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Tuesday, 18 December 2012


Indians now live longer, but in poor health in old age: Study

First the good news: Indians are living much longer than they did 40 years ago.

The life expectancy (LE) at birth of an average Indian male has gone up by 15 years between 1970 and 2010, while that of an Indian woman by 18 years.

An average Indian man can expect to live for as long as 63 years, while an Indian woman can live 4.5 years longer than her male counterpart.

However, the number of years they stay healthy is much lesser.

An Indian male can claim to be in good health till he reaches the age of 54.6 years, and is expected to spend the last nine years of his life suffering from various ailments.

On the other hand, when it comes to an average Indian woman, though she is expected to live till 67.5 years, she will remain healthy till 57.1 years - spending over a decade, or 10.4 years in poor health.

The Global Burden of Disease Study, 2010 — the largest ever study to describe the global distribution and causes of a wide array of major diseases, injuries and health risk factors — has found that even though there is reason to cheer over an Indian's increasing lifespan, it is still much shorter than an average Chinese or an American.

An average Chinese male is living 10 years longer than an Indian male, while a Chinese woman is living 11.5 years longer than her Indian counterpart. An average American lives nearly 13 years longer than an Indian.
Published in the most prestigious British medical journal, The Lancet, the study was conducted over five years by 486 authors from over 300 institutes in 50 countries, including India.

A common practice in Indian households - mainly in rural settings of burning wood, coal and animal dung as fuel in chulhas — has proved to be the greatest enemy for Indians.

While globally, high blood pressure was the single biggest causative agent of disease, it was indoor air pollution (IAP) for Indians.

The WHO had earlier said that burning solid fuels to prepare their meals emit carbon monoxide, benzene and formaldehyde which can result in pneumonia, asthma, blindness, lung cancer, tuberculosis and low birth weight.
WHO estimates that pollution levels in rural Indian kitchens are 30 times higher than recommended levels and six times higher than air pollution levels found in the national Capital?

The other threats to normal Indians include diet low in fruits, high blood glucose levels, alcohol use, iron deficiency, sub optimal breast feeding, low physical activity and occupational injuries.


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Thursday, 13 December 2012


Advantage(The wonder Card for Senior citizen)

HelpAge India presents Active Ageing – The AdvantAge Card

It's time to celebrate your age...

If you are fifty years or more, come enroll yourself as an AdvantAge Card member and enter a new world that offers you a range of products and services at prices specially discounted for you! Discover a community of like minded people to network with and pursue common interests...

Help age India is attempting to create an umbrella movement for retirees and those about to retire to address their emotional and physical assistance needs. This movement looks to provide the means to stretch the disposable income by making available a host of discounted product services and facilities. It would provide a social platform to allow the members to interact within the group and also access training, vocational, occupation and other opportunities.

For the first time in India, here’s a special age-friendly offering coming your way. It’s called the ‘AdvantAge’ Card and it enables you to discover a whole new world that offers you access to a range of products and services at prices specially discounted for you! What’s more it welcomes you into a community of like minded people with whom you can network and pursue common interests. So, if you had any worries about missing out on quality of life after retirement, put them to rest and start planning for good times! After all, a lifetime of work should be crowned with some rewards! Join the AdvantAge Card club and start counting them now!

How you will benefit from the ‘AdvantAge Card’:

 
Stay healthy
Avail attractive discounts at wellness centers on age care health related services
Stay Smart 
Avail special discounts on select apparel goods, fitness products and services
Stay Mobile
Avail great rates on travel and holiday packages
Stay Networked
The AdvantAge website offers the opportunity to network with friends and blog with likeminded members
Stay Secure
The AdvantAge Card brings the Help age helpline to your service, then offering you person to person counseling on safety and age related legal issues.
Stay Sure
The AdvantAge Card programme is an initiative of Help age India, the pioneers of senior citizen policy advocacy and age care welfare services in the country with an all India presence. So you will always be in safe and trusted hands.


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Did you reinvent yourself today?

The only happy and relevant people are those who have learnt to walk with change

At a family wedding, I overheard two elderly gentlemen talking. “I am living on bonus time now,” said a grandfather, while another said equally morosely, “I have wasted my life!” It was sad to hear two men having led fairly decent lives, sound despondent in the evening of their lives. Why do they feel helpless, tired and unmotivated? Why don’t they take charge right here and now, and resolve to make the best of their years? One has so many choices today.

For life is, and should be, a constant process of reinvention. A child gradually increases his field of activities and fires his ambitions as his mental, physical and spiritual faculties build up. Similarly, with waning strength and faculties, we should learn to adapt our lives to activities that the present reality allows. The most successful people in the world are those who have learnt to walk with change and adapt themselves to circumstances. Keeping yourself abreast with the latest technology and relevant news is just as important as being flexible in your personal life — in your relationships as well as the demands you put on your body, mind and the people around you.

Constant reinvention at all stages of life is the only way to stay afloat professionally as well as personally. Being on a constant learning curve is also a great way to bring in some healthy excitement into life. Look around; movement attracts energy, happiness and prosperity, while stagnation brings in depression and a stalemate. Flowing water is clean and useful; stagnant water gets polluted and breeds diseases. Keep a house shut for a long time and it acquires negative vibes; open the windows and allow fresh breeze to swish through, and a new life force seems to take over the same environ.

