VOLUME 103 MARCH 2003

Welcome to our Appetite For Life’s New Chairperson Senior of the Year Honourable Jane Purves, Minister of Health Harold T. Shea Chair of the Senior Citizens’ Secretariat Harold Shea was reluctant to accept the honour Ms. Purves graduated of Citizen of the Year. In typical fashion, he from Dalhousie consented only because it would help Northwood, University with a an organization he has been closely associated Bachelor of Arts with since 1977. Yet, looking back on a lifetime Degree and went on to of service to both country and community, become the managing Harold fits easily into the company of past editor of the Halifax winners including Hedley Ivany, Connie Wenaus, Chronicle Herald. She Edmund Morris and Dr. Fred MacKinnon. also worked as news editor and reporter. Born in Halifax on July 20, 1923 to Harold and Longtime board Mary Elizabeth Shea, his life took a dramatic turn member of the with the announcement that Canada was at war. Canadian Press, At age 16, Harold interrupted his education at former member of the St. Patrick’s Boys’ High School and enlisted with board of governors for the Canadian Army. In 1941, he transferred to the National the Royal Canadian Air Force and was assigned Newspaper Awards, former president of the to the 428 Ghost Squadron of Six Group Canadian Managing Editors Conference, and Bomber Command. former board member of the Halifax Herald Ltd. Harold participated in various missions with She was first elected to the legislature July 1999 both the RCAF and RAF in the European and until this recent appointment served as the Theatre, receiving the Mention in Despatches Minister of Education. Citation in April 1945. In May 1945, after VE Day, he and his crew volunteered for the Pacific We welcome Minister Purves to her new Theatre and were assigned to a newly formed responsibilities and look forward to working Tiger Force Squadron to train for attacks on with her in strengthening services to seniors Japanese targets. However, hostilities ended and planning for a rapidly increasing aging before their training was completed. population. Harold returned to Halifax, and on October 10, 1945, joined the Halifax Herald as a proofreader and part-time junior reporter. Thus began a newspaper career that spanned over 50 years. He’s covered everything from municipal and provincial politics to business and economics.

36 1 He’s been city and provincial editor, editorial writer, parliamentary correspondent, managing How To Be Somebody The best things in life editor and Canadian Affairs editor. From 1970 • Talk health, happiness, and prosperity • Best way to live life to 1977, he was special correspondent on the to every person you meet. Do as much good as possible and United Nations Law of the Sea Conferences in try not to get caught. Geneva, New York and Caracas. In 1977, he was • Make all your friends feel there is appointed Editor-in-Chief, vice-president of the something special in them. • Best friend company and member of the Herald’s Board of Secretariat Newsletter One who walks in when everyone Directors. Herald Shea continued to write a • Think only of the best, work only for else walks out. national affairs column on a daily basis until he the best, and expect only the best. The Secretariat Newsletter is published retired at the age of 60 in 1983. • Best education That wasn’t the end of his career, however. four times a year by the Senior Citizens’ • Be as enthusiastic about the success of Learning the art and science of “Coaxed” out of retirement, Herald continued to Secretariat and distributed free of charge. others as you are about your own. what it means to be a warm, loving, and caring human being. write a regular column for the paper for a further We welcome letters, articles, and items of • Forget the mistakes of the past and press 12 years. At the same time, he became executive on to the greater achievements of the future. secretary of the Atlantic Provinces Daily interest from you. Please include your • Best physicians Dr. Diet, Dr. Quiet, and Dr. Merrymaker. Newspaper Press Council, established his own name, address, and telephone number on • Give everyone a smile. news and editorial company and wrote regularly all correspondence. • Best medicines • Spend so much time improving yourself Cheerfulness and temperance. for a number of magazines and other publications. The Senior Citizens’ Secretariat was that you have no time left to criticize others. And to take ourselves with a grain of salt. His contributions to journalism as a writer, established in 1980 to facilitate the editor, member of the Canadian Press and the • Be too big for worry and too noble for anger. • Best leader Parliamentary Press Gallery were recognized by planning and development of services One who reveals humility without St. Mary’s University with an Honourary Degree and programs for seniors by coordinating Source: Christian D. Larsen, Creed for Optimists timidity, competence without arrogance, authority without authoritarianism. of Doctor of Literature in 1984. Harold continues plans, policies, and programs presented to explore opportunities in the field. He now specializes in writing about seniors and veterans by the departments of the provincial • Best husband One who does not expect a perfect wife. and is editor of The Torch, a newspaper of the government. The Secretariat serves as a Nova Scotia/Nunavut Command of the Royal Canadian Legion. one-door entry to government for seniors, Make A Difference • Best wife One who does not expect a perfect husband. Retirement did not translate into inactivity. seniors’ groups, and other provincial In Maine they tell of an old man walking along Harold channeled his efforts into community bodies concerned with ageing issues. the beach with his grandson, who picked up • Best war service. In 1983, he accepted an invitation from The Secretariat develops plans, policies, each starfish they passed and threw it back Against one's own weaknesses. Dr. Fred MacKinnon, Director of the Senior into the sea. Citizens’ Secretariat, to work on a study to and programs in partnership with other • Best music determine the need for establishing Home Care levels of government and agencies “If I left them up here,” the boy said, “they Laughter. Nova Scotia. It began a 15-year career as a would dry up and die. I'm saving their lives.” responsible for seniors. volunteer focusing on seniors’ issues. He was “But,” protested the old man, “the beach goes Dr. Dale E. Turner a Liaison Officer between the Secretariat and The Secretariat’s office is located at on for miles, and there are millions of starfish. Senior Citizens’ organizations and helped What you are doing won't make any difference.” organize the Senior Writers’ Guild. He has served 1740 Granville Street, 4th floor, The boy looked at the starfish in his hand, on the Board of Nova Scotia Seniors’ Pharmacare P.O. Box 2065, Halifax, NS B3J 2Z1. gently threw it into the ocean, and answered: program, the Board of Northwoodcare and Tel (902) 424-0065; fax (902) 424-0561; “It makes a difference to this one.” Northwood Homecare, the Board of Mount Saint toll-free 1-800-670-0065. Vincent’s Centre on Ageing and on the Board of Unknown Spencer House and the Canadian Cancer Society. E-mail [email protected] His resume also includes terms on various committees of the Red Cross, Alzheimer and Website www.gov.ns.ca/scs Hearing Impaired societies and Seniors’ Expo. Harold is particularly proud of his involvement with the Canadian Legion. He joined the Vimy

2 31 Branch in 1983 and has chaired a number of Is It A Stroke? When Your committees over the years. He is a member of Nova Scotia Seniors’ RCAF Association #111 Wing, Wartime Aircrew Many people having strokes don't realize what's Grandchildren Visit Pharmacare Program Association, former member, Last Post Fund and happening to them, so they don't seek immediate Tips to Prevent Poisoning member of Zone 14 RCL Board. The Legion has medical help. The Department of Health announced changes to recognized his service with a Life Membership the Seniors’ Pharmacare Program effective April l, Children are curious and they move fast— For example, a woman reading a bedtime story and a Meritorious Service Award Medal. 2003. The following questions and answers will to her grandson noticed she was having problems which is why parents and grandparents need Harold’s family includes wife Elva, daughter help explain the changes. For more information, turning the page, and that the words on the page to keep all potentially hazardous substances Margaret Swire, three grandchildren, six great- please call toll-free at 1-800-544-6191. started to get blurry. But she finished reading locked up and out of reach. grandchildren; brothers Frank and Mike and and later went to bed. The next morning, her sisters Stella Hoadley, Joan Martin and daughter found her semi-comatose. What changes have been made to the Poisoning Prevention Tips Theresa Bowden. Nova Scotia Seniors’ Pharmacare Program? According to one study, people expect sudden, • Use child-resistant packaging properly by Congratulations Harold and thank you The premium will not increase and will remain dramatic symptoms from a stroke. But often, closing the container securely after you use for your many years of support with at $336 per year. The co-pay (the portion of the symptoms can come on over a span of 15 it. (And remember, it is only child-resistant, the Secretariat. prescription cost seniors pay to their pharmacies minutes or more. And symptoms may not not child-proof) always be debilitating or dramatic, so people when they have their prescriptions filled) will don't associate them with a stroke. • Keep all chemicals, medicines, and also remain at 33% of the total prescription cost supplements locked up and out of sight. to a maximum of $350 per year. It's important to recognize the signs of a stroke, Caregiving Is For All Ages since much of the potential brain damage can be • Call the poison center immediately in case prevented if you get to a hospital for treatment of poisoning. Keep activated charcoal tablets May 11–17th is Family Caregiver Week Effective April 1, 2003, seniors will within 90 minutes. on hand (but use them only if the poison in Nova Scotia not pay more than $30 for any one center tells you to). Bring a caregiver to lunch, May 16th at the prescription when paying their co-pay. • Keep this number by your phone: Holiday Inn, Dartmouth 1-800-222-1222. It will connect you to Example 1: Prescription costs $20 Classic Signs of a Stroke Caregivers, policy makers and FCgANS the nearest poison control center. • Sudden numbness or weakness of the face, supporters will attend the Caregiver Luncheon Senior’s co-pay = $6.60 (33% of $20 = $6.60) arm, or leg, especially on only one side of • When using a product, don't let your to recognize caregivers. Pharmacare pays the remaining = $13.40 grandchild out of sight—even if you the body. Guest Speaker, MP Alexa McDonough— must take the child with you to answer • Sudden confusion, trouble speaking or Call for reservations Example 2: Prescription costs $200 the phone or doorbell. understanding. Family Caregivers’ Association of Nova Scotia Senior’s co-pay = $30 (33% of $200 = $66.00 • Keep all products in their original • Sudden trouble seeing in one or both eyes. recognizes caregivers for their significant role in but capped at $30) containers. Leave their original labels our health care system. The theme this year is • Sudden trouble walking, dizziness, on (and read label warnings). Pharmacare pays the remaining = $170 loss of balance or coordination. “Caregivers For All Ages.” • Don't put decorative lamps and candles Seniors will continue to: Please call 1-877-488-7390 for reservations. • Sudden severe headache with no that contain lamp oil where children can The luncheon will run from 11:30 am to 1:30 • receive a premium exemption if they receive known cause. reach them. pm. The ticket price is $25.00 per person. the Guaranteed Income Supplement (GIS) • Always have the light on when giving Learn more about caregiving and FCgANS by from the federal government; Other Symptoms or taking medicine. Check the dosage logging onto www.caregiversNS.org. • pay a premium of $336 per year (payable all every time. • Emotional Incontinence. A caregiver provides support to family and at once, quarterly or monthly) or receive a • Avoid taking medicine in front of children. premium reduction if: (inappropriate laughing or crying). friends. Caregivers are spouses, children of all Don't refer to medicine as “candy.” ages, in-laws, siblings, partners and other – he/she is single, and their income is less • Heavy, strange "falling" feeling on one side. • Clean out your medicine cabinet at least extended family members and friends. Caregivers than $24,000 a year; or • Feeling drunk. once a year and safely dispose of unneeded provide care in their homes, in care facilities and – he/she is married, and their combined and outdated medicines. from a distance. Caregivers have a special Sources: Journal of Stroke and Cerebrovascular relationship with their care receivers. income adds up to less than $28,000 a year; Diseases, Vol. 10, Pg. 200; For further information, contact: Sara Gillett, • access drug coverage available to them British Medical Journal, Vol. 324, Pg. 1065; Director of Communications Family Caregivers’ through their private plan, Veterans Affairs American Heart Association Source: US Consumer Product Safety Commission Canada, or First Nations and Inuit Health. Association of Nova Scotia, Phone: 902-835-0752, Source: Nova Scotia Department of Health [email protected]

30 3 Senior Citizens’ Taoist Tai Chi for Seniors Secretariat Information Taoist Tai Chi is a series of 108 movements that Tai Chi members in action and find out Resource Centre slowly turn and stretch the spine. It was created more about the organization and the classes. by Master Moy Lin-Shin using movements of the For more information or to pre-register, All the material listed below is available for necessary to help everyone handle ageing in a Yang style Tai Chi, practiced and perfected in call (902) 422-8142 or visit the website at loan from the Information Resource Centre. healthy and caring fashion.”—back cover China for centuries. Master Moy founded the www.taoist.org. Contact us at (toll-free)1-800-670-0065, Taoist Tai Chi Society soon after he arrived in Canada in 1970. The Taoist Tai Chi Society is a or fax 1-902-424-0561, or e-mail [email protected]. Where Will They Live? A Guide to Help you non-profit, registered charitable organization If you can’t pick up the material in person at Help Your Parents with Their Housing Decisions, Have You Had Your supported by monthly dues and various the Secretariat, we will mail it to you. by Barbara H. Carter. Toronto: Stoddart, 2001. fundraising efforts. The Society has over 200 Pneumonia Shot? “Housing expert and consultant Barbara Carter locations in Canada and over 425 locations in Book Briefs: Adult Children explains how parents and children can avoid or 20 countries around the world. Pneumonia shots are very and their Parents defuse conflict by considering housing options important because People of all ages can learn the gentle turning before a crisis arises. Everything you need to the bacteria that causes Mothers and Fathers: Health and Financial Advice and stretching movements of Taoist Tai Chi, and know is here, from detailed comparisons of the this lung infection is to Share with your Parents, by Louis Sapi and it can be adapted to match any level of ability. different options—long-term care, home care, becoming increasingly resistant Peter Zawadzki. Toronto: Prentice Hall, 2000. Taoist Tai Chi is designed fundamentally to retirement residences—to advice on how to to antibiotics. promote and restore health. Classes are offered at “As we grow older, so do our parents. Canadians work with lawyers, doctors, financial planners, Taoist Tai Chi centres, at local community Drug-resistant bacteria and not are living longer than ever before and our parents and occupational therapists, to lists of centres and other public facilities by accredited taking advantage of the will likely require greater assistance than previous resources.”—back cover volunteer instructors. pneumonia vaccine are two generations in managing their health and financial reasons why about 40,000 matters. In Mothers & Fathers, the authors take us Parenting Your Parents: Support Strategies for Most classes incorporate all age levels, but some Americans die from on a journey through the health and financial Meeting the Challenge of Aging in the Family, branches offer special classes for seniors, and pneumonia every year. issues encountered by many of our parents. The by Bart Mindszenthy and Michael Gordon. many have a Golden Age Division dedicated book provides practical advice and the authors especially to improving the health of seniors. As share their own personal experiences—triumphs “This book examines the lives of fifteen families well as providing excellent mental and physical and tribulations—to help us find the best way to who are encountering the same obstacles that exercise, seniors have found the gentle meet our parents’ needs or those of an ageing you are. Here you will learn to: work with your movements of Taoist Tai Chi to be an effective loved one in a climate of trust and acceptance.” siblings; identify and understand substance therapy for a wide range of health problems, abuse; identify and work with dementia from including poor circulation, high blood pressure, —back cover the early stages to advanced; create an action arthritis, back pain, breathing difficulties and For plan that will work for you and your parents. digestive and nervous disorders. The Society also most Caring for your Parents in their Senior Years: With reflections and advice from one of Canada’s operates a Health Recovery Centre where people people, one A Guide for Grown-up Children, by William pre-eminent geriatric physicians, Parenting Your can come to practice Taoist Tai Chi as an pneumonia shot gives life- Molloy. Buffalo: Firefly Books, 1998. Parents is a valuable resource for anyone facing adjunctive therapy under medical supervision. A time protection. (Some people need to be this special family crisis.”—back cover “For many of us, our first experience of ageing study published in the Journal of the American revaccinated after five years.) comes with our parents. As we watch them grow Medical Association showed that Tai Chi training Ask your doctor about it when you get this year’s older, we must face some difficult questions: Other books recently received in the Information was effective increasing strength and improving flu shot. The two vaccines may be given at the what if they get sick and require long-term care? Resource Centre include: balance, thereby reducing injuries caused by falls same time (but in different arms). Both are in elderly people by 25%. covered by Medicare. How can I be sure they’re all right if I live Building on Values: The Future of Health Care in thousands of miles away. How can they be Canada—Final Report, by Roy J. Romanow. Fund raising dinners are hosted each month to If you have a weak immune system, a chronic looked after when they can no longer look after Saskatoon: The commission on the Future of which members and non-members alike are illness (e.g., heart or lung disease, diabetes), or themselves? Squeezed between the competing Health Care in Canada, 2002 invited. The Atlantic Regional Centre of the are recovering from a major illness, a pneumonia demands of work, children, spouses and parents, Society is located in Halifax. In Nova Scotia, shot is especially important. many people find it difficult to cope. Caring for Continuing the Care: The Issues and Challenges there are clubs located in Dartmouth, Sackville, Your Parents ... is written expressly for children for Long-term Care. Ottawa: Canadian Healthcare Bear River, Bridgewater Port Hawkesbury, Sydney, Sources: US Centers for Disease Control and who want to help their elderly parents. With Association Press, 2002. Truro and Yarmouth. Watch for notices of open Prevention; National Coalition for Adult sections on housing and personal care, legal and The Fountain of Age, by Betty Friedan. houses at the clubs where you can watch Taoist Immunization; American Lung Association financial planning, and grief and bereavement, New York: Simon & Schuster, 1993. this comprehensive guide provides the tools

