Sustainability in training programs that improve patient and resident outcomes is critically important. Upper and middle managment must embrace change initiatives in order to successfully compete in an increasingly crowded marketplace.

When elderly people spend time in a hospital, they often leave more disabled than when they got there. That’s pretty stunning considering the condition they may be in when admitted.  Some of the most common reasons for hospitalization are injuries from a fall, pneumonia, infection, cardiovascular disease and dehydration. Treatment of the acute condition frequently doesn’t include special care needed to prevent rapid, and sometimes irreversible, physical and mental deterioration. Weakness from bedrest, weight loss, adverse drug reactions, delirium, and hospital-acquired infection are all too common. At a time with people 65 and older make up the fastest-growing segment of our population, our hospitals should take notice. Fortunately, some are. Special services such as the Acute Care for Elders (ACE) unit exist, but in only small number of our 5000+ hospitals in the U.S. What’s different about this specialized care? There’s a greater emphasis on maintaining mobility and preventing functional decline, cognitive assessment, a communal dining room to encourage better nutrition and social interaction, early discharge planning, and staff with training in geriatrics play key roles. I’m glad to see that hospitals are addressing this pressing issue, but wonder if it’s enough to prepare for the sheer number of us baby boomers beginning to need this kind of care.

What happens when an eldercare professional becomes a family caregiver?  This situation hit home when my husband had a cycling accident and fractured his hip. I was surprised by my reaction to suddenly becoming his care partner, juggling the role of home nurse, personal care attendant, meal provider, and problem solver of getting around in our two-story house. Somewhere in the mix I was also moral support and empathizer. The first week centered on creating a new routine, helping with pain management and personal care. Oh, and wound dressing changes. I quickly was reminded why I never became a nurse, calling a nurse-friend in a panic because the dressing from the hospital was stuck to the wound and I was sickened by pulling it off! If I’m perfectly honest, I felt angered at times by this turn of events that intruded our lives- I didn’t have time for this! It didn’t help seeing my active husband now using a walker- making him “old” to my eyes, bringing up fear about what’s to come as we age.

It’s one thing to know what dementia is. It’s another thing to feel it.

I'm not a big fan of reality TV shows.  The "supposedly" unscripted real-life situations to me are far from a virtual tour through life.  That said, I do find myself entertained from time to time at the subject matter some creative person comes up with to actually create a show.  Unbelievable...

I visited with a dear friend recently who has been caring for her sweet mother for many years. Once  healthy and mobile, age and illness is slowly taking its toll  Painful neuropathy, crippling arthritis and diminishing eyesight have teamed up to challenge her spirit and soul.  My friend is tired and I often see glimpses of resentment,  despite her deep love, respect and genuine concern for providing the care she deserves.  This scenario could easily be a true reality tv show, however the ratings would struggle.

The senior care work force of tomorrow should be at the top of discussion topics for eldercare leaders. Investing in development and retention of great workers, along with competitive wages and benefits is vital.  Many areas of the country are already facing critical shortages in front line staff and this trend will no doubt spread quickly as baby boomers need increasing aging services.

It's no wonder that we have an ever growing quest for simplicity.  Not just in our personal lives, but this phrase surrounds many conversations within the business community - especially with those of us in senior care.  There is a  recurring plea from senior care professionals today with regards to education.. keep it simple.  Teach us by showing, because we know that when we learn by doing, we're going to retain that knowledge.