There is age discrimination in the workplace. But an astonishing one-third to one-quarter of all people go back to work at least for some time after they have formally retired. Most of them take jobs in their previous fields. But some find fulfillment in a completely new occupation or in one they may have been trained for but have hardly worked in at all.
Not all companies practice age discrimination; some even give preference to older workers or retirees. At a recent job fair for older people sponsored by the New York City Department for the Aging, this was evident. The seventy-five exhibitors-banks, retail stores, publishers, and practically every service industry – were spending time and money to seek out people over sixty. Some of our nation’s largest, most highly respected corporations have the reputation of looking favorably on hiring older people – Atlantic Richfield, IBM, AT&T, American Express, Burger King, McDonald’s, General Electric, Polaroid, and every major insurance company.
This is not to say that finding a satisfying paying job after retirement is easy. It can take a good deal of searching, and it may mean making compromises. Decide which compromises are tolerable and which are unacceptable. Luckily, at this time of life you may have less rigid requirements for a job than you had at twenty-five.
If, like many retirees who want to return to work, you would prefer a part-time job, the first place to consider is your former company. Ask if you can return as a consultant or work during the busy season when your firm needs extra hands. Being a known quantity, you are likely to have an edge in being hired. Your employer will not have the headache of training you, and you will not have the trauma of adjusting to a new place. (This advice applies only if you were happy there!)
Or consider going into your former field on a smaller scale. If you had an antique shop, could you sell antiques out of a room in your home? Perhaps you could rent part of a warehouse to store your products. If you were an executive secretary, could you free-lance? Call some small neighborhood businesses and tell them you are available to do typing at home. Argue your virtues with their pocketbook in mind: ‘ ‘Wouldn’t it be wonderful to hire someone with years of experience who could also save your company money by working out of her home?”
If neither returning to your old company nor becoming self-employed is feasible, you must muster the courage to tackle a job search. Job specialists at the New York City Department for the Aging advise concentrating your efforts on these two fronts: combing the want ads and telling everyone you are looking for work. In their experience, these avenues are more productive than visiting employment agencies. Another approach they find surprisingly effective is to call places “cold.” If you want a job as a legal secretary, look up lawyers in the Yellow Pages. Start with Aardvark and Jones and work your way down. Try to bypass personnel departments – ask for Mr. Aardvark himself. (The worst that can happen is they tell you he died in 1945.) Expect rebuffs, and forge ahead. Spend time. “Finding a job is a job itself” applies doubly today.
Use a schedule to organize yourself. Consider yourself self-employed in the occupation “job searcher.” Schedule your day in the same way you would if you were genuinely self-employed: “From 9:00 to 11:00 A.M. each day, I’ll look through the want ads and call prospects. I must visit five agencies within the next three weeks.” “There are four people I think may be helpful. My deadline for calling them is April 1.”
Use a similar strategy when you “network,” or ask people you know for help. Instead of saying, “Do me a favor – I need work desperately,” and then waiting by the phone, give the person a deadline: “I would appreciate your telling Mr. Jones about me. I’ll call you back on Friday to find out what he says.” If people know you will be calling them again by a certain date, they are more likely to follow through.
Search intelligently, taking your “maturity” into account. Concentrate on industries and companies that are age friendly. Your state labor department may have a “mature worker,” unit with these listings. Or find out if your area has a private agency that specializes in placing older employees. Your local office for the aging may operate an employment service, offering workshops in job-finding skills as well as training and placement services. (Unfortunately, these services are often restricted to low-income elderly.) Your local library, churches, or YMCA may also offer job counseling. Community colleges are another good source. Their career counseling centers are sometimes open to anyone in the community, not just students.
If you have sought out an employer who is looking for a ”mature worker,” the age issue is not there. Generally, however, you will not be interviewing for a position that is preselected in this way.
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GENERAL HEALTH
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Courses in painting or writing or drama are easy to find. However, here too distinct advantages arise from searching out a program specifically for older people. By aligning yourself with an older artists’ group, you become a valued commodity. What your group does may be more in demand than if you joined an age-integrated group. If you want to translate what you learn into a second vocation – to exhibit, publish, or perform your work – unexpected doors can open when you capitalize on your creativity and your age.
For instance, at the Jewish Association for Services for the Aged, a philanthropic organization serving older people in the New York area, drama specialists Howard Phlanzer and Susan Miller formed an older adults’ theater ensemble by recruiting members from the organization’s network of affiliated senior citizens’ groups. Some members who passed the audition were in their late eighties. Many had had to abandon a lifelong interest in drama during their working careers. With the help of a historian from Columbia University, the group members wrote a theater piece about their personal experiences – what it was like to be children of immigrants growing up in New York at the turn of the century. Their play aroused the interest of people at the Jewish Museum of the City of New York, and they staged it there to high praise.
Some of the people in this group had attended drama classes at area universities but found they did not offer enough chance to meet people or to perform. Being labeled older gives this group and the many other artistic groups specifically for people over sixty, special opportunities for public access.
Programs to help, encourage and train older artists dot the country. To find out what is offered in your community, call or write the state arts council in your state. State arts councils have information about all arts activities including those specifically for people over sixty. And that marvelous general resource – your local office for the aging – should be able to offer you information in this area too.
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GENERAL HEALTH
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Here are some reasons why parents and children often find themselves involved in a struggle about sleep:

