“Pelican Crossings are too fast for the elderly”

The Government will shortly be introducing athletics training for old people in the run-up to the next Olympic Games.  It is not that they expect many people to compete in Rio de Janeiro  in 2016 – the Department of Transport just wants old people to cross the road faster!

A study by Age UK and the International Longevity Centre, found that many older people walk at less than one metre per second.   However, the Department of Transport assumes that the little green man on pelican crossings walks at 1.2 metres per second. OOPS!!

This road crossing standard was set in 1950 when there was slower traffic and faster old people around.  Now it appears that old people are not just blocking NHS beds, they are clogging up the road system as well.

The Prime Minister has announced that this situation can’t continue and a compulsory national “Speed Up At 60” training programme will be launched in an effort to keep the traffic moving.  In future all older people over 60 will be subjected to a walking test every year and those that don’t pass will be banned from crossing roads.  The Government thinks this will significantly reduce the number of accidents and improve congestion in our cities.  It is also anticipated that the increased exercise will reduce hospital admissions.  This would seem to be a win, win situation for everyone, especially the little green man.

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Posted in SMILES | 3 Comments

“Same Old, Same Old – Death’s Door”

Before I had even concluded my last blog on the recurring headlines about assisted suicide, a host of new headlines on the same subject appear:-

“Dying without dignity” – Daily Mail – 20th May 2015

“The dam is about to burst on the right to die” – The Times – 28th May 2015

As the population of older people increases and ill-health and frailty overwhelms the NHS and Social Services, clearly this issue won’t go away.

The first headline covers a report by the Parliamentary Health Ombudsman on the appalling end of life care in the NHS.  This follows the extended discussion about the use of the “Liverpool Pathway” which appears to have changed very little for the better.  Obviously the NHS does not handle death very well, hence the wish of most people to die at home.

The second headline was prompted by yet another Dignitas Death in Switzerland. A thoughtful review by Times journalist, David Aronovitch, of the slow but inexorable progress of Lord Falconer’s assisted dying bill.

These two issues are closely and uncomfortably related.  The NHS’s inability to cope with overwhelming numbers of older people who may have complex health needs but are NOT terminally ill.  Coupled with politicians oversimplifying and misunderstanding the issues of later life and muddying the waters of morality and expediency.

This is one subject where I can’t see how you can turn a “Grumble” about assisted suicide into a “Smile”.

When you link these two issues together you have a fatal cocktail which will hasten many more older people who have been constantly reminded they are “old, past-it and useless”, to take the final step through :-

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“Same Old, Same Old – Hastened Departure”

This is another blog about recurring headlines that are ageist and continue to build the image of old people as a burden on society.  It is on the subject of assisted suicide which rather ominously I have written about 13 times in the last few years.  (See my earlier posts by clicking on Assisted Suicide in the TAG CLOUD).

The latest such headline was front page in the Daily Mail – 27th April 2015.

“Over 75? sign here if you’re ready for death”.

It was commenting on new NHS guidance to GP’s suggesting they draw up end-of-life plans for over 75’s and then asking them in advance of any life threatening illness if they want a “do not resuscitate” notice above their heads.

It dovetails neatly into a careless NHS that denies treatments to older patients.  It also simplifies the path to take us a step closer to assisted suicide with no recriminations.

A “Doctor Harold Shipman” recipe for later life care.

This brutal message to those over 75 is entirely inconsistent with the compassionate approach to end-of-life care we would all hope to receive.

We should be celebrating longevity, not bemoaning the additional burden it places on society.  GPs need to give advice to older people on living better lives, not dying better deaths.

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“Same Old, Same Old – Loneliness”

Here is another theme from the “Repetitive News Headlines” about older people in the news over the last 12 months.  (Click in the TAG CLOUD on “Same Old Same Old” for other posts on the theme).

Loneliness and isolation has been a frequent subject in my blogs:-

  • A quarter of those over 75 who live alone, go whole days without any human contact;
  • Half of all pensioners say TV or their pet is their main source of company;
  • The link between loneliness and ill-health is well established;
  • Social isolation is more damaging than not exercising and twice as harmful as obesity;
  • Loneliness increases the risk of depression and raises the odds of developing dementia by two-thirds.

