All posts by Ann Catlin

Can Computer Access in Long Term Care Improve Quality of Life?

The importance of computer access for people living in long term care facilities is on the rise.  As the number of seniors using technology increases, so will use of personal computers, smart phones, tablets and social media no matter where they live. One study found that among people 65 and older:

  • Four-in-ten  own smartphones.
  • 67% have internet access in their homes.
  • 32% own tablet computers.
  • 34% use social media regularly.

Those numbers will likely increase as baby boomers age.  Anyone working in senior services see instances where technology access enhances quality of life.

I once volunteered at the Rowe Sanctuary in Nebraska,  along the Platte River. Thousands of Sand Hill Cranes gather there on their way north.  People from around the world visit to witness this spectacle.  I was given the task of operating what is called the Crane Cam.  It is a remote camera on the river. Its images are sent to the web through the National Geographic website.  While operating the camera, a couple approached.  I explained how it all worked. The woman said her mother was in a nursing home in another state. She  has been an avid bird and visited the sanctuary several times. However, now that she is in a facility she could no longer bird watch. Her daughter had recently set up a computer in her mother’s room .  Her mother could now look in on the Cranes via the internet!

A man I provided Compassionate Touch sessions to for several years used a PC to write poetry and letters to his family. He was a successful business man in his career. His desk and computer helped retain part of his identity that was important to him.

A young man with cerebral palsy who lives in a facility regularly plays games and records music on his PC . Sounds like a typical 20 year old, doesn’t it?.  His keyboard is modified compensating for his poor coordination, therefore he manages  independently.

I think we will see more individuals in facility care with personal computers.  It might serve to lessen the feelings of isolation and boredom that plague so many who must reside in long term care.

What are your thoughts about the link between technology and quality of life for those in facility care?

Ann Catlin, OTR, LMT: For twenty years, Ann led in the field of skilled touch in eldercare and hospice. She has nearly forty years’ clinical experience as an occupational and massage therapist. She created Age-u-cate’s Compassionate Touch program and serves as a Master Trainer and training consultant.

Is Frailty in Old Age Expected?

Frailty is used loosely to describe a range of conditions in older people, including general weakness, balance and cognitive impairment. It leads to inability to perform everyday self-care, home or community activities.

I once spent a beautiful and transformative two weeks in Peru.  One of the most powerful parts of the journey came near the end when I traveled to a small island in Lake Titicaca called Amantani.  A group greeted our boat, including men, women and children.  I lived among them long enough to get a sense of life there.  Their lives are based values of community and living in right relationship with oneself and community.  Their eyes radiated sweetness and joy. I was so moved by their generosity and their strong connection to nature.

I’m curious about what it’s like to grow old in different parts of the world.  It was immediately clear that old age does not equal frailty on Amantani.  Several elders helped to carry our gear from the boat to the house by tying a large cloth around the gear and hauling it up a path on their backs.  I DO mean up, too, as the terrain is hilly with elevation somewhere around 13,000 feet! We Americans had a hard time with that climb, but they clipped right along!

First of all, people there walk everywhere because there are no cars.  Old women herd sheep and prepare food simply in earthen ovens.  I asked our guide about the elders.  Those elders who have needs are cared for by families, as I assumed was the case.  But I was astonished when she said they just don’t have many debilitating diseases such as stroke, Parkinson’s disease, Alzheimer’s disease, etc.  She said people there don’t expect to get sick in old age.

I wonder if some frailty in old age stems from “learned expectation.” Is it a given that wellness will deteriorate? I understand that the answer is complex, but an idea worth pondering.  Please share your thoughts!

Ann Catlin, OTR, LMT: For twenty years, Ann led in the field of skilled touch in eldercare and hospice. She has nearly forty years’ clinical experience as an occupational and massage therapist. She created Age-u-cate’s Compassionate Touch program and serves as a Master Trainer and training consultant.

