Monday, September 23, 2013

Drug Abuse And How To Treat It


Methadone was initially a medication designed to help those beat an addiction to opiate medications or street drugs like heroin. In fact, it is still used today for that reason. Methadone is also an opiate medication, so some may find themselves addicted to it as well. This likely happens due to abuse of the medication and not taking it in the manner in which it was prescribed. Some may take too much or add it with other drugs in an effort to gain the "high" they are addicted to. Methadone addiction is serious and could cause serious health related issues and even death.

While Methadone is an effective treatment for addiction, largely because it decreases withdrawal symptoms and does not allow for the euphoric sensation felt from taking opiates or heroin, it is also an opiate medication itself. This means that addiction is a possibility, especially if methadone is not taken properly. Doctors are aware of the potential for dependency but the benefits of Methadone are plentiful and doctors will monitor patients while on this medication. Unfortunately, some will become addicted to this medication while trying to wean themselves off of the drug they became addicted to.

Methadone addiction is potentially life threatening because this is a strong medication and typically is prescribed to be taken only once per day. For those who take it more often, the effects could be deadly. This is because this medication slows down breathing and too much could cause coma or death. It comes with the potential for side effects like drowsiness or weakness already, and increasing dose or coupling it with another medication is dangerous. Some other side effects include headache, missed period, sweating, fluid retention, and decreased sexual drive. Mood changes swelling are also a possibility. Most of these are not an issue until the medication is taken improperly. For nursing mothers, this drug may also be passed to the baby via breast milk, so it is especially important for them to beat addiction.

It may be that addiction to methadone is a gradual problem, and some may not realize a dependency is forming until it is too late. Signs for addiction include, extreme craving for the medication, inability to go for the prescribed amount of time before the next dose, changes in mood such as irritability or depression, and problems maintaining personal and work relationships. These are signs of a problem and should be discussed with a physician to determine the best course of action. Long term drug abuse can affect brain function and decrease intellect. It may also make paying attention for long periods difficult, as well as decrease memory. A study of methadone in animals showed an impairment in attention and brain function when large doses were given. Dependency affects your ability to take in information and retain it, as well as putting your life at risk.

Gradual decrease of this or any drug is crucial for the likelihood of success. Gradual decrease means fewer withdrawal symptoms and fewer cravings for drugs. Detoxification is of course necessary to rid the body of built-up toxins as a result of drug abuse, but this does not have to be a daunting task. Detoxification is scary when symptoms like hallucination, dehydration, nausea and vomiting, and shakes or tremors are a possibility, but there are medications that can help with withdrawal. For those hesitant to take these medications for fear of developing another addiction, it is important to note that all medications should be taken according to doctor advice. If you find yourself needing more or taking it improperly, it is time to discuss alternatives and other medication options with your physician.

After detoxification other support options are available to reduce the chances for relapse. Therapy with a trained counselor can help deal with past traumatic issues and avoiding situations where temptation is likely. Group therapy is available to talk with those who have the same problem and who can offer support twenty-four hours a day.

Drug dependency affects your life and the lives of those who love you. Work ethic becomes an issue and jobs may be lost. Beating addiction can improve your quality of life and put work and personal relationships back on track. Beating addiction can also save your life as coma and overdose are always a possibility. For those looking for a way to beat addiction detoxification, medications, and doctor supervision are the best alternatives. Medications can be prescribed to eliminate or decrease withdrawal and make a drug free life a strong possibility.

Sunday, September 22, 2013

Caring for Aging Parents - Issues to Consider


Caring for our aging parents can be an overwhelming responsibility and emotionally stressful for everyone involved - but it can offer huge rewards as well. To the extent possible, allow your parent to maintain some level of independence. The ability to participate in decisions about their own care giving is important to their emotional well being. It's unsettling to give up control over your everyday routine and possibly have to move in with relatives or a senior care facility. You should expect and be prepared for some degree of emotional distress and depression over the realization that their independence has been lost or diminished.

Making the Decision to Intervene

Sometimes this decision is made for you due to a parent's serious health complications or financial hardship. In other cases, and much more difficult to deal with, there is simply a gradual decline in the ability of the parent to effectively care for themselves and their daily responsibilities. Maintain regular contact with your aging parent so you can monitor their health and mental state.

