Creating a Dementia Friendly Bank – Looking Through a New Lens

As bankers and financial advisors we must develop systems, policies and facilities that meet the every changing needs of people living with dementia, allowing independence to access and manage their money without fear of financial abuse.  Creating a dementia friendly bank will require training, education – and looking at their world through a different lens.

A 2012 UK study showed that 75% of those living with dementia have difficulty with banking.  This may be due to lack of knowledge of dementia by front line staff and their ability to recognize, respond and assist customers living with dementia.

Banks should asses their customer service areas to ensure adequate lighting, seating, safety and quiet areas where a person living with dementia, their caregivers and bank personnel can discuss banking matters.

Fidelity Investment Survey of Advisors recently disclosed these alarming statistics:

  • 84% of respondents said they had clients with dementia
  • 96% said they don’t feel prepared to deal with them
  • 50% don’t think they can even raise the concern with a customer

Some of the warning signs that a client may be living with dementia include:

  • Confusion with payments and documents
  • Repeating the same question over and over
  • Checks not filled out properly
  • Forgetting to update checkbook transactions
  • Decline in ability to do basic math
  • Poor judgement in investment strategy
  • Interest in “get rich quick” schemes
  • Misuse of money by a third party

How can we improve communications?

  • Slow down and allow the customer to process what you said and to respond
  • Use short, simple sentences
  • Ask one question at a time
  • Avoid arguing
  • Train staff to detect warn signs
  • Have a quiet place to talk without distractions or background noise

Process and procedures to put in place may include:

  • Voice recognition or eye scan technology instead of password requirement
  • Algorithms to help detect changes in spending patterns
  • Black online and/or phone access
  • Use credit or gift card with restricted limit instead of a debit card
  • Reward staff who uncover scams
  • Designate POA (Power of Attorney) up front in case customer can’t make decisions
  • Ways to set up a POA if there is concern about control or undue influence by others: 1) In early stages, make access “view only”  2) Bank can delay certain suspicious payments until contact with POA 3) Limit POA to handle only certain transactions

Contributing author Kathy Wetters is a Master Trainer for AGE-u-cate® Training Institute, whose Dementia Live™️ experience is helping organizations elevate their status as age friendly – dementia friendly businesses.

www.AGEucate.com

Shifting Gears…What Might Happen if We Try Something New!

I have always been a proponent that if something is just not working well, shifting gears may be a solution.  Let’s face it – everything is changing fast these days, so much so that it seems as if technology  leads the pack in shifting gears at every juncture of our daily lives.

Shifting gears often is related to moving from one level of activity to another;  taking on a new course or direction that results in change.  And hopefully that change is positive.  

Elder care today is more and more becoming about caring for someone with dementia.  Why the shift?  Because we’re living longer and the reason so many more people are getting dementia is simply for that reason – as we age the probability of cognitive impairments increases.  So, if we shift gears in terms of thinking about elder care in terms of caring for someone with some level of cognitive impairment, could care for that person change… for the better?

Most certainly our focus as a nation and world is clearly focused on dementia care as the public health crisis of our generation.  Because of this, there has never before been such a concerted effort in shifting gears to new models of care, most often referred to as person-centered or patient-centered care.

Will shifting gears alone be the impetus for deep culture change?  Certainly those of us passionately advocating for vast changes in care for our older adults and those that serve them hope that enough of us will collectively make a difference.  By bringing the human side of caregiving to the forefront, rather than taking a secondary role to the medical model of care, change can certainly be deep and wide.

This shift in gears requires a shift in our thinking.  Taking a new course means taking risks, accepting that not every decision is going to be the right one, and that it is a continual process of trying new approaches until outcomes improve for everyone, especially those we are caring for.

Pam Brandon is President/Founder of AGE-u-cate® Training Institute.  AGE-u-cate develops and delivers aging and dementia education for professional and family caregivers that results in transformative change.  

www.AGEucate.com

 

Improving Cultural Competence in Senior Care Through Training

The increasing diversity of the U.S. and other nations offers opportunities and challenges for senior care  care providers, health care systems, and policy makers to create and deliver services to culturally diverse patients and to train and increasingly culturally diverse workforce. Cultural competence refers to an ability to interact effectively with people of different cultures. Cultural competence comprises four components: (a) awareness of one’s own cultural worldview, (b) attitude towards cultural differences, (c) knowledge of different cultural practices and worldviews, and (d) cross-cultural skills.   Developing cultural competence through training can result  in a better ability to understand, communicate with, and effectively interact with people across cultures and can lead to a 15% decrease in miscommunication.  In senior care, this communications training can significantly improve outcomes, especially in caring for those with dementias, chronic illness, pain and at end-of-life.

