Future Challenge – Who Do You Trust with Your Health?

Challenge #14

We all tend to put off tasks we don’t want to think about – like making wills or assigning medical or financial proxies.  If we wait too long, we may not be able to designate the people we want to assist us, or to make the decisions we want to make when we can’t. We can’t assume our families or other loved ones know what kinds of medical treatment we would choose if we haven’t told them. 

After all, they don’t have crystal balls. But even if we’ve had discussions with them about our choices, if we don’t have the proper documents executed, they may not be able to enforce those wishes with medical providers.

Do you have an Advance Care Directive or Medical Proxy? Was it executed in the state or country where you’re currently living? When did you last review it? Have you shared it with your family and doctors?

Here’s your challenge – Share what prompted you to prepare your Health Care Proxy if you have one, or what’s stopping you if you don’t… and any other thoughts you have on this topic!

As part of my retirement theme,  I offer this weekly Thursday “Future Challenge” to get people of all ages thinking in general about their futures and/or retirement. Each challenge goes with a post of my own on the same general topic. Hopefully we’ll start some interesting discussions!

If you’d like to share what you think, or post on it, that’s great – and I’d love it if you’d share those thoughts in a post or comment (please tag posts TRS Future Challenge and link to this post) so others can also see them.

If you choose not to share them, that’s fine too – but with any luck, you’ll still gain some insight on where you’re headed (or would like to be), and how you can get the most out of your own journey.

For my own take on this week’s challenge, see my post Murphy’s Law and Why Everybody Needs a Plan – Part 1.

Posted in Future Challenges, Health Issues | Tagged , , , , | Leave a comment

Murphy’s Law and Why Everybody Needs a Plan – Part 1

If anything can go wrong, it will – Murphy’s Law

My Scottish grandparents had lots of favorite sayings. Two that often come to mind are, “Hope for the best, but plan for the worst,” and “Murphy may have been an Irishman, but he wasn’t half wrong.”

The Future is coming, whether or not you prepare. Best plan what you can.

When I was expecting my second child, my firstborn was not quite five. She was very excited about the new baby, and even told people she was getting a baby brother or sister for her birthday. Then a few months before our son was born, I started getting calls from the nursery school that my daughter was sick and had to be picked up. I would arrive to find a weepy, feverish child with a tummy ache, but by the time we arrived at home she was cheerful and wanted to go outdoors to play.

After a couple of these episodes, we visited the pediatrician. He ruled out any physical cause for her ailments, and then asked me to leave the room for a moment. When I returned, he sent a happy child off with the nurse to pick out a sticker for her good behavior, and explained to me that she was simply concerned about where she would go when I was at the hospital having the baby.

There had been lots of talk about Daddy being there when the baby was born, and about what we would do when the baby and I came home, but we hadn’t firmed up which of two generous couples who had offered would have the pleasure of our little girl’s company while we were away – and so we hadn’t yet discussed it with her.

That night at dinner, we asked her if she had a preference about which friends she would stay with. She chose the family with children, and we called and finalized the arrangements right then. The next day on the way home from nursery school, we dropped off her overnight case and sleeping bag so everything was ready whenever she arrived. Problem solved. We had a plan.

We all get in the habit of preparing for the little things. Things like having a stash of canned goods if you live in a climate prone to power failure, or having a backup adult listed at school in case you can’t get there to pick up your sick child. Or having an unused credit card or special savings set aside for emergencies. But there are a few more daunting things that we should also really think about. Things like retirement, or medical proxies, or who gets the kids if the worst happens.

You can trust me when I say that absolutely nobody (except maybe attorneys and financial planners) wants to think about these things. I love it when someone tells me they’re “not good at” pondering stuff like their own dotage, death, or disablement. I always wonder who, exactly, they think is.

Nobody likes to contemplate deferring current wants and needs to set aside for a rainy day. Nobody wants write a will, a Durable Power of Attorney, or an organ donation card. But here’s the thing… once you do these things you have a little peace of mind you didn’t have before. And once you tell your loved ones what you’ve done, you  give them peace of mind as well, and may even inspire some of them to do the same.

There are several types of planning that can be started any time in adulthood. All of them are easier to begin the younger you are, and will probably evolve over time. None of them gets easier as you get older. I’ll dedicate posts to each of them. Attorney assistance is preferable, but not necessary for most. Whether you’re twenty or seventy, you’re a grown-up, so here’s a little preparation to-do list for you.

Pull up your big kid panties, and let’s get started:

1) Medical Stuff. This is the one I want to focus on in this post, It’s increasingly  critical as we get older, but can affect us at any age at all.

