المحتوى المقدم من MelissaBPhD and Dr. MELISSA BATCHELOR. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة MelissaBPhD and Dr. MELISSA BATCHELOR أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
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In this insightful episode of The Innovators & Investors Podcast, host Kristian Marquez sits down with Jay Crone, Managing Director and Venture Capitalist at Deloitte Ventures, to explore the firm’s strategic approach to corporate venture capital. Jay shares Deloitte Ventures’ investment thesis, focusing on supporting innovative Canadian startups at Series A and B stages across key sectors like cybersecurity, climate tech, fintech, future of work, health tech, and AI. Listeners will gain an inside look at how Deloitte leverages its vast network of 1,500 partners and 15,000 employees to source deals and add value beyond capital by helping startups navigate Deloitte’s complex ecosystem and access enterprise clients. Jay also discusses his diverse career journey—from government and investment banking to entrepreneurship and corporate VC—and how those experiences shape his investment philosophy. The episode delves into Deloitte’s due diligence process, the importance of founder relationships, and the firm’s strategic role as a co-investor. Jay highlights emerging trends, particularly the promise of vertical AI tailored to industry-specific needs, and shares his bullish outlook on fintech innovations like stablecoins and cross-border payments. He offers candid advice for entrepreneurs on risk-taking and aligning business vision with funding goals. This episode is a must-listen for founders, investors, and anyone interested in the evolving landscape of corporate venture capital and innovation in Canada. Learn more about Jay's work at https://www.deloitte.com/ca/en/services/program/ventures.html Connect with Jay on LinkedIn at https://www.linkedin.com/in/jaycrone/ Think you'd be a great guest on the show? Apply at https://finstratmgmt.com/innovators-investors-podcast/ Want to learn more about Kristian Marquez's work? Check out his website at https://finstratmgmt.com…
المحتوى المقدم من MelissaBPhD and Dr. MELISSA BATCHELOR. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة MelissaBPhD and Dr. MELISSA BATCHELOR أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
Getting older? Guess what - so is everyone else! But aging doesn’t have to mean slowing down or settling for less. Because aging isn’t a problem to fix - it’s an adventure to embrace! 🎙️ Welcome to This is Getting Old: Moving Towards an Age-Friendly World, the podcast that flips the script on what it means to grow older - and let’s be real, this show is for ANYONE BORN BEFORE 1997 (yes, that’s you, Millennials!). Hosted by Dr. Melissa Batchelor, nurse, nurse practitioner, educator, and aging expert, this show dives into the latest innovations, inspiring stories, and real-world solutions that are transforming how we age. We cover everything from aging and age-friendly initiatives to brain health, Alzheimer’s disease, and dementia care - because staying sharp and thriving as we age is the real goal. Whether you’re caring for a loved one, thinking about your future, or just curious about how to age well—this is the place to be. Expect candid conversations, expert guests, and practical tips—all served up with a dose of humor and heart. New episodes drop every week on Tuesdays at 11am ET - so tune in and join the movement towards a better, age-friendly world - if we’re all getting older, et’s get better at it - TOGETHER! 👉 And please don't forget to support the podcast by SUBSCRIBING today - and if you find value in the content, please LIKE the episode and SHARE with others who could benefit from the information you learn while you're here! Don't forget to swing by MelissaBPhD to discover new resources designed to support you on your own aging and caregiving journey! See YOU there!
المحتوى المقدم من MelissaBPhD and Dr. MELISSA BATCHELOR. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة MelissaBPhD and Dr. MELISSA BATCHELOR أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
Getting older? Guess what - so is everyone else! But aging doesn’t have to mean slowing down or settling for less. Because aging isn’t a problem to fix - it’s an adventure to embrace! 🎙️ Welcome to This is Getting Old: Moving Towards an Age-Friendly World, the podcast that flips the script on what it means to grow older - and let’s be real, this show is for ANYONE BORN BEFORE 1997 (yes, that’s you, Millennials!). Hosted by Dr. Melissa Batchelor, nurse, nurse practitioner, educator, and aging expert, this show dives into the latest innovations, inspiring stories, and real-world solutions that are transforming how we age. We cover everything from aging and age-friendly initiatives to brain health, Alzheimer’s disease, and dementia care - because staying sharp and thriving as we age is the real goal. Whether you’re caring for a loved one, thinking about your future, or just curious about how to age well—this is the place to be. Expect candid conversations, expert guests, and practical tips—all served up with a dose of humor and heart. New episodes drop every week on Tuesdays at 11am ET - so tune in and join the movement towards a better, age-friendly world - if we’re all getting older, et’s get better at it - TOGETHER! 👉 And please don't forget to support the podcast by SUBSCRIBING today - and if you find value in the content, please LIKE the episode and SHARE with others who could benefit from the information you learn while you're here! Don't forget to swing by MelissaBPhD to discover new resources designed to support you on your own aging and caregiving journey! See YOU there!
As the number of older adults living with dementia continues to rise, hospitals must adapt to meet their unique needs. A dementia-friendly hospital incorporates evidence-based strategies to reduce risks such as falls, confusion, and readmissions. At UNC Health in North Carolina, a comprehensive initiative led by the Division of Geriatric Medicine and the Center for Aging and Health included interdisciplinary staff training, tailored environmental changes, and ongoing evaluation to improve care for this vulnerable population. The project trained over 550 clinical and non-clinical staff and implemented tools like dementia-friendly meal options, activity kits, and a red plate program to support patients’ cognitive and physical needs. Sustainability was prioritized through annual training refreshers and the development of a virtual dementia room for new staff orientation. UNC Health’s model provides a practical framework for hospitals nationwide aiming to become more age- and dementia-friendly.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Could home sharing be the answer to rising housing costs and loneliness among older adults? This timely question opens the door to an important conversation about aging, affordability, and community. Today, nearly 1 in 3 older adults struggle with housing costs—and projections show that rent burdens and homelessness among adults 65+ will rise sharply in the next decade. With limited affordable options, many older adults are searching for ways to stay in their homes while staying connected. Enter home sharing—a creative and growing solution that allows older adults to share space, reduce expenses, and build meaningful relationships. In this episode, we explore how home sharing works, who it benefits, and what it means for the future of aging in place. Whether you're looking for affordable housing, want to stay in your home longer, or are just curious about how it all works—this episode is for you. We’d like to invite you to be a part of the GW Center for Aging, Health and Humanities community. Here are two ways that you can do that: You can join our email list by visiting the GW Center for Aging’s website – https://nursing.gwu.edu/center-aging-health-and-humanities And we’d love to have you join our Facebook Group called “Building Age-Friendly Ecosystems” at https://www.facebook.com/groups/agefriendlyecosystems If you have trouble finding the website or the Facebook Group, please email us at aging@gwu.edu and we can help you find either or both!…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Are zero traffic deaths possible? This thought-provoking question sparks a crucial conversation about road safety and the future of transportation. As we continue to grapple with the devastating consequences of traffic accidents, it's essential to explore the possibilities of a world where zero traffic deaths are the norm. From advanced safety features to innovative infrastructure designs, we'll delve into the latest technologies and strategies aimed at reducing traffic fatalities. Join us as we examine the challenges, opportunities, and potential solutions to creating a safer and more sustainable transportation system. Can we achieve a future where zero traffic deaths are a reality?…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Is aging really inevitable—or have we just accepted it as fact? In this episode, we’re joined by Dr. Julian Gershon, triple-board-certified physician and author of Beyond the Fountain of Youth , for a deep (and surprisingly fun) dive into what it really takes to live longer, feel younger, and reclaim energy you thought was long gone. Dr. Gershon blends advanced medical training with a deeply human approach to aging—one that prioritizes vitality, confidence, and joy, not just lab numbers. From hormone optimization and regenerative medicine to practical tweaks in sleep, nutrition, and mindset, this conversation is full of insights that might just change how you think about your next decade (and the one after that). Dr. Gershon is the founder of the Aspen Institute for Anti-Aging & Regenerative Medicine (aspeninstituteclinic.com), where he helps people create personalized health plans that actually make a difference. For more content like this, check out the full Aging series on melissabphd.com.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Feeling blindsided by perimenopause? You’re not alone! Dr. Betty Murray joins me to break the silence on menopause, debunk myths, and share real solutions for navigating this transition with confidence. Whether you’re struggling with brain fog, weight gain, or mood swings, this episode will help you take back control of your health and feel your best.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
What happens when critical aging services are put on the chopping block? The Administration for Community Living (ACL) is facing major restructuring, potentially dismantling key programs that support older adults and individuals with disabilities. In this episode, Howard Gleckman and Alison Bankoff explain why this decision matters—not just for seniors, but for families, caregivers, and communities nationwide. We’ll break down the potential consequences, discuss how advocacy groups are responding, and highlight what you can do to ensure these vital services remain intact.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The Future of Nursing Homes: Smarter Training & Stronger Partnerships For decades, nursing homes have struggled with staffing shortages and outdated training models. But what if we could change that? The Teaching Nursing Home Collaborative is an innovative program connecting schools of nursing with nursing homes to provide better training, improve workforce development, and enhance residents' quality of life. This initiative, which started in Pennsylvania, is now expanding nationwide. According to Nancy Zients, Chief Program & Strategy Officer at the Jewish Healthcare Foundation, the project was born out of the devastation of COVID-19 in nursing homes. "We knew there had to be a better way," she explains. Rather than simply increasing staff numbers, the program focuses on smarter training, interdisciplinary teamwork, and student engagement—bringing a fresh perspective to long-term care. Kim Ratliff, Director of Nursing at Wesleyan Hans Living Main Line, highlights the program’s resident-centered focus. "We’re improving quality of life by paying attention to what matters most—mentality, mobility, medications, and personal interests." Traditionally, nursing students get little exposure to nursing homes. Taylor McMahon, Director of Nursing at The Willows, notes that many students enter the program with misconceptions. "Once they experience long-term care firsthand, they see the depth of the work and the relationships they can build." The program has already led to new hires, with students choosing to stay in long-term care after graduation. With successful pilot programs in Pennsylvania, the Teaching Nursing Home Collaborative is now expanding. The goal? Transform nursing homes across the country into centers of learning, quality care, and professional development.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode, I speak with Cameron Huddleston, a financial expert specializing in protecting older adults from financial exploitation. Cameron explains the two primary types of financial abuse—scams from strangers and exploitation by people the victim knows—and discusses how quickly financial abuse can happen, particularly in caregiving situations. She offers practical advice for families transitioning a loved one into assisted living, such as removing financial documents, limiting access to money, and automating bill payments to reduce the risk of exploitation. We also talk about how to approach the sensitive topic of financial planning with aging parents, focusing on empowering them to remain in control while setting up safeguards like powers of attorney and estate planning documents. Cameron shares resources available on her website, including an emergency organizer and scam red flag sheet, along with information about her book Mom and Dad, We Need to Talk , which provides more tips on navigating these important conversations and protecting loved ones' finances.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode of This is Getting Old: Moving Towards an Age-Friendly World , financial expert Cameron Huddleston shares essential tips for recognizing and preventing scams targeting older adults. Scammers have become more sophisticated, using fear, urgency, and emotional manipulation to steal personal information, drain bank accounts, and isolate victims. From tech support and romance scams to investment schemes, these fraudsters take advantage of vulnerabilities, often leaving their victims financially and emotionally devastated. To protect yourself, watch out for red flags such as unusual payment requests (gift cards, wire transfers), pressure to act immediately, or isolation tactics. If you suspect a scam, cut off contact with the fraudster, consult someone you trust, and report it to authorities like the Federal Trade Commission or the U.S. Senate Special Committee on Aging’s Fraud Hotline. Education and awareness are key to preventing these scams—talking to your loved ones about these tactics can help them stay safe.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Finding Love in Dementia with Dangle & Dot | This is Getting Old Podcast Can people with dementia form new romantic relationships? What about caregivers—how do they navigate love while supporting a loved one? In this episode, I’m joined by Dangle & Dot to explore love, companionship, and relationships in the context of cognitive decline. We’ll discuss key ethical issues like consent, dignity, and autonomy, plus how caregivers can practice self-love. If you’re caring for someone with dementia or just curious about love in later life, this episode is for you! Don’t forget to like, comment, and subscribe for more content on aging, dementia, and caregiving.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
When words fail, love still remains. In this episode of This is Getting Old: Moving Towards an Age-Friendly World, I sit down with Dangle & Dot to explore the power of love and connection in dementia care. We discuss how small moments—a smile, a touch, or a favorite song—help maintain deep relationships even when words become difficult. Learn how caregivers can adapt love languages, practice patience, and nurture emotional bonds as relationships evolve.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode, I talk with Brandon Davis about the Davis Focus Project, an innovative mental health program using neurofeedback to help veterans overcome challenges like PTSD, anxiety, and depression. Brandon explains how neurofeedback works by mapping the brain, identifying dysregulated areas, and providing real-time feedback to help the brain self-correct. This non-invasive approach allows individuals to heal while doing everyday activities, like watching TV, with many seeing significant improvements after just a few sessions. Remarkably, not a single person who’s completed their program remains on medication, highlighting its transformative impact. Brandon also shares how neurofeedback compares to years of meditation in helping the brain achieve mental clarity and self-regulation. The Davis Focus Project offers personalized care, regularly updating brain maps to track progress and target the most pressing issues. Even if veterans aren’t local to Tennessee, Brandon promises to connect them with resources nationwide. To support their mission, listeners can donate—just $60 a month can fully fund a veteran’s treatment and potentially save a life. Learn more at thedavisfocusproject.com .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode, Dr. Melissa Batchelor dives into the future of assisted living with Shaun Toomey of Inspir Embassy Row, a premier luxury senior living and memory care community. Discover how cutting-edge technology and personalized care are setting a new standard for older adults. Learn about the innovative services offered by Inspir and the role of age-friendly initiatives in shaping a more inclusive world. Don’t miss this fascinating conversation! Stay Connected 🌐 Website: MelissaBPhD.com 🎙 Podcast: TIGO - Topics in Gerontology 📍 Join our private Facebook Group: Building Age-Friendly Ecosystems…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Are you caring for a loved one with dementia and wondering how to make the most of your time together? Walking can be a great way to spend quality time with your loved one while also promoting their physical and mental well-being. In this episode, we'll explore 3 tips for walking together. Tune in to learn how you can make walking with your loved one a positive and enjoyable experience for both of you and why benefits you both!…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
When Dementia Patients Stop Eating: A Caregiver’s Guide to Support and Comfort Caring for a loved one with dementia is an emotional journey, and one of the most difficult challenges is when they stop eating or drinking. This heartbreaking transition often signals the later stages of the disease, leaving caregivers feeling overwhelmed and unsure of what to do. In this blog post, we’ll explore: Why people with dementia stop eating and drinking: From loss of appetite to difficulty swallowing (dysphagia), there are several physical and neurological reasons behind this change. How to provide comfort and care: Practical tips like offering liquids with straws to trigger reflexes, using calorie-dense drinks, and maintaining oral hygiene to prevent discomfort. Ways to maintain connection: Mealtimes can still be meaningful moments to share love and presence, even when food is no longer a focus. Grief, loss, and bereavement: The emotional toll of caregiving, especially during end-stage dementia, can be overwhelming. Recognizing anticipatory grief and seeking support can make a difference. This journey isn’t one you have to face alone. Hospice care, palliative specialists, and local dementia organizations are invaluable resources that can guide and support you every step of the way. For more personalized help, explore my new ebook and online course, Managing Meals and Eating Challenges . Designed for family and professional caregivers, these resources include expert strategies, video demonstrations, and skills checklists to help you navigate eating challenges with confidence and compassion. Visit MelissaBPhD.com to learn more and take the first step toward making mealtimes less stressful and more meaningful.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode of This is Getting Old: Moving Towards an Age-Friendly World , I sit down with Brittany Olson, an expert in Feng Shui and interior design. Brittany shares her insights on creating spaces that promote harmony and balance, highlighting how Feng Shui can be a powerful tool for enhancing well-being. We explore practical tips for arranging furniture, selecting colors, and using natural elements to transform any environment into a more inviting and peaceful place. Whether you're new to Feng Shui or looking for ways to refresh your space, Brittany offers valuable advice that can make a real difference in your home. Brittany also discusses her approach to working with clients and how she tailors her recommendations to suit individual needs and preferences. She emphasizes the importance of understanding the personal energy in a space and how it can influence one's life. From small adjustments to larger transformations, Brittany's expertise helps people create spaces that nurture both mind and body. Tune in to hear more about how Feng Shui can guide you in making intentional choices for your home, and learn how to bring more balance and positivity into your living environment.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
As Alzheimer’s disease progresses, changes in touch—like the return of the palmar reflex and loss of fine motor skills—can make eating difficult for individuals with dementia. In this video, I share two key sensory changes that impact mealtimes and four practical strategies to help your loved one eat more easily and comfortably. From the overhand and underhand techniques to introducing finger foods and adaptive utensils, these tips are designed to improve both the caregiver’s experience and the individual’s independence. Looking for more support? Check out my new course, Managing Meals and Eating Challenges, or grab the ebook for quick solutions at melissabphd.com/courses.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Caring for a loved one with dementia who struggles with eating can be challenging, as sensory changes in taste and smell often lead to a loss of interest in food. These changes occur because dementia damages brain areas responsible for processing smell and taste, such as the olfactory bulb and hippocampus, and is further impacted by protein buildups like amyloid plaques. To address these challenges, caregivers can enhance flavors with spices or sweeteners, experiment with textures and temperatures, and use visually appealing presentations to make meals more enjoyable. Safety considerations, such as preventing spoiled food consumption and ensuring visibility of meals, are equally essential to improving the dining experience. Remaining flexible and patient is key, as what works one day may not work the next. For more guidance, caregivers can explore the course Managing Meals and Eating Challenges at melissabphd.com/courses , which offers expert strategies and practical tools. Additional resources are available on the YouTube channel This is Getting Old: Moving Towards an Age-Friendly World and in the private Facebook community. These platforms provide valuable insights and support to help caregivers create less stressful and more enjoyable mealtimes for their loved ones.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
How Hearing and Language Changes in Dementia Impact Eating | Tips for Caregivers Alzheimer’s disease and other dementias impact every aspect of life, including how a person hears and understands language. In this episode, Dr. Melissa Batchelor explores how these changes can make eating independently a challenge—and shares practical strategies to help. ✨ Topics Covered: How hearing loss and auditory processing difficulties affect mealtimes. Tips to improve communication with nonverbal cues and visual aids. Breaking down multi-step tasks into simple, manageable steps. 🍴 Caregiving isn’t easy, but small adjustments can make a big difference. Watch now and learn how to create a more supportive mealtime environment! 💡 Want more in-depth guidance? Check out the online course, Alzheimer's Disease: Managing Meals and Eating Challenges, at melissabphd.com/courses.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode of This is Getting Old , Dr. Melissa sits down with David Burke, the founder of NxtGen Care, to discuss how social engagement and movement are vital for healthy aging. David highlights how staying connected with others and maintaining regular physical activity are key factors in promoting cognitive health, emotional well-being, and overall longevity. He shares a touching story of a retired World War II pilot who, despite no longer being able to fly, built a flight simulator to stay socially engaged with others and keep his passion alive. David also discusses his work at NxtGen Care, where the company’s innovative software platform helps monitor and enhance the social engagement and well-being of residents in assisted living communities. This technology enables caregivers and families to track the quality of social interactions, ensuring that elderly individuals receive the emotional support they need. Through this platform, NxtGen Care is improving the standard of elder care, helping families stay connected with their loved ones, and reducing the risk of loneliness and isolation in senior care settings.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
One of the most concerning and puzzling symptoms of Alzheimer's is when a person stops being able to eat independently. Without adequate support, this could lead to malnutrition, weight loss, and a decline in overall health.In this video, you will learn how changes in vision impact a person living with dementia’s ability to feed themselves. As Alzheimer's disease progresses, changes in vision can significantly impact a person's daily life, including their eating habits. In this video, I will share how Alzheimer's impacts a persons’ vision including difficulties with peripheral vision, color and contrast detection, depth perception, and others - and how these changes may lead to reduced food intake. If you're a caregiver or healthcare professional supporting someone with Alzheimer's, this video is for you. Learn how to identify the signs of vision-related eating challenges and discover practical strategies to encourage eating for a person living with Alzheimer's disease or a related dementia by optimizing cues.Discover how to make mealtime easier and more enjoyable for people with dementia. This video explores innovative strategies and practical tips to simplify the eating process, promoting independence and dignity for individuals with dementia. Learn how to create a supportive environment, adapt meal presentation, and encourage self-feeding to improve their overall dining experience.From understanding the physical and emotional changes that occur in Alzheimer's patients to practical tips for mealtime assistance, we'll delve into the complexities of this often-overlooked aspect of the disease.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode of This is Getting Old: Moving Towards an Age-Friendly World , I’m joined by Nancy (Dangle) and Kat (Dot), two incredible women with valuable insights into dementia care. Together, we explore the emotional challenges of caregiving, particularly how important non-verbal communication can be when building meaningful connections with loved ones living with dementia. Nancy shares her personal experience with Alzheimer’s disease, discussing the power of physical touch, eye contact, and simply being present. We also talk about the importance of inclusion and how small gestures—like inviting someone to a gathering without the pressure to attend—can help combat the isolation often felt by people with dementia. Kat offers advice on how caregivers can create a positive environment by being grounded and aware of their energy. We wrap up with practical tips for caregivers, including how simple, meaningful gifts like shared experiences can make a lasting impact during the holidays. Tune in for heartwarming stories and tips on how to approach dementia care with empathy and connection.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In "Dementia Caregiving: How to Prepare for Health Crisis (2024)," we provide essential strategies for caregivers managing the complexities of dementia care. Preparing for unexpected health crises can ease the burden on both the caregiver and the person with dementia. This episode covers vital aspects like maintaining caregiver health, emotional preparedness, and practical planning for financial, legal, and care arrangements. Together with Dr. Melissa Batchelor and guest Jacob Kendall, we dive into how caregiving impacts personal health and share insights on managing stress, building a Caregiving Plan B, and finding resources to make tough moments more manageable. Caregiving is a journey, and being prepared can make all the difference. Tune in to gain the knowledge and support you need to navigate caregiving with resilience and confidence.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode, we explore the critical risks of opioid use among seniors, including addiction, overdose, and the dangerous side effects that can worsen existing health conditions. We speak with David Reeser, CEO of OpiAID, to understand the impact of Opioid Use Disorder (OUD) on aging parents and their families, highlighting why awareness is essential for everyone. OpiAID is revolutionizing OUD treatment with remote patient monitoring, biometric insights, and personalized care plans that go beyond the clinical setting. As the opioid crisis impacts families nationwide, this episode provides crucial insights for seniors and their loved ones to safely navigate opioid-related challenges.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Are you navigating the dating scene after 50? Whether you’re newly single or returning to the dating world after years, it can feel daunting, but also exciting! In this episode, I’m joined by Evan Marc Katz, a renowned dating coach with over 13,000 success stories, to explore how to find love and meaningful connections later in life. We discuss the challenges and joys of modern dating over 50, how to overcome fears, present yourself authentically, and stay safe both online and offline.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In today’s fast-paced world, numerous diet trends promise to enhance health and longevity, but true wellness stems from understanding the science behind our food choices. This episode examines three popular diets—intermittent fasting, the Mediterranean diet, and the ketogenic diet—and their impact on aging. Intermittent fasting, which alternates between eating and fasting periods, is praised for weight management and metabolic health benefits, though its long-term sustainability, especially for older adults, is debated. The Mediterranean diet, rich in fruits, vegetables, whole grains, and healthy fats, is widely regarded for reducing the risk of chronic diseases like diabetes and Alzheimer's. Its focus on whole, minimally processed foods makes it a balanced choice for promoting longevity. Meanwhile, the ketogenic diet, which encourages high fat and low carbohydrate intake, has shown benefits in weight loss and controlling epilepsy but raises concerns about long-term health risks, particularly its effect on heart disease. Despite their differences, these diets underscore the importance of nutrition in aging well. Whole, nutrient-dense foods, like those in the Mediterranean diet, help prevent chronic conditions such as cardiovascular disease and promote cognitive health, reducing the risk of dementia. For long-term well-being, the key isn’t extreme dietary restrictions but adopting a balanced approach that includes plant-based foods, healthy fats, and mindful eating. By doing so, we can support the body’s natural aging process and ensure a vibrant, fulfilling life in later years.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Caring for an aging loved one can feel overwhelming, especially when you’re unsure where to start. Many older adults express a desire to "age in place," but it’s critical to assess whether staying at home is still a safe and realistic option for them. My "Care Options Checklist" offers a clear framework for evaluating important factors such as mobility, cognitive health, and their ability to manage daily living tasks like bathing, dressing, and meal preparation. Depending on their needs, solutions might range from simple home modifications to hiring a professional caregiver or even a home health aide for more hands-on assistance. Beyond in-home care, there are additional resources designed to support caregivers and aging adults alike. Community services, such as Meals on Wheels or adult daycare programs, can provide social engagement and lighten the load on caregivers. Another crucial resource is respite care, which offers temporary relief, allowing caregivers to recharge. By considering all available options, you can make informed, compassionate decisions that prioritize your loved one's well-being, ensuring they receive the right level of care in the most supportive environment possible.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Choosing the right nursing home for a loved one requires careful attention to both care quality and financial considerations. When visiting a facility, be sure to observe how residents are treated, whether they’re well-cared for, and if the environment is clean and welcoming. Ask about staff-to-resident ratios, especially on different shifts, and the turnover rate of nursing assistants, which can indicate the facility’s culture. Additionally, check if the medical team is familiar with residents' needs and whether your loved one can keep their personal doctor. A surprise visit during off-hours can also provide valuable insights into the facility's day-to-day operations. Financially, it’s crucial to understand how nursing home care is paid for. While Medicare covers up to 100 days of short-term stays after a qualifying hospital stay, long-term care typically requires out-of-pocket payments until Medicaid eligibility is reached. Meeting with the business office will help clarify these costs, and resources like the Eldercare Locator (1-800-677-1116) and LongTermCare.gov can assist in navigating care options. Thorough research and asking the right questions will help ensure your loved one receives quality care in a facility that meets both their health and financial needs.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Prescription bottles can be tough to open, especially for those with dexterity challenges. Enter SnapSlide, an innovative solution designed for easy, one-handed medication access. CEO Rocky Batzel was inspired to create SnapSlide after watching his grandmother struggle with child-resistant bottles, common among older adults with conditions like arthritis. SnapSlide’s ergonomic, child-proof design ensures easy access without compromising safety. It improves medication adherence and reduces frustration for users with hand disabilities or caregivers. Rocky plans to bring SnapSlide to major retailers like CVS and Walmart by early 2025. Learn more and advocate for SnapSlide at your local pharmacy.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Emergencies and natural disasters can be particularly dangerous for older adults and individuals with Alzheimer’s disease, making proper preparedness essential. Caregivers should focus on maintaining calm and offering reassurance during high-stress situations, sticking to familiar routines and providing comfort items to reduce confusion. Clear communication using simple language, avoiding sensory overload, and ensuring the individual has proper identification are key strategies for keeping those with cognitive impairments safe. It’s also crucial to develop and regularly review a comprehensive emergency plan, which includes evacuation routes, essential supplies, and backup power sources for medical equipment. Stock an emergency kit with water, food, medications, and important documents, and practice the plan with family and caregivers to ensure everyone is prepared. These steps can make a significant difference in ensuring the safety of individuals with Alzheimer’s during emergencies.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode, I sit down with Neal Shah, CEO of CareYaya, to explore how this innovative platform provides affordable, high-quality caregiving for aging adults. CareYaya connects families with healthcare students eager to gain real-world experience while supporting seniors with companionship and daily tasks. Learn how CareYaya, often dubbed "the Uber of caregiving," is revolutionizing the industry by offering trusted, accessible care to families nationwide. Tune in to discover how this tech startup is filling crucial gaps in caregiving, ensuring safety, affordability, and support for your loved ones!…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Are you looking for practical strategies to navigate an ever-changing world as you age? In this episode, we dive deep with Bradley Schurman, demographic strategist and author of The Super Age. Bradley shares his expertise on how longevity and demographic change are reshaping the economy, businesses, and even our homes. With years of research on aging trends and their impact on society, Bradley offers actionable insights to help you future-proof your life. Whether you're preparing for new trends, seeking long-term success, or simply trying to stay ahead in an unpredictable world, this episode is full of tips you can't afford to miss. Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this inspiring episode, I interview Nancy and Kat, also known as "Dangle and Dot," who share their unique and positive perspectives on living with and caring for those with Alzheimer's disease. Nancy, diagnosed with early onset Alzheimer's in 2013, speaks about how her diagnosis became a new beginning rather than an end. She emphasizes the importance of early diagnosis and shares how writing poetry became her way of processing emotions and finding strength. Her journey has led her to publish three books, turning her personal challenge into a source of inspiration and support for others. Kat, who has been a care partner for family members with dementia, including her brother and mother, offers her perspective on caregiving. She highlights the concept of "care partnering," where the caregiver and the person with dementia work together, each contributing to the relationship in meaningful ways. Kat's experience underscores the value of viewing dementia care as a partnership, where both parties can learn and grow, even in the face of a challenging diagnosis. The discussion also delves into the power of reframing the narrative around Alzheimer's. Both Nancy and Kat stress the importance of focusing on what individuals with dementia can still do, rather than what they have lost. This positive outlook is crucial not only for those diagnosed but also for their caregivers, helping to combat the stigma and fear often associated with the disease.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In today’s rapidly evolving marketplace, being an age-friendly business is not just a nice-to-have—it's a game-changer. But what exactly does it mean to be age-friendly? It means tailoring your business to meet the needs of the new consumer majority: people over the age of 40, the group holding the most wealth in our society today. In our latest episode of "This is Getting Old," we dive deep into what it takes to create an age-friendly environment that truly resonates with this demographic. As we age, we all experience changes—some normal, like squinting at a receipt, and others that may lead to situations of disability. While businesses are required to be ADA compliant, there’s much more to consider in making your business not only age-friendly but also accommodating to those with disabilities. Join us as we explore practical steps and insights on how to make your business a welcoming place for everyone, regardless of age or ability. Whether you’re a business owner, a caregiver, or simply curious about creating more inclusive spaces, this episode could be the key to unlocking new opportunities for your business. #ThisIsGettingOld #MelissaBPhd #Podcast #Health #AgeFriendly #Business #Innovation #Inclusive #HealthyAging #BusinessTips…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Did you know that 64% of new businesses are started by people over age 40? In this insightful interview, we sit down with Christy Owens, the innovative mind behind uTap2. Christy shares her journey from the printing industry to pioneering digital business cards, highlighting the unique features and customer-centric approach of her product. In this episode we discover how uTap2 is transforming the way we network and the exciting future developments on the horizon.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Understanding Pelvic Floor Disorders and New Technology for Strengthening Your Pelvic Floor Pelvic floor disorders, particularly urinary incontinence, affect approximately 6-10% of the population, and they are often associated with the weakening of pelvic floor muscles. This condition can lead to involuntary urine leakage, which can significantly impact a person's quality of life. However, it's important to note that this weakening isn't an inevitable part of aging—there are steps you can take to strengthen your pelvic floor and manage these symptoms effectively. What Are Pelvic Floor Disorders? Pelvic floor disorders occur when the pelvic floor muscles weaken, leading to conditions like urinary incontinence. Incontinence is the involuntary leakage of urine, which can happen due to various triggers, such as coughing, sneezing, laughing, or even during physical activities like running or jumping. There are different types of urinary incontinence: Stress Incontinence: The most common form, occurring when pressure on the bladder due to physical activities like coughing, sneezing, or exercise causes leakage. Urge Incontinence: Also known as overactive bladder, this involves a sudden, intense urge to urinate, often requiring immediate access to a restroom. Mixed Incontinence: A combination of both stress and urge incontinence. Other types, like functional and overflow incontinence, exist but are less common. Causes of Pelvic Floor Weakening Several factors contribute to the weakening of pelvic floor muscles, including: Aging and Hormonal Changes: As we age, muscles naturally lose tone and elasticity, especially with the hormonal changes associated with menopause. Impact Sports: High-impact activities, like repetitive jumping in sports such as basketball or volleyball, can strain the pelvic floor muscles. Repetitive Heavy Lifting: Straining during heavy lifting can exert pressure on the pelvic cavity, weakening the pelvic floor muscles. Being Overweight: Extra weight puts additional pressure on these muscles. Childbirth: Pregnancy and childbirth can stretch and sometimes damage pelvic floor muscles, especially with large birthweight babies. Chronic Constipation: Frequent straining during bowel movements can also weaken these muscles. Medical Procedures: Surgeries like hysterectomies may impact pelvic floor strength. Treatment Options for Pelvic Floor Disorders If you're experiencing symptoms of urinary incontinence, the first step is to consult a healthcare provider, such as a primary care provider, gynecologist, or urologist who specializes in incontinence. Treatments may include: Behavioral Therapies: Bladder training and scheduled toileting can help manage symptoms by adjusting your bathroom habits. Dietary Modifications: Reducing bladder irritants like coffee, alcohol, or citrus fruits can alleviate symptoms. Pelvic Floor Rehabilitation: This includes Kegel exercises, biofeedback, and electrical stimulation to strengthen the pelvic muscles. Medications: Some medications can help, but it's important to be aware of potential side effects, especially in older adults. Pessary: A device inserted into the vagina to support organs and prevent prolapse. Surgery: In severe cases, surgery might be recommended to support the pelvic organs. Introducing Perifit: A New Way to Strengthen Your Pelvic Floor One of the challenges of pelvic floor exercises, like Kegels, is ensuring you're doing them correctly. Misaligned efforts can sometimes worsen symptoms rather than help. Enter Perifit, a new biofeedback device designed to guide you through Kegel exercises effectively, ensuring you're targeting the right muscles. Perifit combines gaming with exercise, making pelvic floor training more engaging and fun. The device connects to an app that provides real-time feedback as you perform exercises. By using Perifit, you can work on stopping leaks, enhancing sexual well-being, recovering from pregnancy, relieving prolapse symptoms, or maintaining your pelvic floor health. The device is simple to use: Order and Set Up: Order your Perifit device and download the accompanying app. Calibrate: Insert the device as instructed, and the app will guide you through calibration, helping you find and target the right muscles. Start Training: Engage in a tailored program that uses biofeedback to ensure you're exercising correctly, with the added fun of a game-like interface. For those interested, you can save 25% on Perifit by visiting their website and using the discount code MELISSABPHD. About Melissa: Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media. Find out more about her work HERE .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"Smoking or having more than two alcoholic drinks per day can contribute to bone loss." —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN WHAT IS OSTEOPENIA AND OSTEOPOROSIS? Losing height and bone density are serious health concerns that often go unnoticed until significant damage has occurred. With 40 to 50 million Americans living with osteopenia or osteoporosis, the impact of these conditions is widespread and profound. Height loss and weakened bones can lead to severe consequences, including fractures and reduced quality of life. In this episode, we will explain bone health, identify key signs, and symptoms, and provide resources to help you prevent these silent diseases by maintaining stronger bones. IDENTIFY THE CONDITIONS Osteopenia is a condition where bones are less strong than they should be but not as weak as experienced in osteoporosis. Osteoporosis is a more severe condition where bones become brittle and weak, making them more susceptible to fractures. RECOGNIZE THE SYMPTOMS Osteopenia often has no symptoms and is usually discovered during routine bone density tests or after a fracture. Osteoporosis may be identified with any broken bone due to a minor fall, loss of height, back pain, and rounding of shoulders caused by a bending over posture. KNOW THE RISK FACTORS The development of osteopenia and osteoporosis is influenced by so many things like age, hormonal changes, diet, lifestyle, and medical conditions. Bone density increases until the age of 25 and then starts to drop slowly with more significant loss starting around age 35. Hormonal changes, particularly in women post-menopause, can accelerate bone loss. A diet lacking in calcium and vitamin D, lack of exercise, smoking, and excessive alcohol consumption also increase the risk. DIAGNOSIS AND MANAGEMENT Diagnosis involves bone density tests (DEXA scans), medical history reviews, and physical exams. Blood and urine tests can also help identify underlying conditions that contribute to bone loss. Management includes lifestyle changes, dietary adjustments, and in some cases, medication. Key strategies include getting enough calcium and Vitamin D through the food we eat or supplements if need be. Dairy products, leafy greens, and fortified foods are good sources of such nutrients. It is important to engage in weight-bearing exercises as well as strength-training exercises for maintaining bone density. Practice balance and flexibility exercises to prevent falls. Factors such as avoiding smoking and minimizing alcohol intake are very significant as well. Also, monitoring and managing health issues like Hypothyroidism, diabetes, autoimmune diseases; being cautious about long-term use of certain drugs can affect bone health. TREATMENT OPTIONS Depending on the severity of bone loss, treatment may include supplements like calcium, vitamin D, and magnesium. Medications such as bisphosphonates, hormone replacement therapy, selective estrogen receptor modulators, and parathyroid hormone analogs can help strengthen bones and prevent fractures. Professional support from healthcare providers specializing in integrative or functional medicine can help uncover and address underlying causes of bone loss. By understanding and addressing osteopenia and osteoporosis, you can take proactive steps to protect and strengthen your bones. Remember to consult with healthcare professionals and explore trusted resources to support your bone health journey. RESOURCES AND SUPPORT For further information and support, consider resources like the Bone Coach Podcast hosted by Kevin Ellis, available on Apple Music, and the Save My Thyroid Podcast hosted by Dr. Eric Osansky, also on Apple Music. @OsteoStrong is a national chain offering specialized exercise programs for bone health. Join AgeWiseU to find and get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com/join ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Understanding and addressing Functional Cognitive Disorder (FCD) is an emerging field of science.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN It's usually a good idea to get an evaluation when experiencing issues with concentration, attention, or memory. Recognizing the differences between various cognitive disorders is crucial for appropriate management and care. LEARN ABOUT FUNCTIONAL COGNITIVE DISORDER (FCD) Functional cognitive disorder (FCD) is an emerging area in brain science. Unlike Alzheimer’s disease or a related dementia, FCD involves reported cognitive issues typically without the sensory or motor problems seen in dementia. IDENTIFY THE SYMPTOMS Typical symptoms of FCD include memory lapses, word-finding difficulties, and attention issues. These can be worsened by factors such as medications, depression, anxiety, pain, and poor sleep. Unlike dementia, FCD symptoms can fluctuate a lot, and individuals often experience good and bad days in their cognitive abilities. RECOGNIZE THE DIFFERENCES FROM DEMENTIA FCD differs from dementia in several ways. People with FCD are often under 65, have higher education levels, and experience symptoms suddenly. The person often reports having much lower cognitive ability from what their neurophyschological assessments show and/or how well they function day-to-day. They are more aware and concerned about these percieved cognitive issues, unlike those with Alzheimer's, who may not realize their cognitive decline. DIAGNOSIS AND MANAGEMENT Diagnosing FCD involves thorough evaluations similar to those for dementia. However, FCD does not typically get worse over time, unlike progressive disorders like Alzheimer's. Management focuses on treating symptoms such as sleep problems, anxiety, and depression, and using self-help strategies like cognitive behavioral therapy to improve quality of life. By understanding and addressing FCD, we can provide better support and care for those experiencing cognitive challenges. RESOURCES Check out this Fact Sheet from neurosymptoms.org to learn more. Join AgeWiseU to find and get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com/join ------------------------------------------------------------------------About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“The gut microbiome is believed to hold the key to healthy aging.