In module 1, you read Roz Chast's graphic memoir. Chast identified
multiple issues, concerns, and thoughts about aging. This discussion is
open to any of the topics. Here is a list of possible questions to get
you started:
We discussed "Successful Aging" in Module One. Would you describe
the Chast's life in late adulthood before 2001 as including any elements
of "successful aging"?
The Life Course perspective emphasizes the relationship between how
we live in late adulthood and how we lived during earlier stages of our
lives. What significant patterns did you see that might help to explain
the Chast's relationship, strengths, vulnerabilities and the decisions
that they made? You can focus on George, or Elizabeth.
How were the elder Chast's quality of life in Brooklyn and the
resources available to them shaped by fact that they lived in an urban
rather than a rural or suburban community?
The author describes conversations with her parents about their
plans for long term care early in the book. Have you discussed
preferences for long term care and the end of your life care with your
family members? Did this book encourage you or discourage you from
having those conversations? Why?
Toward the end of the book, Roz Chast discusses the high cost of her
parents care and her concern that their funds might run out before the
end of their lives. Should Medicare fund long term care? Why or why not?
The Chast's lived independently , accepting very little assistance
from anyone until very late in their lives. until it was just about
impossible for them to ;live on their own. What are the advantages and
disadvantages of waiting so long? How should families and aging service
providers respond to individuals and couples who insist that they do not
need help? Do you have any experience with this?
Elizabeth Chast wanted George to survive so that they could both
live to 100. She was quite ambivalent about hospice care because she saw
it as giving up. However, she was very clear that she did not want her
life to end by becoming " a hunk of protoplasm". Who should decide when
it is time to offer palliative care rather than attempt drastic remedies
that may make patients remaining days uncomfortable or risk their
lives, especially when patients capacity to make decisions is limited?
What strengths did the Chast's have that helped them to cope with the
dying process and what do you think that the Hospice program's greatest
challenges were in working with them?
Did you learn anything in this course that helps you understand the
Chast's experience better than you would have before you took the
course? Was there anything in the Chast's experience that helped you
understand something you read about in the course better?
Roz Chast managed to include quite a bit of humor in her parents'
story. People who have shopped at "the depressing aisle" or have
wondered why assisted living places tend to have names that suggest the
"End of the Trail", may question the use of humor about these serious
topics. Those who are aged or those who work with older adults often say
that it's better to laugh than to cry. Do you think that the humor
contributed to your ability to understand and empathize with the
characters or detract from it?
Feel free to raise questions and issues that you would like to discuss.
Once you have posted your primary post, substantively respond to at least two of your classmates' posts.
Please respond to these two students
Student 1(Stephanie Ortiz)
The
Chast’s lived independently, accepting very little assistance from
anyone until very late in their lives. Until it was just about
impossible for them to live on their own. What are the advantages and
disadvantages of waiting so long? How should families and aging service
providers respond to individuals and couples who insist that they do not
need help? Do you have any experience with this?
"Can't
We Talk About Something More Pleasant" is a comic book highlighting
people's experiences as they grow older. The book revolves around Roz
Chast's parents, who refuse to get help in their old age but eventually,
when they can no longer survive on their own, the situation forces Roz
Chast to come in but ends up spending a lot of money taking care of
them. However, there are advantages and disadvantages of waiting too
long as the Chasts did; hence family members and aging service providers
should respond appropriately.
Waiting
for too long before accepting assistance has more disadvantages than
advantages. For instance, older adults who wait for too long may be
isolating themselves from other people to get peace of mind. There are
things that older adults may not want to discuss because it might cause
issues like stress which can worsen their situation. For example, Roz
Chast wants her parents to meet an elder lawyer to discuss issues like
wills, end-of-life directives and estate planning (Chast, 2014). But
then she is unsure if her parents will accept it because they need to be
strong mentally as the topic revolves around death. When older adults
discuss such topics in society, they start feeling that their end is
almost living with too much stress.
Nevertheless,
waiting too long before accepting help has adverse consequences for
older adults. For instance, if the health condition of the elderly keeps
deteriorating until the last minute when one wants to seek medical
attention, they are unlikely to survive. The reason is that some health
problems need solutions early enough to avoid moving to complicated
stages. Roz Chast states that by October of 2005, her parents were 93
years old and prone to home accidents (Chast, 2014). Consequently, the
frequent accidents would have serious consequences with time as their
bodies become fragile. In January 2006, Roz Chast's mother saw her
mother, who was in pain and had been lying in bed from the day she fell
(Chast, 2014). The mother's health was worsening, and if she had
accepted to receive attention at the time of the accident, her health
would be better.
