Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Solo Agers Are Vulnerable to Social isolation

March 5, 2023

 

Increase Quality of Life

Solo agers are vulnerable to social isolation and mental health problems, particularly if they lack close family or friendship ties.

Also, known as Elder Orphans, Solo Agers represent about 22% of older adults in the United States. Solo agers are vulnerable to social isolation or are at risk of doing so in the future, according to a 2016 study. “This is an often overlooked, poorly understood group that needs more attention from the medical community,” said Maria Torroella Carney, the study’s lead author, and chief of geriatric and palliative medicine at Northwell Health in New York. Solo agers are vulnerable to social isolation, according to a recently released survey of 500 people who belong to the Elder Orphan Facebook Group, with 8,500 members. Seniors living alone, being unmarried, and not having family or friends nearby are more often lonely and more likely to be depressed and have a poor quality of life. In the study understanding older adults who are aging alone 45% reported being sad and 52% reported being lonely.

Because adults with children may effectively be solo if their adult children live far away or they have a child with a disability who can’t care for them, or they are estranged, more aging adults are looking elsewhere for support to increase their quality of life. 

Solo agers are vulnerable to social isolation although loneliness is a serious concern as all ages are found out during COVID. During the epidemic loneliness, isolation, and depression were experienced by everyone including kids who could not go to school. Seniors experience this all the time. Social isolation is associated with a multitude of problems, such as high blood pressure, insomnia, depression, and cognitive decline. If you lose the ability to drive, develop mobility issues, or live far from friends and family, Solo Agers may have very limited social interaction while aging in place. this a poor quality of life

Increase Quality of Life

Geriatric Care Managers can bring socialization, increase quality of life and so much more to Solo Agers.

Increasing Quality of Life socialization and networks of friends can help solo agers who are lonely. They can also help Solo Agers who are planning their aging plan to increase socialization to avoid pitfalls that so many seniors face in retirement- loneliness, isolation, and depression. The great thing about Solo Agers is that they are planning their aging, are highly educated and have the income for care managers, and can afford private care aging without Medicare covering long-term care

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How Storytelling at Thanksgiving Can Give Elders A Happier Family Holiday

November 22, 2022

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

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

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 oral history for elders 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 and use reminiscence for elders by asking 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 stories.

Oral history for elders 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 stories 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 storytelling 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 parent’s 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.

Story Telling at Thanksgiving  with Story Worth

Another great idea to capture reminiscence for elders is giving them StoryWorth. 

 

My daughter sent this gift to 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, an oral history of an elder father 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, really enjoyed writing about his past and the prompts have brought many vivid memories back to him.

Sweet grandmother holding a beautifully cooked turkey dinner.

 

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10 Reminiscence Therapy Tools, Technology, and Techniques for New Year

December 29, 2021

 

Use Reminiscence therapy to capture family tales of aging parents or clients in the New Year

Do you use reminiscence therapy? Do you know how to use a reminiscence tool? Have you lost an aging parent and wished you had asked them more questions to reminisce about their past, your family history, and your childhood? Have you dabbled in ancestry and realized -too late- that you should have just listened closely to the stories your parents told you then written them down before they died?

Start Now! Use reminiscence therapy to make this New Year the year you collect the stories in your own family plus assist your aging clients by using 10 reminiscence therapy tools, technology, and techniques.

1. Use empathetic listening. This means to make all the messages you are are giving the older person— tone, how fast you speak, how they are sitting-  all saying, “I want to listen to them.”

2. Use empathetic listening then ask questions that prompt the story but don’t make judgments. If there are going to record the family tale, do it in a way that doesn’t distract or stop the older person from talking.

3. Start somewhere with a question then use empathetic listening. If the elder isn’t going to tell stories on his or her own, start the story and see if they will follow along.”What was a New Years Resolution that you made and kept” ” Do you remember your favorite doll ” What was your first day of school like”

4 . Music is just next to memory in the brain. So you want to use music as a reminiscence tool. This can be done through Alive Inside. So use Alexa, Spotify, to play  40’s 50’s  60’s music or especially when they were teens. Why? Sexual awakening when we are teens and the background music of that time deepens memory when they were teens  –when they were teens  NO Surprise. Simple ways to spark reminiscence when you visit older family members -bring their teenage music on your phone.

