Friday, May 24, 2013

Recent Blogs

Caregiver Mind Maps

mind-map-book

In March 2013 I released my new book Caregiver Mind Maps: New Tools for Aging Parents. I elected a PDF format because the book’s mind maps are designed to be used on the front lines of caregiving, a kinetic space filled with continual explaining, bringing up to speed, and handing off. From personal experience, I knew the book’s mind maps would be marked up, revised, and passed around. All of this tactile interaction required a format that could be easily printed and PDF proved ideal (Download the introduction along with The Healthcare Team Mind Map).

Here is a recent review of the book:

We”ve all heard, “A picture is worth a thousand words.” In his book, Caregiver Mind Maps: New Tools for Eldercare, David Solie illustrates (literally!) the process towards meaningful, results-oriented communication between older adults, their family members, and other stakeholders. David Solie reduces the anxiety around these all-important conversations with step-by-step guidance to ensure a successful outcome. David truly understands the challenges associated with making key, later-life decisions, and provides his own innovative tools to enhance the experience for everyone involved.

Caregiver Mind Maps could revolutionize the way we engage in caregiving in the future. Fortunately for all of us, it’s here now!

Mary Kay Buysse, MS
Executive Director, National Association of Senior Move Managers
(NASSM)

Communicating with Older Adults: An Update

I have been studying how to unlock the communication code of older adults for the last twenty-three years. My first breakthrough came early on with developmental psychology, a model based on age-specific tasks that are easy to understand, easy to use, and highly effective. As a result, the two tasks of the final phase of life, control and legacy, have earned their way into the vernacular of how to communicate with older adults.

However, in the last few years I have discovered two additional elements that combine with the developmental tasks of older adults to complicate rapport. Understanding what they are and how to engage them preserves effective communication in even the most trying circumstances.

One of these elements is the invasion of dilemmas in the second half of life. Dilemmas resist heroic attempts to keep everything together. Like an unruly Rubik’s Cube, alignment in one caregiver area seems to trigger chaos in another. Just when driving issues calm down, sibling conflict erupts over money. Just when housing accommodations get better, a parent falls and winds up in the hospital. In the face of this steady stream of dilemmas, the natural instinct is to work harder in search of the illusive mix that will stabilize this disruptive phenomenon. Ironically, upping the work ethic on dilemmas only seems to give birth to new ones, a sorcerer’s apprentice law of dilemma management that runs caregivers ragged. Now what?

The first rule of dilemma management is to reset expectations. There are no final, elegant solutions, just the dance with complexity. Unlike problems, win-win is not part of dilemma management, which is usually a messy process that requires patience and smaller bursts of sustainability. All of this argues for a different orientation, softer reins, and deeper acceptance. In the end, the predictable dilemmas of aging require a different skill set that is not intuitive but essential for everyone’s well being.

The other element is the deep-seated ambivalence older adults have to unwanted advice. This goes beyond the collision between developmental stages, though that is part of it. There are different psychological forces at work here, present at all ages, but markedly enhanced in the final phase of life. We are talking about ambivalence to change.

Choosing to engage ambivalence head, to tell older adults what and how to change, only intensifies and prolongs resistance. Like dilemmas, overcoming ambivalence to change requires a different set of skills. Instead of provoking resistance, we need to soften ambivalence and make room for the possibility of change. This is not an intuitive strategy or skill, but it can be learned with patience and practice.

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David Solie on Communicating with Senior Housing Clients

This is an interview I did for the Senior Real Estate Institute on January 17, 2013. The topic was communicating with senior housing clients, older adults and adult children. The focus was the two psychological hurdles that have to be considered in working with seniors: developmental tasks combined with ambivalence to change. The goal was to help professionals appreciate the role each of these hurdles and how to partner with them. The audio presentation is a good overview for all professionals in the senior services industry and equally useful for family members caught up in power struggles with aging parents.

Link to interview

Dancing with Life Review…

Boomers are feeling their age and the pull of life review. It is poetry at its finest as is Dorianne Laux’s magical poem about our swan song.

Dark Charms
by Dorianne Laux

Eventually the future shows up everywhere:
those burly summers and unslept nights in deep
lines and dark splotches, thinning skin.
Here’s the corner store grown to a condo,
the bike reduced to one spinning wheel,
the ghost of a dog that used to be, her trail
no longer trodden, just a dip in the weeds.
The clear water we drank as thirsty children
still runs through our veins. Stars we saw then
we still see now, only fewer, dimmer, less often.
The old tunes play and continue to move us
in spite of our learning, the wraith of romance,
lost innocence, literature, the death of the poets.
We continue to speak, if only in whispers,
to something inside us that longs to be named.
We name it the past and drag it behind us,
bag like a lung filled with shadow and song,
dreams of running, the keys to lost names.

 

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David’s New Book


David Solie’s new book Caregiver Mind Maps is being acclaimed as “tangible breakthrough” in communicating with aging parents...

Learn more about this revolutionary approach in caregiving, download a sample, and order your copy here.

Blog-Talk Radio Show

Aging Parents Insights
Radio Show

Aging Parents Insights, hosted by David Solie, is a blog radio show that provide listeners with "new ideas and strategies” for understanding and communicating with aging parents.

No Money: No Comment

I was recently asked what to do about aging parents who had little or no savings but refused to discuss any aspect of their “money issue.” It reminded me that our role as adult children is not necessarily about problem solving; it is about compassionate containment. So many of the issues we feel compelled to “fix” have no clear answers. The best we can do is sort out what to accept from what we can actually change. Here was the advice I offered:

The issue of money, like so many other issues in the last phase of life, is about control. The best way to approach it is to reframe money as means of maintaining control. Lack of money takes away control. This link will take you to an article I authored on “communicating touch choices” that offers a practical strategy for how to do this:http://www.aging.org/i4a/pages/index.cfm?pageid=2103&textonly=1

You may also want to consider three strategies that will help you “hedge” your parent’s financial risk:

1. Buy a long term care policy with a two years home care/two years nursing home benefit. This assumes they will cooperative with the process (i.e. signing the applications and answering questions).

2. Start funding a dedicated “side fund” for expenses that a long term care policy will not cover.

3. If you parents own their home, become familiar with how “reverse mortgages work and when they make sense.

Lastly, you need to began discussions with local area agencies on aging to determine what, if any, community resources can assist your parents if they run out of money.

This is a tough end-game, especially if you parents don’t want to talk about. The article will help you frame your conversations. Be patient but persistent in your discussions about control and your desire to help them maintain it.