Similarly, we all need to keep the life force alive and moving around us all the time, and the only way to do that is constant movement — onwards and upwards, no matter what your age. Reinvention is not just about learning new processes and techniques; it is also about changing one’s outlook and changing interests, hobbies, relationships and job profiles. It’s about shifting your goalposts, and even your goals and targets with time. Even if you do not seek change, change will find you. And when that happens, you had better be prepared!

Amitabh Bachchan is a good example of a man who has constantly reinvented himself — from a bank employee to angryyoung-man actor, to superstar, to TV anchor, grandfather and general patriarch. He has worked passionately on each reinvention and taken care to stay true to the image he has adopted. There have been times when life has thrown him googlies, but AB’s greatness lies in his being able to get up and climb new heights in yet another role.

Most of us postpone dreams to a later stage; we wait for the ‘right’ time in life. Women look forward to a time when their children are settled, and they finally get a chance to do what they have “always wanted to do”; men wait for retirement.

The only ‘right’ time is here and now. While it may not be the right time to fulfil certain dreams, that doesn’t mean we should not always be mentally prepared to receive that dream. Nor does it mean that in looking towards that dream, we forget the relevance of the present moment. Every present moment offers a chance to learn and reinvent. As beauty expert Shahnaz Husain said the other day, “Life forces us to make choices; but if we are alert and empowered, we can create our own choices and be in charge of our own lives. Isn’t it exciting that God gives you a chance to reinvent yourself every morning?”

As with the elderly men, why should life be waiting for anything at any stage? It should be a constant process of reinvention and relevance. We have to ensure a constant release of any stagnant energies, and learn to age gracefully and accept life. For life reveals its beauty at every stage. Life gives us indications that it is time for change. Learn to recognise them and focus on what you really want to do. Don’t just do things the way they have always been done, nor live life the way it is ‘meant’ to be lived.

Break the barriers, challenge yourself, innovate and constantly reinvent yourself. Be aware, stay focussed and ride the change in your life. As American writer and futurist Alvin Toffler said about what lies ahead, “illiteracy will not be defined by those who cannot read and write, but by those who cannot learn and relearn”.


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Monday, 10 December 2012


Recreation centres add a little sparkle to sunset years

The elderly in the city have a host of activities to keep them occupied and remain active, courtesy the recreation centres for senior citizens. A government initiative for the welfare of the elderly in the city, the number of such centres has gone up from 56 in 2009 to 79 in 2012.

 An Increasing number of senior citizens flock to such centres to be among friends, play indoor games, catch up on on the latest news and events and exchange notes.

"My children have a life of their own and I can't expect them to change their schedules for me. One of my friends told me about the recreation centre. This week we are going to celebrate one of our friend's birthday. I no longer feel bored or unwanted now. My children are also happy with it," said Ajay Kohli, 63, a regular at the recreation centre in Malviya Nagar.

There 18 such centres are in south Delhi and officials stress the importance of such centres by pointing out the rising number of the elderly.

"Senior citizens no longer want to stay locked up in their homes. They don't want to feel unwanted. These recreation centres provide them an avenue to indulge in various activities that might not be possible in their homes such as playing games, go out on excursions, etc," said a senior Delhi government official.
"One of the reasons behind growth of the recreation centres is the fact that a number of senior citizens feel lonely as their children get busy with their own lives," said JR Gupta, chairperson of Confederation of Senior Citizens Association of Delhi.

These centres are run by registered senior citizen associations and are provided grant by the Delhi government. "A one-time grant of R75,000 is provided to organisations that have space where they can put up chairs, tables, cupboards, television, indoor game, etc. Another R20,000 is provided for covering operational expenses, which includes salary of the attendants, rent and for organising tours, health camps/yoga camps," said Kiran Walia, minister for social welfare, Delhi government.

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Monday, 3 December 2012


Indian elders suffer abuse, neglect

That elder in India no longer receive care and respect within families and outside has been long established. But many of them silently suffer abuse at the hands of their sons comes as a huge shock. It undermines, if anything, the myth of ‘Shravan Kumar’.

According to a survey by HelpAge India, released on the eve of World Elder Abuse Awareness Day, about 56 percent of India’s sons indulge in elderly abuse as compared to 23 percent of daughter-in-laws. At the national level, 31 percent of older persons reported facing abuse. Madhya Pradesh with 77.12 percent reported the highest incidences of elder abuse followed by Assam and Uttar Pradesh at 60.55 and at 52.00 percent respectively. The survey was carried out in 20 cities across India and interviewed 5600 persons of old age.

Among Indian cities, elders face maximum abuse in Bhopal (77.12 percent) followed by Guwahati (60.55 percent) and Lucknow (52 percent). The National Capital Region has reported 29.82 percent elderly abuse, a sharp increase in from last year’s 12 percent. Mumbai is not far behind with 29.46 percent. Jaipur with just 1.67 percent turned out to be the safest city for elders.

Most cases of abuse are never reported because of emotional considerations. Explaining the psychology of elders, a spokesperson at HelpAge India, said, “Elder abuse is a subjective thing. The problem lies in the family and the solution also lies in the family. The issue is actually very delicate. Even though the elders are getting abused by their own near and dear ones, they can’t afford the courage to go and report as they feel it would hurt their own near and dear ones and above all they have to finally live with that same person.”

Himanshu Rath, founder of Agewell Foundation, another NGO working for the elderly people, said, “The primary reason behind the elder abuse is unawareness and non-preparedness. Most of the present day old people have not seen their own parents living up to that age, therefore they do not have any idea as to how to live in that age.”
In fact, the most unfortunate part of the report is that even literate people couldn’t escape from abuse at the hands of their progenies. About 20 percent of those who had experienced abuse were graduates, 19 percent had education up to primary level and 16 percent were illiterates.

