What are the physical and emotional challenges of aging?

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A recent discussion highlights the emotional toll of aging, particularly as friends and family members face health crises or pass away. Participants reflect on their experiences with loss, noting how obituaries have become more relevant as they approach their own later years. The conversation also touches on the inevitability of aging and the physical and emotional changes that accompany it, including the realization of missed opportunities and the desire to maintain connections with younger generations. There is a shared sentiment that life should be lived fully, cherishing memories and kindness towards others. Ultimately, the dialogue emphasizes the importance of staying engaged and connected as one navigates the challenges of aging.
  • #61
turbo said:
My wife's favorite aunt died this morning. A very loving and understanding woman. These things happen, and I'm so glad that she didn't suffer physically or have to undergo degradation in her mental capacities. 93 years old with a relatively sharp decline after a great life... That's OK.
Sorry to hear about your wife's aunt passing today Turbo, my thoughts are with you and your family.

Rhody...
 
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  • #62
rhody said:
Sorry to hear about your wife's aunt passing today Turbo, my thoughts are with you and your family.

Rhody...
Thanks. We all have our allotted time, and she had a good life, with some devoted children. I haven't seen her for a few years (perfume problems) but whenever I spoke to her on the phone, she always seemed quick-witted with a decent sense of humor. I couldn't hope for more.

It wasn't until after my wife and I were married that I learned that her aunt had married into the family of a nearby neighbor. Her husband was a WWII vet that managed to survive Anzio. A decade or two back, he arranged to get his kids and their families to Italy for a vacation. Nice old guy. He wanted to tie up some of his loose ends and give the rest of the family a nice experience.
 
  • #63
My right arm often falls asleep while I'm riding my bike, and my left hand cramps. While sleeping my legs cramp. The other day, while riding in the car with my girlfriend, I got a sudden painful twinge in my posterior area. My lower back always hurts. The tendon behind my right knee still hurts, and my right calf hurts. Other than that, I feel really good and am glad to be alive.

I don't think anybody should commit suicide just because they're dissatisfied. I don't think anybody does. People commit suicide because of unbearable, for them, pain, either emotional or physical. Mostly emotional I think. Deeply felt shame, embarrassment/humiliation, remorse can drive people to the depths of despair and to want out of life they're living.

I think that if a person has survived/lived to a ripe old age, then it's not likely that they're going to end their lives by their own hand.

Personally, I have all those "don't keep me alive", "don't do any life-support", if I'm hospitalized with a terminal illness or become a vegetable. I would prefer not to die in prolonged extreme pain, but that doesn't seem to be an option.

So, if it ever becomes inevitable that I'm going to die within a short time, and if, knowing that, I can still get around pretty well, then I might consider ending my life via jumping from a high flying airplane, or riding a huge wave, or base jumping and not pulling the parachute thingy, or some other really cool and exciting way of going that wouldn't hurt anybody else. Drowning, freezing, or being covered by an avalanche would be cool. Self-immolation is a bit scary. Drug overdose is just so mundane and overdone.

Anyway, I probably would never do any of those. Most likely, I'll die in my sleep, hopefully about, at least, 20 years from now (I'm in my 65th year).
 
  • #64
Have you watched "Secondhand Lions" ?

I'm about your age and have given copies to several friends.

It's an "Older Guy" thing. (But Kyra Sedgwick is delightful.)
It speaks to the generation gap.

In a lighter vein,
 
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  • #65
Some posts are a bit morbid here, but let me share a bit of info. My organic-gardening neighbor who got me started growing garlic is 50. I'm just a few days shy of 60. Our neighbor that suffered the blackout recently is 70. Guess who is fit enough and spry enough to do construction/carpentry off ladders and staging? Yep! The 70-year-old.

My younger neighbor and I spent decades working on concrete floors in paper mills and our knees are shot (including multiple surgeries to remove shredded cartilage), plus I have had a stroke and my balance is worth nothing when I get off a flat surface (not to mention ladders!). Still, between us we milled out and stacked enough lumber to more than double the size of the younger neighbor's house, and build that addition, so his daughter and her two girls would have living space of their own. Getting older isn't always equivalent with "decline" - there are gains, too, some small and some pretty significant. Got to re-calibrate expectations and take stuff in stride.
 
