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“Building a direct care workforce for an aging population”

By: Cathy Rowe
June 6, 2022

This article was originally published on njbiz.com and is posted here with permission.

At New Jersey Advocates for Aging Well, we are always looking at the numbers. So, consider these statistics. The population age 65+ was the fastest growing group in New Jersey between 2010 and 2020, increasing 26.8%, according to usafacts.org/data. This number means the 65+ population increased from 13.5% in 2010 to 17% in 2020. And the trend is expected to continue. The U.S. Census Bureau projects that by 2030, those aged 60 and older will make up 24.5% of our state’s population.

This trend in aging is a good thing. It represents not only baby boomers reaching retirement age, but also increased longevity. Not only are more people “older” but they are also living longer than ever before. The hope is that these seniors will lead vibrant and interesting lives for many years. However, an estimated 70% will need some type of support as they age. And so, our aging population will increase demand on our care infrastructure.

That is why NJAAW has partnered with PHI, a national organization focused on the direct care workforce, to bring the Essential Jobs, Essential Care initiative to New Jersey, and to build on recent progress in the state to support the direct care workforce. This workforce – which includes certified home health aides, certified nursing assistants, and direct support professionals – provides essential care to thousands of residents in their homes, community settings and in-patient facilities. As the COVID-19 pandemic has made clear, direct care workers provide critical support to older adults and people with disabilities across the state. With our aging population, we know the need will increase just as the workforce is shrinking.

Inadequate compensation, limited training and advancement opportunities, and other challenges are pushing direct care workers away from this sector. With recent increases in minimum wage and demand for workers in other sectors, people can choose to work in easier settings for the same or more pay DCWs need to pay for classes, training and to receive certification from one of several state offices before they can earn their first paycheck in patient care. In addition, nearly 40% of New Jersey’s direct care workers live in or near poverty, and 41% access some form of public assistance. This results in workers paid through Medicaid being eligible to receive Medicaid – an unsustainable situation.

Caring for seniors
The U.S. Census Bureau projects that by 2030, those aged 60 and older will make up 24.5% of our state’s population.

The U.S. Census Bureau projects that by 2030, those aged 60 and older will make up 24.5% of our state’s population.

It is becoming more and more difficult for providers to meet current and growing demand. So, we are committed to building a strategic road map for recruiting, training and retaining direct care workers that will benefit all New Jersians, both now and in the future.

Currently, there are just over 101,000 direct care workers in New Jersey. PHI estimates that long-term care employers here will need to fill nearly 179,000 job openings in direct care by 2030, which includes new jobs to meet growing demand and jobs that must be filled when existing workers transfer to other occupations or exit the labor force. Our seniors are relying on this workforce to support them; we must do more to ensure it is there for them.

There has been some great progress in recognizing the need for and the needs of direct care workers recently. The Long-Term Care Ombudsman’s Office secured higher pay for nursing home workers under COVID. The New Jersey Health Care Quality Institute produced a comprehensive report on the need for an across-the-board strategy to expand and prepare the health care workforce in the state. The Coalition for a DSP Living Wage made great strides in helping workers serving people with disabilities. Programs including NJ Pathways and Schools that Can are opening training and establishing career pathways to bring more people into this important field.

In addition, the state has committed funds to this effort – Gov. Phil Murphy earmarked $240 million last July to wage increases for a range of direct care workers; early this year, he signed into law a bill that dedicates $1 million to creating pipeline and career advancement opportunities for direct support professionals. These are great starts. What we need now is to work together to build a strategy that will see us through the current worker shortage, find commonalities, and create advocacy road maps with concrete and achievable policy goals and activities that will work for the long term.

Over the next 18 months, we will continue bringing together representatives from a wide range of providers and services in N.J. for a common goal – to increase and improve the direct care workforce. As we learned in the first convening of the PHI Coalition on May 23 and 24, DCWs have unique skills and character traits. This is a hard job, both physically and emotionally. Older adults deserve a workforce that is qualified to care, and also bring patience, compassion and dedication to their patients.

I invite stakeholders to join us in this effort. We are striving for a strategy that benefits all sectors of health care services. With a well-trained and fairly compensated workforce, all health care and service providers can benefit – whether inpatient facilities or home-based services.

At NJAAW, we advocate for what it takes to age well, encourage people to think ahead about where and how they want to age, and what they need to do to prepare. But no matter how strategic we are, we will never know what support we need until we need it. As they say, “the best laid plans of mice and men…” So, we must plan for a future where a significant portion of our population will need supportive services to age in the great state of New Jersey. This future needs a strong workforce.

Cathy Rowe is executive director of New Jersey Advocates for Aging Well. The Essential Jobs, Essential Care NJ initiative is supported by The Henry and Marilyn Taub Foundation.

I’m proud of you, New Jersey!

As we wind up 2021, I just want to take a moment to say I’m proud of you, New Jersey! Now, with all the jokes made about the great Garden State, you might not be used to the compliment, but here is why I am proud of our older residents, in particular.

New Jersey was hit hard early in the pandemic and suffered tremendous loss of life.

When we started 2021, we were on the edge of our seats waiting for the COVID vaccine and a return to normalcy. It was a frantic rollout but once the supply caught up with demand, the older residents in New Jersey led the way in getting vaccinated.

December 15 is the anniversary of the first COVID-19 vaccinations being administered in the state of New Jersey. According to multiple reports, Garden State residents age 65 and over are among the highest vaccinated group in the country. New Jersey is leading the nation in fighting COVID.

According to multiple reports, Garden State residents age 65 and over are among the highest vaccinated group in the country. New Jersey is leading the nation in fighting COVID.

Now, I am not talking about politics or the misinformation that is affecting personal decisions on getting vaccinated. I am talking about the facts: Our fellow New Jerseyans over the age of 65 remember growing up in a time before vaccines. They can remember when polio, measles and other contagious diseases would shut down schools and swimming pools, and put communities on edge. They had lived through this before.

We hear the term “unprecedented” used in discussions about COVID, the vaccines and mandates. Yes – this is unprecedented; the last time we saw a health crisis of this magnitude, a true pandemic, was over 100 years ago.

Living through the flu epidemic of 1918

There are a handful of people who lived through the influenza epidemic of 1918, which spread worldwide before we had airplanes, cars and the social interactions we were so accustomed to until COVID arrived.  Many of the medical advances we take for granted were not developed – vaccines were in their infancy and penicillin was still 10 years away.

One of my favorite books is Flu: The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It, written by Gina Kolata and published in 1999. I was deep in my graduate work in public health then and found the book to be a real thriller. (I still do, but realize not everyone shares my interest in contagious things.)

No corner of the globe was left unaffected and the similarities of the 1918 pandemic and COVID-19 are surprising, considering the century of medical progress that has passed in between.

