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18 Nov 2024

Sometimes in the winds of change we find our greatest direction

Change

Like the weather, changes in life can come swiftly and unexpectedly. Rock Legend David Bowie accepted that time may change me, but I can’t change time.”  The unexpected storms of life can destabilise us. Identifying and understanding our ‘go to’ actions and reactions can help us prepare for and deal with the waves of change ahead of us, such as the ageing journey.

Life can change in the blink of an eye. What we know, what we love -- it can all change. Our comfort, our security, our home -- it can all be taken away – in the same way as many people across New Zealand have experienced over the years due to natural disasters. One event or one phone call can change everything. Sometimes for better; often for worse.

What do you do when you’re buffeted by unmitigated, unexpected and certainly unwanted alterations to life’s course.  Things will come to you faster than imagined. Identifying and understanding our ‘go to’ actions and reactions can help us prepare for and deal with the waves of change ahead of us, such as the ageing journey.

It is hard to prepare for the feeling of being overwhelmed. Fortunately, there are a plethora of resources available to bring to the fore in coping with, and managing, change or incidents and events that can rock the core of your world. There are changes that you manage and/or do your best to control. Then there is the type of changes whereby your world feels like it is continually falling apart.

Your outlook on the world does affect how you deal with new situations and challenges. If your tendency is to look on the gloomy side of any situation, major changes may worsen the feelings of overwhelm. Negative thoughts and feelings can lead to greater stress – feeling like a vicious cycle is happening to you. 

Even positive change can be destabilising for some people. This is because a once planned life can soon look different. Your routine is disrupted, you are put out of your comfort zone, all of which can make it harder to deal with the change.

Some of the realities of healthy ageing

As we grow older, we experience an increasing number of major life changes, including career transitions and retirement, children leaving home, the death of people we care about, physical and health challenges—and the loss of independence. These are impactful at any stage of life, but sometimes the effects test our resilience more as we get older. 

How we handle and grow from these changes is often the key to healthy ageing.  Information, prior experiences, available resources and supports, all play a critical part in having the ways and means of making the most out of any situation.

Coping with change is difficult at any age and it’s natural to feel the losses you experience. However, by balancing your sense of loss with positive factors, you can stay healthy and continue to reinvent yourself as you pass through landmark ages of 60, 70, 80, and beyond.

As well as learning to adapt to change, healthy ageing also means finding new things you enjoy, staying physically and socially active, and feeling connected to your community and the special people in your life. Unfortunately, for many of us ageing also brings anxiety and fear. How will I take care of myself late in life? What if I my spouse/partner dies before me or has to go into permanent care? What is going to happen to my mind? Will I have enough money? Etc etc…

Many of these fears stem from popular misconceptions about ageing. But the truth is that you are stronger and more resilient than you may realise. These tips can help you maintain your physical and emotional health, to survive and even thrive, whatever your age or circumstances.

The alarm bells of change

When stress becomes overwhelming, it can hurt your mental health. Unhealthy coping mechanisms and a negative mindset can make dealing with change feel impossible. Stress caused by change may have many physical, emotional, and social symptoms that can hurt our overall well-being if we aren’t able to manage them in a positive way.

These may present as:  

  • Headaches.
  • Trouble sleeping (insomnia).
  • Digestive problems and stomach aches.
  • Muscle tension, neck, and backaches.
  • High blood pressure and heart problems.
  • Anxiety and/or depression.
  • Irritability and/or anger.
  • Eating too much or too little.
  • Drinking too much alcohol.
  • Overusing drugs (both prescribed and/or recreational drugs).

Some of the practical steps to reconnect with life…and joy.

  1. Acknowledge that things are changing and may never be the same again.
  2. Realise that even good change can cause stress.
  3. Keep up your regular schedule as much as possible.
  4. Try to eat as healthily as possible and drink at least 8 glasses of hot or cold water per day (or if on fluid instructions from your doctor follow those).
  5. Exercise – even walking the length of your home 3 or 4 times per day is helpful to break sad thoughts.
  6. Contact those most likely to give you support.
  7. Acknowledge the negative things that have happened.  
  8. Then write down the positives that have come from this change add to the list each day.
  9. Get proactive.

