Are you looking at 2020 wondering how you will implement changes to your health goals? Feeling overwhelmed already? This year look to simplify changes by making small tweaks in your current routines and add little increments to your health behaviors for maximum success.
Guest Post By: Jennifer McGregor
Well-intentioned health goals are a dime a dozen. Everyone always has something that they want to achieve, whether it’s losing 20 pounds or running a 5K. For many, reducing stress is also a compelling objective, especially those in high-stress occupations like caregivers. Regardless of what your goals are, know that it takes more than just good intentions to meet them; you need action, too. Thankfully, with strategic tweaks here and there, you, too, can incorporate solid health practices into your daily routine. Here are a few to get you started.
Choose the good.
The fulfillment of any health goal invariably starts with one thing—making good choices. In fact, mindfulness is known to not just improve your physical health, but also your mental well-being, too.
No doubt, the thing that particularly benefits from this is your diet. The practice of mindful eating means listening to your body’s signals—that is to say, eating when you’re hungry as opposed to bored and knowing when to stop. Not only that, but it also means consciously choosing to consume food that’s healthy and nourishing, cutting back on processed food rich in sodium and sugar, which would be particularly beneficial to caregivers prone to stress and conditions like hypertension. Another way to eat healthier (and less) is to order healthy options from a meal delivery service because with pre-measured ingredients, you can control portion sizes.
Beyond just your diet, being mindful means making choices that truly serve you and your body, too. This can be as simple as going to bed an hour earlier to get more quality shut-eye, or even taking the stairs instead of the elevator.
Move with intention.
Of course, regular physical activity is a must for just about any health goal. And it’s hard not to see why with the many known benefits of movement. Its physical perks such as weight loss and improved immune and lymphatic systems—to name just a few—are common knowledge, but even more interestingly, movement also enhances brain health, elevates your mood, and reduces stress.
While the idea of movement inevitably brings to mind exercise, there are other ways to go about it, too. This could be anything from stretching to dancing to gardening. Indeed, simply being on your feet will already do wonders to your well-being holistically, so it’s great practice, therefore, to always make it a point to move.
As rewarding a vocation as caregiving is, it also leaves you vulnerable to feelings of overwhelm and frustration, making caregiver stress a real problem. This is why it’s doubly important for caregivers to make relaxation and stress management a priority.
Doubtless, the easiest way to go about this is to introduce relaxation techniques to your routine, such as meditation and deep breathing. It’s also a good idea to make it a point to go on a break and take time to do something you love, like reading or pursuing a hobby. Going on vacation is another way to relax. Even a staycation in your own city will do wonders for your overall well-being.
In the same vein as taking downtime, you should also give yourself a license to indulge from time to time, as long as you make it worthwhile. For example, partaking in your daily red wine is one indulgence that’s really good for you as red wine is chock full of antioxidants that protect you from a plethora of diseases, as well as anxiety and depression. Hiring a health and lifestyle coach is another, as you could certainly benefit from a customized health plan, plus it helps to have someone hold you accountable.
Suffice it to say, health goals are just ideals when you don’t have concrete steps to follow through on them. Thankfully, being healthier need not be earth-shattering. So start making small changes and see the difference.
Holidays are full of positives and negatives for most of us. We might enjoy the excitement, schedule changes, time with family or not, but when they are over many of us feel a let down in one way or another. We might be depleted and tired, pocketbooks less full, or we might be feeling down and sad because our holiday season is full of loss, grief, past hurts, trauma, and disappointments. If you are someone who feels mood shifts during the holiday season, read on for reasons why and what to do about the holiday let down.
For many of us, coming off a holiday weekend can be tough. Maybe things went really well and we enjoyed family, maybe we hosted the best gathering yet, or maybe we finally figured out what to enjoy and ignored all the annoying parts of being together.
It is also possible that it did not go well for us. Many of us struggle to engage with family and friends in positive ways. We continue to revisit past issues and get stuck in old patterns of behaving and thinking. Ever ended a weekend with your family only to wonder why you feel like you are 10 again?
For some, family hurts and trauma are so great that being together is one big trigger or family gathering is no longer an option. For some of us, the fun happy memories of childhood shadow the reality of our adulthood and we keep looking for ways to go back to the “good old days”.
No matter which camp you are in, the ending of a holiday usually leaves us feeling tired, sad, and a bit flat. Here are some reasons for those feelings and what to do about them.
