In our ongoing commitment to addressing the diverse needs of older adults in care settings, we are thrilled to share insights from our recent interview with optometrist Jason McCain. With years of experience in the field, Jason sheds light on the challenges and opportunities surrounding visual impairment among older adults. 

Let’s delve into some key takeaways from our conversation.

Please share your background (where you grew up, your education, and your experience).

I was born and raised near Detroit, Michigan. I was always interested in biology from an early age and knew I would pursue a career in the medical field. I earned a Bachelors in Biology at the University of Michigan. Go Blue! I earned my Doctorate of Optometry at the Illinois College of Optometry and graduated in 1998. Since graduating, I have worked in many clinics in Michigan, Massachusetts, and Ohio, providing primary care optometric services. I’ve currently been practicing in Dayton, Ohio, for the past 15 years.

I enjoy biking, swimming, and running, and occasionally will put them all together by participating in Mini Triathlon events. Some more relaxing activities I enjoy are reading Science Fiction and Fantasy novels, playing pool, watching college sports, or hanging out with friends.

So, let’s get started. One of the biggest challenges older adults face is vision limitation. What are some common vision changes/challenges older adults experience?

By far, the two most common visually limiting conditions I see in my elderly patients are cataracts and macular degeneration. In the field, we say, “Everyone gets cataracts; you just have to live long enough.” Cataracts cause a general haze/blurriness/glare to vision that eventually cannot be corrected with glasses. Fortunately, cataract surgery has come a long way and is a relatively quick outpatient surgery with an extremely low risk of complications and predictably successful outcomes. Most patients regain their potential for 20/20 vision after cataract surgery.

Macular degeneration can be a much more sight-threatening condition. Even though we have come a long way in diagnosing and treating macular degeneration, it is still a challenge. Most treatment goals are aimed at saving what vision a patient has left and slowing the progression. Despite treatment, many patients progress to a Low-Vision condition.

Balancing aesthetics with practicality can be difficult in healthcare and congregate senior living settings. What are some simple environmental modifications communities can make to better serve their visually impaired residents/clients? For example, removing throw rugs or ensuring sufficient handrails can help.

Environmental modifications can greatly increase functionality and decrease the risk of injury for those with low vision, especially the elderly. Lighting is very important for those with low vision. Bright light sources will aid in activities and make environments easier to navigate. LED lighting strips along hallways and entryways, etc.

What about suggestions for signage and reading material? Is there an ideal font size and style? Contrasting color choices? 

Black print on a white background is always best, as this offers the most contrast. For signage, bigger is better. The font size that is comfortable for reading is more specific for each person. Ideally, it should be large enough to see comfortably but not so large that it limits the amount of text displayed.

What are some of the emotional aspects of vision loss you’ve seen in your practice? 

The emotional and mental aspects of vision loss are often overlooked. As with any disability, the loss of functionality and independence can lead to depression. Many elderly patients with vision loss can no longer engage in activities they once enjoyed.

I once chaired a Low Vision Support Group at a retirement community. The residents who attended appreciated the information, but attendance was low despite the need. Do you find support groups helpful for those experiencing vision challenges? Do you know why people might be resistant to attending one? 

Yes, support groups are extremely helpful. They are a great way to exchange information and ideas on dealing with emotional and practical challenges facing those with low vision. However, many patients, especially those in retirement or assisted living facilities, are reluctant to attend. Some patients believe that they cannot be helped. Many are resigned to their condition. Some may be embarrassed or self-conscious about asking for help. Others may feel that they are unable to learn new strategies and techniques, especially those involving technology.

Continuing with the support group theme, do you have any tips for getting one started or any resources a community can use to develop a strong support group/network for their residents?

Retirement and Assisted Living communities would benefit from contacting low-vision specialists. Sponsoring a low-vision specialist to visit these communities would allow them to demonstrate hands-on devices and techniques to aid those with low vision.

I’ve seen everything from basic magnifiers to technology to help people with low vision. Are there any new visual aid innovations you suggest? 

Simple low-vision devices such as magnifiers and light sources are often enough to help. However, many elderly patients may be unaware of newer technology in low vision. Some examples are prismatic high mag reading glasses, Telescopic lenses, and closed-circuit TV magnifiers.

What advice would you give to a nursing home or retirement community for working with people with low vision?

Nursing homes, Assisted Living, and Retirement communities could greatly improve the quality of life for their low-vision patients by simply raising awareness. Periodic vision screenings are a great way to identify those in need. Establishing relationships with local eye specialists and sponsoring their visits to these communities would greatly help. Your local Eye Doctor is often your key to access. If they cannot help you directly, they can suggest and refer you to those who can.

Though not necessarily related to visual impairment, are there any quotes that are important to you or speak to you?

“Many of our elderly family members have given up on the activities they enjoy because they believe they cannot be helped.”

“Asking for help does not make you weak; it makes you human.” 

We thank Dr. McCain for sharing his expertise and invaluable insights into the world of vision challenges older adults face. As we strive to enhance the quality of care in nursing homes and assisted living facilities, we encourage you to explore our upcoming course, “Working with Residents Who Are Visually Impaired,“ designed to equip caregivers with the knowledge and skills to support visually impaired residents effectively.

