#adult covinsky

[quotesfrommyreading]

Long before the pandemic, the threat of illness was already very real for older people.  Where America has landed is hardly a new way of life but rather one that is simply more onerous. “One way to think about it is that this is a new risk that’s out there” alongside other natural causes of death, such as diabetes and heart failure, Black said. But it’s a risk older Americans can’t ignore, especially as the country has dropped all COVID precautions. Since Christmas Eve, I have felt uneasy about how readily I normalized putting so little effort into protecting my nonagenarian loved ones, despite knowing what might happen if they got sick. For older people, who must contend with the peril of attending similar gatherings, “there’s sort of no good choice,” Black said. “The world has changed.”

But this new post-pandemic reality also includes insidious effects on older people that aren’t directly related to COVID itself. Those who put off nonemergency visits to the doctor earlier in the pandemic, for example, risked worsening their existing health conditions. The first year of the pandemic plunged nearly everyone into isolation, but being alone created problems for older adults that still persist. Before the pandemic, the association between loneliness and higher mortality rates, increased cardiovascular risks, and dementia among older adults was already well established. Increased isolation during COVID amplified this association.

The consequences of isolation were especially profound for older adults with physical limitations, Naoko Muramatsu, a community-health professor at the University of Illinois at Chicago, told me. When caregivers or family members were unable to visit, people who required assistance for even the smallest tasks, such as fetching the mail and getting dressed, had no options. “If you don’t walk around and if you don’t do anything, we can expect that cognitive function will decline,” Muramatsu said; she has observed this firsthand in her research. One Chinese American woman, interviewed in a survey of older adults living alone with cognitive impairment during the pandemic, described the debilitating effect of sitting at home all day.“I am so useless now,” she told the interviewer. “I am confused so often. I forget things.”

Even older adults who have weathered the direct and indirect effects of the pandemic still face other challenges that COVID has exacerbated. Many have long relied on personal caregivers or the staff at nursing facilities. These workers, already scarce before the pandemic, are even more so now because many quit or were affected by COVID themselves. “Long-term care has been in a crisis situation for a long time, but it’s even worse now,” Muramatsu said, noting that many home care workers are older adults themselves. Nursing homes nationwide now have nearly 200,000 fewer employees compared with March 2020, which is especially concerning as the proportion of Americans over age 65 explodes.

Older people won’t have one single approach to contending with this sad reality. “Everybody is trying to figure out what is the best way to function, to try to have some level of everyday life and activity, but also keep your risk of getting sick as low as possible,” Brangman said. Some of her patients are still opting to be cautious, while others consider this moment their “only chance to see grandchildren or concerts or go to family gatherings.” Either way, older Americans will have to wrestle with these decisions without so many of their peers who have died from COVID.

Again, many of these people did not have it great before the pandemic, even if the rest of the country wasn’t paying attention. “We often don’t provide the basic social support that older people need,” Kenneth Covinsky, a clinician-researcher at the UCSF Division of Geriatrics, said. Rather, ageism, the willful ignorance or indifference to the needs of older people, is baked into American life. It is perhaps the main reason older adults were so badly affected by the pandemic in the first place, as illustrated by the delayed introduction of safety precautions in nursing homes and the blithe acceptance of COVID deaths among older adults. If Americans couldn’t bring themselves to care at any point over the past three years, will they ever?

  —  Life Is Worse for Older People Now

[javajunkieao3]

Covinsky Post-Series Fic

I finally got around to watching Forever and Always, Lara Jean, so naturally my fanfic brain started working.

Synopsis:  Lara Jean and Peter reunite years after they break up when she return to Portland to help her family clear out her childhood home.    

Read it HERE!

[olivias-rodrigos]

Bughead + Covinsky parallels. ♡ Happy Birthday Liz, @paperlesscrown ♡ ↳ Liz, I can’t even begin to define what you mean to me and this fandom. You are so incredibly wise, talented, kind and supportive. I am so thankful for all of the inspiration you continue to give me. So much love to you, my creative teammate and muse.

[abigneignenn]

To All The Boys I’ve Loved Before Aesthetic: Peter Grant Kavinsky

Let’s do it fucking for real, Lara Jean. Let’s go all in. No more contract. No more safety net. You can break my heart. Do whatever you want with it.