A fast-paced urban life has further enhanced their neglect and woes. “The individual is not prepared for that age so the family members and the peer group are also not prepared. Also due to growing fast life, people do not have time to care for others,” added Rath at Agewell Foundation.

Highlighting the need for psychological care and support, Dr. Samir Parikh, director mental health and behavioral sciences at Fortis Healthcare said , “Elderly population not only requires physical and financial support , they also require emotional support. Abuse of neglect generally happens from near and dear ones and it has a great impact on the mental health of the elderly population. It leads to depression among them.”

Disrespect, neglect and verbal abuse, are the most appropriate parameters that define elder abuse. Disrespect was shown as the most prevalent type of elder abuse in the society followed by neglect and verbal abuse. 44 percent respondents identified disrespect as the most common form of abuse, 30 percent identified neglect as the second most common form and 26 percent identified verbal abuse.

“Many people neglect the elderly without even realising it. Sometimes it so happens that the person does not deliberately means to hurt the elderly but somehow the situation so arises that they do get hurt and the elderly person feels that the person showed him disrespect,” added the resource person at Help Age India.

Highlighting the importance of sensitization, Dr. Parikh at Fortis Health Care, stressed, “It is extremely important for the younger generation to take care of the elderly population as it would help to increase the emotional distance between the young and the old.”


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Friday, 30 November 2012


Nine Keys to Aging Well

  • We can enjoy life. We are often playful and like to laugh. We are starting to move beyond the need to look cool. This leads to all kinds of fun, at unexpected moments. Even our idiosyncrasies can be quite entertaining. When we hit a bump, we are sometimes bemused at the ridiculousness of life. We also enjoy recalling the oddities we have witnessed. Some of them have been amazing. We've had enough disenchantment for a lifetime. We're willing to be enchanted again.
  • We make the most of what we have. We are finally gaining some perspective and even a little wisdom. We have a bit more inner stability. We have the guidance of memory that often routes us around trouble. We are coming to terms with our limits, and mainly celebrate what we can do. At long last, we seem to have a sense of who we are. We like ourselves more than we expected. We are getting better at trusting our own tastes and preferences. We appreciate the freedom to indulge in our interests, new and old. A grateful heart lets us take pleasure where we find it.
  • We appreciate people. Friends, acquaintances, and even strangers have unexpected qualities. Their faces are surprising in ways we didn't notice before. Also, we have decided that most people are good enough as they are. There's no need to change anyone. We realize it wouldn't do much good to try, anyway. We appreciate those who have been kind to us. We have received a great deal of affection over the years, and such gifts last. We have the friendship and love of a lifetime with us always, even from the people who aren't around anymore. We are thankful to have had good company on the journey.
  • We accept our flaws. We don't have to be perfect. On most days, we relish the diversity of our personalities. We can be flexible or stubborn, clueless or profound, depending on the moment. We tend to honor the delicate parts of ourselves. A life with nothing to be sorry about would be rather uneventful. We are even starting to appreciate our past disasters. Old humiliations have become essential parts of a fine story. We occasionally even feel a tender fondness for the ragged edges of our lives.
  • We are at home in the world. We enjoy our surroundings and often discover new secrets about familiar places. Watching the explorations of small children and animals can delight us. The piece of cake we allow ourselves is especially delicious now that we don't indulge often. The scent of a flower or gentle touch of a breeze seems more sensually rich than before. Sometimes, we glance around our home spaces to relish how our belongings reflect our personalities. Perhaps we got more efficient in the pleasure department. Maybe, having had our share of difficulties, we just appreciate things more.
  • We have less to prove. We are learning to avoid comparing ourselves with others - or even with our former selves. It is a relief when we can begin to overcome feelings of competition. We can sometimes even deal with envy as a bad mood, not to be trusted. By focusing on our best personal qualities, and favorite current interests, we can find something fulfilling in almost every day. We might have more contributions to make, but don't feel quite as driven to do something of great importance. Most of the time, we are able to work and play for its own sake, not to look good in the eyes of others. Now that the need to show off has eased a bit, finding opportunities to use our talents is a manageable task.
  • We have strong priorities. We are getting better at tending to our deeper yearnings. Now that we're not in charge of fixing everything, we are free to devote our energies to neglected passions. It may be creative expression, reading, gardening, hobbies, or working on causes. Certain projects virtually call us. It might surprise friends that we are so energized by these activities, but we feel no need to explain ourselves. On most days, we use time in more immediate and present ways than ever before.
  • We accept our moods. We know that life is rich with nuances of emotion. We like being happy, but indulging in a little grumpiness has its rewards, too. We can usually let sadness come and go when it wants, without making a big deal about it. Life has its ups and downs. No point getting frustrated when it won't help. We avoid fretting about things, if at all possible. We are often able to be philosophical about life's ordinary disappointments and tribulations. When we can accept our feelings, a natural buoyancy usually restores tranquility soon enough.
  • We take time to reflect. We are able to ponder the inner life more than in the past. Allowing quiet to enter us seems to change the flow of time and make it larger. We find ways to open to the mysteries within. For some it is meditating, for others it is knitting, still others find it during a daily walk. It is simply being receptive to something beyond our ordinary thoughts. Partly, it is using the gifts of experience and long memory. Reflecting on fine moments in the journey reminds us of the riches of our lives.