Preparing Your Home

If you come to the conclusion that it is in your parent's best interest to move in with you, there are several things to consider and prepare for. In addition to a bedroom, make some accommodations for them in other areas of the house as well... a drawer or cabinet in the kitchen just for them, a reserved area in the medicine cabinet, and a favorite chair or other piece of furniture in the family room can help them feel more at home.

If small children frequent your home, be sure that all medications are securely stored out of their reach. Create clear walkways for parents who require assistive devices such as a walker or power chair. According to the National Centers for Disease Control and Prevention, one out of every three people age 65 and older falls each year. Older adults are hospitalized for fall-related injuries five times more often than they are for injuries from other causes. Of those who fall, 20-30% suffer moderate to severe injuries that reduce mobility and independence, and increase the risk of premature death. Take steps to prevent falls throughout your home - don't forget showers and bathtubs.

Driving

If you live in a major city, driving may not be so much of an issue as long as public transportation is available. However, if your parent is accustomed to driving themselves around, you need to make sure that they are still capable of driving safely. When the time comes that they cannot, you must take steps to discontinue their driving rights to ensure both their safety and the safety of others.

Finances

Balancing a checkbook or maintaining accurate financial records may become overwhelming for an aging parent. To ensure they are not destined for financial ruin, overdrafting checks or subject to identity theft, it is essential that you work with your parent to assume some responsibility for their finances. You can ease into this by allowing them to continue paying their own bills while you take care of the bookkeeping.

Depending on your situation, you may want to obtain a Power of Attorney so you have the authority to make decisions on behalf of your parent on any financial or medical issues.

Insurance

Brace yourself for this if you're unfamiliar with medical billing issues and dealing with insurance companies. Should the time come that you need to manage your parent's medical care, be sure to take advantage of help resources (such as the NCOA - see link below) and familiarize yourself with the terms and limitations of their insurance coverage. It's also a good idea to set up a filing system to track insurance payments and medical billing. In my experience, filing paperwork by the date of service was the easiest way to cross-reference and match the Explanation of Benefits (EOB) statements with the provider statements.

Dementia

You should be aware of any changes in your aging parent's mental health (e.g., forgetfulness, confusion, etc.). A decline in mental acuity could simply be the result of dementia or it could be a symptom of an underlying condition. In either case, you should consult with your parent's doctor to investigate the cause and possible treatment.

For more information about aging, visit the National Council on Aging.

Medicaid For Nursing Home Residents - Not Just For the Indigent Anymore


(The information below is specific to Medicaid planning in Florida and is brief and general in nature. This information should not been taken as legal advice or Medicaid Planning instructions. ICP Medicaid is a Federally funded program which each State may administer differently. For this reason, Medicaid rules vary from State to State. There are many misconceptions about Florida Medicaid. It is essential to get the facts and not rely on community rumors.)

The mere fact that nursing home care now costs over $60,000 per year explains why even middle income families must learn about Medicaid when someone they love needs a nursing home. Many American families have much less than $60,000 put away for a rainy day. In just one year, a life savings can be forever depleted. Many families are under the misconception that they must spend all their money BEFORE they can get Medicaid. In many cases, this is simply not true. ICP Medicaid (Institutional Care Program Medicaid) can be approved for nursing home residents who have assets, as long as the application has been done properly and the assets are titled and managed according to the rules. Hiring a professional Medicaid consultant such as a Geriatric Care Manager or Elder Law Attorney to assist with Medicaid Planning and Application is no different than hiring a good accountant to help you pay fewer taxes. What is the difference between a skilled Geriatric Care Manager and an Attorney when filing for Medicaid? Answer: About $300 per hour.

On February 8, 2006, President Bush signed into law the Deficit Reduction Act of 2005 which is a Federal attempt to eliminate many previously used techniques for sheltering assets for Medicaid applicants. The law is now under fire and may eventually be declared un-constitutional. In the meantime, Floridians are expecting to have to adopt the new rules as of October 2006. The new rules eliminate many opportunities for unmarried applicants to shelter some assets but married applicants will still be able to shelter almost any amount of money.

As the Medicaid eligibility criteria tighten, denials for Medicaid are on the increase. Some Geriatric Care Managers and Attorneys who specialize in Elder Law are helping families get qualified while protecting some assets. The simple truth is that ICP Medicaid has become difficult to get without professional help. Families who try on their own and fail, must then pay private fees to the nursing home for the months they were denied. In the State of Florida, that is at least a $5,000 mistake.