@jennyhan

See also: Lara Jean Covey / Peter Kavinsky (Bonus) / Covinsky

[doodlefee]

The letters got out.

[withclawandvine]

it’s 4:08 a.m. and i’m awake thinkin about peter kavinsky

[pichitinha]

[masterpost] my covinsky fics

Canon Related

Lift Your Open Hand (So Kiss Me)

2,066 words | One-Shot | T | Established Relationship | Fluff | Slice of Life

Peter and Lara Jean enjoy a sunny afternoon together.

Carte Blanche

5,252 words | One-Shot | M | Established Relationship | Sexual Experimentation

Lara Jean gets to thinking about the physical aspect of their relationship and its evolution. She feels like she knows what the next step should be.

Only One Thing Left (For Us To Do)

5,205 words | One-Shot | M | Established Relationship | Sexual Experimentation

Peter just really hates seeing his girlfriend in pain, even if it's something completely normal like period cramps.

When You're Home

3,834 words | One-Shot | T | Established Relationship | Fluff | Slice of Life 

Lara Jean has been away for the past few days on a business trip, but she's finally coming home.

Love is Prose, Sex is Poetry

5,871 words | One-Shot | E | Established Relationship | Smut | Slice of Life

Lara Jean had a bad day so off to the rescue Peter goes.

Canon Rewrite

So we can go back and play pretend

2,144 words | One-Shot | G | What If Series | Fluff

What if Lara Jean confronted Peter about his abrupt change at the diner when she said they were just pretending to date.

Blink back to let me know

3,469 words | One-Shot | G | What If Series | Romance

What if Peter decided to confess his feelings when they had dinner with his family?

And now I'm stuck in the moment (and my heart is open)

2,295 words | One-Shot | T | What If Series | Fluff

What If Peter had been more honest at the bleachers with Gen?

In this world, there's only you

2,872 words | One-Shot | G | What If Series | Romance

What if Peter heard Lara Jean talking to Josh in the school hallway.

I've never been this far off of the ground

6,328 words | One-Shot | T | What If Series | Romance

What if Gen never talked to Peter at the bleachers making the ski trip a whole different ordeal?

Canon Divergence

Just fall into place (you'll fall into me)

28,789 words | One-Shot | M | Best Friends to Lovers | Romance

After going to different places for high school and only acknowledging the other's presence during most of college, Lara Jean and Peter reconnect during their last year at UVA and rekindle their childhood friendship, taking that now into the adult world.

When no one else was looking

15,435 words | Two-Shot | T | Chance (Re)Meetings | Romance 

Lara Jean is out with her coworkers when the night takes an unexpected turn and Peter Kavinsky is there to be the hero of the night.

Alternative Universe

And you cut through all the noise

11,009 words | One-Shot | T | Coffee Shop AU | Fluff

Peter is a professional lacrosse player and Lara Jean is a barista who actually couldn't care less about sports.

General Info

13 fics | 94,569 words | my AO3 | my fic tag

[fyeahfandomtrash]

spoiler-y ramblings about psisly

not gonna lie i saw ps i still love you and while i really love lana and am still very much invested in covinsky i just felt like the pacing was incredibly off when transitioning between certain scenes. i feel like they really needed to develop what made john ambrose and lara jean click and why they are kind of the same person but in two different bodies. i love how lana plays lara jean and i think noah and jordan both did an incredible job playing peter and john ambrose respectively but i really had issues with the script. i think psisly really amplified some of the minor issues in tatbilb (especially with the “telling” instead of the “showing”). i felt they were really close to executing some key parts of the book into the film, but they couldn’t seem to get to that point if you know what i mean? at the same time, i do feel like the source material had issues, and the film was trying its best to adapt the source material. what i do really love is how cute covinsky were in the beginning, and how gen and lara jean were able to have a really adult conversation about their falling out as friends. i think it was great that they had gen reveal her family issues in the film instead of lara jean finding out by legit stalking gen in the book? also wtf was with the two just randomly floating in the air??? like...??? i have so many questions about that ending. overall, a very abrupt ending and just felt things were quite underdeveloped.

[fallinfor-youreyes]

In dire need of a cute covinsky fic! Pls?

Technically, they are supposed to begetting food.

