Friday, December 13, 2019

I can dream can't I?

When you dream at night, can't anything happen next?  Yes, of course, it can, dreams are stories we tell ourselves when we sleep. Dreams are collections of clips, images, feelings, and memories that involuntarily occur during the REM (rapid eye movement) stage of rest. We typically have many dreams per night and our dreams last longer as sleep draws to a close.

Scientists think that everyone dreams, but there is a small group that reports that they never remember experiencing dreams. I suspect they are wrong.  Dreams typically involve elements from our conscious lives. We dream of people or familiar locations but these often take on an illusory feel. Dreams are often interesting and can allow us to act out certain situations that would never be possible when we are awake. Dreams aren’t always positive—negative dreams referred to as "nightmares," can create feelings of terror, anxiety, or despair, and can lead to psychological distress or sleep problems like insomnia.

Why humans dream remains one of behavioural science's great unanswered questions. Researchers have offered many theories including memory consolidation or emotional regulation. For some their dream world seems real. These people may believe that they are the creator or the genius behind every bell, whistle, and sparrow they see in their dreams?

The ability of our dreams to appear real has led many thinkers—philosopher RenĂ© Descartes (1641) being the most prominent Western example—to wonder whether the world we experience while awake might itself be a dream. If the dream world feels just as real as the waking one (at least while we are in it), how can we know for sure that we’re not currently living in a dream—a dream from which we may one day wake up?

One way that philosophers have tried to dispel such worries is by appealing to differences between the dream world and the waking one. For instance, our waking world has a coherence that the dream world often lacks. You may recall that in the feature film Inception, the characters learn to recognize that they’re dreaming by asking themselves how they came to be in a certain situation, then realizing that they can’t remember because the dream just dropped them there.

But does the integrity of our waking world guarantee that it’s real?

The logic of our waking world does give us evidence that our waking world is not merely an invention of our creativity. Correctly, it gives us proof that when we are conscious, something is causing our experience that is autonomous of the event itself. For instance, the comparative continuity of objects and environments we encounter in waking life appears to be explained by the fact there is something real and enduring that our experiences are reflecting.

However, the permanence of these objects and environments we encounter when we are awake is no guarantee that this world is as real. A high degree of permanence is also found in the worlds of video games, in which the “environments” and “objects” one interacts with are merely the creations of computer code. Physics teaches us that the objects we experience as being solid are actually made up almost entirely of empty space. And the results of quantum mechanical experiments indicate that, under certain conditions, the building blocks of matter do not behave as discrete particles at all, but rather as waves of probability. 

Nevertheless, people continue mining their nighttime reveries for clues to their inner lives, for creative insight, and even for premonitions. Are you limited by what you dreamt the night before? There is a probability that you are not limited.

Tuesday, December 10, 2019

Housing Options for Seniors in BC

Another topic that is important but I have not spent a lot of time on is the issue of housing options for seniors. 
Most seniors live independently but not all own their own homes. Many seniors who live independently may rent. In BC there appears to be not many options for seniors who want to continue to live independently.  This is important because as rents and other costs go up seniors on fixed incomes find it increasingly difficult to rent so they will have a place to stay. The more options that are available may help the pending housing crises for seniors in BC. According to the CHMC there are the following housing options for seniors in Canada who do not own or want to continue to rent, but some of these are not available in BC and the question is why not? An examination of the options available to seniors in BC, may help the government provide policies that encourage the use of some of the options not available currently in BC.
Assisted Living
Assisted Living is a combination of: Housing, Hospitality Services, and Personal Assistance Services. It also offers medication reminders, cash management, nutrition monitoring, and management by ‘non-medical’ professionals. Housing is usually self-contained units typically with full bath, small kitchenette, living room and bedroom
Co-housing
Co-housing involves sharing a home with a friend or family member. In addition to cutting costs, sharing a home can provide mutual benefits like companionship, help with daily tasks and extra support in case of an emergency.
Co-operative Housing (Co-ops)
Co-ops are legal associations that provide housing in return for a share in the maintenance or other tasks. Some co-ops cater specifically to seniors and may be seniors-only buildings.
Life Lease Housing
Religious or charitable organizations often operate this condominium-like option. Residents pay upfront and monthly fees for the right to live in the home for a specific period.
Supportive Housing
Supportive housing refers to independent apartments with access to services like housekeeping, personal support and healthcare available for free or at a reduced cost. Residents usually pay their own rent and any other living expenses.
Retirement Communities
These residences combine independent living with access to support and recreational facilities. They provide a community setting for active seniors.
Retirement Homes
Retirement homes are for-profit businesses that offer a full range of accommodations, services and healthcare support. The costs vary depending on the facilities and the level of service and support offered.
Nursing Homes and Assisted Living Facilities
These are similar to retirement homes but are sometimes operated as not-for-profit residences by the federal government. They also offer a wider range of healthcare and support services for seniors with more demanding care needs. 


