Cathy Cress

Expert in Aging Life and Geriatric Care Management

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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.

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Virtual Quality Of Life Activities for Elders During the Coronavirus

March 21, 2020

Loneliness & Isolation a Plague Among Elders Especially When Isolated by Coronavirus

Geriatric care managers who work with isolated or depressed clients can use quality of life to bring back joy  especially during the coronavirus pandemic

Care Manager Nina Herndon, the national expert of elder quality of life, cites in her chapter on Quality of Life, in Handbook of Geriatric Care Management a quote from the aging visionary Bill Thomas MD  in his book,  “What Are Old People For”.

Thomas says this is the plague of so many elders, who suffer loneliness, isolation, helplessness, and boredom because their environment is empty of companionship, intimacy, self-direction, and meaningful activity. Care Managers can fill this void with quality of life now virtually during the coronavirus.

Virtual Humminbird Quality of Life Program

In response to the Coronavirus Nina’s Herndon’s GCM Sage Eldercare has developed a packaged Humminbird Program that already thrived into one that can be used virtually.

Hummingbird Virtual and Phone Programming

The Hummingbird Project is implementing virtual and remote activity sessions to mitigate the negative impact of social isolation on older adults, especially for those with a behavioral expression of unmet needs who are struggling.

They are eager to use our creativity to help support your client and/or loved ones and enhance the quality of life during this difficult time! As such, we are offering reduced rate options and easy to initiate services for remote activity sessions.

Sessions can be conducted in a number of unique and creative ways: 

  • Virtual Video Conferencing: Using Zoom, Facetime, etc. we can offer popular activities such as guided virtual museum tours, intellectual stimulation, live musical concerts, art lessons, and more. Let’s bring Hummingbird magic into the home of isolated seniors across the nation! 

  • Phone Programming: We are pleased to provide the same quality of life activities usually presented in person. This might include legacy projects, oral history projects, lifelong learning, gratitude, spiritual devotion, verbal brain games, storytelling, and much more. 

  • Mail Order Activity Kits: Kit activities come with detailed instructions and engaging materials, so your client or loved one can feel confident as they begin exploring new experiences at the time and pace that works for them. 

  • Social Isolation Activity Plans: We recommend the creation of a social isolation activity plan for each person, which will include a schedule of activities, ideas, and ways to stay connected based on the individual’s life story and interests. We can create and send you this, and you or a family member can then implement it as needed. 

  • Joyful Moments: Quality of life activities like those you’ll find in Joyful Moments therapeutic activity cards help reconnect older adults to what brings them purpose, joy, and meaning in life. You’ll find step-by-step instructions and suggested adaptations for activities that cover all seven domains of quality of life: Physical, Spiritual, Intellectual, Creative, Vocational, Emotional and Environmental. Available online for $24.95 + shipping. Includes a 30-minute complimentary consultation and free tips and tricks handout on how to get started! Click here to order today!

  • They look forward to being of service during this time of crisis when compassion, therapeutic support, engagement, and joy are needed more than ever! To initiate services, please contact Tiffany Paige Ramirez at tpaigeramirez@sageeldercare.com or 916-990-7944.
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Get More information about how to set up a Quality of Life Program check out My Geriatric Care Management Operations Manual that includes step by step  procedures on how to set up a Quality of Life Program 

   

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Filed Under: aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Blog, Coronavirus emergency plan, coronavirus quality of life virtual program, Dr. Bill Thomas, elder care manager, Emotional Quality of Life, geriatric social worker, Intellectual Quality of Life, Long Term Care Coverage, nurse advocate, nurse care manager, Quality of Life, Quality of Life for elders, Quality of Life Virtual Program, Quality of Life Virtually, Senior Loneliness Tagged With: aging life care manager, aging parent crisis, care manager, case manager, coronavirus, coronavirus and seniors, Coronavirus virtual quality of Life, geraitric care manager, geriatric care manager, Handbook of Geriatric Care Management third edition, Humminbird Program, increasing quality of life, Intellectual quality of life, isolation and quality of life, Nina Herndon, nurse advocate, nurse care manager

10 Intellectual Quality Of Life Activities for Elders

January 10, 2020

Loneliness & Isolation a Plague Among Elders 

Geriatric care managers who work with isolated or depressed clients who can use quality of life to bring back joy.

Care Manager Nina Herndon, the national expert of elder quality of life, cites in her chapter on Quality of Life, in Handbook of Geriatric Care Management a quote from the aging visionary Bill Thomas MD  in his book,  “What Are Old People For”  .Thomas says this is the plague of so many elders, who suffer loneliness, isolation, helplessness, and boredom because their environment is empty of companionship, intimacy, self-direction, and meaningful activity. Care Managers can fill this void with quality of life. One way to do this is:

Intellectual Quality of Life activities that engage older person  mentally

  • Hobbies
  • Learning
  • Brain aerobics
  • any form of creativity

Here are 10 other  ideas for seniors who live at home, or in Assisted Living

For seniors who are independent.