In today’s rapidly evolving world of technology, one innovation is making waves in the realm of eldercare: virtual reality (VR). As nursing homes strive to provide holistic care for their residents, VR technology is emerging as a powerful tool to enhance well-being and quality of life among older adults. Similar to the Wii Bowling craze that hit nursing homes several years ago (and remains a strong component of many activity programs nationwide), VR can bring new entertainment and experiences to older adults in all settings.

Benefits of using VR Technology in Nursing Homes

Virtual reality transports users to immersive digital environments, offering experiences ranging from exploring exotic destinations to engaging in stimulating activities like painting or attending virtual concerts. For nursing home residents, many of whom may face limitations in mobility or opportunities for external exploration, VR opens up a world of possibilities right from the comfort of their community.

Providing Socialization 

One of the most significant benefits of VR technology in nursing homes is its ability to combat loneliness and isolation. Using a VR headset, residents can connect with others, embark on virtual group excursions, or even participate in multiplayer games, fostering social interaction and camaraderie.

For example, residents who enjoy musical events may like watching a virtual concert of a preferred genre with other residents. This type of socialization offers a simulated realistic experience and gives residents opportunities for follow-up conversations and connections after discovering and sharing common interests. 

Residents with limitations in mobility and speech may also find freedom in interacting with others without their usual hindrances. These interactions can also foster a sense of community and friendship with more comfort than in a traditional activity setting.

Offering Therapeutic Benefit

Moreover, VR is a powerful therapeutic tool, stimulating cognitive function and providing sensory stimulation. Residents can engage in reminiscence therapy by virtually revisiting places from their past or find relaxation through immersive nature experiences. Additionally, VR can help alleviate symptoms of depression and anxiety, offering a non-pharmacological intervention for mental health support.

As communities constantly search for non-pharmacological ways to meet resident needs, VR technology can help by allowing residents to experience music, pets, art, and horticulture in the safety and comfort of their homes. At the same time, the users can enjoy the feelings they might have had in the traditional activity. These feelings can greatly relieve residents who often struggle to find peace. 

Other Considerations of Using VR Technology with Nursing Home Residents

While virtual reality technology is a creative and timely activity to explore, there are other considerations communities should consider before implementing its use: 

• Identify individual resident interests
• Be aware of privacy concerns
• Research potential negative effects on the users.

Recognizing and Utilizing Individual Resident Interests

There are many VR options and VR programming ideas to explore. Before introducing a resident to a particular activity, staff must remember that in VR, as in all things care-related, one size does not fit all. A resident with an artistic history might enjoy an immersive painting or art gallery experience. However, if that resident happens to have a physically limiting condition, the memories associated with art activities might be painful rather than therapeutic or enjoyable.

Like an activity director planning a monthly program with resident interests in mind, staff should consider using a comprehensive VR assessment to identify specific interests (and emotional triggers) and passions. For residents with dementia, this assessment may need to be the result of a family or legal guardian interview, helping to form a more complete picture of the resident. 

Group VR activities can provide critical socialization and connections, so assessment and awareness are essential in building these links with other residents. When planning a group activity, staff members should consider similar interests and, as always, be present to make introductions, provide support, and foster interactions. 

Being Mindful of Privacy Concerns

Cyber platforms pose security and data risks, so such awareness is crucial. Cybercriminals can utilize motion sensors and capture private data like any other internet modality and older adults are often their victims. Staff should investigate virtual reality firewalls, implement strong passwords and controls, and lead user training safety education to residents and staff. These efforts can make strides in reducing the cybersecurity threats to VR users.

Researching Potential Negative Effects to Users

As with any program or intervention, staff should consider the side effects of using VR. These effects might include eye strain, nausea, motion sickness, and dizziness. Along with security and safety education, staff should learn about mandated and community-recommended health risks and safety precautions. Staff should implement a VR process and include all these items so that use is consistent throughout the organization and offers the maximum benefit and the least negative impact.

The Future of Nursing Homes Looks Brighter with VR Technology

As nursing homes continue to embrace innovation in eldercare, integrating VR technology promises to revolutionize the resident experience, promoting social engagement, cognitive stimulation, and emotional well-being in ways never before possible. The future of eldercare looks brighter through the lens of virtual reality.

Holiday Decor in Nursing Homes: Creating a Festive and Inclusive Environment for Residents

As the holiday season approaches, nursing home administrators play a crucial role in fostering a warm and festive atmosphere for residents. The holidays are a time for joy, connection, and celebration, and it’s essential to create an inclusive environment that caters to the diverse preferences of residents. In this blog post, we will explore the importance of a festive atmosphere in nursing homes, provide practical tips for safe and accessible decorations, discuss inclusive decor ideas, share success stories, and suggest budget-friendly options and DIY projects to involve residents and staff in the holiday spirit.

Importance of Creating a Festive Atmosphere:

The holiday season is a time for reflection, gratitude, and connection with loved ones. For residents in nursing homes, it can be an emotional time, and creating a festive atmosphere is crucial for their well-being. Decorations bring residents joy and a sense of normalcy, helping to alleviate feelings of isolation and loneliness. The visual stimulation of holiday decor can also positively impact residents’ mental health, providing a familiar and comforting backdrop during a time that may be challenging for some.