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN The secret to aging well may lie within our gut. Scientists have discovered that maintaining gut health is crucial for overall well-being, including brain health. In this episode, we'll explore the gut microbiome, what it is, and how to keep yours thriving. WHAT IS THE GUT MICROBIOME? Think of your gut microbiome as a diverse garden of bacteria, fungi, protozoa, and other microbes in your digestive system. A healthy garden means a healthy you, but if the balance is disrupted, it can lead to health issues. Maintaining a symbiotic relationship with these microbes is essential for good health. FACTORS AFFECTING THE GUT MICROBIOME From birth, our gut microbiome is shaped by various factors, including early life exposures, diet, hygiene, environment, and even socioeconomic status. It's a dynamic system that changes over our lifetime. IMPACT OF DIET A diet rich in high-fiber foods like whole grains, fruits, and vegetables promotes a healthy gut microbiome. These foods are converted into short-chain fatty acids, which have anti-inflammatory and anti-cancer properties. Avoiding processed foods and incorporating a variety of plant-based foods is key to gut health. BENEFITS OF GUT HEALTH A healthy gut microbiome aids digestion, supports the immune system, and influences our nervous and endocrine systems. It helps protect against diseases like heart disease, diabetes, and obesity by reducing chronic inflammation. SIGNS OF IMBALANCE Signs of an unbalanced gut microbiome include constipation, diarrhea, gas, and bloating. If you experience these, it's essential to consult with a healthcare provider to address potential underlying issues. MAINTAINING GUT HEALTH Diet: Eat a variety of plant-based foods and aim for at least 30 servings of fruits and vegetables each week. Fiber: Ensure adequate fiber intake to feed your beneficial gut bacteria. Hydration: Drink plenty of water to support digestion. Physical Activity: Stay active to keep your digestive system functioning well. Avoid Harmful Substances: Limit alcohol, tobacco, and exposure to pollutants. Antibiotics: Use antibiotics only when necessary and under medical supervision. RESOURCES Join AgeWiseU to find and get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com/join ------------------------------------------------------------------------About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"Many nursing homes are owned by private equity firms that modify operations to maximize profits." —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Nursing homes provide essential care for older adults who need more help than family and friends can give. During the COVID-19 pandemic, over 200,000 residents and staff died , exposing serious problems in these facilities. Recently, the Centers for Medicare and Medicaid Services (CMS) introduced new rules to improve nurse staffing for the 1.2 million older adults who call nursing homes "home" who are both short-stay residents needing rehabilitation and long-stay residents. However, the nursing home industry are opposing these changes. SUPPORT ADEQUATE NURSE STAFFING IN NURSING HOMES Just as you would promise never to place a loved one in a poorly managed nursing home, supporting adequate nurse staffing can ensure higher quality care. Many tragedies in nursing homes during the COVID-19 pandemic could have been mitigated with better staffing. Adequate nurse staffing ensures you and your loved one have a safer experience. UNDERSTAND THE NEW CMS RULES The Centers for Medicare and Medicaid Services (CMS) published a new rule on nurse staffing standards in nursing homes. The key requirement is that at least one registered nurse be on duty 24/7. This rule aims to improve the quality of care and reduce preventable safety events . KNOW THE OPPOSITION The nursing home industry has launched efforts to block these new staffing standards, citing financial constraints. Understanding these oppositions helps you advocate for better care and transparency in nursing home operations. SUPPORT LEGISLATION FOR TRANSPARENCY Financial transparency is crucial. Many nursing homes are privately owned and divert funds meant for resident care into their profits. The CMS rule also includes financial transparency requirements to track how funds are spent, ensuring they are used for direct care. ADVOCATE FOR YOUR LOVED ONES In 2024, two joint resolutions were introduced in Congress (H.J.Res.139/ S.J.Res.91) and two bills ( H.R. 7513 / S. 3410 ) to not only overturn the rule but to prevent any administration from ever developing any staffing standards. By writing to your representatives and opposing bills like H.R. 7513 and S.3410 and these Joint Resolutions, you can help protect the standards that ensure safe and quality care in nursing homes. Your advocacy can prevent the nursing home industry from putting profits ahead of care. By following these steps, you'll ensure a safer, more comfortable, and more enjoyable environment for nursing home residents. RESOURCES Join AgeWiseU to find and get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com/join ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Be prepared for agitation and anxiety; have snacks, water, and distractions ready” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Traveling with a loved one who has Alzheimer's disease can be challenging, but with the right preparation, it can also be a smooth and enjoyable experience. In this episode, I provide five essential tips to help make your journey more comfortable and less stressful. UTILIZE IN-FLIGHT ASSISTANCE PROGRAMS Just like booking for an unaccompanied minor, using an in-flight assistance program can provide valuable help from the curb, through security, and onto the aircraft. This support ensures you and your loved one have a smoother experience. MAKE SURE YOU STAY TOGETHER When passing through airport security, go through first so you can assist your loved one from the other side if needed. This strategy helps prevent separation and ensures a seamless transition through security. USE A COMPANION CARD Carry a companion card to communicate your situation to TSA and flight attendants. This card informs them that you are traveling with someone who has Alzheimer’s, helping them provide the necessary support and understanding if agitation occurs. FIND FAMILY RESTROOMS Family restrooms are ideal for maintaining privacy and providing assistance. Whether you need to accompany your loved one or wait just outside the door, these facilities offer a safe and convenient option. PREPARE FOR AGITATION AND ANXIETY Travel can be unsettling for anyone, especially for those with Alzheimer's. Be prepared with snacks, a filled water bottle, magazines, or pre-downloaded movies on your iPad. These items can help distract and calm your loved one during the trip. By following these five tips, you'll ensure a safer, more comfortable, and more enjoyable journey for both you and your loved one. See you next time as we continue to support each other on this journey. RESOURCES Join AgeWiseU to find and get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com/join ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Meaningful relationships and social connections are essential components of our overall health” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Many of us deeply value our connections to family, friends, and our wider community, understanding that these relationships are crucial for our mental and emotional health. Renowned athletes like Michael Phelps have emphasized the importance of these connections, highlighting how they support our overall well-being. Join me in this episode as we explore the significance of these bonds, in line with the celebration of the Older Americans Act and Older Americans Month. EMBRACE NEW PASSIONS AND ACTIVITIES Bring more joy and connection into your life by trying new things you enjoy. Join a club, take a class, or explore activities in your area. These experiences not only add excitement to your life but also help you make new friends. GIVE BACK AND TEACH Stay involved in your community by giving back. Volunteer, join community projects, teach, or mentor others. These activities connect you with people of all ages and let you make a big difference in your community. BUILD AND DEEPEN RELATIONSHIPS Spend time with people. Make new friends and strengthen your bonds with family, friends, coworkers, or neighbors. These connections are the bedrock of a supportive community and contribute greatly to your sense of belonging and happiness. ORGANIZE INTERGENERATIONAL GATHERINGS Bring people of all ages together by hosting a game night across all generations. Board games or card games are perfect for bringing young and older adults together, sharing stories, and exchanging knowledge. ATTEND AND COORDINATE MUSIC EVENTS Music is a powerful way to unite people. Check out a musical event in your community, like a park concert, a local band's gig, or a music festival. These gatherings offer a great opportunity to enjoy good music and good company. Each of these actions not only enhances your own life but also strengthens the community around you. In a world where connections can sometimes be brief, making a conscious effort to engage deeply and meaningfully has never been more important. So, let's get involved, stay connected, and continue to support each other every step of the way. RESOURCESJoin AgeWiseU to find a get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com/join ------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"Just because it's a nursing home, doesn't mean they're doomed to be in there forever." —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Many families face the difficult decision of choosing the right care setting for their aging loved ones. You may have promised never to place your loved one in a nursing home, yet sometimes a skilled nursing facility is the most appropriate setting for their care needs. Join us for this episode where we'll discuss the basics of housing and care options for older adults. I'll help you understand the differences and what to think about so you can make a smart decision when the time comes. HOUSING AND CARE OPTIONS FOR OLDER ADULTS: ACTIVE ADULT COMMUNITIES Active Adult Communities are designed for active, independent older adults 55 and older who can manage their daily lives. These communities provide some maintenance, like lawn care, amenities, possibly even healthcare close by. INDEPENDENT LIVING Independent Living Facilities are often part of larger retirement communities offering apartments or condos. Ideal for those aged 65 and older, these setups also provide a low-maintenance lifestyle with services like housekeeping and laundry, allowing residents to enjoy a socially active environment without the burdens of maintaining a home. ASSISTED LIVING Assisted Living is for those who need more help with daily activities. Assisted living offers a range of services from basic assistance with medication management to memory care units for individuals with Alzheimer’s or other forms of dementia. While these facilities are out-of-pocket, they can provide personalized care to meet varying degrees of need. SKILLED NURSING CARE Skilled Nursing Care Facilities are for individuals requiring daily skilled nursing care. Often these stays are temporary; primarily for rehabilitation, and are covered by Medicare Part A. The goal is typically to rehabilitate and return to either a less intensive care setting or home. Skilled nursing homes also offer long-term care for those on Medicaid. CONTINUING CARE RETIREMENT COMMUNITIES (CCRCs): CCRCs provide all types of care and housing options, from independent and assisted living to skilled nursing homes. This means residents can stay in the same general area (“campus”) as they age and their care needs change. CCRCs gives residents peace of mind knowing they'll always have the care they need with more on-site guidance for residents and families for what’s next based on those needs. RESPITE CARE Respite Care provides temporary relief for someone caring for a loved one at home, allowing them to take a break or fulfill other obligations while ensuring their loved ones receive professional care. REHABILITATION CARE Rehabilitation Care Facilities are usually found in hospitals and involve intense therapy for people recovering from major health events like surgery or a stroke. These facilities offer more rigorous daily therapy than a regular skilled nursing facility provides (e.g. 6 hours of daily rehab vs. 3 hours respectively). Remember, choosing the right housing and care option for an older adult is both a responsibility and an opportunity. By understanding the full range of available options and utilizing the resources provided, you can make decisions that honor your loved one's needs and preferences with confidence and care. RESOURCES Join AgeWiseU to find a get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com/join ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar – and more! Check out the Join button on my YouTube channel to learn more as these evolve. SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“If you aren't taking care of yourself, you can't take care of anybody else.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Caring for individuals living with dementia is a profound act of love and dedication, but it also comes with its unique set of challenges. Caregivers often find themselves facing a tough journey filled with uncertainty, frustration, and emotional strain. In this episode, we'll talk about ways to help caregivers, offering insights to reduce stress and prevent burnout. Tip 1: Ignoring symptoms won't make them disappear. Don't ignore signs of dementia. Early detection helps in getting timely support and planning. Tip 2: It's never too late to improve brain health. Encourage a healthy lifestyle. Regular exercise, a balanced diet, and mental stimulation can slow down the progression of dementia. Tip 3: Regularly review medications. Keep track of medications and consult healthcare providers regularly to avoid harmful drug interactions. Tip 4: Avoid arguments. Instead of arguing, try to understand and validate their feelings. Responding with empathy reduces stress for both of you. Tip 5: Use validation techniques. Acknowledge their reality, even if it differs from yours. Redirect conversations gently to avoid confusion and frustration. Tip 6: Don't take negative behaviors personally. Understand that it's the disease, not the person, causing difficult behavior. Respond with patience and compassion. Tip 7: Focus on what you can control. Prioritize tasks and be flexible with plans. Focus on maintaining a positive relationship rather than getting everything done perfectly. Tip 8: Seek support from others. Don't hesitate to ask for help. Building a support network can ease the burden of caregiving and provide valuable emotional support. Tip 9: Make time for self-care. Nurture your own well-being to sustain your ability to care for others. Make time for activities that recharge you, even if it's just a short break each day. Tip 10: Have open discussions about future medical decisions. Have open conversations about future medical decisions and end-of-life wishes. Being prepared helps in making informed decisions later on. Remember, caring for someone with dementia is both challenging and rewarding. By implementing these tips and accessing available resources, you can navigate this journey with resilience and compassion. RESOURCES Join AgeWiseU to find a get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com/join ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Women are more likely than men to have the mutated gene (APOE4) associated with Alzheimer's disease.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Alzheimer's disease is a complex neurodegenerative condition with various risk factors. Women face a higher risk due to multiple contributing factors. In this episode, we explore some of the reasons that women may have a higher risk for developing dementia in their lifetime. THE IMPACT OF MENOPAUSE ON ALZHEIMER'S RISK Alzheimer's disease is a condition that presents a distinct challenge for women. In fact, approximately two-thirds of those diagnosed with Alzheimer's are female. One question scientists still have is how menopause might affect cognitive decline. UNDERSTANDING THE RISK FACTORS Age is the biggest risk factor for Alzheimer’s disease and women tend to outlive men. In 2020, 4.2 million women are living with dementia, compared to 2.7 million men. To keep things in perspective, this means that of all adults over the age of 65, dementia only affects 11% of women and 9% of men. Scientists are still not sure why women are more affected but age, biological factors, and social influences all play a role in this complex issue. THE ROLE OF MENOPAUSE Understanding Alzheimer's risk in women is believed to be closely tied to the hormonal changes during menopause. Perimenopause, which typically starts between ages 45 to 55 and can last 7 to 14 years, and marks the transition to menopause. During this time, the ovaries produce less estrogen and progesterone, hormones that help protect the brain. The decrease in these hormones aligns with a potential decline in cognitive function and a higher risk of Alzheimer's. EXPLORING TREATMENT OPTIONS Estrogen therapy is believed to reduce dementia risk during early menopause, but it's important to work with your provider to determine if the risks outweigh the benefits. The FDA advises against using hormone therapy in women over 65 and women already diagnosed with dementia due to possible worsening of cognitive symptoms. More research is needed to understand how hormone therapy affects brain health, and if there are safer treatments such as bioidentical estrogen (compared to synthetic estrogen) personalized to the individual person. MITIGATING ALZHEIMER'S RISK While we wait for more evidence about the impact of menopause on brain health, it’s important to take a comprehensive preventive approach. This includes making lifestyle changes like getting enough sleep, eating well, exercising regularly, and managing stress to reduce Alzheimer's risk factors. It's also crucial to stay socially connected, keep mentally active, and have regular medical check-ups as part of a holistic preventive strategy. RESOURCES Join AgeWiseU to find and get all of my handouts and related content on Alzheimer’s disease and more at MelissaBPhD.com. ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with me and support the podcast: BECOME AN AGEWISEU: Visit my website at https://melissabphd.com/join/ and sign up for free as an Insider or upgrade to being a MVP. Updated weekly, AgeWiseU MVP is a digital hub of over 175 hours of curated content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! MVPs are also invited to join me for a members-only monthly live webinar! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“As a nurse, I'm all about lifestyle strategies and preventing Alzheimer’s from even happening to us” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Alzheimer's disease poses a significant threat to individuals and societies worldwide due to its devastating impact on cognitive function and quality of life. Although a cure has not been found, ongoing research gives hope for better treatments to ease symptoms, slow down the disease, and make life better for people with Alzheimer's. THE STATE OF ALZHEIMER'S DISEASE RESEARCH Alzheimer's disease, a top 10 leading cause of death, remains a problem in medical science. Despite decades of research and billions of dollars invested, no effective prevention, treatment, or cure exists. The failure rate of clinical drug trials is staggering, with over 146 drugs failing to deliver promising results. CHALLENGES IN DRUG DEVELOPMENT The complexity of Alzheimer's disease poses significant challenges in drug development. Many experimental drugs fail because they either don't work or cause serious side effects. In this episode, I explain several reasons for this including misdiagnosed study participants, the impact of research focus, and more. FUTURE DIRECTIONS OF CLINICAL RESEARCH The future of Alzheimer's disease research lies in a multifaceted approach, targeting various aspects of the disease's pathology. New studies show that inflammation plays a big role in damage to the brain in Alzheimer’s disease, which opens up possibilities for new treatments. While clinical trials continue to face challenges, there's hope that personalized treatments and lifestyle changes can lower the risk of Alzheimer's. HOW TO KEEP A HEALTHY BRAIN To keep your brain healthy, proactive measures play an important role. Lifestyle strategies like managing blood pressure, maintaining a healthy weight, and engaging in regular physical activity, can significantly reduce the risk of cognitive decline. While we're waiting for breakthroughs in drug development, these strategies give us all ways we can take control of our brain health. RESOURCES Two great resources can help you keep your brain healthy. The AARP Staying Sharp program provides access to cognitive assessments, daily activities, and educational resources, promoting brain-healthy habits. Additionally, the Brain Health Resource Center offers comprehensive information on Alzheimer's disease and related conditions, along with free hearing tests for AARP members. ------------------------------------------------------------------------ About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner with over 25 years of experience caring for older adults and their families. Below are 4 ways to connect with and support the podcast: BECOME AN AGEWISEU INSIDER: Visit my website at https://melissabphd.com/join/ and sign up for free! Updated weekly, AgeWiseU is a digital hub of over 175 hours of content, resources, helpful links and courses designed for caregivers of people living with dementia; adult children caring for aging parents; and anyone wanting to learn more about brain health and healthy aging! BECOME A YOUTUBE MEMBER: Get early access to my podcast episodes and join me for a members-only monthly live webinar! SUBSCRIBE, LIKE, SHARE, AND LEAVE A REVIEW: SUBSCRIBE to this YouTube Channel; LIKE the podcast by giving this episode a thumbs up; SHARE this episode with others; and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. JOIN THE FACEBOOK COMMUNITY: If you are on Facebook, feel free to join my private community here: https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Once diagnosed with Lewy body dementia, on average, individuals tend to live 5 to 8 years” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Lewy body dementia (LBD) is often misunderstood, misdiagnosed, or overlooked, yet it affects millions worldwide. Join me as I explain one of the complicated types of dementia. In this week’s episode, we’ll explore Lewy body dementia, understand its symptoms, causes, stages, and how it can be treated. WHAT IS LEWY BODY DEMENTIA? Lewy Body Dementia (LBD) is characterized by abnormal protein deposits in the brain, leading to chemical changes and the death of brain cells. This results in various challenges with movement, balance, thinking, behavior, and mood. One key feature of LBD is the fluctuation in cognitive ability, making it challenging to determine the disease's stage. DO YOU HAVE SYMPTOMS OF LEWY BODY DEMENTIA? Symptoms of Lewy body dementia include memory problems, confusion, strange body movements, sleep disorders, hallucinations, and dizziness. People with LBD may experience auditory or vivid visual hallucinations, which can be distressing or gentle, depending on the image they are seeing. This type of dementia also affects the body's automatic functions, causing issues like changes in blood pressure, temperature sensitivity, and loss of smell. WHAT CAUSES LEWY BODY DEMENTIA? While the cause of Lewy body dementia remains unknown, it involves abnormal clumping of a protein called alpha-synuclein in areas of the brain responsible for thinking and movement. These clumps, known as Lewy bodies, interfere with the production of neurotransmitters, resulting in issues with muscle movement, memory, and thinking abilities. CHALLENGES IN DIAGNOSING LEWY BODY DEMENTIA Diagnosing Lewy body dementia can be tricky. Its symptoms can be similar to those of Alzheimer's or Parkinson's disease. Typically, a team of specialists, including primary care providers, neurologists, and psychiatrists, is needed for a thorough evaluation. Diagnostic tests may include cognitive assessments, brain scans, blood tests, and sleep studies. HOW DOES IT PROGRESS? In the early stages of Lewy body dementia, memory remains intact, but confusion and mild cognitive changes may appear. Attention span can vary and hallucinations and REM Sleep Behavior Disorder can occur. As Lewy body dementia progresses, cognitive decline worsens, attention span decreases, and confusion increases. Movement problems develop, leading to falls and difficulty with tasks like bathing and dressing. Communication becomes harder, swallowing may be challenging, and paranoia or delusions may worsen. In the late stages, muscles become very stiff and sensitive to touch. People need help with most daily tasks like eating and bathing. Speech becomes very difficult, often turning into a whisper or stopping completely. WHAT TREATMENTS ARE AVAILABLE? While there is no cure for LBD yet, there are treatments that manage symptoms and improve quality of life. Medications like cholinesterase inhibitors may help maintain cognitive function. RESOURCES You can learn more by visiting the Alzheimer’s Association website at https://www.alz.org/alzheimers-dementia/what-is-dementia/types-of-dementia/dementia-with-lewy-bodies Visit my website at https://melissabphd.com/ to learn more. Download the 10 Warning Signs of Alzheimer’s Disease: https://melissabphd.com/10warningsigns/ Download the checklist for Alzheimer’s disease and dementia: https://melissabphd.com/diagnosischecklist/ ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse Please visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services, please visit my website to sign up for my newsletter and follow me on social media. If you are on Facebook, feel free to join my Group - look for This is Getting Old: Moving Towards an Age-Friendly World ~ and I'll see you there! https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Symptoms of Parkinson's disease are gradual and they're very subtle.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN What is Parkinson's disease dementia? How does it manifest differently from other forms of dementia? Join me in this insightful episode where we answer these questions and discuss more of its symptoms and available medication. WHAT IS PARKINSON’S DISEASE? Parkinson’s Disease is a progressive disorder affecting individuals over 50, characterized by motor issues such as muscle stiffness, tremors, and balance problems. As it advances, cognitive issues known as Parkinson's disease dementia may emerge about ten years after the initial diagnosis. RELATIONSHIP OF PARKINSON’S DISEASE TO LEWY BODIES Parkinson's disease is caused by abnormal protein deposits called Lewy bodies, leading to chemical changes and eventually dementia symptoms like difficulty concentrating or hallucinations. While people with Parkinson's dementia and Lewy body dementia share clinical features, there are key distinctions. In Parkinson's disease, dementia develops after experiencing movement issues, whereas those with Lewy body dementia first experience cognitive changes and later develop motor problems. SIGNS AND SYMPTOMS Symptoms of Parkinson's disease are gradual and subtle. They usually appear around ten years after the initial diagnosis, focusing more on movement issues than cognitive changes. In severe cases, symptoms may involve REM sleep disorders, causing a person to physically act out dreams or experience hallucinations. HOW IS PARKINSON’S DISEASE DEMENTIA DIFFERENT THAN ALZHEIMER’S DISEASE? While both are forms of dementia, they impact our memory differently. Alzheimer's typically hinders the creation and storage of new memories, while Parkinson's dementia can lead to problems with both short and long-term memory loss. CAUSES AND MEDICATIONS The potential causes of Parkinson's disease dementia are linked to the buildup of a protein called alpha-synuclein in the brain. This leads to the formation of clumps that contribute to the death of neurons or nerve cells. While there is still no cure for Parkinson's disease dementia, medications are available to manage symptoms and enhance the individual's quality of life. RESOURCES The Parkinson’s Foundation at https://www.parkinson.org/understanding-parkinsons has information about understanding Parkinson’s disease, strategies for living with Parkinson’s as well as other resources and support if you or a loved one has been diagnosed with this disease and are experiencing changes in your memory. Download the 10 Warning Signs of Alzheimer’s Disease: https://melissabphd.com/10warningsigns/ Download the checklist for Alzheimer’s disease and dementia: https://melissabphd.com/diagnosischecklist/ ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse Please visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services, please visit my website to sign up for my newsletter and follow me on social media. If you are on Facebook, feel free to join my Group - look for This is Getting Old: Moving Towards an Age-Friendly World ~ and I'll see you there! https://www.facebook.com/groups/thisisgettingold…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Understanding the unique needs of each resident requires a holistic approach that goes beyond medical care.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN In this episode, Melissa Batchelor and Rebecca Adelman explore the crucial topic of managing expectations in assisted living. Drawing from their extensive experience, they shed light on the five key domains that significantly impact residents and their families in assisted living facilities. DOMAIN 1: COMMUNICATION We discuss the importance of clear, transparent communication between residents, families, and the caregiving team. From daily routines to healthcare updates, understanding the nuances of communication helps create an environment of trust and support. DOMAIN 2: FAMILY SYSTEMS It’s a necessity to understand the unique needs and expectations of both residents and their families. Assisted living is more than physical care; it's about recognizing the emotional, spiritual, and cultural aspects that shape an individual's well-being. The key lies in adopting a holistic approach that goes beyond medical care, fostering an environment where residents feel seen, heard, and truly understood. DOMAIN 3: GOALS OF CARE From advanced care planning to end-of-life discussions, this domain explores the delicate yet pivotal conversations surrounding desires, wishes, and how one envisions the later stages of life. We emphasize the need for proactive discussions, empowering families to make informed decisions aligned with their loved ones' wishes. DOMAIN 4: AGING PROCESS We challenge the misconception that normal aging implies a decline, highlighting the diversity among older adults. Emphasizing the role of health literacy as a powerful tool, we empower families to navigate the complexities of chronic illness and aging. Our goal is to reshape the conversation and promote a more inclusive understanding of the aging experience. DOMAIN 5: EMOTIONAL AND SPIRITUAL HEALTH Acknowledging the impact of religion, spirituality, and diverse belief systems, we highlight the importance of creating an environment that respects and nurtures these facets. This domain serves as the emotional compass, guiding families through the challenges and joys of assisted living. Whether you're a family member, caregiver, or simply curious about elder care, this episode is packed with valuable information. Download Rebecca Adelman's Guide Path white paper here: https://guidepathllc.com/guide-path-collective ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse Please visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services, please visit my website to sign up for my newsletter and follow me on social media. If you are on Facebook, feel free to join my Group - look for This is Getting Old: Moving Towards an Age-Friendly World ~ and I'll see you there! https://www.facebook.com/groups/249685261464834/ ------------------------------------------------------------------------------------------------------------------------------- About Rebecca Adelman Rebecca Adelman is a lawyer, entrepreneur, influencer, and thought leader in healthcare, senior living, and risk management. For over 30 years, Rebecca has concentrated her practice on healthcare, insurance defense, employment, and business litigation. She is also an arbitrator for the American Health Lawyers Association. Also in 2021, Ms. Adelman founded Guide Path, LLC, an Expectations and Risk Management Certification Program created for resident, family and provider engagement to mitigate risk, improve quality of care and regulatory compliance. Guide Path, the new standard of excellence for senior living certification, delivers a paradigm shift in the way senior living care providers understand, establish, and manage resident and family expectations in assisted living and skilled nursing communities along the continuum of care. https://www.linkedin.com/in/rebeccaadelmanesq/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
All dementias don't look the same; they don't show up the same way that Alzheimer's disease does. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Listen to today's episode where I talk about frontotemporal dementia (FTD), a rare kind of dementia. I'll walk you through how FTD is different from Alzheimer's disease and share insights into why seeking medical care is crucial if any of these symptoms are interrupting your life or the life of a loved one. People with frontotemporal dementia tend to have clusters of symptom types that occur together like behavioral changes, speech and language symptoms, and movement conditions. The difficulty with FTD is that it can show up differently for different people and memory isn’t usually affected in the early stages, so it’s very difficult to diagnose. In fact, FTD is one of the rarest types of dementia. While around 6.5 million Americans ages 65 and above live with Alzheimer's disease, only 3% of those people have frontotemporal dementia. IMPACT ON YOUNGER AGE GROUPS Frontotemporal dementia mostly shows up in younger people, from as early as age 45 to 64, which is younger compared to other types of dementia. Due to inadvertent ageism in our healthcare system, providers may dismiss symptoms as something else because the person is younger than we typically expect a person to have cognitive issues. EARLY WARNING SIGNS It's important to note that the symptoms of frontotemporal dementia (FTD) can vary widely, and individuals may not exhibit all of these symptoms discussed in the podcast. However, one of the early signs of FTD often includes a change in personality or behavior, such as becoming socially inappropriate, impulsive, apathetic, or withdrawn. These psychiatric symptoms also delay getting to an accurate diagnosis or a misdiagnosis of depression or anxiety initially. If you or someone you know is experiencing cognitive or behavioral changes, it is crucial to seek medical advice immediately. CELEBRITIES' BATTLES WITH FTD In the past year, two celebrities have been diagnosed with FTD, most notably Bruce Willis in February 2023; and in Feb 2024, Wendy Williams. Both are now bravely sharing their experiences with FTD to help raise awareness. DIAGNOSTIC CHALLENGES AND BARRIERS Just like with every other dementia, early symptoms of FTD can be subtle and often go unnoticed because they start slowly and progress over a long period of time. Another challenge is that FTD isn't as well-known as other types of dementia like Alzheimer’s disease, making it hard for primary care doctors and even big academic medical centers to recognize it. The process of diagnosing this type of dementia is a long journey, and can take up to 2 to 3 years of various appointments, ruling out other conditions, and talking to neurology experts to get to the correct answer/ diagnosis. The more we all understand FTD better, we can take steps towards being a more compassionate and informed community. You can learn more about FTD from the Association for Frontotemporal Degeneration. This organization can help people living with disease, their families and caregivers connect in person and with online support groups. Their website is theaftd.org and they have a helpline. The helpline phone number is 866-507-7222. You can e-mail them at info@theaftd.org. Be sure to check out more resources on my website at MelissaBPhD.com to learn more about brain health and dementia. And be sure to get your FREE downloads at: 10 Warning Signs: https://melissabphd.com/10warningsigns/ Diagnosis Checklist: https://melissabphd.com/diagnosischecklist/ ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse Please visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services, please visit my website to sign up for my newsletter and follow me on social media. If you are on Facebook, feel free to join my Group - look for This is Getting Old: Moving Towards an Age-Friendly World ~ and I'll see you there! https://www.facebook.com/groups/249685261464834/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
WHAT IS VASCULAR DEMENTIA? Vascular dementia is a type of dementia linked to issues with blood flow to the brain. It ranks as the second most common type of dementia, occurring in about 15 to 30% of all dementia cases. In this episode, we explore its symptoms, risk factors, and the unique challenges it carries. SYMPTOMS AND RISK FACTORS Symptoms of vascular dementia can manifest suddenly or gradually over time. Individuals may experience cognitive problems, including poor memory, language difficulties (aphasia), coordination issues (apraxia), and problems recognizing things or people (agnosia). Unlike other dementias, vascular dementia often presents neurological symptoms like exaggerated reflexes, walking imbalance, and muscle weakness. Risk factors include age, high blood pressure, diabetes, high cholesterol, smoking, gender, and race. Understanding these factors is crucial in managing and preventing this condition. DIAGNOSIS Diagnosing vascular dementia requires a comprehensive approach. Healthcare professionals conduct a thorough diagnostic, ruling out other potential causes for symptoms. This includes assessing medical history, medications, risk factors, cognitive screenings, and imaging tests like CT, MRI, and PET scans. Neuropsychological testing may also be employed for a detailed evaluation of cognitive function. TREATMENT AND PROGNOSIS While no specific drugs are FDA-approved for vascular dementia, medications used for Alzheimer's disease may provide some relief. The primary focus, however, lies in managing cardiovascular problems. Lifestyle changes, including controlling blood pressure, maintaining cholesterol levels, and a healthy weight, play a crucial role. The prognosis for vascular dementia varies based on individual factors such as age, existing medical conditions, and the nature of cardiovascular issues. While there's no cure, the goal of treatment is to prevent further damage, manage symptoms, and provide support for both the affected individual and their caregivers. Get your FREE downloads at https://melissabphd.com/ from the Blog page that goes with this episode or using the links below. 10 Warning Signs: https://melissabphd.com/10warningsigns/ Diagnosis Checklist: https://melissabphd.com/diagnosischecklist/ ----------------------------------------------------------------------- About Melissa B PhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse Please visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services, please visit my website to sign up for my newsletter and follow me on social media. If you are on Facebook, feel free to join my Group - look for This is Getting Old: Moving Towards an Age-Friendly World ~ and I'll see you there! https://www.facebook.com/groups/249685261464834/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The challenges caused by dementia can affect your ability to function in your daily life. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN What are the different types of dementia and how to differentiate them? Dementia is a group of symptoms that affect memory, language, problem-solving, and thinking skills, impacting your daily life. Tune in to today’s episode where I’ll explain in detail what dementia is, discuss common types, and share insights on how to recognize them and access the FREE handout that you can download: 10 Warning Signs of Alzheimer’s disease and a checklist of things your provider should check if you’re worried about your memory or the memory of someone you love. COMMON SYMPTOMS OF ALZHEIMER’S DISEASE ALZHEIMER’S DEMENTIA Alzheimer's dementia stands as the most common form of dementia, comprising 60-80% of cases. Recognizing its symptoms is crucial, including difficulty remembering recent conversations, names, or events, reduced enjoyment of activities, communication challenges like struggling to find words, and the overall impact on language use and understanding. VASCULAR DEMENTIA Vascular dementia is a condition that affects thinking, planning, judgment, memory, and other cognitive processes due to brain damage caused by reduced blood flow. This may show signs like slurred thoughts or decision-making challenges. Everyday tasks, such as filling out forms or planning events, may become a bit harder. It's important to notice these signs early for timely help and support. FRONTOTEMPORAL DEGENERATION (FTD) Frontotemporal dementia (FTD) is a progressive brain disease. This means over time; it causes parts of your brain to deteriorate and stop working. There's also a lot of denial that there is a memory problem and you may see less emotional expression, known as either having a flat affect or being apathetic. Notably, this is the type of dementia Bruce Willis is dealing with. When reports surfaced about his memory issues, they linked it to aphasia - the struggle with using and understanding language. PARKINSON’S DEMENTIA (PD) Parkinson’s disease can cause a form of dementia known as Parkinson’s dementia (PD). This condition is marked by a decline in thinking, reasoning, and problem-solving. Parkinson’s dementia often involves falling, distinguishing it from others. While Lewy body and Frontotemporal dementia also involve falling, the direction varies – forward for Lewy body and backward for Parkinson's. LEWY BODY DEMENTIA (LBD) Lewy body dementia (LBD) is the second most common type of dementia after Alzheimer's disease. Early symptoms of Lewy body dementia include sleep disturbances, vivid visual hallucinations like seeing bugs or strangers, and difficulty with visual-spatial awareness, affecting one's sense of space and time. Get your FREE downloads at https://melissabphd.com/ from the Blog page that goes with this episode or using the links below. 10 Warning Signs: https://melissabphd.com/10warningsigns/ Diagnosis Checklist: https://melissabphd.com/diagnosischecklist/ ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse Please visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services, please visit my website to sign up for my newsletter and follow me on social media. If you are on Facebook, feel free to join my Group - look for This is Getting Old: Moving Towards an Age-Friendly World ~ and I'll see you there! https://www.facebook.com/groups/249685261464834/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
When someone insists that you should “dress your age,” it's inherently an ageist remark. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN What does it mean to be told that you need to “dress your age”? At its core, being told to “dress your age” is an ageist statement. Has anyone ever said something along these lines to you? Or maybe you restrict yourself by saying that you’re “too old” or “too young” to wear a certain style of clothing or shoes? Or have a certain hairstyle? Or how you wear your makeup? In today’s episode, I am joined by Cyndy Porter who is a certified image consultant, personal stylist, fashion expert and award-winning photographer based in northern Virginia. I worked with her personally in 2015 ~ and today, she and I are going to have a conversation about owning your style at any age. ▶ Dressing Your Age with Cyndy Porter Feeling youthful goes beyond appearances and fashion choices; it's an inner outlook on life that defines us. In my field of work, I've had the pleasure of encountering numerous amazing individuals in their 90s who radiated youthfulness. Similarly, I've come across some less vibrant 40-year-olds who see the world through hazy lenses. It goes back to who you are, staying youthful and being positive and keeping those mental thoughts in the right place then showing up in the world in a way that represents that. Cyndy emphasizes that it all comes down to self-confidence, regardless of your age. Style and fashion are employed as tools to present the best version of yourself. While people may think that's superficial, a change in a piece of clothing or lipstick makes transformational changes in people's lives. When it comes to developing or revamping our personal style, there are some key elements we should keep in mind. Cyndy refers to these as the Principles of Design and Art, and they include: Emphasis Scale Color Contrast Repetition Unity and Variety Principles of Design and Art - https://successthrustyle.com/principles-of-design-and-art/ Dressing well and dressing according to one's body type, personality and values ultimately creates a timeless sense of fashion and boosts long-lasting confidence. Find out the five adjectives that will perfectly describe the image you aspire to achieve for yourself and the avatars that will clarify your signature style Adjectives Worksheet: https://successthrustyle.com/style-adjective-worksheets/ Success Thru Style Avatars: Free PDF: https://successthrustyle.com/success-thru-style-avatars/ Your Own Style Summary Sheet: https://successthrustyle.com/resources/style-summary-sheet/ Cyndy Porter is an image consultant and personal coach who works with professionals helping them look and feel confident and attract success. She received her degree in marketing, from California State University, Chico. She spent 20 years as a sales and marketing professional in high-tech companies. Her stops included WAIS (one of the first Internet companies in existence) and Kodak. Her final stop on the corporate ladder was as a divisional Vice President of Marketing at American Online (AOL). Thereafter, Cyndy became an award-winning professional photographer. She is a certified image consultant and story coach. Her clients have gone on to start their businesses, multiply their incomes, change careers, be promoted, and forge healthy relationships. How to Connect with Cyndy: Cyndy’s website: https://successthrustyle.com/ – Book a Strategy Call Watch Cyndy’s TEDx Pearl Street Talk - https://successthrustyle.com/cyndys-ted-talk/ You can also find her on: Facebook: https://www.facebook.com/successthruStyle/ LinkedIn: https://www.linkedin.com/in/cyndyporter/ Instagram: https://www.instagram.com/successthruStyle/ Pinterest: https://www.pinterest.com/cyndyporter/ ------------------------------------------------------------------------ About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. Please visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services, please visit my website to sign up for my newsletter and follow me on social media. If you are on Facebook, feel free to join my Group - look for This is Getting Old: Moving Towards an Age-Friendly World ~ and I'll see you there! https://www.facebook.com/groups/249685261464834/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The speed at which dementia progresses varies a lot from person to person. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN How does Alzheimer’s disease and dementia progress? The speed at which dementia progresses varies a lot from person to person based on a lot of factors. Tune in to today’s episode where I’ll talk you through the progression of dementia through the different stages and access two free resources that you can download: One on the 10 Warning Signs of Alzheimer’s disease and a Checklist of things your provider should check if you’re worried about your memory or the memory of someone you love. PRECLINICAL ALZHEIMER’S DISEASE Alzheimer's disease is a degenerative disease that starts with preclinical Alzheimer's disease which is age-related memory changes. Symptoms are usually noticeable, but not significant. People will report growing trouble with their memory, such as forgetting names of people they've known for a long time. Or trying to remember where they put their keys or their wallet – but in most cases they do remember these things later. MILD COGNITIVE IMPAIRMENT Over time, this forgetfulness may develop into a true mild cognitive impairment. At this stage, there’s much clearer evidence of memory loss that the person’s close family and friends will notice, but not other people. Biomarkers may show up on a PET scan or an analysis of the cerebral spinal fluid and the brain is not able to compensate as well. MILD DEMENTIA The next stage is mild dementia which is a moderate level of cognitive decline. We can detect clear signs of this disease in a clinical situation and will have the biomarker changes. With careful evaluation, people in this stage often have trouble remembering different parts of their personal life experiences and may not be able to understand current events or have more trouble with math. There's also a lot of denial that there is a memory problem and you may see less emotional expression, known as either having a flat affect or being apathetic. MODERATE DEMENTIA The next stage is moderate dementia. Memory issues are going to show up on a clinical exam. People living in this stage have trouble remembering important parts of their life, including their address, the names of their close friends or family members, their hometown, or what school they went to. While they have trouble with recent memories, a lot of times, the major life events from their past are still retained, and they can still get to the bathroom and eat by themselves. But they would not be safe to stay at home alone. SEVERE DEMENTIA The next stage is Severe dementia. The person has occasional trouble remembering the name of their spouse, partner, or caregiver. They will continue to have a hard time recalling recent life experiences or events. And they will have trouble counting down from 10. We may see some changes in personality and behavior, trouble with sleeping and may begin to need assistance for basic daily activities. SEVERE/ END-STAGE DEMENTIA The last stage is Very severe or end- stage dementia where the person has lost all of their independence related to thinking, memory and control over their body. They are going to need assistance with eating, bathing and using the bathroom. They will become incontinent, and they have lost the ability to use and/ or understand words. They will become bedridden and begin to have trouble with chewing and swallowing food. When someone gets to end stage dementia, they typically do not live longer than six months. Get your FREE downloads at https://melissabphd.com/ from the Blog page that goes with this episode or using the links below. 10 Warning Signs Diagnosis Checklist ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse Please visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services, please visit my website to sign up for my newsletter and follow me on social media. If you are on Facebook, feel free to join my Group - look for This is Getting Old: Moving Towards an Age-Friendly World ~ and I'll see you there! https://www.facebook.com/groups/249685261464834/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
