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Essential Tips for Family Caregivers During The COVID-19 Crisis

Essential Tips for Family Caregivers During The COVID-19 Crisis

December 22, 2020

Seeing a loved one age is never easy. When that person can no longer take care of his or her own health, however, it can be downright overwhelming if you are a family caregiver. This is especially true when there is a global pandemic complicating the process even further. As long as you keep these tips from WalkWise in mind, however, you should be able to find the compassionate care your loved one needs without sacrificing his/her safety.  

Having The Right Legal Paperwork is Essential  

Having to make decisions about another person’s health and well-being can be an enormous undertaking for family caregivers. So if you want to avoid any added stress or tension for your family, the AARP explains that you should make sure you understand which legal paperwork is needed before you begin making choices for your senior loved one.  

For example, you may know that a power of attorney is necessary, but there are different types of power of attorney forms that will grant you authority over different aspects of your loved one’s care. A conventional power of attorney can be drafted to cover financial choices when an individual experiences a decline in cognitive health, while a medical power of attorney can ensure that caregivers can make decisions regarding a loved one’s healthcare. If your loved one is nearing the end of his/her life, it may also be a good idea to have them complete a living will form along with any other advance medical directives.  

Finding Ways to Pay for Care is Also Important  

Unless your loved one planned ahead to pay for their care, you may also have to deal with the added strain of coming up with ways to cover these costs. Planning ahead for long-term care needs can provide seniors and families with additional options for paying for care, including long-term care insurance.  

Even if your loved one is still relatively healthy, you should consider helping them come up with a plan for their future care. If the need for long-term care is more urgent, know there may be financial resources available that can provide your loved one with the proper care without causing you undue burden.  

For instance, if your loved one owns a home you can leverage that property to offset care expenses. FamilyAssets notes selling the home is usually the fastest and most efficient way to get the cash your family needs. Just keep in mind that you may need to take added precautions due to COVID-19. These added measures can include using online real estate tools, like 3D walkthroughs, virtual open houses and video-conference tours.  

Ensuring Compassionate Care Should Be a Priority  

Once you have the legal and financial matters sorted out, you can begin focusing on finding the right type of care for your loved one. For many caregivers, this can mean deciding between in-home care or residential options. In-home care for your senior or disabled loved ones can include non-medical home care, recovery care for injuries, home health care and respite care.  

The latter can be beneficial if you would like to provide care for your loved one on your own but may not be available 100% of the time. There are also gadgets that can ease your responsibilities, like the WalkWise smart walker attachment or a home security system. 

Hospice and palliative care may also be necessary for seniors who are affected by terminal illnesses. Residential care can include assisted living, skilled nursing homes and senior living communities.  

Of course, you will need to ask a few additional questions to ensure your loved one’s safety when transitioning during the pandemic. If you do decide that residential care is the best bet for keeping your loved one safe and healthy, also make sure you choose a compassionate and reputable facility.  

Making decisions regarding a loved one’s health and care can be challenging, especially when you are doing so during a global pandemic. Staying focused on practical steps, like completing legal paperwork, sorting out finances and choosing the right long-term care, can help you avoid any added emotional strain. Above all, choosing professionals you can trust is the most important step in keeping your loved one safe from COVID-19 while finding the right care.  

Turn to WalkWise for more information on helping seniors and their caregivers live healthy and balanced lives.  

Photo Credit: Pexels 

This blog was guest written by: Mary Shannon from seniorsmeet.org

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The Discursive Nature of Senior Social Vulnerability

The Discursive Nature of Senior Social Vulnerability

November 30, 2020

An astute colleague of mine shared the following sobering factoid with our team a couple of months ago:

Approximately 5,400 seniors in Massachusetts nursing homes died, apart from their loved ones, over a four-month period from COVID-19. That’s equivalent to a fully loaded 737-jet crashing every day for a month.

Alarming, sensational, and viscerally reactionary in its framing, the above revelation gave our team cause to pause and think. Current data exposes that 40% of all COVID related cases occurred within the confines of nursing homes. Socially, the demographic grouping of seniors put them at the epicenter of susceptibility. From a business standpoint, the firmographic segmentation brings the industry of senior living to the forefront of concern and care. Simply, this is the tip of the iceberg of a multiplicity of discussions about senior social vulnerability.

If COVID – or prevention thereof – is the diagnosis, then social isolation is inevitably the prescription. However, the taxonomic analysis of social isolation and its subsidiaries of adverse events make for a non-congruent and messy reality; senior social vulnerabilities exacerbated by COVID are discursive in nature – expansive in scope and digressing from subject to subject.

The Overwhelming Conversation of Social Vulnerability

The World Health Organization defines vulnerability as the degree in which a population, individual, or organization is unable to anticipate, cope with, resist and recover from the impacts of disasters. Therefore, to discuss the impact of COVID on already in place social vulnerabilities is synonymous with discussing types of topics all at once, yet somehow maintain a sense of focus and clarity. The following infographic displays tiers and subsets of vulnerabilities. It illustrates how a multitude of factors can complicate a conversation of COVID as it relates to those that are vulnerable in niche ways.

Where things become even trickier is the problem-solving side of the discourse; how do we as a society develop solutions for COVID prevention to as many people as fast as possible while still factoring in the specificity of all vulnerabilities the individual may be subjected to? For those of us who have had our keen eyes and ears on the news media as we watch experts and policymakers alike wrangle for answers can readily recognize that one-size-fits-all methodologies are not readily consumed (mask wearing), nor do piecemeal tactics (mandating gathering sizes) garner mass adherence.

