аЯрЁБс>ўџ 68ўџџџ7џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС#` №ПbjbjmЅmЅ .ЯЯ џџџџџџЄЄЄЄЄЄЄЄИ€ € € € Œ Иу ЖЌ Ќ Ќ Ќ Ќ Ќ Ќ Ќ b d d d d d d $™hŒˆ ЄŽ Ќ Ќ Ž Ž ˆ ЄЄЌ Ќ  " " " Ž ЄЌ ЄЌ b " Ž b " " ЄЄ" Ќ   0f<šaэЩ€ Є F" > $Г 0у " ъ "" Є" Ќ ЎZ |" ж d: TЌ Ќ Ќ ˆ ˆ Ќ Ќ Ќ у Ž Ž Ž Ž ИИИФ|ИИИ|ИИИЄЄЄЄЄЄџџџџ Caring for Our Aging Survivor Parents Prague, 2009 Children of Holocaust survivors face numerous challenges as we help our parents age with grace and dignity. As we age we all confront physical, psychological and financial changes. For our parents, these changes are profoundly impacted by their experiences in the Holocaust. Survivors often have medical conditions that began during WWII. Injuries and illnesses from those years can haunt survivors today. In the US we do not have universal health care and since most survivors have multiple pre-existing medical conditions, they are denied long term health insurance even if they can afford to pay the high premiums. Diseases of age, such as dementia, are experienced in a qualitatively different way by survivors than by other people. Many survivors show signs of Post-Traumatic Stress Disorder (PTSD) which can include flashbacks, nightmares, etc. Other disorders include: depression, guilt, paranoia, separation anxiety, painful memories, etc. Unfortunately, there are very few programs that help the survivors with their unique emotional issues of loss, loneliness, anxiety, and depression. What happens if short term memory goes? Long-term memory often brings survivors back to the war years so they must relive the horrors again and again. With loss of memory comes loss of language. The last language learned is the first one lost and for American survivors that can mean parents and children no longer share a common language. It is extremely difficult to find health care workers who can speak to our parents in the European languages of their childhoods. We also must educate health care workers about the special sensitivities of survivors, such as why dogs, uniforms, confinement or loud noises generate anxiety. For my generation the size of the US can be a problem: some of us are caring for parents who live far away, even traveling cross-country regularly to supervise their parents’ care. There are some experiences that are unique to survivors in America: there is no uniformity of care in all 50 states. For example, Florida provides the lowest amount of state funding for home and community based services of all the states with significant survivor populations and there are long waiting lists for limited resources. Many social service programs that are available in other states do not exist in Florida. [additional information being collected] Home health care is crucial! Survivors lost their homes, freedom and independence during the war. Losing these again is unthinkable so most prefer to age at home and view institutionalization as a death sentence. The good news is that home health care is less costly than institutionalized care. The bad news is that it is very expensive and can cost thousands of dollars a month. Which brings us to financial concerns: while we have lost many survivors, there are survivors who are living into their 80’s and 90’s and have lived beyond their savings. [additional information being collected] We must be creative in finding solutions to these challenges. The goal is to develop a treatment and care plan for all survivors in need and maintain them, to the extent possible, in their homes with adequate help and financial support. Note: a few recommendations being considered…. 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