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© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
The ‘Sandwich
Generation’
as Caregivers
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
What is the ‘Sandwich
Generation’?
•Supporting ‘late bloomer’ children not
totally out of the nest and/or helping with
grandchildren: time, care, money
•Yet still in the role of children for their
parents who are beginning to struggle
physically, emotionally, and mentally
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
In General, Who is in the
‘Sandwich Generation’?
People born between 1946 and 1964
The Post-WWII kids
The Pre-Vietnam War kids
The largest number of babies ever born in US
The first majority ‘town’ generation
76 million strong!!!
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Who is in the ‘Sandwich
Generation’?
• Roughly 54-73 years old
• Used to having their own ‘private’ home
• Used to working outside the home
• Finished or finishing raising their kids
• May be new grandparents
• Still have at least one parent alive
• Planning to retire and enjoy life
• In better health than previous generations
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This Group Compared to
Other Generations:
• Has a history of more problems with money
management and time management
• Has been more mobile and flexible: less
stable in family, work, and living locations
• Spiritually changed: ¼ less connected, ½ as
connected, ¼ more connected to a new
group
• Less experience and contact with death: less
talking about it, not ready for it, deny it
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Two Groups in the ‘Sandwich
Generation’:There are two distinct groups
•Low socio-economic with less education
•Higher socio-economic with higher education
Both groups are having problems
Both groups are more challenged than
ever before
Both groups are feeling the squeeze
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Comparing the Two Groups:High Educational Group
• Expects care to be
delivered in the person’s
home or in a facility
• Expects to have $$$ help
with care programs or
government sources
• Expects to have options
in where and how care
will be delivered
• Has limited time for
caregiving and managing
care
Low Educational Group
• Expects to care for the
person at home
• Expects there to be
government help
• Expects other family
members to help
• Has more medical
conditions and problems
themselves
• Has limited time for
caregiving and managing
care
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So What is Happening?
• Options for care tend to be limited and
frequently do not match the majority of
expectations or needs
• The cost is much more than anticipated
• The funding sources are limited
• The care receivers do not have the same
point of view as the caregivers
• Medical, legal, financial, and social systems
are complicated and hard to negotiate
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What is Potentially
Happening?
•Working three jobs: parent, employee,
caregiver (or four if spouse or sibling has
problems)
•Physically stressed out: working hard, not well
•Emotionally stressed out: too much to do
•Financially tapped out: demands on both ends
•Mentally drained: always facing problems
•Spiritually concerned: unsure they can keep on
•Socially isolated: don’t have time for friends
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The ‘Sandwich Generation’ as
Care Receivers:• They will be cared for by Generation X and Y
• They will expect more than previous generations in
care quality and options
• They will ‘know the system’
• They will want a lot for their money
• They will have trouble having the money they need
• They will live longer than previous generations
• There will be even more variation in what people can
afford and what they will expect
• They want to get their care in their preferred setting
• They think they will stay healthy and independent till
very near the end of their lives
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Gen X and Y:Generation X – ‘Slackers’
• Born 1965-79
• 51 million
• Reacted negatively to
lifestyle and work
behaviors of previous
generation
• Highly individualistic
• Dislike and distrust of
formal structures and rules
• Technologically smart
Generation Y – ‘Echo Boomers’
• Born 1980-2000
• Over 70 million
• Different social norms: ’rude’
• Lots of action and attention
• Balance of fun and work
• Less respect for ‘authority’
• High energy: job changer
• Save for self and future
• Obesity and diabetes on rise
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Oops!!!
• There are many more in the Sandwich
Generation than Gen Xers (76 versus 51
million)
• There are not enough resources and services
for the number of people in the ‘Sandwich
Generation
• The cost of care for this generation is going
to be very high!
• The number of those living with brain change
is going to be very high!
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Oops!
• Gen X and Y have different caregiving histories
and backgrounds: less experience
• Gen X and Y: more divorces and two-income
families, even less time to give care
• Gen X and Y: more transitory
• Gen X is worse with money and savings than
the Sandwich Generation
• Gen Y is saving for themselves
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What Can We Do to Help
Ourselves?• Reach out and find out, learn
• Talk about the future
• Get our own house in order:
• Legal
• Financial
• Housing
• Physical health
• Mental and cognitive health
• Spiritual health
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Financial Opportunities:
Discuss and decide on:
•Financial planning with an elder law expert
•Will and financial PoA
•Long Term Care insurance
•Retirement
•Savings – Pensions – IRAs - Trusts
Consider need for changes to have what you
want and need later
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Legal and Health Care
Opportunities:Talk with your significant others and decide:
•Plan ahead for probable health care needs
•Durable Health Care PoA
•Advance directives
•What types of care you want in these situations:
•Curative, Restorative, Maintenance, Palliative
•What locations of care are available, pros/cons:
CCRC NH RH FCH
ALF SCALF Home Care Others
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Housing Opportunities:
• Private home with ‘universal design’
• Shared housing: caregiver space, mother-in-
law apartment
• Retirement/senior community
• Multi-generational housing
• Apartments or condos
• Complexes with multiple levels of care on site
• Assisted living facilities or family care homes
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
For Those in the ‘Sandwich’:• Learn to set limits and live within them
• Take breaks and step away
• Get to know what you need to:
•Keep going
•Get re-energized
•Get or stay healthy: physically, mentally,
emotionally, cognitively, socially, and
spiritually
Start to make the changes!!!