In a word, the conversation is overwhelming. However, we cannot withstand COVID resurgence after COVID resurgence. We can also not assume a vaccine is a silver bullet to eradicate COVID to erroneously go back to ‘normal’. 

Redefining Public Health for Seniors

Let’s go back to that notion of a 737-jet crashing every day. When the unthinkable becomes a reality, shock can morph into an unsettling acceptance of reality where would’ve-could’ve-should’ve blame-worthy diatribes befall all of us, not just the experts and policymakers. Remember when our marching orders were to simply ‘flatten the curve’ and keep the spreaders at bay? The senior population – the ones most adversely affected by COVID – can look longingly at a calendar and be crestfallen with cause as they realize there were precise dates where the current COVID state of affairs could have been vastly different.

Yes, COVID is and was a tempest. Now, the journey necessitates itself to recover from potential worsening disaster. The silver lining to these dark clouds is redefining public health for seniors, and by immediate extension, public health for all.

Civic public health organizations carry the mantra to ‘prevent, promote, protect’. In a large part, many of the functions that can help seniors endure in a COVID world are already in place; telehealth, visiting nurses, PACE (programs for all-inclusive care for the elderly), remote patient monitoring, to name a few.

Public health is ‘the science and art of preventing disease, prolonging life and improving quality through organized informed choices of society, organizations, communities and individuals’, as defined by the CDC. Social vulnerabilities for seniors are nothing new. The fact that COVID has exasperated these will ultimately lead to better policy and better care from public health entities.

A Vaccine is Nigh

On October 2, the National Academy of Medicine revealed its recommendations for COVID-19 vaccine distribution. The report proposes distributing a vaccine in four phases in order of priority:

  1. Health-care workers 
  2. Emergency responders 
  3. People with underlying conditions 
  4. Older adults living in group settings

The third and fourth phase of this list should look familiar to you by now and is the raison d’être of this month’s blog. For the first time in history, the recommendations above – commissioned by the National Institutes of Health and the US Centers for Disease Control and Prevention – state that priority be given to people who score high on the CDC’s Social Vulnerability Index. The goal: to rectify the pandemic’s disproportionate burden and work toward a new commitment to promoting health equity.

Like many public goods that are availed to us, fairness is key yet not always practiced. When a vaccine does become available, it will require for the vast majority of us the opportunity to express civic responsibility; allow those that have these vulnerabilities maintain a front-of-line standing. Disparities of care can absolutely be avoided by allowing those in need access to this lifesaving remedy.

A solid argument can be made that the American COVID response could have prevented the death toll equivalent of a 737-jet crashing daily. It is given that the conversation of senior social vulnerability is both complex and overwhelming, but one that can be championed. It is abundantly clear that our very next line of COVID defense – the vaccine – ought to be administered primarily to those that need it most.

Aaron Lamb
Director of Business Development

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Technology For Seniors And The Caregivers That Love Them

Technology For Seniors And The Caregivers That Love Them

October 15, 2020

There are millions of us caring for aging loved ones. And it’s often a stressful labor of love. But, the technology available now has made it easier on us than our parents and grandparents had it when they had to do the same. If your senior has yet to jump headfirst into the digital world, it’s time to start. The following tips and technologies can help ease them into it while easing your mind.

Digital Security

Before you acclimate yourself or your senior loved one to technology, it’s crucial that everyone understand digital security. This applies particularly to seniors who will spend more time online as they learn to navigate the internet. There are plenty of digital safety articles available, and they can help you help your loved one stay guarded against cybercriminals, identity theft, and online bullying.

Activity Tracking

When you think of an activity tracker, a watch probably comes to mind. But, fortunately, this is not the only option available. Seniors who utilize a walker will benefit from a WalkWise attachment and membership. This nonintrusive device can keep you abreast of your loved one’s activities and, more importantly, can send you an immediate alert should their walker wind up in a position that may indicate a fall. This is crucial in helping you maintain a watchful eye on your loved one when you can’t be there.

There are millions of us caring for aging loved ones. And it’s often a stressful labor of love. But, the technology available now has made it easier on us than our parents and grandparents had it when they had to do the same. If your senior has yet to jump headfirst into the digital world, it’s time to start. The following tips and technologies can help ease them into it while easing your mind.

Digital Security

Before you acclimate yourself or your senior loved one to technology, it’s crucial that everyone understand digital security. This applies particularly to seniors who will spend more time online as they learn to navigate the internet. There are plenty of digital safety articles available, and they can help you help your loved one stay guarded against cybercriminals, identity theft, and online bullying.

Activity Tracking

When you think of an activity tracker, a watch probably comes to mind. But, fortunately, this is not the only option available. Seniors who utilize a walker will benefit from a WalkWise attachment and membership. This nonintrusive device can keep you abreast of your loved one’s activities and, more importantly, can send you an immediate alert should their walker wind up in a position that may indicate a fall. This is crucial in helping you maintain a watchful eye on your loved one when you can’t be there.

Per statistics cited by Griswold Home Care, seniors are seen in the emergency room every 11 seconds for falling accidents and, sadly, the disproportionate number of deaths in the elderly due to falls means that a related fatality occurs every 19 minutes.