There is no single test that can determine if you have Alzheimer's disease, dementia, or a blend of both. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Have you ever wondered why it takes so long to get to a diagnosis of Alzheimer’s disease or another type of dementia? The good news is that it should take a bit of time – because it is a diagnosis of exclusion – meaning any other issues have to be ruled out. So it’s a little more complicated than a single test can tell us. In today’s episode, I will walk you through the types of tests, exams, and screenings that should be done to help your provider get to a diagnosis. Stay tuned! ▶ How is Alzheimer’s Disease and Dementia Diagnosed? Investigating possible causes and early diagnosis is important because: While there is no cure, there may be another underlying cause that is treatable/ reversible, or you have time to make lifestyle modifications that may help manage the disease. It can explain why you’re having a harder time with your memory or decision-making You can make decisions about your future and communicate those to your loved ones There isn’t a single test. Any type of dementia is a “diagnosis of exclusion.” HISTORY PHYSICAL EXAM MEDICATION RECONCILIATION COGNITIVE SCREENINGS BLOODWORK BRAIN SCAN HISTORY Social History (modifiable risk factors) Family History Medical History – chronic diseases Surgical History – history of post-op delirium Review of systems PHYSICAL EXAM Vital signs Head-to-toe MEDICATION RECONCILIATION Review of prescription medications, supplements and over-the-counter medication COGNITIVE SCREENING Screening for Depression Screening for Memory Issues Basic parts of the test measure: Orientation (date, day, year, month) Language (verbal fluency and naming) Reason and computation (calculation and abstraction) Visuospatial ability (replicating a 3-D image, clock drawing test) Executive function (problem-solving) Memory Mini-Cog Mini-Mental State Exam (MMSE) Montreal Cognitive Assessment (MOCA) Self-Administered Gerocognitive Exam Online test can be found here ; there are 4 version that you can download or you can take it online BLOOD WORK BRAIN SCAN Head CT and MRIs – Look at brain structure PET Scan – Uses a small amount of radioactive substance to measure brain activity; can measure abnormal protein deposits in the brain SPECT: Single Photon Emission Computerized Tomography - A nuclear test that looks at blood flow and activity. Get your checklist at https://melissabphd.com/diagnosischecklist/ #alzheimers #dementia #alzheimersawareness #caregiver #dementiaawareness #alzheimersdisease #seniorliving #homecare #healthcare #health #caregiversupport #care #memorycare #aging #thisisgettingold #melissabphd ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Be especially cautious with anticholinergics if you are concerned about your memory, diagnosed with mild cognitive impairment or dementia, or want to reduce the risk of Alzheimer’s. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Anticholinergics are medications that block acetylcholine, a crucial neurotransmitter in the body. This blocking leads to lower brain function and can cause drowsiness. While some people take these drugs for their sedative effects, these drugs can be problematic for someone who has a vulnerable brain – meaning a person already experiencing memory problems. Research links anticholinergic drugs to an increased risk of Alzheimer's disease and hospitalizations in older adults. The American Geriatrics Society warns against these drugs, listing them on the Beers List updated in May of 2023 of medications older adults should avoid or use cautiously. Common Anticholinergic Medications to Avoid Anticholinergics are present in allergy medicines, muscle relaxants, painkillers, and many over-the-counter (OTC) medications. Here are seven types of anticholinergic medications that older adults should be cautious about: Sedating antihistamines: e.g., diphenhydramine (Benadryl) is a prime example as a medication that is available over-the-counter but has strong anticholinergic activity. Non-sedating antihistamines, such as loratadine (brand name Claritin) are less anticholinergic and are safer for the brain. PM versions of OTC pain medications: Most OTC pain medications, such as acetaminophen and ibuprofen (brand names Tylenol and Motrin, respectively) come in a “PM” or night-time formulation, which means a mild sedative — usually an antihistamine — has been mixed in. The same is true for night-time cold and cough medications such as Nyquil. Medications for overactive bladder: These include bladder relaxants such as oxybutynin and tolterodine (brand names Ditropan and Detrol, respectively). Medications for vertigo or motion sickness: Meclizine (brand name Antivert) is often prescribed to treat benign positional vertigo. It’s also used to treat motion sickness. Medications for itching: These include the strong antihistamines hydroxyzine (brand name Vistaril) and diphenhydramine (brand name Benadryl), which are often prescribed for itching or hives. Medications for nerve pain: An older class of antidepressant known as “tricyclics” isn’t used for depression that much any longer, but these drugs are occasionally still used to treat pain from neuropathy. Commonly-used tricyclics include amitriptyline and nortriptyline. Muscle relaxants: These include drugs such as cyclobenzaprine (brand name Flexeril) and they are often prescribed for back or neck pain. Also Paxil (paroxetine) is an SSRI-type anti-depression/anxiety drug that is anticholinergic which is why this drug is almost never prescribed for older adults by a provider with expertise in geriatrics. However, other SSRIs, including Lexapro (Escitalopram), Celexa (Citalopram), and Zoloft (Sertraline) are not anticholinergic, which is why SSRIs aren’t on the list above. Find out if you are on an anticholinergic medication by consulting a list or using an "anticholinergic burden scale" calculator . If you discover that you or a relative is taking such medications, consult a doctor or pharmacist to discuss potential adjustments, safer alternatives, or non-drug treatments. Read more about the BEERS LIST here: 👉🏻 https://www.americangeriatrics.org/media-center/news/many-older-adults-take-multiple-medications-updated-ags-beers-criteriar-will-help #anticholinergicdrugs #anticholinergics #alzheimers #dementiarisk #caregiver #aging #thisisgettingold #melissabphd ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Caring for someone with Alzheimer's disease requires careful planning and consideration, especially when it comes to medical appointments. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Caring for someone with Alzheimer's disease requires careful planning and consideration, especially when it comes to medical appointments. Even helping an aging parent with medical visits can be challenging with so many different health record portals and not all systems or providers talk to one another. In this week’s episode, I’m sharing 10 Tips for Preparing for a Primary Care Medical Visit. 1. Create a Medical Information Folder or Binder: Organize important information, including a list of medications, medical history, and any allergies. Organize all of your After Visit Summaries from your provider(s)/ specialist(s) after your appointments – you can keep these as far back as a year; then move them over to another binder and keep them in a safe place in case you ever need them again. Keep a front section with abbreviated notes about all medical encounters in chronological order. Separate each section with a tab so you can find information easily. 2. Maintain a Daily Journal: Important information to track daily includes taking all medications (or reasons why taking medications has been challenging); daily or weekly weights with dates/ times taken (along with other vital signs); meal intake percentages; sleeping patterns; physical activity patterns; and a log of the person's behavior, symptoms, and any changes in their condition. Keep an on-going list of questions that come up each day (or week) to ask your provider. 3. Schedule Appointments at the Best Time: Choose appointment times when the person with Alzheimer's is usually more alert. Avoid scheduling times when they typically experience sundowning (increased confusion and agitation in the late afternoon and evening). 4. Bring a Companion or Record the Visit as a Memo on Your Phone: Have another family member or friend accompany you to the appointment. This person can provide support, take notes, and offer comfort to the individual with Alzheimer's. Record your visit so you can listen to it later to make sure you understood everything that was said. 5. Prepare a List of Questions: Before the appointment, review your list of on-going questions and write down the questions or concerns with your most pressing questions listed first. By doing this, you won't forget important questions and helps to make sure all of your questions were answered. 6. Be Ready for Behavioral Changes: Individuals with Alzheimer's may exhibit challenging behaviors during medical visits. If you sense a problem arising, stop and think through the C3P Problem-Solving Framework (Change the Person, People or Place – listen to the full episode for more details on this) and see if you can identify the reason and fix it before the behavior becomes difficult to manage. Inform the doctor if you anticipate any specific issues and discuss strategies to address them. 7. Bring Comfort Items: Pack items that provide comfort to the person, such as a favorite blanket, a book, a family photo, or a playlist of calming music. 8. Update Emergency Contact Information: Make sure the doctor's office has the right phone numbers & updated emergency contact information for both you and the person with Alzheimer's. Provide clear instructions on how to reach you in case of any issues. 9. Communicate Changes in Function: Report any changes in the person's cognitive or physical abilities since the last visit. Let the doctor know if the person can't do things they used to do. This helps the doctor understand how the disease is going, will be better able to guide you about what to do next, and make necessary adjustments to the care plan. 10. Know the Plan for Follow-Up Care: Talk about what comes next, like when to come back or what tests are needed. Make sure you know what to do next to take care of the person if you were at that visit for a particular problem. Discuss and schedule any necessary follow-up appointments, tests, or referrals. Ensure you understand the next steps in the care plan and ask for written instructions if needed. Remember, communication is key. Maintain an open and honest dialogue with the doctor, sharing both positive and challenging aspects of caregiving. This collaboration can lead to better care for the individual with Alzheimer's. Free Handout: https://melissabphd.com/10tipsmedicalvisits/ ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Watch out for warning signs of Alzheimer's when talking to someone you love or even your own self. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Are you or a loved one worried about memory issues? If you answer yes to 1 or more of these warning signs, please make an appointment with your local provider to get your memory checked out. It's a good idea to keep a journal about any symptoms you are seeing with dates and descriptions of events. Many of these memory signs could be due to some other problem (like an infection or low vitamin B12), so before you assume it’s Alzheimer’s disease, get into a trust healthcare provider and make sure it’s not something that’s reversible! Learn the ▶️ 10 Warning Signs of Alzheimer's Disease Memory loss that disrupts daily life. Warning Sign: Forgetting important dates, repetitive, need more memory aids than before. Normal aging: Sometimes forgetting names or appointments but remembering them later. Challenges in planning or solving problems. Warning Sign: Trouble following a familiar recipe or keeping track of paying monthly bills. Normal aging: Making occasional error balancing a checkbook. Difficulty completing familiar tasks at home, at work or play. Warning Sign: Trouble organizing a shopping list or trouble driving to a familiar place. Normal aging: Occasionally needing help to use the settings on a microwave or to record a television show. Confusion with time or place. Warning Sign: Forget where you are or how you got there. Normal aging: Getting confused about the day of the week but figuring it out later. Trouble understanding visual images and spatial relationships. Warning Sign: Trouble judging distance. Normal Aging: Vision changes related to cataracts, glaucoma, or age-related macular degeneration. New problems with words in speaking or writing. Warning Sign: Trouble following conversation or forgets where they are in a story. Normal aging: Sometimes having trouble finding the right word. Misplacing things and losing the ability to retrace steps. Warning Sign: Put things in usual places, accuse others of stealing. Normal aging: Misplacing things from time to time and retracing steps to find them. Decreased or poor judgment. Warning Sign: Less attention to grooming; giving away large amounts of money. Normal aging: Making bad decisions once in a while. Withdrawal from work or social activities. Warning Signs: Starts to remove themselves from activities, social activities, or hobbies. Normal aging: Sometimes feeling weary of work, friends, and social obligations. Changes in mood or personality. Warning Sign: Confused, suspicious, depressed, fearful, or anxious. Upset when out of their comfort zone. Normal aging: Developing very specific ways to doing things, and become irritable when routine is disrupted. To get your free download of the 10 Warning Signs of Alzheimer's Disease, visit https://melissabphd.com/10warningsigns/ And don’t forget to join my new community on Facebook called This is Getting Old: Moving Towards an Age-Friendly World where I’m able to connect with you in a more interactive way. I hope to see you there! https://www.facebook.com/groups/249685261464834 #forgetfulness #memory #stress #chronicillness #womenshealth #mentalhealthmatters #over #brain #forget #alzheimers #health #wellness #mentalhealth #care #nurse #memory #healthcare #aging #caregiver #alzheimers #dementia #brainhealth #alzheimer ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
While forgetfulness is normal, be wary of the warning signs of Alzheimer's and dementia. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Let’s dive into this week’s episode where I’ll be talking about the Difference between Alzheimer’s Disease and Forgetfulness. Forgetfulness happens during those moments when you can't find your phone or you forget what you were going to say. It's totally normal and happens to everyone. Dementia, on the other hand, is a bigger deal. It doesn't go away. It affects how your brain works and makes it hard to remember things, like your friend's name or where you live. It can also make you feel confused and change the way you act. While forgetfulness is normal, if someone has a lot of trouble remembering things all the time, like where they live or who their family is, it might be something more serious like dementia. So let’s talk about the differences. ✔️ What is Forgetfulness? Forgetfulness is when you occasionally forget things, like where you put something but then you can remember it later. It's a little hiccup in your memory, but usually nothing to worry too much about. It happens to everyone sometimes, and it can be caused by stress, tiredness, or doing too many things at once. Forgetfulness by itself doesn't mean someone has a serious illness like Alzheimer's. Important things about forgetfulness: ● Sometimes Forgetting ● Happens in Certain Situations ● Doesn't Get Worse Over Time ✔️ What is Alzheimer’s Disease or a related Dementia? ● Forgetting Things: People with Alzheimer's often have trouble remembering things they just learned, names, and events. ● Thinking Problems: As time goes on, people with Alzheimer's can have trouble with thinking, making decisions, and using language. ● Changes in Behavior: Alzheimer's can also make people act differently, like being confused, easily irritated, or withdrawing from friends and family. ● Problems Doing Things. As the disease gets worse, people might find it hard to do basic things like getting dressed, eating, or taking care of themselves. ● Gets Worse Over Time. So, the next time you forget where you put your shoes, don't worry too much. But if you notice someone having a hard time remembering lots of things all the time, it's a good idea to talk to a provider to make sure everything is okay. Understanding the difference can help us support those who might need a little extra help. To get your free download of the 10 Warning Signs of Dementia compared to normal forgetfulness in aging, visit https://melissabphd.com/10warningsigns/ And don’t forget to join my new community on Facebook called This is Getting Old: Moving Towards an Age-Friendly World where I’m able to connect with you in a more interactive way. I hope to see you there! https://www.facebook.com/groups/249685261464834 #forgetfulness #memory #stress #chronicillness #womenshealth #mentalhealthmatters #over #brain #forget #alzheimers #health #wellness #mentalhealth #care #nurse #memory #healthcare #aging #caregiver #alzheimers #dementia #brainhealth #alzheimer ----------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Honing in your message is such a valuable communication skill set. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN As a board-certified pediatrician, author, podcaster and social media maven, Dr. Carole Keim has seamlessly transitioned from meeting clients in clinics to connecting with them in non-traditional ways. Dr. Keim has been providing reliable medical advice to new and anxious parents all around the world in formats that are accessible from anywhere, meets new parents where they are, and offers just-in-time learning – particularly during the first few years of childhood. Interested in learning more about how healthcare professionals can use social media? Check out this insightful interview with Dr. Carole Keim. ▶️ ✔️ How it all started – Dr. Carole’s WHY Dr. Carole embarked on her social media journey during the pandemic when everyone was relying on online platforms. While transitioning to house call practice, she noticed that many parents were seeking information online instead of bringing their children to clinics. Realizing the abundance of misinformation available, Dr. Carole decided to create short videos. Through platforms like TikTok, she successfully connected with people worldwide as her engaging content went viral, supporting everyone, regardless of their location. Accustomed to delivering short presentations and having vast experience from working in various clinics, Dr. Carole found it effortless to create 1-minute videos. This was her way of sharing valuable information on different topics repeatedly with parents and while addressing panicked phone calls she received during the middle of the night. ✔️Why use social media as a Healthcare Professional? What made her social media channels so popular was that she didn't originally have any intention of selling anything. Instead, she simply wanted to provide valuable information to people. However, her platform unexpectedly became a means to share her book “The Baby Manual” with those who needed a no-fluff guide for new moms. This led to the creation of a successful podcast, which has been downloaded over 50,000 times and listened to in more than 135 countries. The podcast even reached the top of the charts in both the Pediatrics and Motherhood categories. ✔️ Tips, tricks & advice to get started If you're a healthcare professional who's just starting to use social media, it's completely normal to feel a bit nervous about the possibility of someone misinterpreting your medical information and causing negative outcomes. However, bear in mind that while medical advice is personal, there are universal truths to rely on. It's important to embrace your own unique voice and have confidence in your expertise. At the same time, advise your audience to first seek their own local healthcare providers who have a personal understanding of their specific situation. Make sure your communication is clear and concise. The goal of medical education is to establish a strong connection with your audience and provide them with actionable and useful information that gets straight to the point. Dr. Carole Keim MD is a board-certified pediatrician from Boulder, CO. She is the author of The Baby Manual: The Ultimate Guide for New Parents, Bye Bye Boobies (a coloring book to help toddlers who are ready to stop breastfeeding), My Happiness Journal (a mindfulness journal with guided prompts that help you to feel happier as you write in it), and Holistic Mamas Handbook. Dr. Keim believes that a holistic, patient-centered approach is best, and believes in empowering patients and parents to take care of their own health and their child’s wellbeing. She wants to help everyone everywhere (and is doing it!) with her podcast, book, and social media accounts. Website link: linktr.ee/drkeim The Baby Manual: The Ultimate Guide for New Parents: https://amzn.to/47OYLud Bye Bye Boobies: https://amzn.to/46ShkMG My Happiness Journal: https://amzn.to/46NPQbi Holistic Mamas Handbook: https://amzn.to/3GxdHkT #HCSM #HealthcareSocialMedia #MedEd #MedicalEducation #Patient #Physicians #Nurses ------------------------------------------------------------------------About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
We need a better way to translate studies and science into something the public can understand. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN As a profession, nursing has struggled to effectively engage with the media, resulting in significant underrepresentation in most news stories. The primary experts sought out for healthcare stories are physicians, but nurses often aren’t proactive about engaging with the media either. Around 20 years ago, the Woodhull study examined nurses presence in the news and found that nurses were featured only 4% of the time. Fast forward to today, and our representation has dropped to a mere 2%, despite being the most trusted profession for over two decades (see my previous podcast with Dr. Dianna Mason discussing the Woodhull studies here ). As healthcare professionals, nurses can and should fully leverage the power of the media to educate the public and showcase our expertise – particularly related to health promotion. Just imagine the incredible impact we could have on the world if we mastered the art of pitching to the media. Whether you're a nurse, a healthcare professional, or a leader in a healthcare organization, this information will help you get started pitching to the media. Our guest is PR Expert Christina Daves , whose insights will be invaluable. So, don't miss out and tune in! Join us on this episode where we delve into the topic of ▶️ Pitching to the Media: The Basics for Healthcare ✔️Are nurses really not advocating for themselves, or is it the media overlooking them? Well, it's actually a combination of both factors. Journalists may not immediately think of nurses when getting interviews for health stories. At the same time, when nurses are approached, many decline the opportunity. It's important for us to take a proactive approach. Let's start embracing our role and contribute our expertise to the media. ✔️Highlight what you think is valuable and newsworthy. Help journalists grasp the significance of your story effortlessly. For example, we pitched a topic about Ageism Awareness Day and linked it to the trending dating show, The Golden Bachelor. By merging these two elements, the pitch becomes a timely and interesting subject. ✔️Boost your online presence Enhance your social media presence by sharing video content that reflects your expertise. Christina advises that TV producers often want to see you on video before inviting you to speak on their shows. It's beneficial to be active on platforms that use hashtags, as this makes it easier for them to discover you. "If you reach out to them without a website, LinkedIn, Instagram, or any online presence, it will be much more challenging to receive a positive response." So, it's important to make sure you have a strong online presence when the media is checking you out. ✔️Craft your WOW Bio. When collaborating with institutions and academia, we tend to use specialized language. However, when dealing with the mainstream media, it's important to communicate in a way that resonates with 15-year-olds. As exceptionally intelligent individuals who have excelled in your fields through research, paper writing, and medical studies – it's time to adjust your thinking, speaking, and writing style to connect with everyday people who are tuned in. We must find a better approach to convert complex studies and scientific concepts into something that the public can easily grasp. Christina Daves is a PR strategist, inventor, on-air lifestyle expert, speaker and author. After inventing her own product and working her way into over 50 media outlets in less than a year, she became passionate about helping others understand and go from Established to Known™. Fast forward 12 years, and together with Christina’s clients, they’ve earned over 1 billion views and over $100 million in sales – all from publicity. Website: https://christinadaves.com/ #brandstory #PRstrategy #brandvisibilitytips #visibilitymatters #contentcreation #authorsinmedia #publicityforhealthprofessionals #publicrelationsspecialist #guestblogging #tellyourstory #mediatraining #pitchyourself #pitchtraining #credibility #socialmediamarketing ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
As a caregiver, seeking help is a strength and not a weakness. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN When it comes to being a caregiver to a person living with Alzheimer’s disease, it takes a village. Caregiving can be challenging, but you don’t have to do it alone. Join me for this week’s episode where I’m talking about Join me for this week’s episode where I’m talking about why and how to build a care team. Stay tuned to the end and I’ll share a free handout to get you started. ▶️ Alzheimer’s Care: Why You Need a Care Team and How To Build One Being a caregiver to a person living with Alzheimer's disease can be very overwhelming and make you feel like you're alone. But you are not alone. The help provided by other people can minimize your feelings of being overwhelmed and reduce your stress. Developing a network of people that can help you do certain tasks during the week to help you lead a more active and engaged life while providing care to a person living with Alzheimer's disease. Having a care team also means that you will have a well thought out emergency plan in case you get sick yourself. The care team is basically a group of people that you can partner with and rely on to help you provide the care that the person with Alzheimer’s disease needs – while also providing the help and support you are going to need throughout the course of the disease. Creating a care team and developing a support network is crucial for caregivers of individuals with Alzheimer's disease. Let's break down the main points: Main Point #1: What do you need help with? Identify specific tasks and responsibilities that you find challenging or overwhelming. These could include: 1. **Daily Care Tasks:** Such as bathing, dressing, and grooming the person with Alzheimer's. 2. **Household Chores:** Cleaning, cooking, and managing daily household tasks. 3. **Emotional Support:** Having someone to talk to or share experiences with can be invaluable. 4. **Respite Care:** Ensuring you have breaks to rest and recharge. 5. **Medical Appointments:** Organizing and accompanying the person with Alzheimer's to medical appointments. Main Point #2: Who would be best for helping you? Consider the skills, availability, and willingness of potential team members. Your care team might include: 1. **Family Members:** Siblings, children, or other relatives who can share responsibilities. 2. **Friends and Neighbors:** Trusted individuals who can provide emotional support or assist with errands. 3. **Professional Caregivers:** Hiring professional caregivers for specific tasks or time periods. 4. **Community Resources:** Utilize local support groups, Alzheimer's associations, or community services. Main Point #3: Create a detailed list of potential team members and their roles 1. **Primary Caregiver:** You, as the main caregiver, outlining your specific responsibilities and needs. 2. **Family Members:** Specify tasks that each family member can take on and their availability. 3. **Friends and Neighbors:** Identify those willing to help with errands, provide respite care, or offer emotional support. 4. **Professional Caregivers:** If necessary, include details about hired caregivers and their schedules. 5. **Emergency Contacts:** List individuals who can step in during emergencies or if you're unable to provide care temporarily. **Emergency Plan:** - Designate a temporary primary caregiver. - Ensure all necessary medical and emergency contact information is readily available. - Communicate the emergency plan to all members of the care team. By having a well-organized care team and support network, you can enhance the quality of care for the person with Alzheimer's while maintaining your own well-being. Regular communication and updates within the team are essential to ensure everyone stays informed and can adapt to changing needs. Remember, seeking help is a strength, not a weakness. Get your FREE Handout here: MelissaBPhD.com/buildingacareteam #careteam #healthcare #communityeffort #caremanagement #caregiver #alzheimersupport #alzheimer #alzheimersawareness #alzheimers #dementia #emergencyplan ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
People experience the benefits of aging gracefully when they hold onto positive beliefs and manage 'stinking thinking.' —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Did you know that anxiety and depression are two major mental health problems affecting older adults today, according to the World Health Organization? What's even more intriguing is how they often go hand in hand, making their impact even more overwhelming. It's only natural for us to wish these feelings away and strive for a happier state of mind all the time. However, our guest expert, Dr. Carrie Johansson, introduces us to the concept of psychological flexibility, which is essentially about accepting reality as it is (rather than how we want it to be) and effectively managing our emotional responses. Doing so can determine our next best steps toward a better state of mind. Join us in this week's episode as we delve into brain health, The Power of Psychological Flexibility, and more! ▶️ ✔️Feeling anxious? No need to fight it! When you experience anxiety or feel down, resisting the feeling only makes it stronger. So, the first step is not to force yourself to relax; instead, it's just the opposite. Dr. Carrie recommends paying attention to the fact that you're feeling low or extremely nervous about something. Acknowledging our emotions has a powerful impact, often reducing their intensity by about half. ✔️Imagine your emotions are like little kids having tantrums inside your body Just by labeling the emotion you're experiencing, it's like giving attention to a child. Ignoring them only leads to more dramatic behavior. However, when you acknowledge them, gently reassure them, and let them know you are aware of them, you begin to understand their presence. ✔️What is Psychological Flexibility? Dr. Carrie defines this as a fancy term for a simple meaning, which is having the ability to be nimble and roll with what life is giving you. "A lot of times we get stuck on. I'm going to feel better when: I find the perfect husband, my kids move out of the house, I finally have kids, have more money, lose 10 pounds… YOU NAME IT. Everybody's always waiting for the utopia to determine that that's when they will feel good. And the trick is that actually isn't what makes us feel good. So what makes us feel good is being able to have the skills and the resiliency to face life's difficulties and life successes." ✔️What is Psychological Rigidity? Psychological rigidity is the opposite of psychological flexibility. It's when you insist that your life should only follow your exact desires and expectations. You become tense and inflexible when things don't go as planned. ✔️Curiosity and Creativity Becoming mentally flexible revolves around curiosity. It involves being open to what's happening, both the good and the bad. It means assessing the current reality without rigidly holding onto expectations. This curiosity empowers you to find ways to move forward, whether it's finding excitement in the situation or figuring out how to change it. It's about being open to creative approaches when you're not happy with your reality and make positive changes. Dr. Carrie Johansson specializes in treating anxiety and trauma, based on the idea that you're not broken but life can get real tricky sometimes. She gives you proven tactics to manage issues and move forward. Reach out for in-depth therapy, or start by reading her book, Self Help on the Go, available on Amazon. https://amzn.to/3GoYZfB #anxiety #health #wellness #hope #mindset #support #positivity #mentalhealth #mindfulness #depression #healing #thisisgettingold #melissabphd ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Managing medications in Alzheimer's care is a task that requires a delicate blend of organization and empathy. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Staying on top of medications when caring for a person living with Alzheimer’s disease can be very challenging for caregivers - from getting organized, making sure medications are taken each time, to dealing with the person refusing to take their medications at all. In this week’s episode, I share five tips to help caregivers navigate medication management. Stay tuned to the end to get your free infographic with these tips so you have them handy! Now let’s dive into this week’s episode where I’ll be talking about 5 Tips for Managing Medications in Alzheimer’s Disease ▶️ Managing medications in Alzheimer's care is a task that requires a delicate blend of organization and empathy. Today, we delve into five key strategies that not only simplify this process but also contribute to the overall well-being of both the individual with Alzheimer's and the dedicated caregiver. 1. Establish a Routine and Use Visual Cues - Create a consistent daily routine for medication administration. Administer medications at the same time each day, aligning with other daily activities to create a familiar and predictable schedule. Think of it as creating a daily ritual – same time, same place. Studies show that routine enhances adherence. - Use visual cues, such as a medication chart or a pill organizer with days of the week, to reinforce the routine and help the individual with Alzheimer's understand the process. 2. Simplify Medication Regimens: Simplifying medication regimens, with the guidance of healthcare professionals. Minimizing the number of medications and times of day they have to be taken can reduce confusion and improve compliance. - Explore options such as combination pills or once-daily formulations when appropriate. This simplification can enhance adherence and reduce the risk of errors. 3. Use Medication Management Tools: - Employ medication management tools like blister packs, pill organizers, or automated dispensers. These tools can help ensure that the correct medications are taken at the right time and in the correct dosage. - Consider technology solutions that provide reminders, such as medication reminder apps or alarms, to prompt both caregivers and individuals with Alzheimer's. 4. Monitor for Side Effects and Changes: - Stay vigilant for any signs of medication side effects or changes in behavior that may be related to the medications. Individuals with Alzheimer's may have difficulty expressing discomfort or side effects verbally. - Regularly communicate with healthcare providers about observed changes, and collaborate on adjusting the medication plan as needed. 5. Involve the Individual in the Process: - Whenever possible, involve the person with Alzheimer's in the medication management process. Provide simple explanations about the purpose of each medication and involve them in any decision-making when appropriate. - Simple explanations and involving them in decisions can make a world of difference. Studies highlight the positive impact of such involvement on overall well-being. - Be patient and supportive during medication administration, offering reassurance and positive reinforcement. Remember, each person with Alzheimer's is unique, and medication management strategies may need to be tailored to their specific needs and abilities. Open communication with healthcare providers and ongoing reassessment of the medication plan are crucial for ensuring the well-being of individuals with Alzheimer's disease. Additionally, seeking support from healthcare professionals and support groups can be beneficial for caregivers facing the challenges of medication management in Alzheimer's disease. DOWNLOAD your Free Infographic at https://melissabphd.com/managingmeds/ #alzheimers #dementia #alzheimersawareness #medications #caregiver #dementiacare #caregiving #dementiaawareness #alzheimersdisease #health #caregiversupport #pillbox ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Emergency numbers are the kind of thing you may not fully appreciate until you need them. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Would you know how to contact 911 for a loved one who lives in a different state? Many people assume that if you call 911 in your local area that they would be able to connect you to the municipality that your loved one lives in – but that’s not always the case. Join me for this week’s episode where Rebecca Murphy from Maryland shares her story of Facetiming her Dad in Florida – and he fell through the attic to the concrete garage floor below and was severely injured. She shares her harrowing account of events and offers tips to help you make sure you never end up in this kind of panic. You can be prepared. So stay tuned to learn how to call 911 for someone living in another state and other technology solutions for connecting to emergency services. Now let’s dive into this week’s episode ▶️ How To Call 911 For Someone Living In Another State Main Point #1: Tell us about what happened that led you to need to call 911 in another state? Rebecca was on FaceTime with her dad when she faced a nerve-racking situation. Initially trying to fix something in the attic, she suddenly heard her dad's screams as he fell 12 to 15 feet onto the concrete in the garage. Helpless, she realized she didn't even have his address. Here comes the first lesson – always make sure you know the addresses of your loved ones. After reaching out to other family members, she decided to contact the nearest EMS for assistance. Main Point #2: What happened when you tried to call 911? Rebecca received instructions to dial 911 in Maryland, but when she did, they were unable to forward the call to authorities in Florida. Instead, they provided her with a phone number for a different city. What should have been a quick five-minute process turned into a frustrating 45-minute ordeal. Rebecca had to call numerous municipal offices all across Florida just to inform them that someone needed to help her dad. It's truly a distressing situation that no one should ever have to go through, and it could have been avoided with a little bit of prior planning and preparation. Main Point #3: Recommendations for people to avoid spending all that time figuring it out Prepare Ahead of Time Know their address Understand what emergency entity will respond – city vs. county Add the PSAP for your loved one in your phone contacts – Public Safety Answering Point Encourage elected officials to include the PSAP number – File of Life program Technology solutions: Apple Watch that automatically calls 911 with fall setting + cellular connection; can call for yourself with watch on. Fall Risk: Logs can help monitor if you have changes in coordination, gait stability and gait speed. #emergencyplan #emergency #dispatch #careteam #healthcare #communityeffort #caremanagement #caregiver #alzheimersupport #alzheimer #alzheimersawareness #alzheimers #dementia ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Improve your perimenopausal symptoms while protecting your brain as well. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Are you in your early 40’s or 50’s and wondering if you are going through perimenopause? If so, check out this episode with Dr. Amanda Tracy as she shares what you need to know during perimenopause and some practical strategies for managing this rite of passage! ▶️ What to Know During Perimenopause with Dr. Amanda Tracy ✔️How it all started Dr. Amanda's personal story ignited her passion for nutrition, science, and medicine. As a teenager, she struggled with irregular periods, perplexing both her and the doctors she consulted. Despite undergoing a battery of tests, no concrete answers were found as to why her periods would come and go 'mysteriously.' Now, armed with years of comprehensive education and experience, Dr. Amanda is dedicated to helping women navigate their health journeys with a patient-centered approach that integrate various natural therapies. ✔️ What do women need to know about Perimenopause? Signs and symptoms: Many women believe that experiencing hot flashes or missing their first period signals the beginning of hormonal changes associated with menopause. However, it's important to know that the changes actually start years before, possibly five to seven years earlier, before the noticeable signs appear. Dr. Amanda shares that perimenopause is starting a bit earlier for women in their 40s, especially among millennials. This shift might be influenced by factors such as stress and other lifestyle aspects, leading to earlier symptoms of perimenopause. ✔️What are unique and practical tips (with parameters) for managing Perimenopause? Stress management Detoxification – Drink a warm cup of lemon water in the morning to help your liver Exercise Diet – Plant-based; more veggies in beta carotene (Orange foods – oranges; pumpkin; sweet potatoes; red pepper hummus) Sleep – 6-8 hours an evening Drinking – All liquids (A cup of coffee in the morning and not in the afternoon); Benefits of green tea; no wine after 7pm and no more than 2 glasses ✔️Tips for the first 3 years Post-menopause Estrogen replacement: Ways to use diet and herbal medicines Weigh the risks of breast and uterine cancers May help prevent Alzheimer’s disease May reduce heart disease risk May improve your bone health ✔️ SOLVE Your Perimenopause Puzzle curriculum 1:1 Self-Paced Program and Group Program 1:1 – Get expert guidance to control your hormones for 6 months; laboratories and online appointments (saliva test at home; gut – stool test at home; or lab order for blood work) Group program: 2-3 times a year with 8-10 weeks; meet weekly, go through the 5 primary areas; 1:1 mini-session; no lab testing Dr. Amanda Tracy has enjoyed being a licensed Naturopathic Doctor (ND) since 2005. She helped build an award-winning wellness center in Massachusetts and in 2021, took the opportunity to relocate to Northern California wine country and transition her practice online. Her current practice is focused in these areas, guiding women over 40 to navigate hormone changes with ease to fully enjoy how they look and feel – in both her one-on-one sessions and group programs. Her SOLVE Your Perimenopause Puzzle™ program teaches women to recognize the symptoms of hormonal changes, how to balance hormones naturally before and after menopause and how to thrive with more energy, deeper sleep and a kickass good mood. Learn more about Dr. Tracy’s practice at www.dramandatracy.com Connect with Dr. Amanda on Instagram, Facebook, Twitter, YouTube and LinkedIn @amandatracynd #perimenopause #menopause #womenshealth #menopausesupport #womenover #hormones #hormonehealth #midlifewomen #hotflashes #hormoneimbalance #menopausematters #selfcare #hrt ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
When you have positive beliefs about aging, there's a protective effect above and beyond what your genetics say. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN While our brains undergo changes as we age, it's important to note that these do not necessarily mean we are normally bound to have Alzheimer’s disease or other forms of dementia. So, let's come together for this week's episode and learn from Barbara Gustavson, a passionate advocate for mental and brain health as we talk about risk factors and practical strategies to keep your brain working at its best! ▶️ Brain Health Tips: BRIGHT MINDS with Barbara Gustavson | Preventing Alzheimer’s Disease ✔️ The BRIGHT MINDS program focuses on educating individuals about the risk factors associated with brain health. ✔️ We cover the simplified breakdown using the BRIGHT MINDS acronym. It's an easy way for us to remember the risk factors, their associated risks, and general strategies. Barbara Gustavson is a mental and brain health advocate and leadership facilitator who trains health and wellness professionals world-wide on dealing with burnout. Her holistic and strengths-based approaches in professional development are rooted in neuroscience. She is a multiple award-winner in the fields of leadership, resiliency and wellness and is the author of Permission to be BOLD and co-author of Breaking Average. She has a degree in Business Management, is a Certified Leadership and Brain Health Coach, and is currently enrolled in a master’s program in psychology at Arizona State University. Social Media: Facebook: https://www.facebook.com/discovernextstep Instagram: https://www.instagram.com/bgustavson/ LinkedIn: https://www.linkedin.com/in/barbaragustavson/ More Resources: Discovernext.com AmenClinics.com #selfcare #caregiving #caregivers #mentalhealth #brainhealth #resilience #wellness #healthcare ----------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Negative beliefs about aging decrease your lifespan by an average of seven and a half years. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN From childhood on, we are barraged with messages that to grow older is a sad thing – that it means decline, decay, and illness. Society is also full of ageist myths and beliefs that impact our health and well-being. Join me for today's episode, where I talk to Ashton Applewhite about how these stereotypes impact our brains and bodies. We hope you'll join our crusade to change the way you see aging, and getting older doesn't mean becoming unhappier for the rest of your life! ▶️ This Chair Rocks: A Manifesto Against Ageism Meet Ashton, a passionate journalist and author who aims to raise awareness about ageism in America. She fervently invites younger and older individuals to unite and join the movement to break down the barriers of ageism. Key points covered in this episode: ✔️Dismantling ageism in a world of longer lives. Ageism is a harmful belief that wrongly suggests that reaching a certain age inevitably leads to a decline in health and independence, ultimately resulting in 'diapers, decrepitude, and death.' It's important to challenge and overcome this negative stereotype. ✔️ Sex and intimacy in older age Representation holds immense significance. Unfortunately, there is still a noticeable scarcity of older individuals portrayed in the media, movies, and television. What's more, they are rarely showcased as romantic individuals. The dating game show "The Golden Batchelor" is quite notable for giving older adults the visibility they deserve. ✔️The health impacts that ageism has on our society Negative beliefs about aging decrease your lifespan by an average of 7.5 years. (According to research by Dr. Becca Levy ) A growing amount of data from various sources highlights the harmful effects of negative assumptions about aging. When we constantly think that everything is bound to worsen or blame every ache on our age with no hope for improvement, it leads to poorer health outcomes. ✔️ You're missing out on so many life experiences by not having friends of all ages. Remember, you may like or dislike someone based on their personality, but age shouldn't be the deciding factor. Ashton suggests breaking that habit we all have of gravitating towards people our own age when we enter a room. Instead, why not strike up a conversation with someone older or younger? Give it a try! Ashton Applewhite is a journalist and author on a mission to raise awareness of ageism in America and get both younger and older people to join her in a grassroots movement to dismantle ageism. She is author of the book, This Chair Rocks: A Manifesto Against Ageism ; author of the Q&A Blog “ Yo! Is this Ageist?”; and you can learn more about her and her work through her TED Talk and on her websites This Chair Rocks and Old School . Social Media: Twitter: @thischairrocks Facebook: www.facebook.com/ThisChairRocks Instagram: www.instagram.com/thischairrocks YouTube: https://www.youtube.com/c/AshtonApplewhiteVideos LinkedIn: https://www.linkedin.com/in/ashton-applewhite-64658/ RSS: https://thischairrocks.com/feed/ Resources mentioned in this episode: https://celadonbooks.com/book/this-chair-rocks-a-manifesto-against-ageism/ The Old School Anti-Ageism Clearinghouse - https://oldschool.info/ Good Morning Washington interview: Batchelor, M. (2023, October 5th). Fighting Ageism and “The Golden Bachelor” Impact [Interview]. Good Morning Washington with K. O’Shea; ABC 7 News. https://bit.ly/3tpc2d #ageism #stereotypes #speakup #goldenbachelor #datingover50 #ageisaprivilege #aginggracefully #health #agepride About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
