I recently reviewed the proposed CMS regulations and what struck me right away is that while the proposed changes were created to “reflect the substantial advances that have been made over the past several years in the theory and practice of service delivery and safety,” one thing hasn’t changed a bit.
Everyone remembers the world changing event that happened 10 years ago. Hurricane Katrina came ashore in Hancock County, Mississippi during the darkness of the early morning on Monday, August 29, 2005, along with unbelievable devastation and destruction.
The conversation about rethinking medication use is getting more interesting. While important strides are being made to reduce antipsychotic use, the issue is actually only one piece in a puzzle that has even larger impact.
Last week, I met a woman and her dog walking along a nature trail. As dog lovers do, we started to talk. She said she and her dog walk the two-mile nature trail daily. Recently, she had tried to adopt a second senior dog, to keep her 8-year-old dog company.
Love, Love, Love is what it is all about in this small town Canadian home. Each and every person in this home is a part of a community that embraces deep long lasting relationships and activities that are meaningful to each individual.
As an academic partner of the Arizona Health Sciences Center and the Arizona Center on Aging, St. Luke’s Home provides an innovative Assisted Living setting, providing Elder-directed wellness and health promotion opportunities for students.
In 2014, the Oklahoma State Department of Health (OSDH) awarded The Eden Alternative grant dollars to support Oklahoma’s reduction of antipsychotic drug use through the delivery of Dementia Beyond Drugs training.
Is story telling a thing of the past? As a child, I recall times when our family would gather together and celebrate. In the evenings, the elders of my family would share stories of the “old days”. Adults were sitting in chairs, sofas, and rockers and the children were sitting on the floor at their feet. Sometimes we would laugh, and sometimes we would cry.
Here is a fun and inspirational piece produced by Signature Healthcare. In an effort to strengthen the organization they took their 150 Corporate “Home Office” team and had them become certified as CNAs. They then took the group out to
I have decided to coin a new philosophy around the support of people who live with changing cognitive abilities. I’ll publish my first draft right here, but it’s really not an entirely new invention—merely my own synthesis of many threads of thought.
Change can be very tricky to affect. So many road blocks exist in the world of of eldercare; from institutional norms, to policies and regulations, to the existing culture of a home, to simple human inertia (an object at rest tends to stay at rest).
When visitors come to visit this vibrant home they often comment of how warm it feels when they walk through the doors. They notice the friendly faces of the care partner’s employees that greet them and the Elders that are happy and end engaged.
We came across this quote recently from Dwight D. Eisenhower. Accomplishment will prove to be a journey, not a destination. It is often good to take some time and remind ourselves that success may never have an endpoint. Though the
This post initially ran on ChangingAging.org on July 8, 2015. The most powerful voices and communications channels within American culture are primed to deliver a small number of messages about aging and youth. They go like this… Aging equals Decline
Harrodsburg Health and Rehabilitation Center in Harrodsburg, KY, joined the Eden Alternative Registry on June 25, 2015. They are nestled in the charming little town of Harrodsburg where many of the 86 Elders that live there grew up and raised
Tucked away in the quiet community of Calvert City, they are home to 56 Elders, some of which come in for a short time to receive rehabilitation services. Many visitors often comment as they walk in the door that it “feels” very different here. What they are experiencing is Elders, care partner employees and family members creating home by spending quality time together and enjoying life.
Call it a hot bed of innovation and entrepreneurial spirit; Upstate New York senior care providers are establishing new standards and models of care well ahead of many other communities. Care providers are ensuring all New Yorkers a very bright future as the industry comes to terms with an antiquated system of institutional care.
Last week, I had the opportunity to fire off two critical emails. The first was a rather pointed response to an article in the Australia Financial News. Thanks to my Australian friend Mick Carmody, I was able to see a copy and to help ensure that it would get out to the world.
The Bridge at Monteagle in Monteagle, TN joined the Eden Alternative on May 28, 2015. Home to 142 Elders, The care partner employees at The Bridge at Monteagle prides themselves on providing home and care tailored to each unique
There is a transformative power to language, to the words we choose, to the verbal expression of our thoughts and ideas. Word choices make such a deep impact on both the speaker and the listener. I see this every day. I bet you do too.
Bracken County Nursing & Rehabilitation Center in Augusta, KY joined the Eden Alternative Registry on May 27, 2014. Located on 50 acres just 45 miles outside of greater Cincinnati in the rural community of Chatham, Kentucky, they are home to
Why are DIY shows on HGTV and the Discovery Channel so popular? Who doesn’t want to invite the Property Brothers to come help them find a fixer upper? How many of you have sought out YouTube how-to videos to tackle a challenge in your life? People are attracted to these shows, and videos, because they want great value for their investment of time and money.
While attending Alzheimer’s Disease International in Perth, Australia last April, I was invited by Executive Director Marc Wortmann to attend a meeting to share opinions about what our top priorities should be regarding Alzheimer’s.
‘It’s About Time!’ can be interpreted in different ways: first, picture someone standing with their arms folded across their chest. It may be an authority figure, admonishing someone who is late….’It’s About Time!’ It could be the world admonishing us for taking so long to change the culture of eldercare.
Many of you reading this have likely realized some time ago that you are an Elder. Silly as it sounds, this just occurred to me recently. In all of my teaching and advocating I continued to think of Elders as those I must serve and protect, those who may lack a voice to speak out against the three plagues of loneliness, helplessness and boredom.
There was a time not too long ago when, if you stopped a stranger on the street to ask for the time, that person might reach into a pocket or purse, pull out a smart phone, and give you the answer. Unless he or she was wearing an old-fashioned wristwatch. In that case, it required only a glance at the wrist to come up with the answer.
