{"id":7249,"date":"2023-04-05T07:18:46","date_gmt":"2023-04-05T11:18:46","guid":{"rendered":"https:\/\/www.silvercentury.org\/?p=7249"},"modified":"2023-05-22T20:41:40","modified_gmt":"2023-05-23T00:41:40","slug":"living-with-disabilities","status":"publish","type":"post","link":"http:\/\/78.142.243.82\/~silvercentury\/2023\/04\/living-with-disabilities\/","title":{"rendered":"Living with Disabilities"},"content":{"rendered":"

Until a few years ago, doctors told Deanna Mann, 85, she was \u201chealthy as a horse.\u201d She lived independently in an apartment and enjoyed playing bridge with friends twice a week. Then one leg suddenly swelled up. The other followed soon after. Mann was diagnosed with lymphedema, a treatable but incurable condition that made it difficult to walk. <\/span><\/p>\n

She started to fall. After hitting her head in a fall, she moved to an assisted living community and used a walker to get around. But Mann still hoped she could get back on her feet and eventually go home. Then her daughter pointed out that wasn\u2019t likely. <\/span><\/p>\n

\u201cThat did me in,\u201d she said. Mann struggled with depression. On bad days, she cried. She felt totally alone. She grieved over the loss of her old life. \u201cYou\u2019ve got to give up the life you have before,\u201d she said. It wasn\u2019t easy. <\/span><\/p>\n

Many older adults will eventually deal with a temporary or permanent, age-related disability, whether it\u2019s vision loss, hearing loss or reduced mobility, or issues such as fatigue or constant pain due to chronic illness. <\/span><\/p>\n

\u201cIt can be traumatic,\u201d said Kimberly Knight, director of the caregiver support program at the Senior Source, a nonprofit social services agency in Dallas. \u201cIt can mean giving up a level of independence that the person has been accustomed to for some time.\u201d <\/span><\/p>\n

A New View <\/b><\/p>\n

By some estimates, as many as 60 million Americans of all ages are living with a disability. About 36 percent of people aged 65 and older report having at least one disability, according to the US Census. Rates of disability increase greatly in very old age; the majority of those 85 or older are unable to perform all activities of daily living without help.<\/span><\/p>\n

Many resources offer practical tips for older adults trying to adapt their home environments and daily routines to compensate for disabilities. But newly disabled older adults must also learn how to cope emotionally and psychologically, according to Asma Jafri, MD, chair of the department of family medicine at the University of California, Riverside (UCR) and part of UCR\u2019s Aging Initiative, a group of researchers focused on aging-related issues. <\/span><\/p>\n

\u201cIf you adjust emotionally, you are more likely to thrive and to succeed in maintaining function,\u201d Jafri said. \u201cIf a person doesn\u2019t adjust well, that may trigger a negative cycle.\u201d Feelings of depression or discouragement can lead to withdrawal from social connections and a less active lifestyle, which in turn leads to even more loss of function. <\/span><\/p>\n

To cope, older adults facing disability must adopt a new view of themselves and the world. <\/span><\/p>\n

\u201cLiving in a world not built for us can be an occasion for resourcefulness and a source of frustration,\u201d wrote Rosemarie Garland-Thomson, PhD, a professor of English and bioethics at Emory University. \u201cLiving with a disability can be hard work \u2026 the burden of stigma can be heavy; managing psycho-emotional changes can be wearing; traversing the breach between us and the nondisabled can attenuate our energy and resources.\u201d <\/span><\/p>\n

Building Resilience<\/b><\/p>\n

One key factor in coping is resilience\u2014the ability to persist, bounce back and flourish when faced with stressors, according to Arielle Silverman, PhD, research director at the American Foundation for the Blind. In her previous position at the University of Washington Medical Center, Silverman was lead researcher for a study of resilience in people with multiple sclerosis. When participants were asked about what resilience was, and what made them resilient, their answers seemed paradoxical. <\/span><\/p>\n