The Gatherings That Went Well
Let’s start with the gatherings that went well. If this was your experience and you enjoyed your family and friends over the holiday, it is possible that you are feeling a bit sad to be going back to your routines. It can be hard letting go of closeness and shared experiences like cooking, eating together, or playing games with each other. Maybe you have fun traditions and foods that you enjoy, they help you feel like you belong to a group and add excitement to your regular activities.
It can be really hard to leave our family home or groups of people we enjoy and want to be with more. Especially if you have to travel, you may be feeling loss at leaving to go back to your house. It does not have to be a far commute to create sadness and sense of loss. There is often so much excitement looking forward to the holiday, time off, and living outside routine, it can be a let down when it ends. After the fun of the holiday, when you are looking forward to the mundane and regular routines of life, you may be feeling less than enthused about heading back into your world.
You might also be feeling exhausted and overwhelmed. For many of us, we enjoy the excitement of the holiday and we work hard to make it happen. We spend weeks planning the food, prepping the food, the day of making it, serving it, and cleaning up after the meal is done. We spend countless hours decorating, getting the right presentation, and shopping for supplies. During this time, we are running from work to the store and back home to put it all together, often with quite a few repetitions of this trip.
Add in any traveling and other holiday shopping and you might be a bit overstimulated in the days following the holiday. Although it is all fun, just extra trips to stores where things are crafted to engage all your senses and market to your emotions, where there are more people out making the store more crowded, energy higher, parking lots more full, and aisles harder to get through it can wear you out without even realizing it. The sights, smells, sounds, extra people to navigate and talk to, parking and walking more, and hauling supplies in, out the dishes, linens, roasting pans, etc. becomes quite a bit of work. Add in the overindulgence(s) and your body may be feeling really tired right now.
What can help
To help yourself it is time to rest. You may need a few days of clean eating, get back on your workout path, meditation, and normal sleep timing. You might need a few days to detox from any substances you may have partaken in. Give your body a break by drinking good water, resting, and making sure your diet is supportive of your health rather than adding more it has to cleanse through.
Honor your sad feelings, loneliness, and sense of loss. Grief and loss help us recognize what is important in our lives and give focus toward what we need to pay attention to.
As you recognize what you are missing, how can you speak to, tell the person, and gather more of that thing into your life on a regular basis? What can you do to make it something you have more contact with? It can be something simple like making a commitment to call more often or learn how to FaceTime. If part of your grief is about the loss of easy mornings and your regular routine is difficult, how can you shift your daily habits to create more ease in everyday mornings? It can be about re-evaluating your life and how you spend your time. You might find that you want to give up some commitments to have more time with family and friends.
As you work to honor the sense of ending you have an opportunity to shift your life focus to enjoy more of the things that matter to you every day.
The So – So Gathering
Now let’s talk about family and friends we like (or not), but do not engage with much. When we get together with them, it feels like work. We might find that we dread making the trip to visit or we fear that we will run out of endurance to stay in connection with them because they are difficult to be around, say things that violate our values, or their behaviors remind us what we have grown away from … for a reason.
When I work with individuals stuck in this group, they often feel so violated by a parent’s off-color joke or put down by a comment their sibling always makes. Yet it happens. By the time they get to the actual event they are already tired because they know it is going to happen. Read on, next time you connect with this crew you will be able to let go a little more and relax into the event rather than brace for it.
As this group ends the holiday they often feel put down, despair, and a lack of belonging – like who are these people and how did they birth me? At the same time, they are not ready to cut all ties and walk away from their culture of origin. This leads to some confusing and conflicting emotions and ideas.
What can help
It is important to work on acceptance. Full-on 100% acceptance of your family and friends even when they annoy you or say uncomfortable things. With full acceptance, it does not mean you have to like it, want it, approve of it, or agree with it. All it means is you can clearly see them for who they are right now, in this moment without judgment of what you would rather see.
As you work on accepting them, you begin accepting yourself too. You will be able to reconcile the gaps in feeling secure in some of your old culture while also rejecting the parts that no longer work for you. You will not feel such a sense of “needing to get them to agree” with your worldview now. You can let them be them, set boundaries and call out hurtful things effectively ways while recognizing you do not have to fight every battle. You will be able to be selective to make shifts while using the strength of the relationship to make it successful.