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  • #66
Yes - life we live forward but understand backward.
 
  • #67
SecularSanity said:
I can no longer gain muscle mass by simply drinking a glass of orange juice. I have to work out hard just to avoid the saggy butt syndrome. My teenager can fart muscles, watch one episode of South Park, and know more about physics than me. :frown:

that's funny,
 
  • #68
nitsuj said:
that's funny,

It is not.
 
  • #69
hypatia said:
It is not that life is so short, its just that death is so long.

Hypatia! Good to see you. Welcome back.

Anyway, I've been preoccupied with watching my inlaw dad die in slow motion this month. It took about 10 days, after he was discharged from hospital, because the treatment of the illness was even worse to his organs. There were no more options left.

The last two days were really awful. Nobody should have to suffer like that. Really shocking. You'd like to shout to the doc, just to increase the dose of morphine more and more.

But that's illegal, which seems to be more important than useless suffering.
 
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  • #70
Sorry to hear that Andre. My condolences.

I don't know who said that first, but I can only repeat - I am not afraid of being dead, if anything, I am afraid of dying.
 
  • #71
SecularSanity said:
I can no longer gain muscle mass by simply drinking a glass of orange juice. I have to work out hard just to avoid the saggy butt syndrome.

Given that 100g of oranges contain only approximately 0.70 grams of protein, I'm sure you used to drink a lot of orange juice. :biggrin:
 
  • #72
Thanks, Borek
 
  • #73
Sorry to hear of your loss Andre.
 
  • #74
Andre.

I have witnessed first hand what you went through twice. It is wrenching, no other way to describe it. I feel for you having been there, the fresh pain will pass, and I am convinced many of the memories that go with them with time, hopefully to be replaced by more happy ones that we cherish inside.

Rhody...
 
  • #75
Hard news, Andre. When an elderly person is suffering, with no chance of remission, there ought to be a legal way out.
 
  • #76
turbo said:
Hard news, Andre. When an elderly person is suffering, with no chance of remission, there ought to be a legal way out.

There is, in some states (Washington and Oregon, maybe more). But it must be arranged well in advance of being needed, as it has to be reviewed by third parties.

Sorry to hear about it, Andre - condolences to you and your family.
 
  • #77
lisab said:
There is, in some states (Washington and Oregon, maybe more). But it must be arranged well in advance of being needed, as it has to be reviewed by third parties.
I don't get why death with dignity isn't allowed everywhere. A person is terminally ill, in incredible pain, there is nothing doctors can do at this point. At this point any person should be able to say "end this". I have known people dying of cancer that suffered horribly and needlessy toward the end of their life and it was so wrong to force them to endure that suffering with no hope of recovering. What kind of monsters does that make us? All because it might offend someone's beliefs?
 
  • #78
Evo said:
I don't get why death with dignity isn't allowed everywhere. A person is terminally ill, in incredible pain, there is nothing doctors can do at this point. At this point any person should be able to say "end this". I have known people dying of cancer that suffered horribly and needlessy toward the end of their life and it was so wrong to force them to endure that suffering with no hope of recovering. What kind of monsters does that make us? All because it might offend someone's beliefs?

Couldn't agree more.

I see more and more this kind of thing where other people think they know better for others but themselves and this is the result for this.

Trying to keep people having a heartbeat for the sake of having only a heartbeat is really not a good precedent to set for the entire health or medical profession and although there are a lot of good medical practitioners and others working in the medical industry who will give the patient a real choice, unfortunately it seems that in many cases, their is a conflict of interest.
 