No one else wanted to get up at LaraJean’s designated ‘fit as much into the day as possible’ time,so Peter decides that if they don’t want to get up, then they don’tget what they want from the super market.

So, technically, they are supposedto be going to the grocery store, and then making breakfast, and thenhoping everyone is awake and ready to go hiking. It’s their lastspring break of college, everyone who had off the same week stuffedinto one of Greg’s parent’s time shares in the mountains, andLara Jean can almost taste summer break.

But, they still haven’t made itthe grocery store. Peter accidentally took a wrong turn, and then theGPS refused to re-calibrate, and then somehow, they ended up at anestate sale, quite literally stumbling upon it as they circled aroundlooking for someone to give them directions this early in themorning.

She jumps out of the car and Petertosses his arm around her shoulder, and they aren’t at the grocerystore, but she feels like this is where they are supposed to be. Itreminds her of the before, when they were still pretending, and LaraJean was still very much confused, and Peter was slowly falling inlove with her, and both of them were a little too dense to somethinglike talk to each other about their feelings.

But they are very much in the afternow, going on 5 years and knowing how to do things like communicateand love each other long distance and apply to jobs.

“We just need directions, and thenwe can get back on schedule,” Peter says, but Lara Jean can see hiseyes rolling over everything, and he’s his mother’s son, so he’scalculating how much he can get and what would look best in thestore, and Lara Jean loves him so much it almost hurts.

“What if we looked around for abit. The others will probably be sleeping all morning anyway.”

“You sure?”

Lara Jean nods, and his face justcompletely lights up and he has his phone out to text his mom in thenext instant.

Lara Jean let’s herself wanderaway from him as he snaps pictures for his mom,  stopping to admirethe old silverware and baking pans that she finds hidden in thecorner. She can hear Peter chatting with the owner, and he soundslike such an adult. They are graduating soon, and being thrust intothe real world. She’s not worried about Peter. He’s the type ofperson who can make friends with anyone instantly, like he is withthe owner right now. She’s less adapt at fitting into places likehe is, but according the Chris, she’s come out of her shell and ifanyone could make it in the real world, it’s her. Lara Jean wandersalong, listening to Peter’s voice fade as she’s is swept into thenext section, not paying much mind to where she’s going until hereyes fall on a jewelry box.

She stops, drawn to the box, thedelicate antique pieces glittering in the early morning light. Shecan still hear Peter, talking about his mother’s store and how hewould love to learn more about the silver tea set, and she reachesout to the box without knowing what she’s reaching for.

Some one loved this box. Each pieceis situated in it’s own section, all polished and glimmering, eachholding a lifetime of stories.

Her hand skates over a silverbracelet, and a gold hooped necklace, and then she falters, stoppingat small pearl inlaid in a gold ring.

It reminds her of a ring her motherhad, one that Lara Jean would sneak into her parents room to admirewhen she was little, one that had somehow been lost in the resultingtime. Lara Jean gently removes it from it’s spot in the box andslips it onto her right ring finger.

“Perfect fit.”

She didn’t realize that Peter hadgone quiet, and snuck up behind her, hooking his chin over hershoulder.

“It’s beautiful.” She tilts itin the sunlight, and Peter’s arm snakes out so he can take her handand slide the ring off.

“Yeah, but I think I’d like itmore on this hand.” He slips it over the ring finger on her lefthand, and Lara Jean almost forgets how to breath.

“Peter.”

“Lara Jean.”

“You are not proposing marriagebefore we even graduate college.”

He laughs, warm breath falling overher shoulder and sending goosebumps down her arms. “No, god, mymother would kill me.” He presses a quick kiss to her cheek, hishand still cradling hers. “No, I’m just bringing up the topic.For the future. Like once we get our collective shit together and canlive in the same state and have enough money to survive like adults.”

It’s the first time either of themhad really brought up the idea of after. After college, and afterthey get jobs, and after they hopefully move in together, and aftereverything settles down. She’s always seen her future with Peter,but this is the first she’s ever really thought about it. Aboutmarrying him one day. About having him forever.

“I’d like that.” She twistsher head until she can grab his face and pull his mouth onto hers.He’s smiling, and she can feel the warmth in his cheeks under herfingertips, and her heart is beating so fast she’s pretty sure hecan hear it.

When she pulls back to breath hepresses another kiss into her hair. She goes to slip off the ring,but Peter snaps his hands around hers.