Senior-Friendly Websites

When communication is essential with your loved one, make sure they are up to date on the latest websites that help them do just that. Facebook is one excellent example, and it’s no secret that those over age 65 are quickly taking over this social media platform. More than just social media, however, other websites, including the AARP and Pogo, are excellent places for seniors to find pertinent information as well as fun and games.

Smart Home Accessories

Smart home devices, appliances, and accessories have gotten a lot of attention throughout the last five years or so. These are things, like speakers, thermostats, and lights, that automate many processes within the home. Furthermore, a smart home hub, such as the Google Home, can help seniors make voice-activated phone calls. They can digitally drop in on friends and family, and, as a caregiver, you can check on them without having to make the drive to their home.

A smart refrigerator is a slightly larger investment than any of the above, but it’s one way that you can monitor your seniors’ nutrition without constantly asking them if they have eaten. A smart fridge can be accessed from anywhere via your mobile device. Similarly, a digital security system may be logged into remotely and will help you put eyes on your parents or grandparents. You can also monitor who is at the door using a video-enabled doorbell, and motion-activated exterior lights can keep your loved one’s doorway, driveway, and entrances well lit if they need to enter or exit the home after dusk.

While it’s still difficult to care for an aging loved one, even if you live next door, technology puts you that much closer when you can’t physically be there. Whether it’s chatting online via Facebook or simply checking to make sure they have milk and eggs, technology is a blessing bestowed upon us by the 21st century. Let it work for you, and don’t be afraid to suggest any of the above to the seniors you love.

This blog was guest written by: Mary Shannon from seniorsmeet.org

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5 Tips to Prevent Falls

5 Tips to Prevent Falls

September 25, 2020

This week is “Falls Prevention Awareness Week.” Though we believe that fall prevention must be practiced every day, this is a good opportunity for us to share our passion with all of you.

Before we dive into different fall prevention tactics, I would like to paint a picture of how detrimental they are to the senior population.

According to Daily Caring, 1 Seniors aged 65+ have a greater than 25% chance of falling. If they fall once, they then have a 50% chance of a second fall. Falls are serious for seniors as they are not always able to fully recover from the trauma. Their overall health could decline and their independence lowers significantly.

Count to 11 – 2Every 11 seconds a senior is being treated in an emergency room for a fall-related injury. 3Every 19 minutes, an older adult dies from a fall.  As we have stated in a previous blog post, if falls were a plague, we would be taking them more seriously and they would be considered a national health crisis. The number of seniors falling in the U.S. – evidenced from the statistics above – are alarming and need to be prevented.

Though we cannot completely eradicate falls, we can do our best to create a preventative plan. If we could even prevent 10% of all falls, we could save the healthcare system over $5 billion a year and keep more people safe in their homes.

Here are 5 fall prevention tips that you may want to consider for your elderly loved one.

Medication Management

It’s necessary for many seniors to take daily medication, but a combination of medications or a strong negative reaction could affect one’s balance. If your loved one is on a new medication and they seem to be slightly off balance, it does not hurt to reach out to their doctor and see if the medication may be the problem. Keep a close eye when they receive a new prescription and always read the side effect labels on the container. Make sure to keep a list of all the medications that are being taken, including over the counter and supplements. This keeps all the information easily accessible in case dizziness or loss of balance occurs.

Medication Management

It’s necessary for many seniors to take daily medication, but a combination of medications or a strong negative reaction could affect one’s balance. If your loved one is on a new medication and they seem to be slightly off balance, it does not hurt to reach out to their doctor and see if the medication may be the problem. Keep a close eye when they receive a new prescription and always read the side effect labels on the container. Make sure to keep a list of all the medications that are being taken, including over the counter and supplements. This keeps all the information easily accessible in case dizziness or loss of balance occurs.

More Walking and Exercise

 “Walking is man’s best medicine,” is a quote by Hippocrates that we have used since the founding of WalkWise. When you do not use the muscles that improve gait and balance, you lose them. There are many exercise routines for seniors that include props like chairs, walkers, and other devices to make these activities less challenging. Doing roughly 20 to 30 minutes of exercise a day can drastically improve one’s overall balance. The benefits of exercise are not solely physical, but also promote mental wellness.

Use Assistive Devices

As mentioned, once a senior has fallen, they have a 50% higher chance of falling a second time. This is an opportune time to talk about using a walker. Effective use of a walker is a proven way to prevent falls. The most important thing to remember about assistive devices is they must be utilized. They cannot help if they are sitting in the corner. Our device, the smart walker attachment, allows one to see the daily activity of the walker user. If you see big gaps in activity, make sure to have a conversation about the benefits of using the walker and how it promotes overall independence. 

Use Assistive Devices

As mentioned, once a senior has fallen, they have a 50% higher chance of falling a second time. This is an opportune time to talk about using a walker. Effective use of a walker is a proven way to prevent falls. The most important thing to remember about assistive devices is they must be utilized. They cannot help if they are sitting in the corner. Our device, the smart walker attachment, allows one to see the daily activity of the walker user. If you see big gaps in activity, make sure to have a conversation about the benefits of using the walker and how it promotes overall independence. 

Modify and Clean the Home

Rugs, extension cords, and other knick knacks could be a tripping hazard. Make sure to create clear pathways in the home. This is especially important between the bedroom and bathroom. One simple way to modify the home is to add motion-activated night lights. These lights will help guide a senior to and from the bathroom, kitchen, or bedroom at night. Install grab bars in the bathroom and consider adding a shower chair. Finally, try rearranging the most used items in the kitchen to a lower more accessible height. This allows your loved one to reach them without the need of a step stool.