4 29 Negotiating a good death: Euthanasia in Give Me a Break!: Helping Family Caregivers Additionally, the committee actively promotes the the Netherlands Taoist Tai Chi National of Seniors Overcome Barriers to Respite, senior safe driving courses. The committee was by Linda Lysne. Ottawa: Canadian Association instrumental in the introduction of the $40 By: Pool, Robert. New York: Haworth, 2000. Seniors Week, June 2–6 for Community Care, 2002. provincial subsidy for course participants. Well This book takes an important step towards over 3,000 Nova Scotia seniors have taken the The members of the Atlantic Region will host the Maintaining Seniors’ Independence Through Home providing a more sophisticated understanding 2003 Taoist Tai Chi Seniors’ Week this year at driver refresher courses that are offered throughout of the social context of euthanasia in the Adaptations: A Self-Assessment Guide. Ottawa: Nova Scotia. Future efforts of the committee will the Regional Centre in Canada Mortgage and Housing, 2002. Netherlands. Via the ten detailed case studies, Halifax. We look forward be directed at boosting attendance further. the work sheds much light on the often, to greeting Tai Chi An Older World: Reflections on the Second World Other recent committee activities include agonizing decision, making processes that members not only Assembly on Ageing and NGO Forum. Montreal, promoting a return to dual license plates for accompany individual euthanasia requests. It also from the Atlantic International Federation on Ageing, 2002. Nova Scotia vehicles and raising concerns about reveals how various players involved in these Region, but also Report of the Second World Assembly on Ageing: the reduction in availability of full service fueling requests tried to ensure patients’ wishes were met from all across Madrid, 8–12 April 2002. New York: at Nova Scotia gas stations. and dignity preserved. Throughout, a very Canada as well United Nations, 2002. Stephen Coyle, Research/Policy Analyst human face is given to as some Senior Citizens’ Secretariat complicated ethical international Three Hundred Incredible Things for Seniors on discussions that members. The the Internet, by Joe West. Marietta, GA: emerged regarding week is primarily 300incredible.com, 2000. Seniors for Literacy perceptions of for senior physical and mental members (55 years According to The International Adult Literacy suffering, symptom of age and retired, Survey conducted in 1996, about seventy alleviation, or 60 years of age and percent of older Canadians, age 56 and over, timing/method older); however, if space Updates have difficulty with reading and numeracy skills. of death, and permits, non-senior members will be From these results it was estimated that fifty- quality of care. welcome. Accommodations will be available Nova Scotia Seniors’ eight percent of Nova Scotia seniors function at Performative on a first-come, first served basis with Safe Driving Committee a very low level of literacy, and twenty-seven ethnography was billets, so if you are a senior Tai Chi member, percent have limited literacy skills. (HRDC.NLS The Nova Scotia Senior Citizens’ Secretariat shown to be an apply early. Volunteers are always needed so even Newsletter. Volume 1. Issue 3). This means, established the Nova Scotia Seniors’ Safe Driving anthropological if you are unable to attend the workshop or are for example, that some eighty-five percent of Committee in 1995. The committee represents method that is well not a Tai Chi member, please come and welcome Nova Scotia seniors could be expected to have the interests and protects the driving privileges suited to our guests and offer your assistance. It promises difficulty in identifying the amount of medication of the more than 83,000 citizens of this province, investigating this extremely complex subject. to be a wonderful week of Tai Chi, friendship, to take (very low level of literacy), or, can over the age of 65, who hold driving licenses. In short, the book is groundbreaking and and good food. Don’t miss out on this wonderful understand it only if it is written in simple The Committee is chaired by Rex Guy. Other provides a useful model for examining similar opportunity. For more information, or if you can language (limited literacy). issues in other national contexts where members include Dr. Fred MacKinnon, Robie offer billeting accommodation in the metro To reach out to these seniors, the Nova Scotia euthanasia may become either legalized or Horne, Joan Lay, Ernie Pass and Valerie White. Halifax area (no transportation or meals Seniors for Literacy Committee is developing tacitly accepted in the future. involved), please call the Regional Centre in During the past year the Seniors’ Safe Driving a resource kit which will assist adult literacy Source: Canadian Journal on Ageing, Halifax at (902) 422-8142. Committee has been busy working to persuade organizations in beginning to adapt their Vol. 21, No. 2, 2002—Summer the insurance industry to treat seniors fairly. programs to seniors, in creating community Source: Taoist Tai Chi Atlantic Regional Centre Insurance issues of concern raised by the awareness and in promoting literacy programs committee, include dramatic increases in the for seniors. The kit will contain strategies for cost of automobile insurance, age based delivering a series of literacy workshops for requirements for medical certificates of fitness seniors, teaching tips, tools, and resources and the possibility of no-fault insurance. compiled from extensive research in the area In September 2002, the committee presented of literacy and the older adult. a formal brief to the Nova Scotia Utility and The project is Phase 2 of the overall Nova Scotia Review Board’s examination of automobile Seniors for Literacy Project which resulted from insurance rates in the province. The committee a needs assessment conducted in Phase 1 among has also met with the Insurance Bureau of seniors and Community Learning Initiative Canada on a number of occasions to present Coordinators around the province. That 2001 the perspective of seniors on these matters. study indicated a need to provide accessible

28 5 special programming and resource teaching Consultations Redvers Cainey Recognized Book Reviews materials to accommodate the literacy Staff meet on a monthly basis with representatives requirements of seniors. of the Group of IX senior organizations. The Redvers Cainey, Maritime Representative for Parkinson’s disease: A complete guide Plans are currently being made to develop purpose is to discuss issues of concern and make Canada’s Association for the Fifty-Plus (CARP) for patients and families. Phase 3 during which time the Seniors’ Literacy specific recommendations to the Minister of was awarded the Queen Elizabeth II Jubilee By: Weiner, William J., Shulmon, Lisa M., Resource Kit will be assessed and evaluated for Health on Pharmacare and Continuing Care. Medal and presented with a citation from and Long, Anthony E.Baltimore, MD: its applicability. The resource kit will be tested A sub-committee of the Group of IX is currently Premier John Hamm for his lifetime efforts to Johns Hopkins University Press, 2001. in six community learning programs with older reviewing options and recommendations to long- the Province and community. adult enrollees in order to assess its relevance to term care and small options homes. The Minister Redvers was instrumental in the forming of both learners and tutors. Special programming of Health has asked the Group of IX to review the Nova Scotia Government Retired Employees will consist of a series of literacy workshops for small option home policy changes currently Association (NSGREA) 1984–1985, and has seniors using the Seniors’ Literacy Resource Kit. being developed. been named a life member of the Nova Scotia Marguerite McMillan Staff also organize consultations with Government Employees Union and the Coordinator, Seniors for Literacy Project representatives of other seniors organizations, Nova Scotia Government Retired Employees senior centres, and other interested groups in Association. the spring and fall. In 1992 a number of seniors’ organizations Nova Scotia Medication decided to join forces and work together on Awareness Committee A special consultation will be held in March which will provide a forum to discuss the specific issues, as well as continuing to serve in The Nova Scotia Senior Citizens’ Secretariat viability of Senior Games in Nova Scotia. an advisory role to staff of the Senior Citizens’ established the Nova Scotia Medication Those seniors who attended the National Secretariat. This group originally started as This book provides a Awareness Committee in 2001. The committee’s Senior Games in P.E.I. and representatives the Group of V and is now the Group of IX. tremendous amount of biomedical information role is to develop medication awareness initiative from the field of recreation have been invited Mr. Cainey played a significant role in the to improve the health and quality of life for to attend. Ted Lawlor, Provincial Amateur Sport founding of this group and continues to serve about Parkinson’s Disease in a straightforward seniors in Nova Scotia. This will be accomplished Coordinator, Department of Culture, Heritage, as the representative of CARP. He became the way that both educates and empowers patients through education that will lead to the more Recreation and Sport PEI and Sharon Knox, Maritime Representative of CARP in 1995 with PD. The text may ultimately help patients coordinated and informed use of medications. Immediate Past President of the Canadian and continues to serve in that role. to cope with their illness effectively. The committee will coordinate the implementation Senior Games, will be special speakers and Weiner and Shulman are co-directors of the and operation of awareness initiatives in this event. The consultation is co-sponsored Redvers is a resident of Sackville, Nova Scotia and Maryland Parkinson’s Disease Center at the by the Secretariat and the Sport and Recreation conjunction with partners. The Committee tells us he and his wife, Beryl, will celebrate their University of Maryland School of Medicine, Commission. is chaired by John Harwood. Other members 60th wedding anniversary in August of this year. and Lang, the director of the Shulman Movement include John Ryan, Jane McNiven, Colin Powell, Valerie White, Executive Director Disorders Centre at the Toronto Western They have three children, Karen, Manager of Dawn Frail, Leo Van Dijk, Jack MacIsaac, Senior Citizens’ Secretariat Hospital, is the current editor of the prestigious Michelle MacDonald, and Valerie White. the Nova Scotia Liquor Commission in Tantallon; journal Movement Disorders. This book is a Brian, a retired teacher now living in Detroit; The committee is planning a number of compilation of their expertise, translated into and, Michael, Manager of “Parts for Trucks” a resource for patients. important initiatives, but the highest priority in Charlottetown, Prince Edward Island. has been assigned to a program based on the The book covers the signs and symptoms pamphlet, “Knowledge is the Best Medicine” Prior to retirement Redvers worked for the involved in diagnosing PD, issues involved in and a Medication Record booklet that is Department of Community Services. In addition differential clinical diagnosis, the stages and essentially a passport to the sensible use of to his volunteer efforts on behalf of seniors, progression of PD, treatment of PD (including medications. The materials will be provided free he enjoys gardening and makes frequent visits new drug and surgical advances), and special of charge by the Research Based Pharmaceutical to the UK, his original home, where he visits issues such as young-onset PD, behavioural and Companies of Canada (Rx&D). The objective family and friends. He also continues his psychiatric symptoms, co-morbid illness and of the project will be to reach as many seniors interests in political issues and fighting for the hospitalization, alternative and complementary as is practical. Details on this exciting medication benefits and rights of the less fortunate. therapies, PD research, and issues pertaining to project will be available in the next issue of this Congratulations Redvers and thank you for your advanced medical decisions. The level of newsletter. continued efforts in making Nova Scotia a great description, explanation, and information is Stephen Coyle, Research/Policy Analyst place to live. ideal for PD patients and their families as well as Senior Citizens’ Secretariat anyone interested in learning more about PD. Source: Canadian Journal on Ageing, Vol. 21, No. 2, 2002—Summer

6 27 Preventing Falls Together How All of Canada Networking to Prevent Falling in Nova Scotia is Can Learn From a and where to refer persons with diabetes, patients a Health Canada/Veterans Affairs Canada funded with diabetic retinopathy and patients with red • Tourism Industry Association of N.S.— Nova Scotia Initiative Falls Prevention Initiative sponsored by eye. These models acknowledge that family Human Resources Council Community Links, VON Canada—Nova Scotia doctors and optometrists are, by training and • Union of Nova Scotia Municipalities Ophthalmologists, optometrists and family and the Nova Scotia/Nunavut Command—Royal doctors have come together in Nova Scotia and experience, capable and appropriate to manage Canadian Legion. The direction and activities of • Veterans Affairs Canada devised a model for eye care that proponents many aspects of diabetes, diabetic retinopathy the project are based on the input gathered at a and red eye.” • VON Canada Nova Scotia believe has transformed diagnosis and treatment workshop held in September 2001, sponsored in the province. With deliberations dating to 1994, the effort was by Community Links, the Family Caregivers Over the course of the project, the following “Only 15 per cent of diabetics were getting hardly accomplished overnight. Changes to the Association of Nova Scotia and the N.S./Nunavut Nova Scotia Optometry and Pharmacy Acts were Command of the Royal Canadian Legion. As a initiatives are being undertaken: routine eye care before,” says Dr. David Dobbelsteyn, an optometrist with the Nova required to allow optometrists to prescribe result, the project will focus on building the • Develop Regional Coalitions of organizations certain antibiotics, for example, and for billing capacity of organizations working with veterans, and groups that work with and for seniors Scotia Eye Care Working Group in Halifax. “Now, the number is probably 50 per cent.” codes to be adjusted to reflect these professionals’ seniors and their caregivers to make falls and veterans across Nova Scotia. These expanded role. Not least, all involved prevention a part of their mandates, policies Coalitions will spearhead falls prevention That dramatic change, accomplished with practitioners were invited to participate in the and activities. activities at the local and regional level and lessened waiting times and reduced public ongoing discussions. develop skills to incorporate falls prevention expense, flows from a simple premise that has The project has already brought together a While the Comprehensive Vision Care Program strong group of provincial partners, who will into their day-to-day work. taken years of hard work to implement: Family doctors and optometrists can play a significant is still only active in the one relatively small ensure the project meets its objectives, over the • Work with our partners to develop a Falls province, Dr. LeBlanc told the Romanow next eighteen months. This Provincial Steering Prevention Tool Kit—an action-oriented role in diagnosing and following certain eye conditions, creating more patient access to care Commission that “the model can be easily Committee, is composed of representatives of: resource containing advocacy tools, adapted to reflect the geographic, demographic community based strategies, presentations, and better using the time of the limited numbers • Acadia University School of of ophthalmologists. and cultural realities of any given province or Nutrition and Dietetics and safety information. territory.” Developed by the Eye Care Working Group, • Canadian Pensioners Concerned Nova Scotia • Build the skills of volunteers and staff within There will still be some political realities to organizations serving seniors and veterans this initiative called the Comprehensive Vision • Community Links Care Program uses models for referrals that overcome, however. Despite being greatly to take action on falls prevention in their overloaded by patient demand, not all • communities through a Training Program. have had impressive buy-in across the several professional communities involved, not least ophthalmologists are ready to cede so much of • Increase the awareness of partner Lunenburg/Queens Falls Prevention Program because all participated in their creation. primary eye care to optometrists, who are vision organizations about the impact of falls professionals but not physicians. • Family Caregivers Association of Nova “The general practitioner is the centre of the and the importance of incorporating falls But training in optometry has already expanded Scotia—represented by Jane Cowie prevention activities into their work. wheel, sending patients on to the optometrist who then sends them on, if necessary, to the considerably in the past two decades, and • Kings County Safe Communities Coalition You are invited to become involved in the ophthalmologist,” explains Dr. Dobbelsteyn creating new models of care will further • Northwood Lifeline project by joining a working group or through of the Coalition. influence the training background of the • NS Department of Community Services— participating in a Regional Coalition in your involved professionals. Housing Division local area. This means earlier diagnosis and a rational progression to increasingly specialized care “If you work co-operatively on a model,” • NS Department of Health—Emergency as needed. Dr. LeBlanc notes, “you get an opportunity to Health Services, Osteoporosis Advisory For further information on help mould the scope of practice of everybody Committee, Public Health & Health Preventing Falls Together, please contact: in the model. And we do have good training Promotion Jean Robinson-Dexter for optometry in Canada.” Project Coordinator Dr. Raymond LeBlanc, chair of the National • NS Senior Citizens’ Secretariat P.O. Box 308 Coalition for Vision Health and chief of As it happens, there’s no longer much debate in Nova Scotia that the model has improved access • Nova Scotia Society of Brooklyn, NS B0J 1H0 ophthalmology at Dalhousie University in Halifax, to eye care considerably. Occupational Therapists Phone: 902-354-2397 remarks of the Nova Scotia model that “we’ve always insisted that it be a patient-centre process.” “Everybody involved with the program,” reports • Osteoporosis Society of Canada Fax: 902-354-2825 E-mail [email protected] Dr. Dobbelsteyn, “knows and says it’s the best • QEll Health Sciences Centre In his submission to the recent Romanow model for patient care.” Commission on health care, Dr. LeBlanc noted • Royal Canadian Legion— that the Nova Scotia group “has developed Source: The Globe and Mail, N.S./Nunavut Command algorithms to guide the family doctor and Tuesday, February 18, 2003 optometrist in his or her decisions about when

26 7 A few years ago, Eric had a stroke that affected Upcoming Annual his memory and paralysed his left arm and leg. General Meetings/Events He uses a wheelchair to get around, and 2. Exercise currently requires care support throughout the You are never too old to exercise—a gym The Federal Superannuates National Hip Hip Hooray 2003 day. Eric recently joined ExtraCare on an with a qualified fitness instructor can work wonders. If you use a wheel chair try ‘chair Association, Cumberland Branch, will The 12th annual walk for bone and joint health. ‘extreme sports’ activity week in Devon at the hold their annual general meeting April 11, Calvert Trust and was a real inspiration to other aerobics’, which builds upper body strength beginning at 5:30 P.M. at the Community Come celebrate your mobility! residents on the trip. He went up and down a and good breathing. Even if it’s College, Springhill Campus, followed by a Canadian Martyrs Parish Center climbing wall on an abseil rope, down the zip using the stairs instead of the Pot Luck dinner. All members and prospective 5900 Inglis St., Halifax, N.S. wire and on the sailing boats too. He reflected: lift, a little exercise is important members are welcome. For further information, Saturday, May 24, 2003 “I used to climb ladders in the fire service, so I as you get older and it’s worth the challenge—you’ll feel contact: Ken Brown at 463-2832 or For more information call was happy to try abseiling. I went backwards ten years younger and it [email protected] 902-473-2966 down a cliff in a wheelchair, which was really good. shows in your face. The Federation of Seniors Citizens and I also tried the zip wire which was terrific.” Pensioners of Nova Scotia will hold their annual convention on May 7th Eric believes that activities are important for 3. Health and and 8th in Truro at the Howard people with memory loss: well-being Johnson Hotel and Convention “I seem to remember everything that happened Seek advice about Centre, formally Keddy’s at Calvert and that’s because I was busy—doing your health and get Motor Inn. For further nothing means your brain goes to sleep. regular check-ups. information, contact: You have to concentrate when you are doing That way you can Eileen Amirault at these things—when you are on an abseil rope make informed choices 902-762-2058 or your brain has to tell your hand what to do and about your future lifestyle. [email protected] the concentration helps your memory.” Diet is especially important “you are what The Gerontology you eat”. These days there are plenty of Association of Nova Other residents—such as Derek Chawner— healthy eating options that don’t require Scotia will hold their agree with Eric and Vera. a regime of just lettuce and water. annual general meeting in late May or early June 2003. For further 4. Attitude A resident’s recipe for a happy information, contact: Life is what you make of it—at any age. and healthy older age Nila Ipson at 902-494-3391 or Many people have strong memories of the [email protected] Derek Chawner, a 65-year old resident at past, some good, some bad, but it’s the The Nova Scotia Government Retired Berryhill, has added abseiling to a range of future that counts. Seek opportunities to Employees Association will hold their annual Seniors' Week other newly acquired skills, and has spoken at socialise, and meet people. You’ve worked general meeting at the Holiday Inn, Dartmouth Seniors' Week 2003 will be held from conferences on issues affecting older people. hard all your life so now it’s time to let on September 22, 2003. For further information, June 15th–June 21st. He believes there are four key ingredients for your hair down—the more you laugh, the contact: Bernie LaRusic at 902-562-1901. more you give and the better you feel. The theme this year will be Life Long Learning— healthy living: The Regroupement des Aînées et Aînés de It's About Living! 1. Learn new skills la N-É annual general meeting will be held This week will provide an excellent opportunity Learning feeds the mind—and a well-fed Source: Working With Older People, Volume 6, for Senior Citizens' Clubs, Councils and Seniors' mind keeps you happy. It helps prevent Issue 2, June 2002 in depression and loneliness. It doesn’t matter early November 2003. For further information, Organizations to celebrate and send a message to the community about the positive aspects of whether you try knitting, rock climbing or contact: Omer Blinn at 902-769-2258 or aging and the many creative and fulfilling poetry reading—the process is the same. [email protected] activities enjoyed by older adults. Learning helps your memory too, and offers good opportunities to meet people through clubs and classes.

