Tag Archives: Elders

CARES Act Grants to Help Social Isolation among Elders

On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security (CARES) Act was signed into law.   The CARES Act grants totally $955 million will support older adults and people with disabilities in the community during the COVID-19 pandemic.

Organizations that will have access to this funding includes a network of community-based organization such as Area Agencies on Aging, Centers for Independent Living,  senior centers, faith-based organizations and other community-based non-profit organizations that provide resources and services to help older adults and people living with disabilities stay healthy and live independently.   $100 million is earmarked for the National Family Caregiver Support Program to help expand services that aid families and information for caregivers who are providing support for their loved ones at home.

The COVID-19 pandemic has certainly brought to light the weaknesses of our current social support systems for older adults and their care partners living at home.  The much-needed CARES Act funding will help aging service providers and other community-based organizations  to reach vulnerable populations across the United States with resources to help meet the physical, emotional and spiritual needs of this group, among other at-risk population groups.

Social isolation and loneliness of older adults and their care partners did not start with the pandemic, but quarantine and social distancing  guidelines have intensified what was already a serious and growing problem with our fast-aging population.   While some initial studies pointed to a near 30% increase in loneliness during the first month of COVID-19,  it is  yet to be determined  the fall-out of long-term isolation for older adults now that we are moving into our 10th month of the pandemic.

Across the spectrum of care of our aging population, especially those living alone, COVID recovery must address the long-term effects of prolonged isolation and loneliness.  Some of these include mental health concerns, substance abuse, domestic violence,  anxiety, poor sleep, changed eating habits, and depression.

Thanks to technology,  many organizations quickly became adept at reaching these populations through Zoom and other conferencing platforms, helping to support at-home caregivers and provide meaningful activities to help alleviate the social isolation.  Innovation and creativity have led many of these groups to realize that post-Pandemic, these social platforms will be a permanent and important part of their community outreach education, resource and support services.   CARES Act funding will help support these initiatives and address the most pressing challenges of reaching elders and families who simply cannot leave their homes, even when there is no pandemic.  Rural elders and their care partners are especially an at-risk population.

With the hope of a vaccine bringing the pandemic to a slow-closure, social isolation and loneliness in older adults must be addressed as the public health challenge that it is.  The targeted funding from the CARES Act is the critical financial injection at the state and local level and hopefully will be the catalyst for additional long-term funding to support the needs of older adults and their families with expanded education, resources and support services.

For information on AGE-u-cate programs for older adults and their care partners that may be offered by Area Agencies on Aging and other community-based organizations click here.

Pam Brandon is President/Founder of AGE-u-cate Training Institute.      AGE-u-cate develops and delivers training and education for professional and family caregivers across the aging services spectrum.  Pam is a passionate advocate for elders and their caregivers.  

 

COVID Recovery: Rebuilding Human Connections

We can restore human connection and relationships post-COVID by understanding the importance of re-awakening the senses through the simple act of touch.

For nine months, we’ve been under COVID-19’s siege.  People residing in care communities are still confined to their rooms, cared for by overwhelmed team members shielded in protective gear and with no outside visitors.

Most certainly, this is devastating blow to any sense of well-being. Now we’re looking ahead to what changes 2021 may have in store. We may finally see a glimmer of hope as we anticipate our collective recovery from COVID.

Before looking forward, let’s glance at the toll on those the precautions keep safe. We’ve all seen first-hand or heard reports of social isolation and loneliness.

As humans, we all have a deep-rooted need for connection with others. We connect through voice, facial expression, body language, touch. Cut off from this bond, anxiety, depression, futility, decreased function, falls, and worsening dementia may set in. Some frail elders stop eating and wither, losing their desire to live.

Of course, every person is unique. Some are naturally resilient and able to better roll with the changes and find meaning in reading, music, and computer or phone calls.

However,   others don’t have the reserves to carry them through, as we see in elders with advanced dementia or other conditions, placing them more at risk for decline.

Our hats are off to all of you working so hard to try to create a connection. Arranging window or porch visits with families, distanced communal activities, video chats, and more.

Our Way Forward

Although we haven’t turned the corner yet to see the end of COVID, now is the time for conversations about how to open the doors again and rebuild lost human connections.

Going straight from “lockdown” to the “old way” probably isn’t an option. Creativity and flexibility is needed well into 2021.

Perhaps the basics is a good starting point. The senses offer a way to reach through the fog of prolonged isolation.

Compassionate Touch is a universal language of the heart that will help fill the void for elders, families, and the care team alike. Even now, a caring touch on the shoulder or a few kind words will help.

Physical closeness without the barrier of a window will make for better hearing and verbal understanding. And one day ahead, when protective equipment isn’t standard garb, facial expressions will be seen again.

Some states created an “essential caregiver” designation for family members, allowing them to help with care and provide companionship for loved ones.  This is a good step forward.

Regardless of how things unfold in your community, let’s keep the conversation going about how we will navigate the next phase—collective recovery.

These two links have powerful videos about the impact of isolation on elders, families, and care staff.