No matter where you live or who you are, breast cancer could affect your life. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN For nearly 4 decades now, October has been recognized as Breast Cancer Awareness Month. No matter where you live or who you are, breast cancer could affect your life. Understanding what’s normal for you and recognizing the warning signs of breast cancer are the best things you can know about and look for each month by doing your monthly self-breast exams. ▶️ 4 Warning Signs of Breast Cancer and How to Do a Self-Breast Exam Key points covered in this episode: ✔️Warning Sign #1: A change in the breast or nipple appearance Any unexplained change in the shape or size of the breast; especially if it’s only on one side – this includes your breast getting larger or smaller Asymmetry – it is common for one breast to be larger than the other, so this is more about a recent onset of asymmetry. Skin of the nipple, areola, or nipple becoming red, swollen, scaly, or developing ridges that looks like an orange peel Dimpling anywhere ✔️Warning Sign #2: Any nipple discharge – particularly clear, bloody, or milky discharge If you are not breastfeeding, your nipples should not have any discharge; this may not be linked to breast cancer but needs to be checked out by your provider. ✔️Warning Sign #3: Change in how the breast or nipple looks or feels A change in skin texture or an enlargement of the pores of the skin of the breast (similar to the texture of an orange peel) Nipple tenderness or a lump or thickening in the under arms or near the breast A lump in the breast should always be investigated – it may or may not be cancer ✔️Warning Sign #4: Feeling a Lump Lumps that are concerning for breast cancer are usually harder than a frozen pea, do not move around, and continue to grow in size. See your healthcare provider right away if you feel any kind of lump in your breast, armpit, or behind or around your nipple How To Do A Breast Self-Exam Start at age 18 Try to do the exam at the same time each month You want to know your breasts so that you know what your breasts normally feel like and can identify anything new Two steps: Looking and Feeling LOOKING Stand in front of a mirror with your arms by your side. Look at both of your breasts and see if you see any changes in the shape, size, any dimples or any irregularities on the nipple, areola, or breast itself. Then raise your hands over your head and look again for those same things Then put your palms on your hips and gently flex your chest muscles. Look for any dimpling or puckering anywhere on either breast. FEELING You can do this in the shower or lying down Raise one arm and use the flat part of your other hand’s three middle fingers to make small circular motions all around the breast and armpit area. Check the entire breast, armpit area and from your collarbone to breastbone with light, medium, and firm pressure. Do this for both breasts. Squeeze each nipple to make sure there is no discharge or pain. What if you have implants or scar tissue from surgery? If you have implants, you’ll also need to feel around the breast to find the edges of the implant, then press firmly inwards around the edges to check for lumps or abnormalities under or around the implant. If you have scars from a previous surgery, feel around the scar to see if anything is new or unusual. Anything new or any changes should be evaluated by your provider, so make an appointment if you question anything or are unsure. Get your free copy of any of the National Breast Cancer Foundation’s Educational Guides to learn more! #BreastCancerAwarenessMonth #breastCancerAwareness #BreastCancer ------------------------------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Being a lifelong learner in pursuit of true health and wellness is part of being age-friendly. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN When it comes to managing chronic illness and even preventing it – the key lies in the power of nutrition. The impact of WHAT WE EAT and WHEN WE EAT determines the level of inflammation our bodies are dealing with everyday. Inflammation in the body means inflammation in the brain. Today, we have the pleasure of sitting down with Haylie Pomroy, the Owner, Founder and CEO of the Haylie Pomroy Group, an integrative health and supplement company that was founded over 10 years ago with the launch of the book The Fast Metabolism Diet. As a health strategist, renowned nutritionist and NYT best-selling author 6 times over – she shares strategies and resources to put out the flame of inflammation to protect your health and brain! Don't miss the opportunity to delve into this insightful episode ▶️ Food, Eating, and Alzheimer’s Disease Key points covered in this episode: ✔️Pursuing ease from disease. Learn from Haylie's incredible journey. She was on her path to becoming a veterinarian when her life took a drastic turn. A routine tonsillectomy resulted in a severe hemorrhage, almost claiming her life. This incident uncovered an autoimmune disorder where she ended up in the hospital with partial kidney failure, facing a major health crisis. She knew that something had to change. So, she pursued a degree in agriculture and soil sciences, delving into the world of biochemistry, and decided that there's got to be a way to heal metabolism, to heal what's wrong in the body and has been helping many others for 30 years. ✔️ Food is Medicine - it’s time to put power on your plate DIET means "Did I Eat Today?" It's all about finding what you're aiming for - be it shedding some pounds, boosting your libido, or even promoting hair growth. Ask yourself: Did I consume food in a manner that supports my body in achieving those goals? If not, commit to stop eating that. ✔️ Strategic Eating and Timing The importance of rotating your food groups. It's not good to keep eating the same thing over and over again. When we eat a variety of foods, our body releases hormones and enzymes that help us stay healthy. Our gut ecosystem thrives and gets nourished. To maintain a strategic eating routine, aim to have three meals and two snacks evenly spaced every 3 hours. Prioritize whole foods like berries, fish, and leafy greens to eat as we age to reduce our risk of neurodegeneration/ neuroinflammation. Stress drains our body of essential nutrients. If we combine intentional stress reduction techniques with eating healthy, it can have a tremendous impact on our lives. To keep a fit body and sharp mind as we grow older, it's essential to have a supportive tribe around us. Haylie is here to guide and support you to attain remarkable levels of health and energy – at any age. Become a MEMBER of Haylie’s Online Community hayliepomroy.com/member Website: https://hayliepomroy.com Online community for women over 50 Podcast – Power on Your Plate Books - The Fast Metabolism Diet Metabolism Revolution Fast Metabolism Food Rx The Burn Book Cookbooks The Fast Metabolism Diet Cookbook Cooking For A Fast Metabolism Cookbook Courses - Metabolism University Fast Metabolism Coaching App Recipes Stay connected: FB, Instagram, Twitter, Pinterest, YouTube Facebook: https://www.facebook.com/hayliepomroy Twitter: @hayliepomroy Instagram: https://www.instagram.com/hayliepomroy/ LinkedIn: https://www.linkedin.com/in/hayliepomro y You Tube: https://www.youtube.com/channel/UCXudxG8BNoOJ2mu-QJObgPQ TikTok: https://www.tiktok.com/@hayliepomroy #metabolism #foodasmedicine #brainhealth -------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
There is a huge national need for psychiatric service providers to help all ages, from children to older adults. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN As a family nurse practitioner, my passion has always been in the field of geropsychology - a specialty that utilizes psychological knowledge and methods to understand and assist older individuals and their families in maintaining well-being, conquering challenges, and reaching their highest potential during later stages of life. This specialty is integral to our clinical practice, both in nursing homes and assisted living facilities. Now, let's dive into what it means to be a psych mental health nurse practitioner and the incredible work done by remarkable practitioners like Drs. Tony Roberson and Cynthia Awadzi from GWU. ▶️ Nurse Practitioner School: What Do Psychiatric Mental Health Nurse Practitioners Do? Key points covered in this episode: Main Point 1: What is a Psych-Mental Health Nurse Practitioner? A psychiatric mental health nurse practitioner is a professional who evaluates, diagnoses and addresses the mental health needs of patients throughout their lives. Offers prescribed medications and therapy to help patients who have mental health disorders or substance problems. Responsibilities include conducting physical and psychosocial assessments and providing emergency psychiatric care and treatment. Main Point 2: What does a typical day at work look like for a PMHNP? The typical day's activities vary based on the patients and the clinical environment. A PMHNP meets patients for initial intakes, gathers their full psychiatric history and understands their current concerns. It involves assessing their symptoms, making a differential diagnosis, and developing a treatment plan. Working in an inpatient setting, the focus will primarily be on stabilizing patients with the help of a mental health team. The goal is to prepare them for the transition to an outpatient setting. Main Point 3: What is the average salary for a PMHNP? Psychiatric nursing is known for offering generous salaries compared to other specialties in the field. While the salary also varies based on the state or area where you practice - on average, it is advisable to aim for at least $140,000 per year. Graduate from GW are highly in demand as they are well-prepared to step into the workforce; so you can anticipate good compensation for the skills and expertise you bring to the table. Main Point 4: Why should someone who wants to be a PMHNP apply to GW? The MSN: Psychiatric/Mental Health Nurse Practitioner program option gives registered nurses the chance to broaden their horizons in healthcare. ✔️ The lifespan curriculum is one of the key factors that sets GW’s program apart. It is crucial for individuals to have the freedom to explore their interests without limitations. That's why the program spans across children, adolescents, adults, and even the geriatric population - a feature to be proud of. ✔️ Another significant advantage of the program is its hybrid nature, making it convenient for working professionals. The vast majority of the coursework is asynchronous, meaning you can work at your own pace without the need for regular meetings with faculty or peers. However, you'll still receive daily support from dedicated faculty who are always available to guide and assist you on your journey - fully committed to ensuring your success. ✔️ Another significant advantage of the program is a focus on addiction management. Many schools of nursing to not have this expertise, but faculty at GW do – ensuring students are prepared to help with our nation’s addiction crises. If you’re already working as a nurse and are interested in becoming a Psychiatric Mental Health Nurse Practitioner, apply here: https://nursing.gwu.edu/msn-psychiatric-mental-health-nurse-practitioner Send your inquiries to nursing@gwu.edu or contact us at Phone: 202-994-7901/ FB Fax: 202-296-1229 -------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
There is limited study on any type of walker in clinical trials. Do your own research and make sure you or your loved ones can use it safely. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Are you thinking about getting a walker and not sure what you need to know before buying one? In looking into walkers in general, I discovered that a limited amount of research has been done on any type of walker in clinical trials. This is where you need to listen because the experts still say we need more high-quality research to come to any conclusions about their effectiveness. If you or your loved one utilizes any assistive device, it is crucial to ensure its safety. In today's episode, my oldest son, my grandmother, and I are checking out an upright walker in collaboration with OasisSpace. Tune in for a detailed, comprehensive review and learn how to SAVE 7% off using a Promo Code offered to you – our valued listeners! ▶️ Review of the OasisSpace Upright Walker: 5 Things to Know Key points covered in this episode: My grandmother, Nonnie, was very excited to try a stand-up walker. We tested it out based on the following Review Criteria: ✔️OVERALL QUALITY The Oasis Walker seemed to be of very high quality – it was sturdy, secure, and stable once put together, and it had the right weight limit to be safe for my grandmother. Please read the size chart carefully to know the weight limit (many only go up to 300 pounds), or they may only be available in one size. ✔️STABILITY and CONTROLLABILITY When you use a stand up walker, the person's center of gravity will be higher than it is with a traditional walker. The OasisSpace Walker did have a lot of stability. The amount of space she had to walk was also adequate, reducing risk of the walker being a trip hazard. ✔️ UNEVEN SURFACE HANDLING and EASE OF USE Be sure to select a model that most closely matches the intended location of use - indoors or outdoors. Nonnie had no problems using this walker outside, but it was a little different once we got inside her home (the front wheels got stuck on throw rugs). She did, however, have enough balance and strength to lift the walker over those surface differences. ✔️ TRIP HAZARD/ UNINTENDED MOVEMENT At first, we couldn't figure out how to get the brakes to set so that the walker wouldn't move while she turned around to sit on the seat. Nonnie figured it out shortly after we left the walker with her. The brake wires stick out a bit, but I think that could be solved with the use of zip ties to keep the wires a little closer to the walker so they don't get stuck on anything and trip my grandmother up. ✔️ FOLDING AND TRANSPORTING When this walker was extended to its full height, it was hard to get it into the back of my mid-sized SUV. However, it easily collapsed to its smallest size, and once we got the wheels to stay in place, it fit easily into the back of my car when it was adjusted to fit Nonnie's height. Overall, we both really liked the Oasis Walker! We initially thought she would use it indoors several times a day to regain strength in her back, but after having the walker for a few days, she let me know that she was more likely to use it outdoors. If you'd like to try out an OasisSpace Walker, just click on the LINK: https://www.oasisspace.com/collections/ecw-products-collection Use the code Melissa7 to get 7% OFF! I think you'll be happy with your purchase – so much so that you may want to get 3 or 4 like my grandmother! #OasisSpaceReview #UprightWalker #UprightWalkers #OasisSpaceUprightWalker #OasisSpaceUprightWalker #OasisSpaceUprightWalker #OasisSpace #OasisSpaceUprightWalkers -------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Do you know the best ways to prevent falls as you age? Want to learn more about how physical therapy (PT) can be a game-changer? This information is important for all of us as we age but are especially important for caregivers and those living with Alzheimer’s disease. Join me on today’s episode as we learn about low-cost, low-impact ways to stay strong with two amazing Physical Therapists who will answer these questions. Be sure to LISTEN TO THE END and get a FREE checklist for Top 4 Exercises for Aging and Alzheimer’s Disease based on today’s episode. Key points covered in this episode: Main Point #1: Why are strength and balance exercises more important as we age? (compared to cardio) Why are these things even more important for a person living with Alzheimer’s disease? ✔️Prevents Falls ✔️Improves Cognition ✔️Longevity ✔️Independent longer ✔️Improves overall function > increases socialization and quality of life Main Point #2: Role of PT – PTs help with? When and How to get a PT referral: For Caregivers and persons living with Alzheimer’s disease Signs and symptoms that PT would be good for you… Get up and Go Test Exercise Preventative PT vs. Post-Trauma PT Main Point #3: So if you can’t go to PT, you’re not quite there, or you are at home with a loved one living with dementia ... What are the best exercises to do at home together? Here are the Top 4 Low Cost, Low Impact Exercises you can do at home (with safety reminders to build up to better balance and increasing strength) Whatever you do, it needs to challenge you; needs to be harder than normal activity. For each one, you’ll want to do about 10 reps each time and do each one of these 3-4 times a week. Sit to Stand – For this exercise, you sit in a chair and try to stand up without using your upper body. So try to stand up without using your hands and arms to push yourself up out of the chair. Single Leg Standing – This exercise is just what it sounds like, you just stand on one leg for one minute without holding on to anything. If you try this and are unstable at first, steady yourself with a wall or furniture. Over time, you should become more steady and not need any support. Try to hold your foot above the level of the ankle of your supporting leg. If you need to balance yourself, you can use your full hand on a countertop, and advance to “piano fingers”, until you don’t need any support. The great part about this exercise is that doing this for one minute is equal to walking for an hour, the same benefit as walking 3 miles Tandem Walking (Tight Rope Walking) – For this exercise, you can put a piece of tape on the floor to use as a guide, but you are just going to walk in a straight line by putting one foot in front of the other. As you step forward, you will try to keep your heel as close to the toe of your front foot for each step, just like you would do if you were walking a tight rope. Tandem Walking + Tandem Walking Closeup (both have a horizontal version) Heel Raises – Heel raises are another exercise you can do anywhere. You just go from standing flat footed to raises up on your toes (so your heels come off the ground). If you are not steady doing this at first, use the wall or furniture. A great exercise. If you don't have good strong calf muscles, you'll fall on your face. Main Point #4: Practical ways to build in physical activity. Create Triggers to remind you about physical activity: Do an exercise during commercials, when you hear music, standing in line or even while brushing your teeth Set Reminders: You can set reminder alarms on your phone or watch to help you remember to do these exercises and have them prompt you 3-4 times a week. You could even set a reminder alarm for each exercise during the week if you don’t want to do them all at once. Use a Checksheet : Use a visual reminder to track how often you are doing the exercises. Keep the checklist on your refrigerator to remind you. We’re excited to share a simple Tracking Checklist with you! To get a free copy of the checklist, go to https://melissabphd.com/top4exercisesaging You want to do all 4 of these exercises 3-4 times a week and the tracker will help you make sure you are. Don’t forget to check out Carole and Dana’s podcast on YouTube: Exercise for Aging Well and everything about the easy way to stay fit & healthy as we grow older on their website: exerciseforagingwell.com…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Thank you for listening to this episode on Decoding Distressful Behaviors! Please enjoy this free download and feel free to check out the rest of my website while you are here! https://melissabphd.com/decoding-distressful-behaviors/ As caregivers, notice underlying causes that trigger behavioral changes in persons with Alzheimer’s. —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN It is important to understand that Alzheimer’s disease and other dementia impact a person’s ability to communicate with us using words and language; so their behavior becomes increasingly more important to pay attention to. Most behaviors are triggered by something, and as caregivers, we have to put on our detective hats and figure out what the trigger was. Most people who have Alzheimer’s disease or a related dementia will experience distressing behavior such as depression, anxiety, sleep disturbances, emotional outbursts, agitation, aggression, apathy at some point in the disease. This is all because of the changes that are happening in the brain, but these behaviors are often because of some other underlying cause. In today’s episode, I will share four areas that could lead to these types of behaviors and 3 questions to help yourself in order to figure out what the underlying cause might be, so you can prevent or short-circuit these types of distressful behaviors. Be sure to LISTEN TO THE END and learn how you can get a FREE checklist for Decoding Distressful Behaviors in Dementia based on today’s episode. Key points covered in this episode: Communication Challenges Trouble finding the right word(s) Words, sentences and thoughts being jumbled Not being easily understood Leaving thoughts hanging in mid-sentence Replacing words with nonverbal communication such as sounds, gestures, or facial expressions The environment Too much noise or too quiet Lack of structure or routine Too much clutter Room is too hot or too cold Poor lighting New or confusing surroundings Physical changes (such as pain) Is there an underlying physical problem such as: Too hot or too cold Tired Hungry Pain Pain may be exhibited with non-verbal cues or behaviors such as: Agitation or aggression Crying Grimacing Gestures Moaning Restlessness Unmet social and emotional needs Feeling disconnected to a sense of purpose Sensing a loss of control or choice Feeling bored Feeling unworthy Feeling disconnected from others ✔️ 3 Questions to Ask when you see a distressing behavior to try to prevent it from happening again. What happened right before you saw the distressing behavior? How did you react to the behavior? Did your action make the behavior better or worse? What do you think you could do in the future to prevent the behavior? Thank you for tuning in to today’s episode. FREE CHECKLIST for Decoding Distressful Behaviors – Click on this link to get your free handout! https://melissabphd.com/decoding-distressful-behaviors/ -------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Caring for a person living with Alzheimer’s disease can be very rewarding AND very stressful.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN 11 million Americans are caring for a family member or friend living with Alzheimer’s disease and nearly 60% report feeling more emotional or physical stress from being a caregiver. This stress can take its toll and increase your risk for health problems from a weaker immune system, high blood pressure or heart disease, poor sleep, and impact your own memory and thinking. Caring for a person living with Alzheimer’s disease can be very rewarding AND very stressful. On the positive side, you may feel a sense of accomplishment and a sense of purpose. But on the negative side, you may feel tired, discouraged, angry, sad, guilty, ambivalent, and even grief. These feelings may be overwhelming and almost constant. This is known as “caregiver stress”. Do you know the warning signs of caregiver stress and burnout? Stay tuned for today’s episode to learn the 10 Warning Signs of Caregiver Stress. Key points covered in this episode: ✔️ The 3 kinds of caregiver stress: role strain, personal strain, and worrying about whether or not you are doing the right things. One of the most difficult things about being a caregiver is that you may feel isolated or cut off from the outside world. ✔️ Warning signs that you may need to seek more outside support. Here are 10 questions to ask yourself: 1. Do you feel so sad and depressed, so much so that you can’t get through your day? 2. Do you lie awake at night worrying? 3. Are you losing weight? 4. Do you feel isolated and alone with your problem? 5. Are you drinking too much? 6. Are you taking pills to get through your day? 7. Are you drinking too much coffee? 8. Are you screaming and crying too much? 9. Are you having thoughts about hurting yourself or the person you are caring for? 10. Do you feel like you are out of control of your situation or at the end of your rope? If you answered yes to any of these questions, coping with these feelings may require reaching out to family and friends for help; or you may need professional help. ✔️ The best thing you can do as a caregiver is to take care of yourself. One of the things I was taught in nursing school was that if you don’t take care of yourself, you won’t be able to take care of others. 1. Get Professional Help Get professional help if your biggest challenges are with your own mental health or substance misuse/ abuse; or if you are having feelings of self-harm or hurting anyone else. 2. Create a Care Partner Team Make a list of how other people could help you, then reach out to your family and friends and let them choose how they might be able to best help you. 3. Find Support Group Other caregivers who are providing care to a person living with Alzheimer’s disease They know what you’re dealing with Can help you learn coping skills or teach you about caregiving. Can cheer you on Help you solve problems May turn into new friends 4. Take care of your own health Get enough sleep, eat well, take time to exercise; drink plenty of water Create opportunities for your own “me time” Practice relaxation techniques like meditation or breathing exercises for 5-10 minutes a day 5. Look for Resources If you are still working, look into the resources that your Employee Assistance Program may offer. Look for caregiving services in your area. The national Eldercare Locator at https://eldercare.acl.gov and google “Area Agency on Aging” to find your local agency. These resources are available to help you learn more about services in your area. You are not alone on your caregiving journey. I hope these questions to identify caregiver stress and the tips for how to manage it have been helpful. -------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“I’m excited to announce NEW changes to my website and NEW ways we can work together.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Change never gets old…but websites do! Check out my new website at MelissaBPhD.com to learn more about the new services I am offering, how to advertise or sponsor an episode, and more! Since starting this podcast three years ago, 𝘛𝘩𝘪𝘴 𝘐𝘴 𝘎𝘦𝘵𝘵𝘪𝘯𝘨 𝘖𝘭𝘥: 𝘔𝘰𝘷𝘪𝘯𝘨 𝘛𝘰𝘸𝘢𝘳𝘥𝘴 𝘈𝘯 𝘈𝘨𝘦-𝘍𝘳𝘪𝘦𝘯𝘥𝘭𝘺 𝘞𝘰𝘳𝘭𝘥 reached a top 10% global ranking within the first 18 months – but we have more to do to increase the reach of the podcast! The YouTube channel, which began with just five subscribers, rose to 26,000 subscribers, and this achievement has come about in just the past few weeks! Our episodes have over 3 million views, and we have all of you to thank for that. And it's been a lot of fun to watch it grow and hit each of these milestones – thanks to listeners like you! In episode 146 (just four episodes away from the big 150th!), I’m excited to share some very exciting updates and new opportunities for working together as we move towards a more age-friendly world! Key points covered in this episode: ✔️ NEW Website Today is the big day! I’m launching a fresh, overhauled version of my website. You can access it right away at the same web address - MelissaBPhD.com. But this time around, you'll be greeted by a brand new design and an enhanced user experience. You'll notice big orange “action buttons” –they’re there to help you navigate and get started. Find super useful action steps to easily subscribe to my newsletter, work with me directly, advertise or sponsor an episode and more. ✔️ NEW Support Group I'm starting a new online community called “Caring and Sharing with MelissaBPhD”. This community aims to provide support for families and informal caregivers looking after loved ones living with Alzheimer's disease or any other form of dementia. As the lead of this program, I'm delighted to offer professional education as well as guidance to assist you on your caregiving journey. This online platform provides invaluable advice on a variety of topics such as: Managing challenges with Alzheimer's disease Resolving family conflicts Dealing with other health conditions Working effectively with healthcare professionals Identifying useful support services Making your home as safe as possible Navigating long term care Handling day to day household matters This will be a weekly online support group, that I meet with virtually each week. Members will also have access to a private Facebook group that I will moderate for peer-to-peer support. ✔️ NEW Work with Me 1:1 You can now book a 1-hour one-on-one consultation session with me. These sessions are great for obtaining answers to your questions right away when you don’t need on-going support. ✔️NEW Advertisement and Sponsorships Opportunities I'm now on the lookout for companies and organizations who align with my mission and vision of promoting an age-friendly world to advertise or sponsor upcoming episodes, and support the podcast. There are two ways you can partner with me: Episode Partner: We work together on an educational podcast where your product or service takes the stage. This is a fun, engaging way to introduce what you offer, directly to my listeners. Episode Sponsor: If you prefer a more straightforward approach, I offer Advertisement Spots in my upcoming episodes. You can choose between 15, 30, or 60 seconds. This option allows you quick and precise exposure to my audience. ✔️NEW Page Dedicated To Products This features two different courses that I've developed based on my expertise in handfeeding persons living with dementia where I will teach you the basics of my intervention, known as NOSH: Nurses Optimizing Supportive Handfeeding. NOSH for Families: Designed for family caregivers struggling with meal times for someone living with Alzheimer's. This course provides assistance and guidance on how to make eating times a more pleasant experience for everyone involved. NOSH for Long-Term Care Staff. This is a Train-The-Trainer course to arm your team with the necessary skills to efficiently manage meal times at your facility. This course is adapted from the program I first developed in collaboration with Texas Health and Human Services back in 2018, now updated with additional helpful information. So, if you happen to be a staff member, training coordinator, administrator, or nursing director at a long-term care facility and are looking to further educate someone in your team, this course is a solid option. Your chosen trainer can, in turn, pass on their newfound knowledge to the rest of the team, creating an in-house expertise! -------------------------------------------------------------------------------------------------------- About MelissaBPhD Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly, and/or support future episodes of the podcast. Within the first 18 months of launching this podcast, we reached a ranking of top 10% globally. I have all of you who’ve been with me on this journey so far to thank for that! The best way you can help the podcast continue to grow is to LIKE the podcast with a thumbs up, SHARE the podcasts you like with others, SUBSCRIBE, and LEAVE A REVIEW. These things only take a minute of your time, but they really do help increase my rating and ranking; but more importantly, these actions help other people find the podcast. For the most up-to-date news and information about the podcast and other products and services I am offering, please visit my website, sign up for my newsletter, and follow me on social media.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"Making the home age- and dementia-friendly can make a difference and positively impact a person's independence and overall well-being." —Melissa Batchelor, PhD, RN, FNP, FGSA, FA Did you know that making simple changes to a home can help people with dementia stay calm and thrive? Just as we childproof our homes, creating a dementia-friendly environment can make a real difference. Welcome back to "This is Getting Old: Moving Towards an Age-Friendly World." I'm Dr Melissa Batchelor, a nurse/nurse practitioner. If you enjoy the podcast, the best way to support it is by liking, sharing, and reviewing it on your preferred platform. Your likes, shares, and reviews help spread this information to more people facing these challenges. Key points covered in this episode: Alzheimer's Care: 11 Tips for Creating a Dementia-Proof Home ✔️ Dementia's Impact on Daily Safety Dementia can compromise balance, depth perception, judgment, and problem-solving skills, elevating the risk of accidents during everyday activities. ✔️ Creating a Supportive Home Environment Establishing a secure and familiar home setting is essential for preserving an individual's independence and well-being. ✔️ Professional Guidance Consider seeking expertise from an occupational therapist through a formal Home Safety Evaluation to ensure a safer living environment. ✔️ Tailored Modifications Customize home adjustments based on the person's specific behaviors and requirements. ✔️ Tips to Dementia-Proof Your Home 1. Optimize Lighting: Ensure well-lit areas, particularly around stairs and bathrooms to prevent glare and shadows. 2. Contrast Colors: Utilize high-contrast colors on surfaces to aid those with vision changes, distinguishing transitions between areas. 3. Clear Pathways: Eliminate trip hazards like throw rugs and cords, maintaining unobstructed walkways. 4. Bathroom Safety: Install shower chairs, grab bars, non-slip strips, and ensure non-plug-in appliances to create a secure bathroom environment. 5. Night Lights: Implement motion-sensor night lights in bedrooms, bathrooms, and hallways to aid navigation without disturbing sleep. 6. Labeling: Label drawers and closets to facilitate finding items and reduce frustration. 7. Declutter: Minimize clutter for easy item retrieval, simplifying organization and reducing stress. 8. Noise Reduction: Manage noise levels to prevent overstimulation, confusion, and agitation. 9. Burn Prevention: Adjust stove handles, food temperature, and water heater settings to prevent burns. 10. Secure Dangerous Items: Lock cabinets with harmful substances and take precautions with potentially hazardous tools. 11. Pool and Spa Safety: Install fences with locked gates and water sensors for swimming pools and hot tubs to prevent unauthorized access. ✔️ Taking Action for Support Thank you for joining this week's episode. If this content resonates with you and you seek assistance, know that I'm updating my website, melissabphd.com. By mid-to-late August, you’ll be able to find details about personalized one-on-one consultation options or how to participate in a new caregiver support group that I'll be leading. For now, you can explore my current website, subscribe to my newsletter, and connect on social media to stay updated on when the revamped site and new support services launch. Exciting times ahead! Remember, your likes, shares, and podcast reviews spread valuable insights. Please help us reach more individuals who can benefit. If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the Duke University School of Nursing faculty as an Assistant Professor. My family moved to northern Virginia in 2015, which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"Dementia is a medical condition; it's not an identity." —Melissa Batchelor, PhD, RN, FNP, FGSA, FA Healthcare professionals have a responsibility to provide honest and clear information about the diagnosis of dementia particularly. About the person's current state and provide anticipatory guidance about what areas of loss and decline can be expected. But a diagnosis like this impacts everyone in the family. So how to you handle the next few weeks and months as you all make this transition will be important for getting off to a good start. This week, I will share “4 Tips for Good Care at Home After an Alzheimer's Disease Diagnosis". Key points covered in this episode: ✔️ Tip # 1: See the Whole Person First off, remember that dementia is a medical condition – it's not who you are. Even though things might change, you're still you. When someone gets diagnosed with Alzheimer's or another form of dementia, it doesn't mean they suddenly become different. Sure, there might be some adjustments along the way, but not everything will change all at once. Most folks get diagnosed early, so there's still much life to enjoy. I encourage you to learn about the diagnosis – it's like gathering tools to make informed choices for today and tomorrow. And speaking of tomorrow, staying connected is important. Here's the scoop: you're still the same amazing person you were before. Alzheimer's might bring some changes, but it's not the boss of everything. You've got plenty of living to do. So, take it one step at a time, keep learning, stay connected, and most importantly, keep living life to the fullest. ✔️ Tip #2: Encourage Connection Receiving a diagnosis like Alzheimer's can be challenging, but it's important to remember that life doesn't stop here. You can take steps to encourage connection between you and your loved one. Here are some tips to help you both continue living your lives to the fullest: Stay Engaged: Keep yourself mentally and physically active. Participate in activities you enjoy and find new interests if needed. Staying engaged helps maintain cognitive function. Stay Connected: Share the diagnosis with friends and family. They can provide the support and understanding you both need. Encourage your loved one to accept invitations and continue socializing. Support Groups: You're not alone in this journey. Joining a support group can provide a safe space to share experiences, advice, and emotional support. This connection can positively impact both of you. Volunteer and Join: Engage in activities that interest you. Volunteering, joining clubs, or taking classes provide a sense of purpose and social interaction. Maintain Routine: Having a routine can provide a sense of stability. Regularly connecting with loved ones, participating in church activities, or visiting family can create a comforting routine. ✔️ Tip #3: Focus on Strengths and Abilities Every person with dementia experiences this disease differently. While there will be losses over time, there will also be remaining strengths and abilities at any given time. Don't assume that just because the person was given this diagnosis that it automatically means they can't do things that they used to do, or they can't make decisions, or they're no longer able to learn new things. To help both of you stay aware of this, you can make a list of the skills and abilities the person with dementia still has. Think of two activities that can help guide you: Instrumental Activities of Daily Living (IADLs) and Activities of Daily Living (ADLs). Instrumental Activities of Daily Living (IADLs): Using the phone Shopping Cooking Cleaning Doing laundry Driving Managing meds Handling money Activities of Daily Living (ADLs): Bathing or showering Dressing Moving in and out of bed or a chair Walking Using the toilet Eating Look at these lists every 2-3 months to see which activities the person can still do independently. Write down their progress and share it with your healthcare provider. Changes might appear first in IADLs before ADLs, and remember, involve the person with dementia in these discussions whenever possible. This way, you work together to understand and adapt to these changes. ✔️ Tip #4:Embrace Well-Being The concept of well-being encompasses various elements such as identity, connections, security, joy, and self-worth. Importantly, individuals with Alzheimer's can still experience a sense of well-being, with a shift towards prioritizing emotions over memories. To promote well-being, the key lies in concentrating on the individual's feelings rather than fixating on their recollections or current abilities. This approach involves dedicating more time to recognizing their emotional needs and optimizing their strengths and capabilities rather than dwelling on the aspects they may have lost. A helpful analogy for understanding well-being is to visualize a doughnut. Think of the doughnut's shape, which includes a central hole. Similarly, people sometimes get caught up focusing on the "hole," which signifies what's missing or what someone can no longer do. Instead, the focus should be on the "doughnut," representing the strengths and abilities that are still present. This shift in perspective can greatly contribute to fostering a sense of well-being for individuals with Alzheimer's. ✔️ Unlocking Support: Connect, Engage, and Empower! Thank you for listening! If you need support, visit my website MelissaBPhD.com for updates on working with me directly. Sign up for my newsletter and follow me on social media for announcements. Like, share, and review to spread valuable information—your engagement matters. If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the Duke University School of Nursing faculty as an Assistant Professor. My family moved to northern Virginia in 2015, which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Motor scooters really can't make a major difference in the life of an older adult who might not otherwise be able to leave their home without one. This impacts their independence and as I found out, it actually impacts their care partners as well.” —Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN Imagine not being able to leave your home and go out with your family and friends due to debilitating back pain. Walking just 15 feet becomes a challenge, and you rely on a cane or rolling walker for shorter distances. How do you cope with basic activities like shopping or going out for lunch? Get ready for a super informative episode of This Is Getting Old: Moving Towards An Age-Friendly World! I've got six essential things to share with you about buying a motor scooter for yourself or a loved one. Trust me, it took four generations of my family just to take my grandmother, Nonnie, out for a day of lunch and shopping! Tune in and get the inside scoop on age-friendly mobility options! Key points covered in this episode: ✔️ Whizzing Along - A Look at Motor Scooters Discover the world of motor scooters – the ultimate assistive technology. These sleek, battery-operated vehicles are perfect for individuals who are capable of walking but may need a little extra help getting around. With their convenient seat and handlebar steering, motor scooters offer both comfort and control. Whether you're cruising on the pavement or hitting the road, these versatile scooters can take you anywhere you need to go. Equipped with essential features like speed control, a horn, and even storage options, motor scooters are designed with your convenience in mind. Safety is a priority too, as users must be able to turn their head to look behind them when backing up. However, it's important to note that, unlike wheelchairs, motor scooters are not guaranteed access to all buildings under the American Disabilities Act. ✔️ Before You Buy: 6 Factors To Consider Before Purchasing a Motor Scooter #1. Where Do You Want To Go? My mom brought Nonnie to town for a doctor's appointment on this particular morning. When it came to choosing a restaurant for lunch, our top priority was finding one that was fully accessible. We decided on the Oceanic, located by the beach, because they had a spacious ramp leading to the entrance. Although the ramp had a tight turn, Nonnie managed to navigate it and transfer to her chair. Thankfully, the restaurant wasn't crowded, so there was enough room for her scooter to be parked right by our table. #2. How Agile Is The Scooter In Tight Spaces? Nonnie effortlessly navigates a ramp and makes a sharp turn to enter a restaurant. Before we left, we made sure to stop by the bathroom to ensure the scooter could easily fit inside. Nonnie smoothly transferred onto the scooter, entered the stall, and then drove out. As we were leaving, Davis was incredibly helpful by opening the door for her. Nonnie skillfully maneuvered back down the ramp without any difficulties. Her scooter handled the transition from the boardwalk to the pavement flawlessly. #3. How Much Does The Scooter And The Battery Weigh? Discovering the weight range of scooters was quite surprising - they can weigh anywhere from 46 to 400 pounds, excluding the battery. My grandmother's scooter, ith its 25-pound battery, weighed well over 50 to 60 pounds. It was quite a challenge to lift it from my mom's car to the pavement and back. Thankfully, Davis was there to help us with this heavy task. However, my mom and aunt wouldn't be able to handle the weight on their own, making it impossible for them to take my grandmother anywhere with the scooter. We definitely need lighter scooters. #4. How Will You Get It To Another Location – Does It Fit Into The Back Of Your Vehicle? Transporting a scooter can be quite a challenge! Especially when it comes to fitting it in the back of your vehicle. Trust me, I've been there, done that. And let me tell you, it's not a pretty sight. However, picking up and disassembling the scooter can make the process a bit of a fiasco. My mom's car was no exception - it required some strategic planning and a bit of a game of Tetris to get the scooter securely in the back. But with a little patience and some creative thinking, we were able to make it work. So if you find yourself in a similar situation, don't stress - it may take a little extra effort, but it's definitely doable. #5. How Easy It Is To Disassemble And Reassemble? While Davis handled the heavy lifting, I was in charge of assembly. I must admit, our second stop at the shopping center was a bit challenging. We asked three people for assistance, but they were as clueless about the scooter as we were. However, after some trial and error, we were able to reassemble it successfully. It's worth noting that even the chair itself was bulky and difficult to align and fit onto the pedestal. Removing the seat to transport it from the restaurant to the shopping center added another complication. #6. How Far Will It Go On One Battery Charge? Scooters can travel varying distances on a single charge, ranging from 10 to 35 miles. Nonnie's scooter had a full battery so we went shopping for lunch using her scooter, successfully navigating sidewalks, curbs, and most aisles in the department store. Nonnie was able to complete her shopping independently, demonstrating impressive focus and determination to accomplish her goals. ✔️ Don't Keep Those Scooter Stories To Yourself!Don't be shy, share your scooter stories with us! We want to hear all about your wild rides and smooth cruises. Drop a comment and make us laugh or gasp in amazement. ✔️ Do You Have A Brilliant Idea For Making Scooters Easier To Transport? Got any secret tips or tricks up your sleeve when it comes to navigating those pesky scooter paths? We want to know! Help us avoid those nasty potholes and tricky corners by leaving a comment below. ✔️ Attention Scooter Companies If you're a scooter manufacturer looking to improve your products, Nonnie and I are ready to put them to the test! Drop us a line and let's collaborate on creating the ultimate lightweight, easy-to-assemble scooter. ✔️ Calling All Mobility Scooter Gurus! If you're in the industry and striving to make life easier for scooter enthusiasts all over the world, we want to hear from you. Reach out on our website and let's start a conversation about scooter design and innovation. Drop a comment or message me directly with your thoughts and ideas. Who knows - you could be the one to revolutionize the scooter industry! If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