Practical Tips for Decorating Common Areas and Resident Rooms:

• Safety First:
  • Prioritize safety when decorating common areas and resident rooms. Avoid obstructing pathways or using decorations that may pose a tripping hazard.
  • Choose flameless candles instead of traditional ones to reduce the risk of fire hazards.
  • Secure decorations properly to prevent them from falling or being pulled down.
• Accessible Decorations:
  • Ensure that decorations are accessible to all residents, including those with mobility challenges. Arrange seating areas with enough space for wheelchairs and walkers.
  • Opt for lightweight and easy-to-handle decorations, allowing residents to participate in the decorating process.
• Engage Residents in Personalizing Spaces:
  • Encourage residents to bring in their own holiday decorations or memorabilia to personalize their rooms.
  • Create a communal crafting space where residents can make their own decorations or collaborate on group projects.

Inclusive Decor Ideas:

• Diverse Religious and Cultural Displays:
  • Acknowledge and respect the diversity of religious and cultural preferences among residents.
  • Consider creating separate areas or displays for different holiday traditions, such as Christmas, Hanukkah, Kwanzaa, and Diwali.
  • Display informational materials about various holidays to educate residents and staff, fostering understanding and appreciation.
• Multilingual Decorations:
  • Incorporate multilingual signage and greetings to make everyone feel included.
  • Decorate common areas with banners or posters featuring holiday greetings in different languages residents speak.
• Sensory-Friendly Decor:
  • Recognize the varying sensory needs of residents. Use decorations that are visually appealing without being overly stimulating.
  • Consider incorporating textured decorations or scented elements that cater to different sensory preferences.

Success Stories of Past Holiday Decorations:

Share inspiring success stories from nursing homes that have effectively created festive and inclusive environments:

• Interfaith Celebrations:
  • Highlight instances where nursing homes successfully hosted interfaith celebrations, bringing together residents of different religious backgrounds for shared festivities.
• Community Engagement:
  • Showcase examples of nursing homes collaborating with local community groups, schools, or volunteers to enhance holiday decorations and create a sense of community.
• Resident Involvement:
  • Share stories of residents actively decorating common areas and their rooms, fostering a sense of ownership and community spirit.

Budget-Friendly Options and DIY Projects:

• Recycled Decorations:
  • Encourage using recycled materials for decorations, such as repurposing old ornaments or creating wreaths from recycled paper.
  • Host crafting sessions where residents and staff can transform everyday items into festive decor.
• Nature-Inspired Decor:
  • Utilize natural elements like pinecones, twigs, and dried leaves for budget-friendly and eco-friendly decorations.
  • Organize nature walks or outdoor activities to gather materials for DIY projects.
• Collaborative Wall Art:
  • Create a collaborative mural or banner where residents and staff can contribute their artistic talents.
  • Provide a variety of art supplies and templates to accommodate different skill levels and abilities.

In conclusion, creating a festive and inclusive environment in nursing homes during the holiday season is a meaningful and rewarding endeavor. By prioritizing safety, accessibility, and inclusivity, administrators can contribute to the well-being of residents and foster a sense of community. Sharing success stories and involving residents in decorating adds a personal touch to the celebrations, creating lasting memories for everyone involved. With budget-friendly options and DIY projects, the holiday season becomes an opportunity for creativity, connection, and shared joy in nursing homes across diverse communities.

Scams targeting older adults are increasing and becoming more complex. This is a topic we plan to post about every year since it is so important. At the end of this post, we have included a free downloadable training tool you can use to educate your staff. The more vigilant your team is, the better protected your residents will be against being scammed.

Older Adults Are a Target 

The ever-advancing digital age has made life simpler for many of us. But with the myriad of benefits, there is a dark underbelly: scams. Especially disturbing is the increasing trend of scammers preying upon one of our most vulnerable populations – older adults. Why is this population such a target for those committing fraud?

According to the National Council on Aging: “Fraudsters and con artists tend to go after older adults because they believe this population has plenty of money in the bank. But it is not just wealthy older Americans who are targeted. Older adults with low incomes are also at risk for fraud. Financial scams often go unreported or can be tough to prosecute, so they’re viewed as a “low risk” crime. However, they’re devastating to many older adults and can leave them in a vulnerable position, with limited ability to recover their losses.”

Because of the risk to the older adult population, we must stay aware of potential scams, understand how to avoid and report them, and create opportunities to educate our residents and staff.

Alarming Statistics

The numbers paint a distressing picture. According to a report by the Federal Trade Commission (FTC), scams targeting older adults are more likely to happen than scams targeting those who are younger. Here are some alarming statistics:

• Victim Age: Those 60 and older reported losing nearly $440 million to scams in 2019, a 20% increase from the previous year.
• Amount per Person: The median loss for people 80 and older was $1,600, twice as much as for those aged 50 to 59.

These statistics reveal a pressing issue. But to combat the problem, we must first understand the scams themselves.

Common Scams Targeting Older Adults 

• Phishing Emails & Calls: Scammers pose as reputable organizations, such as banks or the IRS, to extract personal information. They might claim there’s an urgent problem that needs to be addressed.
• Tech Support Scams: Senior citizens receive calls from “tech support” claiming their computer is infected with a virus. The scammer offers to fix the problem but instead takes control of the computer and extracts personal information.
• Lottery & Prize Scams: Seniors receive fake notifications stating they’ve won a prize or lottery but must first pay a fee or provide bank details.
• Medicare/Health Scams: Perpetrators may pose as Medicare representatives to get older individuals to provide personal details.
• Grandparent Scams: A scammer calls a senior citizen, pretending to be a grandchild in distress, asking for money to be sent urgently.