Basic Medicaid Eligibility:

Medicaid Eligibility is based on several basic criteria: Monthly income must be under the limit of $2,022. Assets must be under the limit of $2,000 or less for unmarried applicants and $109,540 for married couple (with one person in a nursing home). If both spouses live in a nursing home they can only have $3,000. The applicant must medically require nursing home care. The applicant must not have given away any assets within the last five years.

INCOME

A single applicant who lives in a nursing home is allowed to have up to $2,022/ month in gross income. If they have more than $2,022, they can still get ICP Medicaid as long as they pledge their entire income (except $35) to pay the nursing home or other health care expenses. This pledge is made in the form of a Qualified Income Only Trust. As long as the amount of income which is over $2,022 is deposited into the Income Trust and then paid to the nursing home, the applicant can remain Medicaid eligible. If any money is left in the Income Trust upon the death of the Medicaid recipient, it must be turned over to the State of Florida, not the heirs.

ASSETS

A single applicant may have up to $2,000 plus a house and in some cases investment properties, businesses, IRAs, life insurance, life insurance and other assets. The positioning, titling and on-going management of these assets is critical. If not managed properly, these potentially "allowable assets" can cause an applicant to be denied or tohave the Medicaid withdrawn after it had been approved.

IT PAYS TO STAY MARRIED

A married couple (with only one spouse living in a nursing home) technically is only allowed to have $109,540. However, with proper Medicaid Planning, a married couple should be able to keep any amount of assets. Why is this possible? Because in Florida, we believe a person should not become impoverished just because their spouse becomes ill and requires nursing home care. There is absolutely NO REASON TO GET A DIVORCE FOR THE PURPOSES OF MEDICAID QUALIFICATION. Any professional who recommends this option to a happily married couple is doing them an unnecessary injustice.

GIFTING:

After October 2006, gifting of any kind (including adding someone to the title of your home or donating to a church) will result in Medicaid ineligibility. The "look back" period is now 5 years which means all gifts over the last five years will be totaled and divided by 5,000. The result of this equation is the number of months an applicant will be unable to get Medicaid once they move into a nursing home. This is called the "In-eligibility Period". The applicant will have to pay monthly rate to the nursing home out of pocket and cover all other medical costs not covered by insurance during this period. For some people, the nursing home fees plus medications and therapies total more than $10,000 per month.

EXAMPLE: A grandfather who gave up driving 4 ½ years ago gave his car, then worth $8,000 to his grandson. The grandfather now needs to live in a nursing home so he applies for Medicaid because he had no assets. The State can look back at that gift of a car which was worth $8,000 and divide that by 5000. The result is 1.6 months. That is how many months this grandfather will have to pay the nursing home before he can go on the Medicaid program. If the nursing home is charging $5,000/ month, the grandfather will pay $8,000 to the nursing home because he gave away an $8,000 car 4 ½ years ago. What if the grandfather does not have $8,000? The nursing home cannot evict someone without providing a safe discharge so they may have to keep him at no charge. For this reason, many have nicknamed the Deficit Reduction Act of 2005 the "Nursing Home Bankruptcy Act of 2006".

PROPER PLANNING CAN AVOID COSTLY DENIALS

Now that the "look back" period is up to 5 years, the need for Medicaid education and pre-planning is more important than ever before. Because under the new law the penalties for un-approved gifting and title transfers are now being counted from the time the applicant enters a nursing home, the impact of these penalties is greater than ever before. But if families are willing to look at their future healthcare and financial needs, they can avoid costly mistakes. Many Accountants and Financial Planners who serve families with assets, are not knowledgeable about the specialty of Medicaid Planning. Frankly, many techniques they may employ to help families save on estate taxes are absolutely counterproductive to Medicaid eligibility. These well meaning professionals leap to the assumption that their well-healed clients will never need a welfare program. Well, now that nursing home stays cost over $60,000 per year, even middle income families need to know about Medicaid Planning.

Senior Service Business Trends


The baby boomers comprise a large portion of the market. According to Entrepreneur Media, by the year 2020, twenty five percent of people in the USA will be over the age of 65. As they age, the business opportunities in elderly care are expanding and are expected to increase. Although the number of in-home care and assisted living businesses are increasing, these are not the only areas of growth.