1. Resisting going to bed and waking during the night are so common in the toddler and preschool age groups that they should be considered perfectly normal developmental behaviours.

2. One of the developmental tasks of the toddler is to engage in a power struggle with his parents. This includes struggles around bedtime and sleep habits. Toddlers seem to be constantly engaged in testing the limits, in pressing parents’ buttons.

3. All parents are more vulnerable in the middle of the night, so the best laid plans inevitably come unstuck. What seems a perfectly reasonable strategy when discussed during the day doesn’t seem nearly so practical in the middle of the night. Many parents take the easy option. Rather than fight with their tough, indefatigable toddler, they find it is easier to give in and let him get into their bed. One can always start the plan the next night.

4. There is very often disagreement between the parents about the best way to handle the problem, and a lot of blaming as well. Any management strategy for sleep problems has no chance of success until both parents agree that there is a problem, that now is the time to do something about it, and that the strategy they agree on initially needs to be implemented with equal commitment by both of them. Many professionals insist on seeing both parents when working out a management plan for sleep problems and other behaviour problems.

is a reflection of their competence as parents — ‘If I were a good parent, then my child would not have sleep problems’. One of the essential first tasks is to understand that this is simply not so. In any struggle with a toddler, the toddler will always win unless the parents have a consistent strategy. Winning strategies are surprisingly easy to learn — many parents initially think them too simple to have any chance to be effective — but they are more difficult to implement. This is discussed also in the section on management of behaviour problems.

Some of the techniques described below may seem drastic or even cruel. Parents should be reassured that they have been used successfully all over the world with countless youngsters with no untoward effects. Some parents who initially seek help decide not to persist with these suggestions once they know the details, either because they feel they are too harsh, or because they do not want to put in the time and effort and especially the persistence that are essential for the strategy to work, or because they decide that the sleep problems are not such a great problem after all. The strategies suggested here may not be needed for a child who has occasional sleep problems. In these instances the parents may be happy to tolerate some inconvenience. They are particularly relevant for problems that are severe and longstanding, and where parents really do want to put a stop to them.

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Sandra

It was Sandra’s first meditation lesson. She was feeling apprehensive. She glanced around the room and wondered if other people were feeling the same way. She closed her eyes and began to practise the meditation technique she had chosen. At first she felt self-conscious and wanted to laugh out loud. She couldn’t understand how this would help her with her anxiety and attacks. Gradually Sandra became aware of a gentle heaviness slowly moving through her body. A wave of fear went through her, but she allowed it to pass without resisting it. She felt herself drifting into deeper and deeper levels of relaxation. The voice of Sandra’s instructor, ending the meditation session, broke into the silent depths of her meditation. Slowly Sandra opened her eyes. She had done it! She was able to meditate.

Philip

Deciding to find time to meditate can be a problem for many people, of whom Philip was one. Philip had been practising meditation on and off for several months. He had become aware that he always had a bad day if he didn’t meditate the night before, but wished there was an easier way to control his anxiety. He ‘didn’t have time’ and it was such an effort to try to make time. He felt he would just have to put up with the anxiety until a ‘real’ cure was found.