Recognizing and Avoiding Scams Targeting Senior Citizens 

Educate your residents on how to avoid becoming a victim to scammers by teaching them to recognize potential scams. Print out this list and give it to your residents as a reference. 

• Verify Before You Trust: Don’t take unsolicited calls or emails at face value. If you receive a message from a bank or other institution, call them back using a number from their official website or your bank statement.
• Guard Your Personal Information: Never share personal or financial information unless you’re certain about the identity of the person or entity requesting it.
• Be Skeptical: If something sounds too good to be true, it likely is. And always be wary if there’s pressure to make an immediate decision.
• Educate Yourself: Stay updated on the latest scams. Websites like the FTC regularly post about prevalent scams.
• Secure Your Computer: Ensure you have the latest security updates and employ strong, unique passwords.
• Talk to Someone: Before making any big decisions or if you’re unsure about a call or email, talk to a trusted family member or friend.

What to Do if a Resident Becomes a Victim of a Scam

It’s vital to act quickly if one of your residents believes they have fallen victim to a scam. 

• Report the Fraud: Contact local law enforcement and file a complaint with the FTC at www.ftc.gov/complaint or by calling 1-877-FTC-HELP.
• Monitor Financial Accounts: If your resident has shared banking or credit card information, have them keep a close eye on financial accounts and report any suspicious activity.
• Credit Freeze: The resident should consider freezing their credit to prevent the scammer from opening new accounts in their name.
• Share Their Experience: By speaking out, older adults who are the victims of scams might prevent someone else from becoming a victim.

Conclusion

In this digital age, scams are evolving and becoming more sophisticated. But with awareness and precaution, older adults can protect themselves. Remember, it’s always better to be safe than sorry. Teach your residents that it is always better to be safe than sorry. They should always double-check, verify, and, most importantly, trust their instincts. If something does not feel right, it probably isn’t.

Encourage them to seek help or advice from your staff members if they are unsure of something. Your residents are counting on your team members to ensure their safety and security in a world that can sometimes be dangerous. Download this free resource to train your employees about protecting residents against scams.

As the holiday season approaches, nursing home administrators are presented with a unique set of challenges. This season brings joy, hope, and cherished memories for many. However, for the elderly residents of nursing homes, it may also bring feelings of loneliness, stress, and sadness. To ensure that the holidays are a time of happiness and comfort for all residents, it’s crucial to prioritize mental health and address common challenges head-on.

1. Combatting Loneliness

Loneliness can intensify during the holidays, especially for those without close family or friends. Studies have indicated up to 60% of nursing home residents don’t have any visitors, so the challenge to provide meaningful connections often falls on staff. Here are some ways administrators and other team members can help:

• Host Events: Organize regular social events throughout the holiday season. These could be daily coffee mornings, craft sessions, or sing-alongs. It’s all about getting residents involved and providing opportunities for interaction. Many youth organizations (such as schools, daycare centers, and scouting groups) look for service opportunities during the holidays, so inviting them to sing or visit with residents can be mutually beneficial. Consider also hosting a family event that is not holiday-specific but provides a meaningful opportunity for interaction. For example, a scrapbooking night could offer family members of all ages a chance to bring in a picture, recipe, or letter and work with their loved one to make a frameable scrapbook page. A one-page activity can be completed in about an hour and offers time for connection, conversation, coffee, and a great souvenir for the resident or the family member(s).
• Connect Digitally: Set up video calls for residents with family who can’t visit in person. Encourage families to send digital photo albums or videos to be shared with their loved ones. If these options are a bit daunting, try connecting with a local high school or college and inviting students to come in and volunteer to assist with the technical piece. This is almost second nature to the youth of today and so meaningful to our seniors. Another fun idea is to create or purchase a small stuffed animal representing your community or city and give it to staff members traveling during the winter. They can take pictures with the stuffed animal and post them to the community’s social media platforms, which can then be shared with residents. Family members can be encouraged to do something similar so the community as a whole can feel like a big family celebrating each other’s travels.
• Buddy System: Introduce a buddy system where residents can pair up to share experiences, stories, and perhaps even gifts. This ensures that no one feels left out or isolated. Buddies can be connected based on similar backgrounds, compatible interests, or even room locations within the building. Staff members can be encouraged to serve as Secret Santas (or any name that works within your organization) to ensure all residents receive cards and small gifts throughout the season, especially residents whose religion supports such traditions but whose family is unavailable to assist.

