Category Archives: Hospital Professionals

How Five Minutes a Day Can Transform Care for Older Adults

Time is precious.  Staff is in short supply.  Family caregivers are stretched to the limit.  Just taking care of the basic needs  is hard enough, so five minutes a day seems – IMPOSSIBLE!

Humanizing care is the core of the person-centered philosophy initiative sweeping this country.  Dignity, respect and understanding the needs of any aging person is a culture change that I believe with enough stakeholders will transform care from the medical model that has driven our health care system for far too long.

If holistic care is the core of this belief, then education and tools for those who care for our older adults is paramount.  Tools that are feasible, effective, and will be sustained within the organization.  So, how can five minutes a day change someone’s dignity or sense of respect?

Engaging and communication are absolutely  essential elements that must be integrated into our staff training and family education plans.    These tools are incredibly simple to use, yet often overlooked because we are concentrating on the box checking (aka meeting regulations and requirements).  While charting is certainly important, let’s not overlook the essential elements of engagement and communication.

Here are 10 examples that can transform a person’s dignity, self-respect and value in five minutes a day:

  1. Remove words of endearment (honey, sweetie) and refer to them as they would like to be: Mrs., Mr. Sarah, Fred.  This takes one minute to ask another staff member, family or even the patient!
  2. When speaking, look at the individual in the eyes, talk clearly and slow down!  You don’t have to shout (no one likes being yelled at!).  This small gesture tells another person you are engaging with them because you want to engage.
  3. Use gentle touch on the hands, shoulders, arms or face to develop trust and show the person you genuinely care.  Touch will induce chemical changes in the brain that induce relaxation, reduce stress and many other benefits.
  4. Ask a person something about them.  It may be about their family, or what they did in their career, or a hobby.  Learn one new thing about them every day.
  5. Compliment and smile!  “You have a lovely blouse on today, Mrs. Smith.  I love the spring colors”.  “Mr. Jones, I appreciate your smile – it really lights up my day!”
  6. Practice mindfulness – being centered and in the moment when you are with your care partner.  When one is distracted or stressed, it shows!  Deep breathing or meditation can and should become a part of every caregiver’s daily de-stress routine.
  7. Pay attention to your body language and expression.  Clenched teeth, rolling eyes, closed arms all tell another person you don’t want to be where you are.
  8. Learn what music your care partner enjoys and throughout the day, play this music to set the tone for whatever the circumstances.
  9. Take a 5 minute walk outside and enjoy nature – it calms the soul, reduces anxiety for both care partners, not to mention the healthy shot of Vitamin D!
  10. Accept the moment and that no matter what positive things you do as a caregiver may not always be helpful that day.  Tomorrow, however is a NEW day!

Pam Brandon is  President/Founder of AGE-u-cate Training® Institute and a passionate advocate for changing how we care for older adults.

www.AGEucate.com

What is our Score on Practicing Family-Centered Care?

269483We’re all in this together… the tsunami is here and every one of us serving older adults in some capacity should be getting on the band wagon and FAST.   Person and patient centered care must be focused on supporting and educating families.  When family-centered care is embraced it becomes an approach to health care decision making that involves health care professionals and family members.

Dignity and respect are the core value of family-centered care.  Listening to and honoring a patient’s and families values, perspectives and choices bridges communications between healthcare professionals and understanding the wishes of families.  The delivery of quality care under a family-centered model means understanding and honoring the family’s beliefs, knowledge and cultural backgrounds.

The challenge of providing family-centered, patient-centered care in today’s health care system is complex,  especially for older adults  who are living with dementia or chronic illness.   The time constraints to practice family-centered care when health professionals are stretched for time is a very real problem.

Understanding a family’s knowledge of a loved one’s physical and emotional needs are complex, especially if they do not live with them.  At the same time, far too many older adults are entering hospital systems with no family members to advocate for their care.  If their is cognitive impairment it becomes an even greater challenge to treat that patient.

Family-centered care must start with reaching out to families with education and awareness.  Collaboration with private and public sectors, forming community partnerships, community organizations and faith communities – must be a priority as we face the aging tsunami.

The far majority of caregivers are family members, and that is going to increase drastically as more families cannot afford to pay for private care and staff shortages increase.  New and innovative ways to reach families, educate them early and provide support avenues is absolutely essential to improving care for older adults.

Pam Brandon is President and Founder of AGE-u-cate® Training Institute.  She is a passionate advocate for educating families and those that provide care for older adults.