  • #79
Evo said:
I don't get why death with dignity isn't allowed everywhere. A person is terminally ill, in incredible pain, there is nothing doctors can do at this point. At this point any person should be able to say "end this". I have known people dying of cancer that suffered horribly and needlessy toward the end of their life and it was so wrong to force them to endure that suffering with no hope of recovering. What kind of monsters does that make us? All because it might offend someone's beliefs?
I completely agree. Then again, I'm Dutch, and according to Santorum, we kill our elderly for fun here.

Andre, I'm sorry to hear of your loss. My condolences.
 
  • #80
Thanks all, of course in The Netherlands there is a law about this too. But the conditions were not met to conduct active euthanasia. That's not suitable for this type of cases.

It should be noted that the decision to stop treatment was taken together with the patient. The complication is that it may have suggested that there were alternatives where there were not. So, the first time that he got morphine, it made him feel much better again and he asked if he could reverse 'his' decision. That was a difficult moment.
 
  • #81
My wife's aunt's obituary is in today's paper. I knew that she was a nurse, but didn't know that she was the assistant chief of the nursing staff in an American military hospital 67th General Hospital in England during WWII, or that she was a captain when she was discharged from the Army.
 
  • #82
Andre said:
Anyway, I've been preoccupied with watching my inlaw dad die in slow motion this month. It took about 10 days, after he was discharged from hospital, because the treatment of the illness was even worse to his organs. There were no more options left.

The last two days were really awful. Nobody should have to suffer like that. Really shocking. You'd like to shout to the doc, just to increase the dose of morphine more and more.

But that's illegal, which seems to be more important than useless suffering.

My story is a little different. I was young and naïve when my father died. He was 51. He had idiopathic pulmonary fibrosis. The cause was unknown but all of his siblings had died from it, as well. He was on a transplant list, but like most patients with IPF, he died from complications due to pneumonia. He might have lasted a little longer if the doctor had prescribed the correct antibiotics for the type of pneumonia that he had. He was seeing a lung specialist in the city, but in the end, his family practitioner treated him. He was new and mistakes happen.

However, he promised me that he wouldn’t suffer. He said that he could have as much morphine as he needed. He explained the whole process, and how he’d eventually slip into a coma, but he kept waking up, grasping for breath, and he was very afraid. The whole process took about 5 days. My father made me promise that I’d get him more morphine whenever he squeezed my hand, but when I went to locate his nurse, she informed me that he had received the legal limit. He suffered terribly and so did I.

The day after he passed away his lung specialist called me. When I told him what had happened, he lost his temper, cursed a little, and then told me that they had given him the wrong antibiotics, and that there was no such thing as a legal limit. We met with the medical board, who after speaking with the nurse, told us that she did not want to contribute to his death, due to her religious beliefs. It was a religious hospital.

Of course, they were very concerned about a lawsuit, but the story became public, and that was enough for me.

I believe in the right to die but this guy does have some valid points. What he revealed was society’s innate and primitive principle regarding even pain relief for the dying. We have not even begun to distinguish facts from fiction in the laws of pain relief, much less suicide.

Do people have the right to choose when to die?-Bigthink.com

About half of patients dying of cancer have severe pain. Yet, only half of these patients receive reliable pain relief. We can relieve the pain, but because of the misconceptions regarding pain and the drugs used, many patients die in agony.

In my father’s case, the nurse was dumb enough to put this in her notes, “Moaning and crying out-will continue to monitor.” Her reasoning stemmed from her religious convictions but usually it is from fear of criminal liability.

Dyspnea is one of the most feared symptoms. This was also my father’s biggest fear, but morphine can actually reduce dyspnea and the anxiety, without causing harmful respiratory depression.

This happens all the time. It’s very common. The fears that people have about dying in pain are justified. There is an alarming lack of sensitivity regarding this issue.