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Why Do Older Adults Display More Positive Emotion? It Might Have to Do with What They're Looking at

Research has shown that older adults display more positive emotions and are quicker to regulate out of negative emotional states than younger adults. Given the declines in cognitive functioning and physical health that tend to come with age, we might expect that age would be associated with worse moods, not better ones.
So what explains older adults' positive mood regulation?

In a new article in the August issue of Current Directions in Psychological Science, a journal of the Association for Psychological Science, researcher Derek Isaacowitz of Northeastern University explores positive looking as one possible explanation: older adults may be better at regulating emotion because they tend to direct their eyes away from negative material or toward positive material.

Isaacowitz presents evidence indicating that, compared to younger adults, older adults prefer positive looking patterns and they show the most positive looking when they are in bad moods, even though this is when younger adults show the most negative looking.

Research conducted by Isaacowitz and colleagues indicates that there is actually a causal relationship between positive looking and mood: for adults with good attentional abilities, positive looking patterns can help to regulate their mood.

Although older adults prefer to focus on positive stimuli, the research shows that they aren't necessarily missing any salient or important information.


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Sunday, 11 November 2012


Making bathrooms safe

With a little care you can reduce risks, especially for elders

Eighty-year-old Devaki Menon was quite agile for her age until she fell in the bathroom one
day. 
Though she was lucky to escape with a fractured ankle, Ms. Menon was plagued by the 3F
Syndrome (Fear of Further Falling) until her son came from the U.S. and brought along with 
him some accessories which put the confidence back in her stride.

That was about six years ago. Today, what Ms. Menon's son brought from the U.S. is available
here in the market.

Most common among them are the handrails and the shower grabs fixed along the walls of
the bathroom that the elderly and the infirm in the family can hold on to when they use the 
toilet or go for a wash.

The concept of making bathrooms safe for the elderly is no longer an alien one. In the past,
traditional houses had bathrooms that sported floors with a rough finish and minimized the 
chances of slipping. Moreover, ropes were hung from the roof for the grandfathers and 
grandmothers to hold on to and man oeuvre around.

But with the apartment culture taking roots and swanky floorings taking over, a drop of water 
or oil can floor even the most acrobatic ones among us.

"As a matter of practice, all the apartments that we build have anti-skid floors in the bathroom,
" says Arun Shah, General Manager of Shree Dhanya Construction, Thiruvananthapuram.
"Of late, we have had requests from our clientele for fixing handrails in the bathrooms.
"We provide such accessories on request," he adds.

"It is mostly retired people who are asking for such accessories in the bathrooms.
"And that is about 10 per cent of our customers," says Annie Philip of Skyline Builders.
"But if somebody comes with specific requests we provide them," she adds.

Both Ms. Philip and Reena, Marketing Manager, Heera Constructions, say all their projects
have the standard specification of anti-skid floorings in the bathrooms.

With the concept of making bathrooms elderly friendly catching on, sanitary ware dealers have
introduced these accessories in the local market. Apart from handrails and shower grabs, you 
have all kinds of things such as raised toilet seats, toilet seats with support arms, shower chairs
and modular shelves.

All these products come in handy when your bathroom is cramped for space.
"Right now the principle choice is the product range from Press alit, a Danish company.
These imported fixtures are high-priced.

But it will not be long before these products are made indigenously, making it lighter on the
pocket," says Thomas P. Kurien, proprietor, Modern Agencies, Thiruvananthapuram.

Almost all leading sanitary ware manufacturers, including Parry ware, Hind ware and Jaguar 
provide raised toilet seats, handrails and shower grabs.

A few tips

Bathroom mishaps are some of the most common types of accidents that may leave the elderly
Incapacitated for the rest of their lives. However, with a little care such accidents can be easily
Prevented.

Here are a few tips:

  • Let the bathroom floor be on level with the rest of the rooms in the house. This would prevent one from tripping.
  • Use non-slip mats at the doorstep.
  • Install grab bars in the bathrooms.
  • Avoid using towel racks or wall-mounted soap dishes as grab bars, as they can easily come
     loose 
    Causing a fall.
  • Keep the bathroom floor clean and promptly wipe away all spills.
  • Avoid using cleaning lotions that may leave a residue.
  • Use nightlights to help light hallways and bathrooms during the night.
So when you set out to build your dream house, give a thought to your parents. And maybe
your Own self and things to come in old age.

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Thursday, 8 November 2012


Ten Minutes of Conversation Improves Memory as Much as Games

Senior citizens concerned about the loss of their mental abilities and that is about everyone are mostly aware of abundant "use it or lose it" research results advising them that to avoid dementia and Alzheimer`s they should exercise their brains. The suggested games, particularly electronic games and puzzles,Often appear too daunting to many older people. There is new hope; however, from a University of Michigan study that tested people as old as 96 and found it only takes about 10 minutes of talking to someone else to improve your memory.

The study of memory improvement tested people as old as 96. A second test of students found conversation also improves performance on tests.

"In our study, socializing was just as effective as more traditional kinds of mental exercise in boosting memory and intellectual performance," said Oscar Ybarra, a psychologist at the U-M Institute for Social Research (ISR) and a lead author of the study with ISR psychologist Eugene Burnstein and psychologist Piotr Winkielman from the University of California, San Diego.

In the article, Ybarra, Burnstein and colleagues report on findings from two types of studies they conducted on the relationship between social interactions and mental functioning.

Their research was funded in part by a grant from the National Science Foundation and will be published in the February 2008 issue of the Personality and Social Psychology Bulletin.

In one study, they examined ISR survey data to see whether there was a relationship between mental functioning and specific measures of social interaction. The survey data included information on a national, stratified area probability sample of 3,610 people between the ages of 24 and 96.

