How Storytelling Can Give Elders A Happier Family Thanksgiving

November 21, 2020

Want to increase aging parents and everyone’s enjoyment at Thanksgiving? Try storytelling using Thanksgiving memories.

As an aging professional, you can bring joy to an older person through reminiscence, storytelling, and oral history even elders with dementia

This Thanksgiving, if you really do travel to a family home or grandma’s house, travel safely If not make the safest choice, stay home and use zoom and include your elderly

parent. You can do this if they can use a computer or have a family member or friend who visits often and who lives nearby and is in their bubble serve and share Thanksgiving dinner at their home and use zoom with them to see other family members on the holiday.

Share Your Thanksgiving Story

If you are at a family member’s holiday dinner, ask everyone to tell their favorite story about a Thanksgiving dinner. Start with midlife members to get the idea and then ask

again parents to share their story. It will bring extra thanks to Thanksgiving by learning about an elder’s past and giving them the opportunity to share, which sometimes they do not do in the hubbub of family talking.

The “telling ” also means someone documents. That magically gives the elder and a child social interaction and connectedness. Elders vividly recall their past by telling

from vignettes in their life – especially life in their 20’s, which sparks the richest recall called the “20’s bump”, according to researchers.

Elders sharing stories means passing on history.

So try this at Thanksgiving and it becomes intergenerational. The older person is given a chance to give the larger picture of their life and family history to children and grandchildren or extended family, who may not have heard all the details of their grandparent’s or parents’ life before. My 10 grandchildren have grown up with their now 80-year-old grandfather telling them exciting stories of when he was a California Highway patrolman.So a dual dose of a higher quality of life for both the older person and the aging family is increased through oral history and reminiscence.

Capture Your Families Past Before It Is Gone

Many midlife adults now do ancestry and regret that they did not ask questions of older family members when they were alive. Capture that past now on this family holiday. An aging professional or a geriatric care manager can suggest family or friends record the Thanksgiving story as oral history using technology like an i Phone or i Pad.

StoryWorth For Thanksgiving

Another great idea to capture reminiscence when elders are safely sheltering in place is giving them StoryWorth.

Last Christmas my daughter, sent this gift to my her Dad and both he and I love it. Each week StoryWorth sends a question to my husband that prompts him to write about his past. He writes his reminiscence out longhand and I easily use the dictation on my phone and email his story to Story Worth.

At the end of the year, my daughter will order a bound book of all the stories- a whole collection of memories that she might never think to ask and will be saved for her and her children to pass on family history. I will order a copy for all her three siblings. Equally important, my husband, who has been sheltering in place since March with me, really enjoys writing about his past and the prompts have brought many vivid memories back to him.

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California Cuts Pushing Frail Elders into the Cesspools of COViD-19

May 22, 2020

Here in California, the frailest, poorest and oldest in the state are being potentially knifed in the back by slashing budget cuts to the very services that keep them out of nursing homes.

The Multipurpose Senior Services Program , one of the first geriatric care management programs in the nation, designed to keep fail elders out of nursing homes, is set to axed from the California State budget.

The Governor has also proposed elimination of $2.9 million of state funding and $3.9 million in federal matching funds for the 11 statewide Caregiver Resource Centers,

providing critical respite care and counseling to caregivers of adults with chronic and disabling health conditions.

Both programs were designed 4 decades ago to keep elders at home and out of more expensive nursing homes and staunch family caregiver burnout. They offer huge safety nets, designed to keep frail seniors in the community.

MSSP is of a daycare program providing rich social and health services to frail elders and their families. The Care Resources Program caregiver respite and support to overwhelmed family caregivers.

These programs save the state a bundle of money. Each of the MSSP clients is disabled enough to be eligible for nursing homes and poor enough to be eligible for MediCal. So instead of the state paying $80,000 or $90,000 per person per year in a nursing home, the State pays only on average a little over $5,000 for the person to be in MSSP.This makes the cuts both fiscally stupid and mystifying.

What California government is doing is ripping giant holes in this web plummeting 45,000 seniors into the cesspool of COVID-19 skilled nursing facilities, where almost half of California COVID-19 deaths occured.

Without the services and supports available through MSSP, and the Caregiver Resource Center, many older Californians will have no other choice but to be admitted to nursing homes, where nearly half of all deaths related to COVID-19 have occurred.

But the doors may be barred. Given the high risk of COVID-19 in nursing homes, owners are reluctant to take new patients. So, the elimination of the Caregiver Resources Center and MSSP is really a death sentence to frail elders. It leaves no fire extinguisher for caregiver burnout of the family caregivers who care for elders with the toughest disease: brain impairment- Alzheimer’s, stroke, dementia, Huntington’s disease, Parkinson’s other conditions that may cause memory loss or confusion.

This may cause a cascade effect- placement of these horribly demented elders, into the plague-infested nursing home or also to death’s door

Governor Newsome has been a national hero as the first governor to issue a stay at home order to close counties down in California. He slowed the spread of coronavirus and kept California in a safe zone compared to most other states. But this was at the cost of taxpayer dollars as 4.7 Californians were put out of work.

