Category Archives: Senior Care Professionals

The Urgent Need for Airlines to Become Dementia Friendly: A Case in Point

Interior of airplane with passengers on seats waiting to taik off.

As we all know society is aging… fast.  Aging people travel- more than ever, as do aging people who are living with dementia.  Airlines listen up – this trend is not going to slow down.  The question is, how are you going to better serve your aging customers and improve the flying experience for all of your passengers?

Here’s a summary of my recent experience that supports our call to action:

On a recent trip from Florida, the plane was delayed due to fifteen people in wheelchairs who had to pre-board.  As I was one of the last to board, I chose a window seat next to two ladies.  One of the passengers was 97 and traveling with her daughter.  Being a dementia educator and passionate advocate for the elderly, I was especially keen to the conversation between them.  Throughout the flight, mom would ask her daughter to call people and the endless loop of questioning “how much longer” never ceased.  The daughter was patient but I could certainly sense frustration brewing.

Across the isle was a women with  Parkinson’s disease.  Somehow her husband managed to keep her occupied by playing cards despite the fact that she was constantly in motion.  Again, I observed a patient husband as long as status quo remained intact.

I was not able to observe the other 13 people who had pre boarded, but I’m assuming the scenario played out similarly.

When we landed, the lady with Parkinson’s attempted to reach up and get her bags.  Not one person assisted, so her husband switched places with her so he could reach them.  In doing so, she fell on the floor of the empty row across from her.  Only then did the flight attendants come to assist as the front of the plane yelled “She fell!”I felt a tinge of embarrassment for that couple.

The 97 year old lady woman was attempting to get up and several passengers squeezed around her almost knocking her down.  I finally interjected asking the other passengers to PLEASE giver her a chance to get out.  Again, a flight attendant finally came to assist.  The daughter very gently stated that her mother needed a wheelchair to which the flight crew member responded, “Well I’m 55 and I don’t need one”.  I’m still not quite sure what the meaning of that statement was supposed to be, but it was neither respectful or kind.

Dementia avoidance, lack of knowledge and communication skills  from airline employees and the flying public is creating havoc on the ground and in the air, and diminishing those living with dementia (and their families) as second class passengers.

Airlines, like other customer oriented businesses need to invest in training employees to better understanding aging, dementia and how to properly communicate with their aging consumers.  In doing so, they will gain a unique competitive advantage.  Even more importantly, they will be doing the right thing – showing kindness, compassion and respect for our elders.

What is your training plan for this year?

www.dementialive.com

Senior Care Education Leaders: Online vs. In Person Training

learning concept with education elements

Digital, online and virtual learning have changed the landscape of training alternatives for the senior care workforce.  Flexibility, minimization of spacial barriers and simplicity of delivery are certainly valid reasons why training programs must include some components in training curricula.

The question we must ask ourselves is the intrinsic value of integrating in-person training to enhance the effectiveness and application of knowledge for our increasingly diverse and younger workforce?

OnlinePHDPrograms.com shares 10 most significant breakthroughs that recent research has made on the science of learning.  I want to talk about 2 of these 10 breakthroughs.

The brain needs novelty.  Researchers have found that novelty causes the dopamine system in the brain to some activated, sending the chemical throughout the brain. While dopamine is often regarded as the “feel good” chemical, scientists have shown that it actually plays a much bigger role, encouraging feelings of motivation and prompting the brain to learn about these new an novel stimuli.  This breakthrough has led to some major changes in how we think about learning, and has motivated man schools to embrace learning methods that cater to our brains’ need for new and different experiences.

Learning is social.  Peer collaboration offers students access to a diverse array of experiences and requires the use of nearly all the body’s senses, which in turn create greater activation throughout the brain and enhances long-term memory.  Group work, especially when it capitalizes on the strengths of its members, may be more beneficial than many realize.

Face-to-face learning creates a dynamic relationship between the student and teacher (or trainer) and between students.   These relationships combined with the personal element of a workshop enhance the dynamics created when passion, gestures and language are fluid and real.   There is less room for miscommunication in on-site training vs. virtual since teachers and fellow students can openly discuss issues at hand.