Report after report reiterates these findings.  Meanwhile, Local Authorities have been forced to close day centres and subsidised public transport has been gradually reduced.  Short term austerity measures have a high cost in human terms but eventually lead to higher costs to the NHS.

Action is required, not more reports and newspaper headlines.   The voluntary sector needs to be better funded to enable more elderly people to get out and about and socialise.

This could be a new daytime role for the many struggling pubs at lunchtime.    It already happens on a small informal scale.    It needs to be stepped up to a whole new level.

             How about ——-   Pubs as communication hubs :-).

Many pubs have “happy hours” to entice early evening customers after their working day by offering cheap drinks.    Why not have a similar “age-friendly seniors happy hour” every afternoon and encourage older people to get together in their local pub.    Activities could be supported by offering health advice talks;  education classes run by the University of the Third Age and games and quizzes to refresh the ageing brain.    GPs could offer red wine on prescription – for health reasons of course – all those anti-oxidants :-).

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I appreciate pubs have to run on commercial lines but an influx of new customers in the afternoon would not only bring in new business, but could be partly subsidised by the health service to cover the costs of the use of their facilities.    This would require bold and innovative new thinking by the NHS, but it would be a positive response to the fact that there is a strong correlation between social isolation and loneliness with ill health.

Maybe Age UK could see this as a new line of business 🙂 a new chain of age-friendly pubs building a social network for older people.    Easy access for wheelchairs throughout – especially to the toilets.    Sufficient space between tables for wheelchairs.    Waiter/waitress service to your table so you don’t have to carry your own and other people’s drinks.    Large print menus and small portion meals.    These are not major changes that require significant investment, but they do require a more open and age-friendly approach to the everyday needs of older people.

Next we could to go on and apply this approach everywhere else so that old people feel welcome everywhere they go:-

Personal shoppers for people who can’t get out;

Shops that offer home delivery for old people, free of charge;

Supermarkets with age-friendly check-out lanes exclusively for old people;

Schools that invite older people in to act as teaching assistants, 1-1 pupil helpers, living historians;

Mobility scooter lanes on all inner city roads and charging points at convenient locations in every town.

Banks with real people behind the counter to answer your requests, rather than automated computers.

It is not much to ask !  Most of these services could be provided free of charge in an “age-friendly” city in recognition of the contribution older people have made to society over the years, but also in respect of the fact that older people in later life can continue to offer much to society as volunteers.    The other effect of this greater engagement of older people is likely to be a positive impact it has on their lives and the beneficial reduction in their health care needs.

 

Posted in ELDERLY UK POLICY | Tagged | 2 Comments

“Same Old, Same Old – Technology Age Gap”

This is a follow-up to the last blog – “Repetitive News Headlines” and picks up on the theme of how the introduction of new technology is moving faster than older people’s’ ability to keep up.  (Click in the TAG CLOUD on “Same Old Same Old” for other posts on the theme).

The first three of my recent headlines are early signs how older people can be disempowered and marginalised.

The ending of cash payments on buses in London may only seem like a small step, one in which will be easily understood by most Londoners and certainly by London pensioners who all travel for free with concessionary tickets.  But what if the concession is withdrawn as the austerity belt tightens in the future?  Then all older people will need to figure out what an “oyster card” is and learn to jump on buses quickly :-(.

The second step towards disempowering older people is the move to digitize Government services by making them a predominantly on-line service.  Cabinet Office Minister, Francis Maude, tells us “it will be good for us and that everything can be delivered on time.”  Conveniently overlooking the fact that more than 5 million pensioners have never been on-line.  I doubt these arrogant age-unfriendly politicians will dare introduce exclusive on-line voting, in case they lose the grey vote.

The third headline compared the different levels of use of new technology between age groups.  A study by Ofcom, the communications watchdog, unsurprisingly found that teenagers are the most confident group with technology.  Many youngsters have never known a world without Facebook, YouTube and Twitter, whilst at the same time many older people still are not using emails and social media.

There is a communication divide opening up between the young and the old, not just the technology but a language barrier of tweets, blogs, instagrams, texts and even Oyster Cards.  Only one-third of people over 55 own a tablet.  Less than 15% of over 65’s own a Smart Phone, whereas almost 90% of 16 – 24 year olds do.

