Tag Archives: AGE-u-cate Training Insitute

Age-integration Study in Higher Education

Students at Northern Illinois University in DeKalb, IL experience Dementia Live and share with classmates their feelings of frustration, anger, and anxiety.

Psychology Professor Laura Carstensen discusses the need for an age-integrated society. Her “The New Culture of Aging” Ted Talk reveals that our ancestors in the 20th-century built a world exquisitely around the young.

Infrastructure to meet the needs of the young was appropriate and functional at the time. However, we now need to envision an exquisite society also built around the old.

Just as differently-abled individuals and families have pushed the barriers of accessibility, baby boomers will break down structural age barriers such as role opportunities in work and education.

The idea of an age-integrated society becomes clearer the older I get. The small writing on medication and food labels is frustrating. Consider also airline gate attendants that give fast and muffled directions over the intercom.

Dementia and an Age-Integrated Society

An age-integrated society must also adapt to the needs of persons with dementia. This segment of the population will grow to the point that it can no longer be ignored.

The Alzheimer’s Association, Facts and Figures Report, projects 14 million people will live with this disease by the year 2050. It is the young that need to be the movers and shakers toward a more age-integrated society. However, it is incumbent upon wisdom-holders to provide them the information and education.

It is essential to expose students early to what it means to live with the symptoms of dementia.  Additionally, how the symptoms should factor into a truly age-integrated society.

Higher education should consider involving students in age-integration studies. Also, learning about  Dementia-Friendly Community movements should be a part of their learning objectives.

Exposing students to the study of dementia is vitally important. We need to expose young students to the diverse needs of older adults so that they can envision an age-integrated future. In doing so, we increase the chances that they will innovate and move us closer to a society that embraces the young and the old.

 

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.

Get Ready for Trauma-Informed Care

Beginning November 28, 2019, the Centers for Medicare & Medicaid Services will require nursing homes to provide trauma-informed care. Consequently, they must  “ensure that residents who are trauma survivors receive culturally competent, hence minimizing triggers that may cause retraumatization.”

What is Trauma?

The Substance Abuse and Mental Health Services Administration’s (SAMHSA) describes the “Three E’s of Trauma.” First of all, the person is exposed to an event such as loss, violence, a natural disaster, or abuse. Next, he experiences the situation as physically or emotionally harmful or life-threatening. Finally, she has lasting adverse effects on well-being.

People express trauma differently, and some are more resilient than others. Furthermore, the impact of trauma is often confused with other conditions, such as depression or even dementia. Symptoms may have a delayed onset and include:

  • Physical: Aches and pains, poor sleep
  • Psychological: Anxiety, poor emotional control, flashbacks
  • Cognitive: Difficulty with memory and attention
  • Social: Poor trust in others, isolation
  • Spiritual: Lacks meaning in life

What is Trauma-Informed Care?

According to SAMHSA, trauma-informed care rests on a set of critical concepts referred to as “The Four R’s. These assume that all people within an organization:

  1. Realize that trauma exists and understand the impact and consequences of traumatic experiences.
  2. Recognize signs of trauma.
  3. Respond consistently using the principles of a trauma-informed approach.
  4. Resist the re-traumatization of people with traumatic histories.

Therefore new regulations for trauma-informed care expect facilities to:

  • Assess each resident’s exposure to traumatic events in their life.
  • Train staff in the impact of traumatic experiences.
  • Incorporate trauma-informed approaches into care plans.
  • Use strength-based interventions that maximize trauma survivors’ resilience to avoid retraumatization.

Acknowledging traumatic experiences and providing care that is sensitive to each individual is essential. However, I question how realistic this new regulation is for many nursing homes faced with high staff turnover. As a result, limited resources go to basic care and training in practical approaches.

In conclusion, how do you perceive the future trauma-informed requirements?

Ann Catlin, OTR, LMT: For twenty years, Ann led in the field of skilled touch in eldercare and hospice. She has nearly forty years’ clinical experience as an occupational and massage therapist. She created Age-u-cate’s Compassionate Touch program and serves as a Master Trainer and training consultant.

Tips for Seniors Living Well

Seniors Living Well

Seniors today are living longer; however, are they living well into old age? The National Wellness Institute tells us that “Wellness is an active process through which people become aware of, and make choices toward, a more successful existence.” Indeed, the choices we make along the way determine the degree of wellness we’ll enjoy as we age. But how can cultivate a healthy, satisfying life?