Their mental function was assessed through the mini-mental exam, a widely used test that measures knowledge of personal information and current events and that also includes a simple test of working memory.

Participants' level of social interactions was assessed by asking how often each week they talked on the phone with friends, neighbors and relatives, and how often they got together.

After controlling for a wide range of demographic variables, including age, education, race/ethnicity, gender, marital status and income, as well as for physical health and depression, the researchers looked at the connection between frequency of social contact and level of mental function on the mini-mental exam.

The higher the level of participants' social interaction, researchers found, the better their cognitive functioning. This relationship was reliable for all age groups, from the youngest through the oldest.

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Elderly Improve Health by Reading & Mind Games 

As the elderly population continues to grow, scientists seek innovative ways to treat diseases of old age. Proper diet, exercise & thinking activities may slow dementia.

Caregivers have more ammunition to help an elderly parent or loved one in the fight against Alzheimer's and other forms of dementia. Boosting brainpower – engaging in cognitive skills – helps the brain build resistance that may slow the disease. Just as physical exercise improves circulation, mental exercise strengthens the mind.

Mental Exercise May Slow the Progression of Alzheimer's

Reading, solving word puzzles, and taking part in intellectual conversation may slow the effects of memory loss. An active brain is better equipped to resist disease. Increased blood flow from both physical and mental exercise improves the connections among nerve cells.

According to Robert Friedland, MD., in a submission to the book, The World's Greatest Treasury of Health Secrets (Bottom Line Books, 2008), "A seven-year study of 2,000 people over age 65 found that those who engaged in high levels of reading, physical exercise or just talking with friends reduced their risk of Alzheimer's by 38%."

Encourage Elderly Persons to Engage in Cognitive Skills

Looking for a Christmas gift for an elderly person? Need a few gift ideas for an elderly loved one's birthday? Try card games, board games, and word puzzle books. No longer considered just a way to pass the time, games such as chess, bridge, scrabble, checkers, and even trivia games stimulate the brain.

If games don't appeal to the aging person, then reading material might do the trick. Publications such as National Geographic, Reader's Digest, and Time, are just a few magazines that teach current events or invoke thoughts on popular topics. Other ideas to stimulate thinking: Get involved in a local political event or learn a new language.
Can playing cards really help reduce the effects of dementia and memory loss diseases? In an article titled, "Playing Their Cards Right: Bridge Helps Seniors in Bid to Stay Focused" published by the Santa Rosa Free Press (Milton, FL, Dec. 2, 2009) journalist Jane Glenn Haas refers to Frank LaFerla, head of UCI MIND (University of California, Irvine), a clinical and research center studying Alzheimer's disease.

According to Haas, "LaFerla says a combination of social interaction, such as joining a bridge club, and mental stimulation seems to slow down the course of the disease." Haas also states, "LaFerla, 46, is trying to keep himself in the game by playing computer games, doing Sudoku and crossword puzzles, going to the gym and playing golf and tennis."

Alzheimer's Patients Benefit From Social Activities

Want to help the caregiver of a family member who has been diagnosed with Alzheimer's disease, memory loss, or some other form of dementia? Find out where senior groups meet and suggest the elder join a bridge club and socialize with other elders. Take the elderly person out for a night of stimulating conversation. The physical act of getting out and engaging in conversation where a senior has to think and respond to another person keeps the brain active.

Jenna Goudreau, who contributed an article titled "Why Socializing Makes You Smarter ..." in Ladies' Home Journal published in August 2008, states that, "Socializing not only increases your short-term smarts but builds improved longer-term cognitive abilities. Though face time is best, researchers speculate you can still reap some of the rewards via phone or email."

Mental Exercise and Socializing to Prevent Old Age Memory Loss

Physical exercise, diet, and mental activity all work together to increase and improve blood circulation to the brain. Mental exercise also improves the connections among nerve cells, preventing – or at least slowing the effects of – cognitive decline. Does socializing have significant value in preserving memory performance?
Diane Swanbrow from the University of Michigan submitted an online article in October 2002, titled, "Schmoozing is Good for the Brain, U-M Study Suggests". Swanbrow quotes U-M psychologist Oscar Ybarra who believes there is a working connection between academic learning and socializing: "Most advice for preserving and enhancing mental function emphasizes intellectual activities such as reading, doing crossword puzzles, and learning how to use a computer. But my research suggests that just getting together and chatting with friends and family may also be effective."

Caregivers Encourage Seniors to Stay Active to Stay Healthy

Caregivers for elderly persons often feel helpless when a loved one is at risk of, or has been diagnosed with Alzheimer's disease, memory loss, or some other form of dementia. New sources of information indicate cognitive skills and socializing improve mental focus.

Physical exercise, proper diet, mental stimulation, and socializing all contribute to better health at any age. Never before has it been so important to keep learning and stay active even beyond the age of retirement. Old age is no longer a time to sit back and watch the world go by, but is instead a time to learn new skills, participate in social activities and engage in physical exercise.

Thinking and socializing improve the quality of life for the elderly loved one and for the caregiver. Physical and mental exercise aid in blood circulation, increase oxygen to the body – especially the brain – and appear to slow down the deterioration cause by Alzheimer's. In any case, caregivers now have new and enjoyable methods at their disposal to help fight the diseases of dementia.

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Tuesday, 30 October 2012


Can India afford universal pension for the elderly?