Another key piece to participating in systems like this is to make sure you manage your time well. For some, they feel so suffocated by family and friends which impacts the enjoyment they have with them when they do see them. The more they feel suffocated, the more aloof they appear to said family, and the more the family and friends vie for time and energy, thus creating a tighter circle of suffocation.
If your views and values no longer match your family’s, work on accepting them as they are. This is the way they have always been. Say a silent gratitude for their work raising you and showing you want you no longer want in your life. Then allow yourself to take breaks from them. Maybe you need to offer to make a dish or bring a side you know will be healthy for you, maybe you need to bring a good book and take time to read it instead of staying planted in front of the TV that’s constantly on. Maybe you make a trip to the coffee shop, grocery store, or build in walks so you get some downtime.
It is important to stay true to activities that keep you balanced. Work on fitting in your workouts, look up classes and locations ahead of your trip, pack your rubber tubbing or yoga mat, and commit to making your movement practices happen while you are outside your regular routine. Stick as close to your sleep schedule and eat as clean as you can, while allowing yourself an opportunity to participate in late-night games, togetherness, and activities. Eat the foods you love, even if you wouldn’t make them for yourself. Remember the 80/20 rule to help you stay on track while being present to the festivities. Stick to your goals despite how differently your family and friends may be living while also honoring that they are different and do not need to approve of your lifestyle now.
It is also helpful to remember, you do not spend lots of time with these people and you are not going to change their mind during one trip. You do not have to work hard to make them see your way of life. Learn some statements you can make that help you set a gentle boundary while honoring your personal values, and let it go. Accept them as they are, and allow them to be who they are. This gives you space to be who you are.
Hard or Non-Existent Gatherings
Finally, let’s talk about family systems you are no longer participating in. For some, this means that their family is not available. Maybe it is through death or distance, maybe disease or illness, maybe financial patterns or living spaces have shifted and there is no way to go back to what was.
What can help
With these situations there is a lot of loss during the holiday season. For many, this creates great sadness, loneliness, and even anger at this time of year. It is important to honor what was, while keeping an eye on what is. Just like noted above, you do not have to like it or want it, but it is what has happened and things have changed. By honoring the changes you have a better chance of enjoying what you can. Again, by accepting what is, you have an opportunity to re-create a sense of what you are missing while allowing for the changes that have already been done. In this recreating you are not working to have an exact replica of the past, in fact that will keep you stuck, it is more about saying “this part was good” and looking for ways to make it new for you and those you are spending time with now.
It is also important to spend time working on your own healing. For some of us, the activities and experiences we had during the holiday times were traumatic, scary, overwhelming, depressing, or disappointing. If you are stuck revisiting old traumas and hurts it is time to get some help. These experiences get stuck in your nervous system and create what we call “loops” in the therapy world. Without help clearing these loops you will get sucked back into old thoughts, behaviors, and emotional states because the body and brain and not clear on accurate timing. They are trying to keep you from experiencing those things again, but have not recognized the distance you have from those past events. It keeps looping as though it is happening or going to happen again, right now. To heal them we must reset the nervous system and give space between your past and your present. Seek a qualified trauma therapist to help you get your work done.
It does not matter which end of the spectrum your holiday gathering was on – amazing or awful, as we end a holiday gathering session we all feel a sense of loss in some way or another. It is important to honor your feelings and allow yourself space to grieve, reflect, and grow from those experiences.
To plan your workouts think about doing something focused 3-6 times a week and taking 1-3 days of what’s called active rest (clean house, walk the golf course, go for a hike, take the dog for a long walk, do squats throughout the day – link it to every time you go to the bathroom for example.
This movement is important for recovery and allows your body to do something active for fun, wellness, blood flow to the sore spots from your focused workout, etc. This keeps the body oriented toward energy flow and movement.
Making sure to get a weekend workout in is a great way to make sure your active rest days are not consecutive. Consecutive days off can make it harder to return to your focused workouts on Monday.
Workout Basics and Warm Up
Make sure to warm up. Spend 5-10minutes doing easy movement, stretching, and allow the muscles you are going to work to “wake up”. Work to include all the big joints and major muscle groups. It’s a great time to get your music right, your shoes tightened or loosened, or make sure you hair is out of your way. By fixing these things now, you are more likely to stay focused on the work portion.
When you complete the round, give yourself a pat on the back, a fist pump, something that celebrates your accomplishment. This is a big deal for helping habits stick, and helps you be realistic about all the hard work you are doing.
