both a cure and more positive treatment.

A study by Oxford University at least provides some of the facts:-

35 million people worldwide have been diagonosed with dementia.

822,000 people in Britain are believed to have dementia.

60% of British sufferers have Alzheimer’s Disease.

Only 31% are being treated by the NHS.

37% are in long term care.

14% of women aged 80-84 have dementia

36% of women aged 95-99 have dementia

Two thirds of sufferers are not receiving any treatment for the disease from the Health Service.

THESE FIGURES ARE ASTOUNDING !

Let’s look at the estimated costs:-

£27,646 is the annual cost of each dementia patient.

£1.2 billion is spent on dementia by the NHS.

£9 billion is the Social Services’ cost.

£12.4 billion is the value of unpaid carers (relatives)

£23 billion is the total annual cost of dementia care.

–   this is twice the cost of cancer care

–   and three times the cost of heart disease

Now the real travesty and why I say this is a forgotten problem.  As a society we spend just £61 on research for each person with dementia.  A total of £50 million a year on research, which sounds a lot until you realise that £590 million is spent annually on cancer research.

We can no longer hide this issue under the carpet.  Our ageing population is only going to significantly increase the problem.

Time for a radical re-think, don’t you think ?

Posted in Dementia, HEALTH | Tagged | 2 Comments