Category Archives: Compassionate Touch®

Employee Education = Engagement = Quality Care

Employees at Emerald Health and Rehab in North Carolina are immersed in education about the positive effects of expressive touch.

We understand the negative impact on quality care as a result of high employee turnover.  However, more elusive is an understanding of how lackluster engagement of employees with longevity impacts quality.

Much of the focus is on recruiting new employees, and rightly so. Estimates show employee turnover nationally at 45%-66%.

At the same time, it is important that we also maintain the spirit and engagement of current employees. However, scare resources have forced employers in Aging Services to make tough decisions.

Cuts into the marrow of the employee education budget in light of the current staffing challenges could be devastating.  In doing so, we inadvertently create a more disengaged workforce and impair quality.

Defense Against Declining Quality Care

The vital connection in health care is that employee engagement drives quality of care. To that end, one of the best ways to engage employees is through ongoing hands-on education and training.

Guard against what could become turn-over induced decline in quality with a robust and engaging employee education program for your experienced and dedicated employees.

Employees with longevity have also felt the devastation of workforce challenges.  Fatigue with over-time and the constant flow of new employees in and out impacts the spirit of our dedicated workers.  All the more reason to dedicate resources and efforts towards their ongoing growth and engagement.

The absence of training appears on this list of reasons for poor employee engagement. Employees with longevity also need to continue to learn and adopt best practices. In doing so, we ensure the evolution of our quality of care and service.

In conclusion,  a corporate culture that supports growth and education for long-term employees will promote engaged workers and defend against declining quality care and service.

 

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 to private and professional caregivers.  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.

Learn the The ABC of Compassionate Communication

I’m delighted to share that our Australian Master Trainer, Sue Silcox has authored and published a book – The ABC of Compassionate Communication.  Sue is passionate about helping people become empowered through learning, practice, support, and self-care.

Brain Sparks and the ABC of Compassionate Communication is the result of her many years of working and playing with people of all ages, many of whom needed more compassion in their lives as well as an empathetic ear.

In the ABC of Compassionate Communication you will learn:

  • How we can use our brain to increase empathy
  • Where we can connect with other people and groups
  • When friendships matter
  • What laughter has to do with compassion
  • Why people react the way they do

We communicate every day.  Sometimes in subtle ways, sometimes in frighteningly revealing ways, mostly in different ways in between. Often we are misunderstood, or we interpret the messages incorrectly.  Becoming aware of how, through understanding, we can send and receive those message with compassion will make not only the lives of those we love and care for better but ours too.

Through this easy-to-read book, which uses the letters of the alphabet to describe steps to compassionate communication, you will receive twenty-six facets of compassionate and their relationship to improved communication compiled in a way that you will have not seen before.  Each facet gives you the chance to delve deeper with tips and ideas that you can try for yourself.

In the ABC of Compassionate Communication, Sue starts by asking our aware are you, firstly of your own self?  Self-awareness helps us find our strengths and allows us to work out where we need to improve.  Self-reflecting on situations can show us where we match up to our expectations and values.

Sue points out that working on your self-awareness brings benefits not only to you but to those around you.  Thinking about how you reacted with others brings awareness to your connections with others and ultimately makes you happier.

The book is full of compassionate communication tips that will serve anyone, especially those who care for persons living with dementia.  This book may be ordered through the Brain Sparks website.

Pam Brandon is President and Founder of AGE-u-cate® Training Institute and a passionate Advocate for older adults and those who serve them.  She is the Creator of Dementia Live® Sensitivity Awareness Program, helping caregivers worldwide to better understand and communicate with persons living with dementia.  

Sue Silcox is Australia’s AGE-u-cate® Lead Trainer and may be reached at Sue@brainsparks.com.au

 

Is Stress Reaction a form of Behavioral Expression in Dementia?

Stress Reaction is a term being used more often to describe communication in persons living with dementia.  Behavioral expression, too, is communication.  In a growing number of circles, the term behavioral expression is being replaced by stress reaction simply because behaviors sometimes leans toward being a negative descriptive of how persons with dementia express unmet needs.

Stress reaction is communication that is caused by changes taking place in the brain caused by the progression of dementia.  These changes can cause behaviors such as:

  • Aggression
  • Irritability
  • Pacing or wandering
  • Withdrawing
  • Resistance to care
  • Crying
  • Yelling

It is important for care partners to understand that stress reaction is always caused by an unmet need.  The most common causes of unmet needs can be categorized in the following areas:

  1.  Physical discomfort – perhaps caused by pain, hunger, thirst, fatigue or other barriers.
  2. Nonsupportive environment – this might include noise, chaos, inadequate lighting, temperature changes or excessive clutter.
  3. Unmet social needs – boredom, lack of sense of purpose, lack of companionship, touch deprivation are some examples.
  4. Ineffective care partnering – examples include unrealistic expectations from caregivers, distrust from either care partner or inappropriate care (care that is not conducive to caring for persons with dementia)

Now that we’ve discussed stress reactions from persons living with dementia, we must then look at stress reactions from caregivers.  Understanding that it is how we as caregivers react to their stress reactions, is a core value of person-centered caring practices.