Keep Family Members Informed

One of the most important fall prevention tactics is simply to keep family members informed. Sometimes primary caregivers are not always able to be around, so others may need to fill in the gaps. Create a list of all safety precautions, medications, and the assistive devices that may need to be used and make sure the list is in an easily accessible place. I recommend having it on the refrigerator and saved in a Google doc. Now, it can be referenced at any time if there are any questions.

Fall prevention must be practiced every day. All too often, when a fall prevention plan is not executed there are consequences. Regularly follow these tips to help limit the potential for serious falls that may result in hospitalization. 

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The Impacts of COVID-19 on Fall Prevention

The impacts of COVID-19 on Fall Prevention

September 16, 2020

Once again, Falls Prevention Awareness week is here— a time where we focus on the best practices to limit catastrophic injuries in order to keep seniors independent. Even in the best of times, preventing falls is a challenging undertaking. To say the least, COVID-19 has made it significantly more difficult.

The conditions that make falls so costly and deadly have almost all been exacerbated by the pandemic. First, falls have increased because older adults are trying to do things themselves that previously would have been taken care of by friends, family, or caregivers. By preventing the spread of the virus through social isolation, we have unintentionally increased the likelihood of serious injury. What’s more, social isolation has also increased fall response time, turning 20 minutes on the floor into hours. Especially when bleeding occurs, a small increase in fall response time can be a matter of life or death. Fewer visits from family, friends, and caregivers combined with a lack of social engagement outside the home means that there are fewer natural opportunities for people to be found on the floor. And of course, “being found on the floor” is the way that many (if not most) falls are detected.

Exercise programs, like Tai Chi classes or SilverSneakers, can be great ways to improve strength and balance to decrease the risk of falls and make falls that do occur less dangerous. Unfortunately, senior centers, senior living communities, and fitness centers are all finding it difficult to engage seniors with these programs virtually. They are doing the best they can, but nothing will replace in-person classes with a professional trainer. In lieu of these programs, we must find ways to encourage people to be active on their own, as simply increasing walking and overall activity will improve leg strength and balance. Fitness trackers can be helpful, especially when families are engaged and helping to encourage activity.

Proper medication management and early detection of worrying symptoms are known strategies for preventing falls, but both have been hampered by the virus. Providers cannot reach as many patients due to the added travel time that in-home visits require. Programs that are now relying on telehealth have been telling us for months that it can be a challenge to get an iPad up and running, even when a tech savvy family member is able to assist with the setup. Even when telehealth is possible, it is difficult to assess medication management, vision loss, hearing loss, or other factors that impact fall risk.

Providers and families must take this crisis as a step toward remote patient monitoring, telehealth, and medication management technologies. To provide all three, it would cost between $500 – $1,500 per person per year; a true bargain compared with the massive costs of falls, medication noncompliance, and other preventable medical costs.

The good news: many falls are preventable if we adopt the right approaches, technologies, and mindset. COVID-19 has made fall prevention more challenging, but we can face that challenge if we coordinate among healthcare providers, solutions providers, caregivers, and families. Isn’t that what Fall Prevention Awareness Week should be about?

 

Written by Peter Chamberlain, WalkWise Founder and CEO.

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The Serious Benefits of Laughter Therapy for Seniors

The Serious Benefits of Laughter Therapy for Seniors

July 24, 2020

My grandmother was an avid reader of Reader’s Digest Large Print. I was fascinated at a young age that this periodical was at least half the size of other journals; Time, Life, and Better Homes & Garden to name a few. It was comical to me that my grandmother had a pocket-size magazine with large words; why not simply make the pages big, like the others? Little did I know at the time that this particular subscription was due to her poor eyesight. However, the small size allowed this general-interest family magazine to adopt the slogan, “America in your pocket”. 

I enjoy Reader’s Digest as a direct result of observing my grandmother reading it and chuckling to herself. My parents became subscribers, and to continue the legacy, I did as well. Why? As my grandmother articulated to me when pressed, Reader’s Digest is part philosophy, part Americana, and part humor. It is the latter that interested me most. My grandmother offered the following as part of her favorite monthly features; Enrich Your Word Power, Points to Ponder, Humor in Uniform (my grandfather was a verteran of WWII), and Laughter, the Best Medicine.

In essence, there was enough within the confines of this magazine to captivate and mold my young mind. Hearing a grandmother chuckle is enough to fill you with wonder and a budding sense of philosophy and humor; not bad for a publication that reaches 40 million people in more than 70 countries via 49 editions in 21 languages.

Philosophy and Humor

Without diving too deep into a historical and philosophical treatise on humor, the ancient Greeks turned comedy into an art form. Fast forward, French philosopher René Descartes uttered, Cogito, ergo sum – I think, therefore I am. Yes, we humans are meaning seekers; we think, overthink, then think again. Making sense of the world is our reason for being. However, with current events in mind, we know that the whole world cannot be intelligible. Humor is therefore, to some extent, a public phenomenon. Descartes viewed humor as joy mixed with hatred. So, during trying times, a little levity can do a lot of good. This need not mean we have to vacate our intellectual prowess. In fact, wit is intellectual. Austrian-British philosopher Ludwig Wittgenstein was convinced that a serious and good philosophical work could be written that consisted entirely of jokes. To illustrate one could say, “I used to be indecisive, but now I am not so sure”.