5. Use more reminiscence tools. Look at old photos together. Photos trigger memory even with dementia. Choose ones from a period of time the person currently remembers, which could be the person as a young adult, teenager, or even a young child.
6. Play music from their teenage years. That is a powerful reminiscence tool. It is the background to the most emotional period of anyone’s life and deeply lined into memory.
7. Another reminiscence tool is food. Serve food that is a family tradition or specialty, particularly ones that have an element of memory attached from family celebrations. like Mom’s Briscut, Dad’s Sunday Supper lasagna, or “Aunt Helen’s Lemon Cake”.

8. Story Worth was started by Nick Baum, a tecky who was, and in a way, a long-distance care provider for his parents in Sweden. He was curious about their past and invented the app based on his own need to gather his family history through reminiscence therapy in book form. My husband is a teller of past tales as a California Highway patrolman, then Hippiedom, then as top marketing director for Pacific Cookie Company, the best cookies here is the west.

Our daughter Kali gave him Story Worth as a holiday gift 2 years ago. In the first 12 months of the COVID, he recorded 40 stories or memories from his past. They were all published by Story Worth Book, saving in print the precious reminiscence that would have been lost but now saved in a  book that we gave to our adult children for them and generations to come.

This is a gold star reminiscence tool that gives you a brilliant way to capture reminiscence and I  recommend it to adult children who want to enshrine personal memories in print that otherwise would be lost when they reach back for them..

9. Life Bio-  a reminiscence tool,online template of biography and autobiography questions that have been carefully crafted

 

10. Quick Voice Recorder  a reminiscence tool to catch the memory on your phone

Reminiscence in aging is a part of a whole new domain in aging called quality of life or attending to the older person’s need for joy through activities that stimulate the mind. Reminiscence does that- so find out more about how you can increase the quality of life of older people after the holidays and all year long by building a quality of life reminiscence program like Lifespan’s Well Being program in Santa Cruz, Ca.

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What are 8 Spiritual Quality Of Life Activities for Elders During the Holidays ?

December 6, 2021

Spirituality Helps Elder Quality of Life Skyrocket  With on Holidays

Spirituality helps elders’ quality of life. As you age, spirituality can matter more. Now that we are entering a season of high spiritual celebrations like Christmas, Hanukkah, Orthodox Christmas, Feast day – Our

Lady of Guadalupe- this is the most important season to involve elders who wish to be in spiritual communities. Religious communities offer socialization thus the quality of life to so many elders and can return joy to their lives.So you must learn how to find an elder’s holiday joy.

 

Religion Comes in a Filing Cabinet

The idea that spirituality helps elders’ quality of life was taught to me by Leonie Nowitz, a geriatric care manager who has a deep interest in spirituality and writes about it often, once told me to look at spirituality as a question  ” What is this all about”. As we age this question becomes primal, as we face death coming at a rapid pace. We wonder- do I go to heaven, to hell, or just energy or dust. Will I meet angels- my wife in heaven.?

Ms. Nowitz said that when you define religion, look at it as a filing cabinet with each drawer is a religion with it’s an answer to spirituality  ” “What Is this all About”. There is one for Jews, Protestants, Hindu’s Muslims, Quakers, The Environment- all religions and belief systems.

 

How to Find An Elder’s Holiday Joy

Learning how to find an elder’s holiday joy, is a key skill for care managers. One assessment care managers can do is a Quality of Life assessment to find out how and where joy can be found again.  If spirituality is something that would increase an elders’ quality of life, here are some activities that you may suggest to an older client or their family, especially on holidays when places of worship have their most spectacular music, smells, and bells, and pageantry.