Another
disadvantage of staying too long before accepting assistance is that
the elderly give their close people the burden of spending more money to
nurse their critical condition. Therefore, families and aging service
providers must ensure that they counsel the elderly to accept medical
care in case of health problems. Furthermore, the families and
caregivers should also look for insurance covers for the elderly to
avoid spending too much on bills for their medication. I come from a
Hispanic community that does not like to seek medical care until it
becomes a serious problem due to fear of the unknown. My mother had an
uncle who refused to seek medical attention for his hypertension as he
believed it wasn’t a problem if he didn’t feel anything wrong.
Unfortunately, he passed on after his condition got worse, and doctors
could not save his life on time. Therefore, it is common that older
people might refuse to get assistance, but their families and care
providers should at least look for a way of convincing them to seek
medical help and even get the insurance covers for them.
Student 2 (Brittany Casale)
In
the memoir “Can’t we talk about something more PLEASANT?” by Roz Chast, she
talks about her elderly parents their lives as older adults, and end of life
preparations. The Chasts’ lived in their apartment in the city for their entire
marriage, and right up until they were placed in an assisted living facility.
Roz Chasts’ parents never wanted to speak about end-of-life preparations. They refused
to talk about it, and before Roz consulted an end-of-life lawyer, her parents
assumed that giving their child control of their money meant they’d spend it
however they chose not how the parents wanted. The Chasts’ lived to be well
into their 90’s, and only really required direct care for the last few years of
their lives. I would say they absolutely meet aspects of “successful aging” (Chast,
2016). In regard to the Rowe and Kahn model of successful aging they were physiologically
successful. Roz’s parents could still get around just fine. They walked to the
nearby grocery store, ate at the occasional restaurant, and performed tasks
around their apartment – cleaning, changing light fixtures, etc (Novak, 2018).
According to a study down by George Vaillant, he found successful aging to be
more than just the physical. He included physical things, such as not smoking,
little alcohol consumption, and a healthy weight. However, he also included a
stable marriage, education, and being able to adapt in regard to coping. The
Chasts’ fulfilled many aspects of this proposed “successful aging” (Novak, 2018).
They rarely drank, they got exercise, their marriage was more or less stable
(even if Mrs. Chast was incredibly overbearing), and they were incredibly educated
– both working in the New York City school system (Chast, 2016).
I
think what came as the biggest shock to me while reading this memoir, was the
cost that goes into end-of-life care. My grandmother was put into a nursing
home around the same age as the Chasts, she was 90. I had no idea the amount of
money it was costing my mother and her siblings to keep her in a “nice” nursing
home. Roz had to cover not only the cost of living in an assisted living
center, but also any extra staff, food or furniture. This became even more expensive
as their health declined and they required around the clock staff and care. I really
commend Roz for how hard she tried with her parents, not everyone would be
willing to spend those kinds of funds (Chast, 2016). The memoir really got me
thinking about my parents, and what they would want and if they have that kind
of savings. It also got me thinking about my own end of life requests – I may
only be in my 30’s but I think it’s important to start planning now if it’s such
a financial burden on your children. My oldest is 14, and as much as I hate to
talk about these things with him, I think it’s important to keep the dialogue
open. If Roz’s parents had been more open to talking about these things, maybe
she and they would’ve been better prepared. I also found it interesting that
the Chasts’ wanted to live so long and saw hospice as giving up – yet they didn’t
want to be “hunks of protoplasm” (Chast, 2016). I get it to an extent. I agree
that I wouldn’t want to be essentially a lump of skin in a chair. I’ve told my
husband that if I can’t take care of myself then it really isn’t worth it to
me. I’ve mentioned assisted death as well, my son and husband disagree and say
they’ll take care of me, but that isn’t what I want or how I want to live out
my final days. Such depressing talk I know, but it is going to happen to us all
one day. I’d rather not live out my days in hospice with my poor sons worried
about money and stressed about when I’ll pass.
Overall,
I loved this memoir. I suggested the book to my siblings, of which I have two
copies because I thought I had lost my first one. It really got me thinking
about things most people just don’t want to talk about. However, end of life –
while sad – is inevitable, and it’s important to be open to talking about it
with your loved ones.
So i need 1 Disscusion board post
And a response to each of the students seperatley