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Alice H. Randolph, Ed.D. MSCP
alicerandolph@psychtransitions.com

  Ohio Psychological Association
        October 27, 2011
Reflective Time

Clinical Considerations
  – Working with Retirees and ATRs
You can stay for this session if you
    remember at least 50% of these!


Howdy Doody

Blackjack chewing gum

Wax Coke-shaped bottles with colored sugar water

Soda pop machines that dispensed bottles

Coffee shops with tableside jukeboxes

Home milk delivery in glass bottles with cardboard stoppers

Party lines


And…
45 RPM records

 S&H Green Stamps

 Hi-fi's

 Metal ice trays with levers

 Mimeograph paper

 Blue flashbulbs

 Roller skate keys

 Studebakers

 Wash tub wringers

Telephone numbers with a word prefix   (Olive – 6933)
The Top Eight
The top ways to improve your chances of
enjoying your last developmental stage.
  – Purpose
  – Family/Like family
  – Mental Health
  – Physical Health/Chronic Conditions
  – The Talk
  – The Change
  – Humor
Jane Loevinger
• Independence Stage
• Autonomous Stage
• Integrated Stage
Erik Erickson
•   Identity vs. Role Confusion
•   Intimacy vs. Isolation
•   Generativity vs. Self Absorption
•   Integrity vs Despair
M. Scott Peck
•   Value Wisdom, Socializing
•   Mental Flexibility
•   Ego Differentiation from Work
•   Ego Transcendence
Stephen Jay Gould
•   Desire to leave parents
•   Leaving family
•   Developing Independence
•   Questioning self; role confusion
•   Urgency to attain life goals
•   Acceptance of one's fate
•   Tolerant acceptance of past
Lawrence Kohlberg
• Duty to Society
• Focus on authority, fixed rules, and social order.
  Respect is earned through adherence to duty
• "Social Contract Orientation"
• Emphasis upon procedural (legal) rules for reaching
  consensus. Awareness of the relativism of personal
  values.
• "Ethical Principles Orientation"
• Emphasis on decisions of conscience and self-
  chosen, abstract principles that are
  logical, comprehensive, universal and consistent.
Purpose

What do you want to accomplish? Feel?
 Experience? Who will I be?
  – Existential
  – Spirituality
  – Passion
  – Planful
     • Talk to retired friends
  – Be wary of expectations.
Satisfaction Exercise
Retiree Roles
Dr. Nancy K. Schlossberg
        APA 2005
Retiree Roles
Searcher
  Explorer trial and error.

Continuer
   Existing skills and interests.
Retiree Roles
Easy Glider
  Enjoy unscheduled time and let each day
  unfold.

Adventurer
  New endeavors.
Retiree Roles



Involved Spectator
       Care deeply but engage in less active ways.

Retreaters
      Time out or disengaged.
Family/Like Family
The best predictor of future is past.
Need for socialization and connection.
Living together? Make a plan.

Different stages
   Partners retire at different times.
   Adult children - life stages.
Family/Like Family
• Grandchildren are God’s gift for not killing
  your children.

• Traditions.
• Passing the torch.
Mental Health
  Shoemaker
Retirement: Ultimate Disappointment
• Someone over 65 commits suicide every 90
  minutes; 16 per day. Rate is 2 -3 times higher
  than younger persons.
Stress

• Psychological Aspects of Retirement
  – 464,000 results
• Holmes and Rahe Stressor - 45 out of 100
• Loss Loss Loss
• Revise Coping Stategies
Physical Health
•   Pro health behaviors
•   Diet
•   Exercise
•   Sleep
•   Pacing
Physical Health

