I use the term inside-out a LOT. It just seems to fit many descriptives for me. I also like transformative change. When you look at these together, I believe that so much of what we are doing as educators in the elder care field should be focused on helping organizations bring about inside-out changes that lead to transformation or deep culture change. I love the work being done through such organizations at Pioneer Network, Leading Age, Eden Alternative and so many others that have stepped up to create out of the box initiatives and thinking. It’s not an easy task, but I’m privileged to be a part of this movement and work alongside organizations across the country who are taking bold steps in person-centered care. It’s exciting, challenging, sometimes daunting – but the efforts of just one person can have exponential effects across an organization. Hats off to all of those who are blazing new trails!
What is it about skilled touch that decreases distress for those living with dementia that can lead to behavioral symptoms? Common responses include decreased aches and pains; sensory stimulation resulting in increased body awareness; relaxation; aids sleep; decreased feelings of loneliness; uplifted mood.
The following is an excerpt from The Physiological and Psychological Effects of Slow-stroke Back Massage and Hand Massage on Relaxation in Older People (2010) Melodee Harris and Kathy C Richards, Journal of Clinical Nursing, 19, 917–926
“In recent years, the nursing profession used technology and pharmacology to relieve conditions such as pain, anxiety and insomnia that were once treated with massage. However, interest in massage has grown with the move to more holistic nursing. This review examines the physiological and psychological effects of slow-stroke back massage and hand massage on relaxation in older people and identifies effective protocols for massage in older people.
Outcomes on psychological indicators are consistent with strong physiological indicators for slow-stroke back massage on relaxation in older people. Statistically significant results and improvements for physiological and psychological indicators are associated with decreasing agitation and promoting relaxation using hand massage in older people. Stronger correlations were found between slow-stroke back massage and psychological responses in older people. The effects of massage for reducing anxiety and increasing relaxation were recurring themes suggesting that slow stroke back massage reduces psychological stress. The studies on hand massage reported a consistent reduction in verbal aggression and non-aggressive behaviour in persons with dementia.”
Hand massage and slow-stroke back massage are a part of the Compassionate Touch® program. Care-partners of all kinds can learn to use touch in a focused way to increase quality of life for those living with dementia.
Touch. Imagine not being touched. Imagine for a whole day no one touches you in any way. Imagine no one shakes your hand, pats your arm, gives you a hug, or clasps your shoulder. Now imagine that for a whole week, a month, a year.
People of advanced age can experience this lack of touch – the children are grown and may live far away and their partner may have died. People living with dementia are especially prone to physical contact deprivation leading to a feeling of isolation and depression and ofttimes agitation with them selves due to frustration and apathy. Continue reading
Our work is fascinating, isn’t it? I find the senior care industry to be filled with people with passion and compassion. So many are just like me, coming to this field because of a personal experience in helping an older adult in their life. I love helping caregivers with challenges, and I believe deeply in the value of education. With caregiving, that’s a big bite – because there is so much to learn. And we should all look at this from the standpoint of the often over used phrase “It takes a Village”, shouldn’t we? I find it quite amazing to observe the “feel” for a senior care community. Beyond the fancy décor, and new impressive buildings, what matters is the care that is provided. When you have both, it’s an added bonus, but certainly the passion and compassion of the team that takes care of your precious loved one is the most important – it is what’s on the inside. Continue reading