These observations are not a rant against technology, just a plea for a more inclusive transition.  It is not older people who have to get to grips with technology, it’s technology that has to adjust to the needs of older people!  Many older people struggle with the pace of change and resign themselves to being left behind.  Those with mental frailty, such as Alzheimer’s or with visual or hearing impairment, have major problems comprehending new technology.  However, the technology has the potential to hugely enrich their lives and assist with their frailty.

The new technologies need to embrace and adapt to older people, not exclude them.  Technology companies should look at things through the eyes of older people when designing new products for them.  The first TVs just had an “on, off” button with sound and brightness controls.  They were no more complex than that.  There weren’t even extra channels to contend with.  We need to get back to that level of simplicity for many of the older, elderly generation.  Touchscreen technology may be a step in the right direction but the limited dexterity of older hands doesn’t always find this easy.  Voice activated computers are maybe the next step, but making that first step needs a guiding hand.  If we can once start people on the journey, there is a whole new world in front of them to explore from their living room.

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“Same Old, Same Old – Repetitive News Headlines”

I used to follow the news avidly to keep me in touch with the ever-changing world.  I don’t do it so keenly now because standing back in retirement the news doesn’t seem to change that much.  The 24-hour news reporting produces an endless stream of stories that are repeated over and over.

You have to stand right back to get any sense of the direction of change.  So below are some headlines from the last 12 months, related to older people.  They are listed in random order:

“End of cash fares on buses”

“OAPs’ anger at plan to make official forms online only”

“Are you baffled by technology, ask a six-year-old”

“Dementia diagnoses soars by 60%”

“Common drugs linked to dementia”

“Cutting back on fry-ups reduces risk of dementia”

“Crisis in elderly care means millions face miserable old age”

“Elderly who go days without seeing anyone”

“Half of us not saving enough for retirement”

“Appalling level of care at home for elderly revealed”

“Lives of care home residents put at risk through lack of water”

“Fears over assisted suicide laws, by top judge”

“Old people auctioned off to care homes on internet”

“Cheers to retirement”

A host of  headlines which echo the same themes on the issues of later life.  Sadly, only one of them with a positive message.  All the rest expressing doubts and fears about the quality of social care, the inadequacy of health services for the elderly and the increasing marginalisation of the elderly in terms of advances in technology.  Add to this concerns about their financial security, loneliness and the approaching slippery slope of assisted suicide.

It’s no wonder that old age and old people are increasingly seen as a burden not a blessing.  What’s more if we tell them frequently enough, they will inevitably begin to believe it themselves.  The headlines are, no doubt, an accurate reflection of the way our society is moving but it’s a terrible indictment of the age we live in.

How do we turn these Grumbles into Smiles?

I will explore this in a series of blogs that dig a little deeper into what’s behind these headlines.

Posted in ELDERLY UK POLICY | Tagged | 2 Comments

“Fruit, fruit and more fruit”

Another regular cartoon theme that I have been writing about, is the virtues of eating fruit.  Government advice started with the recommendation of eating 5 a day which is impossible enough.  More recently this has been increased to 7 a day! 

I’m not sure that anyone manages to follow this advice.

The cartoons included in the gallery are listed below and can be found by clicking on the dates in the archive.  

“Eat more fruit and veg 2” – 22 June 2014 – Beans, beans and more beans

“Eat more fruit and veg 1” – 15 June 2014 – Seven a day

“Eat more fruit and veg 5 – 13 July 2014 – Broccoli is trending

“Eat more fruit and veg 3” – 29 June 2014 – Tomatoes, tomatoes and more tomatoes

“Eat more fruit and veg 4” – 6 July 2014 – Bananas

“Eat more fruit and veg 8” – 3 August 2014 – Onions lower blood pressure

“Eat more fruit and veg 9” – 10 August 2014 – Vegetable crisps don’t count

“Eat more fruit and veg 6” – 20 July 2014 – Carrots are good for you and rabbits

“Eat more fruit and veg 11” – 24 August 2014 – Just eat vegetables

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The key question arising from all this advice is that if its healthy benefits are so obvious “why don’t people follow it”?

Maybe it’s because eating fruit doesn’t satisfy your appetite. 

