AARP concerned for working caregivers. Advice from Dr. Michael Fine

Published in RINewsToday on August 9, 2021

After the coronavirus (COVID-19) pandemic initially shuttered the nation’s businesses over a year ago and with Delta variant cases now surging among the 50 percent of the population not fully vaccinated, AARP releases a 17-page report exploring the concerns of working caregivers about returning to pre-pandemic business routines. 

AARP’s national survey, examining caregiver concerns during the COVID-19 pandemic, was conducted by phone and online panel on July 1-7, 2021, and included 800 U.S. residents 18 years or older who are currently providing unpaid care to an adult relative or friend and employed either full-time or part-time (but not self-employed).

Six in ten caregivers responding to the survey were paid hourly, while nearly four in ten are salaried workers. Almost seven in ten say that their job is “essential.” 

The researchers found that the COVID-19 pandemic impacted how working caregivers balanced their work and caregiving roles. Four in five caregivers expressed feeling stressed by juggling these dual responsibilities. More than three in five of the respondents say that they were spending more time caring for their loved one(s). When asked about the next 12 months, two-thirds of all working caregivers expect some, or a great deal of, difficulty balancing both job and caregiving roles. 

According to the AARP study, “Working Caregivers’ and Desires in a Post-Pandemic Workplace,” about half of working family caregivers were offered new benefits during the pandemic, including flexible hours (65%), paid leave (34%) and mental health or self-care resources (37%). About half of those surveyed were able to telework due to COVID 19; by early July, 22% were still working from home full time and 30% were working from home at least part-time. For those who could work from home, nearly nine in 10 said it helped them balance work and care responsibilities – and 75% are worried about how they will manage when their pre-pandemic schedules resume.

“Employers would be wise to consider how benefits like paid leave and flexible hours can help the one in six workers who are also caring for a loved one,” said Alison Bryant, Senior Vice President, AARP Research in an Aug. 4 statement released announcing the release of the report. “Living through the pandemic was challenging for working family caregivers – while some were helped by new workplace benefits and flexibility, the vast majority are worried about how to balance both roles going forward. Our research opens a window into how the pandemic changed the workplace and what working caregivers are concerned about in the coming year,” says Bryant.

As offices and other in-person workplaces begin to slowly re-open, many caregivers expressed concerns that they would bring the virus home to infect loved ones (63%) or contract COVID at work (53%). About three in five are worried about leaving the person they care for alone while they go to work. Among those who were able to work at home during the pandemic, almost nine in ten would like the option to continue doing so at least some of the time. And more than four in ten caregivers said they would consider looking for a new job if the benefits they were offered during the pandemic were rolled back.

AARP offers a range of free tools and resources to help employers retain working caregivers, including tip sheets, tool kits and online training for managers. The resources are available at www.aarp.org/employercaregivin

Dr. Michael FineThe pandemic of the unvaccinated

Don’t let your guard down, even if you’re vaccinated, warns Dr. Michael Fine, the former Rhode Island Director of the Department of Health. As the COVID-19 Delta variant cases spike across the nation, “it’s the pandemic of the unvaccinated,” he says. “Now 97% of the hospitalized are unvaccinated. As community transmission rises, it is more likely that vaccinated people will get infected and spread the virus,” he says.

Dr. Fine further responded to requests about how we should approach this latest wave of COVID in Rhode Island:

“For most vaccinated people, Covid-19 will be a mild disease,” says Fine.  For those with chronic disease like high blood pressure, diabetes, heart disease, COPD and cancer, one study from Israel suggests that the risk of hospitalization and death is equal to the unvaccinated,” he says.  

“As community transition rises, I’m expecting some hospitalizations and death in vaccinated people with chronic disease. That group would do well to self-isolate — to stay home and let others shop for them, until community transmission falls to less than 35/100,000/week. We are now a place with high transmission, about 140/100,000/week,” states Fine.

Fine urges businesses to require all employees working together to be vaccinated, wear masks and get weekly Polymerase Chain Reaction (PCR) tests for the COVID-19 virus.

Teleconferencing technology should replace onsite or outside meetings, he says.  

Working caregivers can be protected from bringing COVID-19 home by being vaccinated and should get two PCR tests a week, and limit contact with other people by avoiding shopping at stores or going to restaurants.

Red Bandana Fund Concert to be Walton’s Legacy

Published in Pawtucket Times, June 7, 2013

           Richard Walton, who died on Dec. 27, would have loved it.  Five months after his death one late Sunday afternoon, over 40 people including the musicians who had just played at The Red Bandana Fund Inaugural Concert (that was attended by hundreds), family members along with the organizers and volunteers of this fundraiser, gathered to drink beer and reminisce about Walton’s extraordinary life at his favorite Pawtucket hangout, Doherty’s East Avenue Irish Pub.