Many baby boomers are still active, and they want to keep it that way. Insightful entrepreneurs are looking at what this mature crowd wants, and they are creating anti-aging and health products to meet the needs of the market. There are also companies sprouting up that provide services like organized senior travel and tour groups, active health clubs for seniors and more.

Concierge services, bookkeepers and financial planners are also providing much-needed amenities to those who want assistance in making life easier as they grow older. Here are some of the business trends that we are seeing now.

In Home Care

Many seniors would prefer to remain in their homes than move to an assisted living facility. To meet this growing need, there are lots of in home care businesses and franchises starting up. Some home care services provide medical aid, but many other businesses offer a wide variety of non-medical care assistance instead. Some examples of non-medical care include bathing, grooming, meal preparation, transportation, companionship, chore services, housekeeping and more.

Seniors can continue to live in an environment that makes them happy, while family members can rest assured that they are receiving the care and attention they need. If this isn't enough of a selling point, companies that offer multiple services are additionally attractive simply for the added convenience that they provide.

Money and Tax Services for Seniors

Bookkeepers, tax consultants and estate planners are also finding opportunities in the senior market. By offering their services to this specific niche market, these professionals can free retirees from having to manage complicated financial tasks themselves. At the same time, they can be helping them save money and spend their savings wisely.

Travel and Recreation for Seniors

Travel businesses that offer tours and vacations specifically for seniors are becoming more popular for aging travelers. Not only is the trip planning taken care of for customers, but the specialized travel service caters to the needs of seniors.

Although recreation for seniors is nothing new, a growing number of services are being offered, especially for those who want to live an active lifestyle. For example, a fairly new senior health club franchise called Club 50 is designed for people age 50 and over. In addition, more spas are offering services that seniors want, such as hydrotherapy services and cooking classes.

Whether you want to start a senior service business or you want to expand your current product or service offering to the senior market, there are opportunities to be had. Publications like Senior Citizens Magazine and Modern Senior Living Magazine can provide clues as to what the market wants. All you need to do is provide the solution.

Why Do People Need Disability Insurance?


Many people do not realize what would happen if they become disabled and lose their ability to work. Statistics show that approximately 43 percent of individuals between the ages 35 and 65 will become disabled for 90 days or more. If you lose your ability to work and make a living, disability insurance will help you pay your bills, save for retirement, and make your mortgage loan payments. This type of coverage will replace up to 60 percent of your gross income in case you become disabled. Supplemental plans will cover 70 to 80 percent of your salary.

This type of insurance is specifically designed for working men and women. Since accidents and illnesses occur when you expect the least, collecting disability benefits will help you maintain your standard of living and pay for ongoing expenses. Studies have shown that over 30 million Americans between the ages of 21 and 64 are unable to work because of a long-term illness or injury. In order to receive disability benefits, you need to be a benefit-eligible employee or have a disabling condition that qualifies for benefits.

Long term insurance provides coverage for catastrophic illness or injury. This type of policy kicks in once your short-term disability plan runs out. Insurance companies offer policies that vary in the length of payout. Some of these insurance plans will pay out for up to 10 years, while others will pay out benefits until age 65.

As its name suggests, short term disability insurance offers coverage for a limited period of time. The average duration of benefits is six months. The number of weeks you are eligible for disability benefits depends in how many years you worked for your current employer. Hawaii, Rhode Island, California, New York, and New Jersey require employers to provide short-term disability insurance. Short term policies usually have waiting periods ranging from 0 to 14 days. If you purchase long term disability insurance, you will have to wait 30 to 720 days before receiving any benefits. Long term coverage is typically more expensive that short term disability insurance because it covers extended health care at home, assisted-living facilities, or nursing homes.

If you are self employed, consider buying an individual plan. Many companies provide disability insurance online. All you need to do is to search for a well established insurance website and then complete a brief form with relevant details such as your age, gender, health condition, occupation, and income. Based on the information provided, you will receive disability insurance quotes from several companies. After choosing three to five quotes, compare them side-by-side. Select a policy that offers comprehensive coverage at reasonable rates. Keep in mind that many insurance providers offer discounts of up to 40 percent for buying coverage through their websites.

