Showing posts with label elderly. Show all posts
Showing posts with label elderly. Show all posts

Friday, September 21, 2007

World Alzheimer’s Day

21 Sep 2007, ST

Today is World Alzheimer’s Day. Experts predict a dementia epidemic because the numbers of people with dementia increase with an ageing population. In Singapore, there are about 22,000 affected people, with the number set to increase to 52,600 in 2020 and around 187,000 in 2050.

Are you at risk or do you suspect someone you know of having Alzheimer’s? Early detection is key to treating the condition, so here’s a guide to the main risk factors and signs to watch out for.

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Monday, September 17, 2007

No dying at home - the living aren't ready

16 Sep 2007, ST

By Bertha Henson

MY GRANDMOTHER died at home, surrounded by her children and grandchildren. We wept quietly and prayed silently as we watched her slip away slowly.

It was agonising to watch her, as her pauses in between breaths got longer and longer.

And when she finally breathed her last, all hell broke loose. The weeping became bawling, prayers turned into a chorus of chants.

A relative who is a doctor was asked to certify her death, then undertakers came to take her body away. When she returned in her casket, she looked beautiful.

I would like to think that she had a good death, even as the living found it hard to contain the emotions that filled the house for several days.

The upside for the family: Daily and nightly vigils had bonded the extended family together, long-lost and estranged relatives were contacted, soon-to-be spouses were brought to the death bed.

I don't know if my grandmother registered all the movements around her. But she was conscious enough to acknowledge the presence of other people, even to the point of turning her head away when someone whom she had a long-standing quarrel with was brought before her.

The bad side: It was emotionally and physically draining for everyone. Enough said.

She could have died in hospital, lingering in pain from liver cancer. It was the doctors who suggested that she return home, given her inoperable state. My family never thought it should be otherwise.

That happened more than 30 years ago when, I believe, it was far more common for people to live out their last days in their everyday surroundings. A hospice was practically unheard of. Hospitals were not places to stay, especially the C Class ward my granny was in.

Her dying had a huge impact on me, a little girl who had always slept in the same bedroom as grandma.

I thought then: So this is what dying is like, this is what looking at someone die is like.

Now, only three in 10 people die at home. Most die in hospitals, hooked up to machines and surrounded by uniforms. Or they die in hospices, where their last days are eased by professionals.

No study has been done in Singapore on how people would like their lives to end. But studies in the United Kingdom and Japan, both developed countries, show that most people want to die at home, but few get to.

Singapore shouldn't be too far different.

Is this a case of the living hiding behind the veneer of good intentions to thwart the wishes of the dying?

One reason espoused for the change in place of death is everadvancing medical technology, which offers hope against disease.

Or, to look on the darker side, perhaps, it is an excuse to keep the dying out of our homes and comfort ourselves that they are in professional hands. After all, we can afford it.

Another reason often cited is the inability of the living to cope, what with fewer children to share the job of looking after, say, a dying parent.

Some financial decisions might have to be made. Take leave from work? Hire a full-time nurse? A part-time maid? A foreign maid? A duty roster of relatives?

It can pose heavy financial and emotional stress and force changes to lifestyle.

I would wager though that even in the less well-off days in Singapore, these considerations weighed heavily. But somehow our parents and grandparents took them in their stride.

Why is there an increasing distaste or inability to deal with a death in the house?

Have we got so comfortable with our lives that we would rather not deal with other people's deaths? Maybe we have a lower threshold for pain, unable to cope with diaper-changing, foul smells and plaintive cries.

Maybe we think that the home should be a sanctuary for the living, not the dying; where young children should not have to see the ravages of sickness and only health and good fortune should pervade the house.

Maybe we are not strong enough to withstand the emotional and mental pain of watching someone die.

My father did not die at home or in a hospital or hospice. He died on the Bukit Timah Expressway of a massive heart attack. He went out of the house hale and hearty and returned home in a casket.

If he didn't die, I wonder if I would be able to hold up emotionally looking after him? Or would I take the easy way out and leave him in the care of other people? How much of myself and my lifestyle will I sacrifice for last looks, last words, last blessings?

You know what people say in such circumstances: 'At least he didn't have to suffer.'

I wonder if the honest truth we cannot confront is that we're glad it was the living who didn't have to suffer.


Monday, September 3, 2007

Giving old age teeth

2 Sep 2007, ST

While my life is not predictable, at least, my retirement is purposefully planned, thanks to changes in the CPF

By Cheong Suk-Wai

A CHINWAG with my mother over the phone last Monday revealed that she had developed a bad toothache.

'Better book a slot with your dentist,' I said. 'Toothache is no joke, you know.'

