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The Family Center: enrichment programs for families and professionals

The Importance of Monitoring Medications

Ask the Experts by Mary Ellen Brayton

Q: My 82 year old father lives alone and is doing pretty well overall. Lately, however, we’ve become aware that he is not always taking the right dosage of his medications. He forgets some days and other days may be taking double the dose because he’s unsure if he took it. What are some options to make sure he takes the prescribed amount so we don’t have to worry?

A: Staying on medication for a long period of time requires some work, but a drug won't be effective if it's not administered properly. Noncompliance seems to be one of the biggest issues in healthcare today. In fact, according to a report by Harris Interactive, "roughly half of all prescriptions for drugs to be taken on an ongoing basis are either not completed or are never filled in the first place".

There can be many reasons for this and with the senior population, like your Dad, factors can range from cognitive issues to depression to physical problems.

Sometimes people think they don't need the medication because they don't feel any results or think it's doing any good. This is particularly true with blood pressure and cholesterol medication but long term effects from not taking a prescribed dosage could be devastating.

Here are a couple of ideas:

Read more: The Importance of Monitoring Medications

 

The Affordable Care Act

Ask the Experts by Tom Gordon

Q: I’m confused, I’m a senior and I’ve heard a lot of things about the Affordable Care Act. Can you provide any targeted benefits for me as a senior?

A. The Affordable Care Act goes into full effect January 1, 2014. The law will expand health care benefits to the 55 million Americans without health coverage. It also increases benefits for those who are underinsured, including seniors.

Insurers are required to meet standards set in the law. There are currently 9 million adults between the ages of 50 and 64 without health care and an additional 4 million who buy it on their own. When the new health insurance marketplaces open on October 1, 2013, ambulatory patient services, also known as outpatient care, will be available. This is the most common form of health care and nearly all plans already offer this coverage. However, the size of networks must be sufficient under the new law.

Read more: The Affordable Care Act

 

Skills for Success in Kindergarten

ASK THE EXPERTS by Dorothy Heitjan, Deb Kraft and Kristen DeVooght

Q. How can we as parents help our preschooler make a successful transition into Kindergarten?

It is vital in the preschool years to provide your child with the experiences that will build the foundation for later success in school. Keep in mind the amazing developmental changes that occur in a child's body and brain during the preschool years.

In order to help your child build these neural connections, parents should provide:

Read more: Skills for Success in Kindergarten

   

Love and Logic Helps with Bedtime Routines and Homework Battles

Ask the Experts by Lynn Kaiser

Now that the school year is in full swing many parents might find themselves struggling, here are some tips to keep your sanity.

Q. How do I get my kids into a bedtime routine and end the bedtime frustrations?

A. Start by using a "slowdown time". A slowdown routine is essential. Children's brains operate at a high frequency and don't shut down as quickly as adult brains. Parents should announce the beginning of slowdown time about 40 minutes before bedroom time.

Next give your children choices. There is magic in choices and this makes your children feel like they have some control in their own lives. Give as many choices as you can, as long as either option is okay.

Examples might include:

Read more: Love and Logic Helps with Bedtime Routines and Homework Battles

 

The College Research, Application and Selection Process

Ask the Experts by Beth Walsh-Sahutske & Milissa Pierce

Striking the right balance in helping your child through the college preparation process is no simple task. Parents want to instill a college mindset and encourage their child to maintain high standards while still keeping an eye on family/life stability. The potential to disrupt home with stress to child and parents is great. The optimal solution is to reframe the approach that the whole family takes towards the college investigation process. If we look at it developmentally like the natural evolution of the student’s lifecycle then we can more effectively integrate the research, application and selection process into this next phase of life and the dream of college becomes to find the perfect match instead of the treasured prize.

Q: My child just started high school. Is it too early to start talking about college?

A: Chances are you have been talking about college his whole life via favorite sports teams, family alma mater or some cool random mascots. That’s great! Now is the time to explore beyond those familiar names to take a casual look at some other convenient colleges.

Read more: The College Research, Application and Selection Process

   

The Middle School Years: Brain Matters

Ask the Experts by Mary Beth Garvey, LMSW

Q. I have one child in middle school and another about to begin middle school. I have seen behavioral changes in both of them and don’t know what is “normal” for this age. What would be helpful for me to understand about these middle school years?

A. The pre-teen years bring enormous cognitive, social and emotional changes for early adolescents – some welcomed and others quite challenging.

These changes can be complex, sometimes making the child we love unrecognizable. Though there are many issues influencing pre-teens, ranging from peer relationships to technology, one of the most significant is how their brains are developing. Just around the time our kids are entering middle school, their brain undergoes a period of rapid development and growth. They have an increased ability to do work, their intellectual interests expand, and their capabilities continue to develop.

Despite cognitive leaps, however, there are many critical brain functions which are undeveloped – this during a period when kids are moving towards increased independence, greater challenges, more complex social relationships and significant risk taking. Consider these issues in your efforts to support your adolescent as they negotiate the middle school years:

Read more: The Middle School Years: Brain Matters

 

Finding “Normal” in the Middle School Years

Ask the Experts by Michael Dib

Q: What is considered a normal middle school student?