• Chronic illnesses
The Talk
• If you need to have it it is probably too late.
Who Does What When
• Autonomy
• Dignity of Risk
• Parameters of Tolerance Safety
  – Driving
  – Falls
  – Memory
Difficult Conversations
Blended Families
Money
Surviving Spouses
Life Style
Resolving Disagreements
Role Reversal???
Health Care Directives
• Can be with any witness
• Forms available on line
  – Ohio Legal Rights Services
  – www.olrs.ohio.gov
DNR
Do not resuscitate. Not to have cardiopulmonary
resuscitation in the event the heart or breathing
stops.
Full Code
•   Stop at nothing
•   Electric paddles
•   Throat intubation
•   Feeding tubes
•   Ventilators
•   Do not unplug
DNRCC
• ONLY COMFORT CARE BE ADMINISTERED
  BEFORE DURING AND AFTER THE TIME A
  PERSON’S HEART OR BREATHING STOPS
DNRCC
• Do not touch e if my heart or breathing stops
• Hydration
• Oxygen through nasal cannula
DNRCCA
• DO NOT RESUSCITATE ARREST
• PERMITS THE USE OF LIFE SAVING MEASURES
  SUCH A BLOOD PRESSURE MEDS BEFORE A
  PERSON’S HEART OR BREATHING STOPS BUT
  ONLY COMFORT CARE AFTER HEART OR
  BREATHING STOPS.
DNRCCA
•   Use CPR but not paddles, vent or tubes.
•   Use
•   Medications
•   Oxygen masks
•   Hydration
The Talk
Be nice to the kids. They are ones who will
select your nursing home.
Fun and Humor
If you don’t learn to laugh at your troubles you
won’t have anything to laugh about when you
are old.

Growing old is mandatory growing up is
optional.
I forget what I forgot!
• Three sisters ages 92, 94 and 96 live in a house together.
• One night the 96 year old draws a bath. She puts her foot in
  and pauses. She yells to the other sisters, "Was I getting in
  or out of the bath?"
• The 94 year old yells back, "I don't know. I'll come up and
  see." She starts up the stairs and pauses. "Was I going up
  the stairs or down?"
• The 92 year old is sitting at the kitchen table listening to her
  sisters. She shakes her head and says, "I sure hope I never
  get that forgetful." She knocks on wood for good measure.
  She then yells, "I'll come up and help both of you as soon as
  I see who's at the door."
Do Not Ignore the Previous Seven

           Aging seems to be the
           only available way to live
           a long life.


            Thank you for attending.

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Planning for Retirement

  • 1.
  • 2. Alice H. Randolph, Ed.D. MSCP alicerandolph@psychtransitions.com Ohio Psychological Association October 27, 2011
  • 3. Reflective Time Clinical Considerations – Working with Retirees and ATRs
  • 4. You can stay for this session if you remember at least 50% of these! 
 Howdy Doody 
Blackjack chewing gum 
Wax Coke-shaped bottles with colored sugar water Soda pop machines that dispensed bottles 
Coffee shops with tableside jukeboxes 
Home milk delivery in glass bottles with cardboard stoppers 
Party lines 