A few years ago, I made a documentary with SOMA (South Orange Maplewood) Two Towns for All Ages, in which we asked older residents about their memories of growing up before vaccines. Stories included children being sent away to family members in the countryside for the summer, to avoid polio. One woman recalled a relative who returned home from World War II a hero, only to succumb to polio a few weeks thereafter. Another witnessed diseases first-hand as a young nurse. Their honest recollections come to my mind every time I hear updates on vaccination rates.

We have come a long way and I am truly proud that people who can remember the time without vaccines took the lead in getting them to not only protect themselves but also others.

Vaccination rates for people 65+: nationwide vs. NJ

As of this writing, the national vaccination rate among adults age 65+ is 90+% ; in NJ it is over 98% with some communities reporting all residents over age 65 are vaccinated. 

In addition, vaccination rates for BIPOC (Black, Indigenous and People of Color) NJ residents are above the national average, elevating protection in communities that have been hit hardest by this virus. (Source: NJ Department of Health, USAfacts.org and CDC.gov)  

So, well done NJ! Once again, our older neighbors have proven that they are leaders and have so much to teach the rest of us.

I thank all of the people who drew on their life experiences and memories in making their health care decision to get the COVD vaccine. May we all look to your example.


To see the SOMA Two Towns for All Ages documentary “A Time Before Vaccines,” click here. This oral history shares the personal memories of SOMA residents growing up in a time before vaccines, and how now preventable diseases like polio, diphtheria and measles affected their lives.

Elder Index at Work: Defending Property Tax-Relief Programs for Older Homeowners in New Jersey

This blog post was written by Steven Syre of the Gerontology Institute at University of Massachusetts Boston, and is reprinted with their permission. 

multigeneration portraitThis article is one in a series of stories about how people across the country are using the Elder Index to understand the true cost of living for older adults and its economic implications. If you know someone who would like to receive information about these stories, send us a note at gerontologyinstitute@umb.edu.

Late this spring, New Jersey Gov. Phil Murphy faced a big problem that was all too familiar to other governors across America. The staggering economic impact of the COVID-19 pandemic had created a state budget crisis, with unemployment soaring and new annual revenue projections falling billions of dollars short.

Murphy approached the problem by moving back the start of New Jersey’s next fiscal year from July to October and passing a three-month stop-gap budget to tide the state over. Included in the short-term budget: Cuts to two important property tax-relief programs that help older adults in New Jersey afford to remain in their homes.

This was no small detail. New Jersey homeowners pay the nation’s highest property tax rates, about twice the U.S. average. Nearly 580,000 homeowners benefitted from one of the  programs under the axe and 158,000 others took advantage of the other. Both programs primarily benefitted older homeowners and the combined impact of the cuts was expected to exceed $480 million.

Melissa Chalker, executive director of the New Jersey Foundation for Aging, understood all that. Along with AARP New Jersey and other advocates, Chalker immediately launched a campaign to convince the governor and state legislators to restore the critical programs. One of her key tools in advocacy calls and letters: The Elder Index.

“All of these communications would reference the Elder Index,” said Chalker. “It not only allowed us to tell policymakers that 54 percent of older adults in New Jersey have difficulty making ends meet, but a recent related report showed how effective one property tax-relief program in particular was in reducing the economic security gap facing older adults in the state.”

Melissa Chalker

Melissa Chalker

The index, developed and managed at the University of Massachusetts Boston, is a free online tool that provides realistic and detailed cost of living data for older adults living in every U.S. county. Combined with state-level income data, the index can also determine the percentage of older adults who have insufficient income to meet the cost of living in their states. UMass Boston’s Gerontology Institute published a report on state-by-state elder economic security last November.

The New Jersey Foundation for Aging and the Gerontology Institute have been working together for years to provide state and local leaders with clear data about the economic circumstances of their older citizens. The foundation helped promote legislation enacted in 2015 that requires an elder economic security report based on Elder Index data be maintained by state government as a public resource.

A companion report, prepared with Rutgers University and a consultant, analyzes racial and ethnic details in the data, as well other factors including the effectiveness of individual state programs in reducing elder economic insecurity.

“We want to constantly use the Elder Index to remind policymakers and people in state government that there is a need here with older adults,” said Chalker. “Whether it’s the SNAP nutrition program, housing or prescription drug prices, we’ve been able to send letters and testify at the statehouse on those issues stating the Elder Index data.

“We’ve also used it to arm our partners, whether they are funders, county office on aging staff or senior center staff to help them meet the needs of older adults in their communities,” she said.

But the foundation had always understood that housing expenses played an outsized role in New Jersey’s elder economic security problem. The online index can help anyone get sense of those dimensions in just a couple of clicks.

Here’s how: Enter New Jersey and national average queries for older couples in good health who own their own home without a mortgage. You’ll find total monthly expenses more than 20 percent higher in New Jersey, compared with the national average. Housing costs, almost double the national average in New Jersey, account for nearly all of the overall difference.

New Jersey Gov. Phil Murphy

New Jersey Gov. Phil Murphy signs the state’s budget.

Data like that explain why Chalker and other advocates knew how important it was to save New Jersey’s property tax-relief programs. After a burst of calls, letters and op-ed columns, their efforts paid off last month. Murphy signed a new $32.7 billion budget for the remainder of the fiscal year, preserving both property tax relief programs for the future.

“I think the Elder Index was crucial in terms of the effort,” said Chalker. “You can anecdotally say how hard it is for seniors and tell some very compelling stories. But you’ve got to have metrics if you are making the case to policymakers and the elder economic insecurity reports provided what we needed.”

About the Gerontology Institute
The Gerontology Institute conducts research and policy analysis in the field of aging, and offers lifelong learning and pension protection services to older adults. The institute’s priorities include income security, long-term service and supports, healthy aging, age-friendly communities and social and demographic research on aging.

World Elder Abuse Awareness Day 2020

NATIONAL CENTER ON ELDER ABUSE

Red Flags of Abuse

Our communities are like structures that support people’s safety and wellbeing. One of the most important ways we can all contribute to this ongoing construction project is by looking out for warning signs of maltreatment. Does someone you know display any of these signs of abuse? If so, TAKE ACTION IMMEDIATELY. Everyone, at every age, deserves justice. Report suspected abuse as soon as possible.

Emotional & Behavioral Signs

  • Unusual changes in behavior or sleep
  • Fear or anxiety
  • Isolated or not responsive
  • Depression

Physical Signs

  • Broken bones, bruises, and welts
  • Cuts, sores or burns
  • Untreated bedsores
  • Torn, stained or bloody underclothing
  • Unexplained sexually transmitted diseases
  • Dirtiness, poor nutrition or dehydration
  • Poor living conditions
  • Lack of medical aids (glasses, walker, teeth, hearing aid, medications)

Financial Signs

  • Unusual changes in a bank account or money management
  • Unusual or sudden changes in a will or other financial documents
  • Fraudulent signatures on financial documents
  • Unpaid bills

WHAT IS ELDER ABUSE?

