I had the privilege to lead a session on our Dementia Live™and Compassionate Touch® person-centered care programs at the recent American Health Care Association National Convention in Nashville last week.  As part of the Dementia Education Track faculty, it was such an honor to speak to so many passionate leaders who are stepping out of the box and doing amazing things to transform their communities. I love to listen to the success stories and challenges as it helps us  grow as an organization in helping those we serve.

It’s no secret that memory care is one of the fastest growing senior care service, providing healthcare professionals increasing opportunities. But, if you are new to dementia care, I suggest you ask: “Am I really prepared?” and “Do I have what it takes?” Serving people with dementia requires a unique combination of knowledge, skills and personal awareness.

Be Informed
Knowledge gives you a foundation to act from. When informed, you can offer your care with confidence and ease. It’s essential to be informed about the characteristics and needs of people with dementia, such as:

• Age related changes. It is important to understand the “normal” physical and functional changes of aging versus changes that are manifestations of a disease resulting in symptoms of dementia.
• Common conditions found in eldercare settings. If you work in long term care, you will encounter people living with the effects of stroke, Parkinson’s disease, Alzheimer’s disease, hip fracture, cancer, among others. A basic understanding of these conditions will ensure that you provide safe, effective and meaningful service.
• Special needs of elders in facility care. Those who live in care settings are often dealing with loss, grief, feelings of helplessness, lack of control, boredom, touch deprivation and feelings of isolation. Your awareness and compassionate acknowledgement of these sensitive issues will deepen your therapeutic relationship with each individual.

Senior Care

Thank you to Pioneer Network for allowing us to share these thoughts..

Houston, We Have a Problem
Ruta Kadonoff
Executive Director, Pioneer Network

Is it just me, or are there red flags everywhere lately, calling on us to take notice of the impending collision between our demographics and our workforce trends? Evidence is mounting and the chorus of voices is growing, begging us to recognize that we are on the brink of true crisis. I see many parallels between this issue and the climate change discussion. Whatever your personal convictions about possible causes and potential solutions to either, the data seem to be increasingly clear and screaming ever-louder, 'Houston, we have a problem.'

I'd like to share a few quotes that have been rattling around in my head over recent days and weeks ...

"We're never going to attract a workforce unless they are going to get paid a livable wage, or at least a somewhat livable wage, and benefits."
- Betsy Sawyer-Manter, Executive Director, SeniorsPlus, quoted in Sun Journal (Lewiston, ME)

What the heck is Winfield and what does it have to do with this blog? There are some things in life that so nourish our souls that they should become non-negotiable. For anyone whose career is taking care of others, that should be a commitment to our own wellness. Nurses, social workers, family caregivers, therapists, activity professionals, chaplains, you name it—we’re all in the same boat when it comes to self-care.  How we each “do” self-care is a personal choice. My choice is Winfield!

The Walnut Valley Festival is a five-day music festival that, since 1972, takes place in Winfield, Kansas on the third weekend of September. The first time I went was in 1977 when I was a college student. I’ve been back almost every year since! The folks who make the journey simply call it “Winfield”.  You see, it’s not just a place or an event, but an experience that got in my heart and didn’t let go.  So why would a middle-aged woman want to camp in a field in a tent in 100 degree weather, rain, mud –this year the river has flooded the area-- cold and even a tornado a couple of years ago? Oh, and packed in with 12,000 other people? The awesome music heard 24 hours each day? Yeah, but that’s not it.

There’s a little quip that I’ve heard in senior communities that goes something like this; “I’m looking for Mrs. B., can you tell me what she looks like?  “Yes, she’s the one with gray hair and glasses!”  Not that original, really, but you get the picture.  I’ve often been struck with profound awareness when I enter the dining room of a nursing home. At first glance it looks like a sea of gray heads and everyone sort of blends together. The quip suggests these old folks all look alike so they are alike and have morphed into some other kind of creature.  At what point do we become one of “them”?  I have a psychologist friend who counsels young children.  She once told me that she’s effective because she doesn’t talk down to the kids or treat them as “pre-people”.  Something about her comment rings true and, by comparison, I think we live in a society that views our aging population as “former people”. When do we lose our individual identity and become a former person?

Ageism is defined as prejudice or discrimination on the basis of someone's age. Civic and business leaders across the globe are accelerating  "age friendly - dementia friendly" initiatives. The explosive growth of worldwide population marching quickly toward old age is forcing change in virtually every area of society.  Cities are redesigning transporation systems, public centers and revamping outdated services.  At the same time, business leaders are turning toward experts to achieve productive workplace teams made up of 4 or 5 generations.  Health and long term care is turning toward technology and how to train and retain the workforce needed to provide services for today's elders that at a growing clip will be among the largest oldest group we have ever witnessed - centenarians.