Women and Spirituality


The topic selection for this paper is women and spirituality within culture diversity. Current research shows that there is a worldwide need for women to image themselves as spiritual beings. There are intellectual connections between visualizing, achievement and creativity. The media across the world also helps the image of the Goddess, which is an aesthetic and creative value to enrich lives. The Goddess has characteristics that women, from diverse faiths, cultures and background, honor. The global perspective of the Goddess emphasizes life affirming interconnections among women and other species. To know one self better is a universal human need. Women are caught between survival and achievement. Each person, to maximize his or her skills, needs to image the self as part of the divine, as resonating with life. As each person does, he or she increases creativity, achievement and generate beautiful evidence of own insights. These offerings enrich the person's life and the world overall. Some people will make religions out of these possibilities, sounding like big and clever experts, in front of others.

Qualitative analysis found themes to describe spirituality: connection with a Higher Power, personal choice, connectedness with nature and people, healing, and support. Most women across the globe view spirituality and religion as separate, yet connected, entities. Benefits of women's spirituality groups include the groups' being therapeutic, providing valued relationships, and social support.

In comparing spirituality and religion, most world women generally believe that spirituality is nurturing and allows freedom, whereas religion meant restrictions, molding, and judgment. Women overall believe spirituality is more important than religion. There is a generalized belief that spirituality is much more significant. Women normally believe that there is a therapeutic benefit to belonging to own spiritual groups, and, typically, they feel that this benefit comes through emotional healing. Although women do not join spiritual groups with the intent of healing or strengthening existing relationships, generally they experience a positive effect on relationships outside of the group from being in the group. This can assist them in their daily living. Typically, women find that they have more awareness of other relationships because of their experiences in their spirituality groups. Women usually are open to joining or creating another group if their spiritual groups cease to exist. Women tend to discuss the element of what life means to them, and find a meaning in life. Also, women like to discuss the element of values in relation to their sense of self. The most typical value is their own personal growth and acceptance of themselves. Understanding the meaning in life affects a person's values. Relation issues and finding meaning in life are part of women's values. Women talk about their cosmology and their place in the universe, as being part of an ongoing process. They experience life as a journey, and the guiding principle for them is their connection to the higher power or Universe. The journey for these women includes becoming the person they believe they need, or are created, to be. This transition involves discarding old values that no longer work and integrating new values. Women consider spirituality as important as religion or more. Their spirituality or traditional religion includes a belief in something like God, freedom of personal choice, and a sense of mystery. Women describe spirituality as having significance in their daily lives. The concept that captures healing is safety or a place to safely express their way of being. Women also seek spirituality to relate to other women and to support them in their personal growth, much more than in a traditional church or in society. Counselors need to hear spiritual expressions between the clients' lines. Reflection on spiritual issues can be a personal growth process for women in individual and group counseling. Considering the importance of relationships for women, a therapy group format for spiritual discussion could be helpful.

Counselors could help clients consider how transition in one area of life may need a change in values and spirituality. Long-term therapy is complete for women when they can integrate a belief system based on their own individual understanding. In addition, women with eating disorders usually struggle with spiritual conflicts that can impede their recovery and healing.

Research demonstrates that spirituality positively impact psychological and physiological outcomes. Yet, spirituality may also increase the impact of stressors. Increases in spirituality are positively related to PMS and stress endorsement. Spirituality serves as a partial mediator between stress and PMS. Strikingly, women with the highest levels of spiritual, existential and religious well-being have the highest levels of stress and the most severe premenstrual symptoms.

One plausible explanation for these results is that women of faith are taught that God will tell them monthly that they can bear a child. As a person with a high powered and time demanding career engages in self-care behaviors to manage stress, then so too should women of faith. Studies suggest that women associate their faith with these psycho-physiological aspects of self in a way that faith or spiritual well-being calls a person of faith to greater self-care.