Elder abuse is the mistreatment or harming of an older person. It can include physical, emotional, or sexual abuse, along with neglect and financial exploitation. Many social factors—for example, a lack of support services and community resources—can make conditions ripe for elder abuse. Ageism (biases against or stereotypes about older people that keep them from being fully a part of their community) also play a role in enabling elder abuse. By changing these contributing factors, we can prevent elder abuse and make sure everyone has the opportunity to thrive as we age.

HOW CAN WE PREVENT AND ADDRESS ELDER ABUSE?

We can lessen the risk of elder abuse by putting supports and foundations in place that make abuse difficult. If we think of society as a building that supports our wellbeing, then it makes sense to design the sturdiest building we can—one with the beams and load-bearing walls necessary to keep everyone safe and healthy as we age. For example, constructing community supports and human services for caregivers and older adults can alleviate risk factors tied to elder abuse. Increased funding can support efforts to train practitioners in aging-related care. Identifying ways to empower older adults will reduce the harmful effects of ageism. And leveraging expert knowledge can provide the tools needed to identify, address, and ultimately prevent abuse.

HOW CAN WE REPORT SUSPECTED ABUSE?

(This section has been edited to include links specific to NJ.)

No matter how old we are, justice requires that we be treated as full members of our communities. If we notice some of these signs of abuse, it is our duty to report it to the proper authorities. Programs such as Adult Protective Services (APS), the Long-Term Care Ombudsmen and Disability Rights New Jersey are here to help.  If you or someone you know is in a life-threatening situation or immediate danger, call 911 or the local police or sheriff. The National Center on Elder Abuse (NCEA) directed by the U.S. Administration on Aging, helps communities, agencies and organizations ensure that older people and adults with disabilities can live with dignity, and without abuse, neglect, and exploitation. We are based out of Keck School of Medicine of USC. NCEA is the place to turn for education, research, and promising practices in preventing abuse.

Visit us online for more resources! ncea.acl.gov

This material was completed for the National Center on Elder Abuse situated at Keck School of Medicine at the University of Southern California and is supported in part by a grant (No. 90ABRC000101-02) from the Administration for Community Living, U.S. Department of Health and Human Services (DHHS). Grantees carrying out projects under government sponsorship are encouraged to express freely their findings and conclusions. Therefore, points of view or opinions do not necessarily represent official ACL or DHHS policy. LAST DOCUMENT REVISION: DECEMBER 2018

Grandparents Stepping Up to Assist Grandchildren with Virtual Education

 

Dr. Charisse Smith

As a young child growing up in New Jersey, I recall spending countless summers in the sandy woods of Wall Township with my maternal grandmother, Carolyn Holland.

On her screened-in porch, we spent hours playing such card games as Pitty Pat, War and Casino. This card shark, with less than an eighth-grade education, showed me no mercy, winning game after game! Through these card games, she fortuitously taught me how to quickly identify numbered groups (subitizing*) and strategy (critical thinking).

My paternal grandfather, Robert E. West of Neptune, instructed me in the art of applying the correct tip for great service at the local Perkins Pancake House. Maternal aunt Doris Sergeant of Asbury Park cultivated my love of reading and storytelling through her reading aloud. Her fluctuating animated voice magically fit each and every character of the stories she read.

As I reminisce about these special moments as a wide-eyed, inquisitive youngster, I now appreciate them as authentic learning experiences. I truly cannot recall specific reading or math lessons or feeling that these moments were “school,” but as an educator, I recognize that the benefits of simple card games and stories read to me set me on the path toward academic success.

Although I assist teachers in applying curriculum and best-teaching practices to classrooms, the simple games, conversations and nightly read-alouds with Carolyn, Robert and Doris were invaluable.

COVID-19 and virtual teaching/learning

According to the New Jersey Department of Education, there are approximately 2,734,950 students in New Jersey’s public and charter schools who are now participating in some form of virtual or remote learning due to the COVID-19 crisis. Many New Jersey schools pivoted from photocopied worksheets and packets to working exclusively online with students in virtual classrooms.

In a matter of a few weeks, New Jersey school districts found themselves quickly gathering their troops of learning experts, teachers and educational technology departments to provide quality learning opportunities for all of their students. Families also found themselves banding together to navigate through digital learning platforms like Zoom, Google Classroom, Google Meets, Microsoft Teams, Class Dojo, Canvas and Blackboard.

Older Americans are teaching/learning, too

Older Americans also fearlessly accepted the call to join the ranks of the virtual homeschooling faculty. Because many parents continue to work as essential workers, older adult family members have been designated as the at-home schoolteacher. These older family members are ensuring that children are logging on, participating and completing school assignments.

One example is a 68-year-old grandmother in Mercer County’s Hamilton Township, Mrs. Jones. She joined the ranks of homeschoolers this March. Mrs. Jones is not only caring for her ill husband, but by working in online learning platforms to assist her kindergarten-aged grandson, has expanded her technological skill set.

Through perseverance and a little bit of coaching, Mrs. Jones is now more comfortable helping her grandson with the daily requirements of cyber-learning such as logging on to online class meetings; monitoring reading, writing, and math assignments in Google Classroom; accessing books online; following up with emails, and communicating with teachers via the Class Dojo app.

Familiarizing oneself with multiple learning platforms can be overwhelming even for the most tech-savvy person. But older Americans, like Mrs. Jones, are courageously balancing the duties of being a caregiver for an ailing spouse, running a household and homeschooling an active kindergartener.

I admire Mrs. Jones for her tenacity and grit during this challenging time. She admits that working with technology is frustrating, and she felt like giving up, but I encouraged her to take care of herself and to do her best. Her best is amazing!

Other ways older adults can share knowledge/expertise

I encourage all older adults who are caring for and/or homeschooling young family members to share their knowledge and expertise by:

  • Having conversations
  • Counting and grouping the number of tiles on the floor
  • Finding a pattern in the carpet
    • *I mentioned subitizing before. Subitizing is a hot topic in math education circles. It means “instantly seeing how many.” Math educators have discovered that the ability to see numbers in patterns is the foundation of strong number sense. Visit https://mylearningspringboard.com/subitizing/
  • Following a recipe using measuring spoons and cups
  • Writing a song together and recording Tik-Tok videos of you singing
  • Coloring in coloring books
  • Listening to books on tape or online together
    • This website features videos of actors reading children’s books, alongside creatively produced illustrations. Activity guides are available for each book. https://www.storylineonline.net/
  • Teaching them how to play a card game

Other resources to use

Older adults have much to give and young people, much to receive! I would dare to guess that there are many Mrs. Joneses here in New Jersey. Are you one? You deserve our gratitude, respect and support.

