The Takeaway: Shades of Caregiving Past Not Always Rosy; Restoring Balance As You Age

Caregiving’s Past: Discussions of social safety net programs for older adults tend to evoke images of some exemplary past, where things like Social Security and Medicare weren’t needed because adult children lovingly took care of aging parents, multigenerational households were so common that no one even bothered labeling them that, and sick seniors never got carted off to nursing homes. But “such accounts often draw on a deeply sentimental view of the past,” writes history professor and authorHendrik Hartog. And today’s caregiving situation might actually be preferable.

If we confront what old-age support once looked like what actually happened when care was almost fully privatized, when the old depended on their families, without the bureaucratic structures and the (under)paid caregivers we take for granted a different picture emerges.

It was a time when many parents had to offer incentives, such as the promise of an inheritance, to get children to take care of them in old age. Inheritance and caregiving disputes among siblings were common. Some children weren’t cut out for “the work of care,” but didn’t have any other options.

Today’s elder support system isn’t perfect, Hartog admits. And families are still an integral part of the equation. But “the care they offer is typically enmeshed with and dependent on bureaucracies and on the labor of others,” such as home health care attendants, hospital orderlies andhospiceaides. “We may not love the bureaucracies and the institutions that shape our lives today,” writes Hartog. “But would many of us really want to live in a world without them?”

Restoring Balance: Dizziness and instability are common complaints among older adultsabout 6.2 million Americans report a chronic problem of balance, dizziness or both, the Boston Globe notes. The causes are complicated,ranging from low blood pressure, dehydration or abnormal heart rhythms to vertigo, prescription drug side effects or calcium carbonate crystals that collect in the inner ear.

Determining the cause of the dizziness or balance problems is the first step to treatment, doctors say. Sometimes something as simple as a change in medication can help. Sometimes physical therapy is needed. In one type of therapy, called habituation therapy, “you have people go through head motions that make them dizzy and the brain will learn to suppress that dizziness, physical therapist Fay Horak explained.

Horak has also been designing one of twobelts, set to hit the market next year, that will vibrate or beep when a wearer is tilting to one side and could potentially fall. In one test, the vibrating belt was able to reduce risk of falls among older adults (average age: 79) from 20 to 80 percent.

Monday Quick Hits:

  • Muhammad Ali turns 70. Nearly 30 years of Parkinson’s disease has taken a heavy toll, theAssociated Press reports. But “through it all he remains a proud man. There are no complaints.”
  • And a lively look at Patricia Cohen’s In Our Prime: The Invention of Middle Agefrom the New York Times’ Sunday book review. “Onthe whole Cohen believes todays midlife generation is managing to rewrite a cultural script thats been more than 150 years in the making,” reviewer Laura Shapiro writes.