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‘Sandwich Generation’ Care
Partners:
Take Care of Your Own
Physical Health
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Do You…???
- Have any family members who got dementia before
age 65?
- Have many family members who got dementia after 70?
- Have a history of a head injury?
- Have diabetes or sugar problems? Do you cheat?
- Have blood pressure problems?
- Do you sometimes skip your medicine?
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Do You…???- Have high bad cholesterol?
- Eat fast food or fried foods more than 3 times a week?
- Eat red meat more than once a day?
- Eat ‘white’ bread, biscuits, or rolls?
- Have your big meal in the evening?
- Snack a lot at night?
- Weigh more than you should? Women x2
- Do a lot of ‘sitting down’ or ‘hanging out’?
- Work hard, but not move a lot?
- Watch TV more than 3 hrs a day?
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Do You…???- Drive/ride everywhere you need to go?
- Stay at in your place all the time?
- Avoid talking or socializing when out?
- Do the same things the same way, day after day?
- Feel bored and down most of the time?
- Worry a lot or have a lot of stress in your life?
- Sleep less than 6-8 hours a night?
- Feel too tired to do anything?
- Smoke?
- Drink a lot or never touch the stuff?
- Rarely, if ever drink water?
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If You Said Yes:
There are things you can do
to reduce your risk
of getting dementia
There are things you can still do
to get or stay healthier and more
mentally and physically fit!
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
In Simple Words:
Lower Your Stress!
and
Raise Your Activity!
If its good for your
heart, it’s good
for your brain!
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Risk Factors for Dementia:
- Uncontrolled Blood Pressure
- Uncontrolled Sugar Problems
- High Cholesterol
- Being Overweight
- Not Doing
- Not Thinking
- Not Getting Out and Getting Together
- Bad Eating Habits
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Top Three:
- Exercise more
- Eat right
-Use your brain
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Exercise:- Get MD’s permission
- Do what you like
- Buddy up
- Aerobic:-A little short of breath
-15 - 20 minutes at a time
-At least 100 minutes a week-70% of your Max Heart Rate
(220 – your age = Max Heart Rate) x .7
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Eat Right!
- More fruits and veggies with antioxidants
-Less fat and sugar
- More water!
-Less coffee, tea and soda
- More Omega 3 fats (canola, olive, flaxseed)
-Less trans-fats (‘partially hydrogenated’)
- More broiled meat, whole grains and fish
-Less red meat, fried food and packaged food
-Drink one glass of alcohol per day***
-Not more
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Use Your Brain!
- Solve puzzles
- Take classes
- Try something new
- Play an instrument
- Join a study group or book club
- Read
- Play games
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Animals Colors Vegetables Countries
M(ex: Baboon)
L
A
P
Category Game
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Memorize these pairs:
Apple - Orange
Black - Red
Beans - Tooth
Watch - Glass
Pencil - Shirt
Hand - Hammer
Hanger - Button
Paper - Eye
Flag - Meat
Cup - Shoe
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What is the missing word?
Hanger –
Pencil –
Flag -
Paper –
Apple -
Beans –
Paper –
Cup –
Black -
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Other Things to Do:- Stop smoking
- Lose weight: women > men – up to age 80
- Socialize
- Laugh and de-Stress
- Get enough sleep
- Get sleep apnea and depression treated
- Control blood pressure and diabetes
- Take meds carefully
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And:- If you see changes in…
-Memory
-Thinking or judgment
-Personality or emotions
-Language or speech
-Enjoyment of life
-Sleep and appetite
-Episodes of confusion or disorientation
Get to the doctor and tell them your
concerns!
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
Mental – Cognitive Health:
• Know what is normal and what is not
• Establish baselines for yourself on:
• Cognition
• Emotional well-being
• Stress levels
• Sleep patterns
• Get supported
• Socialize, sleep enough, de-stress, use
resources
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
Spiritual Opportunities:
• Consider your spiritual needs and how to
meet them
• Learn about the latest thinking on later life
achievements and successful aging
• Talk about death and dying - the end of life
• Consider your role in connecting to others
• Find out about palliative care, hospice,
sitting vigil, life-review and story-telling
• Find a community of faith you can share
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© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
First Steps?
Where are you? What can you do?
Start the conversations with both sides of the
‘sandwich’
What are top priorities?
Money, legal issues, housing options,
physical health, mental/cognitive health
spiritual well-being
Get started…it won’t happen if you don’t!
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
The content contained in this presentation is strictly for informational purposes. Therefore, if you wish to apply
concepts or ideas contained from this presentation you are taking full responsibility for your actions. Neither
the creators, nor the copyright holder shall in any event be held liable to any party for any direct, indirect,
implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use
of this material, which is provided as is, and without warranties.
Any links are for information purposes only and are not warranted for content, accuracy or any other implied
or explicit purpose.
This presentation is copyrighted by Positive Approach to Care and is protected under the US Copyright Act of
1976 and all other applicable international, federal, state and local laws, with ALL rights reserved. No part of
this may be copied, or changed in any format, sold, or used in any way other than what is outlined within this
under any circumstances without express permission from Positive Approach to Care.
Copyright 2017, All Rights Reserved
Teepa Snow and Positive Approach to Care
DISCLAIMER
© Teepa Snow, Positive Approach, LLC – to be reused only w ith permission.
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