As a New Jersey educator, I would like to thank all of the caring and brave older Americans in our state who are committed to sharing their knowledge, wisdom, love and expertise to help our students continue to grow and learn!

Dr. Smith is the featured guest on Episode 106 of Aging Insights, with host Melissa Chalker — watch “Learning Together” now!

Dr. Charisse Smith of Trenton earned a Ph.D. in Education with a specialization in Professional Studies. She serves on the boards of New Jersey Foundation for Aging and Notre Dame High School, is an Instructional Coach with the Hamilton Township Public Schools, President of ETE-Excellence Through Education of Hamilton Township and is the owner of Sankofa Educational Consulting, LLC.  Dr. Smith proudly notes that she has been married for 23 years and has two beautiful children!

 

The Importance of Programs

By Mason Crane-Bolton

Have questions about what services are available to you? We have answers! | via Pixabay

 

The Importance of Programs

There are many programs available for eligible older adults, but not everyone is signed up for them. Some people aren’t aware of the types and specific programs available and others may know the programs, but don’t believe they’ll qualify for assistance. In today’s blog post we’ll take a brief overview of the types of programs available and why they’re important.

Why are these programs important? Often, due to a number of circumstances, including unforeseen medical costs, outliving one’s planned savings, needing to leave the workforce early or for lengthy periods due to medical or caregiving needs (and so on), older adults often find themselves with far fewer financial resources than they need to survive. The impacts of these problems are especially noticeable in a high-cost state such as New Jersey. Research on the issue, such as the Elder Economic Security Index (EESI), has repeatedly showcased the difficulties faced by older adults continuing to age in New Jersey. Older adults face higher risks of homelessness, hunger, and delayed or neglected medical care due to their financial means. Although the programs listed below help to combat these disturbing trends, these programs are also often threatened by financial cuts, changes in eligibility requirements, and lack of legislative or community support.

Food Assistance

The Supplemental Nutrition Assistance Program (SNAP) may the one of the most well-known of the food assistance programs. Another popular program is the Senior Farmers’ Market Nutrition Program (SFMNP), which “promotes nutritional health among New Jersey’s senior citizens by providing them with locally grown fresh fruits, vegetables, and herbs.”

Check your eligibility and apply for SNAP here: Apply for SNAP

Medical Assistance

In addition to Medicare, there are several other programs for older adults, including prescription assistance. The Pharmaceutical Assistance to the Aged & Disabled program (PAAD) is a state-funded program that helps eligible seniors and individuals with disabilities save money on their prescription drug costs.

To learn more about applying for Medicare go to the Social Security Administration’s website here: Social Security Administration: Medicare

To learn more about applying for PAAD, the Senior Gold Prescription Discount Program, and other Medicare savings programs, continue to the section on the new NJ Save application and follow this link: NJ Save Application

Assistance for Homeowners

For eligible homeowners, assistance is available with your property taxes. The Property Tax Reimbursement Program (popularly known as the Senior Freeze Program) and the Homestead Benefit Program are available to older adults who qualify.

Learn more about the eligibility requirements and how to apply for the Property Tax Reimbursement Program here: NJ Property Tax Reimbursement Program a.k.a. “Senior Freeze”

Heating and Cooling Assistance

The Low-Income Heating and Energy Assistance Program (LIHEAP) “helps very low-income residents with their heating and cooling bills, and makes provisions for emergency heating system services and emergency fuel assistance within the Home Energy Assistance Program.”

Check your eligibility and download the application for LIHEAP here: Apply for LIHEAP

Multi-Program Savings and Application

New Jersey’s new application NJ Save allows eligible older adults and those with disabilities to apply and enroll in the following programs simultaneously:

-Pharmaceutical Assistance to the Aged and Disabled (PAAD)

-Senior Gold Prescription Discount Program

-Lifeline Utility Assistance

-Medicare Savings Programs (SLMB & QI-1)

-Medicare Part D’s Low Income Subsidy (aka “Extra Help”)

-Hearing Aid Assistance to the Aged and Disabled (HAAAD)

The application is also used to screen for LIHEAP, SNAP, and Universal Service Fund (USF). In addition, individuals who qualify for PAAD and Lifeline Utility Assistance through NJ Save may also be eligible for Property Tax Freeze (“Senior Freeze”), reduced motor vehicle fees, and low-cost spay/neuter for pets.

Learn more about NJ Save and apply here: Apply Through NJ Save

Programs aimed to assist our most vulnerable often seem out of reach for many, and while it may be true that these programs all have eligibility requirements, many programs are under utilized. Remember that only 48% of eligible older adults in New Jersey are currently receiving SNAP benefits. Rather than assume you don’t meet the eligibility requirements, look into the requirements for each program (or use the NJ Save application) and apply for all the programs you meet the criteria for. Regardless of what assistance level you might receive from an individual program, each benefit can help you and even small benefit amounts can quickly add up to substantial assistance across several programs!

 

If you have feedback or would like to be part of the conversation, leave us a comment below or email us as office@njfoundationforaging.org.

Come back for our next blog! New posts are published on the first and third Thursdays of each month.


Mason Crane-Bolton is Communications Manager for the New Jersey Foundation for Aging. His writing has appeared in EpiphanyUU WorldTo Wake/To Rise, and others. 

How to Age Well: Planning Your Path, Part 2: Home, Health, and “After I’m Gone…”

By Mason Crane-Bolton

Have you planned for future health and home changes? | Photo via pexels.com

 

There is no way to get aging “right”…

 

…But it does help to plan.

Something is happening each and every day across New Jersey. Across the United States. Across the entirety of the planet.

We are all getting older.

Like it or not, each and every one of us is on a journey of aging. From the moment we are born until the moment we die, we are aging.

We tend to think of aging as being something saved for an arbitrary age, like 50, 60, 65,…etc. We could list off the ages at which society (for one reason or another) has decided we’ve hit a certain benchmark in aging. Whether it’s Social Security benefits, Medicare enrollment, retirement, “senior citizen” discounts, or a screening your doctor now wants you to undergo, we tend to have these changes attached to specific ages or with “being of a certain age.” We think of them as being times in our life when a monumental change has occurred, a mark of “aging.”

But the truth is, regardless of what arbitrary number might be assigned to program enrollments or coupons, we don’t age in random, sudden leaps. We age constantly and gradually. While this might make it tempting to wait to plan for your later years, you should plan now. No one wants to be caught unawares by changes as you age or a sudden health crisis, so it makes sense to plan for your later years as early as possible. Think of planning now as training for becoming an older adult.

