AGE-u-cate Training Institute Blog

This blog title is credited to a member of the Board of Directors for the National Association of Health Care Assistants (NAHCA).  I was enlightened after attending a symposium entitled, "The New CNA Workforce:  Frontline Lessons from the Pandemic" given by NAHCA. 

Career CNA board members and thought leaders shared their passionate pleas for significant change.  It really was quite moving, and frankly, sad.  Sad in the sense that they felt compelled to give everyone a piece of their mind about how, for decades, they have been treated by their superiors and organizational leadership.  

A stern warning was delivered, "We will not tolerate these conditions much longer", and seriously, who can blame them.

Lori Porter, Co-founder and CEO of NAHCA shared this startling reality- there are 425,000 fewer nursing home workers today than before the pandemic, and if serious change doesn't ensue immediately, this number will grow exponentially.

Why must change be driven through threats?  The answer is because nothing else seems to have worked.  

Don't think that it is only about the pay.  Yes, nursing assistants need, and deserve to make much more than they do, but what they also need is to be a valued and respected member of the team.  

I reeled hearing one CNA board member describe how in the middle of rendering care to one resident, a nurse knocked on the door to say that there are two more call lights going off and could she please hurry up. Seriously?  This unacceptable and disrespectful to the nursing assistant, and the care receiver.  

Wake up to Change

Change in this realm will include everything from a long-term national strategy to reform the long term care system to immediate, organization-specific actions.  But, one CNA board member laid it out, "We need to get back to the basics, and re-set."  My ears perked up, because this exact phrase has been our mantra at AGE-u-cate for months.   

We simply must take care of the caregivers, so that they can give their best to their care receivers.  The basics include respect, dignity, and appreciation for all.  When we get back to the basics, we can begin to rebuild a healthy organizational culture. 

It will be up to leaders to work in tandem with all employees create the path to a healthy culture.  Listen to what your staff have to say- you may be surprised how much thought they are giving to the issues at hand, because they deeply care.  So many ideas were shared, but one that stood out to me is the desire for more education and training that grows skills and leads to advancement.  The lack of a career ladder for CNAs is a detriment to the future of this workforce.

I heard so many great ideas from these passionate CNA thought-leaders and I crave more conversation.  We have to give them what they need, so I am grateful that NAHCA Board Chair Sherry Perry has agreed to meet with me next week to continue the conversation.   Sherry's profile on the NAHCA website includes this statement:

"Being a member of NAHCA has inspired me to be the best CNA I can be.  It’s helped me to realize that my voice can make a difference not only for other CNAs but most importantly the elders we care for.”

Thank you Sherry and to your colleagues for speaking your voice- I hope you know that you were heard by many, and I am honored to have been included.

 

 

 

 

 

I attended the most extraordinary virtual symposium with my AGE-u-cate colleague, Laura Ellen Christian.  Hosted by Penny Cook and her team at The Pioneer Network, the day was entitled "Envisioning the Future:  Finding Meaning & Purpose."  Both of our heads were spinning all day as we furiously chatted via Teams our take-a-ways and ideas. 

One of my favorite statements in the movie, "The Fellowship of the Ring" is, "What is this new devilry?"  Such is the question asked by many Aging Services leaders as they face the next slam with the pandemic- staff vaccination.  Some employees vaccinated willingly, some begrudgingly, and others not at all. 

How can providers encourage vaccination compliance and ultimately retain their workforce?

Lessons I've learned from grandmama Mildred are endless, but I'll finish with sharing a few connected to her final days.  These two stories, while representative of her final days, also speak to the culmination of Mildred's life: unconditional love, endless laughter and unwavering faith.  

• Be ok with just being compassionately present. Towards the end of my grandmothers life, my family was all gathered at my aunt's house where my grandmother lived her last days.  In those final days, grandmama Mildred was in and out of awareness that we were there. On this day, we had taken her outside to lay in a swing - the sun was shining and there was a wonderful breeze with birds singing.  She loved being in nature!  My mom was helping her eat ice cream and trying to get grandmama to engage with us. “Is it good, mama?”  “Here’s some ice cream” “Is it good?” is what my mama kept saying, over and over.  After a bit my grandmother all of the sudden opened her eyes, looked at my mom and said in a snarky tone, “Is it good? Is it good?”.  In her always hilarious way, she was telling my mama to shut up and let her enjoy the ice cream!  Not that my mom was trying to be annoying - we were all so desperate to make sure grandmama knew we were there.  After that moment, we knew she could always feel (and hear!) us! 
  
  Lesson learned: sometimes just sitting quietly is enough.  The person can feel your presence through touch and a thoughtful environment set-up. 
• Look for the signs, they often come at unexpected times.  On the day grandmama Mildred took her last breath, my family was gathered around her bed.  It was a hospital bed we rented and we had it pushed up to the king size bed in the room.  On the king bed was me, my mom, several of my aunts and my 2 sisters.  We were playing hymns and music that my grandmama loved.  On Eagle's Wings, a familiar Catholic hymn was playing and as we were all singing the chorus - "And he will raise you up on eagle's wings...", my grandmother began to raise up.  It was a chaotic few moments until we realized that my aunt was laying on the hospital bed remote!  We all burst into hysterics and knew that was grandmama Mildred, playing one last joke on everyone.  And bringing laughter into the room as she always did. 
  
  Lesson learned: The time will come to say goodbye.  Even in that moment, find joyful ways to connect and cope.

Dying and death is often viewed as a scary and sad turn of events.  And while losing someone we love is sad, the truth is that we're all going to die at some point.  There, I said it!  A recent post I ran across on LinkedIn shared the concept of maraṇasati, meaning mindfulness of death.  It's a Buddhist meditation practice that often includes incorporating various visualization and contemplation techniques focused on the nature of death.  From what I could gather, the intent is to bring more awareness to your present moment and encourage you to live life as if there is no tomorrow.  No regrets!  And if you practice Christianity, you believe that with death also comes eternal life.  There is comfort in knowing the rest of your days will be spent with Jesus and others who have gone before you.  For my family, we take comfort in the latter.  And that is something that my grandmama Mildred instilled in all of us.  And I'm lucky that those roots continue to run deep through my mama.  If you're reading this, mama, grandmama would be so proud of how you continue to guide our family in strong faith!  

I'm also intrigued by maranasati and look forward to researching that more.  How do you cope and find comfort in times of loss?  There is no right way, and sharing may help others!  Be sure to leave a comment.  And, if you'd like more information on death and dying, check out a previous blog or reach out to me.

For the article I saw on LinkedIn about maranasati, click here.  And if you need a "lift" today, here's the song, On Eagle's Wings!  

To view the previous post introducing my grandmother and our family's journey caring for her, check it out here.