Joanne

Some people experience symptoms similar to those of panic attacks in meditation. Joanne did, while she was in the deeper stages of meditation. Instead of reacting with fear, Joanne was able to let them happen and they went as quickly as they came. This gave Joanne the courage to let them happen during the day, when she wasn’t meditating. Again, they went as quickly as they came. Joanne had found the key to her recovery.

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Difficulty Sleeping Alone

To avoid a big chase, we just lie down with him until he falls asleep.

There are degrees of parental involvement in the bedtime process, becomes a problem when it takes too much time or the parent begins to f© burdened or manipulated. It also becomes a problem when a parent involvement, or lack of involvement (for whatever reason), keeps the child from getting to, or back to, sleep. This can be an unexpected culprit in frequent waking—when he needs something from his parent in order to go back to sleep?

Unusual Sleep Cycles

She is just not ready to go to sleep—but we are!

Sleep patterns follow an internal set of rhythms. When they are skewed early, or late, or are extremely irregular, it becomes a problem because the child does not mesh with the family routine. Very often a problem at one end of the day begins to affect the other end or the remainder of the day. When a child apparent sleep needs (much more, or much less) are different from her parents it can also cause a problem.

Nightmares and Sleep Terrors

He wakes up screaming and really seems terrified.

Nightmares and sleep terrors are often confused because the incidents ca look so similar. The child “wakes” with confusion and fear once or several times a night. However, there are definite differences between a nightmare and a sleep terror. Recognizing them is crucial because the best response is very different for each.

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Diarrhoea means passing loose motions often and usually with urgency—in other words, you can’t wait long once you get the urge to open your bowels.

Possible causes include infections, radiation treatment to the bowel, and some drugs—antibiotics, chemotherapy drugs, or overuse of laxatives. Diarrhoea can also be due to what we call malabsorption—here the bowel can’t absorb certain substances into the blood from inside it. The diarrhoea of malabsorption often consists of large, pale, soft motions which contain a lot of fat. This makes them float and therefore hard to flush away. Causes of malabsorption include diseases (including cancer) of the liver, pancreas or small bowel, blockage of the tubes running from the liver or pancreas into the bowel and surgical removal of parts of the small bowel. Nervous tension can also cause diarrhoea, or aggravate it, whatever its original cause.

If your diarrhoea is due to infection, this should be treated. If it is due to radiation, your course of treatment could be adjusted— talk to your doctor about this. If your diarrhoea is due to chemotherapy drugs, you could consider reducing the dose or even cutting out the responsible drug altogether.

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Gout is a recurrent disease but it may be months or years between each bout.

The diagnosis is usually straightforward in the middle-aged male but may be missed in a woman or in a young man, particularly if some other joint is involved. Usually the level of uric acid in the blood will be high. X-rays may not show any changes in the early stages.

Aspiration of the joint by inserting a needle and withdrawing fluid for examination may reveal the true diagnosis. The crystals of urate can be seen and identified.

This procedure may be necessary to distinguish gout from other conditions where crystals are laid down in joints and cause an acute arthritis.

If untreated, gout attacks may become more frequent. But the concern is for the long-term complications — urate crystals laid down as tophi may disrupt the joints and lead to deformity; kidney damage may occur and lead eventually to failure.

High blood pressure and hardening of the arteries are both associated with the kidney changes.

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Whether the ovaries should be removed at the same time is still a debatable issue.

Some surgeons leave them, believing that normal organs should not be removed. Others remove them, believing that their function ceases following hysterectomy, and leaving them may allow disease, such as cancer or cysts to develop, thus requiring a further operation.

Many surgeons remove one ovary, thus halving the risk of developing cancer and leave the other to go on producing oestrogen so as to make the artificial menopause smoother. In women past the menopause, there is no hesitation about removing both ovaries.

Cancer of the body of the womb, cancer of the neck of the womb or cervix, non-cancerous tumors like fibroids, severe infection and severe bleeding are the usual reasons for operation.

With modern surgical techniques and anaesthesia, this operation is now safe.