What if you already consider yourself an older adult? That’s not to say this blog doesn’t apply to you too! It absolutely does—no matter where you are or where you consider yourself to be in your path of aging, it makes sense to plan now for the road ahead, whether that road is two days or twenty years from now!

Having plans in place will mitigate much stress and bad decision-making in emergency situations. Much heartache and avoidable stressed is caused by being forced to make difficult decisions in the heat of the moment; time spent worrying about what the best decision is and then wondering if the right decision is the one you made.

What are some priorities to focus on? We’re so glad you asked. In this three-part series we’ll cover different aspects of how-to age well as we lead up to our 21st Annual Conference. If you’d like to register for the conference but haven’t yet, go to www.njfoundationforaging.org for more information.

This week we’ll cover: home, health, and “after I’m gone.”

 

Home

Wherever you live, there are changes you can make today for a better home tomorrow. A home that’s better suited to your future self.

Area rugs may be soft on your feet, but they can be a major trip hazard. Remove area rugs to prevent falls and cut down on your number of tripping hazards. If you still want something soft for your feet, consider installing carpets—these aren’t as trip-free as hard floors, but better than area rugs. Also, stay in the habit of wearing secure shoes instead of open-toed sandals or loose slippers around your home.

Although we covered many changes that may be needed due to mobility changes in the first part of this blog series (How to Age Well: Planning Your Path, Part 1), it’s also worth considering what changes you may want to make for your own comfort or peace of mind.

If your home is too large for you to comfortably handle, you may want to consider downsizing. Constant upkeep and cleaning of rooms that aren’t being used can take a toll on your energy and your money. If you’re concerned about having rooms available for visiting friends and family, let them stay at nearby hotels, motels, or Airbnb listings while they’re visiting. Not having to pay for extra heat, air conditioning and electricity, or regularly clean an infrequently used room, will make the visits more fun for everyone.

And if you missed it in the first part in our series, we have a link to help you find an aging-in-place specialist in your area: Living in Place.

 

Health

Whether or not you consider yourself to be in good health now, chances are that sooner or later you’ll have to face potential health issues. And even if you’re blessed with good health for the rest of your life, it’s a good idea to plan for a potential emergency. Whether it’s the diagnosis of a long-term illness or a broken ankle after a tumble on a running trail, illnesses and accidents happen—it’s best to be prepared.

First, learn your family medical history as best as you can and share this information with your medical providers. Is there a family history of cancer? Heart disease? Glaucoma or cataracts? Dementia or Alzheimer’s? Have you been previously diagnosed with any conditions or illnesses? Your medical provider should be alerted to any family or personal health history you have—this isn’t a guarantee you’ll have the same conditions, but a way for your physician to know what they should pay special attention to and screenings or treatments that could best benefit you. And remember that routine screenings and hygiene appointments, such as dental exams and cleanings, should be done regardless of age.

Interview your medical providers. If they don’t have a good understanding of aging in medicine or make you uncomfortable, look for a provider better suited to your needs. Many in the community of aging professionals now recognize the benefit of annual screenings for changes in cognitive abilities for early detection of possible dementia and Alzheimer’s—ask your provider if they do such screenings and any other screenings you have concerns about. Stay on top of changes in your health and don’t delay bringing them up with your provider; bring any questions you may have to your provider and make sure you get answers for each question. Bring your list with you and something to write on and with (don’t trust you remember everything when you get home) or ask your provider to send you home with additional information materials or resources. If your provider is unwilling to answer your questions, they are probably not the right provider for you.

Plan too for future caregiving needs and needed adaptations to changes. If you need caregiving, who will provide it and how? Will it be a nurse or a friend or family member? Will you need to pay this person? How often will you need help? You can ask your provider what insight they might have into your future needs, but also plan to have these discussions with spouses/partners, family, and yourself.

In addition to these concerns, you may think about bringing someone with you to your medical appointments—especially if you find yourself getting overwhelmed during exams or need some assistance in understanding procedures or doctor recommendations. If you have a caregiver or think it would be beneficial to have someone in the exam room with you, bring this up with your provider. Ask them if you could have a trusted person or caregiver with you.

As long as you’re planning, you should also plan what you would like in your medical care and end-of-life care. Seriously consider creating an Advance Directive and POLST form (Practitioner Orders for Life-Sustaining Treatment). You can learn more about these and fill the forms here NJ Advance Directive and POLST. Having an Advance Directive or POLST form often makes people uncomfortable because they believe the form is only for declining further medical care. This is not true. These forms allow individuals to express, in writing, when they are mentally and physically capable of making decisions, what they would like their medical care to be. Individuals can choose to have as many OR as few life-saving measures they would like to be taken in the event they are not conscious to tell doctors or loved ones their wishes. The POLST form also travels from doctor to doctor, allowing individuals to make their wishes known without having to fill out the form over and over again.

 

“After I’m Gone”

A former co-worker of mine, a planned giving attorney, used to use the phrase “If I get hit by an asteroid crossing the street tomorrow…” when talking about all the things we’d need to know if he died suddenly (he liked it as opposed to, “If I get hit by a bus,” because it seemed so much less likely!). In his line of work he was constantly discussing wills and estates with the organization’s supporters. This wasn’t as morbid as it may sound—the conservations were much less about death than a way for these supporters to tell my co-worker how they wanted to be remembered.

We don’t need to necessarily dwell on death with morbidity, but it’s healthy to recognize it will, inevitably, happen to us all. Whether or not we’re planning to give away money or large assets when we die, it’s not only wise, but necessary to plan what will happen with ourselves, our loved ones, and our things before and after we’re gone.

If you’re an adult, you should have a will. Regardless of how many assets you have or don’t have, whether you own a car or a house, a pet, or you have only the clothes on your back, it makes sense to dictate who will get what in a will. You can make this will as secret or as public as you’d like, give it all away to a favorite school or organization, or pass it along to family and friends, but you should make a will. Make sure you also have your will and wishes reviewed by an attorney to ensure your wishes can be carried out.

Even though most of us may be reluctant to discuss our own deaths, it’s worth remembering that our loved ones will have to process taking on additional household and/or financial responsibilities in addition to processing the emotional toll of our deaths. To make things easier for loved ones, it’s wise to write a list of passwords for bank accounts, utility accounts, etc., and to create other lists, such as where household objects are stored, how to maintain appliances or accounts, and other useful information your spouse/partner or loved ones might want to have access to.

Also consider having conversations with your loved ones about how you would like to have your death recognized. Let your loved ones know if you have religious/spiritual or personal practices that you would like incorporated into any kind of memorial service, song or story requests you may have, and any other details about your preferred type of service. If you face reluctance from loved ones in discussing matters of death, try to gently and compassionately remind them that these conversations are going to make things easier and are, ultimately, about love.