“Falling is the number one leading cause of fractures in the United States, and they're the second leading cause of unintentional injury and death globally.” — Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN In 2022, in the United States, of the top 5 leading causes of death, 3 are chronic conditions – 1. heart disease, 2. cancer, and 5. respiratory disease – coming in at #3 is COVID-19, but #4 may surprise you. It’s accidents and unintentional injuries (and just in case you’re wondering, Alzheimer’s disease is in the #6 spot right now) As people age, the risk of falls and fall-related injuries increase. In fact, 1 in 4 Americans over the age of 65 fall each year. The consequences of fall can be devastating – falls are the number one cause of fractures in the US and the second leading cause of unintentional injury and death globally. A geriatrician I once worked for told me that the most important muscles for preventing falls and reducing frailty were our quadriceps. Made sense to me. It’s also a reason that I would NOT recommend one of those recliners that automatically lifts and propels an older adult out of it. While technology can be a good thing, don’t compensate when you can get stronger. Use your own strength for as long as you can. Think about it – while it’s important for being able to get out of the chair, it’s really important for getting on and off the toilet, too! Improving your strength and balance are the keys to reducing your risk of falling. In our next episode of This Is Getting Old: Moving Towards an Age-Friendly World, I'll share Six Exercises To Reduce the Risk Of Falling. These low-impact exercises enhance your stability, strength, and balance, ultimately reducing the chances of a fall if you become unsteady on your feet for any reason and they can be easily tailored to your own abilities and overall health. Get ready to step into a safer future! Key points covered in this episode: ✔️ Exercise #1: Balancing on One Foot This exercise involves maintaining a single-foot stance, as the name suggests. If you find yourself lacking stability, it is advisable to grasp onto a wall or a reliable grab bar until your balance improves. Once you feel confident in your stability, this exercise can seamlessly incorporate into your routine whenever you find yourself standing in line, patiently awaiting an event or engagement. ✔️ Exercise #2: Standing on Tip Toes This exercise also aligns with its name, as it involves transitioning from a flat-footed stance to standing on your toes. Similar to the previous exercise focusing on balance, it is recommended to maintain a firm grip on a wall or grab bar until you can perform this movement with stability. Engaging in this exercise also provides notable benefits for your calf muscles. ✔️ Exercise #3: Sitting to Standing Without Using Your Hands This exercise involves the ability to transition from a seated position to standing without relying on the support of chair arms. Within the field of geriatrics, it is commonly included in the Timed Up and Go (TUG) Testt The objective is to successfully rise from the chair, walk a distance of 10 feet, turn around, return to the chair, and sit down, completing the entire sequence within a timeframe of 12 seconds. It is crucial to note that the inability to perform this task indicates an increased risk of falling for older adults. ✔️ Exercise# 4: Leg Extensions Leg extensions involve the action of lifting one leg at a time in front of you while maintaining a seated position. This exercise primarily targets your quadriceps, similar to the sitting-to-standing exercise. ✔️ Exercise # 5: Walking It's great to go for a walk, whether it's outside or simply walking around your house when going outdoors isn't an option. Active plays a crucial role in promoting our overall health and well-being, and it's particularly vital for minimizing the chances of falling. Plus, walking alongside a friend or family member adds an element of joy to the experience! (I'm truly grateful that my youngest family member joined me on a walk while I was recording the demonstrations for this episode). ✔️ Exercise # 6: Gentle Stretches To enhance flexibility and alleviate discomfort in your hips and legs, it is recommended to engage in gentle stretches multiple times per day, a few times a week. Personally, I find lying down to be the most effective position for stretching my lower body and addressing hip pain, which has become more prominent due to extended periods of sitting during work, particularly since the onset of the COVID pandemic. I frequently require stretching exercises for my right hip. Gradually, you can aim to hold these stretches for a duration of 30 seconds: ● Knee-to-chest stretch: Begin by lying on your back with your legs extended. Lift the leg you intend to stretch and flex your knee. Employing your opposite hand, apply gentle pressure to draw your knee toward your chest. ● Side stretch: Proceed by allowing your knee to naturally descend across your body in a twisting motion, as this action effectively accentuates the stretch in my hip and gluteal region. ● Additionally, I engage in a Piriformis stretch by crossing my ankle over the opposite knee and maintaining this position for a period of time. Alternatively, I can grasp underneath my thigh and pull my knee closer to my chest. If you are new to stretching, it is important to refrain from performing any movements that cause pain or discomfort. ✔️ Feeling Unsteady? Don't Be A Bystander—Take Action! Make a beeline to your medical provider if balance or stretching is causing you trouble. They can usually provide you with a referral to physical therapy or PT if you ask them for one. These services can assist you in creating a customized home routine tailored to address your specific strength and balance needs. Furthermore, there are plenty of other measures you can take to minimize the risk of falling. Feel free to explore the links I've included below to gain more insight: 🔗 What You Can Do To Prevent Falls 🔗 Fall Prevention: Simple Tips to Prevent Falls If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
We often hear the phrase "aging gracefully," but what exactly does that mean? Many of us assume that our expected aging process is predetermined by genetics and family history, but that's not entirely true. While genetics play a role, our lifestyle choices and environmental factors also heavily impact our aging journey. The good news is that we have the power to make choices that will benefit us in the long run. So, aging may not be set in stone, but rather a path we can steer with thoughtful decisions. Dr. Mark Williams has dedicated his career to unlocking the secrets of aging and understanding how our environment shapes our longevity. In this episode of This Is Getting Old: Moving Towards an Age-Friendly World, he shares five insights essential for understanding the aging process—from how nutrition and exercise play a role in our health to the importance of having a safe place to rest at night. With these five secrets, you can work towards a healthier life as you age. Key points covered in this episode: ✔️Aging Gracefully: The 5 Secrets You Need to Know 🗝️ Aging Secret 1: Appreciate Your Reality Let’s cut to the chase: aging is an inevitable part of life. But before we write off our golden years as a time of decline and defeat, let's get our facts straight. We need to ditch our misconceptions about aging and embrace the science and biology behind it. After all, old age just might surprise us with its potential for greatness. 🗝️ Aging Secret 2: Challenge Your Body Want to age successfully? It's simple: get moving! Ditch the couch and exercise, because regular physical activity is the key to maintaining both physical and mental function. And don't think it's too late to start - even octogenarians can reap the benefits of exercise. So lace up those sneakers and let's get going! 🗝️ Aging Secret 3: Stimulate Your Intellect Growing old may make us worry about losing our marbles, but fear not! Our brains can thrive as we age. In fact, the older we get, the wiser, more creative, and even more sensible we become. This lesson in successful aging will show you that mental dysfunction doesn't have to loom over us, and learning capacity can continue to flourish throughout our lives. Let's explore how our brains change with age and prove those age-related stereotypes wrong! 🗝️ Aging Secret 4: Manage Your Emotions As we age, our biology and mind are impacted in various ways - all within the framework of our cultural norms and expectations. Society sets the bar for what we should strive for and achieving these goals carries immense emotional weight. Our personal contentment hinges on meeting both familial and societal standards for what constitutes a fulfilling life. It's a delicate dance, but understanding these dynamics is key to navigating our aging journey with finesse. 🗝️ Aging Secret 5: Nurture Your Spirit Looking at aging in a new light is not enough. We must understand the significance and impact of life's stages, including its end: death. The key idea to grasp is how limits provide meaning to our lives, with death serving as the ultimate limit. Our lives acquire value only when we show love, friendship, and compassion towards others. We are all in this together as we age and approach death, and we must stay actively involved in serving others as long as we can. ✔️ A Parable and a Framework for Aging Well We all know we should keep our bodies moving, our brains ticking over, and our emotions in check. But did you know these areas are actually interconnected? It's like that old parable about a horse, a carriage, a driver, and a Master that'll make you go "aha!" when you hear it. It's full of wisdom that can help us evolve into conscious older adults. ✔️Have Questions About Aging Gracefully? Want to see the aging game like a pro? Contact the one and only Dr Mark Williams at aging@virginia.edu or dial 434-971-7841 for a chat. Don't forget to grab his book, The Art and Science of Aging Well: A Physicians Guide to a Healthy Body, Mind, and Spirit . Let's age like superheroes! 🦸♀️🦸♂️ If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Conversations about emergency or end-of-life care can be challenging, even for those confident in their preferences. Accepting our mortality can be difficult, and relying on someone else to make decisions during a crisis can be daunting. Nonetheless, these discussions are critical to ensure you receive appropriate care. As individuals who identify as transgender or gender-nonconforming may need gender-affirming healthcare and often encounter discrimination when seeking care, creating advance healthcare plans is crucial. These plans can help ensure all healthcare needs are met, and barriers to care are addressed proactively. Having an advanced directive in place can also provide peace of mind knowing that both clients and advocates are prepared for various situations. Get ready to learn about Advance Directives for Transgender Folks on another episode of This Is Getting Old: Moving Towards an Age-Friendly World! Our amazing guest, Ames Simmons, Senior Lecturing Fellow at Duke University, will shed light on why having one is crucial. Trust us, this conversation is a must-listen for anyone who wants to ensure their wishes are respected, and their rights are protected. Key points covered in this episode: ✔️ Ames Simmons: Bridging the Gap between LGBTQ Health Policy and Community-Based Activism Meet Ames Simmons - a brilliant, queer, white, transgender man with a senior fellowship at Duke University School of Law. He's diving deeper into LGBT Health Policy & Practice by pursuing a graduate certificate at George Washington University. As a champion for community-based anti-racism, anti-violence, and anti-poverty efforts, he's fighting for justice and collective liberation for transgender people. Ames is a seasoned policy director with impressive experience at the National Center for Transgender Equality and Equality North Carolina. He spent seventeen years at a healthcare company, helping uninsured patients get on Medicaid. Ames earned his Juris Doctor degree from Emory University Law School after attending Agnes Scott College. Basically, he's a rock star. ✔️ Break the Taboo: Talking About Advance Directives As we consider the intersection of LGBTQ and trans/non-binary communities, it's vital to acknowledge and address our death-denying culture. Death is often taboo and feared, especially within families. We must prioritize advance care planning and initiating difficult conversations sooner to destigmatize this natural part of life. An advance directive, a.k.a a living will, often merges with the healthcare power of attorney (HCPOA) within a single document. This guide provides healthcare providers with specific instructions, ensuring patients' preferences are respected. ✔️ The Missing Piece in Transgender Healthcare: Advance Directives Hey, did you hear the stat? Only 10% of transgender folks have filled out advance directives. Can't blame them when you're more focused on finding your next meal or roof over your head. Plus, it's tough when you don't have a big support system to rely on for help with healthcare decisions. Let's spread the word and ensure everyone gets the care they need. ✔️ Don't Diminish Our Identity: Transgender Patients Face Unique Risks in Long-Term Care Sadly, transgender people are more likely to experience unsupportive families and discriminatory medical care. This is especially concerning when facing potential cognitive decline or entering long-term care facilities. We need to stay vigilant and advocate for patients of all identities! ✔️ Gender Affirmation, Even With Dementia: Care Options For Trans Folks Because your identity matters, today and always make your healthcare wishes crystal clear in a living will, and think about whether it’s important to you to state your gender identity too. Choose a trusted healthcare agent to protect you if you have non-affirming family members. You deserve the best care possible, so if you can and it feels safe enough, don't be afraid to advocate for yourself! ✔️ Don't Leave Your Healthcare Decisions Up In The Air! You've got style, you've got flair, and you deserve to have a say in your healthcare! Transgender folk, make sure you have a plan in place by discussing advance care options with your provider. And for all our older adults and people living with a disability, good news: Medicare's got your back and will cover those important conversations. Take charge of your health - you deserve it! ✔️ No One Has to Go Through This Alone: Help Is a Click Away Hey, healthcare pros and LGBTQ+ fam, if you're feeling lost on those advance directives, we got you! Check out these handy dandy resources: Medicare's got your back with reimbursement for 30-minute services on advance care planning (aka filling out those pesky forms). Let them pay you for your expertise! Transgender Law Center's life planning resources that break down advance directives and guide trans individuals to consider their values and gender identity. Compassion and Choices also have your back with their LGBTQ engagement project, spreading the word about the significance of advance directives. And for those in Chicago, The Care Plan is an organization that caters to LGBTQ individuals for end-of-life care and treatment decision-making. Don't leave your future unplanned – take charge with these fantastic resources. ✔️ Want To Get In Touch With Ames? Good news, darling - it couldn't be easier! Simply shoot an email to simmons@law.duke.edu. And if you want to stay in the loop and see what Ames is up to, check out his Facebook, Twitter, and Instagram or connect with him on LinkedIn. Stay fabulous! If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
While information on Alzheimer's disease, dementia, and cognitive impairment in transgender adults is lacking, research shows that they tend to face more health disparities that are known risk factors for dementia, such as depression, hearing loss, sleep disorders, high cholesterol, and alcohol use disorder. Moreover, the social injustices encountered by transgender adults also correlate to higher chances of cognitive impairment. This highlights the need for increased attention to the unique health challenges faced by the transgender community. Additionally, it is important to create policies that promote safer and more inclusive environments where transgender adults can access the quality healthcare they need. Get pumped to learn about Dementia in Transgender People on the latest episode of This Is Getting Old: Moving Towards an Age-Friendly World! Our incredible guest Ames Simmons, Senior Lecturing Fellow at Duke University, is here to share some eye-opening insights that will make you think twice about aging and identity. Honestly, this chat is a game-changer for anyone who values having their voice heard and their freedoms safeguarded. You won't want to miss it! Key points covered in this episode: ✔️ Bridging LGBTQ Health Policy and Activism: The Ames Simmons Way Get ready to meet Ames Simmons, the brilliant, queer, white, and transgender man teaching at Duke University School of Law. Not content with two degrees, he's pursuing a graduate certificate in LGBT Health Policy & Practice at George Washington University. But that's just the beginning. Ames is dedicated to community-based anti-racism, anti-violence, and anti-poverty efforts to achieve justice and collective liberation for transgender people everywhere. With years of experience as a policy director at the National Center for Transgender Equality and Equality North Carolina, he's a seasoned expert in enacting meaningful change. Plus, he's even helped uninsured patients access Medicaid during his time at a healthcare company. If you're not impressed yet, Ames also earned his Juris Doctor degree from Emory University Law School after attending Agnes Scott College. In short, this rockstar is an inspiration to us all! ✔️ Mind Matters: The Struggle with Cognitive Decline Among Transgender People Transgender folks are almost six times more likely to experience cognitive decline than their cisgender counterparts. And for those who are transgender and a person of color? The stress of multiple marginalized identities means they're dealing with an even greater chance of cognitive decline. It's time to acknowledge and address the mental health disparities facing the trans community. ✔️ The Double Whammy: How Aging and Transgender Identity Intersect Gender identity and dementia are two topics that don't often come up in the same conversation. But what happens when they do? Surprisingly little is known about how this neurological condition can affect someone's sense of self. It's possible that dementia could bring about a newfound gender fluidity or even cause someone to forget they've undergone gender-affirming procedures. It's a puzzling and sensitive issue that deserves more attention and understanding. ✔️ Forget-Me-Not: Memory Loss in the Transgender Community A report from the Pride Study found that older trans adults who had experienced transgender-related discrimination were seven and a half times more likely to report poor or fair memory. Also, 1 in 2 transgender people reports mistreatment by a healthcare provider, so fear and anxiety about losing their sense of agency due to dementia is high. ✔️ “Perceived Powerlessness Feedback Loop” Trans people fear being discriminated against and receiving worse treatment in long-term care due to past experiences with healthcare discrimination. It's a vicious cycle that needs to be broken. Let's ensure everyone, regardless of gender identity, receives the respect and care they deserve. ✔️ Beyond the Statistics: Transgender People Have Higher Suicide Risk The idea of going back to the sex that was assigned at birth is just so unthinkable for many trans people that some plan to die by suicide before dementia sets in or before they go into a long-term care setting. This fear is not unfounded; studies have shown that transgender people are more likely to attempt suicide than their cisgender peers. It's essential that we provide intensive mental health support to help these individuals thrive in a safer and affirming environment. We also need to recognize that long-term care for trans people requires person-centered care that considers the unique needs of transgender people. ✔️ Dementia Doesn't Discriminate—and Neither Should We Let's raise awareness and support for Dementia in Transgender People because everyone deserves compassionate care and understanding. Remember, our identities may change, but our humanity remains the same. ✔️ Say Goodbye to Lone Battles: Get Help With One Click Howdy, healthcare heroes and fabulous LGBTQ+ folks! Don't fret if you're a bit confused about dementia and transgender topics. We've got your back with some mighty useful resources. Take a peek, and let us help you out! Trans Inclusivity in Alzheimer’s Care with the Human Rights Campaign (HRC) Long-Term Care Equality Index Cicero, E.C., Lett, E., Flatt, J.D., Benson, G.P., & Epps, F. (2023). Transgender adults from minoritized ethnoracial groups in the U.S. report a greater subjective cognitive decline. The Journals of Gerontology: Series B , gbad012. ✔️ Looking To Reach Out To Ames? Hey there, darling! Have no fear; the solution is easy peasy lemon squeezy. All you gotta do is fire off an email to simmons@law.duke.edu . If you want to stay in the know and sneak a peek at what Ames is up to, scope out his socials on Facebook , Twitter , and Instagram . You can also connect with him on LinkedIn to keep the party going. Keep shining bright like a diamond! If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Evidence shows that music can be a powerful tool for increasing older adults' quality of life and health. By providing access to music education programs, we can help older adults stay active, engaged, and connected with the world around them. Get ready to meet the man behind the music masterpieces for the gray generation! We're excited to have Joshua Vickery, CEO of Encore Creativity for Older Adults, join us in this episode of This is Getting Old: Moving Towards An Age-Friendly World. Joshua will take us on a tour of his organization's amazing programs, providing older adults with a fresh zest for life through music, art, and movement. Tune in to discover how Encore Creativity is helping older adults channel their inner rockstar! Key points covered in this episode: ✔️ Encore Choral: The Melodious Journey of a Lifelong Passion Jeanne Kelly, the founder of Encore, was inspired by Dr. Gene Cohen's research on the positive effects of arts participation on the health and well-being of older individuals. Dr. Cohen was the founding director of The George Washington University's Center for Aging, Health, and Humanities, and his work lives on through Encore's mission. ✔️ Joshua Vickery Leading the Way for Senior Creatives Encore Creativity sings the praises of CEO Joshua Vickery as the mastermind behind the nation's most fabulous choral arts organization for older adults. Vickery's strategic vision rests on bolstering partnerships, fundraising, planning, and expanding its operations nationwide. His target? Establishing Encore as the nation's number-one thought leader on creative aging – he's hitting all the right notes! ✔️ Encore Creativity: The Power of Music in Later Life Joshua Vickery shares how music can be a powerful force for connection, creativity, and joy—all essential components of a full life at any age. Through Encore's supportive and nurturing environment, older adults develop meaningful relationships with one another while expressing their passion and joy through music. Encore’s current programming includes: 1. Encore Chorales Encore Chorales offers a diverse choral experience for individuals aged 55 and older without the need for auditions. The ensemble rehearses for 15 weeks, culminating in a comedic performance. The repertoire includes American Songbook, classical, jazz, and Broadway tunes, all led by exceptional conductors for a high-quality musical experience. 2. Encore Rocks Encore Rocks is a choral ensemble that specializes in performing rock music from the 1960s to the present day. Accompanied by a rock band, the group maintains a contemporary aesthetic by wearing blue jeans and black shirts, exuding a modern and stylish vibe. 3. Sentimental Journey Singers Sentimental Journey Singers, a charming part of Encore Creativity for older adults, is a choral program designed for individuals experiencing early memory loss or cognitive changes. Alongside their care partners, participants are warmly invited to weekly rehearsals. 4. Melody Makers Encore recently initiated a pilot program, Melody Makers, in partnership with Goodwin House in Alexandria, Virginia. This program targets individuals in the mid-to-late stages of cognitive change, offering them a therapeutic music experience. 5. Encore University Encore University, an online learning platform, emerged in response to COVID. This program is adapted by utilizing technology to continue providing programs to singers. Now, the platform offers classes, workshops, and recitals, accessible live or through recordings and led by exceptional educators. The advantage of the University is its global reach, connecting with people worldwide, even if in-person programming hasn't yet arrived in their area. ✔️ The Future of Encore: Bigger, Better, Brighter Encore can't wait to grow in Wilmington, NC, this spring and bring our brain health programs to even more communities! They’re putting their heart into diversity, equity, inclusion, and accessibility to truly represent the people we serve. Plus, they’re looking forward to using technology to connect virtually and become a go-to source for future talents, conductors, and tech companies. ✔️ Sing With Us or Help Us There are several enjoyable ways you can support Encore: 🎤 If you have a passion for singing, they’ll be thrilled to have you join as a singer. 🎤 If singing isn't your forte, you can still lend a helping hand by volunteering with during concerts, distributing programs, collecting tickets, or assisting with office tasks. 🎤Encore’s always grateful for financial backing. If you represent a corporation or foundation, consider sponsoring or providing a grant. 🎤Individuals inspired by Encore’s mission can also make valuable contributions. 🎤If you'd love an Encore program in your community, they’re eager to chat with you and explore the possibilities. ✔️ Rise Up and Sing Encore’s mission is to provide music education and performance opportunities to everyone regardless of age, race, gender, or ability. Everyone could agree that music is a powerful tool for personal growth, community-building, and creating joy on earth. Help Encore bring music to everyone by donating your time, resources, and talents. --------------- For further inquiries, visit Encore's website at www.encorecreativity.org or engage with them on social media platforms: 🔖Facebook—https://www.facebook.com/encorecreativity 🔖Twitter—https://www.instagram.com/encore_creativity/ 🔖Instagram—https://www.instagram.com/encore_creativity/ If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
According to the Bureau of Labor Statistics, the employment of nurse practitioners is projected to grow 52% from 2019 to 2029. This growth is attributed to the increasing demand for healthcare services, particularly in primary care and rural settings, where many Adult-Gerontology Primary Care Nurse Practitioners (AG-PCNPs) work. Have you ever wondered about the magic behind AG-PCNPs and their amazing services? These licensed and certified professionals are out there making a difference in countless communities. But why should a nurse go the extra mile to become a nurse practitioner? Tune in to the latest episode of This Is Getting Old: Moving Towards An Age-Friendly World, where we'll welcome two nursing superstars in clinical care of older adults: Margaret Venzke and Laurie Wilson! These women know how to make our world a more welcoming and accommodating place for all ages. Key points covered in this episode: ✔️ Laurie Dodge Wilson: A Source of Experience and Guidance for Nursing Students Laurie Dodge Wilson, NP, has been practicing clinically since 1995. She joined the George Washington University (GW) School of Nursing (SON) in December 2012. She brings her wealth of clinical experience into her teaching and competency development in the Adult-Gerontology Primary Care Nurse Practitioner Program. In 2020 and 2021, she advocated for older adults by serving on GW Medical Faculty Associates (MFA) COVID-19 task force, securing testing and immunizations. That same year, she earned her certification in clinical simulation. ✔️ A True DC Native: 28 Years of Teaching and Clinical Practice with Dr. Maggie Hadro Venzke Dr. Maggie Hadro Venzke has held faculty appointments at multiple universities, teaching in graduate nurse practitioner programs for over 28 years. Her clinical/research interests include fall prevention in the elderly, immunizations, infectious disease prevention, and best teaching practices in virtual online graduate NP education. She earned her BSN from the University of Virginia, MSN from Virginia Commonwealth University, and DNP from The George Washington University School of Nursing. Dr. Venzke has been teaching full-time at GWU since 2017 and is Adult-Gerontology Nurse Practitioner Program Director since 2019. ✔️ Understanding the Integral Role of AG-PCNPs Adult-Gerontology Primary Care Nurse Practitioners are masters at caring for patients of all ages and stages! They go above and beyond to help patients achieve their best health, from teenagers all the way to the older members of our community. These healthcare providers partner with patients to promote wellness and provide top-notch care for acute illnesses, chronic conditions, and injuries. And it doesn't stop there! AGPCNPs may participate in research and advocate for quality healthcare. ✔️ Where Do Adult Care Nurses Hang Their Stethoscope? Who knew that practicing diverse settings could be so exciting? With our aging population, we need to meet people where they're at – from the hospital to assisted living and skilled nursing facilities, and home care. Additionally, there’s the growing trend of telehealth. The world of healthcare has plenty of options to offer. ✔️ How Much are AGPCNPs Paid? Are you a registered nurse with a passion for geriatric care? The field of Adult-Gerontology Primary Care Nurse Practitioners has a plethora of exciting job opportunities waiting for you. According to Salary.com in Jan 2023, you can earn a salary that ranges from $120K to $140K. ✔️ Elevating Nurse Education at GWSON The AGPCNP program at GWSON isn't your typical online program - it's the perfect mix of both virtual and in-person learning. With standardized patients and advanced technology resources, students develop their advanced practice skills to the fullest. And to top it off, they also get access to GW Health Sciences library services and apps for on-the-go learning. And don't worry about being local to the Washington DC Metro area - you'll only need to come to campus 2-3 times during the program for hands-on skills workshops and simulations. And when it comes to clinical rotations, they don't just leave students to fend for themselves - Clinical Experience Faculty are on hand to provide personalized guidance and support. ✔️ GWU: The Choice That Makes Sense! For six years running, GW Nursing's Master of Science in Nursing Program has secured a spot in the prestigious top ten of U.S. News & World Report's Best Online Master's in Nursing Programs ranking for 2023. Our MSN: Adult-Gerontology Primary Care Nurse Practitioner program is ranked #6 and the DNP: Adult-Gerontology Primary Care Nurse Practitioner program earning a respectable #10 ranking. Our small cohort sizes offer a supportive and cohesive learning environment perfect for advancing your education while working as a nurse. So why not consider joining us and becoming your patients' go-to primary care provider, from adolescents to older adults? ✔️ Tailor-made Programs for Your Success: Curriculum and Degree Options to Choose From You can fit advanced education into your busy schedule with online coursework and local clinical rotations under expert faculty guidance. With both full-time and part-time options, you can find with balance of work-life-school that works best for you. And when you’re done, you'll be eligible to take on the national Adult-Gerontology Primary Care Nurse Practitioner certification exams. Becoming a nursing pro takes a lot of dedication, and our programs have got you covered. Our MSN program will equip you with 48 credits and 600 hours of clinical practice. If you're up for the challenge, our BSN-DNP program comprises 70 credits and with 1000 clinical hours. And if you already have a masters in nursing, our post-Master's certificate is only 20 credits and 600 clinical hours. You'll be one step closer to your nursing dreams in no time! ✔️ Ready for a Bigger, Better Nursing Role? Elevate your nursing game and hop over to nursing.gwu.edu to start your next chapter in nursing excellence. --------------- Curious about the ins and outs of our programs of study? You can email Dr. Venzke at mvenzke@gwu.edu or Laurie at ldwilson@gwu.edu – and get a quick response to all your burning questions. If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) provide care for the sickest of the sick in a variety of clinical care settings. And in a world where the baby-boom generation is living longer and needing more health care, nurses with expertise in treating older adults in the acute care setting will be in high demand. So, if you're looking for a career where you can make a real difference, you might consider becoming an Adult-Gerontology Acute Care Nurse Practitioner. It's time for another riveting episode of This Is Getting Old: Moving Towards An Age-Friendly World. We're excited to welcome two advanced practice nursing faculty join us: Linda Briggs, D.N.P, ACNP-BC, FAANP and Helen Brown, M.S., ACNP-BC, FNP-BC, FAANP. Key points covered in this episode: ✔️ A Trailblazer in Nurse Education: Dr Linda A. Briggs' Legacy in the Field Linda A. Briggs has been a cardiovascular specialist for decades – so long that she's earned dual certification as an Adult Acute Care Nurse Practitioner. She received a Fulbright Specialist, and she was awarded the GW Bender Teaching Award in 2017, proving her commitment to educating future nurse practitioners. ✔️ From ED to Classroom: Experienced AGACNP Nurse—Helen Ferguson Brown Helen Ferguson Brown has over 20 years of experience in Emergency Departments and a passion for quality patient care. She is an acute care nurse practitioner and an adjunct clinical instructor at GW University, where she's been teaching AGACNP students for 5 years. Her dedication to education has earned her national recognition, including the esteemed Circle of Excellence Award from the American Association of Critical Care Nurses. ✔️ Mastering the Art and Science of AGACNP: What They Do and Why It Matters? Acute Care Nurse Practitioners (AGACNPs) are the superheroes who save lives in emergencies. These highly trained nurse practitioners take care of those who are the sickest of the sick, the physiologically unstable, technologically dependent and highly vulnerable patients, and they work their magic in all sorts of settings - not just hospitals. They might be found saving lives in rehab centers, performing superhero feats in ambulatory surgical centers, or even flying high as flight nurses on helicopters. No matter where they're based, AGACNPs are ready to leap into action whenever their patients need them. ✔️ From Bedside to Boardroom: Where AGACNPs Make Their Mark The American Association of Critical Care Nurses wants to remind us that care isn't bound by location. AGACNPs, who traditionally work in hospitals, can also be found in other settings - outpatient clinics, urgent care facilities, and even rehab and long-term care facilities. Their adult general background allows them to work in many different places. The possibilities are endless for these versatile healthcare professionals. Although they work with a team, they are more like independent providers, taking charge and making the tough calls. ✔️ AGACNP Salaries: How Much Can You Really Make? Are you ready to give your nursing career a boost? As an AGACNP, you have your pick of exciting job opportunities, especially in hospitals. And we're not just talking pocket change - according to ZipRecruiter, the average salary in Jan 2023 is a sweet $108,054. But wait, there's more! In Washington, DC, you can rake in a cool $115,659, as reported by Salary.com. Keep in mind, the numbers may vary depending on location and workplace. ✔️ AGACNP Training Using Simulate Simulation labs at GW are top-notch, allowing students to diagnose and assess critically-ill patients. From scenarios based on real-life experiences in the emergency department and ICUs, they have to diagnose various conditions, from septic shock to arrhythmias. Essentially, they're given a chance to practice their AGSCNP skills without any real-life consequences, of course. ✔️ Mapping Out Your Nursing Degree Are you a nurse passionate about helping the most complex and critically ill patients? If you're a BSN-prepared nurse or certified nurse practitioner seeking to become an advanced practice nurse, look no further than GW's AG-ACNP program! Our part-time MSN program spans 48 credits and 600 clinical hours, while our BSN-DNP program covers 70 credits and 1000 clinical hours. For those already holding a Master's degree, our post-Master's certificate might be right up your alley with 20 credits and 600 clinical hours. Don't wait; apply now to take your nursing career to the next level! ✔️ AGACNP Education at GW Want to dive into the world of adult gerontology acute care nursing? You can find out all the juicy details on Nursing.gwu.edu! Apply now ~ and if you need any help or have questions, you can call Dr. Linda Briggs, D.N.P., ACNP-BC, FAANP, at 202-994-6259. If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Taking control of your lifestyle can profoundly affect your brain health. From diet to exercise and stress management - every choice we make affects our mental well-being. What decisions will you make? In this episode of This Is Getting Old: Moving Towards an Age-Friendly World, we're graced by the spectacular Dr Mary T. Newport, armed with the lowdown on ketones, diet, and lifestyle to keep you in tip-top cognitive shape. Eager to crack the code on healthy brain aging and Alzheimer’s prevention? My guest today has a treasure trove of tips to transform you into an ageless wonder! Huzzah! Key points covered in this episode: ✔️ From Gray Matter to Great Matter: Dr Mary T. Newport's Expertise on Ketones' Role in Brain Longevity Meet Dr Mary Newport who earned her degrees from Xavier University and the University of Cincinnati College of Medicine and practiced clinically in pediatrics and neonatology. In 2008, she began combining coconut and MCT oil, unleashing its ketogenic powers to battle her husband Steve's early-onset Alzheimer's. Their brave fight resulted in an impressive four extra years of quality life. But Mary didn't stop there. Unsatisfied with just one success story, she penned " Clearly Keto for Healthy Brain Aging and Alzheimer’s Prevention " to wield a whole food Mediterranean-style ketogenic diet and other clever lifestyle tricks to help more brains outsmart Alzheimer's and its dastardly dementia cronies. ✔️ The Role of Choline It's very important to try to get as many of your vitamins as much as possible from the foods that you eat. If you're on, say, a low carb diet and you make it a Mediterranean Diet, you'll get most of the vitamins that you need, but you might not get enough. And a lot of people do not get enough of certain nutrients like choline. Most people may not have any idea what choline is, but choline is part of acetylcholine, it's a neurotransmitter that's important to learning and memory. It's also extremely important component of cell membranes throughout your body and especially abundant in the brain. ✔️Get Your Vaccines There are studies showing that vaccines recommended for adults 65 and older can reduce your risk of dementia. These include the flu vaccine and the pneumococcal vaccine for pneumonia - it covers the most common form of (bacterial) pneumonia. There are people with COVID 19 that have neurological effects, effects on their nervous system and on their brain that have been have do go on to develop brain fog and dementia after having COVID; so stay current with the recommendations for this vaccine and any boosters. ✔️Minimize your risk of head injuries We want to avoid any head injuries - and it's very common for people to fall. If you get a head injury, or a concussion, basically you lose consciousness or there's some bleeding in that area of the brain. Plaques and tangles will form in that injury, very similar to what happens to Alzheimer's disease. ✔️ Where to learn more about Dr. Newport Get in touch with Dr Mary Newport via email at ketones08@gmail.com or through social media at Facebook , Instagram , and Twitter . You. Can also check out her website at https://coconutketones.com If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Taking proactive steps towards leading this kind of life could help reduce one’s risk for developing dementia in their later years. Join us for an enlightening episode of This Is Getting Old: Moving Towards An Age-Friendly World, where renowned medical expert Dr. Mary T. Newport will share her wisdom on how you can keep your brain young and active! With tips ranging from diet changes to lifestyle adjustments, she'll explain all the ways that Ketones, Diet & Lifestyle can help prevent Alzheimer’s Disease. Don't miss this chance to join in our quest towards becoming truly age-friendly! Key points covered in this episode: ✔️ The Ketones Guru: Dr. Mary T. Newport and Her Passion for Brain Health After graduating from two esteemed universities and training in pediatrics and neonatology, Mary Newport M.D.'s career came full circle when she later specialized in hospice care. ✔️ How Important Is Exercise For A Healthy Brain? Keeping your brain healthy as you age is no small feat, and exercise plays an integral role in that! ✔️ Slumber Secrets: Getting The Ideal Amount Of Sleep And Quality Restful Nights New studies indicate that seven to eight hours of sleep a night is the optimal amount for proper functioning. Also Sleep Hygiene has become increasingly important, as it refers to activities and habits surrounding sleep that may improve the overall quality of rest. ✔️ Turning the Tables on Life's Risk Factors: You Have the Power to Change Them BP control, staying cognitively active, socially engaged, reducing stress if possible, correcting hearing and vision, and some obvious risk factors like smoking and overconsuming alcohol are all areas we can work on to help reduce our risk of Alzheimer’s and dementia. But even more importantly, it is essential to understand and address medications. Most of the approved medications for Alzheimer's try to increase acetylcholine. So if you're taking an anticholinergic medication at the same time that you're taking a medication to try to increase acetylcholine, you're doing yourself a big disservice. ✔️ The Mystery of Ketones Unveiled: Answers to Your Burning Questions Get the latest scoop on culinary medicine from its foremost expert, Dr. Mary Newport! Reach out to her over email at ketones08@gmail.com or follow and get involved in social media conversations about this exciting field - anywhere from Facebook to Instagram and Twitter! And you can visit Dr. Mary Newport's own Coconut Ketones site for additional information. ✔️ Take Your Education Into Your Own Hands: Learning About Health, Food, and Alzheimer's Get solid advice to help you make smarter food choices and protect your health in advance. If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Ketones are naturally produced in the body and play an important role in brain health. When the body doesn’t have enough carbohydrates to use for energy, it begins to break down stored fat cells into ketones which can be used as a source of fuel instead. A diet that is high in fats and low in carbohydrates is referred to as a ketogenic diet and is associated with improved cognitive functioning and reduced risk of Alzheimer's disease in older adults. On another This Is Getting Old: Moving Towards an Age-Friendly World episode, we welcome Mary T. Newport, M.D. to the show - she's bringing her medical expertise and experience on ketones, diet & lifestyle. Key points covered in this episode: ✔️ Dr. Mary T. Newport: The Expert on Ketones and Healthy Brain Aging Mary Newport, M.D. graduated from Xavier University and the University of Cincinnati College of Medicine. She trained in pediatrics at Children’s Hospital Medical Center in Cincinnati, Ohio, and in neonatology at the Medical University Hospital in Charleston, South Carolina. More recently, she practiced at the opposite end of the spectrum, providing hospice care and health-risk assessments. In 2008, a ketogenic nutritional intervention with coconut and medium-chain triglyceride oil dramatically helped her husband Steve Newport, who had early-onset Alzheimer’s disease, resulting in nearly four better quality years. Her book Clearly Keto for Healthy Brain Aging and Alzheimer’s Prevention focuses on a whole food ketogenic Mediterranean-style diet and other lifestyle modifications to help maintain brain health and prevent Alzheimer’s and other dementias. ✔️ From Newborns to Old Age: Dr. Newport's Fascination With Ketones and Alzheimer's Prevention For 30 years, Dr Mary Newport practiced in Intensive Care. When her husband Steve was diagnosed with early-onset Alzheimer's, she became his caregiver. She cared for him through the late stages of his disease until he passed away. During this time she began to investigate ways to improve his cognition and slow down progression of the disease. When Dr. Mary T. Newport first read a 2006 paper linking the Mediterranean diet to longer life expectancy for those with Alzheimer's, she was intrigued by the potential impact of nutrition on this condition and immediately invested in healthier eating habits based on that research. This experience sparked an interest in her to further explore ketones and lifestyle interventions related to brain health and Alzheimer's prevention. She now shares her knowledge as an expert on this topic, in her book and through her work helping others understand the power of diet in maintaining brain health. ✔️ Alzheimer's Reversal: Is It Possible? Alzheimer’s experts now say that 30-40% of Alzheimer’s and dementia cases could be prevented by making lifestyle changes, and a healthy diet is at the top of that list. Moreover, prediabetes and diabetes are major risk factors for Alzheimer’s. The Mediterranean diet is a pattern of eating inspired by the traditional cuisines of countries that line the Mediterranean Sea. It emphasizes plant-based foods, such as fruits and vegetables, whole grains, nuts and legumes, and olive oil. It also includes moderate amounts of fish, dairy products (mostly yogurt or cheese), poultry and eggs. Eating a low-carb Mediterranean diet can help address the problems of poor glucose uptake, the brain-energy gap, and inflammation in the aging brain which are accelerated in Alzheimer’s. A low-carb Mediterranean diet has the benefit of keeping blood sugar levels more stable over time and providing energy from fat to fuel our cells. The high intake of antioxidant-rich foods, including fruits and vegetables, is thought to help minimize inflammation in the brain which can contribute to Alzheimer’s. ✔️ Keto-Boost Your Brain: The Key To Maintaining Cognitive Health Ketones come from fat when we are fasting, but also from eating a low-carb higher-fat ketogenic diet, which has been used to treat epilepsy for 100 years, but is used now for many other conditions, like controlling blood sugar in people with diabetes, which is a major risk factor for Alzheimer’s, and that this diet shows promise in improving people with Alzheimer’s and other dementias, etc. Some other ways to increase ketones are taking coconut oil, MCT oil, overnight fasting, exercise, and ketone supplements. ✔️ Take Control Of Your Brain Health! The most important change a person can make to enjoy healthy aging is to steer away from sugary, starchy, and highly processed foods and eat a healthy whole-food diet. ------------ ✔️ Have Questions About The Science Behind Ketones? Connect with Dr. Mary Newport, the authority on all things culinary medicine! Reach out to her over email at ketones08@gmail.com or follow and engage in Culinary Medicine social media conversation - anywhere from Facebook to Instagram and Twitter! For more information, be sure to also check out the Culinary Medicine website and Dr. Mary Newport’s website: https://coconutketones.com ✔️ Looking For The Perfect Manual To Help You Think More Clearly And Prevent Alzheimer's? Dr. Mary Newport has got your back with Clearly Keto! This book is filled with all-natural tips, tricks, recipes & advice just waiting to be discovered - so don't miss out on an opportunity of a lifetime! ✔️ Have You Ever Been Eager To Learn More About Health, Food, and Alzheimer's? Spotlight Tim Harlin's podcast for some insight into the nutritional value of what we eat! Plus, listen in on the Top 10 Tips To Stay Ahead Of Alzheimer’s Disease. And find out How Doctors Diagnose It Too - all without having to participate in any lab experiments or medical trials (unless you want a career change). If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. ------------ About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
People over the age of 50 are not just taking care of themselves. They're taking care of their families. They're taking care of their communities. They want to be engaged. They want to give back. So there's a ripple effect in there which cuts across all generations. Businesses need to have a longevity plan; if you're not thinking about the changing nature of your consumer base, the changing nature of your workforce and figuring out ways to leverage diversity of age as part of a strategy for economic growth, sustainability and viability - you really are at risk of becoming quite irrelevant moving forward. Companies should focus on creating strategies for long-term success and relevance. This includes understanding the shifting demographics in the workforce, such as millennials and Gen Z, who will soon start turning 50. Companies should also be aware of the generational diversity in the workforce, as many are managing five generations at once. We are so excited to have Dr Jean Accius on this episode of This Is Getting Old: Moving Towards an Age-Friendly World! Dr Accius will share his valuable expertise on how the aging population is having a positive impact on the global economy. From the rise in life expectancies to the increase in the number of older workers, we are eager to hear about the opportunities available to this growing segment of the population and the need for age-friendly programs and policies. Key points covered in this episode: ✔️ Dr. Jean Accius: Transforming Lives for Aging Populations Worldwide Dr Jean Accius is a passionate, globally-recognized visionary who endeavors to improve life for aging populations by closing the opportunity gap, developing innovative and actionable solutions, and positioning AARP as a global thought leader. He is lauded for his transformational leadership, business acumen and systems change approach, and is an acclaimed author and speaker who has appeared in various media outlets and facilitated sessions at the World Economic Forum in Davos. His team's signature program, Growing with Age, was recently recognized by Fast Company as a 2021 Game-Changing Idea. Dr. Accius also holds numerous board and advisory positions and is a member of the National Association of Corporate Directors. ✔️ Uncovering the Economic Impact of the Over-50s: A Look into the Global Longevity Economy Outlook The Global Longevity Economy Outlook—The Economic Contribution of People Age 50 and Older Report is an in-depth analysis of the economic impact of people over the age of 50. It looks at how much this population contributes to the economy in terms of consumption, entrepreneurship, and investments, as well as the impact of policy changes, labor market transformations, and health and well-being. The report also examines the impact of this population on economic inequality, and how global aging trends could influence economic growth and stability. Ultimately, the report focuses on the need to create a global environment that is both age and health-friendly to ensure the longevity of the population and the stability of the global economy. ✔️ Exploring the Benefits of the AARP's Longevity Economy – Why It Matters Every day, the global population is aging rapidly, with 10,000 people in the U.S. alone turning 65 each day. In 2021, 25% of the world's population was 50 years and older, and this number is expected to rise to one in three by 2050. This aging trend offers an opportunity to recognize the contributions, insights, wisdom, and experience of older adults, as well as their economic contributions to GDP. Rather than seeing older adults as a liability, they should be seen as an asset that is not in decline. ✔️ Redefining Aging: How We're Failing Our Most Valuable Resource Companies should focus on creating strategies for long-term success and relevance. This includes understanding the shifting demographics in the workforce, such as millennials and Gen Z, who will soon start turning 50. Companies should also be aware of the generational diversity in the workforce, as many are managing five generations at once. To ensure longevity, companies should make sure their strategies are tailored to employees of different ages and backgrounds and strive to create an inclusive atmosphere. Dr Jean Accius emphasized that in 2020, the economic contributions, both direct and indirect, of people over the age of 50 around the world was $45 trillion—by 2050 it'll be over 118 trillion in economic activity. More notably, this has a ripple effect because people over the age of 50 are not just taking care of themselves—they're taking care of their families and their communities. They want to be engaged, they want to give back. So for businesses, if you don't have a longevity plan, if you're not thinking about the changing nature of your consumer base, the changing nature of your workforce and figuring out ways in which you can leverage that diversity of age as part of a strategy for economic growth, sustainability and viability, then you really are at risk of becoming quite irrelevant moving forward. ✔️ Unlock the Power of the 50+: Leveraging the Global Senior Population to Drive Economic Growth, Innovation, and Value Creation We need to get beyond cutting confinements and trying to put older adults in a box because we're seeing that older adults there, they have been there, they have done that. They tend to be extremely resilient and extremely innovative. A global survey across 12 countries in a sample of 12,000 older workers aged 40 and above found 94% indicated that they had little to no difficulty managing technology during the pandemic. Looking at the opportunity around technology, the surveys are showing that older adults are nimble, they're flexible. --------------- How To Connect With Jean Accius, PhD: If you are looking to connect with Dr. Jean Accius, PhD, there are multiple ways you can do so. On Twitter, you can follow his handle @JeanAccius as well as @AARPIntl, @AARP and @WEF. On Instagram, you can follow him at @JeanAccius. Finally, on LinkedIn, you can check out his profile at https://www.linkedin.com/in/accius4/. Connecting with Dr. Jean Accius is easy and will provide a great opportunity to learn from this amazing expert in his field! For more information about The Global Longevity Economy Outlook | The Economic Contribution of People Age 50 and Older, you can check out the full report on the AARP Global Longevity Economy Outlook. If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
