Quality of Life with Dementia Archives ⋆ Cathy Cress

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.

Concierge Clients Who Can Afford Private Geriatric Care Management No Longer Taking Cruises

April 7, 2020

Tens of thousands are dying in the US and worldwide of coronavirus so a cruise ship of any cruise now wreaks of expiring slowly on the ocean with no real hospital and no place to disembark. This is not the product that the upper 10% or anyone would board now. But in better times concierge products like a Viking Cruise as it is understandable to a high-end customer. They buy it –because it has exceptional services and recognizes their entitled station in life. Coronavirus recognizes no status class and kills all equally.

Sell Products Clients Need During the Pandemic

Geriatric care managers, rather than tell inquiry clients they do assessment–should offer products they need in this pandemic – like relocation (moving an older person). Elders who live in dangerous SNF facilities, so vulnerable to COVID-19

In an article from the LA Times Charlene Harrington a Professor from UCFS states”Families with loved ones in nursing homes should consider pulling them out if it’s at all feasible to care for them at home, said Charlene Harrington, professor emeritus at UC San Francisco’s School of Nursing.

“The risk of exposure is so overwhelming,” said Harrington, who has studied nursing homes since the 1980s. “It’s a terrible concern.”

ALCA suggested that you call all the SNF’s in your area and explain that you specialize in moving elders and can be of help to their clients who are moving out of SNF’s due to family concerns.

GCM Products for the Isolated and Lonely Seniors During Stay at Home Orders

Quality of Life (increasing the joy in an older person’s life who is lonely) can be an important service to offer during the coronavirus pandemic. Seniors who live alone are already isolated, lonely, and depressed and the virus only causes this to explode in their lives. Quality of Life programs like Sage Eldercare’s Humminbird Program has gone remote and can be purchased for a minimal amount for client’s by families or agencies, nationally. Nina Herndon GCM, Sage owner and innovator, started this program several years ago because she was tired of watching elders she served watching TV 40 hours a day. She has brought it into the digital world to serve coronavirus patients nationally. Nina also wrote the Chapter on how to set up a Quality of Life program in my book Handbook of Geriatric care Management 4th edition

Products For Seniors Discharged from Hospitals in Pandemic When SNF’s will NOt Take Them

Home from the Hospital is a GCM product the Safely helps the older client through discharge and the first 3 months to make sure they do not return to the hospital, which now is overrun with coronavirus patients and at capacity.

Home From the Hospital pinpoints exactly what the older person needs for discharge with the hospital and why the family is desperately calling for help. They are calling for help at a piercing decibel level because nursing homes will not take them for fear of COVID 19 infection of their residents

To do this, offer these products to families third parties, hospitals, and nursing homes in this crucial time. Develop continuously integrated solutions through a product procedure placed in your company operation manual, along with all of your products so you ensure your staff can deliver, step by a step-that high-end product that the Concierge client especially under the huge stress of the coronavirus with vulnerable parents -just purchased and demands.

If you do not have an operation manual, I have all these products in my GCM Operations Manual plus 11 more, with all the procedures in place so you can instantly offer them. I will offer a 20% discount for the GCM manual during the pandemic for Geriatric Care Management Agencies suffering during the coronavirus outbreak. Contact me here

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.

Follow Cathy Jo Cress’s posts in geriatric care management

5 IDEAS FOR QUALITY OF LIFE ACTIVITIES OVER THE HOLIDAY TO HELP LONELY SENIORS

December 16, 2019

Loneliness in seniors is at an epidemic level in the US.

We live in an age where we can communicate with family across the country and around the globe with a few clicks of a mouse or taps on a smartphone screen. However, despite advances in communications technology and the increasing connectedness it brings, seniors are not always connected to their community and end up isolated and lonely.

Shrinking Social Circles Key

One of the biggest issues for seniors is that their social circles begin to shrink as we get older. Friends, significant others, and family members move or pass away. Even those who still live close by may be inaccessible due to limited mobility, triggered many times once a senior can no longer drive safely. Age-related changes in one’s physical condition, such as hearing loss and low vision, can make it so difficult to communicate that it doesn’t seem worth the effort anymore- the result loneliness and isolation. According to an AARP study, 19% of older adults in the United States suffer from loneliness; 8% of older adults often feel lonely, and 11% feel lonely at least some of the time.

In the UK, only 17% of older people are in contact with family, friends, and neighbors less than once a week, and 11% in

contact less than once a month.

Holidays are Miserable for The Lonely

The worst times are the holiday where Joy to the world sings to the tragic ears of elders who find themselves alone only surrounded by memories. How can we reach out to spread joy

Increase Quality Of Life Through a GCM Program

Lifespan, a 35-year-old care management program in Santa Cruz, California, has begun a quality of life program called “Well Being”. to address loneliness and isolation. Their service is designed to bring joy back to elderly clients, many of whom are isolated or living alone.