This Article was written by Ann Catlin, OTR, LMT, founder of Compassionate Touch, a program offered by AGE-u-cate Training Institute.

Tough Choices from Tender Hearts: Caregiving During a Pandemic

About a month ago, the Centers for Medicare and Medicaid Services (CMS) issued new guidelines that advocate family visitors to return to nursing homes. At this time only three states are not allowing visits. The guidelines provide specifics on how to visit a family member while remaining safe. Unfortunately, it still means making tough choices between a resident’s mental and physical health.

Reducing Social Isolation

These guidelines highlight the need for residents in long-term care to see family members and loved ones. With these guidelines in place, it helps to bring loved ones back together. What about caring for family members who remain at home? What are the recommendations for keeping everyone at home safe?

Guidelines for Home Visits

In May 2020, AARP published an article on steps to take in safely visiting older family members in their home. Those steps included keeping visits short and wearing protective masks and eyewear when possible. The article also suggested staying away if you feel sick, keeping younger family members away for the time being, and visiting while outside.

Making Tough Choices

Despite the good intentions of these guidelines, serious questions are raised. How are caregivers managing? They are making decisions based on what is best for their family members while balancing issues of safety, health, and protection. These kinds of decisions are not new in caregiving.

The combination of trying to provide care while maintaining social distance and health is even more difficult. And caregivers are also conflicted about bringing love ones into a nursing home and out of the home environment, even though it may be the best possible option.

Lessons Learned?

The COVID-19 pandemic highlights the overwhelming need to address caregiving and those who provide it. We need to take the lessons learned from this ongoing experience and make better options for caregivers, both paid and unpaid. Caregivers continue to continue to give their best. It’s more than past the time to focus on their needs and provide better choices.

Kathy Dreyer, Ph.D., is an Advisor at AGE-u-cate® Training Institute, which develops and delivers innovative research-based aging and dementia training programs such as Dementia Live® and Compassionate Touch®, for professional and family caregivers; kathy.dreyer@ageucate.com

The Healing Power of Touch. Why are we Depriving our Elders?

It the first sense to develop in the womb and one of the last ones to go during the dying process.

It is one of our most fundamental human needs.  It remains for a lifetime.

As we experience decline of the body or mind due to aging or illness, the need for human touch may be accentuated in the search for reassurance,  comfort, and connection.

Is Touch Deprivation Real?

Touch deprivation in old age is very real, especially for the medically frail elder, persons living with dementia, and older adults living alone.  Despite their need for touch and being especially receptive to touch, they are often the least likely to receive healing or expressive touch from health care providers or family members.  Studies have confirmed that nursing students have been shown to experience anxiety about touching older adults.  This anxiety, along with demands on staff time and duties, lack of training on distinguishing the differences between effective and ineffective touch, and simply society’s fear of touching ill and frail elders has led to wide-spread touch deprivation in our aging adult population.

Touch deprivation leads to feelings of isolation, anxiety, poor trust in caregivers, insecurity and decreased sensory awareness.  These kinds of distress can lead to behavioral responses or expression.

“It is well known in professional circles that young nursing students tend to avoid touching elderly patients, and especially the acutely ill…touching as a therapeutic event is not as simple as a mechanical procedure or a drug, because it is, above all, an act of communication….the use of touch and physical closeness may be the most important way to communicate to acutely ill (and aged) persons that they are important as human beings.” 

-Ashley Montagu, Touching: The Human Significance of the Skin

Physiological Effects of Touch

Healing, compassionate touch tilts a person’s response away from stress towards well-being.

Touch stimulates the production of oxytocin, a chemical in our brain that leads to feelings of closeness and security.  When oxytocin is released, feelings of safety, caring, trust and decreased anxiety take place in a person’s body.  Oxytocin has often been referred to as the “care and connection” hormone.  Simply put, when your brain releases oxytocin, you feel good!

At the same that oxytocin is released, another chemical is decreasing when we experience healing touch.  Cortisol is a hormone that increases when we are stressed.  Studies show that cortisol levels decrease after even five minutes of skilled touch.  Apart from the physical relaxation, skilled touch increases our emotional well being.

Is the Tide Changing?  

“The most important innovation in medicine to come in the next 10 years: the power of the human hand.” – Dr. Abraham Verghase

We are witnessing transformational shifts in dementia care across the globe.   No longer is status quo acceptable, as we now understand the importance of person-centered care, the meaning of life enrichment and our responsibility to create moments of joy and purposefulness.

We have the opportunity to get back to the basics of human needs with effective, feasible and transformative tools that are literally in our hands.

Pam Brandon is President/Founder of AGE-u-cate® Training Institute and worked with leading Touch expert, Ann Catlin, ORT, LMT in the development of Compassionate Touch® program for eldercare providers, hospitals, practitioners and families.  Pam is a passionate advocate for creating positive change in aging care.  Pam may be reached at pam@AGEucate.com

To learn more about the Compassionate Touch program visit www.AGEucate.com