All posts by Julie Boggess

Julie has worked in Aging Services for over 30 years and has been a Licensed Nursing Home Administrator since 1990. She is a Certified Master Trainer with the AGE-u-cate Training Institute and provides education and training to private and professional caregivers through her company Enlighten Eldercare. She lives in the Chicago Northwest Suburbs of Mount Prospect, IL.

Calling Attention to Elder Abuse Awareness and Prevention

Elder abuse is a growing concern as our population ages and lives longer.

The National Institute on Aging states, “abuse can happen to anyone—no matter the person’s age, sex, race, religion, or ethnic or cultural background.  Hundreds of thousands of adults over the age of 60 are abused, neglected, or financially exploited each year. This is called elder abuse.”

  • Emotional abuse includes yelling, threatening, or saying hurtful words.
  • Neglect includes leaving a senior alone without properly planning for care or ignoring requests for help.
  • Financial abuse includes misappropriating funds or stealing belongings.

Abuse is a willful act with the intention to harm.  Indeed, we must be diligent to not excuse or look the other way regarding abusive actions towards frail elders.   A complete list of the forms of abuse can be found here. 

Risk Factors

Caregiving refers to attending to another person’s health
needs.

Approximately 82% of the care for frail older adults is furnished by family members, and 18% by paid professionals.   By and large, these numbers represent that the bulk of care for elders is provided in private homes.

Caregivers experience high levels of stress due in part to a long duration of disability and dependence.  In addition, a  leading risk factor for elder abuse is inadequate preparation or training for caregiving responsibilities.  A lack of training and education for caregivers contributes to feelings of frustration and even anger.  Without a doubt,  stress for family and professional caregivers is a growing concern as the population ages.

Furthermore, Americans over the age of 85 have a 33% chance of affliction with Alzheimer’s Disease.  Sadly, elders living with dementia are at an even higher risk of abuse due to cognitive impairment and memory loss.  Consequently, this leaves many elders at risk as the U.S extends longevity.

Prevention

  • Educate yourself and others about how to recognize and report elder abuse.
  • Understand the effects of dementia and how it makes a person more vulnerable to abuse.
  • Seek support if you are a professional or family caregiver. Coping resources are available.
  • Understand your limits and recognize the signs of stress.
  • Protect financial resources early on.

As the U.S population ages and becomes more diverse, focused attention on elder abuse prevention is critical.   For this reason, public and private enterprise programs are essential.

To that end, The AGE-u-cate Training Institute is awarding a Compassionate Touch Certified Community training to one Assisted Living, Memory Care, Nursing Home, Home Care, or Hospice Agency in all 50 states and the District of Columbia.  On this occasion,  51 organizations will have a powerful tool to combat the stress-infused isolation crisis that is happening in elder care nationwide.

The online application process is simple and the form along with more information can be found at  https://ageucate.com/index.php?main_page=touching_moments.

In conclusion, please take a moment to apply and join the fight against elder abuse.

Julie has worked in Aging Services for over 30 years and has been a Licensed Nursing Home Administrator since 1990. She is a Certified Master Trainer with the AGE-u-cate Training Institute. Through her company Enlighten Eldercare,  Julie provides training and educational programs on elder caregiving for family and professional caregivers.  In addition, she is an instructor at Northern Illinois University and lives in the Chicago Northwest Suburb of Mount Prospect, IL.

Touch for Elders is Needed Now More than Ever

The AGE-u-cate Training Institute supports aging services providers as they respond to the isolation crisis facing their elderly residents and clients.

The title of this article seems counter-intuitive during this time of quarantine.   Touching an unrelated person is not a popular notion right now.  But, caregivers for the frail elderly are becoming more aware of the effects that isolation has on those in their care.

Human contact now consists of gloves, gowns, face shields, and masks.  The frail elderly live in an unfamiliar world.  Also, many do not possess the cognitive ability to make sense of it all.

Family members and friends can’t be with loved ones in elder care communities. The term “skin hunger” was new to me, but now I understand.  Touching others through a hug, holding a hand, a stroke of the arm or shoulder is virtually non-existent these days.

Consider this with the fact that touch deprivation is already a reality for the elderly.  Now we have a bigger problem on our hands.

Touch in Quarantine

The great news is that we can reduce the effects of extreme isolation with expressive touch.  We need not be afraid to offer a back, shoulder, hand, or foot rub to those in our care.

More than ever, touch is essential and life-giving for both caregiver and receiver, especially during this quarantine.  With infection prevention protocols,  we can and should offer touch as a way to ease anxiety, fear, and loneliness.

“The current COVID-19 Pandemic is creating an isolation crisis for the vulnerable elders of our country.  We need the transformative power of human connection and touch now, more than ever,” Pam Brandon, Founder and President of AGE-u-cate Training Institute.

Touching Moments Scholarship

The AGE-u-cate Training Institute is awarding a Compassionate Touch Certified Community training to one Assisted Living, Memory Care, Nursing Home, Home Care, or Hospice Agency in all 50 states and the District of Columbia.

That’s 51 organizations that will have a powerful tool to meet the isolation crisis that is happening in elder care nationwide.

The online application process is simple and the form along with more information can be found at  https://ageucate.com/index.php?main_page=touching_moments.