We cannot control their behavior, but we can control how we respond to their behavior.   Healthy care partnering means we understand that they cannot change what’s going on in their brain.  Their behaviors or stress reactions are a response to unmet needs, and it is the care partner’s responsibility to put the puzzle pieces together to help their care partners meet their unmet needs!

A few basic guidelines for care partners to keep in mind when there is a stress reaction:

Allow adequate space (in other words, step back if necessary)

The rule is always safety first for both care partners

Observe the environment, and what can quickly be changed, such as taking the person from a noisy room to a calm atmosphere

Observe body language and facial expressions, especially if the person is non-verbal.  What might they be trying to express?  And care partners, observe your own body language and expressions, as your stress reaction can either cause the situation to escalate or de-escalate

Watch your tone of voice!  It’s amazing how a calming voice will immediately bring calm to another person.  And just the opposite is true.  If stress reaction is met with similar behavior, it’s almost always a certainty that the outcome will not be positive.

And finally, learn techniques and tools that can prevent stress reactions.  Touch, music, redirection techniques, companion pets or dolls and more can have amazing outcomes and are simple to implement with the correct training.

Pam Brandon is the President/Founder of AGE-u-cate® Training Institute, creator of the Dementia Live® Sensitivity and Empathy Training program and directed the development of Compassionate Touch® for persons living with dementia and end-of-life.  She is a passionate advocate for older adults and those who care for them.

 

 

 

 

The Transformative Power of Music in Ageing Care

By Sue Silcox, AGE-u-cate® Training Institute, Australia

Does anyone remember the banning of public music in Iran? Back in 1979 Ayatollah Rubollah Khomeini banned all music from radio and television in Iran. He likened it to opium and said it “stupefies persons listening to it and makes their brain inactive and frivolous.” (New York Times, 1979).

I remember it happening and being horrified by the ban. Every culture has music and it has always been such a blessing for me. From the first music I heard my parents play, the first record I ever bought (Cathy’s Clown, The Everly Brothers) to using Spotify now when I take Ageless Grace® classes locally, I am thankful for what it brings me.

How amazing that a study in 2001 from Leicester University, UK, found that babies recognise the music they heard in the womb even twelve months later. In this study, mothers played a single piece of music repeatedly during the third trimester. A year after birth, the infants recognised and turned towards that sound, preferring it to a similar sounding piece of music, even though they had not heard the music in the interim. Music certainly has power!

I’m one of the first baby boomers so I’ve had the pleasure of listening and moving through music styles such as pop, rock and roll, country music and jive, twist just for a start. I also have the remembrance of swing and big band as my parents would dance together or get us to dance with them. Many a tune brings a memory of the old HMV turntable my aunt had. She would play her favourite artist, in particular Nat King Cole and I wonder how many of my preferences have been influenced by those early sounds.

For me, to be without music as I age would be like living in the dark ages. Although I like to move my body to contemporary music I also find myself emotionally transported as I listen to music I love. A 2017 study found that physical exercise done to music showed greater increase in cognitive function than just exercise alone, and may be of benefit in delaying age-related cognitive decline. It also makes changes to the brain structure. My love and use of music and exercise seems to be validated! Music should be also be considered a drug therapy, providing benefits linked to reward, motivation and pleasure. (Howland, R. H, 2016).

In Australia the Arts Health Institute brought a music and memory program to aged care, now overtaken by the music enrichment program, “Music Remembers Me” in aged care. Perhaps we also need to encourage movement during the music enrichment program.

Whether music is enjoyed on its own or shared, it can be an intensely special time for the listener. Now it seems the joy of the music can provide considerable benefit to our ageing and dementia communities.

Sue Silcox leads AGE-u-cate® Training Institute, Australia and is a Certified Master Trainer for Dementia Live®, Compassionate Touch®, and other AGE-u-cate programs.  She lives in Brisbane, Queensland.   She may be contacted at sue.silcox@ageucate.com

References:

Kifner, J. 1979. Khomeini Bans Broadcast Music, Saying It Corrupts Iranian Youth. New York Times. Retrieved from https://www.nytimes.com/1979/07/24/archives/khomeini-bans-broadcast-music-saying-it-corrupts-iranian-youth.html

BBC News, July 2011. Babies remember womb music. Retrieved from http://news.bbc.co.uk/2/hi/health/1432495.stm

Ken-ichi et al. (2017). Physical Exercise with Music Reduces Gray and White Matter Loss in the Frontal Cortex of Elderly People: The Mihama-Kiho Scan Project. Frontiers In Aging Neuroscience, Vol 9 (2017), doi:10.3389/fnagi.2017.00174/full

Howland, R. H. (2016). Hey Mister Tambourine Man, Play a Drug for Me. Journal Of Psychosocial Nursing & Mental Health Services54(12), 23-27. doi:10.3928/02793695-20161208-05