8 25 Berryhill Retirement Village Despite a more recent accident, Vera is still Patient Advice and Tomatoes Can Keep To support this belief, ExtraCare and Touchstone training in the gym “I’ll never give up,” she says, Housing Association built the UK’s first, active and has gone on to represent the village as an Liaison Services (PALS) You Healthy retirement village at Berryhill, in Stoke on Trent. “Ambassador”. Completed in 1998, Berryhill provides self- “I’ve travelled all over the country giving talks to The Department of Health has published a Everyone knows that bright red tomatoes are contained homes and a variety of communal new ExtraCare recruits and meeting people who are resource pack to support the implementation good for you. What about when tomatoes facilities—for example, a restaurant, gym, interested in the Berryhill scheme.” of Patient Advice and Liaison Services (PALS), turned into sauce for pizza or in pasta? jacuzzi, arts and crafts centre, TV studio, internet which came into effect in April. This sets out Tomatoes, like many other plant foods, possess a the key functions of PALS, and the relationship room and greenhouse. Care support services are Vera says her care needs have also reduced wide variety of compounds called phytochemicals, available for up to 24 hours each day, to ensure with other bodies such as Patients’ Forums. considerably: which have been found to help reduce the risk of residents can secure a place for life, if they wish. Core standards are also included, which should “Now I just have a hand in the morning and enable PALS to be consistent across the country. several different diseases. Vera Cook is one of Berryhill’s residents. Now 84, evening, when I want it, which leaves the rest of she was married for over 60 years, and lived with the day free. But it’s the little things that are so Supporting the implementation of Patient her husband John in their home in Stoke on important in keeping me independent. If I need a Service and Liaison Services-a resource pack. Trent. She looked after John, following his hand with breakfast, my carer can help me prepare Copies available free from the several heart attacks. However, on one occasion my food, in my kitchen, in my own flat. You could Department of Health, PO Box 777, Vera was badly hurt after John, falling down argue that I would get this if I still lived in the London SE1 6XH; or from the stairs, landed on her. They eventually got help, community, but I wouldn’t feel safe or happy on my NHS Response Line on 08701 after being trapped for hours. Both spent a long own and I really enjoy the company here.” 555455 (quoting reference 26250). time in hospital—Vera receiving treatment for a “Last year I played the Fairy Queen in Aladdin— broken jaw and two broken legs. As a result, they Source: Working With Older People, things like that do wonders for your morale. If I had decided to move to Berryhill Village, but John Volume 6, Issue 2, June 2002 an ambition it would be to go back to Spain for a sadly died: last time. I guess my life’s really opened up again.” “I was so very low, it was a dreadful time. But the Berryhill staff were just wonderful and so When it comes to supportive. On top of the care from my support tomatoes, they provide worker, the team helped me get some of my Activity and choice Website of Interest one of the richest sources of independence back. It was so important because Professor Tom Kirkwood supports the view that lycopene. Lycopene may help in the prevention I was very alone, right down there,” Vera says, activity and choice can lift morale. In his BBC ASA-CDC Health Promotion Program: of several types of cancer and heart disease. pointing at the floor. Reith Lecture on Ageing, delivered at Berryhill Strategies for Cognitive Vitality in 2001, he said that the way old people are The American Society on Ageing and the Royal Cooked tomatoes—those found in sauce, paste Vera became friends with Dawn, the Berryhill treated limits choices much more than is really Institute of Applied Gerontology at California and ketchup—seem to provide more lycopene fitness instructor, who took her into the gym. necessary. He argued that prejudice about old State University, Los Angeles have created than raw tomatoes. They agreed an ambition that Vera would learn age must not be allowed to force a premature strategies and materials to enhance the capacity So enjoy that pasta or pizza sauce! Just keep the to walk a few steps again: closing-down of the freedom to choose: of national, state and local organizations in other ingredients on the healthy side. Produced “We started with very gentle exercises, first with “If we treat old people as weak-spirited because serving the health promotion and disease by ADA’s Public Relations Team. weights on my legs and then progressing to walking they are frail, we do them a terrible injustice...it is prevention needs of older adults. with a Zimmer frame, then walking with two sticks, easy to create or reinforce anxiety or self-doubt.” For more information contact: Source: American Dietetic Association one stick and then no sticks at all—I felt so much However, views on what constitutes an ‘active www.asaging.org/cdc/ better in myself”. life’ vary considerably—some might see ExtraCare’s Mission Impossible Programme as Vera said she got her confidence back and an extreme example, not suited to all. After all, became involved in other village activities, they may argue, retirement is meant to be a making new friends: time for rest and relaxation. “I started producing patchwork cushions and Eric Hart, 71, would disagree. Eric will be www joining dancing classes in my wheelchair. But my moving to live in Ryfields Retirement Village great love is painting, one of the village volunteers in Warrington, currently being built by Arena is a local painter—he’s been absolutely marvellous Housing Association and ExtraCare, when it is and I’m a dab-hand at water-colours now.” completed in November this year.

24 9 For more information, contact us at 423-7530, Senior Friendly Ideas Education and or 1-800-423-4432, or visit our web-site at Ageing the Active Way for Healthy Eating Support—InfoLine www.heartandstroke.ca There are more ways than one to lead a physically active life in older age. Richard Tower • Planning Meals: Using Canada’s Food What is the purpose of the Source: Ticker Talk, Volume 12, Number 2, recounts some of the adventurous experiences of Guide to Healthy Eating InfoLine and why was it set up? Spring 2002 ExtraCare’s residents. • Planning Meals: Variety and Balance This community-based service has been designed Get your hands on a ‘four-by-four’ and plough through some mud, abseil down a rock face, • Planning Meals: Fibre Facts to enhance accessibility to information, support and referral services for people diagnosed with Sole North American whiz down a toboggan run, and splash around • Planning Meals: The Fat Challenge Alzheimer Disease and other Dementias and in a canoe. Get the Mission Impossible t-shirt and their families, caregivers, care providers and Distributors of Impactwear go home to celebrate the rest of your birthday. communities throughout Nova Scotia. Sounds like the perfect choice for an adventurous Hip Protectors 20- something? It’s how Edith Rotherham, from Warrington, chose to spend her 83rd birthday “We’re here to provide Protection and Peace of Mind last year, as part of a Mission Impossible Extreme information and support” Impactwear® Hip Protectors have been designed Sports Programme run by ExtraCare Charitable The line has been in operation since May 21 and especially for older people to help reduce the Trust. since then has received a total of 118 requests for likelyhood of a hip fracture resulting from a fall. Eighty-three is the average age of residents information/support. We currently have 4 trained Impactwear® with the ExtraCare Charitable Trust, who join a volunteers, Anne Hallisey, Olive McIldoon, Hip Protectors are the solution. They have been designed to be comfortable comprehensive activities programme which Barbara Mulrooney and Joy Wilmhurst, who are includes ballooning, helicopter rides, gliding, prepared to answer your questions and provide everyday wear. They feature soft padded pockets over the hip area which contain thin ‘high tech’ hiring the Orient Express train and a fiercely support and information, whether by phone or competitive garden festival. There is also an walk-in visit. thermoplastic shields. These shields protect the hip bones by absorbing and deflecting the impact ‘ExtraChoir’ of 1,000, who filled Coventry “We’re here to provide information and support energy generated during a fall. Cathedral at Christmas last year. to families affected by Alzheimer Disease. We’re John Graham, Managing Director of ExtraCare, • Shopping for One or Two: Planning Impactwear® accessible to the entire province, not just the Hip Protectors were researched, is responsible for investing sufficient resources • Shopping for One or Two: On a Budget Metro Area.” developed and manufactured in New Zealand. so that over 1,500 residents from 35 retirement • Cooking for One or Two: They consist of ‘high tech’ reinforced schemes across the Midlands, can take part in the Meal Preparation Made Easy thermoplastic composites, enabling thin but very Charity’s activity programme, irrespective of their How Can I Access the InfoLine? strong and effective hip protective shields. These • Cooking for One or Two: health, mobility or care needs. In his view, the are moulded to fit the curved surface of the body. Easy Meals to Make By calling: 422- 7961 or 1-800-611-6345 (outside debate surrounding residential and nursing care metro); email: [email protected]; or visiting This makes them comfortable to wear and thin so often centres on room-size, health preservation, • Cooking for One or Two: our office: 5954 Spring Garden Road, Halifax. they cannot be seen under clothing. safety and protection. Whilst these are important, Creative Use of Leftovers As older people come in a variety of shapes and a key question is whether these elements are • Cooking for One or Two: Ready-Made Meals Who can call the InfoLine? sizes with differing needs, Impactwear makes two enough, whether they would mean people felt • Cooking for One or Two: Whether you’ve been diagnosed yourself or are a styles for women with seven sizes in each, and a fulfilled. John Graham says: Emergency Food Shelf family member, care provider, friend, health brief designed specifically for men in six sizes. “Too often, older people with fertile minds, • Cooking for One or Two: Eating Alone professional, or are just looking for some For further information, contact: Postal address: ambitions and beliefs are rendered incapable by information, we can help. impactbodywear.com Ltd., 2302 Park Ridge Pl a residential process that has been established to Website: www.dietitians.ca/english/frames.html “The majority of our calls come from family Victoria, British Columbia V9E 6J1 support them but ends up as little more than an members, i.e. son, daughter, spouse of the person Phone: 1-250-474-5535 Fax: 1-250-474-7472 institution, being given a cup of tea in front of who has been diagnosed.” E-mail General Information: the telly can become the major event of the day. [email protected] Older people have had phenomenal lives and Source: www.impactbodywear.com have a great deal to contribute—activity and life- long learning are a great way of unlocking talent and achieving personal fulfilment.”

10 23 What types of questions or “Even if I help just a little bit, 10 Tips for Mental Health Stroke Still Leading information can be provided? I’ve helped and that is very satisfying.” 1. Build Confidence Cause of Adult Disability Although we don’t offer advice, there is always a “For the most part, people are really appreciative Identify your abilities and weaknesses compassioate listener available to offer support, Stroke is a leading cause of death and disability of the follow-up call and that we’ve taken the together, accept them build on them and referral services throughout the province and in Canada and in Nova Scotia. As Nova Scotians, time to check in on them. Quite often it gives do the best with what you have. answer your questions on such topics as general we are at particularly high risk of stroke, we have information on Alzheimer Disease and other them the opportunity to update us on what’s 2. Eat right, Keep fit among the highest rates of major risk factors like Dementias, legal issues, support specific to your been happening over the past few weeks and A balanced diet, exercise and rest can help smoking, obesity, diabetes, high blood pressure, community, medication, communication, long- to ask any questions around the information you to reduce stress and enjoy life. physical in-activity and high blood cholesterol distance care giving and strategies on how to they received.” in Canada. 3. Make Time for Family and Friends cope with the changes happening with you or A 2000 poll commissioned by the Heart and your loved one. If I want to volunteer with the InfoLine, These relationships need to be nurtured; Stroke Foundation revealed that many Canadians if taken for granted they will not be there “Most often the care provider/family what type of training will I receive? do not know the signs and symptoms of a stroke. member is exhausted and looking for to share life’s joys and sorrows. In May of this year, our volunteers The poll showed that only 43 per cent of answers on where to go from here, attended in-depth training 4. Give and Accept Support Canadians realized that sudden weakness, where to get help, what to consisting of two four-hour numbness, and paralysis on one side of the body expect. They feel they’re Friends and family relationships thrive training sessions. The first are indicators of stroke. It is very important that drowning in their when they are “put to the test”. was facilitated by the Help we learn to recognize the signs of a stroke and problems alone and are 5. Create a Meaningful Budget Line and offered that we get medical attention within three hours, quite appreciative of tips on listening skills Financial problems cause stress. a timeframe that can make a big difference in the the service we and appropriate answers Over-spending on our “wants” instead amount of damage a stroke causes to the brain. provide, especially to questions, among other of our “needs” is often the culprit. knowing their June is Stroke Awareness Month, and these things. The second was offered problems are not 6. Volunteer numbers show us that we have a long way to go by staff at the Alzheimer Society unique only to them. Being involved in community gives a before Nova Scotians are informed as to their risk of Nova Scotia and focused on the We also seem to get a sense of purpose and satisfaction that factors and the signs and symptoms of a stroke. disease and procedures associated number of calls from paid work cannot. These signals include sudden vision problems, with the position. sudden and severe headaches, sudden weakness, family members who 7. Manage Stress trouble speaking and dizziness. live away and are looking “The training was excellent. With my for information on Long- personal experience associated with We all have stressors in our lives but A stroke happens when a blood vessel that feeds learning how to deal with them when Distance Caregiving.” Alzheimer Disease, I felt very prepared the brain becomes blocked or bursts. This can to begin my new volunteer role. I think it’s they threaten to overwhelm us will cause permanent brain damage, and those who maintain our mental health. natural to feel a bit nervous because you don’t survive frequently experience difficulty doing know what kinds of questions to expect 8. Find Strength in Numbers things that they once took for granted. Out of What if I have when the phone rings, but after you do Sharing a problem with others have had the nearly 1,400 Nova Scotians who will suffer more questions after it a few times, you realize similar experiences may help you find a a stroke this year, 500 will die. This number is I receive the how much help you are to solution and will make you feel less expected to increase by at least nine per cent by information? others just by listening.” 2016, as Baby Boomers age. isolated. You can call the InfoLine 9. Identify and Deal with Moods The Heart and Stroke Foundation of Nova Scotia as often as you need Source: Alzheimer Society Nova Scotia Newsletter, wants you to be aware of your risk factors for Summer/Fall 2002 We all need to find safe and constructive to and we will do our best to answer all your stroke. You can talk to your doctor about this questions. In addition to that, we have included ways to express our feelings of anger, and discuss ways of reducing your risk. It is sadness, joy and fear. a follow-up component, whereas, all callers will also vitally important that you know the signs receive a follow-up call two weeks after their 10. Learn to Be at Peace with Yourself of a stroke, and that you get medical attention initial contact. Our volunteers check in with you Get to know who you are, what makes you immediately if you experience any of these signs. to determine how things are since the previous really happy, and learn to balance what you The Foundation has a variety of resources contact, if the information was received and was can and cannot change about yourself. available to help you learn more about stroke, helpful, and if there are any other questions the number three cause of death in Nova Scotia you have. Source: Canadian Mental Health Association and the number one cause of adult disability.

22 11 The Plan also stresses the need for a continuum Older adults, in all settings, face the risk of Caregiver Tax Tips Favourite of care that includes long-term care. Specifically, abuse and neglect. There are a number of Are you claiming the tax credits listed below Physician Proverbs it calls for the establishment and coordination of reasons why older adults living in institutions that you are entitled to as a caregiver? For more a full range of services in the continuum of care, can be vulnerable to abuse, including insufficient information, read your tax guide, call the “Nature, time, and patience are three including prevention and promotion, primary institutional resources and the difficulties Revenue Agency at 1-800-959-8281 or speak great physicians.” care, acute care, rehabilitation, long-term and encountered by healthcare workers. The Plan with a financial advisor. “The best physicians are Dr. Diet, Dr. Quiet, palliative care, so that resources can be deployed recommends that training for the caring Definition of partner: the person to whom you and Dr. Merryman.” flexibly to meet the variable and changing health professionsincludes how elder abuse is addressed are legally married; or a person of the opposite needs of older persons. in institutions. In addition, it calls for action “When fate arrives, the physician becomes a fool.” sex or same sex whom you have a relationship Palliative care is an important but sometimes which will encourage health and social service with if: you have been living and having a “When the clever doctor fails, try one less clever.” overlooked element of health care systems. professionals, as well as the general public, relationship with him/her for 12 months; or This is why the Plan recommends supporting to report suspected elder abuse. “The superior doctor prevents sickness; the mediocre he/she is the natural or adoptive parent of your the provision of palliative care and its integration The above highlights some of the many issues doctor attends to impending sickness; and the child; or he/she lived with you for 12 months. into comprehensive health care. In addition, that were discussed during the Second World inferior doctor treats actual sickness.” 1. Basic Personal Credit—you are eligible to it calls for the development of standards for Assembly on Ageing. With so many claim $7,412. training and palliative care, and encourages recommendations, 117 in total, the task at hand multidisciplinary approaches for all service does seem quite daunting. Without question, the 2. Caregiver Credit—up to $3,500 if you providers of palliative care. maintained a dwelling where you lived “Fat-free” Tricks transformation in the make-up of the population with a dependent who was 18 or over, The participation of older persons in all aspects will have profound consequences on every aspect of their care is crucial, not only for maintaining of life, for individuals and for societies. Yet, it is had a net income less than $15,453 and Today, food labels shouting “fat-free” or “low-fat” dignity, but also ensuring that their needs are important not to lose sight of the positive side of born in 1936 or earlier. seem to be everywhere on your grocer’s shelves. met. The Plan recommends action which will population ageing. Too often we focus on the 3. Age Credit—you are eligible to claim But are they the foods you should be reaching for? not only fully include older persons in decision- negative and see the ageing of the population as a $3,619 if your were 65 in 2001. Not necessarily. Here’s why: making related to their own care, but also in the problem to be solved and seniors as a burden to 4. Spousal Credit—claim $6,923 if you planning, implementation and evaluation of be borne. The reality is that people do not cease had a partner you supported in 2001. • They usually contain just as many— social and health care, including long-term and to contribute to society as they age. On the if not more—calories than their full-fat rehabilitative care. contrary, older adults have a lifetime of 5. Dependent Disability Credit—if you claimed counterparts. either 2, 7 or 8, you are eligible to claim In order to have long-term care that serves the experience from which we can all benefit. The any disability amount a dependent does That’s because manufacturers usually add extra needs of older persons, it is crucial that health task for Canada, and all countries, is to ensure not claim. sugar in place of the lost fat to keep our taste workers and professionals have appropriate that we create the conditions so that people can buds happy. age with dignity and remain full participants of 6. Spousal Transfer Credit—claim any part training. Thus, the Plan of Action recommends • In order to be able to claim “fat-free,” the initiation and promotion of education and society. In the words of Kofi Annan, Secretary- of your partner’s age, disability pension, General of the United Nations: or tuition and education credit he/she (less than 0.5 gram of fat per serving), training programs, as well as continuing does not claim. manufacturers sometimes shrink the education, for health professionals, social care “Trees grow strong over the years, rivers wider: serving size. So you’re getting less fat, professionals and informal care providers in the Likewise, with age, human beings gain 7. Eligible Dependent Credit—claim $6,293 but also less food. services for, and care of older persons. immeasurable depth and breadth of experience and if you supported a dependent who lived Bottom line: You don’t see the label “fat-free” Mental health problems are a growing concern wisdom. That is why older persons should not be with you and you were single, divorced, only respected and revered: they should be utilized separated or widowed in 2001. or “low-fat” on foods that are generally healthy and the number of older persons with mental for you like fruits, vegetables, and whole-grain illnesses is expected to increase as the population as the rich resource to society that they are.” 8. Infirm Dependent Credit—up to $3,500 breads. ages. The Plan of Action draws attention to this for each dependent relative. Source: Stride—Excellence in Long Term, Most foods labeled “fat-free” or “low-fat”: issue and recommends that mental health November 2002—January 2003 9. Personal Disability Credit—up to $6,000 are foods that should be eaten in moderation— services be provided to older persons residing in if a health professional certifies your daily for once-in-a-while treats. long-term care facilities and that healthcare living was greatly restricted in 2001. professionals receive on-going training in the detection and assessment of all mental disorders 10. Credits for Medical Expenses—claim Source: NutritionNewsFocus.com medical expenses paid for in 2001. and depression. Source: Canada Customs and Revenue Agency