Taking Humor Seriously

Ancient Roman poet and satirist Horace observed, Ridentum dicere verum quid vetat – What is there against telling the truth in laughter? Certainly, we don’t need to quote a latin-speaking dead guy to experience the obvious. Today, we simply say, “It’s funny because it’s true!” In our post-satirical age, we live in a society where the news is funny and comedy is the news. How many times have you witnessed recent events and thought, you cannot make this up?! Humor and laughter provide needed relief to what ails us. Humor has an indefinability. It breaks conventions and pushes boundaries. Humor is playful. When in doubt, doubt!, as they say. Friedrich Nietzsche, German philosopher and cultural critic, noted that maturity is regaining the seriousness of a child at play. Through this lens, it is worthy for us aging humans to take seriously the benefits of humor and its pleasant byproduct, laughter.

Laughter, The Best Medicine

A study published by PubMed Central (archive of biomedical and life sciences journal literature at the U.S. National Institute of Health’s National Library of Medicine) proves that laughter therapy is an important strategy which has been recommended by experts for increasing health promotion in older adults (see footnote). As the elderly population increases, health problems, especially mental health problems, of such an age become more important. The study uses controlled sessions of ‘laugh therapy’ – where group participants laugh artificially until the laughter becomes genuine, releasing anti-stress and joyful hormones, and ultimately promoting relaxation.

The study concludes that this form of therapy improves general health. Results obtained from this study help authorities in the field of geriatric care to adopt precise plans and policies to increase general health by making “senior citizens and their families aware about the advantages of laughter therapy and establishing laughter therapy clubs”.

We are all aware of mechanisms beyond laughter therapy that can replicate similar outcomes; TV sitcoms, morning coffee with the fellas, a riveting game of pinochle with the ladies, playing fetch with a puppy, watching a friend or relative fall off a dock at the lake, or retelling an old yarn that grandma borrowed from Reader’s Digest. I would be remiss if I didn’t share a few of these jokes for you – dear reader – to help send you on a merry way to overall improved health.

Three old guys were out walking.

First one said, “Windy, isn’t it?”

The second one said, “No, it’s Thursday!”

The third one said, “So am I. Let’s go get a beer!”

“Oh God,” sighed the wife one morning, “I’m convinced my mind is almost completely gone!”

Her husband looked up from the newspaper and commented, “I’m not surprised: You’ve been giving me a piece of it every day for thirty years!”

I’m pretty black and white about most things. Except retirement homes, that’s a grey area.

“Walking is man’s best medicine” – Hippocrates
By Aaron Lamb, Director of Business Development


1Ghodsbin, Fariba et al. “The effects of laughter therapy on general health of elderly people referring to jahandidegan community center in shiraz, iran, 2014: a randomized controlled trial.” International journal of community based nursing and midwifery vol. 3,1 (2015): 31-8.

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“With the right music, you either forget everything or remember everything.”

“With the right music, you either forget everything
or remember everything.”

July 24, 2020

During our childhood we sing the ABC’s to remember the alphabet, listen to nursery rhymes for basic understanding of what’s good and bad, and in many cases share music to connect with others.

As music extends past our childhood and into our adult life, many people go to concerts to feel joy and become one step closer to the artist they love. Others turn up the radio as loud as possible to keep their usually mundane commute interesting. Some invite people to the dance floor to connect and have a good time.

There is something about music and its universal language. No matter where you go, it is always present.

Imagine sitting in a coffee shop and hearing a song you haven’t listened to in years; you can recall the chorus, hum the tune, and in some cases sing every word. For people with dementia, much is the same. It allows them to reconnect with their past, even if only for a moment. For them, music is vital, and it could be one of the last pieces of their history they haven’t forgotten.

I had the privilege to talk with Evie Straus, MT-BC/L (Music Therapist-Board Certified/Licensed). She works with senior living residents to improve their overall health and wellbeing. During our Q&A, She dives deep into the goals and benefits of music therapy.

Q: Why does music last within the brain while other memories are lost? 

A: Our connection to music is typically the strongest during our teen and young adult years because those are the years of self-identification, self-expression, and emotional development. Our memories are often connected to music because of the structure of our brains; the brain thrives on structure and rhythm. That’s why when an older adult can no longer remember what day it is, they can still remember all the words to “You are My Sunshine.” 

Q: What are the benefits of music, specifically for people with dementia?

A: There are so many benefits to using music to connect with older adults, but it really depends on what the resident needs. Sometimes I will pass by a resident in the hall that maybe I have been working with for a goal of memory recall and reminiscing.

 But as I pass by, I notice the resident is agitated and anxious. So, I begin singing a song I know they are familiar with and they begin to sing along. The music can help re-orient them to reality and help them remember and know they are safe. Music can be beneficial for the psycho-social, physical, and emotional needs of a resident. That is what makes music so unique because it helps the whole person.

Q: We have all seen YouTube videos of music “bringing someone back” for just a moment, is there a scientific reason why?

A: Well that takes us back to how the brain thrives on rhythm and melodic structure. Structure is a way we learn and retain. Music is different than simply speaking, the melodic structure is strong in the brain because the brain itself thrives on rhythm and repetitive melodies. That is why we often learn information to the tune of a song such as the ABCs. So, when names, reality orientation, and different memories are lost, music can be recalled because of the melodic and rhythmic triggers. Because of this, different songs trigger different memories and these memories can trigger emotions.

Q: What is your primary job as a music therapist?