Spiritual exploration often occurs after the loss of a significant other or with the imminent death of oneself. Many women across cultures want to understand their place in the order of things, but not through organized religion. Most women share the following: a need to feel connected, spiritual questioning, existential anguish, thoughts about death, and reliance on organized religion. Research suggests that spiritual questioning, outside of organized religion, significant loss, or imminent death, is a natural aspect of aging. Women undertake spiritual exploration extensively. Women also have a profound need to feel connected with something greater than them. Women are generally more inter-relational. This connection need includes recognizing and communicating with something outside or beyond the self, connecting with unity, and finding meaning on earth. In other words, an important component of spiritual exploration is the understanding of the connection within, with others, and with something beyond the self. A sense of connection provides order, stability, and meaning in a stressful, challenging, conflicting, and possibly isolating life. However, a sense of connection does not necessarily provide answers to spiritual questions, nor does it always alleviate existential angst. Most women become spiritually ready and experience an awakening to look beyond the mundane to grasp the bigger picture of which they are a part. Women who rely on organized religion for spiritual guidance are, for the most part, African American, Latina, and lower class. There is a need to differentiate spirituality from religion theoretically and practically. There are women who are profoundly spiritual and eschew connections with formalized religion. Most aging baby boomers claim to be non-religious and spiritual. The Black church has been of secular and spiritual sustenance for Blacks since slavery. This is a longstanding tradition. It provides structure and meaning in lives that are marginalized by other institutions in the US society. Similarly, the century-old Catholic Church's presence in Latin America creates unconditional loyalty among Hispanic people. Spiritual questioning suggests a level of educational attainment. Many of the women who conduct spiritual quests are from middle and upper class. Christianity may not be the predominant religious influence in a multicultural society, the 2000 Census says. The women who focused on non-western and non-Christian practices speak of the interconnectedness of all living beings, the need for balance, and communion with nature. People know far more about the religious practices of church goers than they do about alternative practices. Some women allow time for reflection without an indelible crisis, impending death, or significant psychological imbalance, but as part of aging. They have the opportunity to ponder fundamental questions of existence that are thrust upon other people at less opportune times. Aging may prompt a search for meaning and a need for connection because death is closer than at earlier times in the life span. Women outlive men and often face old age alone. As life winds down, some women may embark on existential quests that reflect basic core values or new directions in their lives. There are countless ways older women cope with the unknowable. The relationship between spirituality and death fear, across race, class, and culture are normal in aging.

Women's spiritual exploration and identity development requires a spiritually focused intervention or approach. There are benefits of groups for women and for mixed genders. The interest expressed in the women and spirituality groups on some university campuses and the positive outcomes of spiritual interventions suggest that a group focusing on spiritual exploration and identity development within the setting of a college counseling center may serve a need not being currently addressed by other services on college campuses.

Modern women in the US have high spiritual needs that are not met by mainstream religious traditions. Therefore, women are seeking elsewhere the spiritual truths that seem to be missing. Many women still practice the religion that they were raised in. Feeling disconnected from the familiar traditional spiritualists, however, they supplement them with spiritual practices from other faiths or spiritual gurus. This phenomenon could reflect a deepening of fundamental values rather than a rejection of traditional belief systems. Many ministers and theologians are surprised at the perceived inadequacy of mainline religions. Assuming that a male God is essentially neutral, many men are unaware of male religious power and how that power is held over and against women, denying them the right to preach or similar activities. It is difficult for many women to ground their beings in a male God that men have created in their own image. Most churchgoers are women, yet in most traditions the male hierarchy remains firmly in place at the top. This is especially the case when men are in the home and are spiritually/religiously connected. The Catholic Church that today advocates for preferential treatment of the poor still refers to its cardinals as the princes of the church. Moreover, in 2008, the pope set up a commission to study the orthodoxy of American women religious. When the Vatican first undertook such a project, in the 1980s, many religious women suggested that the authorities should study sexism in the church instead. That commission faded away in silence. At their best, religious images and rituals can carry transformative power and promote healing. When contemporary women cannot find such resources in mainstream traditions, many of them will seek out spiritual communities with more viable alternatives.