  1. For seniors who wish to travel again but need support to arrange a trip-Work with a senior travel agency to have the elder plan a trip that the elder would love to take but never did. Arrange for senior to take a class on planning travel and to  plan the trip Help them go online
  2. Games checkers dominos, puzzles, simple card games with a deck of cards with whales on them if they like the sea or more complicated games like bridge.
  3. Help the client join a local  book club with the kind of literature he likes to read (non-fiction- fiction – romance? )
  4. Help the client join a book club at the local library.
  5. Help the client join a Lifelong Learning  Osher group near you with intellectual activities if they enjoy book groups, Current Events, Cosmology, Shakespeare – whatever they love to learn or learn again.
  6. Introduce elders to your local community college or local college or theater company musicals and get tickets plus arrange transportation.
  7. . Identify what music they like and arrange to take them to local concerts, arrange to watch and listen on television or TV, if they have an I Phone Make a playlist of their favorite music, get them Alexa to just tell Alexa what music they want to hear, or join a choir if they used to do that and arrange transportation
  8. Attend a senior computer class or arrange for a 1-1 services with someone who can easily work with seniors and computers.
  9. Suggest joining in a games group at their local senior center or joining local games meet up- an example where I live https://www.meetup.com/Santa-Cruz-Board-and-Parlor-Games/
  10. Order Joyful Moments,  Geriatric Care Manager, Nina Herndon’s Quality of Life activity kit book, to get more ideas                         
Get More information about how to set up a Quality of Life Program check out My Geriatric Care Management Operations Manual that includes step by step  procedures on how to set up a Quality of Life Program 

   

 

 

Filed Under: aging life business, Aging Life Care Assocaition, aging life care manager, Blog, Dr. Bill Thomas, Intellectual Quality of Life, Quality of Life, Quality of Life for elders Tagged With: aging life care manager, care manager, case manager, geriatric care manager, increasing quality of life, Intellectual quality of life, isolation and quality of life, Nina Herdon, nurse advocate, nurse care manager, Quality of Life and Asssited Living

6 Activities for a Care Manager to Bring Intellectual Quality of life to Older People?

July 9, 2018

affluentseniors.jpgCare Manager Nina Herndon, the national expert of elder quality of life, cites in her chapter on Quality of Life, in Handbook of Geriatric Care Management a quote from the aging visionary Bill Thomas MD  in his book,  “What Are Old People For”  .Thomas says the plague of so many elders,

especially in nursing homes is- loneliness, helplessness, and boredom because their environment is empty of companionship, intimacy, self-direction and meaningful activity. Care Managers can fill this void with quality of life. One way to do this is

Intellectual Quality of Life activities that engage older person  mentally

  • Hobbies
  • Learning
  • Brain aerobics
  • any form of creativity

Here are 6  ideas for seniors who live at home or in an institution.

For seniors who are independent.

  1. For seniors who wish to travel again but need support to arrange a trip-Work with a senior travel agency to have the elder plan a trip that the elder would love to take but never did. Arrange for senior to take a class on planning travel and to  plan the trip Help them go on line

 

  1. Games checkers dominos, puzzles, simple card games with a deck of cards with whales on them if they like the sea or more complicated games like bridge. Join local games” meet up” on parlor games Here is an example where I live.
  2. Help client join a local  book club with the kind of literature he likes to read (non-fiction- fiction – romance? )
  1. Help the client join a book club at the local library.
  2. Help client join a Lifelong Learning  Osher group near you with intellectual activities they enjoy book groups, Current Events, Cosmology, Shakespeare – whatever they love to learn or learn again.For seniors who live at a higher level of care
    1. If a senior is homebound sign them up for Senior Center Without Walls and let them make a choice of what classes they want to take

     

    1. For a client who cannot get out anymore and is a birder, make birdseed ornaments and hang outside the window where the client can see. Take pictures of the birds that visit the hung ornaments. Get a bird field guide for the area and help identify birds who visit the ornaments to feed then if interested have the older person keep a journal of the birds they spot. If they are interested help them participate in the Great Backyard Bird Count

Filed Under: Aging, Aging Life Care, aging life care manager, care manager, case manager, Dr. Bill Thomas, elder care manager, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, Intellectual Quality of Life, nurse advocate, nurse care manager, Quality of Life, Quality of Life for elders Tagged With: aging family, aging life care manager, aging parent crisis, assessing for quality of life, care manager, case manager, Dr. Bill Thomas, geriatric care manager, increasing quality of life, Intellectual quality of life, nurse care manager

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