12 21 Countries Are Not Equal and Neither The Work Ahead for Canada Preventing Hip Fractures How to be a Good is the Ageing Experience In comparison to many other regions of the The Plan acknowledges that the experience of world, Canada has made progress in improving Moderate physical activity can help protect Hospital Visitor ageing varies greatly between different regions of the lives of older adults, particularly in terms of against hip fractures for people of any age, but the world. To be poor, to be sick, or to be a decreasing poverty. Nevertheless, the Plan of it’s especially important when you grow older. Many people believe that the only thing worse woman in a developing country greatly alters the Action on Ageing does point to many areas that People who become less active as they age than being in the hospital is to visit someone experience, of ageing. Older people, especially can be improved to better the lives of older increase their risk of breaking a hip. who is. women, are consistently and disproportionately adults. These include eradicating poverty; A study of 13,183 women and What do you say? What should you do? among the poorest of the poor, often lacking the ensuring the availability and affordability of a 17,045 men between the ages of • Be yourself. There is no right way or right basic necessities of food, water, shelter and range of housing options; implementing health 20 to 93 found that active thing to say. Visiting is more about being health care. promotion activities to support healthy ageing; women’s risk of hip there than being perfect. In terms of health, older people in developing ensuring employment opportunities for all older fracture was But be sensitive to the patient’s mood. countries not only face a higher risk of chronic people who want to work; providing access to Adjust the volume of your voice, your and degenerative diseases than in developed training and lifelong learning opportunities; humor, and overall demeanor in response countries, they also face the continued implementing services for seniors to where the patient is emotionally. threat of communicable diseases such living in rural areas; and as tuberculosis, and malaria and strengthening relationships • Listen. God gave you two ears and only HIV/AIDS. In fact, older people have between generations. one mouth for a good reason. been greatly affected by the Many of these areas • Offer support—not opinions or judgment. dramatic spread of HIV/AIDS. come under federal Acknowledge that the patient’s concerns Older people, especially women, responsibility. That is are valid and real. He or she needs comfort, are the primary carers of family why, as a first step, not judgment. members infected with the virus as federal departments • Don’t say you know exactly how they feel well as the children orphaned by it. and agencies are because of something you’ve experienced For example, in Thailand, two- currently evaluating or because someone else you know had the thirds of all those affected with HIV- their programs and same ailment. related illnesses are nursed at home services with respect to by parents in their 60’s and 70’S. the Madrid Plan of Action • Look for practical things you can do. Furthermore, assumptions about the on Ageing. But, implementing Throw out wilted flowers, comb their hair, sexuality of older persons have left them at the recommendations of the Plan of Action 28% less than that of sedentary women. Active get them something to drink, or wash their high risk of infection since public information will require collaboration of government and men had a 25% lower risk of breaking their hip face. Or offer to do something for them campaigns do not include them as targets. non-government sectors alike. For example, than sedentary men. at home. Older women living in developing countries The Plan calls for action in areas that are relevant People who had been active but became • Be respectful of their “roommate.” face many challenges as a result of a lifetime of to long-term care. sedentary had about twice the risk of hip Don’t be too noisy. fracture as those who remained active. disadvantage and exclusion. Poor education and • Respect privacy. If a doctor or nurse nutrition, as well as a lack of access to services Increasing physical activity beyond the moderate arrives, step out for a minute or two. and the labour market throughout life, leave range of two to four hours per day did not Recommendations for Long-Term Care • Don’t stay too long. Most patients find it many women facing old age in poor health and appear to give any added protection against hard to ask visitors to leave. Fifteen minutes with few material resources. Also, while all older The very first recommendation of the Plan of fractures. is generally a good guideline. people are vulnerable to abuse as a result of Action addresses the issue of human rights. increased frailty and dependence, older women An important aspect of human rights is ensuring Source: American Journal of Epidemiology, • If it’s appropriate, touch can be very remain most at risk due to a combination of age that older persons everywhere are able to age Vol. 154, Pg. 60 powerful. Holding someone’s hand at a and related physical, social and economic with dignity. Maintaining dignity in long-term time when they are confronting pain, disadvantages. care settings can be a serious challenge. uncertainty, or fear can be comforting. Therefore, the recommendation to treat older Finally, in rural areas of developing countries, adults fairly and with dignity, regardless of where the majority of older adults live, Source: Adapted from Living Better: Every Patient’s disability or other status, to take account of their traditional family supports and social networks Guide to Living with Illness, by Carol Langenfeld, needs and respect their right to live in dignity in have been threatened as a result of increased MSEd, OPC, NCC, and Douglas Langenfeld, all stages of life, is certainly relevant within the urbanization and migration of the young. This MBA, CPA context of long-term care. has left many older people isolated and at risk.

20 13 HRT and Breast Cancer The World Assembled If you take hormone replacement therapy (HRT) on Ageing after menopause, your risk of breast cancer and by Simone Powell heart disease may go up. Only those men who restricted the number of calories they ate saw improvement in HRT in this study was Prempro (estrogen plus a This past April in Madrid, Spain, Canada joined Ageing Matters, Globally tryglycerides and HDL cholesterol. synthetic progestin). 156 other countries, as well as non-governrnent The fact is, the world is getting older. The number Bottom line: A very low-fat diet may not be the The jury’s still out on the effects of taking only organizations, to take part in the United Nations of people over the age of 60 will triple over the best way for most people to lower their risk of estrogen (women who’ve had hysterctomies). Second World Assembly on Ageing. The purpose next 50 years, growing from approximately 600 heart disease. Eating fewer calories, along with But for those taking both estrogen and this was to modernize the International Plan of million to nearly 2 billion. This is due to a mostly “good” fats like olive oil and fatty fish, synthetic progesterone (women who still have Action on Ageing that had been adopted at the combination of factors including a significant may be the better health choice. a uterus), the risk for breast cancer and heart First World Assembly on Ageing held in 1982, in decrease of birthrates (below replacement level) disease was slightly higher than for women Vienna. In the intervening years, some countries and an increase in longevity. Currently, one in not using HRT. Source: American Journal of Clinical Nutrition, had incorporated ageing issues into various every ten persons is 60 years and older; by 2050, Vol. 73, Pg. 262 plans, policies and programs, but generally, this number will grow to 1 in 5. At that point, Bottom line: The decision to use or not use adherence to the plan had been limited. hormones should take more into account than nearly 80% of the world’s older population will Brain Attack Developing countries, in particular, faced a be living in less developed regions of the world. a woman’s risk of breast cancer or heart disease. number of barriers to its implementation. It should also give serious consideration to her For developing countries, these changing About half the damage of a stroke (“brain The Second World Assembly provided an risk of osteoporosis, (which hormones may help attack”) occurs within the first 90 minutes. demographics are particularly challenging. prevent), and the degree of discomfort she has opportunity to once again bring countries In most developed countries, the population with menopausal symptoms (e.g., vaginal Ninety percent occurs by three hours, together to discuss the challenges of ageing and ageing process occurred gradually over time, dryness, sleep problems, depression). and 99% by six hours. pin-point key issues. What made this Assembly following a long period of socio-economic different from the first one was that there would Yet the average person waits 22 hours growth. Developing countries are facing the These along with the slightly increased risks for now be a greater focus on the issues facing before getting medical help. challenges of development and rapid population breast cancer and heart disease are all important developing countries, specifically, the relationship issues, and every woman thinking about It’s important to get to a hospital as soon as ageing simultaneously. In other words, developed between ageing and development, in an countries have had the chance to grow affluent hormone replacement should have a long talk possible after symptoms of a stroke begin. increasingly global world. with her doctor to carefully weigh the pros and There, clot busting drugs can be given (for before they grew old, whereas developing The Canadian delegation, led by the Honourable cons of HRT. blood-clot-blocking strokes—not bleeding countries are growing old before their wealth strokes) to minimize brain damage. increases. Sharon Carstairs, Leader of the Government in the Source: Journal of the American Medical Stroke symptoms: Sudden, severe headache The Plan of Action is a long-term strategy Association, Vol. 288, Pg. 321 with no known cause; unexplained dizziness, Senate and Minister with Special Responsibility on ageing and a tool to help governments and unsteadiness, or sudden falls; sudden dimness for Palliative Care, had a very strong presence other players develop priorities and policies or loss of vision, particularly in one eye; sudden at the World Assembly. Other members of the that respond to the demographic changes and difficulty speaking or trouble understanding Advisory Council on Ageing, the Congress of ensure that ageing has a place in all policy speech; and sudden weakness or numbness of National Seniors Organizations, Help the Aged agendas. It identifies three priority directions: Low-fat vs. Low-calorie the face, arm, or leg on one side of the body. Canada, the Canadian Institute of Health • Older persons and development; Research’s Institute of Ageing and the Quebec Ministry of Child and Family Services. In her • Advancing health and well-being Low-calorie may be better than low-fat when it Source: National Institute of Neurological address, Senator Carstairs talked about the into old age; and comes to diets that help prevent heart disease. Disorders and Stroke In a recent study, several groups of men were put progress Canada has made in maintaining and • Ensuring enabling and supportive on different diets. One was a low-fat diet with no improving the health of seniors and decreasing environments. restriction of calories. Another was a low-fat and the rate of poverty over the past few decades. These priorities reflect the broader goals of calorie- restricted diet. And the other was a low- She also outlined Canada’s own priorities for ensuring that “persons everywhere are able to calorie diet with no fat restriction. addressing the challenges of its ageing population: age with security and dignity and to continue All the men lost some weight, and all saw their improving health, well-being and independence to participate in their societies as citizens “bad” LDL cholesterol levels drop. in later life; enhancing the participation of with full rights.” Along with these priorities, older Canadians in economic and social life; the Plan provides recommendations covering But the surprise was that those on the low-fat a wide range of issues. diets saw their triglycerides (a blood fat) go up strengthening supportive environments for and their “good” HDL cholesterol go down, just seniors within Canada; and sustaining government the opposite of what you want to have happen. programs benefiting older Canadians.

14 19 This n’ That Cinema More Accessible If You Drive At Night: 3. Review all your medications with your Listen up, Doc! From Marla Cranston, The Daily News This could be an eye-opener doctor at least every six months. Ask When over 800 patients waiting to see their Going to the movies is something most of us Night vision gradually starts to deteriorate in whether any dosages can be reduced, or doctors answered questions about what they take for granted, but it just became possible for your 20s. if you should discontinue a medication. wanted out of their medical consultation, deaf and blind people in Halifax. Park Lane 8 For every 15 years of life, the amount of light 4. Be alert if you’re taking over-the-counter most said they wanted “communication”, Cinemas became the first movie theatre in admitted to the eye is cut by as much as half. NSAIDS, such as aspirin, ibuprofen, not a prescription. Atlantic Canada equipped to accommodate naproxen, and ketoprofen. These drugs visually and hearing-impaired movie-goers. Also, the light that does get into your eyes tends can damage the kidneys, especially when Most patients said they wanted their doctor to: to scatter more, which can create a glare at night. For people who can’t hear properly there is Rear taken at moderate-to-high doses for longer • Listen to them, and then talk to them, The average 60-year-old needs three times as than a few days. Combination painkillers about their concerns. Window Captioning, with individual plexiglass screens that reflect red lettering projected from much light to see well at night as the average containing, for example, aspirin, • Form a “partnership” with them, including the back wall of the theatre. People who can’t 20-year-old. acetaminophen, and caffeine seem to discussion and mutual agreement about see can follow the onscreen action, thanks to be a particular problem. treatment. A number of prescription drugs can also DVS Theatrical Systems, a descriptive narration Tips for Night Drivers • Give them advice on how to stay healthy heard through a headset. harm the kidneys. and reduce the risks of future illness. • Slow down to compensate for reduced A letter-writing campaign by students at a deaf night vision. If You Take NSAIDS school in London, Ont., prompted the theatre Make sure you read—and take seriously—the Source: British Medical Journal, Vol. 322, Pg. 468 • Turn on your headlights at twilight to chain’s move toward greater accessibility, said warning label on these over-the-counter drugs. Andrew Sherbin, manager of corporate affairs for help other motorists see you. Famous Players. • Try to look forward and slightly to the right Don’t use them more than 10 days for pain, or more than three days for fever. “It’s not just a community service, it’s also a if oncoming headlights are too glaring. A Second Opinion long-term investment as the population ages,” Source: Family Safety and Health, Vol. 55, No.1 Use NSAIDS only under your doctor’s Sherbin said, noting 10 per cent supervision if you take them for a chronic It makes sense to seek a second medical of Canadians are hard condition, have heart disease, high blood opinion when: of hearing, while pressure, kidney disease or liver disease, if you • Your doctor recommends major surgery. three per cent If You Take Medicine, take diuretic medications, or are over 65. • You have unanswered questions. are visually Avoid prolonged use of any drug that contains a impaired. Take Care of Your Kidneys mixture of painkilling ingredients. • You feel uncomfortable about the advice you’ve been given. Developed As people age, their kidneys often work less Drink at least six to eight glasses of water a day. by Boston’s efficiently, and their ability to eliminate waste, • You’re diagnosed with a serious illness. Make sure your doctor knows about all WGBH including medications, tends to deteriorate. medicines you are taking—including over-the- • You’re told the recommended treatment Media Access This can cause unwanted side effects, even counter ones. has serious risks or side effects. Group, the systems kidney damage. cost about $20,000 If you must take NSAIDS regularly, ask your • You’re told you need an experimental So before starting a new medication for a chronic per cinema. doctor about checking your kidney function— treatment. ailment, take the following precautions: just to be safe. For now, just one theatre is equipped at Park • You’re interested in treatment options your 1. Ask your doctor if you can take less than Lane. To check future films for captioning and doctor isn’t familiar with. the usual dosage. You may be able to start Source: National Kidney Foundation narration, see www.famousplayers.com and click on a low dose and gradually increase it to a • You’ve tried a treatment that hasn’t worked. on the RWC/DVS section, check printed listings point that it’s effective—while still staying for a RWC/DVS indication, or call the Park Lane below the toxic level. Source: Hope Heart Institute, Seattle Cinema hotline at 423-4860. When you arrive at the theatre, ask the box office for a screen or 2. Stay alert for symptoms like fatigue, headset—22 of each are available. confusion, constipation, incontinence, or unsteady gait. These could signal a drug overdose for you. Tell your doctor and he may be able to switch you to a lower dose or a different drug.

18 15 Doc Talk Asprin and Ibuprofen Grief—Normal Victor J. Barry, DDS If you take ibuprofen (e.g., Advil) for arthritis and Necessary pain, you may be canceling out the benefits of With all the hype around electric toothbrushes, the aspirin you take to guard against a heart Grief is something we all feel at some point in • Other therapies: meditation, exercise, you may be feeling guilty if you haven’t “bucked attack. our lives, often multiple times. When we lose and art and music therapy. up” for one yet. someone close to us, grief is natural, normal— Ibuprofen cancels out aspirin’s clot-busting Don’t be. The American Dental Association says and necessary. ability, say researchers. Sources: Roxane Cohen Silver; PhD; the standard manual toothbrush can do just as Karl Goodkin, MD, PhD good a job at plaque removal. What you need to know about grief In one study, however, both dentists and patients • Symptoms: Shock, anxiety, or emotional agreed after a few months that the patients’ oral numbness may be initial reactions. Body, Mind and Soul health seemed to improve with the use of a Over time, other symptoms can emerge: powered toothbrush. But perhaps patients were depression, anger, guilt, helplessness, “I believe the second half of one’s life is meant just spending more time in front of their mirrors. and social withdrawal. to be better than the first half. The first half is That said, other studies show that people spend a Physical symptoms can include trouble finding out how you do it. And the second half lot less time brushing than they think. Try timing sleeping, fatigue, crying, appetite loss, is enjoying it.” yourself. It’s usually a matter of seconds, not gastrointestinal upset, and chest pains. Frances Lear minutes (ideal brushing time is 3 to 4 • There is no one “normal” way to respond minutes). to a loss. Some people can stay relatively “History is a vast early-warning system.” Ads portray electric toothbrushes as “magic positive, especially if they have lots of toothpaste-covered wands” for your teeth. emotional and social support. Others feel Norman Cousins No matter how long you leave one in your more distress that lasts for a long period mouth, however, it doesn’t rub off the plaque of time. between teeth and under bridges. “In spite of the cost of living, it’s still popular.” • It’s important to process our feelings rather Kathleen Norris Only floss can do that. But if you’re on a tight than bottle them up. schedule, or have a physical impairment, an Returning to “business as usual” is not the electric toothbrush can help. “We suspect many millions of people take best remedy long-term, say mental health “Education is when you read the fine print. Bottom line: Dental disease prevention does not both of these drugs,” says researcher Garret experts. Experience is what you get if you don’t.” depend on batteries. It’s simp1y a combination FitzGerald. “Because both drugs are sold over- • A strong, solid support system is one key to Pete Seeger of controlling plaque with daily brushing and the-counter, there are probably very few people helping people cope with loss. This can be flossing, and reducing the intake of plaque fuel, who consult their doctor about possible drug family, friends, a religious organization, or a sugar. The most damage for adults comes from interactions.” “The unfortunate thing about this world is bereavement support group. the habitual intake of hidden sugars—in breath What should you do if you need both drugs? that good habits are so much easier to give up mints, gum, soft drinks, and chewable vitamins. The American Heart Association suggests that Experts agree that talking through feelings is than bad ones.” an important part of most people’s recovery. Source: Looking Forward—Hope Heart Institute, people ask their doctor about switching from W. Somerset Maugham Vol. 15, No. 6—Early Winter 2002 ibuprofen to a different anti-inflammatory: • Feeling grief can reduce immune system function, leaving people vulnerable to Source: New England Journal of Medicine, infections and even cancer. That’s why it’s “Humor is laughing at what you haven’t Vol. 345, Pg. 1809 important to seek some kind of help and got when you ought to have it.” support so that recovery is not prolonged. Langston Hughes • If you feel you need help, talk to a mental health professional. Treatment options can include one-on-one talk therapy, support groups, and/or antidepressants or anti- anxiety drugs.