For many women the connection between sexuality and spirituality is frequently experienced in the context of their religious beliefs. Their faith privileges male pleasure and ignores what is important in women's sexuality. The result is feelings of shame and disconnection from a vital source of their power (Daniluk & Browne, 2008). Women can be assisted to develop more positive and affirming sexual self-constructions and nurture a more empowering sense of spirituality in their lives, in the face of sometimes oppressive religious beliefs. Sexual script theory and feminist interactionism perspectives are useful theoretical frames from which to work on these complex issues. The goal of the therapist's work is to first see the client's sexual world through her eyes, to help her gain insight into the beliefs that construct her sexual self-perceptions and behaviors, and then to assist her in developing alternate meanings. For those women clients whose sexuality has been damaged by anti-woman religious doctrine, a first step is to have them identify the beliefs they hold about women's sexuality and their own. It is necessary to explore the meanings clients hold related to their sexual self-perceptions, their bodies, and the way they feel about and express their sexualities. Therapists can then begin to assist clients in separating the positive beliefs they hold related to faith, ethics, and values, from the shame and guilt inducing messages they have incorporated related to their bodies and sexuality. In other words, in order to correct misbegotten notions regarding women's sexuality, therapists must create more accurate accounts of female sexuality. Sexual pleasure can contribute much to a woman's sense of self love, self-worth, and connection. Counselors have challenged the dualism inherent in Christian doctrine, and presented a holistic theology of women's sexuality that honors the central role of embodied sexuality in women's ability to know God. There are emerging feminist theologies that connect the body with personal power and self-determination. Sharing these positive feminist perspectives between religion, spirituality, and sexuality can be a powerful tool in helping women clients embraces more integrated views of their sexuality, within the moral, religious, and spiritual traditions that guide the other aspects of their lives. Many therapists reject the dualistic categories of sexual function and dysfunction, in favor of more holistic views of women's sexuality that emphasize self-love, acceptance, connection, and diverse sexualities of women. Current feminist efforts to articulate more expansive, woman-positive, empowering connections between women's sexuality and spirituality can also help clients articulate more affirming connections between their spiritual and sexual selves.

Oppressive beliefs related to sexuality and women's sexuality have shaped the lives of all women. Therapists working with clients on issues related to their sexual self-perceptions must examine their own beliefs, regarding the sexual nature, needs, and rights of women. Therapists must also be aware of their comfort or discomfort in addressing these issues. Therapists must monitor their own reactions to hearing women's narratives about sexuality, spirituality and religiosity, and must know what this triggers for them based on their own upbringing, while still honoring clients' views, even if they conflict with their own. Therapists must acknowledge the challenges women face in turning off the negative messages that have played in their minds for years and shaped their understanding and experiences of their sexuality. For all women, it is an ongoing challenge to nurture and sustain a spirituality that celebrates women's erotic potential of expression, within a social and cultural context that often disqualifies that potential. However, the rewards for doing so can be great in the form of healing, celebration, passion, intimacy, and connection with self, others, and the divine. Celebrating women's sexuality is important to good sexual ethics. Such a celebration requires a complexity with many meanings that can rejoice in the fact that there are many women. Therapists can play an important role in this celebration, in their own lives, and in their work with clients.

Overall, women are more affirmative about their spirituality and feelings about community. Men identify with these experiences but not the terminology of spirituality. Men give more attention to work and to their struggles integrating work and religion. Women express excitement about learning whereas the men convey self-consciousness over their learning deficiencies. In religions like Judaism, there is a gendering of the terms spirituality and community and religious requirements. In addition, men experience a conflict between religion and their work role and feel driven to learn to remedy deficiencies in their knowledge. Women are less focused on work, experience less role conflict, and are more excited about learning. Both men and women talk about spirituality and community, but women embrace the terms whereas men endorse the concepts but are uncomfortable with the terms. Men dominate the public space of the synagogue or prayer groups, and women's marital and maternal roles are considered central. Both in the writings of sacred texts and in the norms of their respective religious communities, men's religious obligations are explicit. Because women are exempt from obligations, they can decide for themselves whether or not to observe certain Jewish religious practices. Women enthusiastically embrace the spaces that are available to them. Men identify more comfortably with Judaism but do not acknowledge their spirituality. There is also gendering of certain religious practices. Men emphasize some and women others. Some of the commandments are required of men. The gendering of religious practices may reflect such gendering in the non-Orthodox community. Women struggle with issues of covering their heads, refraining from singing in the presence of men, women not being counted in the religious obligations or prayer services, and the partition separating men and women in the synagogue. These facts are consistent with gender role expectations in the larger society, with men giving more prominence to their work identities than the women. Men seem conscious of social expectations that they support their families and achieve success at work. Women also try to integrate their religious and work roles and family roles. Men and women who work within religious communities are better able to avoid conflicts between their work and religious roles than those who work in secular contexts. During different phases of their careers, women give different emphases to being true to themselves, balancing family and career, and seeking challenges. Balancing family and career is salient for those working women who are married and have children at home. Only women speak about enjoying the social contexts in which their learning takes place. In contrast to men, women relish their educational activities. Women crave education and seek intellectual stimulation and growth. Women do not overtly find their gender roles limiting and they revel in community. Women are passionate for learning, men's self-consciousness, and men's and women's deep spiritual strivings.