For more information visit the Institute for Patient and Family Centered Care www.ipfcc.org

www.AGEucate.com

 

Caregiver Burnout: What to Look for and How to Help

burnout - ngste CLosing sleep, poor eating habits, irritability or short tempered – these symptoms may start small and snowball quickly into what is referred to as caregiver burnout.   Professionals and families need to know what to look for and how to help caregivers.  It’s a serious matter and growing, as more families are caring for their loved ones at home with little or no help.

Caregiver burnout is a state of physical, emotional, and mental exhaustion that may be accompanied by a change in attitude – from positive and caring to negative and unconcerned.  Burnout can occur when caregivers don’t get the help they need, or if they try to do more than they are able to do – either physically, emotionally or financially.

Guilt is a huge problem with caregivers, especially those who are caring for someone with dementia or other chronic illness.  As I reflect on my many years caring for my parents, I think guilt was the over riding struggle.  Like most caregivers, I felt guilty when I was not spending time with my parents, and when I was caring for them I felt guilty that I wasn’t with my children and husband.  It was a constant balancing act – and more than often I felt that I was on the low end of the teeter totter.

Symptoms of caregiver burnout are similar to symptoms of stress and depression:  They may include:

  • Withdrawal from friends, family and social activities
  • Irritability
  • Altered eating patterns
  • Increased sugar consumption or use of alcohol or drugs
  • Frequent headaches or sudden onset of back pain
  • Impatience
  • Loss of compassion
  • Overreacting to criticism or commonplace accidents
  • Resenting the care recipient and/or situation
  • Wishing to “have the whole thing over with”
  • Feeling trapped
  • High levels of fear and anxiety

Playing the “if only games; saying over and over “if only this would happen; or “if only this hadn’t happened”

It is critically important that senior care professionals understand what to look for when they are talking with families.  Symptoms may start slowly but can quickly snowball into a serious situation. Protecting our older adults from neglect and abuse means a watchful eye and being able to guide families with support and help the need.

A few sources for help and assistance are:

      • Social workers
      • Faith based counselors
      • Family Caregiver Support Groups
      • Area Agencies on Aging (hotline 800-963-5337) (www.n4A.org)
      • Alzheimer’s Association 24/7 helpline (800-272-3900) (www.alz.org)
      • National Elder Abuse hotline (800-677-1116)

(

www.ncea.acl.gov

    )

Pam Brandon is President/Founder of AGE-u-cate® Training Institute and creator Dementia Live™️ experience, helping caregivers worldwide to better understand dementia and aging, transforming professional and family caregiver’s ability to better care for our older adults.  

www.AGEucate.com

 

 

 

 

The World needs more AGE-u-caters! Are you one of them?

The rapid pace of our aging world is changing the face of every facet of our society from health and long term care, to faith communities and business establishments.  Across the spectrum, issues such as these are at the forefront of leadership discussions:

  • Dementia friendly hospitals – how do we transition as the average patient age increases and cognitive impairment becomes more prevalent
  • Person and Resident-centered long term care – how do we properly train the current workforce and prepare for the shortage that is already upon us and certain to become even more severe in the near future?
  • Families caring for older adults make up the largest percentage of caregivers in the US and the world.  How do we educate, support and provide resources to help them cope with the physical, financial, emotional and spiritual challenges of the caregiving journey?
  • Faith Communities are faced with ministering and caring for their skyrocketing numbers of aging adults, yet often lack the training, staff and volunteers to meet the complex needs of their members and families.  How do they receive guidance and training to help them further their ministry and mission in helping those in need?
  • Age friendly communities, businesses and organizations must have a plan and guidance to successfully meet changing demographics.  Who can help with better understanding the needs of older adults?

Aging educators and trainers work with long term care providers, hospitals, the business community, families, faith communities, and public agencies.  They are trained in a variety of aging and caregiver topics,  whether one is a professional or family care partner, business person who serves an older adult population, or serves either of these groups with public resources.  We call them AGE-u-caters and they are part of our team at the AGE-u-cate® Training Institute!

AGE-u-caters are  seasoned professionals in the aging field, coming from the senior care industry, clinicians, social work or education.  All have a passion to help others by using their skills to train, educators and coach others.  Often they are looking for a career change, recently retired from long term regular employment, or supplementing retirement income or other part time work.

AGE-u-caters are networkers, involved in their communities and continually learning about the aging field.  They are part of a fast growing worldwide network aging advocates in their local and regional communities.

The world needs more AGE-u-caters!  Could you be one of them?

www.AGEucate.com

Pam Brandon is President and Founder of AGE-u-cate® Training Institute.  She is a passionate advocate for aging adults and those that care for them and is leading a fast growing network of worldwide AGE-u-caters who offer innovative and powerful training and education programs – creating transformative change for an aging world!