A: I work to make connections through music. Before COVID-19, I was doing music groups on each floor. Each group had three main goals, increasing socialization, memory recall, working on cognition, and it also included some sort of movement intervention. Increasing socialization would often involve singing a song the group knows together. Memory recall includes residents singing songs without having the lyrics available and also recalling memories about their younger years. A cognitive intervention could be a fill-in-the-blank song. This is where you take out key lyrics of a song and allow the client(s) to fill them in with their own lyrics. A movement intervention could be using egg shakers to move to the beat of a recorded song such as “Beer Barrel Polka.” While we shake, I give the group various directions on different movements for them to do throughout the song.

An example of a fill-in-the-blank song would be taking out words to the song “I’ve been Working on the Railroad.” You can take out the word’s “railroad” and “captain” and the phrase “Dinah, blow your horn.” Then you give the residents a chance to fill in their own jobs that they have worked, such as working in a diner or in the military. This allows the residents to recall the jobs they worked and when. Some would remember a job they worked in high school while others would name the jobs they worked as adults. For the last phrase of the first verse I will often put a resident’s name in and change the lyrics. So, at the end you are singing “Evie go to work.” The group often finds this funny and this improves camaraderie and socialization.

I also facilitated two sensory music groups for two different floors. When an older adult has advanced dementia, a larger floor group might be too much stimulation for them. These sensory groups had a maximum attendance of 6 residents that I chose for the group. Most of them were non-verbal but responded to music such as opening their eyes, holding my hand, and humming. In these sessions I included tactile, auditory, and sight stimulating interventions. One intervention for auditory stimulation was using an ocean drum in their lap and singing “My Bonnie Lies Over the Ocean.” The goal of this intervention was having the resident move the drum themselves. For tactile, I played a recorded version of “I’m Forever Blowing Bubbles” by Doris Day for the residents and blew bubbles for them. The goal of this intervention was that the residents interact with each other and the bubbles by popping them.

Q: Not including names, have you seen a senior be positively impacted by music therapy?

A: I have worked with a resident who would often have episodes of high anxiety and they would begin crying and become inconsolable. This resident knew me and that I would work with them. They would often sing and reminisce with me about their younger years. When I would observe the resident wandering the hallway crying, I would stop the resident and ask them if they wanted music. If they said yes, I would begin with their favorite songs such as “You are My Sunshine” and “In the Garden.” My relationship with this resident allowed me to help ease their anxiety and redirect them. By the end of the session, the majority of the time, the resident’s affect was bright and they were no longer crying.

Q: Can you explain how music can connect families with their loved one who has dementia?

A: Often when someone has dementia, it isolates them because they do not know what is happening or why they had to move from their home. Singing together and listening to music can help them connect with their families in ways they can’t while talking. Music connects and we all have memories that are associated with music. When someone with dementia is able to reminisce about their memories this often redirects their thoughts and brings them back to the moment. Whether or not they are oriented to that moment and time is not important.

Q: What are some good resources for family members that may want to try music therapy?

A: Music therapy can only be provided by a board-certified music therapist. However, families can use music to connect, try singing songs you know were popular during their twenties such as music by Hank Williams, Johnny Cash, and Doris Day. A wonderful book called “Music, Memory, and Meaning”, by music therapist Meredith Hamons, is a great resource. This book explains different ways you can use music to facilitate conversation between family members and the resident, giving various examples with many songs from the 1930s-1950s.

Q: Is there anything you would like the general public to know about music therapy?

A: Music therapy is an established, allied healthcare profession that uses music interventions to accomplish individualized goals within a therapeutic relationship. Music therapy is done by a credentialed professional who has completed an approved music therapy program. A music therapist assesses the strengths and needs of each client and uses music to facilitate interactions such as singing, moving to, and/or listening to music. Research in music therapy supports the effectiveness in many different areas such as physical rehabilitation, increasing quality of life, and providing emotional support for the client and their families.

The official definition from the American Music Therapy Association:

“Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program.”

For more information on becoming board-certified, visit cbmt.org.

For more information on music therapy in general, visit musictherapy.org.

Thank you Evie for providing the WalkWise family with great information regarding Music Therapy! 

Written by Nic Bordwell, Director Of Marketing 

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Why Falling is a Plague

Why Falling is a Plague

July 15, 2020

Let’s talk about falling. As a toddler, it’s simply a part of life as one learns to use their legs for their intended purpose. As a kid, you might suffer a scraped knee while running around the playground with friends or if you fall off a bike. Oftentimes the most exciting plays in sports, such as baseball, volleyball, and soccer, involve an intentional dive to the ground. As an adult, falling becomes less frequent, but who hasn’t slipped on the ice or a freshly mopped floor? These instances rarely lead to serious injury, but even a broken arm will heal with time and some pain medication. Even the recent story of my sixty-year-old father falling into a leaf pile with a 30-pound leaf blower on his back was more amusing than concerning.

So why are falls a plague? Because they are impacting us more and more every year, there is no cure, and they are deadly. There was a time when falls affected almost no one, simply because humans did not typically live long enough for them to rear their ugly head. In this way, they are similar to heart disease and diabetes: modern medicine and food production has helped us live through so many other ailments that we are succumbing to new issues. For us to beat falls, we need to better understand why they happen and why they are dangerous.