The spiritual practices that women offer open possibilities for society beyond short term concerns with self-interest and survival. In an increasingly threatened global environment and with a shrinking global future, women and women's spirituality are crucial to imaging an alternative, which resists trends of male domination. The social justice work of these women is able to challenge the policies of established elites. In conclusion, the women spiritual perspectives open opportunities for society beyond short term concerns with profit, or money making, having and spending, and may be essential for a civil and humane society.

References
Daniluk, J. C. & Browne, N. (2008). Traditional Religious Doctrine and Women's Sexuality -- Reconciling the Contradictions. Women & Therapy, 31(1), 129-142.

Jewish Assisted Living in Southern California - Finding the Right Facility


Today, Jewish culture still continues to show the highest respect for family tradition. Jews honor their parents and elders by respecting their life experience and keeping the lines of communication open. This helps to create a tighter community and a sense of belonging. Jewish families are also known to be very close and protective of one another. Unfortunately, as the elder generation ages, their ability to function independently sometimes diminishes.

Younger family members do their best to care for aging relatives but may be limited by finances and time that are reserved for their other family members. Grown children of aging parents may be reluctant to surrender the role of caregiver to an outsider. There may be feelings of guilt experienced by the caregiver as well as feelings of anxiety from the aging parent. Remember too that aging parents during this time are having to come to terms with drastic change, a loss of independence, and a lack of peers. Such an ordeal can be a test of a family's unity and faith.

Jewish Assisted Living in Southern California

This is how Jewish assisted living in southern California can help you. There are many facilities for Jewish assisted living in southern California that cater to the Jewish community. You can rest assured that these homes will provide a warm and friendly atmosphere, as it would be a community that shares your family's traditions and culture. Some of these facilities are conveniently located and offer beautiful scenery on a lakeside. Depending on which Jewish assisted living home you choose, the home may offer a synagogue, a library, Torah classes and lectures, which allow all members to feel like part of a strong community. These assisted living centers provide food, including special dietary provisions for residents, and can serve up to three kosher meals a day. There are social activities and group gatherings for residents, which are very important in keeping residents happy and motivated. Most importantly, these homes will provide daily living assistance, including housekeeping, laundry, transportation to appointments and access to other amenities. Usually, the level of assistance given is the choice of the resident who may feel comfortable doing things for himself or herself.

Medical Issues

If you are seriously interested in Jewish assisted living in southern California then it would first be helpful to understand the difference between an assisted living facility and a nursing home. Though some Jewish assisted living facilities arrange for doctors and therapists to be on hand for medical or psychological care, not all homes will provide this option. Assisted living homes, unlike nursing homes, try to maximize the independence of the patient. Therefore, these facilities will provide much in the way of wholesome Jewish association, daily living assistance as needed, but not necessarily full time supervision. If residents require frequent medical supervision then a nursing home would be more appropriate. There are also Jewish nursing homes in some areas.

The main advantage of choosing Jewish assisted living in southern California is that you as a caregiver will not be handing responsibility to an outsider. You and your parent will feel safe knowing that the new home is among a community of friends - of brothers and sisters.

How to Find Jewish Assisted Living in Southern California

Locating all of the homes for Jewish assisted living in southern California can be quite a project. These establishments may be scattered around the Los Angeles and southern California areas. While you may not have time to personally scout each of these locations, ElderHomeFinders does. Our business is evaluating assisted living facilities and other long term care communities. We provide this service free to the consumer and with respect to our brothers and sisters in the Jewish community. We take particular interest in the assisted living facilities that caters to Jewish culture, and we make sure the facility is up to standard in services and amenities. We can match your loved ones with a home based on their needs and on your budget. Best of all, you can match your relatives up to an assisted living facility that is amongst friends and family - a Jewish community that respects one's elders.