Unfortunately nearly 50 per cent of those who have the uterus removed suffer from the post operative side-effects. These are mostly depression or interference in sexual function. Most of these side-effects are preventable.

Sometimes the operation is carried out for symptoms which are due more to nervous factors than to pathology or disease in the uterus. Of course, the operation doesn’t cure these symptoms, but only adds a few more.

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Australian scientists were the first in the world to apply the concept of the glycaemic index to sport and exercise. Canadian scientists invented the G.I. Approach to help classify carbohydrates but Australian researchers could see that what they were doing had important implications for sporting performance. The rest of the world is still catching up. Manipulating the G.I. of the diet can give you the winning edge—whether you are one of the elite or a weekend warrior.

Misconceptions about carbohydrates. In the past we were taught that simple carbohydrates (sugars) were digested and absorbed rapidly while complex carbohydrates (starches) were digested slowly. We assumed (completely incorrectly) that simple carbohydrates gave the most rapid rises in blood sugar while complex carbohydrates produced gradual rises. Unfortunately, these assumptions had no factual or scientific basis. They were based on structural considerations, smaller molecules, like sugars, being thought to be easier to digest than larger ones, like starches. Even though incorrect, the logical nature of these assumptions meant that they were rarely ever questioned.

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The controversy about the influences of nature versus nurture has been going on for centuries. The last 20 years of the 20th century have seen tremendous advances in molecular sciences, which have enabled a greater appreciation of the importance of genetics in many areas of human biology. The human-genome project, which commenced in the 1980s, plans to map all human genes (a directory that will provide genetic ‘addresses’ equivalent to about eight major city phone books) by the year 2010. In the end, it is likely that what will be proven is what we have always known, that parents are responsible for a lot, including the degree of body fatness in their children. On the other hand, genetic influences do not necessarily imply predetermination. The influence of a genotype (the genetic ‘blueprint’) which favours obesity will only be translated into the phenotype (the manifest characteristics of the genotype of an obese person) under certain conditions. Unlike having blue eyes or fair hair, the genetic expression of fatness is only manifest given the right conditions. In other words, an environment which favours energy surplus is virtually a prerequisite for the obesity genes to show themselves.

The studies of genotype and body fat are usually based on comparisons of body size in families and some of the most informative studies involve twins. Identical twins share 100 per cent of their genes, whereas non identical twins only share 50 per cent of their genes. By comparing the similarities in body size between the two types of twins, an estimate of the genetic contribution can be made. Three major twin studies carried out in the late 1980s showed some startling findings, in particular, amazing similarities in body fatness and body shape in identical twins who had been reared apart since birth, some never even having met! In general, genes explain about 25-40 per cent of the variation in body fatness, although it has to be remembered that these estimates are based on people living in fairly similar environments.

Some of the most significant research in this area has come from Professor Claude Bouchard and his group at Laval University in Quebec. Their experiments are carried out with pairs of twins who are kept in comfortable holiday-type accommodation for months at a time, and compare responses to various eating and exercise regimes. Their findings confirm that there is a wide range of responses to identical environmental influences and that the degree of response (such as the degree of weight gained for a given calorie excess) is largely genetically determined.

Genetic influences are unlikely to be the result of a single ‘fat gene’. Genes probably influence all aspects of energy balance including food preferences, nutrient digestion and processing, fat burning and storage and physical activity levels. In fact, to the mid-1990s, a total of 24 genes had been specifically identified as related to some aspect of obesity, but scientists believe several hundreds more are likely to be involved.

One key factor which appears to be at least partly inherited, for example, is food preference. Researchers at the University of Cincinnati examined preferences for 17 different types of foods ranging from fruit to snacks, chips and hamburgers. Comparisons were made between young (9-18-year-old) identical and non-identical twins living together. Frequency of eating and preferences for different foods were rated on a series of scales which indicated that genetic factors (e.g. in identical twins) do, indeed, appear to account for certain food preferences. The main heritable factor in preference appears to be sensitivity to, and preference for, bitter compounds in foods. Preferences for orange juice, broccoli, cottage cheese, chicken, sweetened cereal and hamburgers, for example, all appear to have a hereditary component.

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