\u201cPeople would talk about having a fighting spirit, not giving up and continuing to fight,\u201d she said. \u201cAt the same time, those same people talked about acceptance and how important that was. It does seem like you need both\u2014the drive to keep participating in life, but at the same time, accepting the fact that you do have a disability and some things are going to change.\u201d <\/span><\/p>\n

That study identified facilitators of resilience, such as coping skills (like humor, flexibility and optimism), social connections, a sense of meaning and purpose, proactive planning for practical needs, and overall physical wellness.<\/span><\/p>\n

The study also named barriers to resilience: burnout, negative thoughts and feelings, social challenges (friends\u2019 lack of understanding, for example), stigma and physical fatigue. Study participants talked about thriving, not just surviving. \u201cIt\u2019s not dwelling on what you can\u2019t do, it\u2019s relishing what you can do,\u201d as one 56-year-old male participant shared.<\/span><\/p>\n

Becoming disabled \u201cdoesn’t necessarily mean that the quality of your life will diminish, but it does mean that you have to take active steps to accommodate the disability,\u201d said Silverman. <\/span><\/p>\n

Staying Engaged<\/b><\/p>\n

Eve Bostic admired the resilience of her mother, Mary, 91, as health problems gradually took away her ability to walk. Even as her disabilities progressed, Bostic said, her mother outperformed doctors\u2019 predictions time and again. <\/span><\/p>\n

\u201cMy mother is a very determined woman,\u201d Bostic said. \u201cShe compensated by doing other things that her body still could do.\u201d<\/span><\/p>\n

When she could no longer bend over or kneel, Mary found a way to keep gardening. She read gardening magazines, ordered plants and seeds and directed family and friends who stepped in to help, pointing out what to plant where. <\/span><\/p>\n

Bostic credits her mother\u2019s resilience to her life experiences. Mary contracted polio in her teens; doctors predicted she would never walk again. She worked hard at rehabilitation and proved them wrong. By the 1980s, Mary began experiencing post-polio-syndrome symptoms that led her to use a cane, then a four-prong cane, then a walker, then a rollator and finally a wheelchair and scooter. Mary fought each step of the way, maintaining what function she could, until a stroke in 2022 left her bedridden. <\/span><\/p>\n

Taking a cue from her mother, Bostic, 63, pushes herself to stay active. After falling and breaking her leg a year ago, Bostic is back to carrying water down long flights of stairs to the chickens and goats she keeps in her yard on a mountainside in West Virginia. Bostic could give up the livestock\u2014she doesn\u2019t rely on them for income\u2014but she\u2019s determined to stay at it as long as she can. She\u2019s more careful too. <\/span><\/p>\n

\u201cI don\u2019t trip lightly down those steps anymore,\u201d she said. \u201cBut I think it\u2019s important to keep doing this. Use it or lose it.\u201d <\/span><\/p>\n

Leon Miller, 89, likes to joke that he went \u201cfrom the outhouse to the penthouse\u201d over the course of his life\u2014growing up in a poor family, getting an education and establishing a successful career as an architect. That determination, honed over a lifetime, keeps him going even after two dozen surgeries on his knees and legs, including two knee replacements. He can\u2019t climb stairs or walk around the block; he uses a walker to get around at home. <\/span><\/p>\n

\u201cMy heart, lungs and kidneys are all fine, but my bones and joints are shot,\u201d he said.<\/span><\/p>\n

Finding ways to help others can contribute to a feeling of empowerment for someone with disabilities <\/b><\/p><\/blockquote>\n

He misses golfing, but he\u2019s outlived most of his golf buddies anyway. He\u2019s retired but continues to manage his real estate investment in a shopping center. He taught himself to trade stocks online. <\/span><\/p>\n

\u201cI\u2019ve learned to focus on the future, as opposed to what I\u2019ve lost and what\u2019s in the past,\u201d he said. <\/span><\/p>\n