Some of the physical impacts that happen when dealing with changes in your life that feel like endless waves of challenge, include:   

  1. Weight loss. Your clothes may become very loose and look baggy on you.
  2. Weakness. Moving from sit to stand or vice versa may be harder, and/or your balance may have deteriorated, and/or you may have reduced grip strength.
  3. Exhaustion. Everything takes a big effort, it may be hard to get out of bed in the morning or to go to bed at night, and hard to find energy to do anything.
  4. Activity level is low. This includes your former exercise routine, household chores and socialising activities such as leisure or hobby groups you belong to or even your regular trip to the library have all become harder to do.
  5. Walking slowly. You know it has become harder to start walking when you stand up, and that it takes longer to get from point A to point B.
How to Cope with Life Transitions.
Something that sometimes feels like taming wild animals.
Rather than give up, or in, there are routines that work, or at least provide time for you to regroup
  1. Practice Radical Acceptance. Radical acceptance focuses on accepting things exactly as they are without ignoring or avoiding them.
  2. Grieve the Loss.
  3. Seek Support, from people you know will support you (sometimes that is not the most obvious people).
  4. Allow Yourself to Feel, the reality of what is happening.
  5. Engage in Self-Care, resume your daily warm shower or like soothing self-cares.
  6. Set Realistic Expectations, know it may never return to what it was before the change event. Reset for your new situation.
  7. Create a Daily Routine.
  8. Be Patient and Kind with Yourself, don’t expect the impossible but also don’t accept giving up.
Caring too much

Caregiver burnout is a state of physical, emotional, and mental exhaustion that can occur when someone provides prolonged and intensive care to a person with a chronic illness, disability, or other long-term health condition. It can be one of the unexpected events that needs dealing with. Being a caregiver for family/whānau members can be an expected role and responsibility.

Carer stress often results from the demands of caregiving, leading to feelings of being overwhelmed, fatigue, anxiety, depression, and sometimes anger too. Are you a Caregiver? Are you experiencing any of these signs of caregiver burnout in your life right now?

  • Exhaustion.
  • Sleep problems.
  • Feelings of helplessness.
  • Irritability.
  • Difficulty concentrating, or forgetfulness.
  • No feelings of joy or happiness.

Carer stress is a real condition, no-one should have shame, guilt, or failure for feeling this way. Being a caregiver for family/whānau members impacts on your physical, mental, emotional, spiritual, and social health. It is important to talk honestly about these thoughts and feelings to someone you trust. It is more helpful if the person you talk to is not a family/whānau member, but rather a professional skilled in assisting you to learn to look after yourself while being a Caregiver to others (e.g. a Social Worker or Psychologist etc). Your GP can refer you to an appropriate professional; or you may seek assistance from a Chaplain or Minister; or your local Citizens Advice Bureau can give you the contact details of such services close to your location.

If you are ever feeling overwhelmed and need someone to talk to NOW, you can phone or text 1737.  “This is a free service for New Zelanders feeling down, anxious, a bit overwhelmed or just needing to chat to someone. You can phone or text 1737 for free, any hour of the day or night (24/7) and talk to a trained person.”          

Learning from others

Fortunately, in a connected world with information just a mouse click away, the paths taken by complete strangers may still resonate and provide hope.

Detailed planning is the best way to set yourself up for a fulfilling retirement, say mother and daughter Di Murphy and Kristin Sutherland.

To help Kiwis get the "scaffolding" in place for an enjoyable post-work life, they've developed the online platform https://www.smartretirement.co.nz and written the book Dare to Retire Free.

Murphy's husband John had only been retired from his busy law job for one day when a stroke sent him from a restaurant to the Hospital Emergency Department (ED).

After tests confirmed that John was fortunately going to be okay, a nurse posed a question to him that got the whole family thinking.