If you were in a car accident tomorrow and were left in a coma, who would you want controlling your medical care? Does that person know how you’d like things handled?  If you filled out an organ donor card, did you tell anyone? If you don’t want to donate your organs, did you tell them that? If you have special medical conditions, do you wear a bracelet or have you told those close to you? Do you have medical insurance? Does your family know how to access it for you?

Medical emergencies don’t only happen to the elderly. Honestly, your loved ones should have some direction from you, so they aren’t burdened with the fear of doing the wrong thing, and don’t end up arguing among themselves. Make the decisions, and then let at least two people know that they’re in your “chain of command,” and give them copies of your written executed documents. If you later marry, divorce, move, etc., you can always make changes and share those new forms, but there’s no good reason for just skipping this.

Here’s how it works. Each state or country has its own requirements, but in general you will need a state-approved form called a Medical or Health Care Proxy, Advance Care Directive, or some similar name. On that form, you will state your wishes in some detail, appoint your proxies (there may be requirements for who you can select, depending on where you live), sign and usually have notarized, or at least witnessed. Then you should get executed copies to your proxies, and let your loved ones know who they are.

Most hospitals and surgical centers will require these forms before performing surgeries. My mom did her first Advance Care Directive when she had a hip replacement in her late fifties. She was a nurse and was able to be very clinical about her desires. She continued to update her directive through the rest of her life when she moved or as her health needs changed. She made sure my sister and I, and all of her medical providers including Hospice, understood that she wanted no 911 calls, and no extraordinary measures. This was hard for us, but we knew and followed her wishes.

My Dad was another story. He was an unstable diabetic who feared we thought he “had one foot in the grave” because we asked him to complete a proxy. We finally convinced him that not putting his wishes in writing placed an unfair burden on his caregiver, who had no legal right to direct his care. We asked him how we would know what we should do, if he lost consciousness. We told him we didn’t care what choices he made on the form, we just didn’t want to guess, or to argue among ourselves, if it came to that.  He chose to continue certain care in some circumstances. Different from Mom, but again, we had our clear marching orders.

In both cases, we eventually ended up needing and using the proxies. Although following them was difficult (and someone questioned each one), we knew we were doing what our parents wanted, and were able to honor their own choices. My sister and I were truly grateful to have that assurance.

Would your loved ones have the same?

My personal experience has convinced me that every adult should have, and periodically update, an Advance Care Directive. But wait… there’s more. There are the other two planning areas that I’ll badger you about in future posts:

2) Money Stuff.  If you were in that same accident and your bills had to be paid and your family cared for, who would manage that? If you and your spouse were in the same accident, who would handle your finances until you got back in the saddle?  If you lived and were disabled, do you have assets available to help you get your life back as much as possible? Have you ever considered a Durable Power of Attorney or talked to your family about this?

3) Everything else. This includes both practical and emotional issues like writing a will, and thinking about how you’d like to be remembered. If you were in that same accident and died, would you leave behind enough assets to cover your final expenses? Would your personal items go to the people you’d want to have them? Does your family know whether you want to be buried or cremated?

When we’re young, we think none of this can happen to us yet, and there will be a better time to deal with it later. The trouble is, later the reality just seems worse. And you could wait too long altogether. Dwelling on these things then can be very depressing, and give them power they shouldn’t have in your life.  The more prepared you are, the less you have to think on them. Having a plan, and just reviewing it every few years, can give you a positive sense of control. It’s a little liberating.

Expect the best, but plan for the worst. Because, well, Murphy wasn’t half wrong.

__________________________________________

Some related articles from the web:

Posted in Caregiving, Health Issues, Health-Diet, Information | Tagged , , , , , , , | 8 Comments

It’s a Beautiful Day in the Neighborhood

My neighborhood today is snowed in, with the snow still falling. Gotta love March in New England…

The WordPress Weekly Photo Challenge today was to do a post completely from a phone, including a photo of your neighborhood. As nice as it is to know I can post from my phone, quickie posts aren’t really my style, and typing on my phone (I’m not a big texter – I’m old) is no fun for me, so this isn’t something I expect to try often! In fact, it turns out I don’t even have the right equipment to complete this task, so I guess I’ll opt out of any “phonoeography” parts of challenges in the future!

Still, in the spirit of keeping up with the technology… I did my best this time.

