The Year Everything Changed | DAGS 2020 Fall Forum

Through its Thanksgiving To-Go Kits and year-round intergenerational programming, GIFT (Giving It Forward, Together) is changing the way Pittsburgh thinks about aging, social isolation, and the power of human connection.As the holiday season approaches, many families begin thinking about Thanksgiving traditions: gathering around the table, sharing a warm meal, exchanging stories, and spending time with the people they love. But for thousands of older adults, the holidays can look very different. For individuals who are homebound, living with physical or cognitive disabilities, immunocompromised, or experiencing social isolation, a holiday that traditionally celebrates togetherness can instead serve as a reminder of the connections they may be missing.This is where GIFT (Giving It Forward, Together) makes a meaningful difference.For 11 years, GIFT has been creating opportunities for connection, purpose, and belonging throughout the Pittsburgh community. Through its weekly intergenerational programming and annual holiday initiatives, GIFT has made a tremendous impact, serving close to 1,000 older adults and bringing together people of different ages and backgrounds through meaningful acts of service.At the heart of GIFT's mission is a simple but powerful belief: Everyone deserves to feel seen, valued, and connected, regardless of age or circumstance.Thanksgiving To-Go Kits: More Than a Meal, a Reminder That Someone CaresOne of GIFT's most meaningful initiatives each year is its Thanksgiving To-Go Kit program. Designed specifically for older adults who may otherwise have difficulty celebrating the holiday, these thoughtfully assembled kits provide more than just the necessities for a Thanksgiving meal. They deliver a message that someone in the community is thinking about them.Last year, GIFT distributed more than 800 Thanksgiving kits to older adults throughout the Pittsburgh area. Each kit included fresh, hot holiday food, handwritten cards, and small gifts carefully selected to bring comfort and joy. While the meal itself is important, the thought and intention behind each item are what make the experience especially meaningful.Every kit is curated by students in the Pittsburgh community and assembled by volunteers of all ages and stages of life. From students and families to older adults and community members, people come together with one shared purpose: ensuring that someone who might otherwise feel forgotten during the holidays knows they are remembered.The kits are designed to provide recipients with the essential components needed to celebrate Thanksgiving in the comfort of their own homes. For someone who cannot easily shop, prepare a meal, or participate in traditional holiday gatherings, receiving a complete holiday experience can be incredibly meaningful.But perhaps the most important part of the kit cannot be measured by what is inside the box. It is the feeling of opening the door and realizing that someone took the time to think of you. It is the handwritten card, the carefully chosen gift, and the knowledge that people who may never have met you wanted to make your holiday special.It is not simply a meal being delivered. It is a reminder that you matter.For individuals experiencing isolation, that message can make an extraordinary difference.The Power of Feeling Seen: Why Purpose and Connection Matter as We AgeSocial isolation and loneliness among older adults are increasingly recognized as important public health concerns. According to the Centers for Disease Control and Prevention (CDC), social isolation and loneliness are associated with increased risks of depression, anxiety, heart disease, stroke, cognitive decline, and premature death.Research from the National Academies of Sciences, Engineering, and Medicine has similarly identified social isolation and loneliness as significant risk factors affecting the health and well-being of older adults.But addressing isolation requires more than simply putting people in a room together. Meaningful connection happens when individuals feel that they have something to contribute, that their presence matters, and that they are part of something larger than themselves.This is the philosophy behind GIFT.Per the US Census Bureau, Allegheny County (home to Pittsburgh) ranks as one of the oldest U.S. counties by median and senior age distributionfrequently cited as the sixth-oldest or among the top 10 oldest counties in the U.S. by population percentage, with roughly 19% to 27% of its population aged 65 and older. Through opportunities to participate, volunteer, share experiences, and build relationships, GIFT creates an environment where older adults are not viewed simply as recipients of services, but as valued contributors to their communities.There is an important distinction between being cared for and being given the opportunity to give back. Both matter, but purpose can be just as important as support.Research on intergenerational engagement reinforces this idea. A 2021 systematic review published in Ageing Research Reviews, examining 44 studies, identified potential benefits of intergenerational participation