Julie has worked in Aging Services for over 30 years and has been a Licensed Nursing Home Administrator since 1990. She is a Certified Master Trainer with the AGE-u-cate Training Institute. Through her company Enlighten Eldercare,  Julie provides training and educational programs on elder caregiving for family and professional caregivers.  In addition, she is an instructor and the Interim Director of Gerontology at Northern Illinois University and lives in the Chicago Northwest Suburb of Mount Prospect, IL.

Post COVID Long Term Care Reform

The COVID-19 pandemic must inspire significant changes in how long term care is treated and resourced.

The  COVID-19 pandemic has placed long term care in the spotlight.  Immense challenges have existed for decades, but salt is now in the wound.

Some lawyers see this pandemic as an opportunity to teach the long term care industry a lesson.  In addition, various media outlets see this as a chance to catch the big story of the devastated family member of one who lived in a nursing home.

Others see the realities of this pandemic as an opportunity to bring about reform.  Larry Carlson,  President and Chief Executive for United Methodist Communities writes about the need for more emotional and financial support for the senior housing and healthcare system https://ocnjdaily.com/letter-to-the-editor-senior-living-centers-cant-do-it-alone/.

Katie Smith Sloan is the President, and CEO of LeadingAge- the national voice for aging services providers.  She discusses the “slow-motion catastrophe” that nursing homes were last on the list for federal COVID support. An Open Letter from Katie Smith, president of LeadingAge

The Front Line

Let’s begin by acknowledging Mr. Carlson’s observation about the societal negative narrative about the people who work in long term care.  Facts:

  • 4.5 million direct care workers support older adults and people with disabilities across the U.S
  • Turnover is 40 – 60% because the work is difficult and workers are under-appreciated and under-paid
  • 42% of direct care workers rely on some form of public assistance to make ends meet

Despite the discouraging realities of this work, millions show up every shift, on weekends and holidays, and even during a pandemic.  In addition, they put themselves at risk to do the work that nobody else can or wants to do.

Direct care workers are concerned about the well-being of those in their care.   Feedback from communities trained in Compassionate Touch reveals that despite the stress and time constraints, staff still find time to calm and reassure their residents with Compassionate Touch.  Compassionate Touch®

These workers and the residents they care for deserve better- much better.   They don’t deserve disrespect or to be described as criminals.  Furthermore, they deserve respect, esteem, and wages that reflect the societal value of growing old with dignity and quality care.

I hope that a higher level of respect and helpful attention for aging services will be an outgrowth of this pandemic.

Julie has worked in Aging Services for over 30 years and has been a Licensed Nursing Home Administrator since 1990. She is a Certified Master Trainer with the AGE-u-cate Training Institute. Through her company Enlighten Eldercare,  Julie provides training and educational programs on elder caregiving for family and professional caregivers.  In addition, she is an instructor and the Interim Director of Gerontology at Northern Illinois University and lives in the Chicago Northwest Suburb of Mount Prospect, IL.

The Trauma of Relocation for People with Dementia

 

 

A sudden relocation from home for a person with dementia can be traumatic.

My husband and I have made the decision to right-size our lives and sell our house of 23 years. For many years now, I have anticipated this moment wondering how I would feel.   Surprisingly, it wasn’t a hard decision to make.  However, I recognize that moving day could be a different story.

The decision to relocate is one we made being of sound mind and body.  As overwhelmed as I sometimes feel about our move, it must pale in comparison to what people with dementia feel when they are moved to a different environment.

Easing the Trauma of Relocation

My husband and I will adapt to our new surroundings.  I will find a place for all of our things and make our new house into our home.  The people I love most will be with me,  including my fur-babies.  I’ll drive to visit my friends and attend the same church.  All will be right in our world.

This mile-marker in my life makes me think long and hard about what moving day must be like for someone with dementia.  I can’t even imagine.  The sudden loss of leaving the familiar and the people you love must be horrifying.

Stop and think for a moment how you would feel if someone walked into your home and said that you had to leave for a new place that you had not chosen for yourself.

Imagine your behavior.  Would you be crying, screaming, punching, kicking?

The AGE-u-cate Training Institute program Compassionate Touch begins with looking at life through the lens of someone with dementia.   We discuss the grief and loss that often accompanies a person with dementia when they move into a long term care facility.

Realizing that people with dementia communicate with us through their behaviors is a pivotal moment in Compassionate Touch and Dementia Live Training.

So how can we ease a transition into a long term care facility for someone with dementia?  Here are a few tips:

    • If possible, set up their new space with familiar items prior to move-in day.
    • Remain positive and keep your personal emotions in check.
    • Minimize chaos on move-in day by limiting the number of family members present to no more than two.
    • Allow the staff to immediately begin bonding with your loved one.
    • Refrain from prolonged day-long visits until your loved one is settled in and comfortable.
    • When your loved one says, “Take me home” don’t say, “this is your new home.”  Rather, “I understand how hard this is, and I love you.”

Julie has worked in Aging Services for over 30 years and has been a Licensed Nursing Home Administrator since 1990. She is a Certified Master Trainer with the AGE-u-cate Training Institute. Through her company Enlighten Eldercare,  Julie provides training and educational programs on elder caregiving for family and professional caregivers.  In addition, she is an instructor and the Interim Director of Gerontology at Northern Illinois University and lives in the Chicago Northwest Suburb of Mount Prospect, IL.