Ten Ways to Overcome Compassion Fatigue

Compassion Fatigue is physical, emotional and spiritual exhaustion from witnessing suffering in others. Taking care of others is one source, but also the constant bombardment of news. It develops slowly over time. As a result our resilience  takes a hit.  Our compassion cup is empty. We feel burned out. How can we fill our cup back up? Here’s ten tips offered in A Guide to Understanding and Coping with Compassion Fatigue:

  1. Focus on the four core components of resilience: adequate sleep, good nutrition, regular physical activity and active relaxation.
  2. Communicate with friends and family.
  3. Wash up after your work shift as a symbolic “washing away.”
  4. Create individual ceremonies or rituals that allow you to focus your thoughts on letting go of stress or honoring a memory of something positive.
  5. Celebrate successes and mourn sorrows with your co-workers.
  6. Allow yourself some time to be alone so you can think.
  7. Practice your spiritual beliefs or reach out to a faith leader for support.
  8. Learn about your colleagues at work, so you can establish connections.
  9. Take time away from work to experience other things.
  10. Find things to look forward to.

Don’t pressure yourself to do all these things. Pick a couple that feel authentic for you. I think one of the best pieces of advice I ever heard was to focus on the moment. The NOW. Just breathe for a minute. I invite you to take three minutes right now to enjoy this Mindful Breathing guided meditation.

Ann Catlin, OTR, LMT is a recognized expert in the field of skilled touch in eldercare and hospice. She guides professionals in discovering Compassionate Touch in person centered dementia care. She is a team member of AGE-u-cate Training Institute.

 

Compassion Fatigue: Caring too Much

Any senior care professional is vulnerable to Compassion Fatigue.  For example, nurses, doctors, counselors, veterinarians, therapists, social workers, chaplains, emergency response workers, and people caring for aging parents. So, what is Compassion Fatigue?

Dr. Charles Figley, describes Compassion Fatigue as, “ a state experienced by those helping people in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it is traumatizing for the helper.”  Furthermore,  “The capacity for compassion and empathy seems to be at the core of our ability to do the work and at the core of our ability to be wounded by the work”.  Compassion fatigue results from the cumulative impact of taking care of people living with serious illness, trauma, abuse, or severe conditions.”  It’s different than job burnout, which is dissatisfaction with our job situation, not the work itself.

But how do you recognize compassionate fatigue?  The Compassion Fatigue Awareness Project tells us characteristics include:

  • Withdrawing from others
  • Difficulty connecting – detaching
  • Feeling angry that other caregivers don’t understand the nature of your service
  • Life feels too serious
  • Turning to compulsive or addictive behaviors such as overeating, overspending, alcohol, smoking, etc.
  • Physical symptoms: headaches, gastrointestinal symptoms, muscle tension.
  • Fatigue and apathy
  • Difficulty concentrating
  • Avoiding work. Calling in sick or postponing appointments
  • Thinking that this work isn’t for you (when you know in your heart you really love it)

So, how can we avoid Compassion Fatigue? The answer lies in self-care, typically physical support like regular exercise, getting enough sleep and good nutrition. However we shouldn’t stop there. Nancy Jo Bush, an oncology nurse, says that self-care also includes setting empathetic boundaries; self awareness and self forgiveness; being in tune with one’s spirituality and finding hope. Experts agree that reaching out to others and developing a support system is critical.

A friend working in hospice shared a bit of wisdom. Lighten up and don’t forget to laugh. That reminds me of an old Joni Mitchell lyric, “Laughing and crying, you know it’s the same release.” Thanks, Joni. We’ll all try to remember that!

In conclusion, who would you turn to if you needed the support of an understanding friend?

Ann Catlin, OTR, LMT is a recognized expert in the field of skilled touch in eldercare and hospice. She guides professionals in discovering Compassionate Touch in person centered dementia care. She is a team member of AGE-u-cate Training Institute.