If you are unclear about a movement, look it up (Check out my YouTube Tutorials Here). There are lots of resources online that allow you to make sure you have good form. Always work up to adding weight or making a movement less stable. Good form comes first.
The first portion of the workout consists of a metoblic fat burning time set. Do each movement for 1 minute as many/hard as you can, then rest for 30 seconds. Move the next exercise. Do this whole set 2x through.
Plank Spider Walks
High Skip Traveling Jumps
The next portion includes a dumbbell matrix. With each DB move use the abdominals to rotate while lifting. It is important to have good form here. Go slower and lighter on the weight until you feel strong enough to hold good form. You’ll do one DB exercise followed by a 30-second plank hold in between each DB movement. Do the whole group 2x through.
Rotate and overhead press
Rotating bicep curl with alternating leg backward lunge
Alternating uppercuts with isometric plié squat
Narrow squats with Y overhead press
Frontal to lateral should raise
The third portion of the workout is all about balancing out your core strength. Do these exercises 2x through then congratulate yourself and stretch!
Supermans with cactus arm pull-downs
Upper to lower body curls
Quadruped opposite elbow to knee curls and extensions
YOU DID IT!! Now that you have finished the “work” portion, it is time for flexibility training. Spend some time stretching all the muscles you worked – in this workout, it’s full body so give all your major muscles a good stretch. Then grab a good post workout snack. Together these get your muscles ready for tomorrow’s movement and make sure you are ready to meet your goals.
Words of Caution …
Please make sure to follow your body. Do not push through pain. Discomfort/Challenge are different than pain. We want to challenge ourselves we do not want to hurt ourselves. Find the level that is right for you and move at that level. Make sure to choose weight and stances that support your body style – if you have to use the wall to do your push ups do that, if you need a chair or a bench use those. Make sure you are doing what you need to do for your body type and current personal level of fitness.
For many the season of autumn is difficult. Depending on where you live, it’s full of things dying, leaves falling, colder weather, darker days, and a general sense of ending. In addition, to the messiness of leaves and seeds flying around, it gets blustery which can be hard on our nervous systems.
According to Esienberg et al. (2010), the changing of seasons and sunlight decreases shifts the dopamine systems. Dopamine is the neurotransmitter that helps us feel pleasure. When the seasonal changes shift our ability to feel pleasure we have to make sure to find ways to bring pleasure into our lives.
The change in seasons can be tough on our physical systems and impact our mental health. Here are some ways to make sure you are staying on track as we move through fall and into the chilly, crisp winter season.
Get Your Schedule Figured Out:
If you are like a lot of people you’ll probably feel a little off your routines as we transition from the lazy long days of summer in the northern hemisphere to the short, cooler, darker days of fall and winter. This is a time of returning to schedules and getting “recommitted” after the fun of summer. Make sure you spend some time each day planning. This skill gets missed by many but is very important if you want to reach your goals. You must spend time planning. Not planning is planning to fail at your goal.
Not only do you need dedicated time each day to plan your day/end your day and prepare for tomorrow, you also need time each week to review the week and set the next week up for success.
Prioritize this simple step and watch your world shift from frazzled and chaotic to structured and manageable. The trick here is to make sure you are setting aside some dedicated time. Get out your calendar of choice (I love my Commit30 planner and journal) and write in 10 minutes at the start and end of each day for daily review and 30 minutes to an hour for weekly review. This is must have time, so make sure you are picking times you can commit to.
During this time your job is to review your schedule, make shifts, and take things off that do not need to be done after all. It is also a time for you to rate your day. I like using a 1-10 scale. At the end of each day, I pick a number between 1 – it sucked and 10 – it was amazing. At the end of each week I average the daily numbers to get a weekly rating. This allows me to see if I am living my priorities and feeling effective. Just like my children’s report card, I’m looking for a B or better (8/10 or 80%). Anything lower than that means I need to make some adjustments. Maybe I just had an off day or maybe the review shows I am focused on things that do not bring me enough joy to sustain my day. This simple scale allows me to quickly adjust my life to make sure my focus is aligned with what I want to be doing.
Note: The daily rating is a gut check. Do not overthink it or you’ll justify what is not working. It is a quick check-in and the first number that pops up is it. Sometimes I make a note regarding the number – why is it high or low to help me in my weekly review.