 

As we said in the first in our series, there is no one solution to deciding how you will cope with your home, health, or end-of-life decisions. Just as your life changes, so may the appropriate solution—having a plan, or even considering your current or future needs, is the first step to aging well.

 

Stay tuned for our next blog post, the third and last part in our “Planning to Age Well,” series: money and retirement.


Mason Crane-Bolton is Communications Manager for the New Jersey Foundation for Aging. His writing has appeared in EpiphanyUU WorldTo Wake/To Rise, and others. 

Detour the Dumpster‚ A Better Approach to Overwhelming Clutter

By Guest Bloggers Carolyn Quinn and Jaime Angelini

Do you have too much stuff?
Do you have too much stuff?

The people we meet who have “too much stuff” won’t ever be followed by a camera crew that captures shots of perilous, towering stacks of papers, bins or boxes. There will never be split screen comparisons of their house or apartment before and after workers and family members arrived.

That’s because clean outs are not our approach.

Though clean outs are good for TV ratings and achieving an immediate solution to a problem, it’s not what we do. Sure, it’s rewarding for viewers to stay tuned and see those transformed tidy, neat living spaces during the final minutes of the show. And, truth be told, we prefer tidy homes for those living in unsafe situations, but the means we employ to get to that goal do not include a dumpster.

The reason why we don’t endorse clean outs is often highlighted in those shows: it’s distressing. People who are strongly emotionally tied to their possessions have big emotional responses. Sometimes a dumpster-style clean out can be a trigger that leads to a setback of collecting – often ending up worse than the original hoard. They begin the behavior again; re-accumulating and filling up all that prime, vacant new real estate.

A confession…In the past–in another job many years ago–one of the authors of this blog, has been “guilty” of these clean outs. While assisting people under the threat of eviction, she cleaned up and cleaned out while working as a residential case manager. (So, cable TV, we are not picking on you unfairly. One of us has evolved from that thinking.)

We are better educated and better informed today. Older and wiser, as they say. The practices we teach now are rooted in successful programs that were proven to work long-term on changing behaviors for individuals living with hoarding disorder, also sometimes called Finders/Keepers, which is a modern term we prefer to use.

Can you identify your rooms on this chart?
Can you identify your rooms on this chart?

How it started

We originally sought out help for people in Atlantic County, following Hurricane Sandy, when we met and identified storm survivors who couldn’t part with their wet belongings. We saw firsthand people who did not get rid of their water-logged possessions weeks–even months–after the storm. They were stuck; and we worried about their health and safety as we observed layers of hazards in their living situation.

Jaime (left) and Carolyn (right) as part of The Atlantic County Hoarding Task Force

There was another glitch, a big one.

In our area no one local was working with people who lived with hoarding disorder. We called and asked…a lot. No one.

The results of online searching and researching led us to a successful initiative in Boston (now called the Metro Housing Boston’s Hoarding Training Institute). Luckily, the forward-thinking, helpful professionals there were willing to teach others, like us. Fast-forward through conferences, training, long-distance phone calls, more training and meetings.

The Mental Health Association in Atlantic County started its, “Too Much Stuff? Hoarding Tendency Initiative,” based on Boston’s successful model. We have been working with people referred to us by code enforcement officials, social workers, nurses, pest control and other professionals who have become partners in our effort to connect help to those who need it and accept it.

Individuals who are ready to make a change start out by attending our “Too Much Stuff,” support groups, which are bi-weekly meetings. During a typical meeting, people at various stages in their own pursuits to declutter are working their way through the process togetherTough topics, like how their possessions affect social relationships, are discussed openly and honestly among peers who understand and offer suggestions based on their experience.

We also provide in-home services to those who are ready for one-on-one support from staff. Each week staff spends about an hour to offer guidance on sorting/discarding, non-acquiring exercises and practicing other skills critical to manage clutter.

Some of those tips for decluttering include:

  • Start with 15 minutes a day. It’s emotionally draining, so the recommendation is to work in small, daily increments to prevent feeling overwhelmed or frustrated.
  • Resist the urge to do more or “get ahead” in a single day. The downside is that you may not return to the task the next day because of exhaustion.
  • Use a timer.
  • Sort in three piles: “Keep,” “Discard,” and “Maybe.” By the end of the session, assign the “maybes” to either “discard” or “keep.”
  • Work in the same room/space. Do not wander from room to room.
  • Maintain the space that is cleared. Mark the cleared space with painter’s tape as a visual cue to prevent the clutter from accumulating again.
  • Use black trash bags to hold items destined for trash or donation.

    Use signs like these for your ‘Keep,’ ‘Maybe,’ and ‘Discard’ piles!

What we know

Many people with “too much stuff” want to change. They’d like to make healthier lifestyle changes–such as not buying more stuff, not collecting free stuff, or not saving mail and other ways that commonly lead to a house that is cluttered and unsafe. We also recognize that, if these people could have changed their behaviors on their own, they would.

The reasons behind these behaviors are complex and individualized, and talking about them among peers helps.

We also know that talking about it all–the impact on family and friends, the challenges, and the successes–is an important part of the process. People feel less alone; they feel understood. Peer support helps.

Time and time again, we see that working toward the weekly goals is rewarding and worth the effort. Based on our experience and what’s been reported, this yields positive results and leads to success.

Science and research have come a long way for individuals with too much stuff. We understand that there is still a way to go to chip away at stigma associated with clutter. Shame and embarrassment can keep people frozen in place. We also know that this blog can make a difference to someone who reads it and shares it.

We don’t know all the answers, but we understand more than we did in recent decades. We keep looking for answers. And we’re confident that they’re not found in a dumpster.

We have a place for that idea: the “Discard” pile.

Like what you read here? Need help? Email toomuchstuff@mhanj.org or call 609 916-1330


Carolyn and Jaime are co-developers of “Too Much Stuff? Hoarding Behaviors Initiative” at the Mental Health Association in Atlantic County.

Carolyn M. Quinn works at the Mental Health Association in Atlantic County as the ICE Wellness Program Manager, which provides peer-led support groups and a variety of wellness workshops to adults living with mental illness and co-occurring challenges. She also is a certified instructor for Adult and Youth Mental Health First Aid as well as a certified Advance Level Wellness Recovery Action Plan (WRAP) Facilitator.

Jaime Angelini is the Director of Consumer Services at the Mental Health Association in Atlantic County where she provides support, education and advocacy to individuals living with mental illness, substance use disorders, and those experiencing homelessness. Jaime is a certified Mental Health First Aid Instructor, parent educator, Disaster Response Crisis Counselor and a trainer for law enforcement officials who respond to individuals with special needs.

 

 

Aging Greatness: Great Achievements by Older Adults!

As a culture we tend to praise accomplishments as if there were an age limit. We like to focus on achievements made by people under a “certain age” as if we think “The younger, the better!” But achievements, major accomplishments, even fame and fortune, don’t have a cut-off age.

