Showing posts with label Social Support. Show all posts
Showing posts with label Social Support. Show all posts

Monday, June 29, 2015

Who Will Clip Your Toenails When You Cannot?



I am not at a stage of life where I need help doing my own toenails. Barring unforeseen circumstances, I’m expecting to be my own mani/pedi provider for a good two decades or more, but you never know how life will turn out. I am, however, in that sandwich generation. Or I was. Since my father passed on a few years ago and my mother passed on a year and a half ago, the sandwich is somewhat more like open-faced tuna melt than a club. I have two emerging adult sons in the home and I have two brothers beyond it. One of those two brothers has had serious health needs of late, and that inspired this piece.

Here’s something they never tell you when you are a kid: One day you may end up clipping and filing the toenails of those you love. Earlier in life, I could not have imagined that, at some point, I would clip my father’s toenails, my mother’s toenails, and my brother’s toenails. I am cured (pedi, in fact) of my naïve beliefs. Sure, my wife and I trimmed our sons’ nails when they were little. We are good parents! Besides, if you’ve had a baby, you know those baby nails can be wicked sharp. Trimming them is simple self-preservation. But that was long ago—before the one son started using clippers on his own and the other son started trimming his own toenails with his teeth (he was really flexible back then).

In recent months, one of my brothers has had serious health issues and he’s been unable to trim his own toenails. That’s how I came to do it. Twice. I never, ever, thought I’d be doing that, but there I was, clipping, filing, and buffing. No polish, though. Shiny was not our goal. Besides, in our family, we don’t get fancy.

Years ago, my parents lived in a retirement home. For a while there was someone who provided this service for them but something interrupted that for a time. That’s how I came to trim the toenails of my parents a time or two.

You may be thinking, “That’s no big deal, Scott, let me tell you what I’ve had to do for a family member.” Indeed, this is a small thing. Ten small things at a time, in fact. Some of you are real family heroes, doing incredible things, year in and year out, for a loved one. I claim no contest. Still, toenails are a metaphor for the whole range of little things that many of us will need help with at some point, for a season or for the rest of our lives.  

Toenails and the Future of Families

This all got me thinking about the future of families and about toenails. A stretch, you say? I think it’s all related.

One day, when visiting a loved one in a nursing home, I asked a nurse about toenails. I wondered how people who could no longer trim their own got it done. She told me that in this particular place, and I suspect it’s far from the only one, staff were not allowed to do the toenails of patients. Liability. So some people needed to have an outpatient visit to a podiatrist to have their toenails trimmed. Think about that a moment. The cost. The hassle. I got to wondering if it’s a reimbursable medical expense to have a podiatrist do your toenails.

I think a growing number of people are going to have only one of two options for their toenails: Howard Hughes mode or services provided by a family member or friend. Sure, the government has programs for many things, but I’m not sure there’s one coming for toenails.

So, I’m asking a serious question. Who will clip your toenails when you cannot?

Digital Inequality

Families have become more fragmented than in past. Children are less likely to be raised by their own two parents and more likely to experience churning (turnover) in family relationships. For an increasing number of people, there is instability around who is in the home. Someone will wish to argue the point, but I don’t see how these changes could fail to impact lifelong bonds within families. I think we will see a net decline in the number of committed and emotionally bonded family members that the average person can draw upon in times of need. Combine this with the fact that the people who are having families are having smaller ones. That means there will also be fewer siblings as potential resources, regardless of other changes. If you have a relationship with a relatively responsible sibling or two, and you’ve not yet begun to think of them as possible resources in your future, start being a little more imaginative. Not all assets are financial.

Strong attachment bonds start with the level of commitment and emotional availability children receive from their parents. In turn, attachment bonds throughout the family promote lifelong commitments among family members, such as from child to parent and sibling to sibling. These forces have operated throughout history to make it more likely—though far from guaranteed—that family members will take care of each other when needs arise.

No matter how large government’s role becomes in the lives of those who are older, there will be gaps to fill around simple needs. This is yet another way that inequality is partly, but inexorably, connected to the nature of families. Everyone has toenails but not everyone will have a family member to step in and help. If you needed one more reason to work to help families form stronger bonds, now you have it.

Personal Advice

Surely you know the joke about treating your children well because they will pick your nursing home. Forget that. You should hope they will willingly and carefully trim your toenails.

More broadly, we’d all do well to build and keep strong bonds with family and friends. You never know when you might be the one who needs help rounding up your little piggies, all the way home.


Saturday, May 2, 2009

We, We, We, all the way home!

I’ve thought and written a lot about commitment. Once of the hallmarks of a strong commitment between two individuals is that they have “WE-ness.” In other words, there is a strong identity of “us” and it’s not all about just me or you. In fact, one of the many ways I’ve summarized commitment in marriage is that it reflects “us with a future.” (My book on commitment is linked on the side of this blog. Okay, that was shameless, but someone might be interested!)

Having a strong couple identity doesn’t mean merging the identities of the two individuals into some Vulcan-mind-meld-blob-of-undifferentiated-goo. A lot of people fear the merging thing, some to the point of over doing their avoidance of joining with another; and some people desire exactly this type of merging because of insecurity or other issues. Healthy couple identity means there is me, you, and us. There are three identities. All three matter and all are honored in how we go through life together.

So, WE is good, but it also gets hard to build and hang onto in a culture that is focused on individuality. There is growing trend that reflects the WE thing but undermines it as well. Paul Amato is a sociologist I know and admire, who published a book with colleagues two years ago that I thought was fantastic. (Keep in mind, I mean fantastic in the somewhat geeky manner.) It’s not a self-help book but it is a fabulous, very readable discussion of how marriage has changed in the past 20 years. Amato and colleagues have one of the best research samples in the country for addressing questions about changes in marriage. The book is entitled, “Alone Together: How Marriage in America Is Changing.” If you are interested in marriage as a subject of interest, not just your own marriage, I highly recommend this book.

Today, I’m focusing on one major finding among many from their work. They found that couples, as couples, are increasingly isolated. There is a WE but the WE has, on average, been growing thinner. Think of this as the isolation WE diet. Couples have grown less engaged in shared activities and outside commitments, such as involvement in community groups. Amato and colleagues note: “Couples in 2000 were substantially less likely than couples in 1980 to eat together, visit friends together, go out for leisure activities together, or work on projects around the house together.” They were less likely to do things like be in clubs or groups together, as well. Home alone meets alone together.

Couples do best when engaged in some significant shared commitments outside their relationship, such as to groups, clubs, church/synagogue, etc., and efforts to help others. This trend toward growing isolation is concerning. Amato and colleagues note one exception to this trend, which is involvement in religious organizations, particularly churches. There is a movement toward increased church involvement among married couples since 1980.

My short hand for what they find is the title of this blog entry: We, We, We, all the way home. It’s sort of like couples—at least some couples—have figured out a version of the WE thing, but it’s very much a WE at home and alone thing.

Does this matter? I think it does. Doing some things together, where you are engaged and connected to others in the community, is usually a good thing. Good for you, good for your relationship, and good for the community. Isolation has never been shown to be good for people. While there are some couples who are involved in too many things, the trend for the average couple is toward reclusiveness. If you and your partner have gotten pretty isolated, it’s worth taking a bit of time to reflect on your options for doing at least one thing together where you can be involved, together, with others. That would take a decision.

You’re not always safe when you are sliding into home.

*