Falls become more frequent as we age for several reasons. We lose balance as we lose strength in our muscles. We lose valuable reaction time. Our eyesight deteriorates, and thus we are more likely to miss something on the floor. Chronic diseases cause us to limp or walk with a less-than-ideal gait. Complex medications can cause us to be disoriented. While there are ways to mitigate all these risks, falls are undoubtedly a part of aging in our modern world.

Falls also become more dangerous. First, the falls themselves become less controlled. Despite the fact that younger people fall all the time, they usually have the coordination, muscle strength, and response-time to turn a fall into a controlled fall where damage is minimized. When I slipped on an icy patch in my driveway a few years ago, I was able to put my arm out and use my triceps to minimize the impact to my hip. Had my arm not been quick enough or strong enough, more force would have been delivered to my hip.

Second, more damage is done as a result of impact. Bones becoming more brittle as we age, and the same fall that ended with a bruise when you are 60 might lead to a broken bone when you are 70. Blood thinners are a common medication to reduce the risk of cardiac issues, but they prevent clotting and lead to more severe external and internal bleeding.

Third, uncontrolled falls have a greater chance of resulting in traumatic brain injuries from head impact. TBIs can be fatal themselves, but even when minor they can lead to decreased quality of life and be a complicating factor.

Fourth, our immune systems become more susceptible to infections as we age. Infections are common after an extremely invasive surgery, such as a hip replacement or repair. Of course, open wounds are also of concern. But infections can happen simply by being in a hospital, skilled nursing center, or even by spending too long in bed. When mobility is reduced post-fall, people can easily develop urinary tract infections by holding their bladder and not consuming sufficient fluids.

Fifth, many people do not receive immediate help when they suffer a fall. Social isolation is a well-documented issue among older adults, and this lack of regular human interaction can have huge consequences when it matters most. Even for people with vibrant social lives, they are not with their friends, families, or spouses all the time. Obviously, a call to 911 through a cell phone or emergency response pendant is ideal after a fall, but all too often these devices are forgotten or simply not worn regularly around the house. As a result, a study (1) found that the average response time to a fall is 4.5 hours, but those found deceased had been on the floor about 18 hours before found. If the fall was not fatal, the wait for help may be.

Lastly, many people lose their independence after a traumatic fall, which can lead to accelerated cognitive decline and the loss of will to live. One need only read Atul Gawande’s Being Mortal to understand the story of Alice, who’s loss of independence in a nursing home led to her passing away. The psychology is complex and not fully understood, but the idea that people need to make decisions for themselves and have hope of a better tomorrow is not new. Unfortunately, many of our modern methods for keeping people safe also impede their autonomy and independence.

If falls were a disease, there would be an emergency World Health Organization task force aimed at stopping this plague. While the problem of falls cannot be solved with a vaccine, there are a number of treatments intended to limit risk (using a walker is one of them). When we better understand the issues around falls, we can design solutions to limit the impact of this plague on our lives, and the lives of our loved ones.

 

Written by Peter Chamberlain, WalkWise Founder and CEO.

 

 

 

https://www.nejm.org/doi/pdf/10.1056/NEJM199606273342606?articleTools=true 

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Senior Friendly Ride-Sharing Services

Senior Friendly Ride-Sharing Services

July 2, 2020

Ridesharing has been gaining popularity since 2009 when Uber launched their services into San Francisco. Since then, other competitors have entered the market. Many of them have been forgotten or even acquired. Lyft (founded in 2012) is a direct competitor to Uber and has similar app-based ride sharing services.

Uber and Lyft are often seen as “Millennial taxi services” and older adults (especially seniors) haven’t fully come around to the idea of using them. According to a research article written by the AARP, 94% of Americans age 50 and older have heard of ride sharing services, but only 28% have actually used them and 68% had not planned to use them within the next year. But as technology continues to move at a rapid pace, taxi services dwindling, and increasing commute times year after year, seniors may need to start using these services.

What can we do to help push them out of their comfort zone and into using ridesharing services?

No, the first step is not to download an app! Luckily, there are companies that have wonderful solutions for accessible, safe, and senior-friendly ride-sharing and many of them are ordered byway of a phone call.

Offered wherever Lyft operates

Great Call Rides is a service that provides any Jitterbug user a fast and efficient way to summon a ride via Lyft.

Instead of downloading the application and setting up an account, Great Call has added Lyft as a speed dial number to their jitterbug phones. Dial 0 and it will then direct you to a live operator.

First the user must tell them where they want to go, and the operator will quickly give the wait time and estimated cost for the ride. Lyft will pick the passenger up from anywhere. When it’s time to return home, just dial 0 again and start the process over.

This service charges directly to the phone bill, so a credit card does not need to be imputed into the jitterbug phone and cash doesn’t need to be on hand to pay for the service.

Nationwide coverage

GoGo Grandparent is a service that has partnered with Uber and Lyft to create a ridesharing program specifically for older adults age 50+.

GoGo Grandparent will provide users with an (800) number to save in their contact list. This number allows them access to ride sharing capabilities without having to download an app.

After it’s saved to their phone, they can call and have 7 options to choose from.

  1. Immediate request of an Uber or Lyft
  2. Request an Uber or Lyft where you were dropped off last
  3. Request an Uber or Lyft to a custom pick up location
  4. Request ride sharing through an operator
  5. Request meals to be delivered
  6. Request groceries to be delivered
  7. Speak with an operator about medication management. 

With all of these options, GoGo Grandparent allows their users to get most everything they need all from one number.

