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Planning for incapacity: Dementia in Focus

Planning for incapacity: Dementia in Focus

As improvements in medical science and technology allow us to live longer, incapacity – both physical and mental – is becoming a growing local and global problem. Contrary to popular misconception, dementia is not a normal part of ageing, but rather a degenerative brain disease – with age being the single biggest risk factor for developing the illness. Simply put, the longer you live the more likely you are to get the disease. Unfortunately, legislation and policy have not kept pace with the growing need for the affairs of those with diminished mental capacity to be looked after.

Although the World Health Organisation recognises dementia as a public health priority that is on the increase with no foreseeable cure, South Africa has massive strides to take in providing adequately for the health, legal and financial needs of those who suffer from the disease. Whereas countries such as Canada, Australia and France have dementia policies in place, no such policy exists in this country. In fact, dementia is not listed as a prescribed minimum benefit and the Department of Health does not recognise it as a chronic disease. Most open medical schemes do not recognise the illness as a chronic condition and very little cover is provided for the illness, if any.

From a global perspective, it is believed that around 50 million people have dementia and that there are 10 million new cases diagnosed each year. According to South Africa’s 2011 census, there were 2.2 million people living with dementia at that stage, and this number would have increased with global trends. While the majority of dementia cases are caused by Alzheimer’s disease, other causes can include vascular disease, brain injury, cancer and HIV. Recent reports by Alzheimer’s Research UK reveal that 2 out of every 100 people between the ages 65 and 69 have dementia, whereas this number rises to 1 out of 5 people between the age of 85 and 89 – to the extent that 7.1% of people over the age of 65 have dementia.

Eric Jordaan – Crue Invest (Pty) Ltd, writes about this topic for Moneyweb: Planning for incapacity: dementia in focus. To read the rest of the article, click here.

To download Shire’s Company Overview brochure, please click here.

The 7 dimensions of wellness

The 7 dimensions of wellness

The concept of wellness moves the definition of health and well-being away from a mindset based in the management of disease and into the areas of prevention and proactive strategies.

Active aging embodies the philosophy that individuals can live as fully as possible within the seven dimensions of wellness. The wellness dimensions overlap and coordinate to provide rich environments for living. Wellness becomes a framework that is valuable for serving the wants and needs of a person engaged in life.

The 7 dimensions of wellness are believed to be:

  1. Emotional
  2. Intellectual, cognitive
  3. Physical
  4. Professional, vocational
  5. Social
  6. Spiritual
  7. Environmental

The International Council For Active Aging (ICAA) discusses the wellness dimensions in the following article. To read more, click here.

While the aging process is normal and affects us all in different ways, there are some things that we can all do to ensure that we “put time on our side”. Click here to read more.

Ageism disappears when young and old spend time together

Ageism disappears when young and old spend time together

Mixing younger and older people in various settings, combined with educating younger people about the ageing process and its misconceptions, works quickly to reduce ageism.

A new study has found that the topic of ageism is beginning to gain momentum, not only on local levels, but globally too.

David Burnes (an assistant professor of social work at the University of Toronto) explains: “There’s a difference in the way that older adults are treated, including the assumption that they’re less competent, with their views or opinions taken less seriously. There’s also a tendency to put older adults in a box in terms of the way they ought to behave or act.”

Health 24 writes more about this topic in their blog about “Ageism disappears when young and old spend time together”. To continue reading, click here.

To find out more about services offered by Shire Retirement Properties (Pty) Ltd, click here.

Matters for consideration when preparing to purchase into a retirement village

Matters for consideration when preparing to purchase into a retirement village

Download Checklist

 

PART 1: WHERE TO START?

  • Have you consulted available guides to retirement villages?
    • Few are available in South Africa, however the availability of Google Search provides ample info on villages in a particular area.
    • seniorservice.co.za is a service with a fairly comprehensive directory as a place to start looking.
  • Are you looking for a Retirement Village with a range of services?
  • A normal residential estate with security?
  • A Lifestyle Estate with a range of amenities and services?
  • What are YOUR Specific requirements?
  • Consider the location of your children and close friends
  • Consider the proximity of specific services important to you
  • What forms of occupation would you consider?
    • Life Right (Life Lease)
    • Freehold ownership or
    • Sectional Title ownership
    • Short or long-term Rental/Lease
  • Do you have a preference for a type of physical structure? (cottage, apartment, etc)
  • Do you want flexibility of care provision?
  • What monthly levy costs can you afford? Do you have a current budget that you can use to see how it will be affected?
  • Do you want to have care in your own home available?
  • What other services must or should be available?
  • Are you aware of the risks of buying into a phased or mixed-use development?
  • What level of escalation in levy costs can you cope with annually?