There’s nothing wrong with celebrating accomplishments and great deeds done by a specific age, but we’d like to take time here to point out that major accomplishments are achieved regardless of age. Below is just a sampling of some of the amazing things done by older adults of all ages, arranged alphabetically and in no order of greatness.


Author Harry Bernstein publishes his first book, The Invisible Wall: A Love Story that Broke Barriers—age 96

Paul C?©zanne has his first solo art exhibition‚Äîage 56

Julia Child begins the long running The French Chef program on PBS—age 51

Jack Cover invents the Taser stun gun to create a nonlethal weapon—age 50

Benjamin Franklin signs the Declaration of Independence—age 70

Cancer survivor Barbara Hillary becomes one of the oldest people, and first black woman, to reach the North Pole—age 75

Edmond Hoyle begins recording the rules of various card games, publishing A Short Treatise on the Game of Whist in 1742—age 70

Kathryn Joosten, Emmy Award-winning actress of Family Matters, Desperate Housewives, and The West Wing, begins TV-acting—age 56

Mark Jordan sets the World Record in 2015 for most pull-ups in 24 hours—age 54

Ray Kroc begins the McDonald’s franchise—age 52

Nelson Mandela is elected president of South Africa—age 75

Famed American Folk painter Anna Mary Robertson Moses, aka “Grandma Moses,” begins painting—age 76

Frank McCourt publishes Pulitzer Prize and National Book Critics Circle Award-winning Angela’s Ashes—age 65

Taikichiro Mori leaves academia for second career in Tokyo real estate, where he would eventually become the most successful person in the Tokyo real estate market and twice become Forbes’s “world’s richest man”—age 55

Leslie Nielsen stars in comedy-hit Airplane!—age 54

Nola Ochs graduates from Fort Hays State University and becomes the oldest person in the world to become a college graduate—age 95

James Parkinson identifies what will later be named “Parkinson’s disease”—age 62

John Pemberton invents Coca-Cola—age 55

Diana Nyad becomes the first confirmed person to swim from Cuba to Florida without a shark cage—age 64

Peter Mark Roget publishes first edition of Roget’s Thesaurus (originally titled, Thesaurus of English Words and Phrases Classified and Arranged so as to Facilitate the Expression of Ideas and Assist in Literary Composition)—age 73

Minoru Saito becomes the oldest person to do a solo circumnavigation of the globe without stopping at any port—age 77

Colonel Harland David Sanders begins the KFC franchise—age 65

Judge Judy Scheindlin begins the now longest-running courtroom TV show, Judy Judy—age 53

Ernestine Shepherd, former world’s oldest competitive female bodybuilder, begins bodybuilding—age 56

J.R.R. Tolkien publishes The Fellowship of the Ring, the first volume of the Lord of the Rings trilogy—age 62

Betty White becomes the first woman to win a Daytime Emmy Award in the category of Outstanding Game Show Host—age 61

Laura Ingalls Wilder publishes Little House in the Big Woods, the first of the Little House books—age 64

 


Whose major achievement are you fascinated by? What are your own accomplishments? Leave us a comment below or send us an email if you’d like us to share them! Whether it‚Äôs breaking a record, fulfilling a lifelong dream, standing out in your industry, or just doing something you‚Äôre proud of, every day is an opportunity for your own achievement‚ÄîNo matter your age!

Cybersecurity: Where does it begin? Where does it end?

Mitchell Feather, Vice-President, Creative Associates

 

It seems like every day brings news of more cyber threats and breaches, which seems to leave you with more questions than answers. Has my information been stolen? How should I respond? What can I do to protect myself? What can I do to detect and avoid threats?

Companies may take measures to protect – or share – your information. Regardless of new technologies, tools, patches, laws, and regulations, there is one unwavering fact: Cybersecurity begins with you – and ends with you. What you do or don’t do is critical and that cannot be overemphasized. When it comes down to it, you control what you do or don’t do to protect yourself, your money, and your information. And you cannot delegate that responsibility.

Protect Your Tools and Toys: The first thing you should do, if you haven’t already, is to ensure that you have installed the appropriate software and that the appropriate settings have been enabled (or disabled) to protect your computers, smartphones, tablets, etc.

You should have antivirus/antimalware software/apps installed on all of your devices. There are a number of very good products to choose from such as Sophos, McAfee, and Malwarebytes. Even though it might be tempting to install just free versions of some of these, you should look at the paid versions. They generally offer more features that can enhance your security and peace of mind.  

One thing that you must NOT do is respond to pop-up alerts that warn you that your device has been infected and recommending that you click on a link or button to install software to protect your computer or device. If you click on that link or button, you will probably achieve just the opposite and infect your device. More about this later.

Sometimes, while browsing websites, you may end up on a malicious web page that that results in your computer or device becoming infected. This is why a utility like McAfee’s WebAdvisor can be very helpful, and it is a free download which offers a number of protections. If you are looking for similar utilities, be careful with what you find in your search results. Some malicious threat actors have paid ads for product names that sound very legitimate but, in reality, are carefully thought-out schemes that are designed to trick you into installing malicious software.

Plan For the Worst: Sometimes, no matter how hard you try, bad things still seem to happen such as lost or stolen smart phones or computers or ransomware infections. This is one of the reasons you should always make backups of your devices – and keep the backups current. Procedures vary depending on the type of device. For Windows and Apple computers, you can backup hard drives you have physically connected to your computer or you can back up to a number of cloud services. For Android and Apple devices, there are settings on the devices to allow for automatic backups to Google or iCloud, respectively. Whether you are backing up to a USB-connected hard drive or to a cloud storage service, you want to make a practice of disconnecting it from the computer after you make the backup. Some variants of ransomware are “smart” enough to not only access all of your computer’s files, but they will also seek out any backups you may have and gain access to those as well.

Now, Assume the Worst: It is not unrealistic to assume that your personal and/or financial information has already been compromised by one or more of the many breaches that have occurred last year or prior. This means that you should be monitoring your financial assets.

You are entitled to a free copy of your credit report from Equifax, Experian, and TransUnion every 12 months. Nobody says that you have to take them all at once. Spread them out so you are getting a copy of your credit report every 4 months and review them carefully for signs of unusual activity or identity theft. You can order the free reports from annualcreditreport.com. That same website can also help explain what you should be looking for when you review your credit report. And do not think somebody is too young or too old to bother with this task. If somebody has a social security number, then their credit reports should be monitored.

Also, many banks now offer free credit score monitoring for their credit card customers. Depending on the bank, the information they offer will vary. But, generally, they will tell you if your credit score has moved up or down and provide some insight as to why it changed.