As the World Health Organization (WHO) reveals, people aged 60 and over will make a massive impact in just 35 years - from only 12% to 22%. With so many countries having to face up to this colossal shift in their health services' longevity planning, they are turning tech-savvy. From AI robots that can interact more like humans than ever before, populations globally may find themselves facing far fewer issues associated with aging as healthcare gets smarter too! Prepare to get all the tech-know about Nurse Innovation, Robotics style! We've got Pamela Cacchione, PhD., RN., FAAN, with us on This Is Getting Old: Moving Towards an Age-Friendly World - and she's ready to show you how healthcare can be taken up a notch. Key points covered in this episode: ✔️ Achieving Amazing Possibilities: Combining Hearing, Vision and Robotics Pamela Cacchione, PhD, RN, FAAN, believes that improving vision and hearing directly impacts older adults’ cognitive impairment and mortality risk. Sensory impairment has become a significant contributor to healthy aging. Pam made connections with engineers at the University of Pennsylvania and has become a human factors researcher with the interaction of technology, robotics, older adults and how to design robots for older adults based on her expertise in sensory impairment. ✔️ How Has It Been Working With Engineers? Get inspiration from Pam as she shares how working with the engineers has been a great experience. She said they managed to bridge the gap between clinical and mathematical equations on multiple occasions. Moreover, despite their different areas of expertise, they have come together and created a shared understanding and language that helps them coordinate efficiently in solving problems. ✔️ Robots, and How They Help Older Adults: 🤖 Relay: Relay Robots are low-cost mobile robots to assist older adults with activities of daily living. The National Science Foundation funded it, and what the robot should do was decided based on these interviews with providers like clinicians, paid caregivers, and then the older adults themselves. The robot would encourage ambulation or walking and encourage hydration or drinking water, and the reaching task—picking something up off the floor or reaching something out of the cabinet for an older adult. 🤖 Quori: Quori got locked in the art museum when COVID hit. There would have been a good opportunity, but Quori ended up as a COVID screener robot. It does what many nurse practitioners in nursing homes do during flu season—asking those flu questions. Do you have any flu symptoms? And even after COVID, they're going to have these screening questions. So Quori took the temperature and asked COVID questions. If you responded to them positively. It would send you to a health provider to assess and send you home. And if you responded negatively, you were allowed to go into the center. 🤖 Soft Robot: The Soft robot was designed to actually turn people in bed and roll them up in bed—it's a soft material. People in the community want this because they have bedbound loved ones that they're caring for, and it's hard work. And if you're by yourself and it usually takes two people for safety reasons, it's really hard to reposition people in bed. 🤖 Haptics (post-stroke): Haptics is an arm movement robot for patients with stroke. So older adults can be sitting, doing different movements with their arms and playing video games with their arms, with different grasps for different movements. 🤖 PARO – Robotics Seal: PARO robots are used to decrease agitation in persons hospitalized older adults with dementia and or delirium. If somebody’s acutely agitated, nurses can just hand them a PARO robot and distract them from their agitation. Older adults can also interact with this robot. Nurses set it on their laps, and they play with it. They can give it a bath with wipes, brush it, talk to it, they can sing to it and dance with it sometimes. --------------- How To Connect With Pam: Ready to reach out and connect with Pam? From the University of Pennsylvania Penn Nursing website to her Twitter account, getting in touch is easier than ever. Enhance your expertise on aging by gaining insights from @agingsense1 and drop a message at pamelaca@nursing.upenn.edu – no need to wait! Becoming BFFs with Pam is just one click away! If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Heart failure affects 86 million Americans and by the time many people living with heart failure realize they're in trouble, it's often too late— their symptoms are at a dangerous severe level for hospitalization. But thankfully, nurses are working with engineers to develop the technology to change this narrative; providing tools that enable those affected or their loved ones to recognize red flags before things become critical. Get ready to put your best foot forward! Today on This Is Getting Old: Moving Towards an Age-Friendly World, we're taking our knowledge up a notch with Pamela Cacchione, PhD, RN, FAAN – an expert in nurse innovation. She's here to make sure you don't miss out on an emerging technology that can help manage heart failure - Heart Failure Socks. Key points covered in this episode: ✔️ What Are Heart Failure Socks? Heart failure monitoring socks are a revolutionary technology for heart failure patients. By tracking swelling of the feet and fatigue, these innovative socks can detect any changes in heart failure symptoms before they become dangerous--empowering patients to take greater control of their health and seek out medical advice as soon as possible. In addition to providing patient-tailored data crucial for better treatment decisions by clinicians, the thought of having a ‘high-tech’ solution for something so mundane can be incredibly encouraging for those coping with a chronic illness. Heart failure monitoring socks significantly reduce the risk of worsening symptoms due to the timely warnings they provide, ultimately making life considerably more manageable and less stressful. ✔️ How The Heart Failure Socks Came to Be Pamela’s brother was 40 years old when he underwent open heart surgery, during which the doctor performed a mitral valve replacement. Unfortunately, this resulted in the development of heart failure. Since his brother resided in Maryland at the time and Pamela was located in Pennsylvania, she had to assist with managing her brother’s condition remotely. Her brother refused to weigh himself despite his condition, leaving Pamela exasperated. As an alternative way of assessing his weight gain due to fluid accumulation, Pamela suggested observing how deep the indentations were on his socks caused by their compression; they deduced that as they became more deeply impressed into his skin, it would indicate that he had accumulated more fluid than usual. To do so, they utilized FaceTime video chat to observe these indents and better understand how much fluid he had retained. The lingering idea of developing heart failure monitoring socks for other people like her brother, Peter, who did not want to weigh themselves, was very percolated before Pam finally started investigating and working on them. ✔️ Socking Away Heart Failure: Progress in a Pair of Socks Pamela Cacchione, PhD, RN, FAAN and Heart Failure Socks has gone through an impressive journey to get to where it is now as a finalist in the J&J Quick Fire and ANA Awards. Her unwavering persistence and endurance throughout the application process set her apart from other applicants. She started her own company, Aging Sense, LLC, and went through an extensive process with her university's Penn Center for Innovation to make it happen. The school-owned center assists in furthering the dreams of those with innovative ideas, which helped Pamela meet all the criteria needed for her to be considered for such a prestigious Innovation Award and internal funding. ✔️ Next Steps For The Heart Failure Monitoring Socks When asked about her plans for the Heart Failure Monitoring Socks, Pam answered, “After extensive research, I have decided that my next step is to pilot test a small project involving participants in a nursing home.” “After collecting data from this test, I plan to submit an STTR - a business-style grant. This would be organized to obtain funding and resources for the project to increase its reach and expand any benefits it might bring about.” “By taking these steps, I hope to ensure the success of this project and allow it to have an even greater impact than originally expected.” ---------------------------- How To Connect With Pam: Connecting with Pam is easier than ever! For those in the nursing profession, the University of Pennsylvania Penn Nursing website is a valuable resource to view her work and learn more about her expertise in aging. Additionally, you can reach out to Pam via email at pamelaca@nursing.upenn.edu or follow her on Twitter @agingsense1 for valuable insights not available elsewhere. With so many options available to make contact and stay connected, introducing yourself to Pam is just one click away! If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. ---------------------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
America is getting older, and as people age, their bodies change. They're likely to have multiple chronic illnesses, and when they come into hospital care—that can be a vulnerable time. Considering that almost 60% of hospital beds are occupied by adults aged 65 and over, receiving specialized geriatric care in the healthcare system is critical. Learn with us today on This Is Getting Old as we explore how to make the world more age-friendly. Mattia Gilmartin, PhD, RN, is joining us. She will share her insights into NICHE—an incredible program that equips nurses and caregivers with the skills necessary to provide superior care for older adults. Key points covered in this episode: ✔️ What is the NICHE Program? Nurses Improving Care for Healthsystem Elders (NICHE) is on a mission to revolutionize nursing care for elderly patients, bringing positive change and patient-oriented practices into the capabilities of healthcare facilities. NICHE's ultimate goal is to ensure that all seniors age 65+ receive top-notch medical attention - because everyone deserves to be treated with respect as they age. NICHE focuses on the risks older adults might face when they come to a hospital. The program helps nurses be on the lookout for those risk factors and ensure that older adults do not experience those risks during their hospital stay. For example, laying in a hospital bed for five days is dangerous because an older adults function will go down. So in a NICHE hospital, nurses ensure that older adults are out of bed and moving around. ✔️ The Nuts And Bolts Of The Niche Program The NICHE Program offers the guidelines, materials, and resources needed to encourage a change in healthcare organizations' organizational cultures and provide patient-centered care for older adults. It has several advantages for institutions and is cost-effective and comprehensive: better clinical results favorable financial results improved nursing capabilities community acceptance increased satisfaction of the staff, family, and patients NICHE gives hospitals access to: Modern resources, including an interactive 24/7 E-learning center, tools, and training Support and coaching for NICHE-based hospital initiatives in project management Clinical procedures supported by evidence that address "never occurrences," Joint Commission compliance, and other legal requirements Instrument for Geriatric Institutional Assessment (GIAP) Information, knowledge, and skill sharing ✔️ How To Join The NICHE Program? NICHE work with hospitals—mostly. We have about 20 nursing homes that also participate in the program, and the team at NYU works with nurse leaders at the member sites to help them implement our model of care. However, NICHE has been thinking about transitions of care that go smoothly and anticipate people's needs. We also work with family caregivers so that loved ones who might be caring for older adults also know what to do and feel confident in their role and what the health system asks them to do. You can check out the NICHE membership page if you’re interested in joining. ✔️ What Are NICHE’s Benchmarking Procedures? By leveraging the knowledge in our university, community and small hospitals network, we provide specialized support for local leaders striving to improve care for older adults. Additionally, through a recognition program based on excellence and achievement achieved by implementing models provided by us. We reward members across three levels - general membership level (base-level), senior-friendly level or exemplary performance with awards given accordingly. ✔️ NICHE and Centers for Medicare and Medicaid Services (CMS) Payments There's lot of innovation in healthcare, but payment is one of the biggest barriers. There’s also the issue of hospitals being willing to invest in making changes in care and putting in change to improve the quality of care. More hospitals see the value of geriatric-specific services, so they are getting pressure to improve care, be more efficient with their resources, and have a better patient experience. For most older adults, when receiving NICHE services, the Medicare program is paying for that. Medicare has started thinking more about the value and wants more quality for the beneficiaries. ✔️ How To Find NICHE Members Or Units? NICHE is a voluntary program, and only some hospitals are doing this, even though it should be the standard of care. For consumers, here are some of the places where you can look: NICHE has a marketing kit that the members use. So you might look on the hospital website, usually where they have nursing awards, If the hospital offers geriatric services, you can check what they're participating in Sometimes there are announcements in the newspaper If a hospital has a newsletter, they might have some announcements and publications that they’re recognized as NICHE members. NICHE also have a certificate. So another place to look is in the hospital, where they might display their awards. You can ask when you're being admitted to the hospital, if the hospital's participating in a NICHE, or if they have units specifically designed for older adults. You can also check the NICHE website. Down on the bottom, you can click and find the location to see the list of current members. Sometimes NICHE nurses have a role called the geriatric resource nurse. The nurses wear pins on their badges that show they are a member. ✔️ Are You Up For The NICHE Challenge? Hospital care shouldn’t end upon discharge. There should be a follow-up where someone calls it, checking to ensure that home health shows up. But the ball gets dropped, so care ends the minute they roll you out the front door. The NICHE program helps people who don't have this background or the vision that care should continue at the door. It must carry over to the home to ensure people fully recover and do not have negative outcomes. If you say YES to specialized geriatrics care and want to learn more about bringing that to their hospital, or even as a consumer who has consumer-driven care—check out the NICHE website and connect with their representative. --------------------- Helpful Links To Connect With NICHE: Websites: Nurses Improving Care for Healthsystem Elders (NICHE) NYU, Roy Myers College of Nursing Phone: 212-998-5445 Fax: 914-612-9168 Post: 380 2nd Ave. Suite 306 New York, NY 10010 Email: support@nicheprogram.org Facebook: Nurses Improving Care for Healthsystem Elders (NICHE) LinkedIn: Nurses Improving Care for Healthsystem Elders (NICHE) ✔️ Register For The 2023 NICHE Conference In New Orleans The two-and-a-half-day NICHE Conference in 2023 will focus on clinical advancements and fresh research in the treatment of older adults. This year's conference theme is "The Changing Face of Elder Care". We will look at issues such as evidence-based practice, clinical leadership, care coordination, and management as they pertain to the NICHE practice paradigm. Come share, learn, and celebrate geriatric nursing excellence. If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Crooks exploit these vulnerabilities but make no mistake: All of us — young and old — are susceptible to the bad actors who show up uninvited in calls, emails, mail, texts and social media accounts. Some are so bold as to knock on our front doors. Everyone wants to protect their loved ones, and Cameron Huddleston offers the perfect solution—a journey into This Is Getting Old: Moving Towards An Age-Friendly World. So tune in now for all those practical tips you need as I talk with my guest, Cameron Huddleston. Key points covered in this episode: ✔️ How To Recognize A Scam? Scams tend to have certain red flags, and whatever the story might be, they usually come back to a one thing— an urgent request for money. Use the Scam RED Flags to learn more about the telltale signs of scams. ✔️ What Are the Most Common Forms of Payment Requested Gift Cards Peer-to-Peer payments (eg. Venmo, Zelle, PayPal, etc.) ✔️ What Are the Different Types of Scams In 2021, scammers stole over $6 billion from Americans—this is happening all the time. If you're over the age of 80, the number one way they will get in touch with you is through your landline. The second contact method is through social media, and if you're between 60 and 69, it's highly likely that you're going to be contacted through social media. Any time somebody asks you for money—that’s a red flag. Common types of scams among older adults are: Government Imposter Scams Identity Theft Business Impersonation & Shopping Scams Robocalls/ Unsolicited Calls Health Care & Health Insurance Scams Sweepstake & Lottery Scams Tech Support & Computer Scams Romance Scams Financial Services Impersonation & Fraud Grandparents Scams/ Person-in-Need ✔️ How to Protect Yourself From Scams? Don't trust people who were not involved in your life and now are suddenly there. Now that you are older and perhaps need care, make sure you've already named that financial power of attorney to ensure your bank and other financial institutions know who that person is. Also, it would be best to observe the following; Don’t answer a call from an unknown number; if you do, hang up immediately. Be aware that your Caller ID showing up as a local number doesn’t necessarily mean it’s a local caller. Do not respond to any questions asked by a stranger on a call If you answer the phone and the automatic message wants you to press a button to stop getting the calls, just hang up. Scammers often use this to identify potential targets. Do not respond to any requests via social media ✔️ Helpful Resources The Consumer Financial Protection Bureau has resources for protecting older adults against fraud and a guide called Money Smart for Older Adults Help your senior loved one get on the national “Do Not Call” registry Reporting fraud against you or anyone you know that has been a victim of fraud by calling the US Senate Special Committee on Aging’s Fraud Hotline Monday-Friday 9am to 5pm EST at 1-855-303-9470; or email them at https://www.aging.senate.gov/fraud-hotline Learn more by accessing the 2021 Top Scams Report If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Taking care of legal matters before a crisis helps ensure that you, not lawyers or courts, remain in control – it may even save countless disagreements further down the line. Make sure these essential legal documents don't cause wrinkles in your plans by tuning into This Is Getting Old: Moving Towards An Age-Friendly World and my guest this week, Cameron Huddleston. Key points covered in this episode: ✔️Estate Planning, Advance Care, and End-of-Life Planning—It’s Not Just Something For The Rich When people hear the term estate planning or end-of-life planning, legal documents, people often think, well, this is something that rich people do. I don't need to worry about an estate plan because I don't have an estate. An estate is really just a fancy word of saying your property, your belongings, and your assets. If you die without a will, state law will determine who gets your assets. That means your things might go to someone you don't want to receive those things, or it also might mean that your property needs to be divided up – and it may not be divided in the way you wanted it to be. ✔️ Understanding Power of Attorney You want to get the Power of Attorney (POA) document right because this gives someone permission to manage your finances. You want to make sure you're giving them the right permissions. You want to have an attorney sit down and discuss what powers you want to give that person and make sure it complies with your state law. There are different types of power of attorney—you can have general or limited durable or springing power of attorney. General or Limited Durable POA General or Limited Durable POA might be, for example, you're going out of the country, and you need someone to sign some real estate papers for you so you can designate someone as your limited power of attorney who can only sign documents related to real estate for you, Springing POA Springing means that power of attorney will spring into effect when certain conditions are met. Typically people will say this will spring into effect if I am deemed mentally incompetent through a diagnosis of dementia or stroke. But most estate planning attorneys and other law attorneys will discourage people from getting that springing power of attorney because it makes it much more difficult for that person you named as your agent to step in and help you. ✔️When and How to Access the Documents Copy for Medical Record Medical documents, including your Health Care Power of Attorney, your Living Will, and Advance Directives (including a Do Not Resuscitate document, if you have one) should be shared with all of your medical providers. You want your providers to have copies of those documents in your . medical chartThey're going to put it in your patient portal online so that if you are in the hospital and you don't want to be resuscitated, there is that documentation there that they can refer to and say, this patient doesn't want to be resuscitated, this patient doesn't want to be on life support, this patient has named their child as their health care proxy. Original Copy for Executor (may need to be notarized) Giving the executor of your estate an original copy of your will is also a good idea. Financial institutions will accept copies, but typically they want it to be a notarized copy. Or you could take the original to the bank. They will make a copy of it and keep it in the files. But if you're even if you trust your power of attorney 100%, you're still feeling a little anxious about handing over that power. Hang onto the document yourself and put it someplace safe in a home safe. Remove all documents from the home if an outside caregiver comes into the home A word of caution here to family caregivers—if you're caring for an aging parent and you're putting outside caregivers in that home with that person, you need to be aware that you need to remove all financial paperwork so that fraud or elder financial abuse doesn't happen. ✔️ Authorizations When it comes to government agencies, a POA is not enough. Several of them have their own paperwork that has to be filled out. Medicare Representative Designee/ POA If you are caring for an aging parent and have to help manage their Medicare benefit, to get on the phone and talk to someone within the Medicare agency, you're going to have to be designated as your parent's Medicare representative. Go online and get the form, and if you have already been named power of attorney, then you can fill out that form and sign it as your parent's power of attorney. Social Security Administration If you have to manage a parent's Social Security benefits, you must be designated as your parent's Social Security representative payee. This would be best to go to your local Social Security Administration office and sit down with someone there and go through the process of filling out the paperwork, showing that power of attorney document. Other responsibilities come with that, so you have to file an annual report with the Social Security Administration detailing how you manage your parent's benefits and how you spent those benefits for your parent. Internal Revenue Service (IRS) to sign tax returns IRS has a form you must fill out to be designated as your parent's agent. You need to read the instructions carefully, and you will also submit that power of attorney document when you send in the tax return and the additional IRS form. Name a Trusted Contact with financial institutions It's also good to name a trusted contact with your financial institutions. Some will ask for it, and some won't. Still, you can go ahead and say, “Hey, can I name a trusted contact? This is someone your financial institution can reach out to if you can’t reach me or if it suspects that financial exploitation is going on.” It's just another way to protect yourself financially. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
As we age, we may need help managing our finances for a myriad of reasons – including cognitive decline. How to start that conversation with an adult child may be challenging for both parties, but it’s a critical conversation to have to prevent costly errors or even losses along the way. Ready to tackle the difficult conversations about money with your adult children? This episode of This Is Getting Old: Moving Towards An Age-Friendly World will help smooth out any wrinkles in those talks, thanks to Cameron Huddleston's sage advice. Get ready for an enlightening chat - and a sigh of relief. Key points covered in this episode: ✔️ When To Have The Conversation? Cameron Huddleston, author of “Mom and Dad, We Need to Talk” and award-winning journalist with 20 years of experience writing about personal finance, suggests that the best time to have this financial management conversation is when you are healthy and relatively young. “Having this conversation in your fifties with your 20-something or early 30-something children is a great idea,” Cameron said. ✔️ What Information To Share? If you have named one of your children as your Power of Attorney—meaning they have the right to make financial decisions in transactions for you once you're no longer able to - that person needs to have a good idea about the details of your finances. Your child needs to know: -Where you bank -Be able to access those bank account(s) to pay the bills. -How they must pay for care if you need long-term care. -If there is still a mortgage or other types of debt. -Your account numbers, usernames, and passwords—they need it all. ✔️ Completing the In Case of Emergency Organizer In Case of Emergency Organizer is a valuable tool that compiles all that information, including Social Security and Medicare numbers, health insurance policy number, life insurance; all of your financial accounts, the usernames, the passwords ✔️ Think Of It As A Gift Think of it as a gift to the people you are leaving behind—to have this information organized so that they don't have to play detective, and it won't be even more difficult for them. ✔️ Creating And Coordinating Your Circle Identify those trusted family members early on. If you don't have children you trust, identify someone else. Maybe it's a niece or a nephew, or a family friend. You've got to have someone you trust who can be there for you if you need help with finances as you get older. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Money's a taboo topic that no one wants to touch, but when it comes to our aging parents – let’s face it – we all have to tiptoe around the bank account. Ignoring those chatty conversations about financial security with Mom and Dad could put us in an awkward spot down the line if they need assistance managing their money or require help making decisions. If you're looking for the scoop on your parents' finances, pick out a box of icebreakers with extra care! Your intention to gain insight may be sincere, but without a tactful approach, it could quickly come off as greedy or intrusive. Don't break the conversational barrier only to have them freeze up - otherwise, future discussions might suffer from permanent frostbite. Money talk doesn't have to be scary—it can actually become part of your routine. If you're looking for the perfect conversation starter, consider the following tips from the author, speaker and award-winning journalist with 20 years of experience writing about personal finance, Cameron Huddleston Tune in to this episode of This Is Getting Old: Moving Towards an Age-Friendly World, and with Cameron Huddleston’s advice, you and your aging parents will feel more secure every time money's brought up. So take a deep breath…and get talking. Key points covered in this episode: ✔️ Signs That Parents Need More Help With Finances Cameron Huddleston, author of “Mom and Dad, We Need to Talk”, shared her personal experience of how she had plenty of opportunities to have financial conversations but never realized it was a conversation she needed to have with her mom until she saw that she needed help with her finances. “It was initially pretty easy to ignore the signs that she was experiencing memory loss because she had hearing loss. When she would ask a question, and I would answer her, and she would ask it again, I would tell myself, Oh, it's because she didn't hear my response.” Cameron shared. “That went on for several months, maybe even a year. But it was when I was visiting her one evening, and she asked me if I wanted to go see a bench that she had bought for her back patio. So we went, looked at the bench, and came back inside, and a few minutes later, she asked me again, "Do you want to see the new bench I just bought?” continued Cameron. At that very moment, her heart sank because she knew what happened was not a hearing issue. Her mom had forgotten they had just gone outside and looked at her bench. That’s the time Cameron knew that there was something clearly wrong. ✔️ Do’s And Don’t During Money Talks What you don't want to do is put your parent on the defensive, “Hey, mom, you're forgetting things, so that means I need to be managing your finances for you.” She still remembers many things, so if you tell her that she cannot handle her finances, you will likely put her on the defensive. She's going to shut down. She's going to push you away—you have offended her. Instead, you will want to look for tasks that your parent needs the most help with. It will most likely be avoiding scams because if they're experiencing memory loss, their financial decision-making ability is impacted. They're at a much greater risk of being scammed. Also, paying bills because if there is memory loss, they're probably having trouble staying on top of their finances and making bill payments on time, or maybe they're paying the bills twice. It's as simple as saying to them, “Hey, you know, I have found that a great timesaver for me having my bills set up to be paid automatically. Would you like me to help you do that?” So then you're going to sit down with them at a computer, and you're going to log into those accounts. ✔️ With Many People Reluctant To Talk About Money - How To Start The Conversation? Getting that third party involved is essential if you have a parent reluctant to let you get involved. Maybe it's the doctor, a lawyer, or a financial adviser. So maybe you notice that your parent is experiencing memory loss, and you go with your parent to a doctor's visit where your parent is examined. There are tests that are done, and there comes back a diagnosis of some form of dementia. If you're there in the doctor's office with your parent, ask a question that you want to ask. “Okay. Mom has been diagnosed with Alzheimer's disease. Does that mean she will need help with money matters now?” “What sort of assistance is she going to need?” Ask those questions to the doctor so that the doctor—the third party—tells the parent, “Because you have dementia now, your financial decision-making ability is impacted.” ✔️ Tips On How To Start It Right When Having Financial Conversations Ideally, you should have a financial conversation before there are any health issues— before there's an emergency because banks and other financial institutions, even though they're not supposed to, can make it difficult for caregivers to get involved with their loved ones finances, even if they had that legal document. There are a variety of ways that you can bring it up: You can simply ask about what-if scenarios, what if something were to happen? What if you were in the hospital, and I needed to make sure your bills were getting paid? How would I do that? Are your bills being paid automatically, or are you writing checks every month? That's really a simple way to start the conversation. Or maybe you tell your parents, “Look, I just, you know, I just got a new life insurance policy”, or “Hey, I found this really awesome retirement savings calculator online, and I realized it wasn't saving enough for retirement.” And so the conversation starts by asking them about their retirement. You know, how did you plan for your retirement? Did you have a retirement savings account, or are you getting a pension? Is it just Social Security, or if they haven't retired yet, what are your plans for retirement? You can ease your way into the conversation. You can share a story about someone you know who had to get involved with their parent's care, maybe someone who lost a parent. They didn't have a will, which created all sorts of headaches for the family members who were left behind. And on top of that grief, they're dealing with the fallout from the parent's lack of financial planning. You can also start by warning them about scams, “Hey, I just got a phone call from someone claiming to be at the IRS, and they told me that I had to pay back taxes, I had to get a gift card to make this payment. I just want you to know that this is a common scam.” So you're going to share scam red flags with them. You share articles with them, and then you encourage them to set up some account monitoring on their account. ✔️ What Lesson Did Cameron Learn From All This?— You Don’t Have To Play Detective Cameron’s mom had this one investment account and was already in a memory care facility. So her mail was coming to Cameron, and she got a notice from this company saying that her account was going to be turned over to the state for lack of activity, and there was $50,000 in this account that she never knew even existed. If she had sat down with her mom while she was healthy to get a list of her accounts, Cameron wouldn't have almost lost $50,000 of her mom’s money. “The biggest lesson I learned is that I should have had conversations with her while she was still healthy because I had to play detective. I had to figure out what accounts she had—and it was difficult,” Cameron shared. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. -------------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
With the holiday season upon us, many may be looking forward to traditions that will bring joy and warmth - but if your family member is living with Alzheimer’s or related dementia, this time can become overwhelming. If you are a caregiver, take care of yourself and allow yourself to maintain the traditions you can and not feel bad if you can’t do everything you usually would. 'Tis the season for creating new memories and cherishing old ones! We can all be part of a treasured tradition: togetherness. Time spent with friends and family can become even more meaningful when modified to accommodate a loved one diagnosed with Alzheimer's. Whether it be adapting existing holiday traditions or starting from scratch - just remember that joy is still possible during those special moments no matter what stage of the disease they are in. In today's episode of This Is Getting Old: Moving Towards An Age-Friendly World, I’ll share three tips for enjoying all the festive moments while being mindful of our loved ones with Alzheimer’s disease. So take a moment away from wrapping gifts and baking pies (or whatever it is you're doing) to refresh yourself on how the best caregivers, like yourselves, should manage things so that everyone in your household gets what they need! Key points covered in this episode: ✔️ Tip #1: Visits or Family Gatherings—Find the Right Balance When planning holidays around those living with Alzheimer's disease, work around the person living with dementia’s schedule and adjust expectations Think about the best time of day to do your gathering, the number of people to invite and think about the person living with Alzheimer's disease. Are they still comfortable socializing, or do a lot of people and increased noise just increase their anxiety or agitation? That happens to any of us. If you're used to living in a very quiet environment, you're put into one with a lot of noise and activity. It can make anyone anxious. So just keep that in mind. More importantly, think about location, like should you have this event in your own home or go to where that person lives? If they're in the facility or nursing home and then be sure that you communicate with your family and friends about the expectations, the person's preferences and abilities at this time. ✔️ Tip #2: Plan Activities Based On The Person Living With Dementia’s Current Ability Making Sweet Memories: Cookies, Dementia and Tree Decorations! If you have a tradition of baking cookies, involve that person at the level they can participate. At each step in the process, give the person a role – such as stirring the cookie mix, adding ingredients, rolling the dough or decorating. If tree decorating is a tradition, depending on if the person can stand or not, give them an area of the tree to decorate – and don’t get hung up on it being perfect. Their participation and inclusion should be the focus. ✔️ Tip #3: Gifts: For The Person Living With Alzheimer’s Disease For giving gifts, they may need help with shopping and picking out gifts. But it's always important when you go to any type of event, and people are exchanging presents that we're all part of that and we have something to give. When receiving gifts, be sure to communicate with family and friends about what the person can currently do, what they're currently interested in, and things that they need. So some ideas could be giving hand lotion, maybe giving them a family photo album. This labeled with names and dates and even little stories, or using technology to create a playlist of their favorite music. So there are a lot of different gifts or different ways that you can handle the gift-giving and the gift-receiving that allows that person to be included. ✔️ Useful Resources You Can Check The Alzheimer's Association website offers tips and strategies to help with the holidays, both for a person living with Alzheimer's and their caregivers. If you have questions or comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. ------------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Many things count as grief and loss – from the actual death of a loved one to the loss of a significant relationship. As cliché as it may sound, there’s not one way to deal with grief and loss during the holidays. We’ve all just lived through a pandemic that took a lot of lives and loved ones away from us. As the holidays approach, it may be more challenging to deal with the celebrations—decorating, maintaining or foregoing family traditions, getting your shopping done, and deciding what holiday events you can handle. And it doesn’t matter if this is your first holiday without a loved one or the 20th. For caregivers, they face the double loss of the person they cared for and their role as a caregiver. They may need to talk about their losses, and these feelings may be positive or negative. I’ve heard grief described as being like the ocean with its waves that ebb and flow. Sometimes the water is calm, sometimes, it’s overwhelming. And the healthiest response is going to be to learn to swim – rather than avoiding the water. In today’s episode of This Is Getting Old: Moving Towards an Age-Friendly World, I’ll share four tips to help you learn to swim if you are experiencing feelings of grief and loss this holiday season. Key points covered in this episode: ✔️ Tip #1: Take Good Care of You—Self-Care Is Not Selfish Be gentle with yourself. Give yourself permission to not do things that you don't feel like you can handle. Be in tune with your emotions and how you're feeling in the moment—be okay with it Make sure that you're planning healthy meals and eating good food that's healthy for you. See to it that you're getting plenty of exercises, drinking plenty of water, and avoiding alcohol— that's going to make you sadder. Don’t miss getting enough sleep. ✔️ Tip #2: Get Support—Cry, Laugh, or Get Mad—It's OK to Feel It All There may be different triggers to grief and loss, and you shouldn’t feel like you have to stifle your emotions. Set aside time to experience the range of emotions you may experience – from anger to sadness. You should be truthful about your feelings when asked, but be sure that you don’t hurt the person doing the asking. More importantly, release your emotions by watching a tear-jerker of a holiday movie – or one that makes you belly laugh. Both are fine and healthy ways to release normal feelings. ✔️Tip #3: Acknowledge and Honor The Loved One That You’ve Lost Create new traditions in memory of your loved one. You can donate to a cause they are passionate about, volunteer and donate your time, or plant a tree. Talking with close family and friends to reminisce and remember the person and good times with them can be helpful. You can also look at family photos, watch old movies and share stories of past holidays. ✔️Tip #4:Focus on What You Can Control—It's All About the Present None of us really can control when someone else dies or if they leave a relationship, or maybe we end the relationship. Stay focused in the moment and not get too caught up in the past and not worry too much about the future because that's why it's called the present. You can cook your favorite meals, eat your favorite foods, and then even journal about your thoughts and feelings might help you to ease out what's within your control and what's not. ✔️A Thing To Remember: There's No Right Or Wrong Way To Process Your Emotions Be sure that if you are grieving and need help, you find family and friends that you can turn to. But also realize that many people feel awkward if you try to share your feelings. It would be best to decide if that's a person that you can trust to handle your own emotions. Furthermore, you can draw comfort from your own faith. You might need to try to find a support group or talk to a therapist or a grief counselor. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. ------------------------------------ About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