“What do you think you are doing?”

“Putting the ring back before webreak it.”

He shakes his head. “No way.That’s yours. It’s ours. A promise.”

“Peter Kavinsky, I will not allowyou to spend your money on this.”

“Too bad.” He pecks her lips,distracting her long enough to slip the ring off himself and the nextmoment he is marching off through the maze of things, leaving her infront of the jewelry box.

“Peter, wait!” she calls, buthe’s already gone, and then next moment she can hear him talking tothe owner again.

“I’m changing my bargain,ma’am.”

Her heart stutters to a morereasonable rhythm, and she stares at the place in the box where shefound the ring.

It’s peculiar, because everythingin the box was so lovingly placed, and everything had it’s ownspot. But she can’t seem to find where the ring went. The box stilllooks completely full, like nothing was removed.

Lara Jean shakes her head and turnsaround, following Peter’s voice to find her way through all of thethings. The instant he sees her, his face lights up, and the womanringing him up smiles at them.

“So this is the lucky girl, huh?”

Peter shakes his head, and drops hisaround and her shoulders. “Nah. I’m the lucky one.”

The woman holds out the ring andsighs, a smile on her face. “That was my great aunt’s ring. Shealways told me it was meant for someone special, and that it wouldfind the person it was supposed to be with.” She places it inPeter’s hand and pats his palm. “I’m glad it found the two ofyou.”

The woman instantly goes back toringing them up and chatting about Peter’s mom’s store, and LaraJean can’t seem to find the words she needs to say thank you.

Before she knows it, they’vepacked up the Jeep, and Peter is shutting the trunk, jogging over toher before she can open the door.

“Lara Jean Song Covey. With thering,” he says, falling to one knee, and taking her hand in his. “Ipromise that once we graduate and start to figure life out, that Iwill propose to you for real, and if you so choose, you can becomeLara Jean Song Covey-Kavinsky.”

“I’ll need like 3 lines to writemy full name on my driver’s license.”

He bites his cheek trying to hidehis smile, and she dramatically flicks out her hand. If he’s goingto insist on doing this, she might as well play along.

“Engaged to be engaged?” sheasks.

“Exactly.” He breaks into that100 watt smile, and then she’s pulling him up until she can kisshim.

He slides the ring on her fingeragain and it instantly feels like it was always supposed to be there.

And maybe, that’s because it was.

[doramilaje]

Rules: 15 questions, 15 mutuals.

tagged by @dawngranger 

Are you named after anyone? uuh yeah, but it’s a bit of a dark subject, so i’d rather not advertise it on my blog

When was the last time you cried? probably yesterday, watching something. i always cry during movies and TV

Do you have kids? akjashd could you imagine

Do you use sarcasm a lot? nooooo, not at ALL

What’s your eye color? brown

Scary movie or happy ending? scary movie

Any special talents? i’mma talentless hack

Where were you born? norway

What are your hobbies? is cooking a hobby if it’s a necessity?

Do you have any pets? two cats technically, but they live with my dad since i’m not allowed pets in my apartment

What sports do you play/have you played? football 

How tall are you? 5′7

Favorite subject in school? english, history

Dream job? i never actually had a dream job, so, just to have something to say as a kid i made up that i wanted to be a lawyer. which i definitely don’t want to be as an adult

tagging: @anissagraces, @accio-covinsky, @karenpunisher, @qamalakhan, @scifibi, @tytandys, @linseymorris, @rubysvida, @sofiaboutellla, @sansadaynes, @marvelthismarvelthat, @lindaspark, @dickardograyson, @bidaisyjohnson, @jamesvalidez

[currenthealtheventsblog-blog]

Frail Seniors Find Ways To Live Independently | Kaiser Health News

New Post has been published on https://currenthealthevents.net/trending/frail-seniors-find-ways-to-live-independently-kaiser-health-news/

Frail Seniors Find Ways To Live Independently | Kaiser Health News

Use Our Content

Navigating Aging focuses on medical issues and advice associated with aging and end-of-life care, helping America’s 45 million seniors and their families navigate the health care system.

To contact Judith Graham with a question or comment, click here.

DENVER — Pauline Jeffery had let things slide since her husband died. Her bedroom was a mess. Her bathroom was disorganized. She often tripped over rugs in her living and dining room.