I think that many people feel that it is an invasion of bodily integrity to force life sustaining medical treatments but it is not an invasion to restrict physician assistant suicide. I don’t get it, though. We have this strong innate desire to reduce suffering for the living but not for the dying. What business is it of society to require this prolongation and suffering? In my opinion, it all boils down to GOD. We want them to die naturally, in god’s hands. Am I right?

http://www.hospicepatients.org/euth-acct-three.html

When I first found out that my father was terminal, I would have done anything in my power to keep him alive. I even asked myself if it was selfish to want him to suffer so that I could have him for a few more minutes. One minute seemed so valuable but to him a minute seemed like an eternity. Trust me… if this woman had watched her mother suffer, as I had with my father, she would have been grateful that her mother remained in a coma. Although, I am an atheist, I prayed…I prayed for him to die. Nobody should have to suffer like that.

lisab said:
There is, in some states (Washington and Oregon, maybe more). But it must be arranged well in advance of being needed, as it has to be reviewed by third parties.

http://www.suntimes.com/news/obituaries/11252526-418/assisted-suicide-doctor-peter-goodwin-dead-at-83.html

"The Portland physician died Sunday in his home after using lethal chemicals obtained under an Oregon law he championed."

Dr. Peter Goodwin

Borek said:
It is not.

Nor is your avatar. :rolleyes:
 
  • #83
Yikes, what a nightmare that must have been, SS :frown:!

SecularSanity said:
We met with the medical board, who after speaking with the nurse, told us that she did not want to contribute to his death, due to her religious beliefs. It was a religious hospital.

That pisses me off.
 
  • #84
After SecularSanity's post I felt compelled to respond. My wife works for Dr Joan Teno, at Brown University, a recognized expert on end of life issues worldwide. Please refer to this report. If you google Joan Teno you will find lots of other testimony as well. This is a sample.
In a study we conducted of survivors of individuals who had been in a
nursing home in their last weeks of life, we found about one in three people
reported the need for better pain control, that they did not have enough emotional
support, and stated that their loved one was not treated with dignity. Only 42%
rated the care of their loved one as excellent compared to 70% for those persons
dying at home with hospice services. 3 Behind these rates lie compelling stories of
the urgency and need to improve.
If this is of any comfort to you, Dr Teno, and sympathetic members of congress with whom she has testified have been working for years to address the issues that you stated in your post. Hospice care in the patients last days is certainly a start. Many people are unaware that this service is available to them, and BTW, there are two categories of hospice care, paid hospice and volunteer hospice. You should research both, ask probing questions of each before making your decision to go with one or the other.

Rhody...
 
  • #85
lisab said:
Yikes, what a nightmare that must have been, SS :frown:!



That pisses me off.
I can only state what we experienced with my wife's Mom passing last year, we had FOR PROFIT hospice care BTW. We had all the necessary paperwork for end of life directives filled out, signed, etc... My wife, her sister were the ones to carry out the advanced medical directives, and Dr Teno was by our side for the last two days of my wife's mother's suffering. Once the directive has been ordered and the doses of medication's were delivered to the Alzeheimer's unit where her Mom stayed, it was the designated responsibilty of the person taking responsibility of the meds to deliver them to ease her Mom's pain, which for the most part were carried out to the letter. You need to have a place to secure the meds, and again Dr Teno came through for us, she bought us a lock box to keep them in and snacks for everyone while we maintained vigil over her Mom. Thankfully, Dr Teno was there to guide us through the process.

This is important because our end of life experience differs from SecularSanity's, which for the most part made sure my wife's Mom was not in a significant amount of pain. In the end (last day or so) all of the patients senses are gone (we were not aware of this), they can't speak or even groan to express their pain. All they can do is increase breathing and elevate their heart rate, which happened in the early am hours of her Mom's last day. The hospice care giver was gone and my wife and her sister were asleep in the room. At some point her Mom's breathing and heart rate went way up, and upon arriving the hospice caregiver recognized this and gave her more medication to ease her pain. In the end late that same day she died peacefully. The medications were disposed of after inventory was taken. This is to ensure there are no possibility of a lawsuit. You never even think about these issues unfortunately until faced with them. At least now, some of the things we may need to face will be more out in the open. Even though painful, I think that is a good thing.

Rhody...
 
  • #86
lisab said:
Yikes, what a nightmare that must have been, SS :frown:!
That pisses me off.
Thanks!