for older adults, including improvements in social functioning, anxiety, and physical activity. A 2023 meta-analysis also found positive associations between intergenerational programs and older adults' quality of life, generativity (the feeling of contributing to future generations), and depressive symptoms.Although researchers continue to study the long-term effects of these programs, the findings support something GIFT sees in its community every day: meaningful relationships and opportunities to contribute can enrich the lives of both generations.Bridging the Generational Gap: Creating a More Empathetic FutureWhile GIFT is committed to improving the lives of older adults, its mission extends well beyond one generation.For many young people, their primary exposure to older adults may be limited to their own grandparents or family members. Without opportunities to interact with people from different generations, young adults may have limited insight into the challenges, experiences, abilities, and contributions of the broader senior population.GIFT works to change that.Through weekly intergenerational programming, students and older adults come together to share experiences, collaborate on meaningful projects, and learn from one another. These interactions create opportunities for students to develop empathy, communication skills, and a deeper understanding of aging.At the same time, older adults have opportunities to share their wisdom, life experiences, perspectives, and talents. They are reminded that their voices matter and that they continue to have an important role in shaping the world around them.The result is a relationship that benefits everyone involved.When younger generations have the opportunity to build genuine relationships with older adults, they begin to see aging differently. Rather than viewing older adults through stereotypes or assumptions, they begin to recognize individuals with unique stories, abilities, interests, and aspirations.This is how communities become more compassionate. It starts with creating opportunities for people to know one another.Rethinking Aging: Moving Beyond Traditional Senior ProgrammingGIFT believes that aging should not mean becoming disconnected from the community or losing a sense of purpose. Instead, it should be an opportunity to continue growing, contributing, learning, and building relationships.As life expectancy increases, the conversation surrounding aging needs to evolve. It is no longer enough to focus solely on living longer. We must also consider how we can support people in aging better.Regardless of cultural, ethnic, racial, or socioeconomic differences, aging is something every person shares. It is one of the few experiences that connects us all.GIFT is working to make that shared experience more meaningful by creating opportunities for intergenerational wellness, community involvement, and purposeful engagement.And this commitment does not end with Thanksgiving.In addition to Thanksgiving To-Go Kits, GIFT provides annual Passover To-Go and Winter Holiday Kits. Each initiative is thoughtfully curated and designed by students in the Pittsburgh community, with volunteers helping bring the kits to life. Whether providing the necessities for a Passover Seder, a warm and festive winter package, or a complete Thanksgiving celebration, each kit is created with the same intention: helping older adults feel remembered, included, and cared for.Together, these programs demonstrate how simple acts of kindness, when organized around a shared purpose, can create meaningful community impact.A Pittsburgh Community Where Everyone BelongsAfter 11 years, GIFT continues to demonstrate that addressing social isolation requires a community-wide commitment. It takes students willing to learn, volunteers willing to give their time, and community members willing to recognize that older adults deserve opportunities for connection just as much as anyone else.The Thanksgiving To-Go Kits are a beautiful example of what can happen when generations come together with a common purpose. A student thoughtfully selects the contents, volunteers assemble each package, and an older adult receives something that communicates far more than the value of the items inside.They receive a reminder that they are part of a community.As GIFT looks ahead, its vision remains focused on bridging generations, challenging the way society views aging, and creating a future where people of every age feel valued and connected.Because ultimately, the goal is not simply to add more years to life, but to add more life, meaning, and connection to those years.Do you know an older adult who would benefit from a Thanksgiving To-Go Kit or one of GIFT's annual holiday kits? Whether someone is homebound, isolated, living with a disability, or simply could use a little extra kindness this holiday season, GIFT wants to help make sure they are not forgotten.To learn more about GIFT, explore its programs, or inquire about holiday kit recipients and volunteer opportunities, visit www.giftpgh.org.Together, we can make sure that no one feels forgotten and that every generation has an opportunity to give, receive, and grow. 