For adult children who do not live close to their aging parents, the holidays can be a good time to visit to make sure things are good as they seem. In addition to staying connected throughout the year by phone or Zoom calls, a personal visit may give you more information that things are ok – or confirm any suspicions you may have had that there is truly a problem. Many of these suspicions may be around whether or not your parent – or parents – are becoming more forgetful or if they are becoming more frail and unable to keep up with everything independently. Some parents will ask for help if they recognize they are starting to struggle, but many aging parents will not want anyone to know because it means a potential threat to their independence and/or autonomy. The holidays create a time to get together, and it’s an excellent opportunity for adult children to check in and see how their aging parents are really doing. In this episode of This Is Getting Old: Moving Towards An Age-Friendly World, I’ll share with you four things to look for during your holiday visits this year that may be warning signs that you need to dig deeper to find out what’s going on. I will list them in order of least invasive to most invasive…and keep in mind that you do want to respect the dignity, privacy, and autonomy of your loved one – and these need to be investigated from a place of concern – not to undermine your parents. It’s a thin line, so listen to your intuition if you suspect a problem and engage your loved one in the process as much as possible. Open communication is always the best approach, and you are looking for differences from the last time you saw them. Key points covered in this episode: ✔️ Tip #1: Give Them a Hug Clues that things are changing aren’t always visible from a distance, so a hug may tell you more without setting off any alarms that you’re concerned about. ✔️ Tip #2: What’s the Kitchen Look Like? My Mom has always told me that the kitchen is the heart of the home. Think about what the kitchen has always looked like and compare any differences you see. ✔️ Tip #3: Ask About Their Social Life If your parent - or - parents were always socially active – has that changed? And if it has, ask them why? ✔️ Tip #4: Look For Any Visible Mail The mail may offer clues about how your parents are managing their bills or if they are being/ have been scammed. ✔️ How To Catch More Flies With Honey? These four tips are a starting point for a conversation about how things are going at home – how they are really going. Create a safe space to discuss what’s concerning you and listen to the answers. One other thing my Mom taught me is that you catch more flies with honey than vinegar…so be kind, observant and listen. Also talk to other people close to them – friends, neighbors or other families who visit regularly. These signs could indicate a bigger problem, but get others involved to learn more about anything that concerns you before making an assumption that there is a memory or thinking problem. ✔️ Additional Resources You can check out some of these related episodes: How To Talk To Someone You Think May Have A Memory Problem: https://melissabphd.com/ep-18-six-tips-for-talking-to-someone-you-think-has-a-memory-problem/ 10 Warning Signs of Alzheimer’s Disease: https://melissabphd.com/ep-17-ten-signs-of-alzheimers-disease/ How Alzheimer’s is Diagnosed?: https://melissabphd.com/ep-19-how-is-alzheimers-diagnosed/ If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Over the past five years, more than 20 million Americans aged 65 and over had elective surgery . This number is expected to grow to more than 27 million by 2030. While elective surgery can be life-changing and even life-saving, it’s not without its risks. There are many things to consider before elective surgery – from the cost of the procedure to who will provide caregiving afterwards during recovery. In addition to the normal conversations, exams, and tests that will be run to clear an older adult for surgery, there are ten additional things older adults and their families should know before heading into the Operating Room. Most surgical offices will require thorough lab work, along with heart, lung, and kidney function tests; but if you are over 65 years old or the loved one of someone who’s going to have the elective surgery, be sure you—and those the surgical team — know the following because many of these have been linked to a higher risk of death or complications after an older adult has surgery. These recommendations are based on the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society Developed Best Practice Guidelines recommend the following: Key points covered in this episode: ✔️ #1: Know The Person’s Pre-Surgery Cognitive Ability Though you may be an older adult, have been feeling great recently, and even played golf the day before surgery, things can take a turn for the worse post-operation. You can end up looking pretty sick to providers who don’t know you—and due to pervasive ageism, health care professionals can unfortunately make an assumption that you have a cognitive impairment (when you don’t!) You want to be sure that your surgical team knows what the person's cognitive ability was before the surgery ~ because you should return to baseline with your thinking. ✔️ #2: Depressed Or Not? Depression has been associated with a higher likelihood of dying after surgery and more days in the hospital after surgery. It is essential that the surgical team understands what the person’s emotional state was before surgery. Older adults may not want to talk about it, but if a loved one is going in for surgery, please ask: “Have you been feeling down or depressed lately?” ✔️ #3: Any Alcohol Or Substance Abuse/ Dependence Issues? While a glass of wine with dinner or a beer while watching the game may be part of your routine, there may also be some signs that alcohol use is more along the lines of alcohol dependency or abuse. There are four questions that are asked, and we call it the CAGE questionnaire: C: Have you ever felt the need to Cut down on your drinking? A: Have you ever felt Annoyed by people criticizing your drinking? G: Have you ever felt Guilty about your drinking? E: Have you ever had an Eye-opener (a drink first thing in the morning) to steady your nerves or get rid of a hangover? Substance abuse isn’t only about alcohol. It can includes taking other drugs. In either case, alcohol and substance misuse also puts the person at a higher risk for complications after surgery ✔️ #4: Know Your Risk Of Post-Surgery Delirium And How To Recognize It In A Loved One Delirium is a change in mental status, and people can fluctuate in and out of it. They may be confused at times and then clearheaded at other times in the same day. Being 70 or older and taking multiple medications increase a person’s risk for delirium. Before elective surgery, it is essential to let your loved one’s surgical team know about any medications they are taking and if they have had issues with delirium in the past. The bottom line after surgery: If you have any feeling that your loved one “just isn’t right”, mention it to their medical team because it needs to be investigated. ✔️ #5: Know Functional Status And History/ Risk Of Falls Can the person get dressed? Take a bath? Get out of a chair or the bed by themselves? Prepare own meals and/or do their own shopping ? Have you fallen in the past year? The answers to these questions give the surgical team a good idea of what level of care the person was prior to surgery and can discuss self-care goals post-surgery. The risk of falling also needs to be discussed. A history of falls or any current balance issues puts someone at a higher risk for complications after surgery. The surgical team can also administer the Timed Get UP and Go Test (TUG): This is when the older adult is asked to stand up from a chair, walk 5 or 6 feet, turn around and walk back to the chair, and sit down. Taking longer than 15 seconds to do this indicates an increased risk of falls. ✔️ #6: Is The Person Malnourished? Older adults can lose weight for many reasons: changes in taste, dentition issues, and inability to cook for themselves. But whatever the reason, malnutrition puts someone at a higher risk for complications after surgery. The best way to assess this is by asking if they had an unintentional weight loss of more than 10 pounds last year. A laboratory test of albumin and pre-albumin levels or calculating the Body Mass Index (BMI) based on Height and weight. It determines if a person is overweight or underweight, which can result in negative surgical outcomes. ✔️ #7: What Is The Person’s Frailty Score? One indicator of frailty is an unintentional weight loss of more than 10 pounds in the past year. Another frailty indicator is decreased grip strength, which is the inability to open a jar of peanut butter or hold a cooking utensil. Slow gait speed (walking) is another indicator. Self-reported poor energy or low endurance may also be seen. Or you may notice that they don't expend much energy during the week. So this is someone who may be doing a lot of sitting, and if they are up and walking, it will be slow. ✔️ #8: Take A Medication List With Diagnoses I recommend the Brown Bag Approach : bringing all medications in a brown paper bag to each appointment. This allows the clinician or surgical team to go through everything and ensure that each one is still indicated. Put all ALL medications - vitamins, over-the-counter, and prescriptions -into a ‘Brown Bag’ and take them all in to be reviewed with your provider. You should know the reason for taking each medication - the diagnosis it is treating. This allows the clinician to understand what other health problems the person may have and if any of those could interact with surgery or anesthesia. Talk with your provider because any nonessential medications should be discontinued before surgery; know what medications can be taken on the day of surgery or be continued after surgery. It would also be best to review your medication list against the Beers Criteria and be sure every medication has a supporting diagnosis. Otherwise, work with your provider to discontinue it. The bottom line: The more information the surgical team has, the better they can assess and plan for the surgery ✔️ #9: Treatment Goals And Expectations If a person thinks they will have a surgery to cure their pain and they don't get that result—that will be disappointing. So it's essential to manage expectations by getting a clear explanation of the goal(s) of surgery. The goal may be to decrease the pain but not necessarily get rid of it. It's also important to set realistic goals for post-operative function Be sure to have a discussion about the patient’s preferences and expectations – and if there will be a need for rehabilitation after surgery, where is the preferred facility for that to take place, or can it be done at home? ✔️ #10: Take Paperwork: Who Will Be Involved In Care Take copies of any and all legal paperwork that you may need – this includes the person’s advanced directive (code status: full code vs. no code) and who their designated decision-makers are in case they are needed – such as their healthcare power of attorney. Copies of these should also be in the person’s medical record. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. ------------------------------------------------------------------------ About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Around 10,000 boomers today are turning 65; by 2029, all boomers will be 65 or older - that milestone’s seven years away. Historically, the boomers have always been the largest generation in the US. That changed two years ago when the Millennials became the largest generation. Marketers need to be aware of this demographic shift because there are now more adults over 40 than children under 18 for the first time in human history - older adults are the New Consumer Majority. Also, adults aged 50 and over control 70% of America's household disposable income, spending $0.51 on every dollar. But by 2050, they will be spending $0.61 per dollar. In total, this group is projected to spend 84 billion annually just on tech products by 2030, and they are projected to contribute over 26 trillion to the US economy by 2050. These statistics speak to the spending power that marketers may not be fully tapping into. Business as usual will need to change - which is a good thing if you want to stand out in today’s crowded marketplace and a shifting media environment. What do you need to know about this demographic shift? Tune in to This Is Getting Old: Moving Towards An Age-Friendly World to learn more. Key points covered in this episode: ✔️ Older Adult’s Spending Power Adults aged 50 and over control 70% of America's household disposable income, spending $0.51 on every dollar. But by 2050, they will be spending $0.61 per dollar. ✔️ Why Ageism Awareness Matters in Marketing Baby Boomers are leading the way in reinventing the concept of older age - they aren’t accepting what has generally been a negative connotation about aging . Marketers who learn how to translate the new concept of older age have the opportunity to develop actionable advertising, promotion, public relations, and social media strategies that will have profitable results. ✔️ What’s The Problem With Current Marketing Strategies? The problem is that most current media marketing strategies aren't keeping up with most portrayals of this group. Either their images aren't included, or the messages are not around healthy aging or aging well - which most Americans over 40 are doing. ✔️ But Wait, There’s More - IMPLICIT BIAS + PERSONAL BELIEFS ABOUT AGING AGEISM is stereotypes (how we think), prejudices (how we feel), and discrimination (how we act) about aging. This can be institutional, interpersonal, or self-directed. ✔️ What Should We Change? All industries need to pay attention to the 40-plus if they want to maximize revenue. However, as a marketing team, your messaging matters. Being aware of ageism will help you develop a marketing campaign for the new consumer majority effectively. ✔️ How To Make Age-Friendly Marketing Campaigns -Older Adults Should Not Be Treated As Or Viewed As A Specific Demographic -Correct Myths And Misconceptions About Older Adults -Avoid Marketing That Misses The Bullseye -Use Titles That Reflect Older Adults’ Life Role -Make Sure That Your Images Are Intergenerational And Focus On Experiences -Invest In - And Market To - The Grandparent Economy -Understand Generational Buying Criteria -Design Personalized Consumer Interactions That Are Easy For The Customer -Prioritize Customer Service -Use Multi-Channel Marketing -Use Relatable Language ✔️ What Age-Friendly Marketing Should Be? 👏 Chevrolet’s EV Car Commercial Chevrolet has a brand new commercial for EV cars. The reason this commercial's ageless is because the images were intergenerational. The experience of sitting in the car is an experience that all generations have and enjoy and expresses the shared value of thought and happiness. The words used in the commercial— “everybody” and “everywhere”- were inclusive. 👏 Marriot’s “Travel Makes Us” Campaign Another example is Marriot’s “Travel Makes Us” campaign. The commercial taps into the core values such as time with family, happiness and love of travel. The marketing ads include intergenerational images, and the language used is inclusive, age-blind, and value-based. ✔️ Where To Find Help With Developing Effective Age-Friendly Marketing Campaigns? The best practices for communication are available from the Reframing Aging Project, a national reframing institute established earlier this year. You could also check your own implicit bias and that of your team through the Implicit Project Quiz that's available on the Harvard website. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. --------------------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Death, dying and the funeral business are all inevitable parts of life that we will all deal with at some point - either for ourselves or someone we love. I had a fascinating conversation a few months ago with someone who had been training to become a mortician. As someone who has helped families navigate end-of-life care for nearly my entire career, I hadn’t really ever thought about what happened when my job ended. Much of what this person shared with me bothered me but was also eye-opening – so I wanted to share some of that information with you. Thousands of people have dealt with funeral costs in light of the pandemic, and today I’ll share some things I learned about the funeral industry in this week’s episode of This is Getting Old: Moving Towards an Age-Friendly World. Key points covered in this episode: ✔️ The Funeral Industry Pulls In Big Bucks The costs for burial and cremation are skyrocketing. Most funeral homes are privately owned, but large corporations are starting to own more and more funeral homes. Here’s a fun fact…funeral homes pull in $20 billion dollars a year in the United States. Yes, BILLION. The largest death-care corporation in the country, Service Corporation International, has nearly 2,000 locations. In 2018 alone, they brought in $3B in revenue. The second largest funeral company, StoneMor Partners, pulled in $316M in the same year. We also have a growing monopoly on our hands due to fewer large, corporate parent companies. These large corporations have bought up the trusted, well-known family-owned businesses. They typically keep the name of the original business but bring in new staff and salespeople, and often increase prices. These large corporations can do this because there isn’t a lot of competition. This means fewer wealthy and powerful corporations manage this industry. ✔️ The Funeral Industry Is Poorly Regulated This big, wealthy industry has been largely left to regulate itself. Businesses in the industry have a history of committing widespread deceptive practices that limit a consumers’ ability to make informed decisions Some attempts have been made to fix this, starting in 1984 when the Funeral Rule was introduced. The Federal Trade Commission established this rule to protect vulnerable families from exploitation by licensed funeral homes. Funeral homes can be fined up to $40K each if they violate this rule. The problem is there’s a loophole. Suppose a funeral home is found to be in violation of the Funeral Rule. In that case, they can opt into the Funeral Rule Offenders Program – a training program run by the industry’s largest trade association and lobbying group – the National Funeral Directors Association (NFDA). This organization then is responsible for “policing” and penalizing offending businesses and is ultimately able to conceal violations from public knowledge. ✔️ Profit-Seeking + Poor Regulation = Predatory Practices Since 1970, we have known that funeral homes have used predatory practices to increase profits. When you need a funeral home, the consumer is often not in the right frame of mind to handle the logistics of a funeral, burial, or cremation. Funeral homes have been known to prey on the emotionality of bereaved family members making funeral decisions by offering “up charges" for products or services that give the appearance of a higher quality funeral or burial. When we as individuals do this type of planning for our families in advance, we are giving them a huge blessing when we die. Leaving your funeral planning to loved ones can evoke a lot of intense emotions; and the multiple decisions that have to be made may have conflicting answers within a family that causes unnecessary stress during an already stressful time. ✔️ Historically, Price Transparency Non-Existent In The Funeral Industry One thing that isn’t transparent is the price tag associated with funeral and burial or cremation – the price for the same service can range from a few thousand dollars to over ten thousand. The Funeral Rule doesn’t require funeral homes to provide prices upfront or online, which means the general public has a hard time protecting itself from predatory pricing practices. NFDA disclosed in 2021 that the average cost of a funeral with a viewing and burial is nearly $8,000, while a funeral with cremation costs only about $1,000 less. However, these costs don’t include costs associated with the cemetery, monument, marker, or other miscellaneous costs, such as flowers. These added expenses often increase the cost of full funeral services by $2,000 or $3,000. And this really shocked me! Caskets are often marked up 300 to 500%! Caskets from a wholesaler cost about $325, but a funeral home sells it to you for about $1300!! Other markups are crazy and predatory – for example, selling people a premium sealed casket for $800 when it only means adding an $8 rubber seal to the lid (I mean, why does a casket need a seal anyways?!). And here’s a fun fact – the Funeral Rule allows YOU to provide your casket for a funeral – and the funeral home is not allowed to charge an extra fee if you do! You can literally buy your casket from a wholesaler or make your own. (Talk about a DIY project I’ve never heard of before!) ✔️ Funerals Are Bad for The Environment This information was also interesting. Some in the funeral industry are “going green”. Why? Because according to National Geographic, funerals put over 800K gallons of formaldehyde into the earth – equivalent to one and a quarter Olympic-sized swimming pools yearly. And cremation, while touted as being the “greener” alternative to burial, generates an estimated 534.6 pounds of carbon dioxide – per person. There was a lot more information online about planning a “green funeral” that I didn’t go into in this episode. It has given me reason to pause and reconsider my own advance directive about wanting to be cremated. If you have already explored this option, drop a comment below or on social media. I’m interested in learning more! ✔️ Where To Find Help With Your Funeral Option? Funeralocity is a platform to find and compare all funeral homes and cremation services near you. AARP names the service provider as its latest funeral planning recommendation. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. ----------------------------------------------------------------- About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
A lot of people don’t want to talk about death and dying. Yet, talking about death doesn’t mean it’s going to happen, and it’s usually better to talk about it before it happens – for everyone involved. Death and dying are something that a lot of people don’t have a lot of experience dealing with. That’s because, over the past several decades, as a society, we have moved death out of the home and into institutions. For some, the information I share in this podcast may be an intellectual conversation/ information) – for others, it may hit the heart. It’s one thing to listen to information about death and dying when you’re not right in the middle of it; compared to being in the middle of it and trying to learn more. Listening to and learning about death and dying can be harder when your heart is hurting. Many of the most important things tend to range from education around what to expect, preparing by getting their finances straight, and getting advanced directives in order. There are many things to think about when preparing for the end of life— if you’re lucky enough to have time to do so. In my experience, some people have the luxury of this time, and some don’t. Those whose loved one dies unexpectantly are upset because they didn’t have time to resolve unfinished business or get to a place of acceptance ~ compared to those families whose loved ones take months to weeks to ultimately die being upset that it’s taking so long for death to come, because it’s emotionally exhausting. In this episode of This is Getting Old: Moving Towards an Age-Friendly World, we will discuss end-of-life care— two different types of care; as well as the providers involved and the type of care provided. Key points covered in this episode: ✔️ What is the difference between End-Of-Life Care, Palliative Care, and Hospice Care? It can be very stressful when you or someone you love is diagnosed with a life-threatening, serious illness. For most people who go through this experience, it is helpful to understand what type of care and resources are available. This information will help you navigate the system to get answers to the questions you have – or will have - and help you manage the uncertainty of what to expect next. End-of-Life Care End-of-life care is an umbrella term that refers to the process of addressing all the issues that come into play from medical care, social and emotional support, and the spiritual care that you may need either as the person dying or as a family member. Palliative Care Palliative care begins early during the course of treatment for a life-threatening, serious illness, and it can be delivered at several points of care across the continuum of healthcare settings. This type of end-of-life care includes institutional long-term care settings (nursing homes and assisted living); home health, acute care facilities, and outpatient clinics. Palliative care has limited funding, and most palliative care programs need alternative funding. Hospice Care Hospice care is comfort care when you reach the point in the disease trajectory where aggressive care or therapies are no longer a viable option. It's a service delivery system that provides interdisciplinary care for people with limited life expectancy—typically when you're given six months or less to live. Hospice care also includes comprehensive biomedical, psychosocial and spiritual support as you enter the terminal phase of an illness or condition. Hospice care also supports you, your family member(s) understand what to expect as death nears. Luckily for people 65 and over or those with a disability, Hospice care is funded by Medicare's Hospice Benefit. ✔️ What Type of Healthcare Providers Provide Palliative Care? Basic Palliative Care Basic palliative care is delivered by health care professionals who are not palliative care specialists—they are not “certified” in palliative care by a credentialing organization. Basic palliative care providers can be primary care providers and disease-oriented specialists, such as cardiologists or oncologists; nurses; social workers; chaplains; and other providers (such as physical, occupational, and/or speech therapists). Specialty Palliative Care Specialty palliative care providers are all those same provider types (interdisciplinary team), except they are certified in palliative care by a credentialing organization. I look back on my career, Hospice was certainly part of the standard of care when I graduated as a nurse practitioner in 2000; but Palliative care was just coming into practice at that time in my area. I was lucky enough to work with a geriatrician who trained us to provide high-quality palliative care. Technically, that made me a basic palliative care provider because I didn't have a certification in that specialty. ✔️ What Type of Care Does Palliative Care Provide? Physical: Physical care has to do with your physical symptoms of either respiratory distress, pain, difficulty breathing, or anything physically that occurs along the disease trajectory and/ or at the end of life. Psychological and Psychiatric: Psychological or psychiatric aspects are the emotional support helping you deal with the reality of the situation and any other psychiatric things that might come into play—if you have a longstanding psychiatric illness and/or end up experiencing delirium. Spiritual, Religious, and Existential: Everyone has a different way that they connect to their spirituality. The hospice and palliative care team is there to help ensure that all of those needs are met for you. Cultural: Many cultural things come into death and dying from needing to open a window at the moment of death, mourning family and friends around, compared to not wanting anyone to see you. The person dying and their family need to communicate these cultural customs to the team, so they can ensure those needs are met. Ethical and Legal: These ranges from advance care planning, deciding on a surrogate decision maker, to making sure that all advance care planning wishes are in writing. If ethical issues come up along the way, the patient and the family's autonomy is supported. Care of the Imminently Dying: This care involves making sure that all symptoms are managed when death is imminent. This includes making sure the person is pain-free, doing what we can do to help with breathing, and talking to the family about what to expect and what changes to anticipate during the final days and weeks of life. Bereavement: Bereavement happens after death. This service is to support your family member(s) in dealing with the different complex consequences that a death in the family can cause; and helping support you duing the process of grief and grieving for up to one year after the person dies. ✔️ Help Is Always Available If you or someone you love are going through end-of-life experiences—help is always available. How to find a hospice and palliative care provider? National Hospice and Palliative Care Organization. The National Hospice and Palliative Care Organization is a national organization that can connect you to palliative care providers. You can visit their website, enter your zip code or the type of provider that you're looking for, and you can connect with healthcare providers in your area. Medicare.gov Check out the Medicare website and in the Provider Type section, select “Hospice Care”. Enter your zip code, and then it will tell you what providers are available in your area. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In today’s world, there are advances in many age-friendly products and services — meaning that when things are age-friendly, they are friendly for everyone. Another term I’ve learned for designing age-friendly products is “universal design”. Universal design means products that are accessible for all people — regardless of age, disability or other factors. Over the years, I’ve noticed many advances in the automotive industry that I consider to be age-friendly, so I wanted to do a podcast focused on age-friendly cars. Many of the technology features in newer vehicles help drivers of ALL ages. However, when I googled “best cars for older drivers”, most of what came up had to do with seating comfort, how easy it was to get in and out of the vehicle, safety ratings, reliability and/or warranties. It was more difficult to find articles focusing on technologies that could make us all safer drivers, particularly as we get older. Contrary to popular belief, as we age, some of us may prefer to drive cars with all of the technology — but some older adults don’t like all the new bells and whistles — the technology they are used to is what they like. My parents are two great examples — my Dad loves technology, and my Mom wants to keep it simple. You may have gleaned from that statement that I’m more like my Dad, but some of the technology I’ll share also keeps it simple. With a new driver in my own family I’ve had to learn to use these technologies as a passenger, and have promised my kids that I would try not to “freak out if the car wasn’t,” with all of its sensors and warning capabilities. Tune in to this episode of This Is Getting Old: Top Car Consideration for Older Drivers: Age-Friendly Technologies/Age-Friendly Cars, to learn about a few of the age-friendly technologies in cars and how they help drivers of all ages. Key points covered in this episode: ✔️ Blind Spot Information Systems with Cross-Traffic Alert Blind spot information systems with cross-traffic alerts are great for older drivers and those with reduced mobility–or if you’re the passenger in the vehicle with a newly-licensed driver (like my 16-year-old!). This feature uses sensors to alert drivers, and displays a warning light in the side mirror (and/or make a sounds, depending on your vehicle) when a car is in your blind spot. ✔️ Front 180-Degree Camera with Split View The front 180-degree camera helps see small children, pets, or other obstacles that may be too close to your car when trying to pull out, with limited visibility for oncoming traffic. A split-view camera can also show you what’s on the front of your car's left and right sides. I decided this was a good feature when I inadvertently pulled out of a grass parking lot that I thought was level on all four sides, only to drive right into the only ditch. Said ditch was the length of the front of my car, and my older children had a field day laughing at my error while we waited for the tow truck to pull me out. My next vehicle had the front camera, which has proven handy for several intersections in my town and when I drive in Washington, DC. ✔️ Park Assist System for Parallel Parking Park assist systems are another helpful feature for drivers of all ages. This feature helps you with traditional parallel parking (and some vehicles also assist with perpendicular parking). Parallel parking assist systems are very useful in urban areas where there may not be much room between cars. And while I love this feature, my 16-year-old son enjoys using this feature and has been quite proud of himself for successfully parallel parking. What he may not realize is that he needs to pay attention to the angles the car uses to parallel park so he can park without this feature — because the chances that his first car will self-park are pretty slim. ✔️ Adaptive Cruise Control with Stop-and-Go Adaptive cruise control with stop-and-go allows you to set your cruise control to a certain speed, and if you have a car driving slower in front of you, the car auto-adjusts to the slower speed. You can set this feature to follow one, two, or three car-lengths behind, depending on your comfort level. ✔️ Perimeter and Rear Parking Sensors Perimeter and rear sensors emit a high-frequency sound that bounces off nearby objects. If you’re backing up to park in a garage, these sensors can emit a sound that lets you know if you’re getting too close to a wall or another car. These sensors can be helpful for all drivers; the trick is to make sure you use them. In the video version of the podcast, you can see that I didn’t listen to my perimeter sensors when I was in a parking deck recently, and my car, Foxy, ended up in the “hospital” for repairs. ✔️ Infotainment Touch Screen Systems: Apple Play The Infotainment Touch Screen System is a great feature that simplifies things when transitioning from car to car. I’ve found this “universal” technology to be particularly helpful when I travel and have to use a rental car. Through your smartphone, you can use apps you are already familiar with from car to car, such as Waze or Google Maps for navigation, which might be easier than the vehicle's built-in GPS that you may not be familiar with. Apple Play can also let you connect your phone to your car’s speakers to listen to music or podcasts through the car’s audio system. This feature also allows you to use voice activation hands-free, using the same technology on your phone. ✔️ Lane Keeping System I’ve found this feature to calm my nerves when riding with a less-experienced driver. There have been times that I felt like we weren’t in the middle of our lane when my son was driving, and to verify where we were, I could look over and see the lane-keeping system. I could do this without stressing my son out and relax, and/or the car would let him know by correcting him into the lane without any verbal prompting from me. All parents riding with new drivers benefit from this technology! ✔️ CarFit Program The most important thing is that the car we drive at any age fits us — for maximum safety and comfort. The AAA, AARP, and the American Occupational Therapy Association, partnered in 2006 to offer a new program called CarFit — a community-based program designed to keep older drivers safe while driving by focusing attention on comfort, fit, and security in their vehicles. The program is designed to help older drivers find out how well they fit into their current vehicle, identify actions they can take to improve their fit, and talk about driver safety — for themselves and others on the road. They have an in-person event and offer virtual workshops. You can volunteer to help keep the roads safer for everyone. You can find more information at Car-Fit.org — the link is below in the description if you’re watching on YouTube, but can also be found on my website, MelissaBPhD.com, in the blog for this episode. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. ————————————————————————————— About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Social media has developed into a valuable resource for knowledge in the healthcare arena. A poll found that 76% of participants used social media "at least a bit" to research COVID-19, but the majority of those respondents (63.6%) indicated they were reluctant to check with a health expert about the accuracy of that information. Healthcare professionals can use social media to educate the public and contribute to halting the spread of false information while using social media. Do you want to be on social media but don’t know how to get started? Tune in to this episode of This Is Getting Old: Moving Towards an Age-Friendly World - Social Media in Healthcare. If you are a health-care professional or a leader in a healthcare organization, this information could help you get started in using social media. In this episode, we are joined by Dr. Mona Shattell, PhD, RN, FAAN and Rebecca Darmoc, MS. ✔️ Why Should Healthcare Professionals Use Social Media? There are so many things healthcare professionals can do on and through social media. For example: Networking Sharing information with their colleagues. Expanding their practice. Disseminating research. Get information out to the public. Healthcare professionals are experts in their specialty, and misinformation is spread on social media. The public and even reporters trust healthcare professionals to give the most accurate information. A social media presence is an opportunity for healthcare professionals to go outside of their practice and the walls of their institutions and reach people on an exponential level. ✔️ Tips For Branding Professionally On Social Media Social media in the healthcare industry may be challenging to navigate. The first thing to remember is: YOU ARE YOUR BRAND. Use your name when you're signing up for social media as your username if possible. Using your first and last name helps potential followers to find you. You don't want to use slang terms or phrases—be as professional as possible. Number two is to highlight your expertise. Brag a little by sharing some of the accolades and things you've done professionally in your profile. People will know you're an expert when they can see what you've done, and when they can see a few aspects of your professional experience. Furthermore, it's how people will learn from you and trust what you have to say on social media. ✔️ Three Levels For Joining The Conversation Using Social Media: Consume, Contribute, And Create It can be overwhelming to start up a new social media platform. Healthcare professionals should think about gaining social media experience as a developmental process. First, CONSUME. This step involves just reading and scrolling through a variety of social media platforms. Get comfortable with how to use each one, follow your colleagues, look up people's names in your specialty area, see what others are doing, and see how (and what) they are posting. Getting used to the platform at this level is the most critical step to beginning your journey. Then once you're comfortable with being a consumer, you can move on to the second level and CONTRIBUTE to the online conversation. When you see something that someone says, you can like it and retweet it (e.g., on Twitter). When you retweet and add a comment, you are contributing to the conversation. The highest level in using social media is to CREATE. This is when you create content from scratch, and begin to move into being a thought leader. Creating means putting your specialized knowledge and expertise out there for your specific audience based on your goals. ✔️ Where to Find Help With Kickstarting Your Social Media Presence? Dr. Mona Shattell, PhD, RN, FAAN, Rebecca Darmoc, MS, and Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN, released a book a couple of weeks ago called '#SocialMedia and #HealthCare: A Guide to Creating Your Professional Digital Presence.' The book is a guide to helping professionals use social media to educate the public and specific patient communities, make connections with industry leaders and peers, and enhance their professional reputation online. Grab a copy of the book through AMAZON ; or through the publisher Slack Incorporated , and receive 20% OFF and FREE SHIPPING of the print book with promo code AU20. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. ————————————————————————————— Mona Shattell, PhD, RN, FAAN, is a professor, and Hugh F. and Jeannette G. McKean Endowed Chair and Department Chair at the University of Central Florida College of Nursing in Orlando. She is also the editor of the Journal of Psychosocial Nursing and Mental Health Services. Mona got into social media about 10 or 12 years ago when she did a fellowship with the Op-Ed project. ————————————————————————————— Rebecca Darmoc, MS, is a marketing strategist for a technology consulting company. For about 10 years before that, she was director of marketing and communications for an academic health system in Chicago. She got into social media for her job as a marketing professional. ————————————————————————————— About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Alzheimer's disease is a syndrome that impacts a person's ability to think, problem-solve, and function every day. It can influence a person's memory, language, behavior, decision-making, visual and spatial skills, and ability to pay attention. It happens slowly, over time, so often it may take family and friends – and even the person experiencing the disease – years to recognize these problems. In fact, dementia isn't usually diagnosed until these problems are to the point that they interfere with the person's ability to work, take care of their affairs, and manage their household. Tune in to this episode of This Is Getting Old: Moving Towards an Age-Friendly World to learn about five symptoms of Alzheimer's. This information could help you or a loved one identify the early warning symptoms and get earlier treatment. Key points covered in this episode: ✔️ #1: Difficulty Understanding Spatial Relationships If your loved one has difficulty understanding how to get from place to place, it could be a symptom of dementia. This can manifest in several ways, such as getting lost in familiar places, being unable to follow directions, or misjudging distances. If you notice your loved one having difficulty figuring how things fit together, understanding maps, wandering, or getting lost, or changes in depth perception – trips, slips, falls, or a car accident, it could be an early symptom of a memory problem. ✔️ #2: Aphasia—Difficulties with Language Use Aphasia—not to be confused with dysphagia (trouble swallowing)—is difficulty with understanding or using words. It can make it hard to read, write, or say what you want to. Aphasia may also make it hard to follow or carry on a conversation. If you notice your loved one having trouble following conversations, finding the right word, substituting made-up words; writing that is hard to understand; or slurred speech, it could be an early symptom of dementia. ✔️ #3: Trouble Paying Attention Staying focused becomes more difficult; repeating questions; losing or misplacing things; errors in managing finances. The person may lose their train of thought when talking to you or have trouble following a conversation. ✔️ # 4: Difficulty Managing Time and Effort Trouble with time management is another common symptom of dementia. This can manifest as forgetting what day it is, losing track of time, or inability to follow a schedule. In more severe cases, people with dementia may have difficulty planning and carrying out tasks that require multiple steps. This can manifest as forgetting to take medications, having trouble cooking meals, having difficulty driving, taking longer to complete normal daily activities, and having trouble organizing themselves to get out of the house. ✔️ # 5: Amnesia and Agnosia—Memory Loss and Trouble Recognizing Familiar Objects or People One of the classic symptoms of dementia is memory loss. This can manifest as forgetting recent events, conversations, or appointments. In more severe cases, people with dementia may forget who their loved ones are. Memory loss is often accompanied by agnosia, difficulty recognizing familiar objects or people. This can manifest as the inability to identify everyday household items, not knowing how to use ordinary things, or not recognizing close friends or family members. Watch the NOSH: Nurses Optimizing Supportive Handfeeding video to learn more about how to manage mealtimes for persons with Alzheimer's disease. You can use the three different hand hand-feeding techniques with other activities of daily living. Knowing that Alzheimer’s Disease is Not A Normal Part of Aging Could Help You Live Longer. Aging doesn't have to equate to decay and decline. Alzheimer's disease is not a normal part of aging. You should know that as a young person because what you think about aging impacts how well you age and how long you live. Learn all you can about what is NORMAL with aging, not what you may think is expected or believing the negative stereotypes accompanying aging in American culture. The negative stereotype of aging is called ageism, and it can decrease your life expectancy by almost 8 years. In fact, most older adults in the US are still vibrant and engaged in life. Strive to be that type of older adult – I know I am. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In 2022, it is estimated that 6.5 million Americans are living with Alzheimer’s disease. The number of people per 100,000 newly diagnosed with Alzheimer’s disease per year (incident rate) appears to be declining, the number of people with Alzheimer’s disease (prevalence) is expected to continue to grow (2022 Alzheimer’s Disease Facts and Figures Report, p. 19). If you are or someone you love have been newly diagnosed with Alzheimer’s, this episode will give you 6 things to do because many people do not know where to start. Many people feel that everything has changed after learning that a loved one has Alzheimer's disease or a related dementia. There are many myths and misperceptions about Alzheimer’s disease (stigma) – this episode will give you resources to learn more about the reality of disease progression and steps to take. First of all, remember that you're not alone. There is help available, and there are resources to connect you to people who understand what you've been through and what you're going to go through. These six things presented in this podcast will help you after getting a diagnosis like Alzheimer’s disease; tips on what to get organized, permission to make healthy living a priority, and ensuring important things are taken care of. Key points covered in this episode: ✔️ #1. Educate Yourself (And Others) About The Disease. Being stigmatized by others is often a primary concern of people living with Alzheimer’s and their care partners. Stigma is a negative label identifying a person with an illness or disability. Stigma around Alzheimer’s disease typically happens because people don’t understand it or know what to expect. Learn as much as possible about this disease and encourage care partners to do the same. You can learn about the condition from the Alzheimer’s Association website. ✔️ #2. Coming To Terms With Your Diagnosis And Sharing The Diagnosis With Others You may or may not be able to come to terms with your diagnosis before you tell others. You may not want to wait until you’ve had time to come to terms with it, or you may want to wait; but either way, as the disease progresses, you will need help and support from others who know and understand you. You can decide who to tell and when to tell and when you do, this is an excellent time to educate them, too. ✔️ #3. Be An Active Participant In Your Financial, Legal, And Long-Term Care Planning. This will likely be the best gift you can give your loved ones. If you don’t provide information about your wishes and your legal documents accessible, the burden of making these decisions will fall on your loved ones. I recommend getting a copy of Cameron Huddleston’s book “Mom & Dad, We Need to Talk” and filling out the “In Case of Emergency Organizer” available on her website for free. ✔️ #4. Reevaluate Your Priorities. Set goals for the things you still want to accomplish. Life is not over yet – so dust off that bucket list and start planning to do as much of it as possible while you’re still able. This is the same thing that many people do after receiving a terminal diagnosis. You know yourself best and what’s most important to you in the time you have left – which by the way, could be 20 more years. While you are able, make decisions about how you want the rest of your life to look and share that vision with those who love you. ✔️ #5. Take An Active Role In Managing Your Disease And Build Your Care Team. Start now and begin to build your care team. This includes you, your family and friends, neighbors, and healthcare professionals with expertise in Alzheimer’s care. Learn more about Dementia Friendly Communities . These are communities that provide supportive options that foster quality of life. If you don’t have one yet, you may want to look into starting one. Additionally, find out if there is a Village in your area, join it and start volunteering. The Village Model is “neighbors caring for neighbors” – a nonprofit, grassroots, community-based organization of volunteers that reflects the needs of its members and communities. ✔️ #6. Discuss Alternative Treatments, Supplements, And Medications With Your Healthcare Team. Although current medications cannot cure Alzheimer’s, some drugs may help lessen symptoms, such as memory loss and confusion, for a limited time. Other medicines change disease progression, with benefits to cognition and function. Look into FDA-approved drugs, alternative treatments and supplements, and consider participating in clinical trials. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Alzheimer's disease is becoming more common in the United States. All ages combined, more than 6 million Americans struggle with Alzheimer's, and according to studies, that number will reach about 13 million by 2050. A diagnosis like Alzheimer’s disease often leaves everyone involved at a loss about what to say or how to act when they hear the news. Many people do not understand Alzheimer’s disease or how it progresses, so they may not know how to interact with you – most likely worried that they may say or do the wrong thing. Hence, for those with Alzheimer's disease and their families, combating and getting past stigmas and preconceptions can be a big problem. The Alzheimer’s Association recognizes that there’s a lot of work to do to reduce the stigma around dementia. In response to the challenge, they released information they collected from people living with early-stage dementia—The Six Things People Living with Alzheimer’s Disease Want You To Know. Tune in to This Is Getting Old: Moving Towards An Age-Friendly World to learn valuable ways to help—in big and small ways— a person with Alzheimer's or those who care for them. Key points covered in this episode: ✔️ Six Things People Living with Alzheimer’s Disease Want You To Know People with early-stage Alzheimer's disease and other forms of dementia were recently asked by the Alzheimer's Association what they wanted others to know. The following six things are shared by those with a diagnosis: #1. My Alzheimer’s Diagnosis Doesn’t Define Me While a diagnosis like Alzheimer’s disease at any age is life-changing, the diagnosis itself doesn’t change who the person is – just as a diagnosis of diabetes or high blood pressure doesn’t change who that person is. Alzheimer’s disease may be a progressive disease, but it doesn’t happen overnight. It may take years or decades before the person can no longer do all the things they once did. The best thing to do is to take each day as it comes and continue to do all of the things you have always done and enjoyed for as long as possible. #2. If You Want To Know How I’m Doing, Just Ask Me Changing how you communicate with someone recently diagnosed is frustrating to the person living with Alzheimer’s. Continue to interact with the person as you always have and be sure that you don’t talk around them. If the person is sitting right there or nearby, ask them how they're doing rather than asking their spouse or care partner. Doing so only makes them feel more alone and isolated. #3. Yes! Younger People Can Have Dementia, Too While most people who are diagnosed with Alzheimer’s disease are aged 65 or older, people as young as 30, 40, or 50 can be diagnosed. When the person is that young, they may have an even more difficult time getting an accurate diagnosis when the disease-related symptoms are similar to younger- and older-onset forms of the disease. They may also have more challenges in the aftermath with juggling family and work demands and may have to stop working earlier than they planned to. #4. Please Don’t Debate My Diagnosis—Don’t Tell Me I Don’t Look Like I Have Alzheimer’s Dismissing an Alzheimer’s diagnosis can be offensive. It was already hard enough for them to share the diagnosis with family and friends, don’t make them have to defend it, too. Remember that Alzheimer’s disease is a diagnosis of exclusion – which means everything else had to be ruled out, and it has been a difficult, frustrating, and anxiety-provoking journey. The person isn’t going to look any different on the outside, and you can’t see their illness, but they are living it every day. #5. Understand That Sometimes My Words And Actions Are Not Me—It’s My Disease As Alzheimer’s disease progresses, the person may experience a wide range of disease-related emotions and behaviors, from confusion and anxiety to aggressive or inappropriate behaviors that may change daily and moment-to-moment. Be patient if they say something unexpected or out of character. They will have good days and bad days. #6. Remember That An Alzheimer’s Diagnosis Doesn’t Mean That My Life Is Over The fact that the person’s Alzheimer’s disease was detected and diagnosed earlier doesn’t mean that they will die tomorrow or be shriveled up and living in a nursing home next year. Those are negative stereotypes and myths perpetuated by a society that doesn’t want to think or learn about Alzheimer’s disease until it affects them personally. Being diagnosed at an earlier age – and quite frankly, being diagnosed earlier in the disease trajectory – can be a blessing. It gives the person and everyone who loves them the time to prioritize what’s most important to them and begin to plan their futures. ✔️ Ways to Help People Living with Alzheimer's The stigma surrounding Alzheimer’s and other dementia is due in a large part to a lack of public awareness and understanding of the disease. If you’re looking to support those with Alzheimer’s and those who care for them. Here are the things you can do; Learn more about Alzheimer’s disease and the challenges faced by those living with the disease. This is the single best way to reduce stigma and correct myths and misperceptions. Check out the Alzheimer’s Association website (alz.org) to learn more about every stage of the disease. Subscribe to the Alzheimer’s Association’s Live Well Series —an online resource that gives tips to help those diagnosed with this disease live their best lives. You can also learn more by checking out This Is Getting Old’s Alzheimer’s-related episodes, ranging from 10 Warning Signs of Alzheimer's Disease to How Alzheimer’s Disease is Diagnosed . Other ways you can get involved to help #EndALZ is by volunteering, advocating, being a partner or sponsor, participating in events and/or making a donation to support work. ✔️ A Call For Everyone! The stigma surrounding Alzheimer’s and other dementia is due in a large part to a lack of public awareness and understanding of the disease. By shining a light on stigmas and misconceptions surrounding Alzheimer’s and other dementia, we can help people be more supportive of individuals and families affected by this devastating disease. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The American Cancer Society (ACS) reports that colon cancer, after skin malignancies, is the third most prevalent cancer diagnosed in the United States. Last year alone, the ACS reported that 104,270 Americans were diagnosed with colon cancer. While it's true that colon cancer typically affects older adults, it can happen at any age. Statistically, the rates of colon cancer have been increasing in younger people, with a 2% per year increase among people under 50 . There was also a drop in the colon cancer survival rate among younger adults. Hence, healthcare professionals strongly advise regular colorectal cancer screenings for those aged 45 to 75. Watch today’s episode, This Is Getting Old: Moving Towards An Age-Friendly World, where we'll look at colon cancer's signs and symptoms, causes, and prevention measures. Key points covered in this episode: ✔️ What is Colorectal (Colon) Cancer? Colon cancer is a type of cancer that begins in the colon (large intestine)—the last part of your digestive system. This type of cancer is sometimes called colorectal cancer, which is a term that combines the colon and the rectum, but cancer begins in the rectum. The disease typically starts as a small, non-cancerous or benign polyp—a clump of cells forming inside the colon. But over time, these polyps can become colon cancers. ✔️ Symptoms and Early Warning Signs of Colon Cancer So you should see a doctor if you have any of these symptoms, If you have a persistent change in your bowel habits A change in the consistency of your stool Rectal bleeding, or blood in your stool Persistent abdominal discomfort (gas cramps or pain) A feeling that you're bowel isn't emptying all the way. Experiencing weakness or fatigue Unexplained weight loss ✔️ Even Black Panther Didn't Escape Colon Cancer You may remember Chadwick Boseman, who played the role of the superhero Black Panther. He died at age 43 of colon cancer. While most people think colon cancer is just a diagnosis for older adults, the rates of colorectal cancer have been falling for older adults, but are rising for younger adults. ✔️Did You Know That Race And Ethnicity Have Something To Do With Colon Cancer? African-Americans are 20% more likely to get colorectal cancer , but they're also 40% likely to die from it compared to any other racial group. If you are an African-American and in a high-risk category, please talk to your health care provider because they may recommend starting your colon cancer screening earlier—even as early as your thirties. ✔️Is Colon Cancer Hereditary? 1 out of 3 people who get colorectal cancer have a family member who have also had the disease or polyps. Having a first-degree relative's (parent, sibling, or child) history of colorectal cancer does increase your risk. If any of your blood relatives has had colon cancer, you're at greater risk, so you should start screening earlier. ✔️The Role of Diet in Colorectal Cancer Incidence It is believed that the typical low-fiber, high-fat Western diet increases your chances of colon cancer, but research studies have had mixed results. Some studies have found an increased risk of cancer in people who eat diets high in red meat and processed meats. This is why France has now called for a ban on the nitrate additive for ham and charcuterie. ✔️The Link Between Alcohol, Smoking, and Colon Cancer Smoking tobacco has been linked to all types of cancers for a long time, including colon cancer. While it is known that moderate to heavy alcohol drinking increases your risk, but even light to moderate alcohol intake has been associated with some risk increase. ✔️ When and How Often Should You Get a Colonoscopy? Colon cancer screening can be a stool-based test (visual exam) done in your doctors office annually, but the gold standard screening is the colonoscopy. This test is crucial because you may not have any symptoms of colon cancer, but if polyps are found during the colonoscopy, they can be removed before they turn into cancer. ✔️ 45 is the new 50 For an average-risk person, you should start screening at age 45 and continue every ten years as long as you're in good health and have a life expectancy of more than ten years. You should get colonoscopies until you're at least 75 years old. Then from 75 to 85, you can decide if you want to be screened based on your overall health, life expectancy, and prior screening history. When you reach the age of 85, screening is no longer recommended. ✔️How To Avoid Colon Cancer? Move It! Not being active increases your risk. So you've got to move it—10,000 steps a day should be your goal. Maintain Healthy Weight Being overweight also increases your risk. A healthy BMI is a BMI of less than 25. A BMI of 25 to 29.9 is considered overweight, but over 30 is considered obese. So make sure we keep our weight where it needs to be. Use this tool to calculate your BMI. Stop Smoking It’s never too late to quit smoking so talk to your health care provider about ways to quit. Drink Alcohol in Moderation For ladies, this means one drink a day; and men, you get two. Stick to a Plant-based Diet Foods that come from their original wrapper are the types of foods that you want to eat. You can never go wrong with including a variety of whole grains, vegetables, fruits, and nuts in your diet. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