A: Many times parents are worried by changes in their middle school aged child. Please keep in mind that there will be many internal chemical and hormonal changes that occur during adolescence. You will experience behaviors that were not prevalent or observable during elementary school.

While each middle school student has her/his own interests, personality, and likes/dislikes, there are many developmental issues that students face during their middle school years.

Read more: Finding “Normal” in the Middle School Years

   

Reducing Stress Through Mindfulness Meditation

Ask the Experts by Maureen McKinley Light, LMSW

Q: I can’t seem to get a handle on stress. It seems to affect every part of my life, including my ability to parent. I feel overwhelmed by everyday life. What can I do?

A. There is a growing recognition that we can have more control over our emotions than we suspect. Often we fall victim to our reactions to life. In recent years new approaches to psychology such as cognitive behavioral therapy have demonstrated that we can moderate our emotions by observing our thought patterns and how they are affecting us.

Put simply: Our thoughts from moment to moment have immediate impact on our emotions, one way or another. If we are worrying about something which may happen, or obsessing about something that already happened, we are caught up in “ruminating thoughts” which often have extreme emotional consequences. If we worry, “What if Josh doesn’t make the little league team his friends are on? He will be devastated!”, our emotional distress will be just as immediate and intense as though the event already happened.

Read more: Reducing Stress Through Mindfulness Meditation

 

Making the Most of Technology In Your Family

Ask the Experts by Sean Hogan Downey, LMSW

Q: I have 3 children that are 6, 9 and 12 years of age. With the influence of more technology starting at an ever-younger age, it seems like we have less and less family time. How can we increase face to face connection time and still see the value in technology?

A: Culture has absorbed the digital world. Helping kids also see the value of personal interaction is your goal. Recognizing these facts will get you started on a solution:

  • TV, computers, pods and pads are important parts of family life.
  • Connecting face to face requires some down time from all the “digitals.”
  • Connecting face to face has to also have an esteemed place in your family.

Parents need to figure out what they actually believe and make family rules to support those beliefs.

Read more: Making the Most of Technology In Your Family

   

Modeling Adulthood

Ask the Experts by Jeff Jay

Q. My husband and I have two children, 9 and 12. We're not sure how to talk to them about alcohol and other drugs, but we're afraid these things are soon going to be part of their world. What should we do?"

A. Kids notice everything. As they move into their teen years they notice more of everything and with a more discerning eye. They're constantly adapting themselves to the world around them and evaluating the actions of others. Young people want to grow up fast, so they pay special attention to adults.

If kids see that adult gatherings always include alcohol, it sends a message that will be received loud and clear. The message is: if I'm an adult interacting with other adults in a social setting, I should be drinking. Children are the only ones who aren't allowed to drink. If I'm going to be one of the grown-ups, I need to drink.

Read more: Modeling Adulthood

 

How Important Is It...Really?

Ask the Experts by Carolyn Van Dorn

Q: Why do I need my medical information written out?

A: We live in a world where everything is in the palm of our hands or loaded on a computer. Sometimes it is good to choose to do it the "old fashioned way," and jot it down.

It is extremely important for us to have our health information documented. In an immediate emergency situation, responders need to know what measures to take and if there are pre-existing medical issues. In most cases, they will not be in a position to search through files on your computer or phone.

Read more: How Important Is It...Really?

   

Assertiveness Skills for Children and Teens

Ask the Experts by Vita Venditti

Q. How can I get my child to stand up for himself? I’ve observed that he often allows his friends to have the upper hand. I am worried he may give into peer pressure when the issue is alcohol or drugs.

A. One of the reasons children succumb to peer pressure is because they do not have the power to stand up for themselves. As a parent, you can play a critical role in the development of assertiveness skills in your children.

Learning “refusal skills” can help prevent your child from giving into peer pressure. Practicing can help someone know what to do if they are ever in a real-life situation where they don’t want to do something.

Here are some refusal skills:

Read more: Assertiveness Skills for Children and Teens

 

Retirees: Who Are You? And What Are You Going To Do?

Ask the Experts by Mary Anne Lushe

Q. I'll be retiring this October and I don't even know how to think about the future, or what to do with the rest of my life. Where do I begin?

A. The desire to take a path less traveled, to do something we've always longed to do, or to go more deeply into our own being, comes up for many of us in mid-life and beyond.

When we prepare to retire or a spouse does, we will often be asked what you plan to do, with the assumption that some interest will take up your time. For some it is entirely clear how they will spend their retirement time; for others... not so much.

I'd like to suggest that whether you are a young person or an elder, the more important question is not, "What should I do with the time I've been given," but "Who shall I be going forward?" At every age we are more than what we do. Too often we haven't done the work of discovering who we are, recognizing the unique things we bring to the table of life and developing the legacy we eventually want to leave. Teens and older adults both want to mean something and not just do something.

Read more: Retirees: Who Are You? And What Are You Going To Do?

   

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