 

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Fruity Research and Rainbows

Another regular cartoon theme that I have been writing about, relates to research discoveries that help with the ravages of ageing.  Surprising potential cures for dementia, diabetes and strokes are all something I have written about in the last three years.

The cartoons included in the gallery are listed below and can be found by clicking on the dates in the archive.  

“Fruitful Research 7” – 24th March 2013 – Tomatoes cure heart disease

“Fruitful Research” – 11th January 2011 – Strawberries protect ageing brains

“Fruitful Research 2” – 23rd January 2011 – Beetroot juice prevents dementia

“Fruitful Research 3” – 30th January 2011 – Orange juice reduces blood pressure

“Fruit Juice Hopes Squashed” – 3rd July 2011 – Fruits juices’ hidden dangers

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There’s no guarantee that any of them work of course :-(!  Nonetheless they do give hope to many older people and keep them endlessly chasing the rainbow’s end of later life.

The only other thing they guarantee is that they keep universities occupied with a constant stream of research projects.

Posted in HEALTH | Tagged , | 3 Comments

“No more pills”

This is the 500th post since I first started writing this blog in 2010.  Obviously now with my thousands of followers, my writing has become much more influential.  Nothing bears this out more than over the last two weeks.  At the beginning of this month I wrote a summary of all my posts on “Pills”, which has been a recurring theme over the last five years.  (Click on “Pills” in the TAG CLOUD to read them all again.)

Judging by recent headlines and articles in several newspapers, it seems as though a number of journalists and a host of doctors are finally thinking the same way about excessive use of pills.  Or maybe, in this flight of fancy they have been up in the clouds reading my blog :-).

The front page of The Times, May the 13th, heralded this new revelation with a headline:-

“Doctors urged to stop giving out so many useless treatments.”

The report was commenting on an article in the British Medical Journal by no less than an authority than Professor Dame Sue Bailey, the President of the Academy of Medical Royal Colleges. ??? Didn’t she win the X Factor three years ago ???

She pointed out that “far too many risky drugs and operations do not improve patients’ lives”.  This is a bold statement that is hardly likely to endear her to many of Britain’s 220,000 doctors, nor to the drug companies who make so much money out of pills, whether they work or not.  Patients’ high expectations of a cure are clearly a large part of the problem and Dame Sue suggests a new catchphrase for all clinicians:-

“Look, there is absolutely no point in having this”.

That is guaranteed to go down well with the patients!

At least the Chancellor of the Exchequer will be pleased with this new advice.  The Academy estimates that needless tests and treatments cost the NHS £2billion a year!

So, no cure at least helps cure austerity.

 

Posted in HEALTH | Tagged | 3 Comments

Smallprint loses trust

Another common theme that I have been writing about regularly since 2010 is the subject of “small print”.

This might seem like a relatively significant issue.   However a very high proportion of older people wear glasses and over 50% of them have some level of visual impairment.   As a consequence small print is a subtle way of disempowering older people.  It may not be intentional ageism, but it nonetheless makes life a little more difficult in completing many everyday activities.  Gradually older people become more marginalised and less independent.

As the grey market is ignored, as products are only available on the internet and as issues like the difficulty of reading small print, mean things are difficult to find, older people are gradually excluded from many activities of daily living.

The cartoons included in the gallery are listed below and can be found by clicking on the dates in the archive.  

Breakfast Exercise – 6th September 2010

Spectacle Wipes – 7th November 2010

Breakfast Exercise 3 – 20th February 2011

Breakfast Exercise 5 – 27th March 2011

Coke No Joke – 29th January 2012

I Spy Small Print – 7th November 2010

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These cartoons are about a less accessible world.  More and more products are difficult for old people to open.  Much of the helpful advice printed on packaging is in such small print as to be unreadable.  It only fulfils the company’s legal obligations but is certainly not “age friendly”.  This only serves to remind older people of their increasing frailty.

This blind ageism may not be deliberate but it is definitely inconsiderate.

In some circumstances, a more cynical person might say that it was intended to exploit the weaknesses of older people.

These are all signs of “times past” and values lost, when trust and personal service were a key to retaining repeat business.

The times when people and products could always be trusted, have now been replaced by:-

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Posted in Grey Products | Tagged | 2 Comments