The service also includes “by-the-minute” updates to emergency contacts. Caregivers and loved one’s have the ability to stay informed by receiving text messages when a ride is being ordered, when their loved one is in the car, and they can receive the address of the new location.

GoGo memberships cost $9.99 a month and the concierge fee is $0.27 a minute. For non-members, the service costs $12 per ride.

Offered within the San Francisco Bay Area and Kansas City areas.

Silver Ride is a senior ride sharing service that offers help from pickup to drop off.

Silver Ride offers door-through-door assisted ride assistance. This means they will go into the pickup location and assist the passenger into the car. When they are at the dropoff location, the driver will assist them into the location. This helps reduce potential falls and always makes sure there is a helping hand.

According to their website, “The Company has a robust training program that educates drivers how to physically assist riders in and out of the vehicle, up and down stairs, how to provide assistance walking along uneven surfaces, how to help clients in and out of wheelchairs. Drivers are also trained in the myriad of conditions that exist, including tremors, Alzheimer’s, Parkinson’s, vision issues, hearing issues, balance issues.”

Passengers can enjoy a free guest with all of their rides and Silver Ride even has excursion packages to bring them to different sites around their respective city.

The service is cashless, so there will need to be a credit card on file.

If Silver Ride is more than 15 minutes late, the ride is half-price. Ride requests must be submitted a day in advance and the prices are calculated on a per-trip basis.

During the unprecedented times of Covid-19, ridesharing services are taking precautions to make sure they are clean and safe. Rides with more than one group have been completely paused for all users, and there is a maximum number of riders that are allowed to be in the car at one time. Many ridesharing services are distributing cleaning supplies, like clorox wipes and hand sanitizer. Some even have complimentary masks if you forgot yours at home. The drivers are mandated to clean their cars more frequently and more thoroughly than ever before.

Ridesharing can be daunting for seniors, especially since they already know how to use taxis and relying on family members can tend to feel a bit better. But with new services popping up, now is the time to have a conversation with them about ridesharing and how simple the service can be. Though we only highlighted three, there are many other wonderful services across the globe for passengers of all abilities, and a quick google search will guide you to one that best fits your and your loved one’s needs.

  “Walking man’s best medicine” — Hippocrates

   By Nic Bordwell, Director of Marketing

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Caregiver Support Groups

Caregiver Support Groups

June 7, 2019

WalkWise was built to help seniors remain active and independent. We continually talk about how your loved one is doing, how we will alert you if they fall, and how our device can help make walkers more fun and engaging.

But, who is the “You” in these catchy lines we use on our social media channels so often?

The “you” are caregivers. Caregivers are the backbone of our application, and we try to thank the selfless caregivers that are part of the WalkWise family. Caregivers help us advance our product, give feedback about our alerts, and share stories of their day-to-day struggles (and successes!) so we can try to understand what they go through and better optimize our services.

Being a caregiver is tough and sometimes it may seem like you’re on an island alone, but there are many resources for you to be heard, to be helped, and to find peace with your efforts. Listed below you will find a few caregiver support groups and other resources to get connected with people like yourself.

Social Media Support Groups

Caregiver nation is a support group on Facebook. Their main purpose is to connect people who are dealing with the same tasks in life. They have 5,000 members and are growing every day. You can see countless posts a day of encouragement and tips and tricks for caregiving. Caregiver nation is sponsored by Seniorlink (we will get to them later!).

Caregiver Support Group is another fantastic resource for caregivers to connect via Facebook. They have 12,000 members and the activity is very high. Post topics range from caregiver guilt to learning more about your loved one’s conditions. They had almost 3,000 conversations a month and last week added another 149 members. One thing to note about Caregiver Support Group is that they have rules against product promotions, bullying, and their number one rule is to be kind and courteous.

Caregiver connection is slightly different from the two above. They primarily post links and resources for you to follow outside of social media. There is a lot of activity within the comment sections, but this isn’t a group for conversations about your personal experiences. This group is recommended to follow if you find yourself wanting to read professionally written material about caregiving.

Caregiver Support Websites

The American Association of Family Caregivers is a website that provides caregivers with educational courses, a caregiver hotline to talk with someone who understands your worries, and a membership marketplace to buy discounted caregiving supplies. This organization represents over 100,000 family caregivers and can guide you through unique, daily challenges.

Senior Link is a tool that helps caregivers receive emotional coaching and support. Senior link gives caregivers the ability to connect via an app when they have questions. As a member you have access to a library of tips on how to take care of your loved one, but just as important, how to take care of yourself. Seniorlink only operates in select states, so you will want to visit their website and check if your state is one they operate within.

The final great web-based resource for caregivers is usa.gov. They have different links for specific caregiving struggles and resources for help. From Alzheimer’s caregiving to care for caregivers themselves, this web page is a great tool for anyone that is a caregiver.

In your own home town.

Many towns and cities have their own caregiving groups that may meet in coffee shops or have weekly luncheons. These groups are usually small, but it’s a great place to decompress and share your stories with one another. A quick google search will identify groups that meet near you. If you live in a rural area, there are sometimes monthly meetups that are a short distance away.

Caregiving is hard work and there are many resources to potentially lighten the load. Stay connected with other caregivers and share your story. Every day there are new caregivers facing new challenges. If you feel alone, between the groups written above, there are nearly twenty-thousand people to hear your story and help. WalkWise has your back, too; make that twenty-thousand and one!

“Walking man’s best medicine” — Hippocrates 

By Nic Bordwell, Director of Marketing