And to boot, during this time, my husband was admitted with meningitis, my mother was recovering from surgery, and I had a two year old to contend with.

C'est la vie
rhody said:
After SecularSanity's post I felt compelled to respond. My wife works for Dr Joan Teno, at Brown University, a recognized expert on end of life issues worldwide. Please refer to this report. If you google Joan Teno you will find lots of other testimony as well. This is a sample.

If this is of any comfort to you, Dr Teno, and sympathetic members of congress with whom she has testified have been working for years to address the issues that you stated in your post. Hospice care in the patients last days is certainly a start. Many people are unaware that this service is available to them, and BTW, there are two categories of hospice care, paid hospice and volunteer hospice. You should research both, ask probing questions of each before making your decision to go with one or the other.

Rhody...

Bravo, Rhody! http://srbforum.com/Smileys/default/44969smiley__applause__1.gif

BTW, I sure hope Borek isn’t on the welcoming committee.
 
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  • #87
turbo said:
My wife's aunt's obituary is in today's paper. I knew that she was a nurse, but didn't know that she was the assistant chief of the nursing staff in an American military hospital 67th General Hospital in England during WWII, or that she was a captain when she was discharged from the Army.

It's things like this that make you realize that so many wonderful stories go untold. My dad (who had passed away prior) had told us that Grandpa had "taught math and other subjects" when he was stationed at WPAFB during WWII. But grandpa's obit indicated he was in an intelligence unit... I personally suspect cryptography/cryptanalysis based on some of his other connections (such as NCR), but of course, who knows. Towards the end, Grandpa would have been senile enough to probably tell us had we known what to ask. He could go on and on about early baseball (God bless some of my former boyfriends for listening to all that...).

Sorry about your loss...
 
  • #88
physics girl phd said:
It's things like this that make you realize that so many wonderful stories go untold. My dad (who had passed away prior) had told us that Grandpa had "taught math and other subjects" when he was stationed at WPAFB during WWII. But grandpa's obit indicated he was in an intelligence unit... I personally suspect cryptography/cryptanalysis based on some of his other connections (such as NCR), but of course, who knows. Towards the end, Grandpa would have been senile enough to probably tell us had we known what to ask. He could go on and on about early baseball (God bless some of my former boyfriends for listening to all that...).

Sorry about your loss...
Thanks. Helen was a wonderful woman, and sharp as a tack all of her life. Typical "dry" sense of humor that is the norm in Maine. She never told me about her war-time service, and it also came as a surprise to my wife. The obit featured a photo of her in her Army uniform. She was a really good-looking woman.

She left instructions that in lieu of flowers, she would like her friends and family to make contributions to a hospice-care organization.
 
  • #89
It seems that some "nursing homes" in Maine are warehouses for the elderly, and that really ticks me off. My mother-in-law was on a waiting-list for a highly-regarded nursing home a few miles from here, close enough so that all of her children could have visited regularly, and the "crazy sisters" bullied the sane sisters into allowing them to keep her at home. The chief crazy sister moved her mother into her house, and when she found out that she couldn't provide 24-hour care for a 95-year-old with senile dementia, she parked her in a nursing home 1/2 hour away.

My wife and her sole sane sister do their best to visit her to find out how she is being treated, and it doesn't look good. If they show up in late afternoon and their mother is sedated and confined to a wheelchair, with her bed still unmade, things look sad. I don't want to go that way.

There should be laws... Effective, enforced laws.
 
  • #90
turbo said:
There should be laws... Effective, enforced laws.
Such as?

There are plenty of laws, so I don't get what you are referring to. If they get her out of bed in the afternoon, they wouldn't make the bed up again, as far as I know, hospitals and nursing homes make beds once a day. There is no reason to do it more often, unless the bed is soiled.

It's good that they get her up and into a wheel chair, I'd be more concerned if she was left in bed all day. Of course my grandmother was a quadraplegic, so she could not get out of bed at all. What had to be done was shifting her regularly.
 
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