For an older driver, a vehicle repair can affect the entire week. Without the car, it may be harder to reach appointments, buy groceries, or visit family. The concern is often as much about understanding the repair and planning transportation as it is about the mechanical problem itself. What personalized service means for vehicle carePersonalized service involves clear discussion of the customers vehicle, priorities, schedule, and decisions. For an older adult, that can mean asking for an explanation in everyday language or involving a trusted family member with permission.The listing category does not establish a medical service, driving assessment, or special senior benefit. Ask directly about any accommodation, transportation arrangement, or discount rather than assuming one is available.Begin with the problem you have noticedWrite down the vehicles year, make, model, and the concern. Describe when a noise, warning light, or performance issue occurs and whether the problem is constant or intermittent.You do not need to diagnose the cause. A specific description helps the shop understand what to investigate. Include recent repairs and maintenance records when available, especially if the current issue may relate to earlier work. Gulf Coast AutoTech in MobilePhone: 251-345-6470 Location: 3742 Halls Mill Road, Mobile, AL 36693The shops website describes diagnostic work and repairs involving check-engine concerns, brakes, engine performance, drivetrain issues, and other vehicle systems. It also discusses diagnostic equipment for Ford vehicles and tools for other makes. Ask whether the shop handles your specific vehicle and concern. An organizations broad service description does not establish that every repair, warranty situation, or specialized system can be addressed there.Understand diagnosis before approving repairsThe official website describes scheduling diagnosis and repair separately to manage time without the vehicle. Ask how that process would apply to your appointment and whether diagnostic charges are separate from repair charges.Request an explanation of what the inspection found, what further work is proposed, and what remains uncertain. If the issue requires additional investigation, ask how that will be approved and priced.Questions to ask include:What is the diagnosis or next diagnostic step?What work is included in the estimate?Are parts, labor, fees, and taxes clearly identified?Who must authorize changes or additional work?What completion time is currently expected?Make communication work for the customerTell the shop how you prefer to receive updates and ask whether important information can be provided in writing. If a family member will help discuss the estimate, clarify who owns the vehicle and who may authorize work.Avoid having several people give separate instructions. Choose one primary contact and a backup so approval, payment, and pickup arrangements remain clear.If you need more time to review an estimate, say so and ask what options exist. Request clarification of unfamiliar terms rather than approving work you do not understand.Plan transportation before leaving the carAsk whether diagnosis requires leaving the vehicle and how long the initial visit may take. Confirm whether the schedule is an estimate and how delays are communicated.Arrange a ride that fits the actual drop-off and pickup plan. Do not assume the shop provides a shuttle, loaner vehicle, or pickup service unless it confirms that arrangement.Ask about the vehicles use while waitingIf parts must be ordered or a later repair is recommended, ask the technician what instructions apply to using the vehicle in the meantime. Do not assume that scheduling a later appointment means continued driving is appropriate.If you are unsure whether the vehicle can be brought in normally, describe the concern when calling and ask how to arrange arrival. Follow professional instructions for transport rather than trying to test the problem yourself.Review the finished work and recordsAt pickup, request an explanation of completed work, any remaining concerns, and any follow-up instructions. Review the invoice against the approved estimate and ask about differences before leaving.Ask what warranty terms apply to the parts and labor and how to report a recurring concern. Keep the invoice with the vehicles service history so another family member or future technician can see what was done.For recommended maintenance, ask which items are urgent, which are preventive, and what information supports the recommendation. Use the vehicles records and manufacturer guidance in the discussion rather than relying on memory alone.Why personalized vehicle service matters locally in MobileFor many Mobile households, the family vehicle supports healthcare visits, shopping, and social connections. A repair plan that includes communication and transportation is easier to manage than an unexpected period without a car.Relatives helping an older driver should consider the actual travel involved, including appointments in different parts of the county or across Mobile Bay. Identify the trips that need a backup while service is underway.Gulf Coast weather can affect schedules. Confirm how the shop communicates changes, keep contact information available, and avoid planning an essential appointment around an unconfirmed repair completion time.How to get started1. Record the vehicle details, symptoms, and relevant service history.2. Call Gulf Coast AutoTech at 251-345-6470 to discuss the concern.3. Confirm whether the shop handles the vehicle and how diagnosis is scheduled.4. Ask about charges, estimates, authorization, and expected timing.5. Arrange transportation and identify the authorized contact.6. Review the completed work, invoice, and follow-up instructions at pickup.Practical tip: Keep a small vehicle folder with service invoices and a note showing preferred contacts. Bring it to appointments so explanations and past repairs are easier to review. Related categoriesSenior TransportationPersonalized Senior Services Transportation Planning Resources

Are you wondering about the different medication services senior living has to offer? Medications become increasingly important as people age, given the higher likelihood of health problems. Seniors may end up with chronic conditions that require multiple medications and complex medication schedules. Taking the proper medication at the right time can be tricky, especially for seniors with poor memory or dementia symptoms. Fortunately, most senior living options provide different levels of medication services. What this looks like depends on state regulations and the type of senior living environment. In this article, we will explain the different types of medication services available and how they may vary depending on the level of senior care.Types of medication services in senior livingTo look at medication services, we first need to consder what the different terms. This is where things get complicated, as there is little consistency between the terms from state to state. Each state may use varying terminology for the levels of medication services. Were going to review the common terms for types of medication services here, so you can have an understanding of what to expect. If you need medication services at the senior living community youre interested in moving to or already live in, its important that you talk through the options