PART 2: THE PURCHASE PROCESS

  • Be sure that a sales mandate is in place between the seller (the developer if it is a new estate) and the sales agent.
  • Ask whether there is price flexibility/negotiability and what is flexible in terms of the property being built for you or sold to you if it is new.
  • Clarify the snagging process (resolution of defects in new buildings)
  • Ensure that the NHBRC warranty is in place (if applicable)
  • As for the constitution/s and legal structure of the village – this includes the management and conduct rules
  • Ask for the minutes of last 3 Trustee meetings and the last AGM of the Association/s or Body Corporate
  • Clarify the village debt/financial situation – this should be part of the last AGM documentation, but if you are unsure, ask someone to take you through them.
  • Ask what the Levy Stabilisation mechanisms are (how are financial reserves built up by the village?)
  • If important to you, enquire regarding the
    • Age profile of residents
    • Gender profile of residents
    • Health profile of residents
  • Ask about the activity levels of the village (including social responsibility etc)
  • Does the village comply with the terms of the Housing Development Schemes for Retired Persons Act 65 of 1988? Is the title deed endorsed as per the Act?
  • Review the Conduct rules and make sure they are acceptable to you
    • Pets
    • Visitors
  • How much downsizing will you have to do to fit into your new home?

PART 3: LIVING WITH YOUR NEIGHBOURS

  • Ask for introductions to your new neighbours by your agent or by the Estate Manager.
  • Is the village pet friendly?
  • Does the village have and enforce architectural guidelines?
  • Does the village enforce their conduct rules?
  • Are there speed limits in the village?
  • Are short-term leases allowed in the village? Are AirBnB and other very short-term rental services allowed in the village?
  • Are visitors allowed to stay overnight or for extended periods?
  • Are residents allowed to trade (business operations) from their units? (Working from home as opposed to trading from the unit where customers are coming and going)
  • Which social activities will you get involved in?
    • Gardens
    • Library
    • Sports
    • Bar
    • Workshop
    • Bridge Club
    • Community activities (social responsibility)

PART 4: LIVING WITH YOUR PARTNER

  • Do you have agreement on what “retirement” means to each of you?
  • Have you recently stopped working? How will you adapt to the new realities?
  • Have you given yourselves a month or two to settle down and adapt or are you rushing decisions regarding retirement living choices?
  • Have you ever lived together 24/7?
  • How good is your general communication?
  • Have you drawn up and agreed on common and separate bucket lists?
  • Are your financial matters in order?
  • Do you both understand the “retirement” budget?
  • Are you going to be living off a fixed income?
  • Have you considered what exciting, fun things you will pursue?
  • Which roles will be shared and who does what?
  • What do your children expect from you and you from your children?
  • Are your legal matters in order? Estate planning? Last Wills and Testaments Do you have a Living Will or clear instructions from you regarding end of life?

PART 5: LIVING WITH YOURSELF

  • What are you planning to do about your physical health?
  • What are you planning to do about your Mental health?
  • What are you planning to do about your Spiritual health?
  • What hobbies will you be pursuing?
  • Are you able to cope on your own?
  • Have you considered an adult learning programmes?
  • Do you intend to do part-time or full-time work during your retirement?
  • Have you considered volunteering with an NGO / Charity?
  • Do you have a “big project” to keep you busy (like writing a book or getting that Diploma?)

To read more about the services provided by Shire Retirement Properties (Pty) Ltd, click here.

When retiring, live the kind of life that works for you

When retiring, live the kind of life that works for you

Today there is lots of information available to anyone who is overwhelmed by the idea of retiring. The internet, books and magazines give you ideas about what to do, what not to do and how to do it. Yet, the decision really lies with you. It might include work, travel or learning new things. Whatever it might be, make sure it sits well with the way you live your life.

Here are 8 keys that you should think about as you create this picture of your retirement life. This will give you a structure and foundation to build your plans.

  1. Having a positive attitude towards your future

Your ability to adapt to change will dictate how you approach most areas of your future life. There are life changes that you can expect in retirement; both positive and challenging. Perhaps the greatest transition of all is the one that you see each time you look in a mirror and see yourself change. It is easy to forget that “getting older” is a physical issue, not a mental one.

  1. A clear vision of the kind of life that you want.

When you think of the word ‘retirement’, what vision comes to mind? Is retirement a work issue for you, or maybe a financial and investment plan? Far too many pre retirees make the mistake of thinking that the financial plan and the retirement plan are the same thing–which the life part will take care of itself. This stage of your life deserves a more holistic look and plan than simply assuming that you are beginning a thirty-year long weekend.

  1. A healthy approach to mental and physical aging

It is one thing to say that you want to be positive about the future. If that is true for you, then healthy aging will be a major part of your retirement plans and lifestyle. While the aging process is normal and affects us all in different ways, there are some things that we can all do to ensure that we “put time on our side” by looking after ourselves. Most people think that being healthy physically is the key to healthy aging. In retirement, healthy mental aging is just as important (and some would say even more so.)