He finds himself in a double bind now with a chasm of a budget hole, that he is trying up to fill with cuts like the ones proposed to the senior program. But the cuts will lead seniors to nursing homes costing $80,000 a year instead of the $5000 for MSSP into those caldrons of coronavirus

California is always the canary in the coal mine- the innovator that most states follow. So, these cuts can be expected across the nationwide. Who is the real villain in these cuts, the Trump Presidency. 875 billion was approved in the House of representatives in the HEROES Act. Cutting both programs saves $119 million. But these cuts would be eliminated if Congress OKs this aid for state and local governments — a prospect many state lawmakers believe is unlikely as President Trump is threatening to veto the money to the states . This has spurred a cacophony of outrage from local legislators and senior advocates. angered state lawmakers from both

major political parties who say it’s irresponsible in light of the coronavirus pandemic that has spread through nursing homes across the state. It’s one of many conflicts emerging this week as lawmakers hold public hearings examining Newsom’s proposal before they must vote on a spending plan by June 15.

Want to help save these programs

PUBLIC COMMENTS – WRITTEN: Submit written public comments by email to: sbud.committee@sen.ca.gov

The 2 Deadliest US Sites of COVID-19 Nursing Homes & Prisons

May 2, 2020

PRISON INMATES AND NURSING HOME PATIENTS NOT 6FT APART – 6 FEET UNDER

70% of inmates in federal prisons have COVID-19. In Kansas, the Lansing Correctional Facility had a riot of inmates over COVID-19 lack of care or protection It took the rebellion to get the coronavirus testing PPE and care. The Bureau of Prisons in Kansas confirmed finally that 79 staff have coronavirus and 88 prisons and prisoners dead.

Older residents in nursing homes cannot rebel like prisoners. Many can’t even walk. The Atlantic Magazine just published an article, We are Killing Elders Now. The writer states “In at least six states, these fatalities account for half of all COVID-19 deaths, and according to the World Health Organization, half of all coronavirus fatalities in Europe have been traced to nursing homes too. Some of this mortality is linked to long-term-care facilities that are shoddily run or that violate health standards. But most of them are doing the best they can with what they have. And they don’t have much”.

KAISER FOUNDATION NURSING HOME STAFFING AND USE OF PPE NOT REQUIRED IN MOST STATES

Kaiser reports -Staff Screening. It is more common for states to recommend rather than require daily screening of staff for illness in NFs (24 states recommend, 16 states + DC require)

Use of PPE. More states recommend (23 states) than require (7 states + DC) staff to use PPE

Two States that require testing for coronavirus of ALL residents of nursing homes are Maryland where 556 have died as of the Washington Post article. and Tennessee

THE FEDS HAVE NO CMS FEDERAL GUIDELINES OR REPORTING

We have no federal guidelines for safety testing according to an article by the Kaiser Foundation

It is now estimated that 16,000 deaths have occurred in nursing homes and that is without the federal government revealing any numbers and not making available any testing. But the numbers are probably huge- if we could just do testing.

CMS announced it would have a meeting of a “panel” of experts “ sometime at the end of May”. After probably 20,000 older people died and the feds did nothing this shows their sense of urgency about this pandemic’s national “elder cleansing”.

WHAT CONNECTS PRISONS AND NURSING HOMES – CONCENTRATION CAMPS

So, what is the connection between the viral spread of COVID-19 in nursing homes and prisons- 6 feet ? Prisoners and residents, in nursing homes, and prisons cannot social distance. Jails and prisons have human beings crammed together with no choice. Nursing homes have 2 beds or if you are on Medicaid three to a room. Neither group has a choice to social distance. They are ” concentrated” as in concentration camps or death camps.

Do SOMETHING – HELP NURSING HOMES PREVENT MORE CARNAGE

So, as someone who has spent her career in aging, I am calling out to everyone, especially professional in aging – do something. Since the feds appear to be doing little- call your congressman, write a letter to the editor.

BE KIND LIKE RACHEL MADDOW REPORTS LA JEWISH HOME LA WAS

Rachel Maddow suggests calling your local nursing homes and see what they need. Be kind like the LA Jewish Home was to a smaller nursing home LA Brier Oaks. They wanted to test their residents and had no tests and the larger LA Jewish Home had tests and shared them with the smaller as a good neighbor. What they found was ravaging but it also showed caring and generosity. Care and be generous and show the helpless elders in nursing homes in your town you are opposed to -nursing home being prisons or concentration camps.

Close the GCM or ALCA Sale to Assisted Living With Benefits

February 19, 2020

Marketing Tactics -Use Benefits

ALCA members need to sell the benefits of Geriatric Care Management to assisted living. Care managers are perfect professionals to help assisted living residents if they have just moved in and are unhappy with the move if they are not participating in activities and withdrawing from friends and in general when they are nor thriving in the resident community.

But marketing care management to ALF’s takes some particular marketing tactics

Although it might seem counterintuitive, consumers rarely want to buy things for the sake of buying them – they want what they purchase to solve their problems.