Age Friendly Communities and seniors

The third topic I think is important is the issue of the concept of Age Friendly Communities. Since 2005, the provincial government has provided $6.25 million to support the program. To date, more than 148 local governments have completed projects or been approved for funding. There are two streams that a municipal government can apply to for funding. The first is adding an age-friendly or seniors’ lens to existing plans or policies, such as:
• Official Community Plans, Integrated Community Sustainability Plans, Health and Wellness Plans, or community or neighbourhood plans
• Zoning and other bylaws (subdivision, snow removal, parking, etc.)
• Development permit requirements
• Emergency response, evacuation and/or emergency social services plans
• Design guidelines
• Active transportation planning Age-friendly Projects
The second stream for funding is to support local governments to undertake local projects that enable seniors to age in place and facilitate the creation of age-friendly communities. In order to be eligible for Stream 2, eligible applicants are required to have a completed an age-friendly assessment or action plan, or demonstrate that their Official Community Plan, Integrated Sustainability Community Plan, or an equivalent plan, is inclusive of age-friendly planning principles. Under Stream 2, eligible activities must be cost-effective and may include:
• Support for persons with dementia
• Increased community accessibility (transportation, housing, services)
• Provision of recreation and healthy living activities and/or referral and support to link seniors with recreation and healthy living services
• Community gardens and healthy eating
There are many examples of programs that have been started as a result of this funding. Such as the town of Oliver developed an outdoor fitness park with input from partners including Interior Health, service clubs and seniors’ groups. The year-round park is well utilized and provides a no-cost opportunity for seniors to be physically active. Or the District of Invermere created an age-friendly business directory, companion program, monthly luncheons and a mentorship program. The companion program matched seniors with volunteers who will assist with everyday living activities such as shoveling the sidewalk, driving to and from the grocery store or appointments. Business owners and employees offered training on how their operations can be more age-friendly.
The issue is not that these programs have been funded, but the concern is how many projects undertaken in phase one have been developed to a stage two project. How many of these phase two projects are still being offered and are they still providing what seniors need to stay in place or where they one hit wonders and no longer operating?

Sunday, December 8, 2019

Funding for Volunteer Services helping Seniors

    The second issue that I think is important and have not addressed is the issue of how programs that help seniors are funded. Any seniors, as well as others in society and in government, believe that seniors and society would be well serviced by seniors living at home. The home support program and the report into those services 19-June-19 show there is a need for more and better services for many seniors. The report was thorough but did not address the issue of those who are supporting the non-medical needs of older adults in BC. Those who volunteer to help seniors stay at home by providing services such as Friendly visiting Transportation, Light yard work, minor home repairs, Light housekeeping, Grocery shopping, etc. 
    
    Where I live we have programs like, Better at Home, Seniors Transportation Access and Resources (STAR), Meals on Wheels and some communities such as Richmond have their Seniors Community Support Services programs. All of these are great programs but are reliant on funding from Charity groups such as United Way or government grants to operate. The charities and the government funders are always looking at the most efficient and cost-saving way to deliver services. This means that many organizations that could provide the services may lose funding if another organization says they can provide the same service at a lower cost. 

     This change of service provider causes a chain reaction where recipients of the service have to adjust to new demands or changes in procedure and many volunteers who worked with the small group may decide to not work with another group, so new volunteers need to be recruited. This causes a disruption in service for seniors. I think it is a problem that is important because these volunteer programs make it easier for seniors to stay at home and supplement the home support programs but how they are funded and the effect a change of funder or service provider on seniors receiving the service is ignored when we talk about this issue.