Training the workforce on understanding cultural issues that are relevant to better understanding patient and family values and needs will.  Cultural competence enhances the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients. A culturally competent health care system can help improve health outcomes and quality of care, and can contribute to the elimination of racial and ethnic health disparities. Examples of strategies to move the health care system towards these goals include providing relevant training on cultural competence and cross-cultural issues to senior care and health professionals and creating policies that reduce barriers to patient/resident care.

Cultural competence training methods can enhance transparency between language, values, beliefs, and cultural differences. Training in cultural competence often includes careful consideration of how best to approach people’s various forms of diversity. This new found awareness oftentimes allows people to better establish  equity in their environments and enhances interrelationships between one another for increased productivity levels.

Pam Brandon is President/Founder of AGE-u-cate Training Institute, whose mission is to develop and deliver aging and dementia training to professional and family caregivers.  

www.AGEucate.com

How Can we Avoid and All-Out Family Feud over Mom’s Teapot?

I was very fortunate, for  when my sweet mom passed, no one else asked for “the teapot”.  It wasn’t particularly pretty, and certainly of no monetary value.  But to me it was priceless reminder of the tender moments we had together to talk about an endless number of topics that mothers and daughters share. Often accompanied by a scrumptious homemade sweet, we always had back-up favorites in the freezer so we were never without an accompaniment for our favorite Bigelows “Constant Comment”.   When we weren’t chatting and sipping, we would often play a quick game of Yahtzee, Gin Rummy or in latter years, our absolute favorite go- to game,   Rumikub.

Being the last of 5 girls, I suppose Mom had more time for girl time than the businesses of her earlier life.  The teapot symbolized was our shared, sacred time together that will always be treasured.

What happens when those special items are sought after by more than one family member?  All too often, that’s when the family fireworks erupt.  Surrounding that item may be emotional and sentimental feelings that a person (s) may long to hold onto.  There is nothing wrong with this… unless there is one item and multiple people who want it!

How can we avoid World War III?  As I remind aging parents, especially those who are downsizing or contemplating who gets what of the family heirlooms, you do have options in passing on your personal belongings.

The safest way (in terms of avoiding family feuds) is to gift it while you can make the decision to do so.  Talking to various family members about what they would like also helps narrow the choices.  Our parents lovingly started putting names on items that one of the children or grandchildren has requested along the way.  Of course, it was their decision, but for the most part, they did this fairly and with thought put into why the family member wanted certain items.  Most were tied to memorable occasions, special trips or life events which included that person.

When it came time for the “major downsizing” when they moved to a retirement community, for all other items, some which has value, my mom created a well thought-out lottery which had items grouped by approximate value.  We were each given an option to choose one from each category.  For the most part, this execution of non-titled property was brilliant!  They knew who was getting what, and each child was the recipient had at least one top item of the various groups.   My parents were happy to lighten their load, and us kids were thankful for the opportunity to be a part of the process, knowing both our wishes had  been fulfilled.

My parents also enjoyed many years of seeing their treasured things in our homes, knowing they no longer had to care for them or worry about what would happen to them when they passed.

Does this plan always work?  I can tell you most certainly that no it does not.   Maybe because no one wanted to part with the “stuff”, children couldn’t agree on anything, so parents gave up, or the topic was never broached.  There are many other reasons, like sudden illness, estrangement or unfortunately and sadly, children that announce they want nothing of their parents.  Personally, I think this is not very compassionate.  Many of our parents came from the depression-era, and they worked very hard to acquire what they had, and for the most part, these items were treasured, as it was before everything on the planet could be mass or re-produced at a fraction of the cost.

When I talk with families, I often ask what they are gaining, except hurt feelings, by wincing at the idea of taking mom’s “junk”.   Instead, encourage and even help your parents inventory their belongings, asking what they would like to keep and what items they would like to pass on now.  These treasures make wonderfully thoughtful birthday and holiday gifts, and with some coaching and ideas of how to creatively get this often insurmountable task done, take it one step at a time.

Pam Brandon is President/Founder of AGE-u-cate Training Institute, a passionate advocate for older adults and those that serve them.  

www.AGEucate.com

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