To borrow from the example of an umbrella, a feature of this particular umbrella might be its unbreakable spokes or wind-resistant construction – the benefit of which is staying dry even in strong winds that might break lesser umbrellas. The benefit of staying dry in strong winds that break other umbrellas – make the sale.

Clients who purchase home care or care management want to buy benefits – what your product or service can do for them.

GCM Benefits To Assisted Living

Let’s take a third-party. Care Managers often market to Assisted Living. ALF Directors want to hear how your ALCA or GCM agency is going to help the Assisted Living site. Of course, you can describe your agency features, price, training of staff, gold standard service. However, benefits are what make the sale and keep the Assisted Living dry not flooded by the rain.

So here are some benefits you can offer to Assisted Living when you are seeking referrals and you have a service for residents that involves Quality Of Life

YOUR GCM ALCA AGENCIES BENEFITS

The problem: Assisted Living does not want residents to move out most facilities are strictly non-medical and do not have one to one companion and geriatric care management services. Your agency can solve that problem.

The assisted living and retirement community population sometimes have clients with needs that cannot be met with their nonmedical, non-one-on-one support services, (usually just an activities director)

You will help facility with residents who are not adjusting to the facility or considering moving by engaging them in activities that will enhance the quality of their life, SO WHAT so they remain in the facility
You will help residents not engaging in activities to participate in the ALF’s activities program or outside activities and socialization program through a quality of life assessment & companion, SO WHAT so they do not want to move out of the facility
You will engage with new residents who are just adjusting both to the facility and their move, to engage in socialization and activity programs. You can help them make friends & engage in outside activities through a quality of life assessment and companion, SO WHAT so they do not consider moving out
You will make monthly monitoring visits to make sure Companion is meeting all the client’s needs, keep in touch with the family and facility with frequent e-mails, texts or telephone updates plus sending a monthly report SO WHAT so everyone is on the same page through your great communication skills.

So, selling the benefits to the third party, who will refer your agency to families of residents who are struggling, is a much more potent selling point that features of your agency.

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8 Ways to Make Reminiscence a Valentine’s Gift for Aging Clients Tomorrow

February 13, 2020

Want a perfect Valentines’s gift for aging clients?

You already have it. A great Valentine’s for your older client is you the care manager, caregiver or family member- using reminiscence to gather an elders’ memories.

Reminiscence isn’t new. Before the printing press, storytellers and bards were how history was recorded-

Oral storytellers gave us the Odyssey and other oral tales. History exists in a family, and Ulysses or Penelope might be sitting in their home on Valentines’ Day- in the form of your aging clients.

But storytelling or reminiscence only works if the teller remembers the lines. Family history has to be captured when the older person still remembers. So holiday events are a perfect time to tap into that font before it flickers or dries up.

Capture Reminiscence

Here are some tips to use if you want to capture these family tales during Valentine’s visit with older clients—a perfect time to do this before age or dementia wipe their history.

Give Valentine’s gift each week of the year. Use StoryWorth. My daughter Kali Peterson Murphy, who is also in aging as a Program Officer, with the SCAN Foundation, purchased this as a Holiday gift for my husband and her Dad Pete. I love this as a user and a Geriatric care manager. Each week it prompts Pete to answer a question that my daughter chooses when she purchases StoryWorth. Pete can actually change the questions to be ones he wants to answer. Pete writes the answers and I record them on my iPhone and send them into Story Worth with photos that I have gathered of Pete’s life and stored on Google Photos.( this is an option) At the end of the year, her about to be 79-year-old Dad gets a book with all his stories.

It is a slam dunk for reminiscence. The adult child and or family receive the family history to be passed down, the older family members get to both tell her or his story and know that their family is interested in what they have to share from their past and in the end get a book about their lifeform it a fabulous gift.

Order it from Valentine’s Day tomorrow and you will have a year full of family history, an aging adult who knows you care about listening to them and an incredible gift of a reminiscence book for next Valentines’ Day and the rest of your life that you can pass down.

If you visit Reminiscence Tips

2. First, arrive with a real Valentine card and a small sensory gift like a little chocolate or some fresh red and white flowers. Just the card and the gift evoke memories

3. Use empathetic listening Make all the messages you give the older person— tone, how fast you speak, how they are sitting- say, “I want to listen to you.” This in itself is a gift to an older person as few people really listen to them as they age.

4. Ask questions that prompt the story but don’t make judgments. If there are going to record the family tale, as on your I phone, do it in a way that doesn’t distract or stop the older person from talking.

5. You might ask the client or the family for some family photos of the older person growing up, getting married, and use those as memory prompts.

6. Start somewhere. If the elder isn’t going to tell stories on his or her own, start the story and see if they will follow along.” Did you go to Valentine’s parties when you were a kid or celebrate the day in school by exchanging valentines .” Did you have a special valentine as a teenager or young adult?”

7. If the client has dementia you can still do this with reminiscence prompts like a valentine, chocolate, some flowers or a simple valentine decoration you bring.

8. Use technology tools to help you with this legacy-building for your older client like Life Bio- or

Quick Voice Recorder to catch the memory on your phone.

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