The National Council for Aging Care offers some tips. First of all, develop healthy eating habits with whole foods and plenty of water. Next, keep your body and brain active. Find a physical activity you enjoy and challenge your mind in creative ways. Learn something new. Another key is to stay connected with others to avoid the pitfalls of social isolation. Reach out for help when life throws you a challenge. Also, pay attention to your appearance and keep up to date on popular culture and discover what’s buzzing with younger people. Finally, take precautions such as regular health check-ups and fall prevention measures in your home

I once was a passenger aboard a Great Lakes cruise ship. In case you’re wondering, yes, the Great Lakes are big enough to cruise on– and then some. What stood out were my fellow passengers– many of whom are in their 80′s. One woman celebrated her 94th birthday, while a couple celebrated their 60th wedding anniversary.  At nearly 60, I was almost the youngest person on board.  Now don’t get me wrong; these seniors did not run marathons. Many had physical challenges.  But they didn’t stop them from going on daily excursions and having a great time. One woman with severe scoliosis went on most tours including going down in a copper mine, complete with hard-hat! Another 92-year-old woman told me that she had recently been diagnosed with brain cancer; however, her doctor and family supported her decision to go on this trip. In spite of her illness, her attitude was sunny and positive. It seemed like she was content to stay on the ship taking in the scenery, smiling all the while.

Both of these women are examples of living well in spite of the challenges that may occur along the way. It was inspiring to be with people who didn’t stop living a fulfilling life in their senior years.

Ann Catlin, OTR, LMT: For twenty years, Ann led in the field of skilled touch in eldercare and hospice. She has nearly forty years’ clinical experience as an occupational and massage therapist. She created Age-u-cate’s Compassionate Touch program and serves as a Master Trainer and training consultant.

The NICHE difference: Preparing Our Long-Term Care Workforce for Tomorrow

We are thrilled to have recently announced our collaboration with NICHE – Nurses Improving Care for Healthsystem Elders, a nation-wide nursing education and consultation program designed to improve geriatric care in healthcare organizations through education and mentorship.

The NICHE Acute Care Program, founded in 1992 is part of NYU Rory Meyers College of Nursing.  The program promotes the use of evidence-based clinical interventions and establishes nurses as leaders to effect positive change in caring for the growing aging population.  NICHE empowers front-line nurses to build a team and develop organizational and workforce competencies to improve the health and wellbeing of older adults they serve.

The NICHE long-term care(LTC) program prepares nurses and certified nurse assistants (CNAs) to achieve organizational goals for the care of older adults patients.  The NICHE-LTC promotes the use of evidence-based clinical interventions and establishes nurses as leaders to bring about changes in the quality of care delivered to older adults in LTC and PAC (post-acute care) facilities.

The LTC curriculum is designed around the Centers for Medicare and Medicaid Services (CMS) Five-Star Quality Rating System so organizations uphold the nationally recognized standards for LTC.  A few examples of Quality Measures include:

  • Ability to move independently and participate in activities of daily living
  • High-risk residents with pressure ulcers
  • Re-hospitalizations, emergency department visits, and discharge to the community
  • Moderate to severe pain
  • Falls with major injury
  • Antipsychotic medications

NICHE resources include highly engaging webinars, Need to Know patient and family consumerism, LTC Leadership Training, Implementation Courses, and Clinical and Quality Improvement Modules, and an Evaluation and Recognition Process.

Our shared mission that quality training empowers staff will lead to higher CNA retention and improved care:

  • Nursing homes whose nursing staff have enhanced knowledge and skills perform better on quality metrics.
  • CNA’s who receive specialized training on common health issues experienced by older adults are capable of providing better care to residents and feel more confident in performing their work.
  • Opportunities for CNAs to participate in training programs not only empower them with knowledge and skills to carry out their work but also reinforce their important role in achieving organization-wide quality improvement goals.
  • CNA’s who receive high-quality training are more likely to report that they are satisfied with their jobs and job satisfaction is directly linked to CNA retention.

Quality elder care is critically important and NICHE programs provide the tools and resources that elevate Acute and Long-Term care organizations to a level of excellence.  As the need for dementia training increases, our relationship with NICHE will serve to better prepare the workforce for the special needs of those living with cognitive differences.

Pam Brandon is President/Founder of AGE–u-cate® Training Institute and a passionate advocate for older adults and those who serve them.  Pam is the creator of the Dementia Live® Sensitivity Awareness Training program and led the development of  the Compassionate Touch® training for persons living with Dementia and End-of-Life care.