Miller does grouse a bit about his adult children, who urge him to move into an assisted living community due to safety concerns. That\u2019s a common situation, but a 2019 article in the <\/span>Innovations in Aging<\/span><\/i> journal, \u201cMeeting Challenges of Late Life Disability Proactively,\u201d encourages care providers and family members to give \u201cgreater attention to the adaptive potential of older adults.\u201d <\/span><\/p>\n

\u201cDisability and aging \u2026 have both been stigmatized, yet also have the potential to reveal human strengths and resiliency,\u201d the authors wrote. Proactive adaptations\u2014such as finding ways to help others or looking for solace and meaning in spirituality\u2014can contribute to an older adult\u2019s sense of empowerment and psychological well-being. <\/span><\/p>\n

Those two strategies have helped Nancy Becher, 65, live with a long list of disabilities, some due to a car accident nine years ago and some related to chronic diseases including Crohn\u2019s, glaucoma and diabetes. <\/span><\/p>\n

After struggling with depression for more than a year\u2014\u201cI just wanted to die,\u201d she said\u2014she found hope in a support group and in her faith. She learned to focus on what she can still do. She can\u2019t hike any more, but she can sit outside her camper along the Tennessee River and enjoy nature. She also found purpose through a nonprofit she founded called <\/span>Invisible Warriors<\/span><\/a>, which supports people with \u201cinvisible\u201d disabilities, such as chronic pain or fatigue due to autoimmune disorders, which can severely restrict the lives of people who may otherwise look perfectly healthy. <\/span><\/p>\n

\u201cI realized that my disabilities were life-changing but not life-ending,\u201d Becher said. <\/span><\/p>\n

Becher\u2019s experience reflects psychology\u2019s concept of \u201csecondary gains,\u201d according to Pamela Garber, a therapist in private practice in New York. <\/span><\/p>\n

\u201cSomething that\u2019s negative, that\u2019s a struggle, can have a benefit also,\u201d she said. Finding and appreciating those secondary gains can help older adults adjust to a new normal. <\/span><\/p>\n

The Importance of Being Independent<\/b><\/p>\n

Research suggests that an older adult\u2019s emotional adjustment to disability also relates closely to the person\u2019s perceptions of dependence and independence. For many people, losing independence represents their biggest fears. They might accept limits on their activities but fight any change that makes them feel dependent. <\/span><\/p>\n

If older adults can maintain control over how much assistance they need, they\u2019re likely to feel less helpless and more able to cope, according to a 2000 study. Caretakers and family members can support an older adult by understanding and respecting the person\u2019s need for independence, however they may define that, even if it involves a measure of risk. <\/span><\/p>\n

That\u2019s how Deanna Mann is beginning to adjust\u2014by finding ways to maintain her sense of independence and feel more at home in her assisted living community. She decorated her apartment to her liking, without help. <\/span><\/p>\n

She negotiated a compromise when staff members wanted to assist her with showering: the aide waits outside her bathroom door, at the ready if needed, while she showers in private. She helps other residents with more severe disabilities when she can. She\u2019s working with a home care assistant who provides a treatment that\u2019s reducing the swelling in her legs, preventing further loss of function. She sounds upbeat as she talks about making new friends. <\/span><\/p>\n

\u201cI think each person in his own way has got to find their own way \u2026 where you\u2019re not in depression, and where you\u2019re looking at your situation as not necessarily all bad,\u201d she said. \u201cI have my down days and my good days. I\u2019m still not fully adjusted, but I\u2019m as adjusted as I think I\u2019m going to get.\u201d <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Until a few years ago, doctors told Deanna Mann, 85, she was \u201chealthy as a horse.\u201d She lived independently in an apartment and enjoyed playing bridge with friends twice a week. Then one leg suddenly swelled up. The other followed…<\/span><\/p>\n

Read more Living with Disabilities<\/span> ›<\/span><\/a><\/div>\n

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