          People swapped favorite stories for hours, detailing how the late Walton “touched their lives,” noted one attendee, Richard Wahlberg, one of the organizers.  “Every one had such an interesting story to tell about Richard,” he stated, noting that the Warwick resident, known as a social activist, educator, humanitarian, very prolific writer, and a co-founder of Pawtucket’s Stone Soup Coffee House “had made everyone feel that they themselves had a very special, close relationship with him.” 

         Seeing so many of Walton’s friends at June 2nd concert, Wahlberg and other attending viewed the event as a “gathering of the clan” since the audience was really Walton’s extended Rhode Island family.    

 Walton’s Legacy of Supporting the Needy

         The idea to organize last weekend’s fundraiser concert to raise money to support the causes of the late Richard Walton and others like him who work to improve the human condition was literally kicked around a few days after Walton’s death by his daughter, Cathy Barnard, his son Richard and a few close friends, noted nationally-acclaimed children’s entertainer and storyteller, Bill Harley.   

          According to Harley, an annual fundraiser, supporting the newly formed Red Bandana Fund, would replace Walton’s annual birthday bash – usually held the first Sunday in June – to raise money for Amos House & the Providence-Niquinohomo Sister City Project and other progressive causes.  Over 24 years, Walton had raised large sums of money for these favorite charities, attracting hundreds of people each year including the state’s powerful political and media elite to celebrate his progressive causes at his family compound located at Pawtuxet Cove in Warwick. 

         Coming up with a name for Walton’s fundraiser that would ultimately be tied to his unique fashion sense and was the idea of her brother, Richard, states Barnard.  Her brother, like most people, had a vivid, visual image of his father, who had long white hair and beard, being known for wearing his trademark worn blue jean overalls, a red bandana and Stone Soup baseball cap.

          “When Dad’s closest friends came over to the house after his death they wanted one of his red bandanas to remember him,” Barnard remembered.

       “It was like a talisman to them,” stated Barnard, that became a great way to create the perfect moniker and recognition for an upcoming fundraiser.

          Barnard says that her father didn’t opt for a traditional burial, so there would be no monument of stone over his grave to remember him or a place for family and friends to visit.  His cremated remains were scattered the day before the Sunday fundraiser by his family and very close friends in his beloved garden and sent by paper boat from the inlet where his compound was located into Narragansett Bay.

         But, there is The Red Bandana Fund now, says Barnard, noting that “we cannot think of a more appropriate memorial.”  Over 300 people attended the inaugural Walton fundraiser, bringing in more than $12,000 from ticket sales, silent action and raffle.

          At this event, the first recipient of The Red Bandana Fund Award, Amos House, was chosen because of Walton’s very long relationship with the Providence-based nonprofit.  He was a founding board member, serving for over 30 years, being board chair for a number of years.  For almost three decades, the homeless advocate spent an overnight shift with the men who lived in the 90-Day Shelter Program each Thursday bringing them milk and cookies.  Each Friday morning he would make pancakes and eggs in the soup kitchen for hundreds of men and women who came to eat a hot meal.

 Putting the Pieces Together

         The organizers were gathered by Bill Harley on the advice of Richard’s family and those closest to him from the progressive community and organizations Richard was affiliated with.  In true Richard Walton fashion this was a largely self organizing group built on the complementary strengths of the members, noted Wahlberg.  Over five months, this group had planned all the organizational facets, from marketing, pre-selling tickets, booking Shea High School, recruiting volunteers for the day of the event, along with getting items donated to be sold at a silent auction and raffle.

         With the decision to host a fundraising concert, “it became incredibly painful to have to limit the list of who we would invite to play,” said Harley, noting that every one who knew Walton wanted to perform to pay tribute to him.

          As Rudy Cheeks, of Phillipe + Jorge’s Cool, Cool, World, would remark in his May 31st column, the two hour concert would be an amazing blend of folk and traditional music, a little bit of classical, along with singer-songwriting greats, all sharing the same stage for the evening.  They included: widely recognized singers and song writers, Bill Harley, Kate Katzberg, Atwater-Donnelly, Sally Rogers and Howie Bursen, Christina Tompson, accompanied by Cathy Clasper-Torch on fiddle and Marty Ballou on stand up bass.  Consuelo Sherba opened the concert by playing a short classical set.

        According to Harley, who served as the event’s musical director, internet files of the selected music (three songs for each performer) went back and forth between those chosen to play, to help them to quickly learn the music to be played at the upcoming concert.  He noted that each song had to have simple chord arrangements with words that the audience could easily remember. Most important, “these songs were chosen to reflect who Richard, the person was,” he said.  Amazingly, the musicians would gather just two hours before the performance to practice with each other.