  1. A positive definition of ‘Work’

Your work is the thing that you do to contribute your skills, experience, labour or knowledge to society in some way. It is also a way for you to “self-actualize” and create positive stress in your life. Even when you leave the traditional workplace, you will still have a need to share your workplace strengths and transferable skills. If you have a positive attitude towards the workplace, then the desire to have a retirement free from any kind of work becomes irrelevant. Work doesn’t have to be full-time, it doesn’t have to be something you don’t like to do, and it doesn’t even have to be for pay! Many retirees use volunteering as a way to replace the things that they miss most about their previous work.

  1. Nurturing family and personal relationships

Our close personal relationships define us, give us a purpose for living our lives and encourage us to create life goals. We all have a basic need to share our lives, experiences and life journey with those closest to us. In retirement our friendships and close relationships may offer us the validation that we may have received in the workplace. Those relationships give us the opportunity to “connect” on many levels with someone close and to share ourselves. Having people close to you who will share your life and be there for you will not only add to your overall life enjoyment, but will also add years on to your life!

  1. An active social network

As you get older, your social support network becomes increasingly important. You draw your social support network from a much broader social network. Successful retirees generally have robust social networks that provide them with friendship, fulfilling activities and life structure. As part of your retirement plan, you might want to think about the quality of the social network that you have today and your plans to build it. One of the lessons that we can learn about the aging process is that our social networks begin to shrink, if we aren’t continually adding to them. You can join clubs, meet new people and get out of the house to do new things. In retirement you are going to want a lot of people who you can count on and it makes good sense to continue to seek out new opportunities to socialize.

  1. A balanced approach to leisure

Leisure is a fundamental human need. We use it to recharge our batteries, to act as a diversion in our lives, to create excitement, anticipation or simply to rest and contemplate. Things change, however, when leisure becomes the central focus of our lives. Leisure, by its very nature, loses its lustre when it is the norm in our life rather than the diversion. For many retirees, the idea of leisure is associated with “not having to do anything”. In the end, a lack of stimulation affects our mental and emotional state and then ultimately our physical well-being. There is a big difference between “time-filling” activities and “fulfilling” activities that we look forward to. In retirement, leisure activities often replace workplace functions to meet the basic needs that we have. Successful retirees balance their leisure over many different activities and take the opportunity to do new things and not get into a rut.

  1. Maintaining ‘financial comfort’

Some retirees feel that a happy retirement is guaranteed by financial security. However, there is no price tag on successful retirement.  Financial comfort refers to being able to manage your life in a satisfying and fulfilling way using the financial resources that you have.

To read more about the services on offer by Shire Retirement Properties (Pty) Ltd, click here.

Decide as soon as feasible to move to your chosen Retirement village

Decide as soon as feasible to move to your chosen Retirement village

An acquaintance wrote this about their parents and the decision to move to a retirement village/community:

In the end, we regret the decisions we waited too long to take.

We all know these phrases:

  • “Within the blink of an eye”
  • “Time flies”
  • “Carpe diem”
  • “Make hay while the sun shines”

Yet, how often do we act on these truisms?

A recently launched advertisement claims that the first child set to live longer than 200 years old has already been born. That statement of course, is debatable. It does however raise the awareness for the necessity of forward planning. Hindsight does indeed provide 20/20 vision and often we can learn from scenarios that have presented this clarity to others.

My mother recently passed away after a period of illness, having lived with us almost my entire married life.

I do believe that we both would have been happier, had she been in the position to have been able to plan for her retirement and not been solely reliant on our support.

Our relationship might have been stronger had she been in an environment which allowed her to form new friendships, stimulate her personal growth and contribute more valuably to her community.

I often wished for her, an age appropriate environment more suited to the needs of that season of her life.  Many of my days would be consumed with guilt at not always including my mom in our family activities.

I also wrestled with feelings of resentment at her constant witness to the way I chose to parent my children and felt angered by her subtle criticism.

She, in turn probably felt trapped by her lack of alternatives. These circumstances came about due to my father passing away at a fairly young age leaving no insurance/retirement plans..

That, coupled with my mother’s secrecy around financial matters, meant that we were none the wiser that the responsibility would ultimately fall on us. When this became clear (I realise now) I made decisions based largely on emotion.

Realistically, I am aware that life doesn’t always allow financial freedom and I am certainly not suggesting that families don’t or should not provide active home-based support. In our case though, we could have made different decisions had we taken into account the value of friendships, activities, exercise, independence and the self-esteem that would have come with considering a retirement village.

In as much as we embark on a relationship with intent, plan for a family, save for a home, work for a promotion ….so too, should we plan for retirement with a vision and a goal.

To read more about matters for consideration when preparing to move into a retirement village, click here.

Author:  Alexandria Black

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