Based on the brilliant work of GCM Nina Herdon’s research and own quality of Life program, the Hummingbird Program, Lifespan serves lonely elders at any stage of their lives- from mentally clear to levels of dementia. Lifespan employs personal assistants trained in quality of life activities, to engage elders in intellectual, physical, emotional and spiritual quality of life activities after the care manager does a quality of life assessment and creates a quality of life action plan outlining what activities would bring back joy and activities they love and can do again with the personal assistant help.

5. IDEAS FOR QUALITY OF LIFE ACTIVITIES OVER THE HOLIDAY TO HELP LONLEY SENIORS

Holiday reminiscence: Capture family tales during holidays like Christmas, Hanukkah. Use empathetic listening if you can. Make all the messages you are giving the older person—tone, how fast you speak, how they are sitting—say that you want to listen to the client.
Ask questions that prompt the story, but don’t make judgments. If they are going to record the memory, do it in a way that doesn’t distract or stop the client from talking. Record on Quick Voice Recorder on your phone. for their family Start somewhere in the story. If the elder isn’t going to tell stories on his or her own, start the story and see if they will follow along. “You wore a yarmulke to the synagogue on the Chanukah and you would go with your mom and Dad?”

“Did your Mom do Christmas Hannakka baking on the holiday?” ” What was your favorite holiday treat”

3. If in a facility the quality of life assistant can ask if the older person likes to celebrate the holiday. IF so ask the facility if you can bring some decorations or ritual holiday symbols like a small Christmas tree, holiday food or a menorah or accompany the older person to a holiday dinner for community members.

4. On the traditional holidays celebrated by a client who observes a religion, such as Judaism, Christianity, or Islam, make sure that the decorations of that holiday are in their home, assisted living room, etc. Ritual music is played, a ritual meal is prepared, and ritual prayers are said.

5. Smell different scents like pine of a Christmas tree smell of gingerbread or cocoa. Our sense of smell is embedded in our brain next to memory. So some activities that might work with elders with dementia are making holiday scent cards, bringing scent, bringing holiday scents and tastes of ritual foods having them help prepare food.

4 Reminicence Holiday Activities for Dementia Using the Four Senses

December 10, 2019

Looking for dementia activities?

Reminiscence activities provide a way for caregivers or care managers of people with dementia to learn more about them as individuals and begin to see them beyond dementia. Compared to different activities like music, reading, task-oriented, activities that increase live social interaction with the senses have the most impact on effect in persons with dementia.

Reminiscence therapy is a treatment that uses all the senses — sight, touch, taste, smell, and sound — to help people with dementia remember events, people and places from their past lives. As part of the therapy, caregiver or care managers may use objects in various activities to help individuals with a recall of memories. This can give seniors with dementia a feeling of success and confidence because they are still able to recall and have success with some activities.

Reminiscence therapy can include simple activities, such as conversation, as well as more advanced clinical therapies to help bring memories from the distant past into present awareness. Storytelling about past events they recall through the senses can help people with dementia feel less isolated and more connected to the present, experts say.

Some activities the can activate memory in different parts of the brain and help individuals with dementia to reminisce

Looking through photos and keepsakes of prior holidays. Photographs are keepsakes because they bring back memories that help individuals recall- the place where the photo was taken, who was there, even the occasion where the photo was taken. The visual stimulates the part of the brain that holds that memory. Getting out old albums or high school yearbooks and looking at them with the person who has dementia can stimulate good feelings and a time when they were happy and safe.
Listen to their favorite Hanaukka or Christmas music. Music memory and emotion are located in the brain right behind our forehead and are the last parts of the brain to atrophy. That’s why reminiscence is recommended with even the most advanced cases of dementia. If you do a quality of life assessment and find music as a form of joy in a person ‘s life, you can bring tambourines’ shakers or bells or use headphones that play their favorite music. Alive Inside is a famous example of this.
Smell different scents and taste favorite foods. Our sense of smell is embedded in our brain next to memory. So some activities that might work with elders with dementia are making scent cards or bringing scent bringing their favorite food to taste like Hanukka Cookies decored holiday Christmas tree cupcakes have them help prepare simple recipes
Touch is another sense that evokes reminiscence is all of us but is really helpful with Dementia. Knitting, sewing or other crafts in a quality of life assessment show a past skill. Just touching yarn or fabric can bring back memory A walk in the woods or the beach or bringing them to the client with dementia, with a shell from the shore sand, seaweed or keep, bark from a tree, pine needles, pine cones can replicate the touch of these places

Concierge Clients Who Can Afford Private Geriatric Care Management No Longer Taking Cruises

Sell Products Clients Need During the Pandemic

GCM Products for the Isolated and Lonely Seniors During Stay at Home Orders

Products For Seniors Discharged from Hospitals in Pandemic When SNF’s will NOt Take Them

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