  • 5. And… 45 RPM records 
 S&H Green Stamps 
 Hi-fi's 
 Metal ice trays with levers 
 Mimeograph paper 
 Blue flashbulbs 
 Roller skate keys 
 Studebakers 
 Wash tub wringers 
Telephone numbers with a word prefix (Olive – 6933)
  • 6. The Top Eight The top ways to improve your chances of enjoying your last developmental stage. – Purpose – Family/Like family – Mental Health – Physical Health/Chronic Conditions – The Talk – The Change – Humor
  • 7. Jane Loevinger • Independence Stage • Autonomous Stage • Integrated Stage
  • 8. Erik Erickson • Identity vs. Role Confusion • Intimacy vs. Isolation • Generativity vs. Self Absorption • Integrity vs Despair
  • 9. M. Scott Peck • Value Wisdom, Socializing • Mental Flexibility • Ego Differentiation from Work • Ego Transcendence
  • 10. Stephen Jay Gould • Desire to leave parents • Leaving family • Developing Independence • Questioning self; role confusion • Urgency to attain life goals • Acceptance of one's fate • Tolerant acceptance of past
  • 11. Lawrence Kohlberg • Duty to Society • Focus on authority, fixed rules, and social order. Respect is earned through adherence to duty • "Social Contract Orientation" • Emphasis upon procedural (legal) rules for reaching consensus. Awareness of the relativism of personal values. • "Ethical Principles Orientation" • Emphasis on decisions of conscience and self- chosen, abstract principles that are logical, comprehensive, universal and consistent.
  • 12. Purpose What do you want to accomplish? Feel? Experience? Who will I be? – Existential – Spirituality – Passion – Planful • Talk to retired friends – Be wary of expectations.
  • 14. Retiree Roles Dr. Nancy K. Schlossberg APA 2005
  • 15. Retiree Roles Searcher Explorer trial and error. Continuer Existing skills and interests.
  • 16. Retiree Roles Easy Glider Enjoy unscheduled time and let each day unfold. Adventurer New endeavors.
  • 17. Retiree Roles Involved Spectator Care deeply but engage in less active ways. Retreaters Time out or disengaged.
  • 18. Family/Like Family The best predictor of future is past. Need for socialization and connection. Living together? Make a plan. Different stages Partners retire at different times. Adult children - life stages.
  • 19. Family/Like Family • Grandchildren are God’s gift for not killing your children. • Traditions. • Passing the torch.
  • 20. Mental Health Shoemaker
  • 21. Retirement: Ultimate Disappointment • Someone over 65 commits suicide every 90 minutes; 16 per day. Rate is 2 -3 times higher than younger persons.
  • 22. Stress • Psychological Aspects of Retirement – 464,000 results • Holmes and Rahe Stressor - 45 out of 100 • Loss Loss Loss • Revise Coping Stategies
  • 23. Physical Health • Pro health behaviors • Diet • Exercise • Sleep • Pacing
  • 25. The Talk • If you need to have it it is probably too late.
  • 26.
  • 27. Who Does What When • Autonomy • Dignity of Risk • Parameters of Tolerance Safety – Driving – Falls – Memory
  • 28. Difficult Conversations Blended Families Money Surviving Spouses Life Style Resolving Disagreements Role Reversal???
  • 29. Health Care Directives • Can be with any witness • Forms available on line – Ohio Legal Rights Services – www.olrs.ohio.gov
  • 30. DNR Do not resuscitate. Not to have cardiopulmonary resuscitation in the event the heart or breathing stops.
  • 31. Full Code • Stop at nothing • Electric paddles • Throat intubation • Feeding tubes • Ventilators • Do not unplug
  • 32. DNRCC • ONLY COMFORT CARE BE ADMINISTERED BEFORE DURING AND AFTER THE TIME A PERSON’S HEART OR BREATHING STOPS
  • 33. DNRCC • Do not touch e if my heart or breathing stops • Hydration • Oxygen through nasal cannula
  • 34. DNRCCA • DO NOT RESUSCITATE ARREST • PERMITS THE USE OF LIFE SAVING MEASURES SUCH A BLOOD PRESSURE MEDS BEFORE A PERSON’S HEART OR BREATHING STOPS BUT ONLY COMFORT CARE AFTER HEART OR BREATHING STOPS.
  • 35. DNRCCA • Use CPR but not paddles, vent or tubes. • Use • Medications • Oxygen masks • Hydration
  • 36. The Talk Be nice to the kids. They are ones who will select your nursing home.
  • 37. Fun and Humor If you don’t learn to laugh at your troubles you won’t have anything to laugh about when you are old. Growing old is mandatory growing up is optional.
  • 38. I forget what I forgot! • Three sisters ages 92, 94 and 96 live in a house together. • One night the 96 year old draws a bath. She puts her foot in and pauses. She yells to the other sisters, "Was I getting in or out of the bath?" • The 94 year old yells back, "I don't know. I'll come up and see." She starts up the stairs and pauses. "Was I going up the stairs or down?" • The 92 year old is sitting at the kitchen table listening to her sisters. She shakes her head and says, "I sure hope I never get that forgetful." She knocks on wood for good measure. She then yells, "I'll come up and help both of you as soon as I see who's at the door."
  • 39. Do Not Ignore the Previous Seven Aging seems to be the only available way to live a long life. Thank you for attending.

Notas del editor

  1. I am going to pose questionsYou are going to answer these over timeMy section is personal and this really is personal
  2. An elderly man in Phoenix called his son in New York and said, "I hate to ruin your day, but I have to tell you that your mother and I are divorcing; forty-five years of misery is enough.""Pop, what are you talking about?" the son screamed."We can't stand the sight of each other any longer," the old man said. "We're sick of each other, and I'm sick of talking about this, so you call your sister in Chicago and tell her," and he hung up.Frantic, the son calls his sister, who explodes on the phone. "Like heck they're getting divorced," she shouted, "I'll take care of this."She called Phoenix immediately, and screamed at the old man, "You are NOT getting divorced. Don't do a single thing until I get there. I'm calling my brother back, and we'll both be there tomorrow. Until then, don't do a thing, DO YOU HEAR ME?" and hung up.The old man hung up his phone and turned to his wife. "Okay," he said, "they're coming for Thanksgiving and paying their own fares.
  3. Issues and challenges do not stop with retirement. Do what worked.