with someone at that facility. Medication managementMedication management often refers to the overall system for organizing and managing residents' medications. It can include the areas discussed next, along with planning, storing, monitoring, reviewing, and organizing medications. Each community will have its own specific processes, some of which are more complex than others.Medication reminders Medication reminders are the simplest type of medication support found in senior living. This type of service could be as simple as verbal reminders for residents that its time to take their medication, or an alarm that plays a reminder when the resident should take medication. Because reminders dont involve direct contact with the medication, theyre generally considered a nonmedical service, and as such can be offered by staff without medical licenses. Senior living communities differ in what type of staff member can provide this reminder. The minimum rule is often set by the state in which the facility is located, so while one community might allow certain staff members to provide verbal reminders, another might notThis type of medication service may be offered as an add-on for an additional fee. Be sure to talk with a community representative about any costs that could be associated with medication reminders.Assistance with self-administrationThis type of service supports a resident who administers their own medications. Self-administering medication can be defined differently from one state to another, and usually involves the physical act of removing the medication from its container, handling it, and taking it by mouth (if an oral medication). Some residents can take their own medications but benefit from some degree of assistance from a staff member. Assistance steps can involve: - Bringing the medication container to the resident.- Opening the labeled container, removing medication, and placing it in the residents hand.- Applying any topical medication (e.g., cream).- Placing oral medication in a container and helping the resident lift it to their mouth.- Observing the resident taking medication.These are all common examples of what assisting in self-administration might include. The state in which your community is located might have slightly different definitions or include other actions that constitute assistance with self-administration.If youre interested in this type of service, youll want to talk with someone in the community about the specific procedures and the cost.Medication administrationMedication administration is the highest degree of medication assistance, and can include:- Any approach that requires judging medication dose, strength, or delivery method.- Medication that is provided as needed.- Medication provided through tubes.- Administering drops, inhalers, or suppositories.In the assistance category, staff help residents with their medication, while in administration, staff help with tasks that residents can no longer do themselves. This level of medication service is most likely to be an add-on cost for which residents pay extra, in addition to the monthly rent.Differences between statesThe distinctions between medication reminders, assistance, and administration sound logical and straightforward, yet theyre surprisingly complex in practice. Not only do states define these terms differently, but the tasks in each category differ as well. For example, medication administration is often as described in this article, but sometimes includes different additional tasks: For example, providing medication reminders in Iowa and reading labels aloud to residents in Maine.There is also variation in training requirements. Staff who administer medication typically need to be medically licensed, while those assisting with self-administration may only need to be trained. However, some states and facilities may require higher levels of training or even medical licensing for medication assistance.Levels of medication services by care typeNow lets take a look at how medication services can vary based on the care type you or a loved one lives in.Independent livingBy definition, people in independent living communities dont need much extra support. However, medication reminders are sometimes available as an optional add-on service that a resident might choose to have. Assisted livingAssisted living typically provides some degree of medication support. This can be as simple as medication reminders, but often includes assistance with self-administration as well. Skilled nursingSkilled nursing facilities have the staff required to provide full clinical administration, including medications that are provided as needed or where the medication dose is adjusted.These facilities are also subject to considerable oversight, so medication management systems are likely to be well developed, reducing the risk of errors. Memory careFinally, memory care provides tailored support for people with dementia.Medication management is vital here, as seniors with cognitive decline may not be able to understand their medications or take them effectively as their condition progresses. Medication support will often begin with reminders, then transition to assistance and finally to full administration. However, the exact processes will vary depending on the residents needs and where the memory care is provided. Why medication services matterMedication assistance can be crucial to making sure seniors take the right medications at the right times. This is highly significant because: - Seniors might be taking several different medications each day, which can quickly become confusing.- Missed doses, doubled doses, or taking incorrect medications can lead to serious health issues.- Memory issues or dementia symptoms reduce a persons ability to take medications independently.- Taking medications correctly and consistently promotes better health and reduces the risk of complications.Questions to ask a community about medication servicesVariations in regulations, procedures, and facility types mean that medication services can differ considerably from one facility to the next. As a result, its important to ask questions about the exact processes used. Here are some key questions to begin with:- Who handles medications, and how are they trained?- What is your system for ensuring medication safety?- How do you prevent medication errors?- How do you monitor for medication changes and side effects?- What are the processes in your medication support system? What tasks are residents responsible for, and which ones are staff members responsible for?- What happens if residents refuse their medications?Its also worth discussing your loved ones specific needs and situation, as this allows you to discuss potential challenges early on and find solutions.If medication management is a concern for your loved one, Oasis Senior Advisors Carrollton-Frisco can help you compare communities based on the level of support they provide and explain how medication services work in each setting. Contact your local advisor, Holly DeLisi, at (682) 375-9604 to find options that match your loved ones needs.The rules and requirements of senior care facilities vary based on company policies and state regulations. The contents of this article represent common guidelines, but may differ from a particular facility's policies or requirements. Oasis can help you learn about the regulations in your state.