“I was depressed and doing nothing but feeling sorry for myself,” said the 85-year-old Denver resident.

But Jeffery’s inertia faded when she joined a program for frail low-income seniors: Community Aging in Place — Advancing Better Living for Elders (CAPABLE). Over the course of several months last year, an occupational therapist visited Jeffery and discussed issues she wanted to address. A handyman installed a new carpet. A visiting nurse gave her the feeling of being looked after.

In short order, Jeffery organized her bedroom, cleaned up her bathroom and began to feel more upbeat. “There’s a lot of people like myself that just need a push and somebody to make them feel like they’re worth something,” she said. “What they did for me, it got me motivated.”

New research shows that CAPABLE provides considerable help to vulnerable seniors who have trouble with “activities of daily living” — taking a shower or a bath, getting dressed, transferring in and out of bed, using the toilet or moving around easily at home. Over the course of five months, participants in the program experienced 30 percent fewer difficulties with such activities, according to a randomized clinical trial — the gold standard of research — published this month in JAMA Internal Medicine.

“If someone found a drug that reduced disability in older adults by 30 percent, we’d be hearing about it on TV constantly,” said John Haaga, director of the Division of Behavioral and Social Research at the National Institute on Aging, which provided funding for the research.

Positive findings are especially notable given the population that was studied: 300 poor or near-poor older adults, nearly 90 percent women, over 80 percent black, with an average age of 75 and multiple chronic medical conditions such as heart disease, arthritis and chronic obstructive pulmonary disease. While about 1 in 3 older adults in the U.S. need help with one or more daily activities, rates of disability and related health care costs are higher in this challenged population.

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Half of the older adults in the trial received the CAPABLE intervention, which includes six visits by an occupational therapist, four visits by a registered nurse, and home repair and modification services worth up to $1,300. The control group received 10 visits of equal length from a research assistant and were encouraged to use the internet, listen to music, play board games or reminisce about the past, among other activities.

Both groups experienced improvements at five months, but older adults who participated in CAPABLE realized substantially greater benefits. Eighty-two percent strongly agreed that the program made their life easier and their home safer. Nearly 80 percent said it enabled them to live at home and increased their confidence in managing daily challenges.

Sarah Szanton, who developed CAPABLE and directs the Center for Innovative Care in Aging at the Johns Hopkins School of Nursing, attributes positive results to several program elements. Instead of telling an older adult what’s wrong with them, a mainstay of medical practice, CAPABLE staff ask older adults what they’d like to be able to do but can’t do now.

Seniors often say they want to cook meals for themselves, make their beds, use the stairs, get out of the house more easily, walk around without pain or go to church.

The focus then turns to finding practical solutions. For someone who wants to cook but whose legs are weak, that could mean cutting vegetables while sitting down before standing up at the stove. A bed may need to be lifted on risers and a grab bar positioned between the mattress and box spring so a person can push herself up to a standing position more easily. Or, a nurse may need to go over medications and recommend potential changes to a person’s primary care doctor.

“Why does it work? Because we’re guided by what people want, and in order to get better, you have to want to get better: It has to be important to you,” said Amanda Goodenow, program manager for CAPABLE at the Colorado Visiting Nurse Association, the agency that assisted Jeffery. In Colorado, CAPABLE has been funded by a local foundation and Habitat for Humanity, which supports the program in six markets.

Hattie Ashby, 90, who has lived in the same two-story house in Aurora, a city adjacent to Denver, for 43 years, told Goodenow last summer that she wanted to get up and down the stairs more easily and walk around outside the house. Ashby has high blood pressure and COPD.

“They gave me a walker and made arrangements for me to put my oxygen tank on it so I could go to the mall,” she said, recalling some of what the CAPABLE staff did. “They fixed the wall in my bathroom and put something I could hold onto to get in and out of my bathtub. And going up and down my stairs, they put another rail on the wall where I would be able to hold onto.”

“It is a remarkable service for a senior citizen to be encouraged, to be helped, to be supported that way,” Ashby said.

It also turns out to be a cost-effective investment. For every dollar spent on CAPABLE, nearly $10 in combined savings accrues to Medicare and Medicaid, largely because of hospitalizations and nursing home placements that are prevented, research by Szanton and others has shown. (Many CAPABLE participants are eligible for both government health insurance programs because of their low incomes.) The average program cost per person is $2,825, far below the average $7,441 monthly cost of a semiprivate room in a nursing home in 2018.