2) Watch Your Consumption Habits and Mind Your Reactions:
I feel like I talk about this sort of thing all the time … what you put into your system is what you will get out. I work with so many people in my office who are feeling low energy or angry and do not see the connection to the things they are eating, how they are sleeping, or what they are watching on TV. So many are disconnected from the direct effects our consumption has on us.
It is a great skill of the body … the ability to adapt and conserve energy to be effective … or just survive. The body gets good at figuring out what you are consuming and then adapting. This fall pay attention to what you are eating, listening to, watching, and who you allow in your space. Notice how you feel after you engage with these things. Do they uplift you, inspire you, or deplete you? If it is depleted you feel, it is time for a detox. Take a break from the news, turn off the angry or discriminatory music, unhealthy/unsupportive food choices, and get away from the toxic person in the office as quickly as possible.
Make sure you are getting enough healthy food. Typically this time of year we begin to crave heavier, richer foods to help us “warm” from the inside out. Notice if you begin to overeat or are turning to sugary foods for additional fuel. These are signs that you are distracted from your body and need to pay attention to the shift in personal needs.
As we begin to crave the heavier, rich foods it is important to pay attention to amounts. We can eat a whole big plate of lettuce in the summer’s need for cooler foods, but try a whole big plate of pasta and cheese and watch yourself grow – in the wrong directions. Follow the seasonal foods. Opt for organic and local when you can and make sure you are using enough fats, proteins, and carbohydrates for your individuality. Need healthy choices for the upcoming holidays? Read more here.
Then make sure you are present and mindful while you eat. Eating mindfully helps us return to listening to our bodies and avoid overconsumption. These tips will help you feel reconnected to basic nurturing for yourself. Taking care of ourselves is important in feeling grounded and self-regulated (able to handle stressful situations).
Although we cannot always control what we are exposed to, we are always in control of how we respond to it. It is your responsibility to manage your reactions to your environment. As we begin to notice what is going on around us, we will begin to see that what is happening outside is also happening inside. What I am internally experiencing will be reflected in my outer world. This is a powerful realization. The more you work with how you respond to things the more you will be able to shift your mood back toward the positive quickly and the less you will even have to deal with negativity. It just will not be showing up in your world.
Does this mean you are living in Lala land? No, it means you are better at filtering out what you do not want to pay attention to. According to Rohan et al. (2011), in the winter and fall people who are sensitive to the changing seasons tended to ruminate, have more automatic thoughts, and more dysfunctional thoughts related to light and dark. Your attention goes where you put it, so be careful what you give it to.
3) Make sure you move:
As we move into colder months and darker days in the northern hemisphere, it is easy to stop moving and get sedentary. Instead of heading for the couch or pulling the covers back over your head, make a plan, dedicate time, and commit to yourself. Have your workout clothes ready to go and appropriate for the season so you can change quickly into gear that keeps you warm while your move (if needed). Just knowing it is ready to go can help you get out of bed or avoid the after-work couch that likes to call your name.
I know this video is about spring … but she discusses some good ideas we can use for fall, too.
For many, physical movement needs change with the seasons. You might find that running outside is really not an option for you or that the shifts to your schedule as school starts back up become overwhelming as you fit in carpooling duties again.
Shift your workouts to match your body during the winter months. You may find your workouts are more about strength and power than endurance and speed as the season change and energy around you gets heavier with the shift in light and temperatures. Follow what feels good and make sure you are working within both your training zones and your nervous system needs.
As in number 1 above, set your schedule, prioritize dedicated time, and commit to yourself. Make these “appointments” in your calendar non-negotiable. You might say I need to have 5 workouts a week, however, if you do not schedule them, you will find yourself trying to fit them all in on days 6 and 7. Schedule them and even if you have to maneuver your day, keep them on the same day to get them done, feel successful, and stay on track. Want some ideas for winter workouts? Read more here.
Make sure to treat yourself to grounding bodywork to round out your physical practices. Maybe you want a massage or restorative yoga class. A lovely practice you can do at home is called Abhyanga or self-massage of the body with warm sesame oil. I love this practice in the fall and spring. It is very grounding during the windy shifts in the seasonal changes. Not to mention, the luxury of rubbing the body with warm oil, soaking in the warm tub, and then enjoying the softness of my skin for days. This is such a delicious practice for so many reasons and very helpful to keep my energy calm and focused.