Unfortunately, I couldn’t get the suggested WP software to download onto my old 3G phone… so I ended up typing a post on the phone and taking the photos on the phone, but couldn’t attach any photos to a post with my phone! My solution was to make this a hybrid – I edited the post on my laptop and put the pieces together. I suppose if I did more research, I could find another utility to attach a photo, but that’s just more than I have time for right now… and next time I think I’ll just go with my camera!

Anyway, here’s my neighborhood today, as seen through my cellphone camera… hope you enjoy meeting my neighbors!

My neighbor to the left

My neighbor to the left

My neighbor to the right

My neighbor to the right

My neighbor across the street- can you see the yellow house?

My neighbor across the street- can you see the yellow house?

Happy Snow Day!

________________________

This post is in response to the WordPress “Phoneography” Challenge: My Neighborhood. To learn more about the challenge and see how other bloggers responded, click here.

Posted in Blogging, Photo Challenges | Tagged , , , , | 46 Comments

Celebrating the Women in Our Lives

Apparently, I’m only the third woman to ever receive this award, and I’m so honored to…be numbered with Lily Tomlin and Whoopi Goldberg. But I do hope that women are achieving at a rate these days that we can stop counting what number they are… – Tina Fey, accepting the 2010 Mark Twain Prize for Humor
 

Ailsa at WheresMyBackpack has shared that today (March 8) is International Women’s Day. It turns out that this celebration is over 100 years old. Coincidentally around the same time (1908), Mother’s Day was first celebrated on the second Sunday in May. 

There’s an interesting dichotomy here. On the one hand, the happy Hallmark-moment celebration of motherhood, and on the other, the socially conscious call to recognition of the needs and contributions of women. Affection and practicality. Sort of sums us up, doesn’t it?

I’ve had some pretty strong female role models in my life.

BilllieTeenMy loving German (paternal) grandmother Wilhelmine was described by several family members as a doting mother hen. She had seven children and 22 grandchildren. She never forgot a birthday or an anniversary, and prayed daily for all her chicks and for many others. She weathered the death of both her parents when she was a teenager (and worked as a secretary to help support her family.) She endured the service of her beloved husband Henry in both World Wars (they were engaged during the first), raising a family in the Great Depression, and finally losing Henry and living on another ten years without him. She loved her family fiercely, but not the domestic life. She was sometimes overwhelmed. Once the children were out of the house, she even went back to work for a while. She always put her family first, and was an incredibly sweet lady. Rest with God, Billie.

MDICKIE5My maternal (Scottish) grandmother was made of somewhat sterner stuff. She was a nurse, and practiced as a midwife in the old country. She was assigned to a rather poor section of Glasgow, where she never lost a mother, and lost only one  (premature) baby. We found one of her log books after she passed away, and the details were amazing. My mother always said that in another time, she’d have been a doctor. After immigrating to the US, she worked for doctors and private families, eventually settling in as the charge nurse for a thriving OB/GYN practice in northern New Jersey. “Nurse Dickie” ran a tight ship. She was also a member and leader of her chapters of the Eastern Star, Daughters of Scotia, and the Order of the Amaranth (Papa was pretty high up in the Masons). She was competitive and, in her younger days, a bit of a flapper. She survived the loss of a child, and was never the same. She taught Mum, my sister, and me to hope for the best, but prepare for the worst. She was a large presence, although she stood well under five feet tall. Thanks for the inspiration to be the best we could be, Nana.

MAG20SMy own mother, though empowered to work, had more her father’s disposition. Not competitive, she never understood the jockeying for position that went on around her. She just did what she loved, and did it well. She was an avid reader, and from a young age wrote poetry and stories. Although she trained as a nurse out of duty during World War II, her primary career was as a writer and editor. She digressed for a few years working for the YWCA, where she supervised five VISTA (domestic Peace Corps) volunteers, and served the community in several other capacities. She taught us that we should each take a turn – Citizenship 101. My Dad encouraged her to try all sorts of things, and believed she could do anything. She accused him once in a poem of biting off more than she could chew. She was brilliant, beautiful, and as I’ve said before, a tough act to follow. Happy Mother’s Day, Mom – rest in peace.

Of course, there have been other women who have inspired me. Most recently, young Malala Yousufzai from Pakistan comes to mind. Forsaking her own safety and putting herself in the forefront of our minds, she stood, and continues to stand, for the rights of all women. She will be one of the voices that changes her country.

In recent history, we’ve seen Golda Meir, Indira Gandhi, Margaret Thatcher, and Angela Merkel at the helms of their countries. The US has had female Secretaries of State from both major parties. Further back Queens Elizabeth I and Victoria of England were remarkable leaders. So why is there still a glass ceiling?