 Those Who Knew Him

         At intermission, I caught up with Andy Smith, former music critic at the Providence Journal who now covers hard news for that daily paper.  He knew Walton for years covering Stone Soup Coffee House and sporadically attending his legendary birthday party over the years.  “No one could hang out in Rhode Island without knowing about Richard Walton,” he says.  That’s true.

         The Red Bandana Fund Inaugural Concert was a “very sweet, very nice chance for people who know Richard to come together and celebrate his life,” observed Smith, noting that “the best way to do this was through music.”  He would have had a good time if he were here today, says Smith, adding that  “May be he is here [in spirit].”

         Like many attendees, Jane Falvey, treasurer of Stone Soup Coffee House noted, that Walton touched many lives. “Like stones cast into a pond, the ripples form ever-widening circles that overlap, and so it was at the inaugural Red Bandana Concert – Richard’s many circles embracing each other in remembering and celebrating his wonderful life and the purpose he created in all of us,” she said.

        Also in attendance, Dr. Michael Fine, Director of Rhode Island’s Department of Health, who came with his wife, Carol, called Walton  his “old friend,”  giving him a unique descriptive nickname, the “Prince of Pay it Forward.”

         Dr. Fine believes that Walton understood the value of living in a democracy. “He taught us about this value and gave us examples of what we would have to do each and every day to keep it alive,” he said.  Walton also taught us how to take care of each other,” stated Dr. Fine. 

         Linde Rachel, a resident of Maureillas, France, and companion of Walton’s for 9 years who traveled with him throughout Europe, Africa and the Baltic States, sees an important message in the songs sung at last Sunday’s The Red Bandana Fundraiser.  “The songs were all about being part of a community, the one that he helped to create and was part of,” stated Rachel.   

         Days later, Barnard tells me that she is thrilled with the success of The Red Bandana Fund Inaugural Concert.  “We were amazed at the large turnout,” she says, noting that she even met people in person she had heard her father talk about over his long years.

         “We’re hoping that this will be just the beginning and not the end of it,” says Barnard, the beginning legacy of her father’s long-tradition of giving back to those in need.

       Her father would surely nod his head in agreement.

          For more information about donating to The Red Bandana Fund, go to http://www.soup.org/page1/RedBandana.html.

         Herb Weiss, LRI’12, is a writer who covers health care, aging, and medical issues.  He can be reached at hweissri@aol.com.

Tips on Finding an Age-Friendly Fitness Center

    Published on November 16, 2012, Pawtucket Times

           With the cold frigid weather approaching, that 30 minute daily walk around the block may well fall by the wayside in the winter months. While this activity is just what the doctor ordered to help keep you physically fit and feeling good, many aging baby boomers and seniors ‘look inward’ by turning to a local gym, by bringing their regular exercise indoors.

Seeking that Perfect Age-Friendly Fitness Center

            According to the Vancouver, British Columbia-based International Council on Active Aging (ICAA),aging baby boomers and seniors are joining health and wellness facilities faster than any other age group today, however many of these facilities are ill-prepared or not equipped to serve those in their later years.

While older “adult-focused” small gyms like ‘Nifty After Fifty’ are available, “even the large 24 Hour Fitness chains seek to attract older adults”, says Patricia Ryan, ICAA’s Vice-President of Education, noting that “over 70 percent of YMCAs had older adult programs according to a stat cited in ICAA Active Aging in America, Industry Outlook 2010.

Ryan recommends that when shopping around for a fitness center that caters to older baby boomers and seniors, always compare and contrast information gathered, using the following checklists, created by ICAA, to identify age-friendly fitness center.

            Become a savvy shopper when touring your local fitness center, by making sure it gears its amenities and organizational philosophies towards your needs – those age fifty-something and beyond.  ICAA, the world’s largest senior fitness association, has created a check list to help older persons to rate and compare local fitness facilities so they can choose one that meets their age-specific needs.