New Delhi: NAC member Aruna Roy is leading the newly formed Pension Parishad to demand a universal pension scheme. The question is whether every elderly person in India who is above 60 years of age should be entitled to a pension.
The question was taken up by IBN18 Network Deputy Editor Sagarika Ghosh on her show Face the Nation.

Here's the transcript of the discussion with a distinguished panel:

Sagarika Ghose: Hi! Should every elderly person in India who is above 60 years of age be entitled to a pension? That is the demand by a campaign led by the Pension Parishad currently staging a five-day protest in Delhi. Now India is an aging society with numbers of elderly rising very fast. Is it time senior citizens, many of whom are no longer living with families, are taken care of by the state? So a demand for universal pension for all above age of 60, the senior citizens who are a totally neglected group and should this change because as we said the numbers of elderly is rising very fast. Joining us tonight is Nikhil Dey activist, MKSS, Co-Convener NCPRI, Sri Ram Khanna, Managing Trustee, Consumer Voice, Gautam Bhardwaj, Director, Invest India Economic Foundation/MD, Invest India Micro Pension Services, Gurcharan Das, former CEO, Procter & Gamble India & author. We also have celebrity senior citizen on our show tonight. I spoke earlier to filmmaker Shyam Benegal and asked him why he supports this campaign.

Shyam Benegal: The way the population on one level is aging and the other in the manner our society has changed over the years, you know older people now have less and less any kind of support system and this is happening in an alarming way all over the country. And I think Aruna Roy and her band of people are pinpointing on something which essentially is important because I think a lot of the older people are left with support because you know in our country it was always the children who looked after the parents but then the breaking up of the joint family and so on and then urban living, nuclear lifestyle, all those sort of things you know the toll is enormous on the older folks you know generally. So that's the reason I think because there has to be some kind of a safety net for older people in our country and that is missing at the moment.

Sagarika Ghose: But is pension the only thing the elderly need at the moment or see a range of other measures are also needed?

Shyam Benegal: Pension fund is one aspect of it, but there are so many other things; old age home now of course are absolutely necessary particularly you'll find that in urban India than anywhere else because see rural families still continue to... I mean there is still some kind of family support but in urban India the fact is there is no support at all and that is where the real problems are. Like, I can see in the city of Mumbai or for instance Pune, in places like these it far more serious than it ever was in the past and it is going to grow. Younger people are well reminded that they are not looking after their old would like to hide that fact but the fact is that this is a real problem and we have to face up to it. You know it is a social problem not just the problem of the government, it is a question of the society itself particularly the middle class of this country, you know the growing middle class of India needs to start looking it as a serious responsibility in terms of their familiar responsibility.

Sagarika Ghose: Right, that was Shyam Benegal on why he supports this particular campaign of Aruna Roy and Pension Parishad. We have Nikhil Dey from the Pension Parishad, tell us you have seen Shyam Benegal's concerns we have the statistics of elderly, 88 million elderly in 2009, 315 million elderly we will have by 2050, it is a big myth to think that we are a young country, we are a rapidly aging country. In that context what are you aiming to do?

Nikhil Dey: We are aiming to make sure that every Indian can live with dignity. To image that a citizen has worked for 40, 50 years of his life, contributed to the nation, contributed to the country and kept their body and soul body just on hard labour and when it comes to a stage when their bodies cannot support themselves, to say that they should be left alone and to die basically because that's what it amounts to is an absolute shame. To say that at a time when we are growing at the rate of six or seven or eight per cent is even worst. And to say that it costs too much money, does it costs too much money to feed yourself, does it cost too much money to provide basics and if we have large number of elderly than that is our main national concern. And I think it's very important that many group have come together, many who don't work on the issues of the elderly because we are seeing right across, we are seeing the numbers of people, it's quite right what you say it's not just pension but pension allows a variety of support system. You can't get water for yourself, you can't carry a matki, you can't go anywhere, you are not seen, heard, you can't live in a city like Delhi. There is no place for elderly to walk on the road, they'll be even crossing the road. So, somewhere we need to start understanding that as a nation what we are and what we need to provide for. And money, in fact countries poorer than India are providing universal pension schemes, you know Nepal is, South Africa is. We need to start thinking in a much more positive fashion.

Sagarika Ghose: There is no possible disagreement with the moral argument there, there can be no moral disagreement with Nikhil's argument there at all Gautam Bhardwaj but I want to ask you on the economic survey. There is the issue of our fiscal deficit, there is the issue of entitlements economy is impoverishing our exchequer, we have right to food, we have right to education. We simply cannot afford all these kinds of welfare. We also have the Pension Fund Regulatory Authority Bill, the pension reform bill which the government is trying to push through in order to reduce it pension liability, therefore given these huge numbers of elderly that we do have, the simple question – can the government afford it?

Gautam Bhardwaj: Well the simple answer is government, as things stand, can't afford it. But the larger question is that this elderly is not the static population as you very correctly said, where the numbers will continue to grow even if the Finance Minister was to pull out Rs 2-2.5 lakh crore and pay the bill this year. Can we be sure that the same amount will be available the next year and the year thereafter? If you are going to wake up suddenly let's say in 2030, the population that we are talking about is going to roughly 200 million people, not just 100 million people and the pension we'll be talking about at that stage will be Rs 10,000 per month not Rs 2,000 per month. So when you think of numbers like this I think the numbers become very staggering and I don't think these are sustainable numbers. I would think I can't fault Nikhil Dey on this question but I think it will need much more careful planning at the level of currently core and more importantly what we are seeing is the result of policy in action over the last 50 years.
Sagarika Ghose: The states had abdicated its responsibility towards the elderly for years but let me get you to respond to that, the bill is just too high.