'Ya, I know,' said my Mum, refraining as I did from saying out loud what we both recalled: that her sister-in-law had died suddenly a few Chinese New Years ago from a heart ailment brought on by a toothache she had ignored.

But far be it for my Mum to dwell on a dental dilemma. 'I think I didn't drink enough water yesterday, lah,' said the woman who usually downs 12 cups of water a day.

She added lightly: 'I think once your Dad massages the toe that governs the teeth area, the pain should go away.'

Suspicious of this suspect reflexology, I harangued her into promising she would head for the dentist pronto if all that water-chugging and toe-massaging didn't help.

It's not the dentist she dreads, but the elaborate operation triggered by having to prepare my weakened Dad for a trip to, and from, Penang where the good dentists are.

Don't think I don't feel a heel for having her and my father get along on their own these days, what with my sister being in Kuala Lumpur and me here. Sure, there are good friends and kind relatives on hand to help, but some privations are best kept within the family, for dignity's sake.

Still, life is about making the best of things.

'Eh, after talking to you, the toothache has gone away, lah,' she said by way of a parting shot.

But I went to bed with a sinking feeling, because that chat brought home all too clearly how delicately balanced our lives are, day after day.

My parents and I toodle along on the hopeful assumption that my father, God bless him, will pass on before my mother.

If it was to be the reverse, I would have to drop everything and return to Malaysia for good to take care of him, no questions asked.

What a blessing it is, then, that amid that ever-present uncertainty, my retirement, at least, has been planned purposefully via the Central Provident Fund (CPF), to say nothing of the iron-clad guarantee that my CPF savings will always be parked where they are, thanks to the Government's track record and reputation, and not frittered away or embezzled as sometimes happens in shabbier governments.

And, remembering my mother's anecdotes of greed and excess, I also appreciate some measure of prudent control over my eventual withdrawals, such as having to maintain a minimum sum in my CPF account, rather than frolic like Nero while his country burnt because, let's not forget, there are going to be two hulking casinos here soon, and gamblers aren't usually the best savers.

Of course, the CPF minimum sum in my circumstances means having to tighten the belt consistently on the easier living that one assumes one should enjoy after decades of slog.

But then, isn't being able to live simply the ultimate sophistication?

I REMEMBER years of tea and toast when I began carving out my career 12 years ago, freed from the cossetted comforts of student life.

Already certain from that get-go that I would be working - and loving it - till the day I die (especially with paltry interest rates on cash savings these days), I cheered even more to hear Prime Minister Lee Hsien Loong announce on Aug 12 that the retirement age would now be 67, with new adjustments to CPF withdrawals to take this into account.

Five years ago, I caught up with a peer who worked in Malaysia for a while after graduating from a university overseas, but then found Singapore irresistible pay-wise.

But when I asked him for advice as to how to stretch my CPF kitty, he said: 'You still looking to withdraw your CPF at 55? I've resigned myself to never seeing a cent of it.'

Then, as now, I thought that was a bit much. Nobody can take your CPF away from you, I pointed out, without breaking the law.

He shrugged all this off with a smirk, and said: 'Well, I don't know about you, but I'm looking to pull out of Singapore as soon as possible. Laws can always change, you know.'

'Why chain yourself to a pressure cooker?' he demanded, referring to the competitive climate here.

Last I heard, he is still working here. Perhaps he's seen the flip side of the coin.

As to the proposed compulsory annuity - which would nick a bit off my CPF minimum sum so I can continue to be protected financially after turning 85 - I certainly would prefer that to paying prohibitive taxes now to support the elderly, as is the case in many Western countries.

Still, the CPF changes have augmented new uncertainties for me - and my mother, whom I want to live with me in her dotage.

While the Government would consider me employable if I am still able and competent at 67, it just wouldn't do to allow employers to keep weeding out those over 35 from those under 35, as most do now.

Sure, experience is important, some employers tell me, when I ask them about age discrimination. But what's experience compared to our savings from hiring dime-a-dozen greenhorns?

You could tell them till you are blue in the face things like 'haven't you heard? Sixty is the new 30', but most see elderly workers as wrinkly, set in their ways and a magnet for ailments (never mind if most head honchos of companies can often be described like so - think Jack Welch, Warren Buffett and Li Ka-Shing).

And, as to living past 85, I think I am in a growing majority facing the uphill battle to stay young and fit, even as the continuing spikes in work and life stresses in this speed-silly world take their toll on one and all.

How, then, do we as a society, guarantee for ourselves a better future beyond just a prudent and enabling CPF scheme?

Won't corporate social responsibility - that darling management buzzword - include more compassionate workplace practices, to take the edge off fickle markets and focusing on bottomlines all the time?

Just my two cents' worth, please, and that's the tooth, I mean truth, as I see it.