Here’s to raising our daughters and sons to respect one another and work together to build our future, using our individual strengths without regard to gender, but respecting and celebrating our differences.

Lifting half of us lifts us all.

This post is in response to a weekly travel theme challenge by Ailsa of WheresMyBackpack, on the subject of International Women’s Day.  To see other bloggers’ responses and get more info on her challenge, click here.  

Posted in Retirement itself, Ruminations | Tagged , , , , , , , | 25 Comments

Future Challenge – How Will You Give Back?

Challenge #13

Some of my friends have made the comment that they aren’t sure what they’ll do with themselves when they retire. 

I’ve always maintained that time is like closets – we fill what we have – and not always with important things. If we want to do something meaningful with our time, there are plenty of opportunities – from helping with individual community or non-profit events (think the MS Walk, a Special Olympics event, or a Race for the Cure) to long-term volunteer work with a charity (like a soup kitchen or food bank.) There are opportunities to work with children, animals, and other seniors, and there are back room office jobs that need to be done. 

The possibilities, and the needs, are endless. In retirement, how would you like to give back? What causes and needs inspire you to action?                  

As part of my retirement theme,  I offer this weekly Thursday “Future Challenge” to get people of all ages thinking in general about their futures and/or retirement. Each challenge goes with a post of my own on the same general topic. Hopefully we’ll start some interesting discussions!

If you’d like to share what you think, or post on it, that’s great – and I’d love it if you’d share those thoughts in a post or comment (please tag posts TRS Future Challenge and link to this post) so others can also see them.

If you choose not to share them, that’s fine too – but with any luck, you’ll still gain some insight on where you’re headed (or would like to be), and how you can get the most out of your own journey.

To see my own take on this week’s challenge, see my post  Faith of Our Fathers – or Mothers – Why Lent?

Posted in Future Challenges, Giving Back, Retirement itself | Tagged , , | 2 Comments

Faith of Our Fathers – or Mothers – Why Lent?

It’s Lent – in fact we’re almost halfway through it. Both my parents and all four of my grandparents were Protestants, most of them actively practicing their faith and attending church services as long as they were physically able.

But when asked about her religious affiliation, my mother often described herself as a “lapsed Presbyterian.” I think what she meant by that was that she was raised in the Presbyterian faith by believing parents (I can honestly say her father lived his Christian faith in daily life as well as anyone I’ve ever known, and better than most), but that she herself had abandoned the rituals and fellowship that came with attending church during adulthood.

Still, she never stopped supporting church and para-church organizations, and took tithing seriously until her dying day. She taught Sunday School when I was a child. She sent me to a Christian school and encouraged me to learn about God and faith, so I would understand my own beliefs. She encouraged me to question, while always making it clear that she herself had a very deep and personal walk with God.

Although she hadn’t attended church for years, Mom celebrated Lent – and Easter was important to her. We all made the pilgrimage to be with her for Easter, especially in the later years of her life. After all, for Christians, although Christmas signifies the gift of Christ from God the Father, Easter signifies Christ’s gift of sacrificial love, and the culmination of God’s plan.

Lent isn’t prescribed by the Bible. No place in scripture tells us how to celebrate it. It evolved in very early Christianity, apparently echoing Jesus’ 40 days in the desert, as a preparation for the celebration of Easter. For some people, that means fasting, or giving up a favorite food or habit. Practicing Catholics are most likely to celebrate Ash Wednesday (the first day of Lent and a symbol of humility) and to choose a specific thing to give up.

Other denominations do things like special “One Great Hour of Sharing” offerings where an extra tithe is set aside for those in need, or simply prepare their hearts through focused study or sermons. I have a Lenten devotional book I’ve worked through for many years now. I’m about half way through, and here’s where it’s taken me this year (each time I seem to find something a little different).

As I learned from my mother, this is a good time to contemplate personal sacrifice and how fortunate we are. It isn’t that giving up chocolate for a month or so is particularly meaningful. It’s that the daily practice of making a small sacrifice reminds us of larger sacrifices made by others before us, and of how little we are really giving back. For me, it’s a call to do more.

Lately I’ve been focused on immediate family needs and trying to prepare for my husband’s retirement. I haven’t reached outside my little circle much at all, although “giving back” was one of my own retirement goals. It’s a goal I’ve fallen short on for the most part this past year.

It’s time to readjust my focus and get back to doing some things that make a difference. It’s part of my heritage, and my responsibility.

Posted in Giving Back, Ruminations | Tagged , , , | 9 Comments