Talking About Credit Cards and Banks, most banks offer notification options, so you can be kept informed regarding any activity. Some banks will allow you to set an alert so that you can be notified if there is any credit card charge activity, even as small as a few cents. This may seem a little extreme but some fraudsters will run extremely small charges to test if credit card numbers are still valid while maintaining a low profile.

If you have not already, you should take other steps to secure your credit card and online banking accounts. Specifically, you should seek out if your online banking websites offer two factor authentication. If they offer two factor authentication, also known as 2FA, I strongly recommend you implement it. This advice extends beyond just online banking. You should implement 2FA for any of your online services that offer it: banks, brokerage accounts, telephone company, gas/water/electric utilities, email, Google, Facebook, etc. What if your bank does not offer two factor authentication? You may want to consider changing banks. You can find a list of banks, as well as other business and services, which support 2FA at https://twofactorauth.org.

Two factor authentication is based on two pieces of information rather than just a password. These factors can be various combinations of things like something you know (e.g., passwords or PINs), something you have (e.g., ATM card, smartphone), or something you are (e.g., fingerprint, voice print, or facial recognition). For greater security, we sometimes use more than 2 factors. This is referred to as Multi-factor authentication, or MFA. This is an area that is always changing in an effort to try to create more secure but also easier for you to use. Currently, the most common 2FA implementations you will find include sending you a security code by text message (SMS), by telephone call, or by email. Be careful if you are access any of your online sites from a smartphone and you have the security code sent to the same smartphone. If your smartphone gets lost or stolen, you may find yourself or your accounts a little vulnerable.

Many online websites also take advantage of security questions (e.g., In what town was your elementary school?, where did you meet your spouse?, etc.). I strongly advise you to lie when you answer these questions. Use answers that are totally irrelevant (e.g., What is your favorite color? Answer: “Outer Mongolia”) and meaningless to you or somebody else. Nobody says you have to tell the truth. All you have to do is remember your answers. And do not use the same questions or answers among different websites.

Let’s Pass on Passwords: Probably as far back as you can remember, you’ve been saddled with the task of creating and remembering passwords to access all sorts of information. Some of you used easily-remembered personal details like your anniversary date, your spouse’s name, your pet’s name, your mother’s maiden name, etc. Some of you may have just used easily remembered words such as your favorite food or flower. Some of you still use “password12345” or “qwerty” as your password. Even worse, many of you use the same password for many of your online login passwords.

There are serious security risks associated with these practices: If you use personal information as a password, a threat actor can figure out that password just by researching your personally identifiable information. Common words as passwords are also easily determined by threat actors by use of tools called password crackers, which use large dictionaries.

You are better protected by using complicated collections of letters, numbers and symbols, such as “P^MP2F7~HRnZ)LU”. You can also better protect yourself by using passphrases instead of passwords, complete with spaces when allowed. Additionally, replace some letters with numbers and symbols. You can go with lyrics to a song, poetry lines, etc. As an example, consider the lyrics of Over the Rainbow: Start with “Somewhere over the rainbow Way up high.” Replacing letters with numbers and/or symbols, this can become “50meWh3r3ov3rther@!nb0w#wAyupHi!”. Or you can take just the initial characters of each word and put those together and similarly swap out some letters. This can become: “50TrWuH!” Just use your imagination: the more complicated it is, the safer you are.

Remember not to use the same password or passphrase with more than one account. And change your passwords regularly. Also, if you get notified or read that any service that you use has been breached or compromised in any way, immediately change that password/passphrase.

Also, it is very important to remember to change the default passwords on any software service to which you subscribe or any hardware that you purchase. This is especially true for any internet routers, switches, wireless cameras, televisions, appliances, etc. The FBI and other agencies have released alerts warning about the threat actors from foreign countries that are trying to penetrate these devices.

You Expect Me To Remember This?: You have no decided to follow all of my advice about passwords. Remembering all of these passwords may prove to be more than challenging. Fortunately, there are some very good password managers available to you. Some are available for free, some you have to pay for. Two of the better password managers are Dashlane and LastPass.

Reign In Your Privacy: Now that we’ve covered the basics, let’s turn attention to keeping your information more private and less at risk. You should review and adjust some of your web browser settings. Additionally, you should review and adjust your privacy settings on your social media sites and other online accounts.

Check your web browser settings for privacy and security settings. There, you will find a number of options that would be useful to you. With Chrome, for example, you will find settings like “Protect you and your device from dangerous sites” and “Send a ‘Do Not Track’ request…”. I recommend enabling both of them. You will also find settings like “Automatically send usage statistics…” I recommend that you seriously consider whether or not you want to share this private information with Google.

You will also find a section to enable or disable the capability to Autofill information when you need to fill out online forms. I strongly recommend that you disable this functionality. Among the many reasons is the possibility that a threat actor can setup a web page to secretly retrieve all the fields of information that you have stored in the autofill feature. You should also NEVER store credit card information in a web browser’s autofill feature.

With your online accounts like Google and Facebook, you will see features like privacy checkup and security checkup. You should perform these checkups and appropriately limit which features are enabled and what information you are allowing to be tracked. In the case of Google, as an example, this may include actual recording of your voice. You can – and should – purge any of this tracking information that you do not wish to be shared and/or stored. Also check your social media settings such that you only share information and files as you desire.

Time To Be Diligent: Now that you have addressed many of your hardware, software, and account settings tasks, you now come to the never-ending task: Be Diligent! The greatest risk to you is social engineering. Threat actors are always trying to take advantage of you by getting you to lower your guard, cause you to panic, take advantage of your trusting nature, etc. All it takes is one click on a link or opening one attachment to cause all kinds of problems for yourself and possibly others. These social engineering attempts, also known as phishing, can appear as very legitimate-looking emails or websites. It might appear as a PDF attachment in an email, or a Docusign email, a link to a dropbox document, an alleged invoice, or a multitude of others.

The rule is a simple one: if you are sent an attachment or an email telling you to click on a link and you do not recognize the source, do NOT open it nor click on the link. If you recognize the sender of the email but you are not expecting the attachment, call the sender by telephone and ask him/her if he/she really sent you the attachment or link. Do NOT just reply to the email and ask if it is legitimate because you may not be sending the email to the individual that you think you are sending it to.

There are a many websites that you can visit to learn more about phishing or where you can take phishing quizzes. A good starting point is www.phishing.org.

Don’t Be Proud or Shy: Some phishing attacks are so realistic and so well done that trained professionals can sometimes be fooled. So do not be embarrassed if you are not sure what to do or you are afraid your device or your information may have been compromised. As someone you trust for help. Or file complaint with agencies like The Internet Crime Complaint Center (www.ic3.gov) or the Federal Trade Commission (www.ftc.gov). If you really don’t know where to turn, you can always reach out to your local police department for assistance. If they cannot help you, they can help steer you to appropriate individuals for help.

 

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