2. Cultural Sensitivity

Another challenge senior communities face during the holidays is the potential for some residents to feel left out of holiday celebrations. To create an inclusive environment, consider:

• Diverse Celebrations: Not every resident celebrates Christmas. Recognize and celebrate various holidays like Hanukkah, Kwanzaa, Diwali, etc. Organize events that educate and celebrate these diverse traditions. Often, libraries or local colleges allow a representative to come in and share information about specific holidays. Local organizations representing people of different faiths may appreciate an invitation to provide education about their celebrations. Similarly, it is important to offer a place for alternate activities during holiday celebrations for those residents who don’t subscribe to a particular religion or who do not want to be included in holiday events. Identifying residents’ faith and preferences is key to ensuring diversity in holiday celebrations.
• Cultural Training: Train your staff about different cultures, religions, and traditions so they can be sensitive to the needs and beliefs of every resident. This can be done during staff meetings, through newsletters, and even through bulletin boards recognizing various holidays. Help staff members understand language and terminology preferences that may help every resident feel included and comfortable with the seasonal festivities.
• Feedback: Ask residents and their families about their traditions and how they would like them honored. Their input can provide valuable insights and foster inclusivity. We recommend including a survey as part of the admission process so this information can be included year-round in programming. Still, genuine conversations can also be important ways to learn about resident preferences. Keep the focus on including all residents, respecting cultural and religious diversity, and developing authentic connections with all those (residents and staff) within your community.

3. Managing Stress

The holiday season can be overwhelming. It’s vital to recognize signs of stress and provide support. Some ways of doing this include:

• Quiet Spaces: Set aside rooms where residents can relax and unwind. Soft music, dim lighting, and comfortable chairs can make a big difference.
• Mindfulness & Meditation: Introduce guided meditation sessions or gentle yoga classes to help residents manage stress and anxiety.
• Counseling: Offer counseling services or group therapy sessions for residents struggling with holiday-related stress or memories.

4. Innovative Solutions to Resident Challenges

The holidays can underscore certain limitations for residents, such as lack of transportation, limited finances, or health issues. Here’s how to address them:

• Virtual Shopping: With many unable to go shopping, set up virtual shopping experiences. Staff can assist residents in buying gifts online, ensuring they don’t miss out on gift-giving.
• Gift Banks: For those with limited finances, create a “gift bank.” Solicit donations or organize fundraisers throughout the year so every resident can gift something during the holidays.
• Transport Solutions: For those who can leave the facility, collaborate with local transport services or volunteers to provide transportation to religious services, shopping centers, or community events.
• Local Partnerships: Partner with local businesses for discounts or special deals for your residents. This could be for gifts, festive foods, or services.
• Holiday Fair: Invite local vendors to come into your community and sell their goods at reasonable prices. This can be a helpful service for residents and staff while providing another opportunity for family involvement and community festivity (the fair can easily be part of a larger community festival offering winter treats, entertainment, and crafts for kids, along with the gift sale).

Conclusion

The holiday season, filled with the potential for joy and connection, can also bring about challenges for nursing home residents. As administrators, our role extends beyond day-to-day care; it’s about creating an environment where residents feel seen, valued, and cherished. With careful planning, cultural sensitivity, and innovative solutions, we can ensure that the holiday season is a time of happiness and warmth for all our residents. By prioritizing their mental well-being and addressing the unique challenges they face, we not only uplift their spirits but also enrich the overall atmosphere of our facilities. Remember, the best gift we can give our residents is the gift of belonging, love, and understanding. Let’s make this holiday season one to remember for everyone under our care.

As the leaves turn vibrant shades of red and gold and the air becomes crisper, fall brings unique beauty and challenges, especially for those working in the assisted living, nursing home, or senior living community sector. In the hustle and bustle of caring for residents during this busy season, it’s easy to forget about nurturing your own personal time and well-being. However, safeguarding your time is crucial to providing the best care possible for your residents. In this blog post, we’ll explore some strategies to help you protect your time and strike a healthy work-life balance during the fall season.

1. Prioritize Self-Care

Fall is a time for change, but it should not mean neglecting self-care. Make sure to carve out time for yourself, even if it’s just a few minutes a day. Whether enjoying a warm cup of tea, taking a short walk amidst the fall foliage, or practicing relaxation techniques, self-care can recharge your batteries and help you stay focused and resilient. Consider setting aside regular “self-care hours” in your week to ensure you’re consistently attending to your well-being.

2. Create a Well-Defined Schedule

To protect your personal time, establish a well-defined work schedule. Set clear boundaries for your work hours and stick to them as closely as possible. When you have a structured schedule, planning personal activities and ensuring you have time for yourself, and your loved ones becomes easier. Be strict about adhering to these boundaries, just as you would with the care routines of your residents.

3. Delegate and Collaborate

You don’t have to do it all alone. Collaborate with your colleagues and delegate tasks when possible. Teamwork lightens your workload and fosters a supportive work environment where everyone’s well-being is valued. By sharing responsibilities, you can free up some time for yourself, allowing you to maintain a healthier work-life balance.

4. Use Technology Wisely

Leverage technology to your advantage. Use scheduling apps to help manage your time efficiently, set reminders for breaks, and prioritize tasks. Embrace telehealth options if available, as they can save time and reduce stress. Technology can be a powerful tool in maintaining a better work-life balance, and staying organized electronically can help you focus on what truly matters.

5. Plan Fall-Focused Activities

Embrace the beauty of fall by incorporating season-appropriate activities into your work routine. Organize group outings to enjoy the crisp air and colorful foliage, decorate common areas with fall-themed decor, or host fall-themed events that bring residents and staff joy. These activities can make work more enjoyable and fulfilling, fostering community and togetherness.

6. Engage in Regular Reflection

Take some time to reflect on your work-life balance and personal well-being. Are you consistently overextending yourself? What can you do to improve your personal time management? Reflecting on these questions can help you make meaningful changes and identify areas where you can regain control over your time. Regularly reassess your priorities to ensure you’re dedicating ample time to self-care and relaxation.