16 17 Doc Talk Asprin and Ibuprofen Grief—Normal Victor J. Barry, DDS If you take ibuprofen (e.g., Advil) for arthritis and Necessary pain, you may be canceling out the benefits of With all the hype around electric toothbrushes, the aspirin you take to guard against a heart Grief is something we all feel at some point in • Other therapies: meditation, exercise, you may be feeling guilty if you haven’t “bucked attack. our lives, often multiple times. When we lose and art and music therapy. up” for one yet. someone close to us, grief is natural, normal— Ibuprofen cancels out aspirin’s clot-busting Don’t be. The American Dental Association says and necessary. ability, say researchers. Sources: Roxane Cohen Silver; PhD; the standard manual toothbrush can do just as Karl Goodkin, MD, PhD good a job at plaque removal. What you need to know about grief In one study, however, both dentists and patients • Symptoms: Shock, anxiety, or emotional agreed after a few months that the patients’ oral numbness may be initial reactions. Body, Mind and Soul health seemed to improve with the use of a Over time, other symptoms can emerge: powered toothbrush. But perhaps patients were depression, anger, guilt, helplessness, “I believe the second half of one’s life is meant just spending more time in front of their mirrors. and social withdrawal. to be better than the first half. The first half is That said, other studies show that people spend a Physical symptoms can include trouble finding out how you do it. And the second half lot less time brushing than they think. Try timing sleeping, fatigue, crying, appetite loss, is enjoying it.” yourself. It’s usually a matter of seconds, not gastrointestinal upset, and chest pains. Frances Lear minutes (ideal brushing time is 3 to 4 • There is no one “normal” way to respond minutes). to a loss. Some people can stay relatively “History is a vast early-warning system.” Ads portray electric toothbrushes as “magic positive, especially if they have lots of toothpaste-covered wands” for your teeth. emotional and social support. Others feel Norman Cousins No matter how long you leave one in your more distress that lasts for a long period mouth, however, it doesn’t rub off the plaque of time. between teeth and under bridges. “In spite of the cost of living, it’s still popular.” • It’s important to process our feelings rather Kathleen Norris Only floss can do that. But if you’re on a tight than bottle them up. schedule, or have a physical impairment, an Returning to “business as usual” is not the electric toothbrush can help. “We suspect many millions of people take best remedy long-term, say mental health “Education is when you read the fine print. Bottom line: Dental disease prevention does not both of these drugs,” says researcher Garret experts. Experience is what you get if you don’t.” depend on batteries. It’s simp1y a combination FitzGerald. “Because both drugs are sold over- • A strong, solid support system is one key to Pete Seeger of controlling plaque with daily brushing and the-counter, there are probably very few people helping people cope with loss. This can be flossing, and reducing the intake of plaque fuel, who consult their doctor about possible drug family, friends, a religious organization, or a sugar. The most damage for adults comes from interactions.” “The unfortunate thing about this world is bereavement support group. the habitual intake of hidden sugars—in breath What should you do if you need both drugs? that good habits are so much easier to give up mints, gum, soft drinks, and chewable vitamins. The American Heart Association suggests that Experts agree that talking through feelings is than bad ones.” an important part of most people’s recovery. Source: Looking Forward—Hope Heart Institute, people ask their doctor about switching from W. Somerset Maugham Vol. 15, No. 6—Early Winter 2002 ibuprofen to a different anti-inflammatory: • Feeling grief can reduce immune system function, leaving people vulnerable to Source: New England Journal of Medicine, infections and even cancer. That’s why it’s “Humor is laughing at what you haven’t Vol. 345, Pg. 1809 important to seek some kind of help and got when you ought to have it.” support so that recovery is not prolonged. Langston Hughes • If you feel you need help, talk to a mental health professional. Treatment options can include one-on-one talk therapy, support groups, and/or antidepressants or anti- anxiety drugs.

16 17 This n’ That Cinema More Accessible If You Drive At Night: 3. Review all your medications with your Listen up, Doc! From Marla Cranston, The Daily News This could be an eye-opener doctor at least every six months. Ask When over 800 patients waiting to see their Going to the movies is something most of us Night vision gradually starts to deteriorate in whether any dosages can be reduced, or doctors answered questions about what they take for granted, but it just became possible for your 20s. if you should discontinue a medication. wanted out of their medical consultation, deaf and blind people in Halifax. Park Lane 8 For every 15 years of life, the amount of light 4. Be alert if you’re taking over-the-counter most said they wanted “communication”, Cinemas became the first movie theatre in admitted to the eye is cut by as much as half. NSAIDS, such as aspirin, ibuprofen, not a prescription. Atlantic Canada equipped to accommodate naproxen, and ketoprofen. These drugs visually and hearing-impaired movie-goers. Also, the light that does get into your eyes tends can damage the kidneys, especially when Most patients said they wanted their doctor to: to scatter more, which can create a glare at night. For people who can’t hear properly there is Rear taken at moderate-to-high doses for longer • Listen to them, and then talk to them, The average 60-year-old needs three times as than a few days. Combination painkillers about their concerns. Window Captioning, with individual plexiglass screens that reflect red lettering projected from much light to see well at night as the average containing, for example, aspirin, • Form a “partnership” with them, including the back wall of the theatre. People who can’t 20-year-old. acetaminophen, and caffeine seem to discussion and mutual agreement about see can follow the onscreen action, thanks to be a particular problem. treatment. A number of prescription drugs can also DVS Theatrical Systems, a descriptive narration Tips for Night Drivers • Give them advice on how to stay healthy heard through a headset. harm the kidneys. and reduce the risks of future illness. • Slow down to compensate for reduced A letter-writing campaign by students at a deaf night vision. If You Take NSAIDS school in London, Ont., prompted the theatre Make sure you read—and take seriously—the Source: British Medical Journal, Vol. 322, Pg. 468 • Turn on your headlights at twilight to chain’s move toward greater accessibility, said warning label on these over-the-counter drugs. Andrew Sherbin, manager of corporate affairs for help other motorists see you. Famous Players. • Try to look forward and slightly to the right Don’t use them more than 10 days for pain, or more than three days for fever. “It’s not just a community service, it’s also a if oncoming headlights are too glaring. A Second Opinion long-term investment as the population ages,” Source: Family Safety and Health, Vol. 55, No.1 Use NSAIDS only under your doctor’s Sherbin said, noting 10 per cent supervision if you take them for a chronic It makes sense to seek a second medical of Canadians are hard condition, have heart disease, high blood opinion when: of hearing, while pressure, kidney disease or liver disease, if you • Your doctor recommends major surgery. three per cent If You Take Medicine, take diuretic medications, or are over 65. • You have unanswered questions. are visually Avoid prolonged use of any drug that contains a impaired. Take Care of Your Kidneys mixture of painkilling ingredients. • You feel uncomfortable about the advice you’ve been given. Developed As people age, their kidneys often work less Drink at least six to eight glasses of water a day. by Boston’s efficiently, and their ability to eliminate waste, • You’re diagnosed with a serious illness. Make sure your doctor knows about all WGBH including medications, tends to deteriorate. medicines you are taking—including over-the- • You’re told the recommended treatment Media Access This can cause unwanted side effects, even counter ones. has serious risks or side effects. Group, the systems kidney damage. cost about $20,000 If you must take NSAIDS regularly, ask your • You’re told you need an experimental So before starting a new medication for a chronic per cinema. doctor about checking your kidney function— treatment. ailment, take the following precautions: just to be safe. For now, just one theatre is equipped at Park • You’re interested in treatment options your 1. Ask your doctor if you can take less than Lane. To check future films for captioning and doctor isn’t familiar with. the usual dosage. You may be able to start Source: National Kidney Foundation narration, see www.famousplayers.com and click on a low dose and gradually increase it to a • You’ve tried a treatment that hasn’t worked. on the RWC/DVS section, check printed listings point that it’s effective—while still staying for a RWC/DVS indication, or call the Park Lane below the toxic level. Source: Hope Heart Institute, Seattle Cinema hotline at 423-4860. When you arrive at the theatre, ask the box office for a screen or 2. Stay alert for symptoms like fatigue, headset—22 of each are available. confusion, constipation, incontinence, or unsteady gait. These could signal a drug overdose for you. Tell your doctor and he may be able to switch you to a lower dose or a different drug.

18 15 HRT and Breast Cancer The World Assembled If you take hormone replacement therapy (HRT) on Ageing after menopause, your risk of breast cancer and by Simone Powell heart disease may go up. Only those men who restricted the number of calories they ate saw improvement in HRT in this study was Prempro (estrogen plus a This past April in Madrid, Spain, Canada joined Ageing Matters, Globally tryglycerides and HDL cholesterol. synthetic progestin). 156 other countries, as well as non-governrnent The fact is, the world is getting older. The number Bottom line: A very low-fat diet may not be the The jury’s still out on the effects of taking only organizations, to take part in the United Nations of people over the age of 60 will triple over the best way for most people to lower their risk of estrogen (women who’ve had hysterctomies). Second World Assembly on Ageing. The purpose next 50 years, growing from approximately 600 heart disease. Eating fewer calories, along with But for those taking both estrogen and this was to modernize the International Plan of million to nearly 2 billion. This is due to a mostly “good” fats like olive oil and fatty fish, synthetic progesterone (women who still have Action on Ageing that had been adopted at the combination of factors including a significant may be the better health choice. a uterus), the risk for breast cancer and heart First World Assembly on Ageing held in 1982, in decrease of birthrates (below replacement level) disease was slightly higher than for women Vienna. In the intervening years, some countries and an increase in longevity. Currently, one in not using HRT. Source: American Journal of Clinical Nutrition, had incorporated ageing issues into various every ten persons is 60 years and older; by 2050, Vol. 73, Pg. 262 plans, policies and programs, but generally, this number will grow to 1 in 5. At that point, Bottom line: The decision to use or not use adherence to the plan had been limited. hormones should take more into account than nearly 80% of the world’s older population will Brain Attack Developing countries, in particular, faced a be living in less developed regions of the world. a woman’s risk of breast cancer or heart disease. number of barriers to its implementation. It should also give serious consideration to her For developing countries, these changing About half the damage of a stroke (“brain The Second World Assembly provided an risk of osteoporosis, (which hormones may help attack”) occurs within the first 90 minutes. demographics are particularly challenging. prevent), and the degree of discomfort she has opportunity to once again bring countries In most developed countries, the population with menopausal symptoms (e.g., vaginal Ninety percent occurs by three hours, together to discuss the challenges of ageing and ageing process occurred gradually over time, dryness, sleep problems, depression). and 99% by six hours. pin-point key issues. What made this Assembly following a long period of socio-economic different from the first one was that there would Yet the average person waits 22 hours growth. Developing countries are facing the These along with the slightly increased risks for now be a greater focus on the issues facing before getting medical help. challenges of development and rapid population breast cancer and heart disease are all important developing countries, specifically, the relationship issues, and every woman thinking about It’s important to get to a hospital as soon as ageing simultaneously. In other words, developed between ageing and development, in an countries have had the chance to grow affluent hormone replacement should have a long talk possible after symptoms of a stroke begin. increasingly global world. with her doctor to carefully weigh the pros and There, clot busting drugs can be given (for before they grew old, whereas developing The Canadian delegation, led by the Honourable cons of HRT. blood-clot-blocking strokes—not bleeding countries are growing old before their wealth strokes) to minimize brain damage. increases. Sharon Carstairs, Leader of the Government in the Source: Journal of the American Medical Stroke symptoms: Sudden, severe headache The Plan of Action is a long-term strategy Association, Vol. 288, Pg. 321 with no known cause; unexplained dizziness, Senate and Minister with Special Responsibility on ageing and a tool to help governments and unsteadiness, or sudden falls; sudden dimness for Palliative Care, had a very strong presence other players develop priorities and policies or loss of vision, particularly in one eye; sudden at the World Assembly. Other members of the that respond to the demographic changes and difficulty speaking or trouble understanding Advisory Council on Ageing, the Congress of ensure that ageing has a place in all policy speech; and sudden weakness or numbness of National Seniors Organizations, Help the Aged agendas. It identifies three priority directions: Low-fat vs. Low-calorie the face, arm, or leg on one side of the body. Canada, the Canadian Institute of Health • Older persons and development; Research’s Institute of Ageing and the Quebec Ministry of Child and Family Services. In her • Advancing health and well-being Low-calorie may be better than low-fat when it Source: National Institute of Neurological address, Senator Carstairs talked about the into old age; and comes to diets that help prevent heart disease. Disorders and Stroke In a recent study, several groups of men were put progress Canada has made in maintaining and • Ensuring enabling and supportive on different diets. One was a low-fat diet with no improving the health of seniors and decreasing environments. restriction of calories. Another was a low-fat and the rate of poverty over the past few decades. These priorities reflect the broader goals of calorie- restricted diet. And the other was a low- She also outlined Canada’s own priorities for ensuring that “persons everywhere are able to calorie diet with no fat restriction. addressing the challenges of its ageing population: age with security and dignity and to continue All the men lost some weight, and all saw their improving health, well-being and independence to participate in their societies as citizens “bad” LDL cholesterol levels drop. in later life; enhancing the participation of with full rights.” Along with these priorities, older Canadians in economic and social life; the Plan provides recommendations covering But the surprise was that those on the low-fat a wide range of issues. diets saw their triglycerides (a blood fat) go up strengthening supportive environments for and their “good” HDL cholesterol go down, just seniors within Canada; and sustaining government the opposite of what you want to have happen. programs benefiting older Canadians.

14 19 Countries Are Not Equal and Neither The Work Ahead for Canada Preventing Hip Fractures How to be a Good is the Ageing Experience In comparison to many other regions of the The Plan acknowledges that the experience of world, Canada has made progress in improving Moderate physical activity can help protect Hospital Visitor ageing varies greatly between different regions of the lives of older adults, particularly in terms of against hip fractures for people of any age, but the world. To be poor, to be sick, or to be a decreasing poverty. Nevertheless, the Plan of it’s especially important when you grow older. Many people believe that the only thing worse woman in a developing country greatly alters the Action on Ageing does point to many areas that People who become less active as they age than being in the hospital is to visit someone experience, of ageing. Older people, especially can be improved to better the lives of older increase their risk of breaking a hip. who is. women, are consistently and disproportionately adults. These include eradicating poverty; A study of 13,183 women and What do you say? What should you do? among the poorest of the poor, often lacking the ensuring the availability and affordability of a 17,045 men between the ages of • Be yourself. There is no right way or right basic necessities of food, water, shelter and range of housing options; implementing health 20 to 93 found that active thing to say. Visiting is more about being health care. promotion activities to support healthy ageing; women’s risk of hip there than being perfect. In terms of health, older people in developing ensuring employment opportunities for all older fracture was But be sensitive to the patient’s mood. countries not only face a higher risk of chronic people who want to work; providing access to Adjust the volume of your voice, your and degenerative diseases than in developed training and lifelong learning opportunities; humor, and overall demeanor in response countries, they also face the continued implementing services for seniors to where the patient is emotionally. threat of communicable diseases such living in rural areas; and as tuberculosis, and malaria and strengthening relationships • Listen. God gave you two ears and only HIV/AIDS. In fact, older people have between generations. one mouth for a good reason. been greatly affected by the Many of these areas • Offer support—not opinions or judgment. dramatic spread of HIV/AIDS. come under federal Acknowledge that the patient’s concerns Older people, especially women, responsibility. That is are valid and real. He or she needs comfort, are the primary carers of family why, as a first step, not judgment. members infected with the virus as federal departments • Don’t say you know exactly how they feel well as the children orphaned by it. and agencies are because of something you’ve experienced For example, in Thailand, two- currently evaluating or because someone else you know had the thirds of all those affected with HIV- their programs and same ailment. related illnesses are nursed at home services with respect to by parents in their 60’s and 70’S. the Madrid Plan of Action • Look for practical things you can do. Furthermore, assumptions about the on Ageing. But, implementing Throw out wilted flowers, comb their hair, sexuality of older persons have left them at the recommendations of the Plan of Action 28% less than that of sedentary women. Active get them something to drink, or wash their high risk of infection since public information will require collaboration of government and men had a 25% lower risk of breaking their hip face. Or offer to do something for them campaigns do not include them as targets. non-government sectors alike. For example, than sedentary men. at home. Older women living in developing countries The Plan calls for action in areas that are relevant People who had been active but became • Be respectful of their “roommate.” face many challenges as a result of a lifetime of to long-term care. sedentary had about twice the risk of hip Don’t be too noisy. fracture as those who remained active. disadvantage and exclusion. Poor education and • Respect privacy. If a doctor or nurse nutrition, as well as a lack of access to services Increasing physical activity beyond the moderate arrives, step out for a minute or two. and the labour market throughout life, leave range of two to four hours per day did not Recommendations for Long-Term Care • Don’t stay too long. Most patients find it many women facing old age in poor health and appear to give any added protection against hard to ask visitors to leave. Fifteen minutes with few material resources. Also, while all older The very first recommendation of the Plan of fractures. is generally a good guideline. people are vulnerable to abuse as a result of Action addresses the issue of human rights. increased frailty and dependence, older women An important aspect of human rights is ensuring Source: American Journal of Epidemiology, • If it’s appropriate, touch can be very remain most at risk due to a combination of age that older persons everywhere are able to age Vol. 154, Pg. 60 powerful. Holding someone’s hand at a and related physical, social and economic with dignity. Maintaining dignity in long-term time when they are confronting pain, disadvantages. care settings can be a serious challenge. uncertainty, or fear can be comforting. Therefore, the recommendation to treat older Finally, in rural areas of developing countries, adults fairly and with dignity, regardless of where the majority of older adults live, Source: Adapted from Living Better: Every Patient’s disability or other status, to take account of their traditional family supports and social networks Guide to Living with Illness, by Carol Langenfeld, needs and respect their right to live in dignity in have been threatened as a result of increased MSEd, OPC, NCC, and Douglas Langenfeld, all stages of life, is certainly relevant within the urbanization and migration of the young. This MBA, CPA context of long-term care. has left many older people isolated and at risk.