Some specific questions to consider can ultimately ensure that the center you choose meets your specific physical needs:

  1. Are the locker rooms clean, accessible and monitored by staff?
  2. Do you feel comfortable in the atmosphere of the facility?
  3. Are the membership contracts and marketing materials available in large print?
  4. Are signs visible and easy to understand?
  5. Does the facility’s cardiovascular equipment have the following age-friendly features – a display panel that is easy to read, easy to change and easy to understand?
  6. Is the music acceptable and set at a reasonable level?
  7. Do the facility’s treadmills start slowly, at 0.5 mph?
  8. Do the recumbent bikes or steppers have a wide and comfortable seat with armrests?
  9. Does the facility’s strength-building equipment have instructional placards that have simple diagrams, easy-to read text and font, and correct usage information.
  10. Does the facility’s strength-building equipment have a low starting resistance, less than five pounds?
  11. Does the facility offer programs designed to meet the needs of those with a variety of chronic conditions (specifically osteoporosis, cardiovascular, disease, diabetes, balance abnormalities, muscular weakness)?
  12.  Do the group exercise classes have different levels of intensity, duration and size?
  13.  Is there an extensive screening and assessment process (for balance, functional   abilities, osteoporosis)?’
  14.  Is the staff certified by a nationally recognized organization to work with people who have various health issues that may arise with age (specifically osteoporosis, hypertension, arthritis)?
  15. Is the staff knowledgeable about the impact that medication can have on exercise?

To download the complete checklist, visit the ICAA website,  www.icaa.cc/checklist.htm.

Getting Healthy, Building Closer Relationships   

It’s no secret to Maureen Wilcox, 45, of the need to cater to an aging population.  Wilcox,  a certified Personal Trainer at the Attleboro YMCA located across from the City’s Public Library on South Main Street in Attleboro, MA estimates that 30 percent of the nonprofit group’s membership is age 50 and over.  Many of these members are seeking advice on how to better manage or prevent age-related health concerns, the most common being: arthritis, high blood pressure, diabetes, cardiac health and obesity.

Wilcox notes that this large constituency finds value in the Attleboro YMCA’s wide variety of programs that are geared towards baby-boomers and seniors.  These programs include resistance and strength training, aqua classes, Zumba classes, chair exercises, yoga and Tai Chi. “These classes will help you to manage a healthy body weight, stimulate your immune system, increase strength, improve posture, increase your flexibility and balance and help prevent chronic illnesses”, she adds. 

             According to Wilcox, a fitness center can also be a place to build friendships among older persons.  “A supportive community can enhance camaraderie among the participants, keeping them motivated and committed to meeting their exercise goals,” she says, adding that commitment to an exercise regime may well be more important than pushing weights around..

Over the years working, Wilcox has seen many new members in their later years forge new friendships at the Attleboro YMCA.  “Seeing people regularly allows them to develop meaningful relationships where they ultimately become an extended family,” she says.

“Relationships developed by participating in exercise classes also builds a small community among the senior age group members,” Wilcox notes, adding that they often participate in social trips and group outings outside of the Attleboro YMCA.  She notes, some seniors while exercising on their stationary bikes, read a big print book, To Kill Mocking Bird, adding health and wellness to an already established community literacy initiative.

Finally, in addition to personal training, various group exercise classes, including a running club,  LIVESTRONG is also offered at the Attleboro YMCA, says Wilcox.  It’s a free 12-week personal training program that provides a place where cancer survivors can come together.   Along with specially-trained staff to safely work in small groups,  participating members receive one-to-one attention while working toward maintaining or regaining their independence, everyday fitness, and overall health & wellness.  These participants share a bond that only cancer survivors can relate to.  “This is an inspirational program and one which we are all proud to be a part of,” prides Wilcox.

Getting to the Bottom Line

             Outdoor walking or the gym? That depends on personal preference and time availability.  “Brisk walking is beneficial, emphasizing ‘brisk,’ “says ICAA’s Ryan. “Faster walking to increase intensity has been reported in several studies in ICAA Research Review, to enhance your health, rather than the frequency,” she noted.

In addition, Ryan adds that scheduled classes in a fitness center help a person plan physical activity into their days and there should be equipment and classes for variety. There is expertise available in many (but not all) cases, especially in gyms targeting older adults and medically integrated fitness centers, a.k.a hospital wellness programs. There is recognition among most fitness clubs that older adults are not only a huge population to attract, but also a very good customer because of expendable income, she says.

“Exercise plays a vital role in healthy aging,” says Michael Fine, MD, Director of the Rhode Island Department of Health.  “Regular exercise is an important weapon in the battle against chronic diseases, such as heart disease and diabetes.  Exercise also helps us maintain flexibility, balance and mobility.  It isn’t necessary to join a gym or buy expensive equipment; a brisk walk around the block is a great place to start if you’ve been sedentary. The key is to find an activity you enjoy and to make time for it each day.”

Ryan strongly agrees with Dr. Fine. “The most important message for those late in life is to MOVE, and to add physical activity into each day.  Physical activity is the magic pill. Whether walking, raking and hauling leaves, playing soccer or even going to a fitness club, it’s the right thing to do for healthy aging.

Herb Weiss, LRI ’12,  is a Pawtucket-free lance writer who covers aging, medical and health care issues.  He can be reached at hweissri@aol.com.