7. Seek Support

Feel free to seek support from supervisors or HR if you find it challenging to protect your personal time. They may have resources or solutions to help you maintain a healthier work-life balance. Additionally, consider joining support groups or communities for healthcare professionals to share experiences and coping strategies. Connecting with others who understand the unique challenges of your profession can provide valuable insights and emotional support.

Conclusion

Fall is a beautiful season that brings its own set of challenges, especially for those working in assisted living, nursing homes, or senior living communities. However, by prioritizing self-care, establishing boundaries, collaborating with colleagues, utilizing technology wisely, planning fall focused activities, engaging in regular reflection, and seeking support when needed, you can safeguard your time and well-being verses getting burnt-out.

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Remember that taking care of yourself ultimately enables you to provide the best care for your residents. So, embrace the season, nurture your personal time, and find balance amid the fall busyness. In doing so, you can continue to provide exceptional care and support to those who rely on you, all while maintaining a fulfilling work-life balance that sustains you throughout the year.

Pain is an unwelcome companion for many older adults. Whether it’s a nagging ache in the back or a sharp pain in the joints, pain can significantly impede the quality of life for seniors. Understanding its causes, preventive measures, and available treatments is essential for improved well-being.

In this blog post, we will discuss the primary causes of pain, how to prevent it, and treatments for it. We will also explore methods for nursing home staff to enhance their ability to recognize and effectively address pain among their residents. Continue reading to learn more.

By the Numbers

• The National Institute on Aging states that more than 50% of adults 65 years and older report having been bothered by pain that lasted more than 24 hours.
• According to the Centers for Disease Control and Prevention (CDC), about 15% of older adults use prescription medication for pain relief.
• A study published in the Journal of the American Geriatrics Society found that 25% of people aged 65-74, and 21% of people over 75, had pain that persisted for more than 24 hours.

Understanding Pain in Older Adults

Primary Causes

• Osteoarthritis: This is one of the most common causes of pain in older adults. As the protective cartilage at the ends of bones wears away, individuals experience pain, tenderness, and stiffness in the affected joints.
• Osteoporosis: Characterized by weak and brittle bones, this condition can lead to painful fractures with minimal trauma.
• Neuropathic Pain: Conditions like diabetic neuropathy or post-herpetic neuralgia after shingles can cause nerve pain.
• Chronic Illnesses: Diseases such as cancer, cardiovascular diseases, or chronic respiratory diseases can contribute to pain.
• Post-Surgical Pain: After surgeries, older adults might experience persistent pain, either due to the procedure itself or complications.

Prevention

• Regular Exercise: Physical activity helps strengthen muscles, improve flexibility, and promote better bone density. Low-impact exercises like walking, swimming, or tai chi can be particularly beneficial.
• Diet: A balanced diet rich in calcium and vitamin D can aid in bone health. Omega-3 fatty acids, found in fish, have anti-inflammatory properties that can help reduce pain.
• Avoid Smoking and Limit Alcohol: Both can contribute to bone loss, increasing the risk of osteoporosis.
• Safe Environment: Falls are a common cause of fractures in older adults. Keeping the home environment free of hazards can prevent such incidents.

Treatments

Medical Treatments

• Medication: Over-the-counter pain relievers like acetaminophen or NSAIDs can be effective. For chronic or severe pain, doctors might prescribe opioids, but with caution due to addiction risks.
• Physical Therapy: Guided exercises can help improve joint flexibility, reduce pain, and increase strength.
• Surgery: In cases where pain is due to a specific structural problem, such as joint degeneration in osteoarthritis, surgery might be an option.

Holistic Treatments

• Acupuncture: This ancient Chinese practice involves inserting fine needles into specific points in the body, believed to rebalance the body’s energy and relieve pain.
• Massage: Therapeutic massage can help alleviate muscle tension, reduce stress, and improve circulation, aiding pain relief.
• Mindfulness and Meditation: Techniques such as progressive muscle relaxation, guided imagery, and deep breathing exercises can help divert attention from pain and reduce its perceived intensity.
• Chiropractic Care: Adjustments and manipulations by chiropractors can help align the body, potentially relieving pain, especially in the spine.
• Herbal Remedies: Some herbs, like turmeric or ginger, have anti-inflammatory properties and can be taken as supplements or used in foods.

Pain and Senior Living Staff

Staff Education Regarding Pain

Understanding and managing pain in nursing home residents is crucial for their well-being and quality of life. Staff education can play a vital role in ensuring pain is effectively identified and addressed. Here are four educational activities that can help nursing home staff understand pain in their residents:

• Role-playing and Simulation:

1. • Objective: Understand the non-verbal cues and behaviors indicative of pain in non-communicative residents.
   • Activity Details: Create scenarios where staff take on the role of residents displaying various signs of pain, such as facial expressions, vocalizations, body language, and changes in behavior. The other staff members observe and identify signs of pain. Switch roles and repeat. This can also be extended to role-play scenarios that involve communication strategies to validate and address the resident’s pain.