With a new grant of nearly $3 million from the Rita & Alex Hillman Foundation, Szanton is turning her attention to expanding CAPABLE across the country. Currently, the program is available at 26 locations in 12 states, and Medicaid programs in Massachusetts and Michigan have adopted a version of it for some members. A major challenge is securing funding, since public and private insurers don’t typically pay for these kinds of services. So far, foundation and grant funding has been a major source of support.

Szanton hopes to persuade Medicare Advantage plans, which cover about 19 million Medicare recipients and can now offer an array of nonmedical benefits to members, to adopt CAPABLE. Also, Johns Hopkins and Stanford Medicine have submitted a proposal to have traditional Medicare offer the program as a bundled package of services. Accountable care organizations, groups of hospitals and physicians that assume financial risk for the health of their patients, are also interested, given the potential benefits and cost savings.

Another priority will be looking at how to extend CAPABLE’s impact over time. Since benefits diminished over a 12-month period in the just-published clinical trial, additional program elements — phone calls, extra visits and follow-up assessments — will probably be needed, said Dr. Kenneth Covinsky, a professor of geriatrics at the University of California-San Francisco and co-author of an editorial on CAPABLE that accompanied the study.

He’s bullish on CAPABLE’s prospects. “As clinicians, when we see older patients with conditions we can’t reverse, we need to understand we haven’t run out of things we can do,” Covinsky said. “Referring patients to a program like CAPABLE is something that could make a big difference.”

We’re eager to hear from readers about questions you’d like answered, problems you’ve been having with your care and advice you need in dealing with the health care system. Visit khn.org/columnists to submit your requests or tips.

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Source

Frail Seniors Find Ways To Live Independently

[abigneignenn]

To All The Boys I’ve Loved Before Aesthetic: Covinsky (Peter Kavinsky x Lara Jean Covey)

One day all of this will be proof, proof that we were here, proof that we loved each other. It’s the guarantee that no matter what happens to us in the future, this time was ours.

@jennyhan

See also: Lara Jean Covey / Peter Kavinsky / Peter Kavinsky (Bonus)

[proviralmedia-blog]

The Clinical Trial Is Open. The Elderly Need Not Apply.

The Clinical Trial Is Open. The Elderly Need Not Apply.

He did a double-take. Once again, the population probably most affected — older adults — had been left out of an important study. “How is this possible? Unacceptable!” Dr. Covinsky protested on Twitter. “I can think of no good rationale for this exclusion. This has got to stop.” Geriatricians have complained for years that figuring out treatments for their patients becomes dramatically more…

[pichitinha]

When no one else was looking - part 2 (on AO3)

Covinsky | Canon Divergence | Adults | Fluff | 6,524 words

Lara Jean is out with her coworkers when the night takes an unexpected turn and Peter Kavinsky is there to be the hero of the night.

What happens later.

[pichitinha]

When no one else was looking (on AO3)

Covinsky | Canon Divergence | Adults | Romance | 8,911 words

Lara Jean is out with her coworkers when the night takes an unexpected turn and Peter Kavinsky is there to be the hero of the night.

Her jaw literally drops for a second. "Peter?" It's been some years since she last saw him during their high school graduation, but the man beside her is definitely one Peter Kavinsky. "Hey, Covey," he replies with an easy smile.

[pichitinha]

Just fall into place (you'll fall into me)

Covinsky | Canon Divergence | Romance | Slow Burn | 28,789 words

After going to different places for high school and only acknowledging the other's presence during most of college, Lara Jean and Peter reconnect during their last year at UVA and rekindle their childhood friendship, taking that now into the adult world.

"Ok, so we heard some incredibly bad first date stories," Peter starts and Lara Jean opens her mouth to say that she'd yet to hear some from him, but he goes on. "Tell me about a good date, then. What is Lara Jean's ideal first date in her romanticized mind?" (...) She knows he's not going to give it up easily, so she turns to the honest route but in a deflecting way. "I just want it to be with someone that wants to be there with me and that at the end of it they're excited for a second one." His shoulders fall a bit as he softens. "You deserve that."