"[The nurse] said 'John, have you done anything different in the last couple of days? And he said 'Yep, I retired'. She said, 'Do you know this week, we've had five other people exactly like you - three have gone out in body bags, and two have walked out'.

"That was quite amazing to us. We've always heard about people who retire then on the first day of the retirement or within six months they die. Why on earth does that happen?"

Sutherland says watching her father's experience got her seriously thinking about her own priorities.

"How tied am I to my career? What plans have I got for my life, but then also for my retirement?' It set me on that track of thinking where do I want to be in those years of retirement? I'm going to think about it as much as I can and plan for it."

She and her mother started looking for resources to support people as they transitioned out of the working world.

They found that while there was plenty of advice on the financial aspects of retirement, there was little on the well-being side of things. "How do you want to spend your time? What are your relationships going to look like? What is it going to look like just to be alone.

Space and place for ageing your way  

Let’s now have a think about where you want to age. More and more people are attracted by ageing in a familiar and safe place, it makes sense and lessens anxiety about the challenges of change.

Ageing in place is an expression frequently used by the media, health, and social service organisations. In lay terms it means ageing where an individual chooses to for as long as they feel safe and comfortable in that environment; generally, it is living independently in their home in the community.

As our age advances, ageing in place requires careful thinking about personal: safety, health, social support, and well-being. There is a host of information to help make choices, and decisions, easier. Your local Citizens Advice Bureau or local Library are places that can assist you to access reliable information. Another reliable information source is Health NZ Te Whatu Ora Seniorline website to access this website type into the search bar, seniorline NZ, then click on, Services for older people – Healthline, then enjoy searching through all the valuable information on that website. If you still have questions phone Seniorline 0800 725 463 (Monday to Friday 8am – 4pm) or send them an email: seniorline@adhb.govt.nz 

Ageing in place comes with thinking about your current abilities and any future changes such as requiring assistance in your home for your own activities of daily living (e.g. your personal cares such as showering, dressing etc; and grocery shopping, cooking and cleaning your kitchen, bathroom etc). If you have limited mobility and /or other disabilities, you might be concerned about safe movement inside and outside your home.

Your GP or other health professionals involved with your health conditions can refer you for NASC (Needs Assessment Service Coordination) if/when you have a decline in your health to determine what personal assistance and subsidies you may be eligible to receive to assist you to live safely in your own home, for more information:   https://www.govt.nz/browse/health/help-in-your-home/needs-assessment

You may worry about staying socially connected to and with your friends and age-group and meeting other social needs while living independently; especially if you move geographically to be closer to your adult children and their children, or if you move into a smaller house in a different part of town, and/or as your friends move away.  

In addition, you may worry about experiencing loneliness when living alone. In general, older adults may be prone to loneliness or social isolation due to factors like the death of their partner/spouse or living with health conditions that make them more vulnerable like hearing issues, diabetes, hypertension (high blood pressure), depression, etc.

You may also be concerned about how to keep your house and surrounds secure and safe, or you may worry about becoming sick unexpectedly and getting medical care right away.

These concerns are all valid, and you’ll want to be sure to think about all aspects when deciding whether you want to live independently as you age. Should you decide to age in place, know that there are many tools, such as medical alert systems and other technology, available to help you feel safe and secure in your home. One of the most used medical alert systems is provided by St Johns Ambulance, information about this is available at https://pardot.stjohn.org.nz.  

British Heart Foundation
Tips for coping with change
  1. Learn to accept what has happened.
  2. Pace yourself.
  3. Ask for help from loved ones.
  4. Look for new opportunities.
  5. Carry a self-help reminder.
  6. Have a strategy for dealing with stress.
  7. Have a story that you can tell easily to explain your current situation.
  8. Give yourself time.
  9. Be involved with others
  10. Get into a routine
  11. Avoid self-medicating with alcohol or drugs
  12. Don't make major life changes. Small steps are the wisest.

 

 

 

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Published:  November 2024

To be reviewed: October 2027