• Interactive Workshops on Pain Assessment Tools:

1. • Objective: Familiarize staff with validated pain assessment tools and their application.
   • Activity Details: Organize workshops to introduce and practice using standardized pain assessment tools like the PAINAD (Pain Assessment in Advanced Dementia) or the Abbey Pain Scale. Use real-life examples or videos to illustrate various pain intensities and behaviors. Provide staff with feedback on their assessments to ensure consistency and accuracy in evaluating resident pain.

• Pain Experience Day:

1. • Objective: Develop empathy by simulating common sources of pain in the elderly.
   • Activity Details: Staff participate in a series of stations where they experience various limitations and discomforts that are common in the elderly. For example:

1. • • Wearing gloves to simulate reduced tactile sensitivity or arthritis.
     • Wearing earplugs or headphones with muffled sounds to experience hearing difficulties.
     • Walking with weights or restrictive devices to simulate mobility challenges or joint pain. By personally experiencing these discomforts, staff may develop a deeper understanding of and empathy for the daily challenges faced by many nursing home residents.

• Case Studies and Group Discussions:

1. • Objective: Enhance critical thinking skills in pain assessment and management.
   • Activity Details: Present real-life or hypothetical case studies that depict residents with varying pain presentations and complexities. Divide staff into groups and ask them to discuss the potential sources of pain, assessment methods, and interventions that might be appropriate. After the group discussions, facilitate a larger group discussion to share insights, consider different perspectives, and ensure comprehensive understanding.

Incorporating these educational activities can provide nursing home staff with the knowledge and skills to better identify and manage pain in their residents, ultimately improving the quality of care provided. Regular refreshers and updates on best practices in pain management can further enhance staff proficiency.

Conclusion

Pain in older adults is a multifaceted issue. Its causes are numerous, ranging from degenerative conditions like osteoarthritis to complications from chronic diseases. Prevention, through lifestyle choices like diet and exercise, plays a crucial role. But when pain does arise, a combination of medical and holistic approaches can offer relief.

Understanding pain in this demographic is not just about recognizing its physical manifestations. It’s also about understanding its emotional and psychological toll. By creating awareness and promoting holistic care, we can ensure that our older generation enjoys a higher quality of life, with minimal pain and discomfort. And by educating our teams in creative ways, we can help support our residents to the greatest extent possible.

In this post, we’ll dive into some remarkable alternatives to traditional pet therapy for seniors, highlighting the diverse range of creatures that can bring smiles and comfort. Continue reading below. 

As we age, maintaining our emotional well-being becomes increasingly important. It’s not uncommon for older adults to experience feelings of loneliness and isolation. This is especially true for senior citizens who reside in nursing homes or assisted living facilities. For these seniors, the sense of companionship and joy that animals bring can profoundly impact their overall quality of life. While traditional therapy animals like dogs and cats have proven benefits, a world of unique and unconventional animals can offer equally enriching experiences.

1. Feathered Friends: Parrots and Canaries

Birds have long been celebrated for their captivating beauty and melodic songs. Parrots can forge meaningful connections with seniors with their vibrant plumage and ability to mimic speech. The charming chittering of canaries can provide a soothing backdrop to everyday life, and their low-maintenance care requirements make them ideal companions for care facilities. The rhythmic cadence of their songs can have a calming effect, reducing stress and anxiety among residents.

2. Aquatic Companions: Fish and Aquatic Creatures

Watching fish glide through water can mesmerize, promoting relaxation and tranquility. An aquarium filled with colorful fish or even aquatic plants can create a serene atmosphere, providing seniors with a soothing visual experience. More exotic options, like turtles or small amphibians, can also offer tactile engagement. Studies have shown that simply observing fish can lower blood pressure and improve mood, making them an ideal addition to senior care facilities.

3. Furry and Unique: Guinea Pigs and Rabbits

Smaller than dogs and cats, guinea pigs and rabbits are gentle creatures that can easily fit into the lives of seniors. Their soft fur and friendly dispositions make them wonderful companions for cuddling and interacting. Seniors can enjoy feeding, grooming, and spending time with these adorable creatures. Caring for guinea pigs and rabbits can provide a sense of purpose and routine, boosting the emotional well-being of seniors.

4. Tranquil Delights: Therapy Chickens

Believe it or not, chickens are emerging as unexpected therapy animals. Their gentle clucking and rhythmic pecking can be soothing, and caring for them imparts a sense of responsibility and routine. Some facilities have introduced therapy chicken coops, allowing seniors to experience the joy of nurturing and connecting with these feathered friends. The tactile engagement in collecting eggs and tending to the chickens can provide a unique and rewarding experience.

5. Miniature Wonders: Therapy Mini Horses

While dogs are known for their loyalty, miniature horses are gaining popularity as emotional support animals. These pint-sized equines can be a heartwarming presence in care facilities. Their friendly nature and manageable size make them well-suited for seniors, and interactions with them can promote physical activity through grooming and light walking. The tactile and emotional bond that forms between seniors and miniature horses can have a significant positive impact on mental health.

6. Cuddly Charm: Therapy Bunnies

Bunnies are soft, gentle, and undeniably cute. Their quiet demeanor and the opportunity to stroke their velvety fur can provide immense comfort to seniors. Additionally, bunnies can be trained to perform simple tricks, adding an element of engagement and fun. The soft texture of bunny fur and the rhythmic sound of their breathing can provide a sensory experience that calms and uplifts seniors.