Spiritual Quality of Life Activities During Holidays

  1. If an older person appears isolated and is unable to attend their place of worship, especially on holidays, because of not driving or disability, and they wish to still join a congregation, contact the head of the religious group and ask if members could transport him or if they have a van service or arrange for members to transport them to services. If they cannot get out ask if the spiritual leader or congregation members would make home visits.
  2. If an older person is not now a part of a religious group but what once was and has some interest in returning, holidays are the best times to reconnect. Contact the head of the religious group and ask him/her to make a home visit and the care manager follow up with transportation arrangements to holiday services if yes.
  3. If an older client has had a recent close relative or friend die and wishes to return to a spiritual group she knew before, connect them, with the congregation they are familiar with for solace or grieving.
  4. If an older person moves to a new area and is part of a religious group connect them to the same religion and place of worship in the new town and arrange transportation  to holiday services and a new member to greet them
  5. If an older person has dementia if possible reconnect him or her with his spiritual background through familiar prayer, music, etc.  
  6. If an elder has dementia and can attend services without being disruptive, arrange for a caregiver to take them as they can still be drawn in  by the ” Smells and Bells’
  7. If you have a homebound client who wishes to return to a religious group, reconnect them by arranging, in their,  holiday spiritual music, religious icons (a rosary or image, for example), readings from a sacred text about their own religion on Hannakka or Christmas, watching a service on television, listening to one on the radio or via computer.
  8. Decorate their room with holiday decoration that represents their own religious holiday like a Menorah, Christmas tree, a nativity scene, etc.

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Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, Blog, care manager, case manager, Dementia Activities, Dementia and Spirituality, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Quality of Life, Spiritual Quality of Life Tagged With: aging life care manager, assessing for quality of life, care manager, case manager, demential and spirituality, geriatric care manager, nurse care manager, spirital assessment, spiritual assessment, spiritual supports in aging, spirituality in aging

How Does Atul Gawande View Quality of Life in Dying ?

September 15, 2021

 

   A good life to the very end 

Atul Gawande’s acclaimed book, “Being Mortal“ opened our eyes to the medical way of death. He showed millions of readers how the quality of life and human interaction while dying trump the number of years gained through questionable painful procedures and dying in an institution.

He tells us that “our ultimate, goal, after, is not a good death but a good life to the very end

 

Quality of Life Can Be There to the End of Life

GCM Nina Herndon brings you that same quality of life message- about dying –where an elder can still live the end of life with joy. Her chapter “Supporting Clients’ Quality of Life: Drawing on Community, Informal Networks, and Care Manager Creativity” in the Handbook of Geriatric Care Management 4th edition is a geriatric care management Nina has devoted her career to giving elders a care plan for a happy life and a happy life to the very end.

 Bringing Joy in the here and now of Dying

 Bringing joy in the here and now of dying can be done through using quality of life tools- Spiritual, emotional, intellectual, creative, and physical quality of life. Increasing the spiritual quality of life can mean for a person is dying and wishes to return to a spiritual group she knew before, connecting them to the faith they are familiar with. Even homebound clients can have visits from members of a religious community or a prelate. They can have hymns sung, prayers said or whatever religious ritual their spiritual group follows, like communion, at home. Care providers can be trained to engage them by reading religious texts or playing hymns.

The Power Reminiscence at End of Life

Spirituality can be the environment. I once had a client who was in a nursing home dying of cancer and wanted to go home to die with hospice and 24-hour care. Hisgrandma_holding_rosary_shutterstock_40017103-255x255.jpg spirituality was the environment and he had been a lead volunteer to build a trail in Santa Clara California from Los Gatos up the steep winding highway 17 over the Santa Cruz mountains to the Lexington Reservoir. He had no family so the care manager asked the volunteers he had worked with if they would visit him at his home. They happily agreed and 300 volunteers took shifts, 24 hours a day to sit with him reminisce, tell stories and sing while he died over several weeks. This is what joy that bringing a spiritual quality of life can offer in dying.

Tools for Reminicance at End of Life

Friends emailing short personal videos with good wishes and memories, that a family member can show on a phone or computer- can bring emotional joy at end of life. Sending notes, not of condolences but great memories can be a salve to dying. Volunteering to give respite to family members, if visiting is allowed during COVID or post the pandemic, can give an opportunity to share old memories or look at old photos and give family respite. You may have thought those old photo albums should be dumped but they can bring the joy of reminiscence if shared at end of life or with seniors at any time.

 

 

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