20 13 The Plan also stresses the need for a continuum Older adults, in all settings, face the risk of Caregiver Tax Tips Favourite of care that includes long-term care. Specifically, abuse and neglect. There are a number of Are you claiming the tax credits listed below Physician Proverbs it calls for the establishment and coordination of reasons why older adults living in institutions that you are entitled to as a caregiver? For more a full range of services in the continuum of care, can be vulnerable to abuse, including insufficient information, read your tax guide, call the “Nature, time, and patience are three including prevention and promotion, primary institutional resources and the difficulties Revenue Agency at 1-800-959-8281 or speak great physicians.” care, acute care, rehabilitation, long-term and encountered by healthcare workers. The Plan with a financial advisor. “The best physicians are Dr. Diet, Dr. Quiet, palliative care, so that resources can be deployed recommends that training for the caring Definition of partner: the person to whom you and Dr. Merryman.” flexibly to meet the variable and changing health professionsincludes how elder abuse is addressed are legally married; or a person of the opposite needs of older persons. in institutions. In addition, it calls for action “When fate arrives, the physician becomes a fool.” sex or same sex whom you have a relationship Palliative care is an important but sometimes which will encourage health and social service with if: you have been living and having a “When the clever doctor fails, try one less clever.” overlooked element of health care systems. professionals, as well as the general public, relationship with him/her for 12 months; or This is why the Plan recommends supporting to report suspected elder abuse. “The superior doctor prevents sickness; the mediocre he/she is the natural or adoptive parent of your the provision of palliative care and its integration The above highlights some of the many issues doctor attends to impending sickness; and the child; or he/she lived with you for 12 months. into comprehensive health care. In addition, that were discussed during the Second World inferior doctor treats actual sickness.” 1. Basic Personal Credit—you are eligible to it calls for the development of standards for Assembly on Ageing. With so many claim $7,412. training and palliative care, and encourages recommendations, 117 in total, the task at hand multidisciplinary approaches for all service does seem quite daunting. Without question, the 2. Caregiver Credit—up to $3,500 if you providers of palliative care. maintained a dwelling where you lived “Fat-free” Tricks transformation in the make-up of the population with a dependent who was 18 or over, The participation of older persons in all aspects will have profound consequences on every aspect of their care is crucial, not only for maintaining of life, for individuals and for societies. Yet, it is had a net income less than $15,453 and Today, food labels shouting “fat-free” or “low-fat” dignity, but also ensuring that their needs are important not to lose sight of the positive side of born in 1936 or earlier. seem to be everywhere on your grocer’s shelves. met. The Plan recommends action which will population ageing. Too often we focus on the 3. Age Credit—you are eligible to claim But are they the foods you should be reaching for? not only fully include older persons in decision- negative and see the ageing of the population as a $3,619 if your were 65 in 2001. Not necessarily. Here’s why: making related to their own care, but also in the problem to be solved and seniors as a burden to 4. Spousal Credit—claim $6,923 if you planning, implementation and evaluation of be borne. The reality is that people do not cease had a partner you supported in 2001. • They usually contain just as many— social and health care, including long-term and to contribute to society as they age. On the if not more—calories than their full-fat rehabilitative care. contrary, older adults have a lifetime of 5. Dependent Disability Credit—if you claimed counterparts. either 2, 7 or 8, you are eligible to claim In order to have long-term care that serves the experience from which we can all benefit. The any disability amount a dependent does That’s because manufacturers usually add extra needs of older persons, it is crucial that health task for Canada, and all countries, is to ensure not claim. sugar in place of the lost fat to keep our taste workers and professionals have appropriate that we create the conditions so that people can buds happy. age with dignity and remain full participants of 6. Spousal Transfer Credit—claim any part training. Thus, the Plan of Action recommends • In order to be able to claim “fat-free,” the initiation and promotion of education and society. In the words of Kofi Annan, Secretary- of your partner’s age, disability pension, General of the United Nations: or tuition and education credit he/she (less than 0.5 gram of fat per serving), training programs, as well as continuing does not claim. manufacturers sometimes shrink the education, for health professionals, social care “Trees grow strong over the years, rivers wider: serving size. So you’re getting less fat, professionals and informal care providers in the Likewise, with age, human beings gain 7. Eligible Dependent Credit—claim $6,293 but also less food. services for, and care of older persons. immeasurable depth and breadth of experience and if you supported a dependent who lived Bottom line: You don’t see the label “fat-free” Mental health problems are a growing concern wisdom. That is why older persons should not be with you and you were single, divorced, only respected and revered: they should be utilized separated or widowed in 2001. or “low-fat” on foods that are generally healthy and the number of older persons with mental for you like fruits, vegetables, and whole-grain illnesses is expected to increase as the population as the rich resource to society that they are.” 8. Infirm Dependent Credit—up to $3,500 breads. ages. The Plan of Action draws attention to this for each dependent relative. Source: Stride—Excellence in Long Term, Most foods labeled “fat-free” or “low-fat”: issue and recommends that mental health November 2002—January 2003 9. Personal Disability Credit—up to $6,000 are foods that should be eaten in moderation— services be provided to older persons residing in if a health professional certifies your daily for once-in-a-while treats. long-term care facilities and that healthcare living was greatly restricted in 2001. professionals receive on-going training in the detection and assessment of all mental disorders 10. Credits for Medical Expenses—claim Source: NutritionNewsFocus.com medical expenses paid for in 2001. and depression. Source: Canada Customs and Revenue Agency

12 21 What types of questions or “Even if I help just a little bit, 10 Tips for Mental Health Stroke Still Leading information can be provided? I’ve helped and that is very satisfying.” 1. Build Confidence Cause of Adult Disability Although we don’t offer advice, there is always a “For the most part, people are really appreciative Identify your abilities and weaknesses compassioate listener available to offer support, Stroke is a leading cause of death and disability of the follow-up call and that we’ve taken the together, accept them build on them and referral services throughout the province and in Canada and in Nova Scotia. As Nova Scotians, time to check in on them. Quite often it gives do the best with what you have. answer your questions on such topics as general we are at particularly high risk of stroke, we have information on Alzheimer Disease and other them the opportunity to update us on what’s 2. Eat right, Keep fit among the highest rates of major risk factors like Dementias, legal issues, support specific to your been happening over the past few weeks and A balanced diet, exercise and rest can help smoking, obesity, diabetes, high blood pressure, community, medication, communication, long- to ask any questions around the information you to reduce stress and enjoy life. physical in-activity and high blood cholesterol distance care giving and strategies on how to they received.” in Canada. 3. Make Time for Family and Friends cope with the changes happening with you or A 2000 poll commissioned by the Heart and your loved one. If I want to volunteer with the InfoLine, These relationships need to be nurtured; Stroke Foundation revealed that many Canadians if taken for granted they will not be there “Most often the care provider/family what type of training will I receive? do not know the signs and symptoms of a stroke. member is exhausted and looking for to share life’s joys and sorrows. In May of this year, our volunteers The poll showed that only 43 per cent of answers on where to go from here, attended in-depth training 4. Give and Accept Support Canadians realized that sudden weakness, where to get help, what to consisting of two four-hour numbness, and paralysis on one side of the body expect. They feel they’re Friends and family relationships thrive training sessions. The first are indicators of stroke. It is very important that drowning in their when they are “put to the test”. was facilitated by the Help we learn to recognize the signs of a stroke and problems alone and are 5. Create a Meaningful Budget Line and offered that we get medical attention within three hours, quite appreciative of tips on listening skills Financial problems cause stress. a timeframe that can make a big difference in the the service we and appropriate answers Over-spending on our “wants” instead amount of damage a stroke causes to the brain. provide, especially to questions, among other of our “needs” is often the culprit. knowing their June is Stroke Awareness Month, and these things. The second was offered problems are not 6. Volunteer numbers show us that we have a long way to go by staff at the Alzheimer Society unique only to them. Being involved in community gives a before Nova Scotians are informed as to their risk of Nova Scotia and focused on the We also seem to get a sense of purpose and satisfaction that factors and the signs and symptoms of a stroke. disease and procedures associated number of calls from paid work cannot. These signals include sudden vision problems, with the position. sudden and severe headaches, sudden weakness, family members who 7. Manage Stress trouble speaking and dizziness. live away and are looking “The training was excellent. With my for information on Long- personal experience associated with We all have stressors in our lives but A stroke happens when a blood vessel that feeds learning how to deal with them when Distance Caregiving.” Alzheimer Disease, I felt very prepared the brain becomes blocked or bursts. This can to begin my new volunteer role. I think it’s they threaten to overwhelm us will cause permanent brain damage, and those who maintain our mental health. natural to feel a bit nervous because you don’t survive frequently experience difficulty doing know what kinds of questions to expect 8. Find Strength in Numbers things that they once took for granted. Out of What if I have when the phone rings, but after you do Sharing a problem with others have had the nearly 1,400 Nova Scotians who will suffer more questions after it a few times, you realize similar experiences may help you find a a stroke this year, 500 will die. This number is I receive the how much help you are to solution and will make you feel less expected to increase by at least nine per cent by information? others just by listening.” 2016, as Baby Boomers age. isolated. You can call the InfoLine 9. Identify and Deal with Moods The Heart and Stroke Foundation of Nova Scotia as often as you need Source: Alzheimer Society Nova Scotia Newsletter, wants you to be aware of your risk factors for Summer/Fall 2002 We all need to find safe and constructive to and we will do our best to answer all your stroke. You can talk to your doctor about this questions. In addition to that, we have included ways to express our feelings of anger, and discuss ways of reducing your risk. It is sadness, joy and fear. a follow-up component, whereas, all callers will also vitally important that you know the signs receive a follow-up call two weeks after their 10. Learn to Be at Peace with Yourself of a stroke, and that you get medical attention initial contact. Our volunteers check in with you Get to know who you are, what makes you immediately if you experience any of these signs. to determine how things are since the previous really happy, and learn to balance what you The Foundation has a variety of resources contact, if the information was received and was can and cannot change about yourself. available to help you learn more about stroke, helpful, and if there are any other questions the number three cause of death in Nova Scotia you have. Source: Canadian Mental Health Association and the number one cause of adult disability.

22 11 For more information, contact us at 423-7530, Senior Friendly Ideas Education and or 1-800-423-4432, or visit our web-site at Ageing the Active Way for Healthy Eating Support—InfoLine www.heartandstroke.ca There are more ways than one to lead a physically active life in older age. Richard Tower • Planning Meals: Using Canada’s Food What is the purpose of the Source: Ticker Talk, Volume 12, Number 2, recounts some of the adventurous experiences of Guide to Healthy Eating InfoLine and why was it set up? Spring 2002 ExtraCare’s residents. • Planning Meals: Variety and Balance This community-based service has been designed Get your hands on a ‘four-by-four’ and plough through some mud, abseil down a rock face, • Planning Meals: Fibre Facts to enhance accessibility to information, support and referral services for people diagnosed with Sole North American whiz down a toboggan run, and splash around • Planning Meals: The Fat Challenge Alzheimer Disease and other Dementias and in a canoe. Get the Mission Impossible t-shirt and their families, caregivers, care providers and Distributors of Impactwear go home to celebrate the rest of your birthday. communities throughout Nova Scotia. Sounds like the perfect choice for an adventurous Hip Protectors 20- something? It’s how Edith Rotherham, from Warrington, chose to spend her 83rd birthday “We’re here to provide Protection and Peace of Mind last year, as part of a Mission Impossible Extreme information and support” Impactwear® Hip Protectors have been designed Sports Programme run by ExtraCare Charitable The line has been in operation since May 21 and especially for older people to help reduce the Trust. since then has received a total of 118 requests for likelyhood of a hip fracture resulting from a fall. Eighty-three is the average age of residents information/support. We currently have 4 trained Impactwear® with the ExtraCare Charitable Trust, who join a volunteers, Anne Hallisey, Olive McIldoon, Hip Protectors are the solution. They have been designed to be comfortable comprehensive activities programme which Barbara Mulrooney and Joy Wilmhurst, who are includes ballooning, helicopter rides, gliding, prepared to answer your questions and provide everyday wear. They feature soft padded pockets over the hip area which contain thin ‘high tech’ hiring the Orient Express train and a fiercely support and information, whether by phone or competitive garden festival. There is also an walk-in visit. thermoplastic shields. These shields protect the hip bones by absorbing and deflecting the impact ‘ExtraChoir’ of 1,000, who filled Coventry “We’re here to provide information and support energy generated during a fall. Cathedral at Christmas last year. to families affected by Alzheimer Disease. We’re John Graham, Managing Director of ExtraCare, • Shopping for One or Two: Planning Impactwear® accessible to the entire province, not just the Hip Protectors were researched, is responsible for investing sufficient resources • Shopping for One or Two: On a Budget Metro Area.” developed and manufactured in New Zealand. so that over 1,500 residents from 35 retirement • Cooking for One or Two: They consist of ‘high tech’ reinforced schemes across the Midlands, can take part in the Meal Preparation Made Easy thermoplastic composites, enabling thin but very Charity’s activity programme, irrespective of their How Can I Access the InfoLine? strong and effective hip protective shields. These • Cooking for One or Two: health, mobility or care needs. In his view, the are moulded to fit the curved surface of the body. Easy Meals to Make By calling: 422- 7961 or 1-800-611-6345 (outside debate surrounding residential and nursing care metro); email: [email protected]; or visiting This makes them comfortable to wear and thin so often centres on room-size, health preservation, • Cooking for One or Two: our office: 5954 Spring Garden Road, Halifax. they cannot be seen under clothing. safety and protection. Whilst these are important, Creative Use of Leftovers As older people come in a variety of shapes and a key question is whether these elements are • Cooking for One or Two: Ready-Made Meals Who can call the InfoLine? sizes with differing needs, Impactwear makes two enough, whether they would mean people felt • Cooking for One or Two: Whether you’ve been diagnosed yourself or are a styles for women with seven sizes in each, and a fulfilled. John Graham says: Emergency Food Shelf family member, care provider, friend, health brief designed specifically for men in six sizes. “Too often, older people with fertile minds, • Cooking for One or Two: Eating Alone professional, or are just looking for some For further information, contact: Postal address: ambitions and beliefs are rendered incapable by information, we can help. impactbodywear.com Ltd., 2302 Park Ridge Pl a residential process that has been established to Website: www.dietitians.ca/english/frames.html “The majority of our calls come from family Victoria, British Columbia V9E 6J1 support them but ends up as little more than an members, i.e. son, daughter, spouse of the person Phone: 1-250-474-5535 Fax: 1-250-474-7472 institution, being given a cup of tea in front of who has been diagnosed.” E-mail General Information: the telly can become the major event of the day. [email protected] Older people have had phenomenal lives and Source: www.impactbodywear.com have a great deal to contribute—activity and life- long learning are a great way of unlocking talent and achieving personal fulfilment.”

10 23 Berryhill Retirement Village Despite a more recent accident, Vera is still Patient Advice and Tomatoes Can Keep To support this belief, ExtraCare and Touchstone training in the gym “I’ll never give up,” she says, Housing Association built the UK’s first, active and has gone on to represent the village as an Liaison Services (PALS) You Healthy retirement village at Berryhill, in Stoke on Trent. “Ambassador”. Completed in 1998, Berryhill provides self- “I’ve travelled all over the country giving talks to The Department of Health has published a Everyone knows that bright red tomatoes are contained homes and a variety of communal new ExtraCare recruits and meeting people who are resource pack to support the implementation good for you. What about when tomatoes facilities—for example, a restaurant, gym, interested in the Berryhill scheme.” of Patient Advice and Liaison Services (PALS), turned into sauce for pizza or in pasta? jacuzzi, arts and crafts centre, TV studio, internet which came into effect in April. This sets out Tomatoes, like many other plant foods, possess a the key functions of PALS, and the relationship room and greenhouse. Care support services are Vera says her care needs have also reduced wide variety of compounds called phytochemicals, available for up to 24 hours each day, to ensure with other bodies such as Patients’ Forums. considerably: which have been found to help reduce the risk of residents can secure a place for life, if they wish. Core standards are also included, which should “Now I just have a hand in the morning and enable PALS to be consistent across the country. several different diseases. Vera Cook is one of Berryhill’s residents. Now 84, evening, when I want it, which leaves the rest of she was married for over 60 years, and lived with the day free. But it’s the little things that are so Supporting the implementation of Patient her husband John in their home in Stoke on important in keeping me independent. If I need a Service and Liaison Services-a resource pack. Trent. She looked after John, following his hand with breakfast, my carer can help me prepare Copies available free from the several heart attacks. However, on one occasion my food, in my kitchen, in my own flat. You could Department of Health, PO Box 777, Vera was badly hurt after John, falling down argue that I would get this if I still lived in the London SE1 6XH; or from the stairs, landed on her. They eventually got help, community, but I wouldn’t feel safe or happy on my NHS Response Line on 08701 after being trapped for hours. Both spent a long own and I really enjoy the company here.” 555455 (quoting reference 26250). time in hospital—Vera receiving treatment for a “Last year I played the Fairy Queen in Aladdin— broken jaw and two broken legs. As a result, they Source: Working With Older People, things like that do wonders for your morale. If I had decided to move to Berryhill Village, but John Volume 6, Issue 2, June 2002 an ambition it would be to go back to Spain for a sadly died: last time. I guess my life’s really opened up again.” “I was so very low, it was a dreadful time. But the Berryhill staff were just wonderful and so When it comes to supportive. On top of the care from my support tomatoes, they provide worker, the team helped me get some of my Activity and choice Website of Interest one of the richest sources of independence back. It was so important because Professor Tom Kirkwood supports the view that lycopene. Lycopene may help in the prevention I was very alone, right down there,” Vera says, activity and choice can lift morale. In his BBC ASA-CDC Health Promotion Program: of several types of cancer and heart disease. pointing at the floor. Reith Lecture on Ageing, delivered at Berryhill Strategies for Cognitive Vitality in 2001, he said that the way old people are The American Society on Ageing and the Royal Cooked tomatoes—those found in sauce, paste Vera became friends with Dawn, the Berryhill treated limits choices much more than is really Institute of Applied Gerontology at California and ketchup—seem to provide more lycopene fitness instructor, who took her into the gym. necessary. He argued that prejudice about old State University, Los Angeles have created than raw tomatoes. They agreed an ambition that Vera would learn age must not be allowed to force a premature strategies and materials to enhance the capacity So enjoy that pasta or pizza sauce! Just keep the to walk a few steps again: closing-down of the freedom to choose: of national, state and local organizations in other ingredients on the healthy side. Produced “We started with very gentle exercises, first with “If we treat old people as weak-spirited because serving the health promotion and disease by ADA’s Public Relations Team. weights on my legs and then progressing to walking they are frail, we do them a terrible injustice...it is prevention needs of older adults. with a Zimmer frame, then walking with two sticks, easy to create or reinforce anxiety or self-doubt.” For more information contact: Source: American Dietetic Association one stick and then no sticks at all—I felt so much However, views on what constitutes an ‘active www.asaging.org/cdc/ better in myself”. life’ vary considerably—some might see ExtraCare’s Mission Impossible Programme as Vera said she got her confidence back and an extreme example, not suited to all. After all, became involved in other village activities, they may argue, retirement is meant to be a making new friends: time for rest and relaxation. “I started producing patchwork cushions and Eric Hart, 71, would disagree. Eric will be www joining dancing classes in my wheelchair. But my moving to live in Ryfields Retirement Village great love is painting, one of the village volunteers in Warrington, currently being built by Arena is a local painter—he’s been absolutely marvellous Housing Association and ExtraCare, when it is and I’m a dab-hand at water-colours now.” completed in November this year.