Driving through the hills of Tennessee, there were times when I was headed uphill and could not see the other side, having to trust that there was still a road as I drove blindly forward. I sometimes found, on the other side of that hill, that there was a quick curve that had to be maneuvered, or another hill to climb, but I kept moving forward.
The thing that continues to amaze me is that time and again I hear the refrain “I’m really not much of a writer.” I will hear this after just having read an amazing draft and it often reminds me of the Marianne Williamson quote “Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure.”
Perhaps you saw the New York Times article this month In Race for Medicare Dollars, Nursing Homes May Lag. If you haven’t I would recommend taking the time to read it. The article touches on many distinct issues including how
Hank Hartsell is the Deputy Commissioner of Protective Health Services for the Oklahoma State Department of Health (OSDH). OSDH has granted funds to help representatives of Oklahoma nursing homes learn more about reducing antipsychotics for those who live with
The time has come… the moment for change is now! Believe it or not, it’s been 28 years since OBRA ’87 introduced new regulatory language with the intent of making person-centered care the law of the land.
Find your motivation Monday with 50 quotes on leadership from Entrepreneur.com. 1. “A leader takes people where they want to go. A great leader takes people where they don’t necessarily want to go, but ought to be.” – Rosalynn
Harriman Care and Rehabilitation in Harriman, TN joined the Eden Registry on March 26, 2015. When you pull up in the driveway you will get that overwhelming feeling that you have arrived home.
This short documentary by Dick Weinman, The Thin Edge of Dignity, offers us another look at the institutional model of care from the perspective of an observant Elder. This video delves into the struggle to maintain identity and dignity in a world that has given up on those ideals.
Have you been more aware in your later years of the value of those deep and personal relationships with friends, family members, and fellow congregants? I find more and more value in these connections, in volunteering, in social activism than I have in the past. I desperately want others to share my journey, and I want to share theirs.
Hannah O’Hara Thomas passed away today. She lived 17-and-a-half years longer than anyone predicted. While it is so painful, tragic, and downright unfair that she left us after only 18 years, I believe that in that time she lived more
Most people are familiar with Einstein’s equation of insanity with “doing the same thing over and over again and expecting different results.”
That quote is actually my second favorite of Einstein’s invocations of “insanity.” My favorite goes like this: “For an idea that does not first seem insane, there is no hope.” It has been my experience that these two ideas form the bookends of every successful innovation.
“In the darkest of times, you can always find incredible oases of connection, of care and of love,” said Still Alice director Wash Westmorelandto an intimate gathering of some of Hollywood’s most inspiring artists and creative leaders at Soho House in West Hollywood last Monday.
Central Haven is home to 60 Elders and have sub-divided into two neighborhoods where relationships are consistent and strong. The home is located on a cul-de-sac in a neighborhood. There is a very welcoming feel when you come to visit. That is because relationships, family, love and kindness are central to the way the care partners support the Elders daily lives.
How does your organization engage family members? So often our energy, enthusiasm, and focus are drawn towards creating caring partnerships between Elders and employees. I am not saying that the bulk of our efforts shouldn’t be devoted to that end, but what about the families? We know, however, that we need to build warm, compassionate teams that engage ALL care partners in the process of culture change.
USA Today reports that about 61% of all nursing homes got lower quality-of-care scores as a result of the new CMS 5-Star changes. About 28% of nursing homes dropped one star in their overall ratings, including more than 1,200 that lost coveted five-star status. The biggest changes are the usage rate of antipsychotics is now a factor in the rating along with more difficult quality and staffing level measures.
Jerry Seinfeld, a man that most of us associate with humor, was recently quoted as saying “Movement is life”. That gave me pause because it might imply that those who are largely stationary; those whose movements have become smaller and
Tucked away in the cozy country town of Pigeon Forge, they are home to 85 Elders that live in four neighborhoods. The views here are breathtaking as they are located at the foot of the gateway to the magnificent Great Smoky Mountain National Park and are just around the corner from the famous Dollywood theme park.
We don’t receive a lot of guest post submissions from elders on this blog, not nearly as many as we would like. However, this first hand account of the “AmericanGeriatricLand” by Elder Emily Hodges is the must read article of the week.
There has always been a disconnect between maladies of the mind and of the body. A broken leg is obvious, debilitating, and has a pretty straightforward cure. Emotional trauma is not so apparent, but it is debilitating, and it too can have a cure. In his talk Dr. Guy Winch exclaims that when referring to problems like depression people hear phrases like “it’s all in your head, shake it off” but you would never say to someone with a broken leg “it’s all in your leg, walk it off.”
Human instinct is to look for a tech solution to most of our problems. Traveling to slow? Let’s build a car. Want to see pictures of cats? Let’s build the internet. Although, when it comes to aging technological innovation can
Located in downtown Roswell, GA, the 20 acre campus feels like an oasis with streams, wandering walking paths and a gorgeous lake. The employee care partners are committed to transforming the meaning of aging in community regardless of the assistance an individual needs. All care partners (Elders, employees and families) come together to make sure that deep meaningful relationships are cultivated and nurtured.
I know that when I went through my Certified Eden Associate Training, Principle 2 stood out among all the rest. I grew up in nursing homes, and I could relate so well to the joy children brought into a home. A real human habitat.
Living in this community encourages the cultivation of long lasting relationships by providing meaningful and engaging activities each day. Meal time is central to the rhythm of daily life here where Elders enjoy made to order breakfasts and delicious home cooked meals.
Since 2011, three states have provided funded registration for this training to hundreds of nursing home employees through the support of CMP funds. This year, Oklahoma is stepping up to the plate by welcoming geriatrician and award-winning author Dr. Al Power to facilitate three Dementia Beyond Drugs events in May 2015.