Nikhil Dey: Ok if it is too high, what is reasonable? Rs 200 that is being given today and even that not been given to 80 per cent of those people. So, number one, can't we say that people don't have to go around clutching papers, taking photographs, running after to try and at least get that Rs 200. Then we can start saying, ok if not Rs 200, not Rs 2,000 then what is reasonable? What can we afford? Can we start that instead of saying that it's simply not affordable and can't do anything about it? And can we start understanding that there are huge people, there are human beings with lives, each one of them and they live amongst us and each one of us will reach that age and what gives dignity to us more affluent people is the fact that they have some degree of economic independence, something. So these are people with no other income.

Sagarika Ghose: So the only issue is that does it have to be universal pension or can it be access to health care? Could that be one way of looking at it? But let me bring in Gurcharan Das. Gurcharan Das India does not have a universal social security system, the current pension scheme covers only the employees only in the organised sector that is 12 per cent, 80 million Indians are not covered by any pension scheme whatsoever. Surely this is the crying need.

Gurcharan Das: Well surely it is a crying need and there are many crying needs in our society. You know the welfare state which this is a reflection of came into being after 200 years in the west of rapid economic growth and reaching an income level of $20,000 a year then those countries think about these sort of things and our income is $1500 a year, at least get to $5,000 a year. And you know the timing of this campaign is amazing because we are just been downgraded and the country is in serious financial crisis. Now, we are downgraded as a country and we are talking about this right now when we actually should be cutting back on the subsidies and you know it's not a moral issue. You are going to try to say oh he is not compassionate, I am compassionate, well know we are all either same in the world but let's be realistic and say what can we afford at this stage in our development? We are still a poor country, and a poor country cannot begin to behave like a rich country. So why give a pension of Rs 2,000, give a pension of a lakh of rupees that will give you more dignity.

Sagarika Ghose: Let me extend your argument to Sri Ram Khanna. Should then the state be not burdened with these kind of payments? Should the responsibility with the senior citizen be much more with the society, be much more with family, be much more with stake holders, that should we be pushing forward?

Sri Ram Khanna: See what our friend Gurcharan Das is saying is something of a senior citizen's cozy investments, monthly incomes coming from all over the place and he couldn't care less about that impoverish person who has nowhere to go, his family has abandoned him and he has no money for food, no money for shelter, no money for health care. You can't say wait on till India reaches $5,000 per capita income that'll be 20 years down the line and there are millions of people who need care today. So I am not saying you don't wait, you wait to put public money. But let me tell there are people in this country who have worked through their youth, never saved a penny and if they would have saved through out their lives they would have pension from their own money.

Sagarika Ghose: Let me just put that to you, you know we are speaking consistently of pension but you know as Shyam Benegal said there are old age homes, service providers to the elderly, service sector to the elderly, security to the elderly, now if those issues are taken care of then surely old age homes, service providers can be done on public-private partnership. If you are worried about the costs would you be satisfied or only pension is going to satisfy you and other ancillary measures are not enough?

Nikhil Dey: It's very interesting Sagarika actually we've been on the other side of the debate of cash transfers for a long time, pension is a cash transfer.

Sagarika Ghose: This time you are actually arguing for cash transfers.

Nikhil Dey: Yes, pension is an ideal cash transfer because it allows you to choose whatever you need, maybe Rs 2,000 is not considered reasonable by Gurcharan Das but for him to say we wait for 20 years is an amazing...

Sagarika Ghose: Gurcharan Das you argued that cut subsidies, instead give cash transfer as Nikhil is saying this is a cash transfer.

Gurcharan Das: I would say that now this is the time to cut subsidies like diesel, we have to cut subsidy on fertilizer and we have to make our nation affordable, you know first you must bake the bread before you begin to distribute it. Now, having said that let me say that I support RSBY, you Rashtriya Swasthya Bima Yojana which is an insurance for health, universal insurance for health.

Nikhil Dey: It's not universal. It's just BPL.

Sagarika Ghose: It's just BPL actually.

Gurcharan Das: Ok, the point here is that not to quibble about but it is for the poor and the point here is that I support it because one, it is affordable and two, it is tangible and here in this particular case I would do it as a real exception. I would say we have to now think of a country which is going to grow and where people have to work not create bogus jobs as we create but real jobs. And that you get through growth, through hard work and not through entitlements.

Nikhil Dey: The people we are talking about have worked all their lives without any single entitlement, without any single subsidy, on their own hard work and they have contributed to this nation's growth rate and it is a complete insult to them to say that they have depended on some of the larger to survive but now they can't work their bodies don't help them to work. So, at that point only we should say that it is a payback, it is a cost that we should have made sure that they had adequate amount left over for a pension for what a pension is. It is a part of your working life later extended to security. This is not an entitlement or a dole of a different kind.

Sri Ram Khanna: This argument of pension insurance was actually used by the trade union movement in the 50s and the 60s. So you will find wherever labour was organised there was pension in the public sector, in the government employees unions, in the large companies they created a system for themselves and they forgot about the poor and everybody outside the system.

Gautam Bhardwaj: But it is a very expensive system

Sri Ram Khanna: It is.

Gautam Bhardwaj: We are speading 100,000 crore on pension.

Sagarika Ghose: Are we saying that we cannot afford any welfare to the elderly at all?

Sri Ram Khanna: You have to force everybody to put aside a part of their income every month into a pension fund. You have to force everybody.