As we move through the cooler seasons work to ground yourself within your own experiences. Notice how you feel as you structure your schedule, notice how external items impact your internal experience, and how your body feels as you move and eat according to its changing needs this fall.
Eisenberg, D. P., Kohn, P. D, Baller, E. B., Bronstein, J. A., Masdeu, J. C., and Berman, K. F. (2010). Seasonal Effects on Human Striatal Presynaptic Dopamine Synthesis. Journal of Neuroscience, 30 (44). 14691-14694. DOI: https://doi.org/10.1523/JNEUROSCI.1953-10.2010
Rohan, K. J., Nillni, Y. I., Mohan, J. N., Roecklein, K. A., Sitnikov, L., Hagga, D. A. F. (2011). Cognitive vulnerability in moderate, mild, and low seasonality. [Abstract]. The Journal of Nervous and Mental Disease, (199)12. p 961–970. doi: 10.1097/NMD.0b013e3182392948. Retrieved from: https://tcsedsystem.idm.oclc.org/login?url=https://search-proquest-com.tcsedsystem.idm.oclc.org/docview/917738676?accountid=34120
Health is important at every age. Make sure you are paying attention to these 3 areas of your health. In addition to things like heart disease, cancer, and other diseases make sure you pay attention to your dental, vision, and getting enough physical exercise to stay as healthy as possible through the lifespan.
Heart disease and cancer are the leading causes of death in people over 65, and quality of life and quality of care play a big part in how these serious medical concerns will impact you. That’s why seniors who want to live their healthiest life in their golden years need to understand the power — and the limitations — of their healthcare plan.
For example, Traditional Medicare won’t cover vision, dental and prescription medications, and it’s coverage of in-home care is limited. That’s why many seniors enroll in Medicare Advantage plans. Provided by private health insurance companies, Medicare Advantage gives seniors peace of mind with more comprehensive coverage. For example, these plans offer coverage for vision, dental, wellness programs, prescription drugs and fitness centers. Let’s take a closer look at how this healthcare coverage can address common concerns for people 65 and older.
Dental Health Over 65
Doctors provide compelling evidence that links dental health to a plethora of other health concerns, from depression to heart disease. These rates and risks spike substantially for seniors, which is why many add this coverage to their traditional Medicare plan. For example, some medications have negative side effects for oral health, like dry mouth and even cavities. Gum disease is also a major concern for older adults. Since many people don’t feel pain or discomfort until gum disease is in its advanced stages, many seniors don’t realize they have it. The dental coverage in Medicare Advantage plans vary from annual cleanings to more comprehensive treatments, including reducing out-of-pocket expenses associated with partial and full dentures. If it’s been over a year since your last cleaning, you should find a dentist and schedule a checkup.
Seniors and Vision Health
Eyesight is a common concern for seniors, as there are certain kinds of vision diseases and disorders that happen due to age. It’s natural for our vision to change as we age, so it’s natural for seniors to need vision care even though they may have spent the majority of their lives with healthy eyesight. Some common age-related vision conditions include presbyopia (difficulty focusing), cataracts (clouding of the lens), glaucoma (build up of fluid) and macular degeneration (leading cause of blindness in seniors). Medicare Advantage plans give seniors an opportunity to maintain their eye health and see specialists when something feels off, without having to worry about covering the full cost of an expensive procedure.
Fitness for Seniors
Physical activity is one of the leading ways seniors can positively impact their physical and mental health. And, the good news is, it’s never too late to start. If you have lived a relatively sedentary life, you may think that working out now won’t help much. But it’s time to think again. Exercise now can not only prevent major illness and injury, but in some cases it can even undo some of the damage caused in your younger years. There have been many documented cases of seniors being able to reverse their type 2 diabetes diagnosis just through diet and exercise. With Medicare Advantage plans, many seniors get access to Silver Sneakers programs, which are special fitness classes aimed at people 65 and over. You can also get free memberships to thousands of gyms and fitness centers across the country.
Medicare is so complex; it’s no wonder some seniors shy away from understanding it. Grateful even for basic coverage, they sign up for it but their interest stops there. And it’s not surprising — Medicare is confusing, complicated and challenging. But if you want to be in control of your physical and mental well-being, knowing what is (and isn’t covered) is exactly where you need to start. Knowing the gaps in your coverage can help you decide if you need more help.