Tag Archives: compassionate touch

Why Elder Abuse is a Public Health Crisis and Growing Worse

Elder Abuse is a serious problem that needs more attention from lawmakers, public agencies, senior care providers, faith communities and the general public.

The National Center on Elder Abuse estimates that between one and two million elderly adults have suffered some form of elder abuse.  The main types are physical abuse, sexual abuse, emotional and psychological abuse, neglect and self-neglect, abandonment, and financial exploitation.

Elders with dementia are thought to be at greater risk of abuse and neglect than those of the general population.  In one study, 20% of caregivers expressed fears that they would become violent with the people for whom they care for.  Some other alarming statistics:

  • 60% of caregivers have been verbally abusive with the person for whom they were providing care (Journal of Elder Abuse 2005)
  • Between 5 and 10% of caregivers reported that they were physically abusive toward the care recipients (Journal of American Geriatrics 2010)
  • 14% of caregivers reported that they were neglectful (Journal of American Geriatrics Society 2010)

Why the urgency to address this problem?   The number of people living with dementia is rapidly rising.  Families are trying desperately to cope with the emotional and physical stress that comes with caring for someone with dementia.  It’s frightening to care for someone you don’t understand.

We must do more to reach family caregivers, who currently account for the majority of elder caregiving in our country.  Caregivers are trying to juggle work, often raising children at the same time they are caring for elderly parents.   Elder spouses are often isolated and without the support of community services simply because they don’t have access to what might be available to them.

Caregiving can be a lonely, overwhelming and and often a hopeless journey.   Families need education and tools to help them cope with the uncertainties that arise when caring for someone with dementia.

World Elder Abuse Awareness Day is June 15th.  We are privileged to be collaborating with the Oregon Health Care Association to be sharing our innovative and cutting edge programs, Dementia Live™️ and Compassionate Touch® to family and professional caregivers on June 1st.   Caregivers desperately need a deeper understanding of dementia and practical tools to respond to behaviors.

We encourage everyone to step up in supporting our elders and caregivers and to stop the rise of elder abuse.

Pam Brandon is President/Founder of AGE-u-cate Training Institute whose mission is to provide cutting edge training and education which creates transformative change for an aging world.

www.AGEucate.com;

 www.OHCA.com

 

AAHHHH….. To Sleep Like a Baby Again. Is it Possible?

I know I’m not the only one munching on graham crackers and milk in the wee hours.  For those of you who sleep like a baby and wake up refreshed and energized… well let’s just say the rest of us are green with envy.

Good quality sleep is not overrated.  It’s absolutely essential to our health and well being.  According to Nancy Foldvary-Schaefer, director of the Cleveland Clinic Sleep Disorders Center, “We now know sleep is an active process – all your organ systems behave differently during sleep, restoring themselves.”

During sleep,  our bodies are busy at work repairing itself, cleansing toxins, reducing inflammation.  And in recent years, research has linked higher risks of brain disorders, diabetes and obesity to sleep deprivation.

People living with dementia are certainly not immune to sleep challenges.  Disturbances can be caused by changes in the brain that cause restlessness,  urine or prostate problems, pain or discomfort, sleeping too much during the day, nightmares or environmental factors (for example external noise or feeling too hot or cold).

As dementia progresses, routine becomes more important to one’s feeling of safety and security.  This is certainly true with evening and bedtime rituals.  Not unlike what all of us should practice, here are a few reminders of what may help prepare for a better night’s sleep:

  • Light exercise in early evening, and wind down 90 minutes before bedtime.  Electronic devices should be minimized.
  • Dozing should be discouraged, as this may make falling asleep even more difficult.
  • Avoid tea, coffee, sodas or alcohol should be discouraged, as all of these can have an opposite effect, especially for someone living with dementia.
  • Make sure bed and room temperature is comfortable (cooler is generally better than warmer).
  • A regular routine of listening to soft music, a light back rub or applying aromatherapy lotion may be very helpful in creating a calming atmosphere that may induce sleepiness.

As more holistic therapies for sleep are ushered into person-centered care practices, less use of pharmacological aids will be needed.  Side effects of sleep-inducing drugs can have negative consequences on quality of life for those living with dementia and their care partners.

Pam Brandon is President/Founder of AGE-u-cate® Training Institute.  Their groundbreaking program Compassionate Touch® is a practical and feasible means to reduce behavioral and psychological symptoms of dementia and crete positive engagement of elder, staff and family caregivers.  

www.AGEucate.com

 

Person Centered Care…Moving the Mission Forward

Person-Centered Care
I had the privilege to lead a session on our Dementia Live™and Compassionate Touch® person-centered care programs at the recent American Health Care Association National Convention in Nashville last week.  As part of the Dementia Education Track faculty, it was such an honor to speak to so many passionate leaders who are stepping out of the box and doing amazing things to transform their communities. I love to listen to the success stories and challenges as it helps us  grow as an organization in helping those we serve.

Kenneth Gronbach’s fantastic keynote address was a clear reminder to us all that the Age Curve is not going to happen – it’s here.   And the numbers speak for themselves. It is a clear reminder that as we face the aging tsunami we  as leaders, MUST look forward in the way we will care for our aging population.

The medical model of care is shifting – albeit a bit too slow for those of us with a mission to see person-centered care become the standard. But let’s focus on the good things happening.  One is the new federal and state regulations that require higher standards of training across the spectrum. This is going to have a great affect on pushing person and patient centered care initiatives to the forefront.

The big question is how we will move the Mission Forward to produce real culture change in our organizations. This takes much more than goals of teaching core competencies. It’s a matter of prioritizing the quality of training, how it will be integrated and the big challenge – how it will be sustainable within your organization.  Culture change happens when everyone – those who live in, work and visit your communities – think, feel and act differently.

We are moving to fast on the Age Curve to rest on what we’ve been doing and look at what CAN be done. I look forward to sharing in future blogs the incredible work that is being down around the world to transform eldercare.  It’s an exciting time to be working together in moving the mission forward!

http://www.AGEucate.com

Why Touch Works in Dementia Care

Why Touch Works in Dementia CareWhat is it about skilled touch that decreases distress for those living with dementia that can lead to behavioral symptoms?  Common responses include decreased aches and pains; sensory stimulation resulting in increased body awareness; relaxation; aids sleep; decreased feelings of loneliness; uplifted mood.

The following is an excerpt from The Physiological and Psychological Effects of Slow-stroke Back Massage and Hand Massage on Relaxation in Older People (2010) Melodee Harris and Kathy C Richards, Journal of Clinical Nursing, 19, 917–926

“In recent years, the nursing profession used technology and pharmacology to relieve conditions such as pain, anxiety and insomnia that were once treated with massage. However, interest in massage has grown with the move to more holistic nursing. This review examines the physiological and psychological effects of slow-stroke back massage and hand massage on relaxation in older people and identifies effective protocols for massage in older people.

Outcomes on psychological indicators are consistent with strong physiological indicators for slow-stroke back massage on relaxation in older people. Statistically significant results and improvements for physiological and psychological indicators are associated with decreasing agitation and promoting relaxation using hand massage in older people. Stronger correlations were found between slow-stroke back massage and psychological responses in older people. The effects of massage for reducing anxiety and increasing relaxation were recurring themes suggesting that slow stroke back massage reduces psychological stress. The studies on hand massage reported a consistent reduction in verbal aggression and non-aggressive behaviour in persons with dementia.”

Hand massage and slow-stroke back massage are a part of the Compassionate Touch® program. Care-partners of all kinds can learn to use touch in a focused way to increase quality of life for those living with dementia.