Nikhil Dey: Why can't we force a part of that growth which is the income of the country why can't we look at the structure we have huge numbers, we have a huge country, we have to produce a simple system and we are not asking for the earth. Actually Rs 2,000 is just half of minimum wages, let's start talking about what's affordable, let's universalise it, let's make sure that no one is left without any kind of security and some degree where we can start thinking about how we deal with the large number of people everywhere. And I invite Mr Gurcharan Das to come just for 5 minutes to that Dharna where people have come and just talk to them and explain to them how they will wait 20 years.

Sagarika Ghose: How they will wait 20 years?

Gurcharan Das: I would love to go.

Sagarika Ghose: Let's put to Gautam Bhardwaj the question about the Pension Fund Regulatory and Development Authority Bill, the PFRDA Bill which is now pending in Parliament. Now can you tell us within the context of the demand for the universal pension how this bill will help? Will this bill partially help, will this bill not help at all, how will this bill fit in this context?

Gautam Bhardwaj: I think the bill is an important bill, it will help at two level. One, it will enable and encourage people who are currently young and who can save for their old age, it will provide them a secure environment to achieve that. At the level of current demand which Nikhil and his team have I think the size of the population that is going to emerge, the next generation of the elderly some of them would have self provide for their old age and you'll find that instead of.

Sagarika Ghose: Even in the unorganised sector?

Gautam Bhardwaj: Yes, we are currently working with informal sector poor and we have half a million people who are putting aside Rs 1,000-2,000 a year.

Sagarika Ghose: Who are working in the unorganised sector?

Gautam Bhardwaj: Rickshaw walas, maids, vegetable vendors and others and these are about close to in 100 districts. This has started and PFRDA, the pension bill is trying to achieve that. It will not solve the problem for everybody, there are lifetime poor who can't save at all, there are dis-savers can't save, there are people already in their 50s who won't be able to accumulate enough money but it will still chip away at the problem so you won't end up with another 100 million elderly who are destitute in 2030, you probably will end up with 60 million or 70 million.

Sagarika Ghose: Right, you don't find this solution workable?

Nikhil Dey: A solution that covers half a million today no one objects to it but it's not a solution. A solution is one that covers most of your people you are concerned with and so today we have to do a minimum amount on the basis of... and after that we can say someone who has some level of...

Sagarika Ghose: But you are agreeable to not starting with Rs 2,000 per month but Rs 200 per month

Nikhil Dey: No, no I am saying today people are even fighting for that Rs 300 which the government gives today. Today, the first battle is to universalise, after universalising we feel and it's not unreasonable Sagarika if you think about it how much a person will require to survive? Rs 2,000 is not at all an unreasonable amount but if government and many others say that it's not reasonable then let's start talking about what is reasonable.

Sagarika Ghose: Rs 2,000 per person not per family?

Nikhil Dey: Yeah, Rs 2,000 per person because many are individuals living on their own so let's talk about
what's affordable.

Sagarika Ghose: So, let's universalise it then start talking about the figure?

Sri Ram Khanna: The starting point is that many state governments are already giving old age pensions, old age pension are being given in Delhi and a number of other states which he can tell you. But they are covering only a small number of people.

Nikhil Dey: Exactly.

Sri Ram Khanna: There are limitations to the budget, then only few selected people get it, they get it after bribing, they get it after running after the paper work, the things are already been done by the state governments which means governments are already allocating the money for this and it's not enough to cover everybody.

Gautam Bhardwaj: But I think there is an issue there which is that states are giving different amounts, Haryana is giving 1,000, Delhi is giving 1,000.

Sri Ram Khanna: The idea here is that if there is political intent in state governments then why can't we have a state policy about universalising this? And having a plan to implement it? Do it slowly, step-by-step.

Sagarika Ghose: Gurcharan do you believe that there is no need to think for pension at all or should we move incrementally in small ways slowly towards the national pension policy?

Gurcharan Das: No, of course it's a good idea but you know my only problem is that a nation must live within its means. If you read recent economic survey of India report, the World Bank report, the Standard and Poor's report which downgraded us, what they are all saying is that India is living beyond its means and I fear that we might have the kind of crisis that Brazil had in 1972 when it too began to live beyond its means and it went into...you had three decades, three lost decades for Brazil.

Sagarika Ghose: So you believe that this is premature and extravagant welfarism?

Gurcharan Das: But let me explain what I am saying is that in India government spending is already crowding out private investment and this is lowering our growth rate, the growth rate we were few years ago at nine has come down to 6-6.1 per cent in the last quarter. And each point you go down you have lost 1.5 million productive jobs, people who will support a family and so what I am trying to say here is...

Sagarika Ghose: Wealth creations not entitlement. Let's create wealth and not give out entitlement.

Nikhil Dey: Who can we afford? Can we afford the 5 lakh crore that we give in tax subsidy to the rich which is there written in our budget or can we afford what level of taxation in this country and the country Mr Gurcharan Das is talking about and in Brazil you have universal pension and you half a minimum wage.

Sagarika Ghose: So you are saying that what GD is saying is not right?

Nikhil Dey: Brazil has a fantastic safety net.

Gurcharan Das: Yeah, but Brazil have $10,000 income and they can afford it.

Nikhil Dey: Today, what can we afford? We can't afford $1400 which is their minimum wage. Can we have our elderly to die without the concern?

Sagarika Ghose: We cannot afford extravagant and premature welfarism. Nikhil Dey is saying we cannot let our elderly die, this is a polarised debate.

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