24 9 A few years ago, Eric had a stroke that affected Upcoming Annual his memory and paralysed his left arm and leg. General Meetings/Events He uses a wheelchair to get around, and 2. Exercise currently requires care support throughout the You are never too old to exercise—a gym The Federal Superannuates National Hip Hip Hooray 2003 day. Eric recently joined ExtraCare on an with a qualified fitness instructor can work wonders. If you use a wheel chair try ‘chair Association, Cumberland Branch, will The 12th annual walk for bone and joint health. ‘extreme sports’ activity week in Devon at the hold their annual general meeting April 11, Calvert Trust and was a real inspiration to other aerobics’, which builds upper body strength beginning at 5:30 P.M. at the Community Come celebrate your mobility! residents on the trip. He went up and down a and good breathing. Even if it’s College, Springhill Campus, followed by a Canadian Martyrs Parish Center climbing wall on an abseil rope, down the zip using the stairs instead of the Pot Luck dinner. All members and prospective 5900 Inglis St., Halifax, N.S. wire and on the sailing boats too. He reflected: lift, a little exercise is important members are welcome. For further information, Saturday, May 24, 2003 “I used to climb ladders in the fire service, so I as you get older and it’s worth the challenge—you’ll feel contact: Ken Brown at 463-2832 or For more information call was happy to try abseiling. I went backwards ten years younger and it [email protected] 902-473-2966 down a cliff in a wheelchair, which was really good. shows in your face. The Federation of Seniors Citizens and I also tried the zip wire which was terrific.” Pensioners of Nova Scotia will hold their annual convention on May 7th Eric believes that activities are important for 3. Health and and 8th in Truro at the Howard people with memory loss: well-being Johnson Hotel and Convention “I seem to remember everything that happened Seek advice about Centre, formally Keddy’s at Calvert and that’s because I was busy—doing your health and get Motor Inn. For further nothing means your brain goes to sleep. regular check-ups. information, contact: You have to concentrate when you are doing That way you can Eileen Amirault at these things—when you are on an abseil rope make informed choices 902-762-2058 or your brain has to tell your hand what to do and about your future lifestyle. [email protected] the concentration helps your memory.” Diet is especially important “you are what The Gerontology you eat”. These days there are plenty of Association of Nova Other residents—such as Derek Chawner— healthy eating options that don’t require Scotia will hold their agree with Eric and Vera. a regime of just lettuce and water. annual general meeting in late May or early June 2003. For further 4. Attitude A resident’s recipe for a happy information, contact: Life is what you make of it—at any age. and healthy older age Nila Ipson at 902-494-3391 or Many people have strong memories of the [email protected] Derek Chawner, a 65-year old resident at past, some good, some bad, but it’s the The Nova Scotia Government Retired Berryhill, has added abseiling to a range of future that counts. Seek opportunities to Employees Association will hold their annual Seniors' Week other newly acquired skills, and has spoken at socialise, and meet people. You’ve worked general meeting at the Holiday Inn, Dartmouth Seniors' Week 2003 will be held from conferences on issues affecting older people. hard all your life so now it’s time to let on September 22, 2003. For further information, June 15th–June 21st. He believes there are four key ingredients for your hair down—the more you laugh, the contact: Bernie LaRusic at 902-562-1901. more you give and the better you feel. The theme this year will be Life Long Learning— healthy living: The Regroupement des Aînées et Aînés de It's About Living! 1. Learn new skills la N-É annual general meeting will be held This week will provide an excellent opportunity Learning feeds the mind—and a well-fed Source: Working With Older People, Volume 6, for Senior Citizens' Clubs, Councils and Seniors' mind keeps you happy. It helps prevent Issue 2, June 2002 in depression and loneliness. It doesn’t matter early November 2003. For further information, Organizations to celebrate and send a message to the community about the positive aspects of whether you try knitting, rock climbing or contact: Omer Blinn at 902-769-2258 or aging and the many creative and fulfilling poetry reading—the process is the same. [email protected] activities enjoyed by older adults. Learning helps your memory too, and offers good opportunities to meet people through clubs and classes.

8 25 Preventing Falls Together How All of Canada Networking to Prevent Falling in Nova Scotia is Can Learn From a and where to refer persons with diabetes, patients a Health Canada/Veterans Affairs Canada funded with diabetic retinopathy and patients with red • Tourism Industry Association of N.S.— Nova Scotia Initiative Falls Prevention Initiative sponsored by eye. These models acknowledge that family Human Resources Council Community Links, VON Canada—Nova Scotia doctors and optometrists are, by training and • Union of Nova Scotia Municipalities Ophthalmologists, optometrists and family and the Nova Scotia/Nunavut Command—Royal doctors have come together in Nova Scotia and experience, capable and appropriate to manage Canadian Legion. The direction and activities of • Veterans Affairs Canada devised a model for eye care that proponents many aspects of diabetes, diabetic retinopathy the project are based on the input gathered at a and red eye.” • VON Canada Nova Scotia believe has transformed diagnosis and treatment workshop held in September 2001, sponsored in the province. With deliberations dating to 1994, the effort was by Community Links, the Family Caregivers Over the course of the project, the following “Only 15 per cent of diabetics were getting hardly accomplished overnight. Changes to the Association of Nova Scotia and the N.S./Nunavut Nova Scotia Optometry and Pharmacy Acts were Command of the Royal Canadian Legion. As a initiatives are being undertaken: routine eye care before,” says Dr. David Dobbelsteyn, an optometrist with the Nova required to allow optometrists to prescribe result, the project will focus on building the • Develop Regional Coalitions of organizations certain antibiotics, for example, and for billing capacity of organizations working with veterans, and groups that work with and for seniors Scotia Eye Care Working Group in Halifax. “Now, the number is probably 50 per cent.” codes to be adjusted to reflect these professionals’ seniors and their caregivers to make falls and veterans across Nova Scotia. These expanded role. Not least, all involved prevention a part of their mandates, policies Coalitions will spearhead falls prevention That dramatic change, accomplished with practitioners were invited to participate in the and activities. activities at the local and regional level and lessened waiting times and reduced public ongoing discussions. develop skills to incorporate falls prevention expense, flows from a simple premise that has The project has already brought together a While the Comprehensive Vision Care Program strong group of provincial partners, who will into their day-to-day work. taken years of hard work to implement: Family doctors and optometrists can play a significant is still only active in the one relatively small ensure the project meets its objectives, over the • Work with our partners to develop a Falls province, Dr. LeBlanc told the Romanow next eighteen months. This Provincial Steering Prevention Tool Kit—an action-oriented role in diagnosing and following certain eye conditions, creating more patient access to care Commission that “the model can be easily Committee, is composed of representatives of: resource containing advocacy tools, adapted to reflect the geographic, demographic community based strategies, presentations, and better using the time of the limited numbers • Acadia University School of of ophthalmologists. and cultural realities of any given province or Nutrition and Dietetics and safety information. territory.” Developed by the Eye Care Working Group, • Canadian Pensioners Concerned Nova Scotia • Build the skills of volunteers and staff within There will still be some political realities to organizations serving seniors and veterans this initiative called the Comprehensive Vision • Community Links Care Program uses models for referrals that overcome, however. Despite being greatly to take action on falls prevention in their overloaded by patient demand, not all • communities through a Training Program. have had impressive buy-in across the several professional communities involved, not least ophthalmologists are ready to cede so much of • Increase the awareness of partner Lunenburg/Queens Falls Prevention Program because all participated in their creation. primary eye care to optometrists, who are vision organizations about the impact of falls professionals but not physicians. • Family Caregivers Association of Nova “The general practitioner is the centre of the and the importance of incorporating falls But training in optometry has already expanded Scotia—represented by Jane Cowie prevention activities into their work. wheel, sending patients on to the optometrist who then sends them on, if necessary, to the considerably in the past two decades, and • Kings County Safe Communities Coalition You are invited to become involved in the ophthalmologist,” explains Dr. Dobbelsteyn creating new models of care will further • Northwood Lifeline project by joining a working group or through of the Coalition. influence the training background of the • NS Department of Community Services— participating in a Regional Coalition in your involved professionals. Housing Division local area. This means earlier diagnosis and a rational progression to increasingly specialized care “If you work co-operatively on a model,” • NS Department of Health—Emergency as needed. Dr. LeBlanc notes, “you get an opportunity to Health Services, Osteoporosis Advisory For further information on help mould the scope of practice of everybody Committee, Public Health & Health Preventing Falls Together, please contact: in the model. And we do have good training Promotion Jean Robinson-Dexter for optometry in Canada.” Project Coordinator Dr. Raymond LeBlanc, chair of the National • NS Senior Citizens’ Secretariat P.O. Box 308 Coalition for Vision Health and chief of As it happens, there’s no longer much debate in Nova Scotia that the model has improved access • Nova Scotia Society of Brooklyn, NS B0J 1H0 ophthalmology at Dalhousie University in Halifax, to eye care considerably. Occupational Therapists Phone: 902-354-2397 remarks of the Nova Scotia model that “we’ve always insisted that it be a patient-centre process.” “Everybody involved with the program,” reports • Osteoporosis Society of Canada Fax: 902-354-2825 E-mail [email protected] Dr. Dobbelsteyn, “knows and says it’s the best • QEll Health Sciences Centre In his submission to the recent Romanow model for patient care.” Commission on health care, Dr. LeBlanc noted • Royal Canadian Legion— that the Nova Scotia group “has developed Source: The Globe and Mail, N.S./Nunavut Command algorithms to guide the family doctor and Tuesday, February 18, 2003 optometrist in his or her decisions about when

26 7 special programming and resource teaching Consultations Redvers Cainey Recognized Book Reviews materials to accommodate the literacy Staff meet on a monthly basis with representatives requirements of seniors. of the Group of IX senior organizations. The Redvers Cainey, Maritime Representative for Parkinson’s disease: A complete guide Plans are currently being made to develop purpose is to discuss issues of concern and make Canada’s Association for the Fifty-Plus (CARP) for patients and families. Phase 3 during which time the Seniors’ Literacy specific recommendations to the Minister of was awarded the Queen Elizabeth II Jubilee By: Weiner, William J., Shulmon, Lisa M., Resource Kit will be assessed and evaluated for Health on Pharmacare and Continuing Care. Medal and presented with a citation from and Long, Anthony E.Baltimore, MD: its applicability. The resource kit will be tested A sub-committee of the Group of IX is currently Premier John Hamm for his lifetime efforts to Johns Hopkins University Press, 2001. in six community learning programs with older reviewing options and recommendations to long- the Province and community. adult enrollees in order to assess its relevance to term care and small options homes. The Minister Redvers was instrumental in the forming of both learners and tutors. Special programming of Health has asked the Group of IX to review the Nova Scotia Government Retired Employees will consist of a series of literacy workshops for small option home policy changes currently Association (NSGREA) 1984–1985, and has seniors using the Seniors’ Literacy Resource Kit. being developed. been named a life member of the Nova Scotia Marguerite McMillan Staff also organize consultations with Government Employees Union and the Coordinator, Seniors for Literacy Project representatives of other seniors organizations, Nova Scotia Government Retired Employees senior centres, and other interested groups in Association. the spring and fall. In 1992 a number of seniors’ organizations Nova Scotia Medication decided to join forces and work together on Awareness Committee A special consultation will be held in March which will provide a forum to discuss the specific issues, as well as continuing to serve in The Nova Scotia Senior Citizens’ Secretariat viability of Senior Games in Nova Scotia. an advisory role to staff of the Senior Citizens’ established the Nova Scotia Medication Those seniors who attended the National Secretariat. This group originally started as This book provides a Awareness Committee in 2001. The committee’s Senior Games in P.E.I. and representatives the Group of V and is now the Group of IX. tremendous amount of biomedical information role is to develop medication awareness initiative from the field of recreation have been invited Mr. Cainey played a significant role in the to improve the health and quality of life for to attend. Ted Lawlor, Provincial Amateur Sport founding of this group and continues to serve about Parkinson’s Disease in a straightforward seniors in Nova Scotia. This will be accomplished Coordinator, Department of Culture, Heritage, as the representative of CARP. He became the way that both educates and empowers patients through education that will lead to the more Recreation and Sport PEI and Sharon Knox, Maritime Representative of CARP in 1995 with PD. The text may ultimately help patients coordinated and informed use of medications. Immediate Past President of the Canadian and continues to serve in that role. to cope with their illness effectively. The committee will coordinate the implementation Senior Games, will be special speakers and Weiner and Shulman are co-directors of the and operation of awareness initiatives in this event. The consultation is co-sponsored Redvers is a resident of Sackville, Nova Scotia and Maryland Parkinson’s Disease Center at the by the Secretariat and the Sport and Recreation conjunction with partners. The Committee tells us he and his wife, Beryl, will celebrate their University of Maryland School of Medicine, Commission. is chaired by John Harwood. Other members 60th wedding anniversary in August of this year. and Lang, the director of the Shulman Movement include John Ryan, Jane McNiven, Colin Powell, Valerie White, Executive Director Disorders Centre at the Toronto Western They have three children, Karen, Manager of Dawn Frail, Leo Van Dijk, Jack MacIsaac, Senior Citizens’ Secretariat Hospital, is the current editor of the prestigious Michelle MacDonald, and Valerie White. the Nova Scotia Liquor Commission in Tantallon; journal Movement Disorders. This book is a Brian, a retired teacher now living in Detroit; The committee is planning a number of compilation of their expertise, translated into and, Michael, Manager of “Parts for Trucks” a resource for patients. important initiatives, but the highest priority in Charlottetown, Prince Edward Island. has been assigned to a program based on the The book covers the signs and symptoms pamphlet, “Knowledge is the Best Medicine” Prior to retirement Redvers worked for the involved in diagnosing PD, issues involved in and a Medication Record booklet that is Department of Community Services. In addition differential clinical diagnosis, the stages and essentially a passport to the sensible use of to his volunteer efforts on behalf of seniors, progression of PD, treatment of PD (including medications. The materials will be provided free he enjoys gardening and makes frequent visits new drug and surgical advances), and special of charge by the Research Based Pharmaceutical to the UK, his original home, where he visits issues such as young-onset PD, behavioural and Companies of Canada (Rx&D). The objective family and friends. He also continues his psychiatric symptoms, co-morbid illness and of the project will be to reach as many seniors interests in political issues and fighting for the hospitalization, alternative and complementary as is practical. Details on this exciting medication benefits and rights of the less fortunate. therapies, PD research, and issues pertaining to project will be available in the next issue of this Congratulations Redvers and thank you for your advanced medical decisions. The level of newsletter. continued efforts in making Nova Scotia a great description, explanation, and information is Stephen Coyle, Research/Policy Analyst place to live. ideal for PD patients and their families as well as Senior Citizens’ Secretariat anyone interested in learning more about PD. Source: Canadian Journal on Ageing, Vol. 21, No. 2, 2002—Summer

6 27 Negotiating a good death: Euthanasia in Give Me a Break!: Helping Family Caregivers Additionally, the committee actively promotes the the Netherlands Taoist Tai Chi National of Seniors Overcome Barriers to Respite, senior safe driving courses. The committee was by Linda Lysne. Ottawa: Canadian Association instrumental in the introduction of the $40 By: Pool, Robert. New York: Haworth, 2000. Seniors Week, June 2–6 for Community Care, 2002. provincial subsidy for course participants. Well This book takes an important step towards over 3,000 Nova Scotia seniors have taken the The members of the Atlantic Region will host the Maintaining Seniors’ Independence Through Home providing a more sophisticated understanding 2003 Taoist Tai Chi Seniors’ Week this year at driver refresher courses that are offered throughout of the social context of euthanasia in the Adaptations: A Self-Assessment Guide. Ottawa: Nova Scotia. Future efforts of the committee will the Regional Centre in Canada Mortgage and Housing, 2002. Netherlands. Via the ten detailed case studies, Halifax. We look forward be directed at boosting attendance further. the work sheds much light on the often, to greeting Tai Chi An Older World: Reflections on the Second World Other recent committee activities include agonizing decision, making processes that members not only Assembly on Ageing and NGO Forum. Montreal, promoting a return to dual license plates for accompany individual euthanasia requests. It also from the Atlantic International Federation on Ageing, 2002. Nova Scotia vehicles and raising concerns about reveals how various players involved in these Region, but also Report of the Second World Assembly on Ageing: the reduction in availability of full service fueling requests tried to ensure patients’ wishes were met from all across Madrid, 8–12 April 2002. New York: at Nova Scotia gas stations. and dignity preserved. Throughout, a very Canada as well United Nations, 2002. Stephen Coyle, Research/Policy Analyst human face is given to as some Senior Citizens’ Secretariat complicated ethical international Three Hundred Incredible Things for Seniors on discussions that members. The the Internet, by Joe West. Marietta, GA: emerged regarding week is primarily 300incredible.com, 2000. Seniors for Literacy perceptions of for senior physical and mental members (55 years According to The International Adult Literacy suffering, symptom of age and retired, Survey conducted in 1996, about seventy alleviation, or 60 years of age and percent of older Canadians, age 56 and over, timing/method older); however, if space Updates have difficulty with reading and numeracy skills. of death, and permits, non-senior members will be From these results it was estimated that fifty- quality of care. welcome. Accommodations will be available Nova Scotia Seniors’ eight percent of Nova Scotia seniors function at Performative on a first-come, first served basis with Safe Driving Committee a very low level of literacy, and twenty-seven ethnography was billets, so if you are a senior Tai Chi member, percent have limited literacy skills. (HRDC.NLS The Nova Scotia Senior Citizens’ Secretariat shown to be an apply early. Volunteers are always needed so even Newsletter. Volume 1. Issue 3). This means, established the Nova Scotia Seniors’ Safe Driving anthropological if you are unable to attend the workshop or are for example, that some eighty-five percent of Committee in 1995. The committee represents method that is well not a Tai Chi member, please come and welcome Nova Scotia seniors could be expected to have the interests and protects the driving privileges suited to our guests and offer your assistance. It promises difficulty in identifying the amount of medication of the more than 83,000 citizens of this province, investigating this extremely complex subject. to be a wonderful week of Tai Chi, friendship, to take (very low level of literacy), or, can over the age of 65, who hold driving licenses. In short, the book is groundbreaking and and good food. Don’t miss out on this wonderful understand it only if it is written in simple The Committee is chaired by Rex Guy. Other provides a useful model for examining similar opportunity. For more information, or if you can language (limited literacy). issues in other national contexts where members include Dr. Fred MacKinnon, Robie offer billeting accommodation in the metro To reach out to these seniors, the Nova Scotia euthanasia may become either legalized or Horne, Joan Lay, Ernie Pass and Valerie White. Halifax area (no transportation or meals Seniors for Literacy Committee is developing tacitly accepted in the future. involved), please call the Regional Centre in During the past year the Seniors’ Safe Driving a resource kit which will assist adult literacy Source: Canadian Journal on Ageing, Halifax at (902) 422-8142. Committee has been busy working to persuade organizations in beginning to adapt their Vol. 21, No. 2, 2002—Summer the insurance industry to treat seniors fairly. programs to seniors, in creating community Source: Taoist Tai Chi Atlantic Regional Centre Insurance issues of concern raised by the awareness and in promoting literacy programs committee, include dramatic increases in the for seniors. The kit will contain strategies for cost of automobile insurance, age based delivering a series of literacy workshops for requirements for medical certificates of fitness seniors, teaching tips, tools, and resources and the possibility of no-fault insurance. compiled from extensive research in the area In September 2002, the committee presented of literacy and the older adult. a formal brief to the Nova Scotia Utility and The project is Phase 2 of the overall Nova Scotia Review Board’s examination of automobile Seniors for Literacy Project which resulted from insurance rates in the province. The committee a needs assessment conducted in Phase 1 among has also met with the Insurance Bureau of seniors and Community Learning Initiative Canada on a number of occasions to present Coordinators around the province. That 2001 the perspective of seniors on these matters. study indicated a need to provide accessible