The cost effectiveness of online training must be weighed by the retained learning taking place by the student.  When crunching the numbers, if you pay twice to retrain staff or the value of training is not sufficient to empower the participant to improve job skills, the cost of turnover is exponentially higher than investing in quality training to enhance one’s ability to do their jobs with greater skill and efficiency.

As we look at the challenges of training a growing and diverse workforce to care for our elders, we are encouraged by the training  leaders who embrace the  value of integrating onsite experiential education that is effective, research-based and innovative.

Person-centered care is  a term that has been around for quite some time.  Creating an organization where person-centered thinking is a core culture model cannot be achieved without innovative training that changes everyone within the organization.  We challenge leaders to embrace the innovation available in  experiential learning that transforms attitudes, actions and thinking!

It’s 2017 – what is YOUR Organization’s Dementia Care plan

Travel, services and international business concept with a globe and international flags of the world on white background.

Bupa, the largest international provider of specialist dementia care and Alzheimer’s Disease International (ADI), the global federation of Alzheimer’s associations, in 2013, joined forces to publish a global report to urge policy-makers to create National Dementia Plans.  According to Bupa and ADI, plans help governments ensure that health and social care systems are adequately structured and funded to ensure high quality care and support be available to people living with dementia today and in the future.

Their analysis provides an insight into the content of existing National Dementia Plans and advice on how to develop one, and review factors that might affect implementation.  Based on analysis, the report advises on developing a plan and reviews factors that might affect implementation.  The first category of Best Practice was that of Content, which includes:

  1.  Improve awareness and education
  2.  Improve (early) diagnosis and treatment
  3.  Improve support available at home
  4. Strengthen support available to family members
  5. Improve residential/institutional care
  6. Better integrate care pathways and the coordination of care
  7. Improve training for healthcare professionals
  8. Monitor progress
  9. Commitment to research
  10. Recognize the role of innovative technologies

We believe this is an excellent checklist for any organization to build their own comprehensive Dementia Plan.  While government initiatives are certainly important, their is urgency across the spectrum of elder and healthcare spectrum to implement plans now.

As we look at 2017, it is our hope that every institution of higher learning be placing dementia education for clinicians, medical students, and allied health professionals at the top of their list;  that eldercare providers empower each and every front line caregiver with tools to improve communications and care practices to improve resident’s quality of life;  that non-profits engage outreach family education programs that provides support, and helps reduces stress for families struggling to deal with the challenges of living with dementia;  and that every hospital has solid action plans in place to become dementia friendly in 2017.

A plan is just that – the structure with which to take the next step of outcomes-driven transformation and positive change.  We look forward to a great year of collaboration as we usher in a year of innovation in dementia care training.

Bupa.com/dementia

Alz.co.uk

Memory Care: Events are forgotten, but feelings linger

Feelings linger in memory care
Feelings linger.

For people in memory care, emotions may outlast memory of the event that triggered the emotion. This is according to a study by Justin Feinstein. In other words, if a person with dementia has a happy experience, say from a family visit, he will continue to feel happy for a period of time even though he forgets the actual visit. The same goes for sad or angry feelings. Memory care professionals sometimes question if their efforts have a lasting effect. Insight from this study suggests that yes, they do.

Families often avoid visiting loved ones with dementia, assuming that the visit won’t be remembered. They ask, So what difference does it make?  If emotion lingers even after the memory is gone, then it might make a big difference.

While the elder may not remember the visit, pleasurable feelings it elicits live on even though the person can’t say why she feels good. This is important information for families. Their visits positively impact quality of life—the feelings of connection lives on! Anyone with a loved one with dementia, perhaps the most important thing is to show up and create positive moments. Step outside in the sunshine, share music, hold hands, look at flowers.  Activities don’t need to be elaborate. Anything that creates pleasure may make a lasting difference.

As Maya Angelo says, “They won’t remember what you said but they’ll remember how you made them feel.”