This is the second installment in a three-part series addressing retention strategies for aging services providers.

To elevate dementia care practices, care partners must first understand dementia and how persons with dementia feel challenged with cognitive and sensory changes. Dementia Live® simulates cognitive and sensory impairment, giving participants first-hand experience living with dementia. 

The Validation method was developed by Naomi Feil in the 1970s and formalized into a method that she first published in 1982. Her pioneer work set off a massive change in elder care. I call Naomi, the godmother of ‘person-centered’ care.

Although my personal story of caregiving goes back decades, the message has not changed. My sweet mother, Jeanette, lived with Parkinson's Disease for many years. Our journey together as care partners included the highs of our incredible mother-daughter relationship growing even closer and the lows of experiencing the emotional roller-coaster of managing a disease that is ever-changing and often mysterious.

At 85, Jeanette's health had declined significantly due to the progression of her PD and complications from a broken hip. In addition, my sister was taking care of our mom in her home following a rehab stay, and the stress of 24/7 caregiving responsibilities took a toll on her physical and emotional health. It was time for a change, and a decision needed to be made relatively quickly.

Visiting one care community after another, I soon became embattled with my own emotions as I toured beautifully decorated buildings led by cheery marketing professionals. All the while, I was an emotional train wreck. What was truly important? I had some real soul searching to do.

A friend suggested I visit a residential care community that her dad had been in, so I arranged for a meeting with the owners, one of who was a registered nurse. The home was not in the most convenient area to my home, but was adequate for my sister and me to visit with a drive for both of us. The neighborhood was eclectic but safe.  As I drove to the house, my thoughts were on a single track.  

Entering the house, one of the care team members greeted me with a warm welcome and hug. The place was lively and bright, though far from fancy. Sitting areas in the large living room included residents, care partners, and family members.

As I made my way to another sitting room to meet with the owner, I noted the care team busy making lunch and chatting about the new recipe for the day. They stopped to say hello and asked if I'd like to stay. How could I pass up a yummy-looking Mexican dish?

As I sat down to talk, I could feel my emotions bubbling, and sure enough, tears started streaming. My decision of where my precious mama would live out her days played heavy on my heart. What did I want for her, for me, and the rest of my family? After all, we were all in this together.

All of the "things" that I thought were important started racing through my head. Within a short driving distance? Not really. Amenities? Somewhat limited. And this sounds so silly now, but at the time, I thought to myself, "this is just not mom's decorating style."

As I pulled myself from the depths of my crying episode, I felt incredible compassion and understanding embracing me. As I explained mom's health needs and history, it became clear what I was seeking.

Beyond the basics of cleanliness, safety, nursing care, I wanted my mom to be loved when I wasn't there. That sounds like a big ask, right?  

 

 

 

 

 

Direct care workers are home health aides, personal care attendants, certified nursing assistants or caregivers.  They provide a wide range of necessary services, include helping with activities of daily living, such as bathing, dressing and eating to helping cleaning homes, prepare meals, managing medication regimens, companionship and much more.  Direct care workers play a critical role in aging services and provide the bulk of long-term care. Despite their importance, they often provide care under stressful working conditions, do not have opportunities for career advancement and are among the lowest paid workers. 

 

It's frightening to care for someone you don't understand.  People living with dementia (PLWD) are themselves often filled with fear and anxiety and express themselves in ways that are difficult for others to comprehend.   For a family member or professional who is helping  persons who are themselves trying to cope with the cognitive changes going on in their brains, it is a domino effect that carries over to care partners. Fear, anxiety, guilt, and feeling very frustrated in not having the tools to better communicate and respond to  stress reactions leave caregivers feeling helpless.