28 5 Senior Citizens’ Taoist Tai Chi for Seniors Secretariat Information Taoist Tai Chi is a series of 108 movements that Tai Chi members in action and find out Resource Centre slowly turn and stretch the spine. It was created more about the organization and the classes. by Master Moy Lin-Shin using movements of the For more information or to pre-register, All the material listed below is available for necessary to help everyone handle ageing in a Yang style Tai Chi, practiced and perfected in call (902) 422-8142 or visit the website at loan from the Information Resource Centre. healthy and caring fashion.”—back cover China for centuries. Master Moy founded the www.taoist.org. Contact us at (toll-free)1-800-670-0065, Taoist Tai Chi Society soon after he arrived in Canada in 1970. The Taoist Tai Chi Society is a or fax 1-902-424-0561, or e-mail [email protected]. Where Will They Live? A Guide to Help you non-profit, registered charitable organization If you can’t pick up the material in person at Help Your Parents with Their Housing Decisions, Have You Had Your supported by monthly dues and various the Secretariat, we will mail it to you. by Barbara H. Carter. Toronto: Stoddart, 2001. fundraising efforts. The Society has over 200 Pneumonia Shot? “Housing expert and consultant Barbara Carter locations in Canada and over 425 locations in Book Briefs: Adult Children explains how parents and children can avoid or 20 countries around the world. Pneumonia shots are very and their Parents defuse conflict by considering housing options important because People of all ages can learn the gentle turning before a crisis arises. Everything you need to the bacteria that causes Mothers and Fathers: Health and Financial Advice and stretching movements of Taoist Tai Chi, and know is here, from detailed comparisons of the this lung infection is to Share with your Parents, by Louis Sapi and it can be adapted to match any level of ability. different options—long-term care, home care, becoming increasingly resistant Peter Zawadzki. Toronto: Prentice Hall, 2000. Taoist Tai Chi is designed fundamentally to retirement residences—to advice on how to to antibiotics. promote and restore health. Classes are offered at “As we grow older, so do our parents. Canadians work with lawyers, doctors, financial planners, Taoist Tai Chi centres, at local community Drug-resistant bacteria and not are living longer than ever before and our parents and occupational therapists, to lists of centres and other public facilities by accredited taking advantage of the will likely require greater assistance than previous resources.”—back cover volunteer instructors. pneumonia vaccine are two generations in managing their health and financial reasons why about 40,000 matters. In Mothers & Fathers, the authors take us Parenting Your Parents: Support Strategies for Most classes incorporate all age levels, but some Americans die from on a journey through the health and financial Meeting the Challenge of Aging in the Family, branches offer special classes for seniors, and pneumonia every year. issues encountered by many of our parents. The by Bart Mindszenthy and Michael Gordon. many have a Golden Age Division dedicated book provides practical advice and the authors especially to improving the health of seniors. As share their own personal experiences—triumphs “This book examines the lives of fifteen families well as providing excellent mental and physical and tribulations—to help us find the best way to who are encountering the same obstacles that exercise, seniors have found the gentle meet our parents’ needs or those of an ageing you are. Here you will learn to: work with your movements of Taoist Tai Chi to be an effective loved one in a climate of trust and acceptance.” siblings; identify and understand substance therapy for a wide range of health problems, abuse; identify and work with dementia from including poor circulation, high blood pressure, —back cover the early stages to advanced; create an action arthritis, back pain, breathing difficulties and For plan that will work for you and your parents. digestive and nervous disorders. The Society also most Caring for your Parents in their Senior Years: With reflections and advice from one of Canada’s operates a Health Recovery Centre where people people, one A Guide for Grown-up Children, by William pre-eminent geriatric physicians, Parenting Your can come to practice Taoist Tai Chi as an pneumonia shot gives life- Molloy. Buffalo: Firefly Books, 1998. Parents is a valuable resource for anyone facing adjunctive therapy under medical supervision. A time protection. (Some people need to be this special family crisis.”—back cover “For many of us, our first experience of ageing study published in the Journal of the American revaccinated after five years.) comes with our parents. As we watch them grow Medical Association showed that Tai Chi training Ask your doctor about it when you get this year’s older, we must face some difficult questions: Other books recently received in the Information was effective increasing strength and improving flu shot. The two vaccines may be given at the what if they get sick and require long-term care? Resource Centre include: balance, thereby reducing injuries caused by falls same time (but in different arms). Both are in elderly people by 25%. covered by Medicare. How can I be sure they’re all right if I live Building on Values: The Future of Health Care in thousands of miles away. How can they be Canada—Final Report, by Roy J. Romanow. Fund raising dinners are hosted each month to If you have a weak immune system, a chronic looked after when they can no longer look after Saskatoon: The commission on the Future of which members and non-members alike are illness (e.g., heart or lung disease, diabetes), or themselves? Squeezed between the competing Health Care in Canada, 2002 invited. The Atlantic Regional Centre of the are recovering from a major illness, a pneumonia demands of work, children, spouses and parents, Society is located in Halifax. In Nova Scotia, shot is especially important. many people find it difficult to cope. Caring for Continuing the Care: The Issues and Challenges there are clubs located in Dartmouth, Sackville, Your Parents ... is written expressly for children for Long-term Care. Ottawa: Canadian Healthcare Bear River, Bridgewater Port Hawkesbury, Sydney, Sources: US Centers for Disease Control and who want to help their elderly parents. With Association Press, 2002. Truro and Yarmouth. Watch for notices of open Prevention; National Coalition for Adult sections on housing and personal care, legal and The Fountain of Age, by Betty Friedan. houses at the clubs where you can watch Taoist Immunization; American Lung Association financial planning, and grief and bereavement, New York: Simon & Schuster, 1993. this comprehensive guide provides the tools

4 29 Branch in 1983 and has chaired a number of Is It A Stroke? When Your committees over the years. He is a member of Nova Scotia Seniors’ RCAF Association #111 Wing, Wartime Aircrew Many people having strokes don't realize what's Grandchildren Visit Pharmacare Program Association, former member, Last Post Fund and happening to them, so they don't seek immediate Tips to Prevent Poisoning member of Zone 14 RCL Board. The Legion has medical help. The Department of Health announced changes to recognized his service with a Life Membership the Seniors’ Pharmacare Program effective April l, Children are curious and they move fast— For example, a woman reading a bedtime story and a Meritorious Service Award Medal. 2003. The following questions and answers will to her grandson noticed she was having problems which is why parents and grandparents need Harold’s family includes wife Elva, daughter help explain the changes. For more information, turning the page, and that the words on the page to keep all potentially hazardous substances Margaret Swire, three grandchildren, six great- please call toll-free at 1-800-544-6191. started to get blurry. But she finished reading locked up and out of reach. grandchildren; brothers Frank and Mike and and later went to bed. The next morning, her sisters Stella Hoadley, Joan Martin and daughter found her semi-comatose. What changes have been made to the Poisoning Prevention Tips Theresa Bowden. Nova Scotia Seniors’ Pharmacare Program? According to one study, people expect sudden, • Use child-resistant packaging properly by Congratulations Harold and thank you The premium will not increase and will remain dramatic symptoms from a stroke. But often, closing the container securely after you use for your many years of support with at $336 per year. The co-pay (the portion of the symptoms can come on over a span of 15 it. (And remember, it is only child-resistant, the Secretariat. prescription cost seniors pay to their pharmacies minutes or more. And symptoms may not not child-proof) always be debilitating or dramatic, so people when they have their prescriptions filled) will don't associate them with a stroke. • Keep all chemicals, medicines, and also remain at 33% of the total prescription cost supplements locked up and out of sight. to a maximum of $350 per year. It's important to recognize the signs of a stroke, Caregiving Is For All Ages since much of the potential brain damage can be • Call the poison center immediately in case prevented if you get to a hospital for treatment of poisoning. Keep activated charcoal tablets May 11–17th is Family Caregiver Week Effective April 1, 2003, seniors will within 90 minutes. on hand (but use them only if the poison in Nova Scotia not pay more than $30 for any one center tells you to). Bring a caregiver to lunch, May 16th at the prescription when paying their co-pay. • Keep this number by your phone: Holiday Inn, Dartmouth 1-800-222-1222. It will connect you to Example 1: Prescription costs $20 Classic Signs of a Stroke Caregivers, policy makers and FCgANS the nearest poison control center. • Sudden numbness or weakness of the face, supporters will attend the Caregiver Luncheon Senior’s co-pay = $6.60 (33% of $20 = $6.60) arm, or leg, especially on only one side of • When using a product, don't let your to recognize caregivers. Pharmacare pays the remaining = $13.40 grandchild out of sight—even if you the body. Guest Speaker, MP Alexa McDonough— must take the child with you to answer • Sudden confusion, trouble speaking or Call for reservations Example 2: Prescription costs $200 the phone or doorbell. understanding. Family Caregivers’ Association of Nova Scotia Senior’s co-pay = $30 (33% of $200 = $66.00 • Keep all products in their original • Sudden trouble seeing in one or both eyes. recognizes caregivers for their significant role in but capped at $30) containers. Leave their original labels our health care system. The theme this year is • Sudden trouble walking, dizziness, on (and read label warnings). Pharmacare pays the remaining = $170 loss of balance or coordination. “Caregivers For All Ages.” • Don't put decorative lamps and candles Seniors will continue to: Please call 1-877-488-7390 for reservations. • Sudden severe headache with no that contain lamp oil where children can The luncheon will run from 11:30 am to 1:30 • receive a premium exemption if they receive known cause. reach them. pm. The ticket price is $25.00 per person. the Guaranteed Income Supplement (GIS) • Always have the light on when giving Learn more about caregiving and FCgANS by from the federal government; Other Symptoms or taking medicine. Check the dosage logging onto www.caregiversNS.org. • pay a premium of $336 per year (payable all every time. • Emotional Incontinence. A caregiver provides support to family and at once, quarterly or monthly) or receive a • Avoid taking medicine in front of children. premium reduction if: (inappropriate laughing or crying). friends. Caregivers are spouses, children of all Don't refer to medicine as “candy.” ages, in-laws, siblings, partners and other – he/she is single, and their income is less • Heavy, strange "falling" feeling on one side. • Clean out your medicine cabinet at least extended family members and friends. Caregivers than $24,000 a year; or • Feeling drunk. once a year and safely dispose of unneeded provide care in their homes, in care facilities and – he/she is married, and their combined and outdated medicines. from a distance. Caregivers have a special Sources: Journal of Stroke and Cerebrovascular relationship with their care receivers. income adds up to less than $28,000 a year; Diseases, Vol. 10, Pg. 200; For further information, contact: Sara Gillett, • access drug coverage available to them British Medical Journal, Vol. 324, Pg. 1065; Director of Communications Family Caregivers’ through their private plan, Veterans Affairs American Heart Association Source: US Consumer Product Safety Commission Canada, or First Nations and Inuit Health. Association of Nova Scotia, Phone: 902-835-0752, Source: Nova Scotia Department of Health [email protected]

30 3 He’s been city and provincial editor, editorial writer, parliamentary correspondent, managing How To Be Somebody The best things in life editor and Canadian Affairs editor. From 1970 • Talk health, happiness, and prosperity • Best way to live life to 1977, he was special correspondent on the to every person you meet. Do as much good as possible and United Nations Law of the Sea Conferences in try not to get caught. Geneva, New York and Caracas. In 1977, he was • Make all your friends feel there is appointed Editor-in-Chief, vice-president of the something special in them. • Best friend company and member of the Herald’s Board of Secretariat Newsletter One who walks in when everyone Directors. Herald Shea continued to write a • Think only of the best, work only for else walks out. national affairs column on a daily basis until he the best, and expect only the best. The Secretariat Newsletter is published retired at the age of 60 in 1983. • Best education That wasn’t the end of his career, however. four times a year by the Senior Citizens’ • Be as enthusiastic about the success of Learning the art and science of “Coaxed” out of retirement, Herald continued to Secretariat and distributed free of charge. others as you are about your own. what it means to be a warm, loving, and caring human being. write a regular column for the paper for a further We welcome letters, articles, and items of • Forget the mistakes of the past and press 12 years. At the same time, he became executive on to the greater achievements of the future. secretary of the Atlantic Provinces Daily interest from you. Please include your • Best physicians Dr. Diet, Dr. Quiet, and Dr. Merrymaker. Newspaper Press Council, established his own name, address, and telephone number on • Give everyone a smile. news and editorial company and wrote regularly all correspondence. • Best medicines • Spend so much time improving yourself Cheerfulness and temperance. for a number of magazines and other publications. The Senior Citizens’ Secretariat was that you have no time left to criticize others. And to take ourselves with a grain of salt. His contributions to journalism as a writer, established in 1980 to facilitate the editor, member of the Canadian Press and the • Be too big for worry and too noble for anger. • Best leader Parliamentary Press Gallery were recognized by planning and development of services One who reveals humility without St. Mary’s University with an Honourary Degree and programs for seniors by coordinating Source: Christian D. Larsen, Creed for Optimists timidity, competence without arrogance, authority without authoritarianism. of Doctor of Literature in 1984. Harold continues plans, policies, and programs presented to explore opportunities in the field. He now specializes in writing about seniors and veterans by the departments of the provincial • Best husband One who does not expect a perfect wife. and is editor of The Torch, a newspaper of the government. The Secretariat serves as a Nova Scotia/Nunavut Command of the Royal Canadian Legion. one-door entry to government for seniors, Make A Difference • Best wife One who does not expect a perfect husband. Retirement did not translate into inactivity. seniors’ groups, and other provincial In Maine they tell of an old man walking along Harold channeled his efforts into community bodies concerned with ageing issues. the beach with his grandson, who picked up • Best war service. In 1983, he accepted an invitation from The Secretariat develops plans, policies, each starfish they passed and threw it back Against one's own weaknesses. Dr. Fred MacKinnon, Director of the Senior into the sea. Citizens’ Secretariat, to work on a study to and programs in partnership with other • Best music determine the need for establishing Home Care levels of government and agencies “If I left them up here,” the boy said, “they Laughter. Nova Scotia. It began a 15-year career as a would dry up and die. I'm saving their lives.” responsible for seniors. volunteer focusing on seniors’ issues. He was “But,” protested the old man, “the beach goes Dr. Dale E. Turner a Liaison Officer between the Secretariat and The Secretariat’s office is located at on for miles, and there are millions of starfish. Senior Citizens’ organizations and helped What you are doing won't make any difference.” organize the Senior Writers’ Guild. He has served 1740 Granville Street, 4th floor, The boy looked at the starfish in his hand, on the Board of Nova Scotia Seniors’ Pharmacare P.O. Box 2065, Halifax, NS B3J 2Z1. gently threw it into the ocean, and answered: program, the Board of Northwoodcare and Tel (902) 424-0065; fax (902) 424-0561; “It makes a difference to this one.” Northwood Homecare, the Board of Mount Saint toll-free 1-800-670-0065. Vincent’s Centre on Ageing and on the Board of Unknown Spencer House and the Canadian Cancer Society. E-mail [email protected] His resume also includes terms on various committees of the Red Cross, Alzheimer and Website www.gov.ns.ca/scs Hearing Impaired societies and Seniors’ Expo. Harold is particularly proud of his involvement with the Canadian Legion. He joined the Vimy

2 31 VOLUME 103 MARCH 2003

Welcome to our Appetite For Life’s New Chairperson Senior of the Year Honourable Jane Purves, Minister of Health Harold T. Shea Chair of the Senior Citizens’ Secretariat Harold Shea was reluctant to accept the honour Ms. Purves graduated of Citizen of the Year. In typical fashion, he from Dalhousie consented only because it would help Northwood, University with a an organization he has been closely associated Bachelor of Arts with since 1977. Yet, looking back on a lifetime Degree and went on to of service to both country and community, become the managing Harold fits easily into the company of past editor of the Halifax winners including Hedley Ivany, Connie Wenaus, Chronicle Herald. She Edmund Morris and Dr. Fred MacKinnon. also worked as news editor and reporter. Born in Halifax on July 20, 1923 to Harold and Longtime board Mary Elizabeth Shea, his life took a dramatic turn member of the with the announcement that Canada was at war. Canadian Press, At age 16, Harold interrupted his education at former member of the St. Patrick’s Boys’ High School and enlisted with board of governors for the Canadian Army. In 1941, he transferred to the National the Royal Canadian Air Force and was assigned Newspaper Awards, former president of the to the 428 Ghost Squadron of Six Group Canadian Managing Editors Conference, and Bomber Command. former board member of the Halifax Herald Ltd. Harold participated in various missions with She was first elected to the legislature July 1999 both the RCAF and RAF in the European and until this recent appointment served as the Theatre, receiving the Mention in Despatches Minister of Education. Citation in April 1945. In May 1945, after VE Day, he and his crew volunteered for the Pacific We welcome Minister Purves to her new Theatre and were assigned to a newly formed responsibilities and look forward to working Tiger Force Squadron to train for attacks on with her in strengthening services to seniors Japanese targets. However, hostilities ended and planning for a rapidly increasing aging before their training was completed. population. Harold returned to Halifax, and on October 10, 1945, joined the Halifax Herald as a proofreader and part-time junior reporter. Thus began a newspaper career that spanned over 50 years. He’s covered everything from municipal and provincial politics to business and economics.

36 1