7. Reptile Companions: Geckos and Snakes

Geckos and snakes can offer a unique and educational experience for seniors fascinated with exotic animals. These animals, when handled safely, can challenge stereotypes, and ignite conversations. Their low-maintenance care can be appealing to seniors who want a pet with less demanding needs. The opportunity to learn about these creatures’ habitats, behaviors, and unique qualities can create a sense of wonder and intellectual stimulation.

Conclusion 

Incorporating unique forms of pet therapy into nursing homes or assisted living facilities can revolutionize how seniors experience companionship and emotional support. The bond between humans and animals transcends traditional boundaries, allowing for connections that are both heartwarming and mutually beneficial. As we continue to explore alternative forms of pet therapy, it’s clear that the animal kingdom has much to offer, providing new avenues for seniors to find joy, purpose, and a renewed sense of connection to the world around them. Whether it’s the soothing songs of birds, the gentle presence of miniature horses, or the captivating beauty of fish, these unconventional therapy animals have the power to brighten the lives of seniors in the most delightful ways.

To read about music therapy, another unique offering for senior citizens, click here.

Workplace design can positively affect employee morale throughout an organization. Read on to find out how nursing homes and assisted living facilities can benefit by making changes to the way their employee-only areas are designed. 

Nursing Home Staffing Shortage

It’s no secret that the Senior Living Industry is facing a staffing shortage. A new survey released by the American Health Care Association and the National Center for Assisted Living (AHCA/NCAL) shows that nursing homes in the U.S. continue to struggle with staffing shortages and higher operating costs. Most facilities are requiring staff to take on more responsibilities and work longer hours. Several factors have contributed to the shortage of workers including workload, low wages, environment, reduced occupancy rates and Covid-19 vaccine requirements. The staffing crisis has facilities scrambling to adjust their culture and benefits to help better recruit and retain employees.

Easing Workplace Burdens on Employees

Nursing home administrators are thinking outside of the box and looking for ways to ease the burden on their employees. Some facilities have started offering a wider range of benefits including more flexible work schedules, counseling or support groups for their employees, subsidized housing, childcare, and even free meal and grocery services. Support positions are being created in some nursing homes to help ease the burden on CNAs, allowing someone else to do the nonclinical duties like making beds, delivering trays, and answering phones.

Facilities are looking at the physicality of the work that their employees are doing and taking steps to lighten the workload by installing ceiling lifts to help prevent staff injuries and streamlining processes to help free up time. Other senior living facilities are looking into ways to make the workplace environment more enjoyable for staff.  The focus has previously been centered on the comfort and wellness of the residents, but steps now are being taken to ensure that facilities offer a positive environment for both residents and staff.

Workplace Design & Employee Satisfaction

The Guide to Improving Nursing Home Employee Satisfaction created by the Centers for Medicare & Medicaid Services (CMS) makes several recommendations in regard to designing a positive work environment.  These suggestions include things like “create a home-like environment that is relaxing and pleasant to work in,” and “consider creating a hospitality committee or decor committee composed of staff of all levels and residents.”  The report suggests upgrading the employee-only areas and creating “an area of peace and quiet to help reduce staff stress levels.”

To understand more about how workplace design can positively influence employees we spoke with Design Manager, Alex Brewer from LOTH in Cincinnati, Ohio. She said, “the staff needs to feel supported to do their work, feel like they have a comfortable space to take a break, and want to come to work each day. This could look like a well-designed break room, an outdoor area where they can eat lunch or take a break, or even something fun like a massage chair since they are on their feet all day.”

Good Design – More Than Aesthetics 

Supporting the front-line means creating a healthy work environment – mentally and physically.  Team members need a space to recharge when they have a break and the design of employee workspaces in a senior living facility can make an impact on employee happiness. Alex explained how good workplace design in nursing homes is about more than aesthetics, it can impact employee morale, productivity and it shows the employees that the company is willing to invest in them which can be huge for employee retention and attracting Gen Z workers.

When it comes to promoting well-being for both residents and staff, Alex suggested adding biophilic design elements like access to natural sunlight and living things (greenery/plants) going on to say how biophilia “has been proven to help people heal, improve mood, and live longer.”

Studies have shown that people working in a space with biophilic design elements have a reduced level of stress and are more productive as well. Incorporating biophilic design elements into your facility can not only benefit staff and residents but can create environmentally friendly spaces that conserve water and energy and can help reduce the impact of our carbon footprint.

Conclusion – Workplace Environments are Important

The senior living facility staffing shortage has administrators re-evaluating their culture and benefits to help better recruit and retain employees.  Nursing homes can better attract and keep employees by focusing on creating a functional and desirable work environment and by looking for ways to support the comfort and wellness of both the residents and the staff. Good workplace design in nursing homes is about more than aesthetics, it can impact employee morale, productivity and it shows the employees and potential employees that the company is willing to invest in them.

LOTH has been inspiring spaces for over 130 years. They have grown to become the trusted partner for integrating creative spaces for corporate, education, and healthcare markets in the Cincinnati and Columbus regions. If you are interested in more information on workplace design or want to speak to a Design Professional at LOTH, please email info@lothinc.com. 

Nina Weierman is a 20-year veteran of the hospitality industry, freelance writer and mother. She also writes about running, parenting and travel. Read the other blog posts she has written for us here.