One American researcher discovered that older adults (approximately 3000 older adults aged 57-85) with reduced smell (hyposmia) had more than 50% risk of acquiring dementia within five years, regardless of other risk factors. Those who had the worst smell loss (full anosmia) were the ones who would be most likely to acquire dementia within five years. Furthermore, the severity of dementia was linked to the degree of olfactory loss, which means minor smell loss correlates to moderate cognitive impairment compared and a massive smell loss associated with severe Alzheimer's. Have you ever smelled anything that took you right back to a memory? A smell can bring on a wide range of feelings and memories. For older adults, the loss of smell may significantly influence one's quality of life. In Alzheimer’s disease, smell is impacted and for both groups of people, loss of smell often results in a loss of appetite, poor nutrition, and subsequent weight loss. Understand how smell, memory and Alzheimer's disease are intertwined in another valuable of This Is Getting Old: Moving Towards an Age-Friendly World. Tune in to Episode 109: Smell, Memory, and Alzheimer's Disease, and walk-through ways to provide better care for older adults with Alzheimer's. Key points covered in this episode: ✔️ How Does Smell Work? We have smell neurons or receptors in our noses that connect to a very short nerve (about two inches long) called the olfactory nerve. It runs along from the back of our nose to a structure called the amygdala. The amygdala triggers emotions and feelings and is the "emotional spark plug" of the brain. Since smell neurons send a message to the amygdala first, we may not be able to identify what exactly the smell is before we have a feeling about it. That's why many smells are remembered as a feeling. ✔️Does Alzheimer's Disease Impact Smell? Losing your sense of smell has been linked to early changes in brain health and mild cognitive impairment - which may or may not turn into Alzheimer's disease. A study in 2013 found that not being able to smell peanut butter could be an indicator of Alzheimer's disease—it may in fact be an early warning sign. This is likely due to the brain shrinkage that happens in Alzheimer’s disease on the left side of the brain where the temporal lobe degenerates first. However, a study the following year wasn’t able to replicate the same results… so this is not a definitive way to know if you have Alzheimer’s disease or if you will get it . ✔️ Why Smell Triggers Memories? The movie "Cleaner" with Samuel L. Jackson is an example of how smell can trigger memories. In the film, his wife died, and in one scene, he sprayed her perfume in the air during a moment he wanted to remember her. Perfumes and colognes often remind us of certain people when we smell them. I’ve worn the same perfume for the past 17 years. My friends and children associate that scent with me. A few years ago, I bought a different perfume. One whiff and my daughter asked me what that smell was…I told her it was a new perfume, and she told me, “No. That doesn’t smell like you.” So I guess me and Chanel’s Coco Mademoiselle are in it for the long haul. ✔️Associating Smell with Your Memories? The next time you have a meaningful life experience, like relaxing on the beach or being in a noisy stadium with a hot dog stand, take a moment to inhale the smells around you. Take a few minutes to appreciate the qualities of those scents and use these scents to reminisce the memory. You can use scents to travel back to pleasant memories, help you relax and unwind at the end of the day, or recall any other special event in your life. ✔️What To Do When You're Experiencing Changes In Your Sense Of Smell? If you are experiencing changes in your sense of smell, please work with your primary care provider and get it checked out. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
You may recall that Maya Angelou said something along the lines of “people will forget what you say, they will forget what you did, but they will never forget how you made them feel”. Well, there’s a reason for that and that’s what I’m going to talk about today. We can all use the concept of emotional memories to make new memories or to recall old ones. We can create moments that last a lifetime around positive feelings and boost our overall mental health – and if you are a caregiver for a person living with Alzheimer’s disease, understanding how emotions can impact your interactions is key. Take a deeper dive at how emotions, memory and Alzheimer's disease are interlinked in this another valuable of This Is Getting Old: Moving Towards An Age-Friendly World. Tune in to Episode 108: Emotions, Memory, and Alzheimer's Disease, and together let’s strive to make this world a better place for older adults. Key points covered in this episode: ✔️ Memories Attached to Emotions are Stronger Emotions are tied to memories. In fact, memories tied to strong feelings, whether positive or negative, tend to last longer and don't fade as fast or disappear as quickly. ✔️ A Person with Advanced Alzheimer's Disease may Mimic the Emotions Of Those Around Them In Alzheimer's disease, emotions remain intact. Hence, they will lose the ability to use and understand language, but our nonverbal behavior often communicates how we're feeling. As a result, even a person with very advanced Alzheimer's disease will be able to pick up on our emotional state. So whatever we feel as caregivers can be still be sensed by a person with advanced Alzheimer's disease, whether we wanted them to or not. ✔️ Maintain a Positive And Happy Emotional State When Caring For Older Adults Whatever our emotional state is will be mirrored back to us by the person we're caring for. So as a caregiver, make sure that your emotional state is more on the positive side to having more positive interactions with the person you're caring for. ✔️ The Link Between Emotions and Memories How you feel at any given moment impacts what you think about and vice versa. If you're in a positive mood, you're more likely to think about and recall positive memories. If we are in a negative mindset, we tend to recall and think about more negative things, and either of these tendencies can be self-perpetuating. The good news is that you can control what you think about. If you find yourself in a bad mood, try thinking about fun or positive experience until your mood improves. Moreover, by focusing on feelings, you will have an easier time finding your way back to that memory later. ✔️Learn How to Tap into Music to Improve Your Emotional State Music impacts our emotional state, and it has a powerful way of altering anybody's mood. Playing a person's favorite song is a great way to lighten their mood, and it also gives you another chance to interact positively. Who knows, maybe both of you will get up and dance! If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
We've all lost keys, forgotten contact details, or missed someone's name. When you're young, you don't give these lapses much thought, but you could be concerned about what they indicate as you become older. The numbers say that age-related memory impairment affects roughly 40% of older adults aged 65 and above, or approximately 16 million people in the United States. Furthermore, it is estimated that just 1% of these people will get dementia each year. Are you worried about your memory? Worry no more, for we brought to you another worthwhile episode of This Is Getting Old: Moving Towards An Age-Friendly World—The Four Types of Long-Term Memory. Stay tuned and learn the different types of long-term memory, what to expect from memory as we age and how age-related diseases such as Alzheimer's affect memory. Key points covered in this episode: ✔️ Get A Deeper Understanding Of What Is Memory Memory as a concept is the ability to store and retrieve information when we need it. Memory can be categorized as either sensory, short-term, or long-term. Long-term memories are further classified as either explicit (conscious memories) or implicit (unconscious memories). ✔️ Why Do We Remember What We Do? Our memories create our identities. The current thinking is that we remember experiences that will be important in the future – both positive and negative experiences – and help us with future decision-making. ✔️ Learn More About Explicit Long-Term Memories And Alzheimer's Disease Explicit Long-Term Memories are either Episodic or Semantic. Episodic memories are events that happen to you and essentially make you who you are, compared to Semantic memories, which are general knowledge and information about the world, like a random fact for filling out a crossword puzzle. Both Episodic and Semantic memories are affected by neurodegenerative diseases like Alzheimer's. More notably, Episodic Memories tend to be more upsetting and distressing to the person, family, and friends who share these memories with a person living with Alzheimer's disease. ✔️ Get To Know The Four Different Types Of Episodic Memories Episodic Memories are memories formed around a particular episode or event in your life and take time to develop and recall. They are formed consciously and deliberately. With this type of memory, you can vividly remember details - like our brains have recorded like a movie. #1. Autobiographical Memory These are recollections of events that happen to you in your life that make you who you are. For example, a childhood birthday party, a holiday spent with family, or a trip that you went on. You don't remember the whole day, but you remember moments. #2. Emotional Memory Like autobiographical memories, emotional memories often serve as learning experiences and remind us of who we are now and who we want to be in the future. These episodic memories are tied to an emotional response related to the event. Emotional memories are stronger and last longer than memories that aren't connected to a strong feeling. #3. Flashbulb Memory Another type of autobiographical memory, flashbulb memories, is of traumatic public events. For example, depending on how old you are, you may remember where you were and what you were doing when President Kennedy was shot or when Pearl Harbor was bombed. You likely have vivid memories of one of these days that you have been able to hold on to – from the most important to the most mundane details – in a photographic record. #4. Collective Memories It is a narrative shared by an entire generation or group – these could be around flashbulb memories or any other type of episodic memory. We will all have collective memories of living through the pandemic. Some of those memories will be common flashbulb memories – for example, when COVID shut down the entire world. ✔️ How Does Alzheimer's Disease Impact Memory? Alzheimer's disease affects both short-term and long-term memory. Short-term memory goes first, but problems will affect a person's Semantic memory first when it comes to long-term memory. These problems often begin several years before diagnosis. Loss of semantic memory often shows up as word-finding problems or naming things; you lose your nouns first. The hippocampus is responsible for transitioning a short-term memory into a long-term one, and Alzheimer's disease slowly destroys this part of the brain. Destroying the hippocampus means your brain cannot form new long-term memories. ✔️ More Resources You Can Check About Memory And Alzheimer's Disease This Is Getting Old has several other episodes about memory and Alzheimer's. You can check them out below; EP: 65 – What are the Stages of Alzheimer’s Disease? Part I: Symptoms of Early- and Late-Stage Alzheimer’s Disease EP: 66 – What are the Stages of Alzheimer’s Disease? Part II: Symptoms of Late- and End-Stage Alzheimer’s Disease EP: 64 – Alzheimer’s Disease and Living Alone: Four Signs Someone May Not Be Safe at Home Alone EP: 63 – Alzheimer’s Disease and Driving: Five Signs That It’s Time to Take the Keys EP 38: Ten Tips for Preventing Alzheimer’s Disease -------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
You'll never be completely prepared to place your parents or a disabled loved one in a nursing home. But, it's best to be ready if and when that moment comes. It is estimated that 50% of the older adults in the U.S. will spend at least a night in a nursing home. However, it's sad to note that many families only check out a nursing home when forced by a medical emergency. As a result, they are often unprepared and make fast selections regarding which facility would work for what may be a long time. Yes, it is a harsh reality, but don't be concerned. Sure, it should make you feel a little more pressured about your plans and the possibility of needing to make this terrible decision for your parents or loved ones, but that's where This Is Getting Old can help. Watch the full episode or listen to the podcast of Episode 106: What is a Nursing Home? Five Things to Know. Take note of the essential things you need to know about Nursing Homes and correct some misconceptions as you stay tuned. Key points covered in this episode: ✔️What Is A Nursing Home? A nursing home is where you go when you need care but you don't need to be at a hospital, but you also can't be cared for at home. It's a middle ground between the hospital and home care. Nursing homes play an essential role in our society, yet many people still negatively think about them. Why is that so? The negative impression can be attributed to the history of poor care, abuse or neglect that follows this industry after 35 years of regulation by the Federal Government. On the bright side, many good people are working in this industry, and they're working to improve the quality of care until it gets where it needs to be for older adults and people living with disabilities. ✔️ Who Pays For Nursing Home Care? Federal Dollars: Nursing homes take federal dollars in the form of Medicare for up to 100 days, but not 100% of the bill. Private Pay: After those 100 days of your Medicare coverage and you don't have supplemental insurance, you have to pay out of pocket for the difference. State Dollars: Nursing homes take state dollars, which is Medicaid. But Medicaid is only for people over 65, not people with disabilities who have spent down their own money or otherwise qualify for Medicaid. ✔️What Type Of Care Is Provided In Nursing Homes? Skilled care! It is at the heart of distinguishing a skilled nursing home from assisted living. Skilled means that a licensed nurse provides some of the needed care each day. ✔️Who Provides Skilled Care In A Nursing Home? Licensed nurses provide skilled care in nursing homes. This could be a baccalaureate-prepared registered nurse, an associate degree registered nurse, or an LPN (licensed practical nurse). A nursing home must have a licensed nurse in the building 24 hours a day, which could be an R.N. or an LPN. The facility also needs to have a registered nurse that's either the baccalaureate or the associate degree level in the building eight hours a day, seven days a week and on-call 24 hours. How does skilled care make Nursing homes different from assisted living? Nursing homes are very different from assisted living. Many assisted living advertised providing nursing care, but they're not actually talking about licensed nursing care. ✔️Who Provides Most Of The Care In Nursing Homes? Certified Nursing Assistants or CNAs do the bulk of the care that's provided to nursing home residents. All nursing staff in nursing homes are underpaid, but CNAs bear the worst of it. They aren't even paid a livable wage, which has to change. ✔️What Other Things Could Be Considered Skilled Care? Rehabilitation is another skilled care provided by nursing homes. This is done by our physical therapist, occupational therapist, or speech therapist, who are essential team members in the building Monday through Friday during regular business hours. They help our residents get stronger, help them re-learn to do things, help them be independent or they can re-learn communication skills, even help with swallowing. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
According to the National Association of Area Agencies on Aging, almost 600,000 older adults quit driving each year. This makes doctor's appointments, shopping for needs, visiting relatives, and attending social events more difficult for older adults. As a result, they become more isolated, which has a negative impact on their health and well-being. One of the most prevalent forms of assistance offered by family members and caregivers is transportation. However, transporting older adults isn't always convenient or straightforward. For family members and caregivers, transportation is one of the most challenging tasks. According to a 2018 poll by the National Aging and Disability Transportation Center (NADTC), almost 40% of caregivers spend roughly five hours each week providing or scheduling transportation. While public transportation is a feasible alternative in many cities, it may be non-existent or limited in rural and suburban areas, where older adults are most likely to live. To keep older adults healthy and active, This Is Getting Old rounded up our 10-part AARP/ Age-Friendly Social Innovation Challenge with this series' final episode—Part 10: Transportation. Stay tuned to learn moonshot—but possible—innovative solutions and transportation options that help older adults get around. Key points covered in this episode: ✔️ There's More To Transportation Than Driving When we think about transportation, it's more than just driving; it's all the different ways we move around our communities. Transportation includes; cars cyclists sidewalks pedestrians dedicated bike lanes public transportation safe crosswalks for pedestrians smaller transportation options such as taxis, shuttles or rideshare services large scale public transportation options such as trains, busses and light rails ✔️Sarah And Her Age-Related Challenges Sarah is 69 years young and lives in Alexandria, VA, with her husband, who has Parkinson's. Lately, her eyesight has been failing, making it harder to get things done. She can no longer drive and doesn't feel safe with so many cars everywhere on the streets. On top of everything, it's winter, and it gets dark so early. Sarah doesn't like to ask people for help or favors, but she had to get herself and her husband to their doctors' appointments, and it just feels like too much some days. Sarah needs help but doesn't know how to ask for it. ✔️ It All Starts With Information Sarah needs a way to get high quality, vetted, affordable, inclusive, relevant information and supportive connections and services. She needs to feel that she is provided and receives the information and resources to manage her life, including getting where she needs to go and managing caregiving responsibilities. Hence, the group came up with the "Best Information System Ever"—the need is the information piece, and the rest can stem from there. ✔️ "Best Information System Ever" -Diverse And Inclusive Innovative Solution For Older Adult's Transportation. What does it do? Provides high quality, vetted, affordable, inclusive, relevant information and supportive connections and services. It includes all the resources in the region, all-knowing everything at your fingertips and how it's connected How does it work? The program includes all resources (new and existing) in the region; the biggest and best database with continuously updated and vetted information. Easy to use (web-based, app-based, and call-in) Well crafted; one click or warm transfer by phone (e.g., easy to get to provider website/phone) Connects people with people and services (rides to anywhere: grocery stores, senior centers, parks, doctors appointments) It will support diversity and inclusion for all users at all income levels and supports all unique needs. It includes trained staff who know all the programs across regions, call to next step, volunteer village - sign up for village and get a ride - connect to neighborhoods. Includes good triage function. Includes quarterly Professional Development for staff on new programs and systems. Includes cross-organization buy-in for all regional organizations. The system can process accounts for users and families, and payments and applications for different programs are included in the database. The service providers are certified and vetted by appropriate organizations. ✔️ More Age-Friendly Transportation-related Resources You can also check out Episode 70 of this podcast to learn more about Transportation Options for Older Adults and a program called NV Rides . Or if you have a loved one and wonder if it's time to take the keys and limit their driving, you can check out Episode 63 titled Alzheimer's disease and driving: Five signs that it's time to take the keys . You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where you can find this episode - MelissaBPhD.com We'd love to hear from you! ------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Facilitating greater participation — specified as engagement in social activities that provide opportunities for social interaction with others in the community — is pivotal for granting older adults to fulfill their basic socialization needs, self-actualization and supporting society in dealing with population aging. In the United States, almost a quarter of community-dwelling older adults are socially isolated, and 43% of these older adults report feeling lonely. Due to the crucial nature of such engagement for older individuals' health, its decrease has been linked to substantial health consequences, including a 29% increased chance of death. The concern of encouraging older adults to maintain social involvement is only addressed in a narrow context. This Is Getting Old, with our mission to move toward an age-friendly world, invites you to watch the full episode or listen to the podcast of the 9th episode of our 10-part AARP/ Age-Friendly Social Innovation Challenge—Part 9: Social Participation. Learn more about valuable programs and innovative solutions that can help you or someone you know. Key points covered in this episode: ✔️ Loneliness Is A Chronic Disease Regardless of one's age, loneliness is often as debilitating as a health condition. It's equivalent basically to having a chronic illness or a disease. Social isolation is equivalent to smoking about 15 cigarettes a day . ✔️ Roger And His Social Participation Issues Roger is 88 years young and is a retired concert jazz pianist. Roger lived by himself in a small townhouse in Washington DC. And there's a senior center a few blocks from him with weekly game nights and free dinner. He could walk over there but rather not. Furthermore, his doctor told him that he lost 15 pounds at his last physical examination. ✔️Social Participation - Problem Statement Roger needs a way to thrive physically and emotionally because he appears isolated and has deteriorating health conditions. ✔️community Health Navigators For Socially Isolated Adults Like Roger Social and community services are critical to healthy longevity, maintaining health and providing purpose. Thus the group came up with Community Health Navigators as an innovative solution for older adults like Roger. Community Health Navigators would be developed to address both the underlying medical conditions and find meaningful connections with the community regarding older adults' health and personal lives. Community Health Navigators work to extend the medical journey for older adults and connect medical care to the needed social services. Community Health Navigators can be social workers or some physician assistant role that would be trained to have compassionate conversations to make sure connections are made within the community. ✔️More Ways To Help Older Adults Like Roger Check out a program led by the AARP Foundation called Connect2affect at Connect2Affect.org if you are someone you know who is experiencing social isolation. This website will give you more information on getting help for yourself or someone you know, give you other ideas for supporting people in your area, and learn about new interventions to reduce social isolation. You can also take the Isolation Assessment ; find local and online resources and ways that you can volunteer to serve others. You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where you can find this episode - MelissaBPhD.com We'd love to hear from you! -------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015, which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The state of health of the individual receiving care is connected to the forms of help and care provided by caregivers. Yet despite this analogy, Federal employment statistics indicate that long-term care workforce concerns remain at a 'crisis' level. As per American Health Care Association/National Center for Assisted Living statistics from the January Bureau of Labor Statistics Employment Situation data, a 6.7% drop in the assisted living workforce indicates a loss of 31,200 caregivers, from 463,100 workers in February 2020 to 431,900 in January 2022. Thus, to provide better care for millions of older Americans, the United States needs a roadmap to a sustainable, reinvented workforce of professional caregivers. To this end, today's episode of This Is Getting Old features Part 8: Long-Term Care Workforce and Caregiving of the 10-part AARP/ Age-Friendly Social Innovation Challenge. Watch the full episode or listen to the podcast to learn more about valuable programs and innovative solutions specifically designed for older adults and healthcare providers. Key points covered in this episode: ✔️Partake Into Leoña And The Long-Term Care Workforce's Case Scenario The case study for Leoña:a Leoña was 58 years old, came to D.C. four years ago from Nigeria, and worked as a home health aide. She had been a hospital nurse in her home country, skilled and experienced, but she didn't feel seen by her bosses. She felt a real connection to her patients but found the work very hard, and she had difficulty with this kind of work. She needed to find a way to care for herself and her family while still being up for the challenge of helping her clients. ✔️ Long-term Care Workforce - Problem Statement Leoña is burned out and will leave the field if we don't start listening to her and paying her more than an hourly wage. Working in a flawed long-term care system, she lacks a way to be heard, valued, and advance in her career. ✔️ Innovative Solutions— Leoña As An Essential Worker Given the political moment, the time is right to call for systemic change and create a better individual situation for Leoña. This include: becoming a salaried employee receiving local recognition securing employer-employee communication, succession planning around important work that she was doing ✔️ More Ways To Help Leoña The team passionately asserts that caregiver Leona should be recognized as an essential worker—she is like a firefighter. There were different levels of recognition that caregivers should have, and they should have people on the team who had experience with offering rewards and awards to people in their localities. ✔️ Giving Voice To Our Unheard Caregivers There was also the recognition caregivers like Leoña do not feel heard. Leoña and caregivers should be able to tell their stories and set goals that will place them on a career ladder. We wanted her and people like her to be able to identify these challenges and begin to work with their employers to overcome challenges. You can also check out Episode 69 with Dr. Marc Cohen , where we discuss the basics of how long-term care is paid for now - and talk about future trends for the long-term care insurance industry. You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com We'd love to hear from you! -------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Learning throughout one's life encourages social inclusion and improves one's health. There’s a substantial correlation between learning and improved health, especially among older adults. The notion of life-long learning encompasses not only the acquisition of job-related credentials but also the promotion of learning throughout one's life to improve overall well-being. While 73% of older adults in the United States of America consider themselves lifelong learners, educational engagement tends to decline as people become older. Still, it's never too late to gain new skills and information. This presents a challenge to organizations, employers, and policymakers, who must guarantee that everyone has the opportunity to obtain, retain, and acquire new skills throughout their lives. Toward these goals, This Is Getting Old, with our mission to move toward an age-friendly world, features Part 7:Lifelong Learning of the 10-part AARP/ Age-Friendly Social Innovation Challenge. Watch the full episode or listen to the podcast to learn more about valuable programs and innovative solutions specifically designed for older adults and healthcare providers. Key points covered in this episode: ✔️ Does Julio's Case Sounds Familiar? Julio is 55 years old and lives in Hyattsville, MD, with his wife, three children and dog, Fluffy. He has worked as a hospice nurse for nine years now and loves his work. But, Julio feels stuck and burned out. The pay isn't great, and he has to work about 70 hours a week to make ends meet. Julio would love to see fewer patients and learn to be a manager. Still, sometimes he thinks he would have better chances in IT. So, Julio thinks of leaving healthcare altogether and enrolling in a technical community college. ✔️ Lifelong Learning - Problem Statement Julio needs a way to increase income and job satisfaction and find a life-work balance because he's burned out and unhappy. This problem results from the employer's lack of attention, support and employee development programs designed to help care workers thrive and grow within the healthcare industry. ✔️ Lifelong Learning - Innovative Solutions Identify nonprofit or public resources that can provide low-cost or free career counseling or training services for mid-career workers or the 55+ cohort, including how to advocate with employers. If recommended and feasible, continuing education may be undertaken. Encourage Julio's employer to create pathways within the organization for upward mobility, including training, mentoring, job exploration, and higher pay. This might occur through partnerships with local community colleges, for example. Research concept of unionizing, organizing workers in the caregiver industry to achieve fairer working conditions (higher pay, fewer hours, meaningful support on the job, opportunity for promotion). ✔️ Nobody's Too Old To Learn Lifelong Learning involves being intentional about learning new things - no matter how old you are. Essentially, participation in cultural and recreational activities is essential for our health and the quality of life in our communities as we age. Thus, older adults should increasingly participate in lifelong learning programs and bring a lifetime of experiences to intergenerational programs - like ice skating ! Besides, there's nothing wrong with learning a new physical skill and an intellectual one! Both types of lifelong learning are beneficial! ✔️More Ways To Help Julio The challenges that Julio faces could potentially be made better if he worked for an Age-Friendly Employer - and if you haven't heard of that program, you can check out episode 58 with Tim Driver , Founder and CEO of Age-Friendly Ventures. Another option for retooling could be finding an Age-Friendly University, and if you haven't heard of this initiative, please check out my interview with Dr Joanne Montepare in Episode 55. You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where you can find this episode - MelissaBPhD.com We'd love to hear from you! -------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
One in every five Americans—nearly 80 million people—will be over 65 in 20 years, and surveys suggest that almost 90% intend to stay in their own homes as long as possible. However, the nation now lacks the affordable housing and accompanying social services required to meet these needs. In particular, the four issues are; The majority of houses in the United States are inaccessible to older adults with limited mobility. Many older Americans who remain at home will need pricey long-term care. Millions of older adults cannot maintain their present living arrangements due to financial constraints. Isolation is common among older adults who live alone. We invite you to join us in another episode of This Is Getting Old with these circumstances in mind. Today's episode is Part 6: Housing—the 6th episode of the 10-part AARP/ Age-Friendly Social Innovation Challenge. Watch the full episode to learn more about housing-related issues, programs, and innovative solutions for older adults. Key points covered in this episode: ✔️Aging In America As Seen In Nomadland Have you watched Nomadland? The 2020 movie Nomadland has so many issues related to aging in America, from managing multiple chronic illnesses while living in a van, to finding employment after the age of 60. But it also has some heartwarming scenes because it demonstrates the importance of having a social network and being connected to other people, no matter how old you are. The movie shows resilience and how some older adults find a solution to losing their homes. ✔️ Housing - Scenario Monica, 67 years old, is living in Alexandria. She's lived in the same neighborhood for 30 years, a small two-bedroom house and her partner died about seven years ago. Since her arthritis has gotten worse, she's been thinking about leaving her home so she can afford to move, but nothing in her neighborhood is affordable. She's worried that she'll need in-home care or need to remodel her home and make it more accessible for mobility declines. Monica got a home equity loan on her house to help her kids buy their own homes. Also, Monica's currently living on Social Security, which will not cover higher housing or care costs. ✔️ Housing - Problem Statement Monica needs a way to transform her community because she has roots, connections, and a sense of community written into the fabric of her life. ✔️ Housing - Innovative Solutions To help Monica and others access more affordable options and resources, we need to reframe the conversation around zoning and land use in our communities to increase density and encourage mixed-use. More notably, community support, family, and friends are important for Monica—this is important for all of us - no matter how old we are. ✔️ Aging In Place Solutions for Older Adults Aging in Place begins with Housing. Ideas to solve these problems include; Forward-thinking when designing communities as Ryan Frederick does - retro-fitting spaces to be physically accessible and safe with universal design solutions. If you'd like to learn more about Housing options and different models for housing, you can visit the AARP website on Housing in Livable Communities . You can also check out episode 40 on the Role of Place in Healthy Aging with Ryan Frederick on MelissaBPhD.com or on our YouTube channel. CAPABLE stands for Community Aging In Place: Advancing Better Living for Elders and is a person-directed, home-based solution that addresses both functional ability and healthcare expenses. CAPABLE provides integrated services by an Occupational Therapist, a Registered Nurse, and a handyman who all work together with the older adult to set goals and develop a plan to change behaviors to improve health and promote independence and safety. If you'd like to learn more about this program, you can visit the website or email CAPABLEinfo@jhu.edu for more information. You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com We'd love to hear from you! --------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Join us in today's episode of This Is Getting Old—Part 5: Emergency Preparedness and Resilience. This series is related to the 10-part AARP/ Age-Friendly Social Innovation Challenge participated by George Washington University's Center for Aging, Health and Humanities, our five regional age-friendly municipalities, and our multiple partners. Watch the full episode to hear about some resources that may be helpful to you and your family. Key points covered in this episode: ✔️Emergency Preparedness and Resilience In Concept The concept of emergency preparedness and resilience generally means the ability of any community to respond to an emergency that impacts all residents. Anything like a natural disaster could range from a hurricane, a tornado, a blizzard, but anything that requires people to shelter in place or displaces them. ✔️ How Communities Should Handle Emergencies? How communities handle emergencies can either be integrated-oriented or segregated-oriented. But if it's an age-friendly city, it should be integrated-oriented to include all populations. Either way, during an emergency, any resident with mobility problems, chronic health conditions, or hearing, vision or cognitive impairment need to be prepared for emergencies by creating a plan, reviewing or practicing it regularly, and keeping an emergency supply kit. ✔️ Emergency Preparedness and Resilience - Scenario Earl is 71-years young, a retired bread company manager who lives in Arlington, VA and moved 12 years ago from Houston, TX, after losing his wife in a hurricane flood. Earl lives alone but has good friends in Crystal City. He can still get around on his own, walking and taking the bus. Lately, it has been raining, and Earl's home has flooded. His electricity is out, and he has no running water. Earl has been alive a long time and feels like he should know what to do, but help seems so far away. ✔️Emergency Preparedness and Resilience - Problem Statement Earl needs to know what resources/supports are available to him locally because he needs to resolve the flooding in his home and possibly find temporary housing. Additionally, we need to connect him with a long term system of support to prevent/problem-solve these emergencies, either before they happen/as they happen. ✔️Emergency Preparedness and Resilience - Innovative Solution A localized, community-specific emergency system/infrastructure should be developed that is flexible and composed of first responders, volunteers, liaisons, the aging network, the first community network, advisory council that includes older adults. This system could be used to: proactively identify those who are most vulnerable (pre-emergency) create an "emergency contact network" in the community to run through drill scenarios to prepare meet immediate needs of individuals during emergencies conduct follow up post-emergency to connect individuals to systems of support and wider community (beyond their immediate needs during a time of crisis) conduct follow up surveys to determine whether targeted individuals/beneficiaries received appropriate support and information ✔️Helpful Information – How To Prepare for an Emergency? Here's some information that may help you avoid problems during an emergency: Ready.gov lists essential items to have in a Disaster Supply Kit. Make sure you have a 3-day supply of medications, extra batteries for hearing aids, information about medical devices needed like a wheelchair, walker, or even an oxygen machine. The CDC has a document called the Complete Care Plan to guide you through essential documents to keep in waterproof bags, and you should take photos of each document as a backup. You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com We'd love to hear from you! --------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The proportion of older adults with unmet care and support needs continues to grow significantly as care systems face significant problems in the United States of America. Although 20% of older adults aged 60 and over use home- and community-based support and health services, many older American’s and their families have a vague understanding of what is available for older adults. Addressing these unmet requirements is quickly becoming a top public health priority. This week’s episode of This Is Getting Old features Part 4: Community Support and Health Service. This episode is of the 10-part AARP/ Age-Friendly Social Innovation Challenge. Watch the full episode or listen to the podcast to learn more about community support, health services, and programs specifically designed for older adults. Key points covered in this episode: ✔️What are Community Support Services? Community supports are local services; such as an active intergenerational community center or a recreational center. These services and locations make it easier for older adults to connect and build community ties. ✔️ What are Health Services? Health services include primary care providers, mental health services, substance abuse and treatment programs, preventive and health maintenance programs, rehabilitation programs, pharmacy services, and dental care - to name a few. What Worries June? Hear Maria Teresa McPhail, MD President & CEO At Vida Senior Centers' present a scenario developed by our Design Thinking Team about June. June is 84 years old and a retired accountant. She lives in an area considered a "food desert, " and she's afraid of COVID, even though she's fully vaccinated. When she runs low on groceries, the nearest grocery store that sells affordable, fresh groceries is seven miles away; she had no other option but to travel. June's Problem Statement Dr. Maria Teresa McPhail elaborated that June needs a way to access fresh and healthy food, socialize with other people because she has transportation barriers, lives alone, and has COVID-19 concerns. Community Support and Health Services - Innovative Solution For June The team came up with "Creating Community Through Food" as an innovative solution for Community Support and Health Services for older adults like June. Creating Community Through Food is a weekly, seasonal intergenerational cooking class. What it does is; Offer outdoor cooking classes in the summer and virtual cooking sessions in the winter. Through this program, Community Supported Agriculture (CSA) brings local foods and includes a "know your farmer know your food" component. It also includes transportation to the outdoor site, and volunteers will participate in developing peer-to-peer support. Volunteer high schoolers and college students involved can gain service hours. Healthcare institutions see the program as a potential to recruit for career paths in long-term care and involve dietician students. Essentially, the program encourages adults and older adults to attend in person to refer them to other resources based on need and be involved in senior centers that may have existing similar programs. You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com We'd love to hear from you! --------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
With the population's aging, community engagement has become a critical factor in achieving healthy aging. Low levels of community engagement have been associated with higher death rates and social isolation. In line with these themes, the active aging approach of the World Health Organization and the age-friendly community strategy are both participatory and empowering. They blend 'top-down' policy initiatives to encourage and facilitate community engagement and employment with 'bottom-up' participation of older adults in developing their activities. Furthermore, the process involves older adults and all levels of government, and essential players from all aspects of society. Today's episode of This Is Getting Old features Part 3: Civic Engagement and Employment of the 10-part AARP/ Age-Friendly Social Innovation Challenge. Please tune in to learn more about civic engagement and employment programs specifically designed for older adults and how these programs can help us move towards an age-friendly world. Key points covered in this episode: ✔️Civic Engagement As A Concept Civic engagement includes: Connecting with others in your community. Serving and giving Any activities such as volunteering Charitable giving Voting in presidential and local elections Given we also talk about employment, if you haven't heard of the Age-Friendly Employer program, you can check out episode 58 with Tim Driver , Founder, and CEO of Age-Friendly Venture. Also, check out related This Is Getting Old episodes 90 and 91 with Larry Samuel. ✔️ Joseph's Situation Joseph lived in Brooklyn with his daughter and school-age grandchildren. He got in trouble because he ordered magazines from the phone—which is a scam— and his daughter told him he couldn't use the phone anymore. Joseph is 79, retired, and wants something to do. He feels like he's home alone in the daytime and doesn't know how to proceed. ✔️The Problem? Many programs to connect people to civic engagement and employment opportunities already exist. However, many people—like Joseph— don't know about them. ✔️The Challenge?—Reaching Target Audiences With Information About Civic And Employment Opportunities. There are a lot of resources, and the challenge is reaching the target audiences, which includes older adults and their families. After all, everyone is aging, so they'll need information about civic engagement and employment at some point. ✔️innovative Solution On The National Level Promote a nationwide initiative, creating awareness that older adults' civic engagement and employment opportunities exist and are essential to their well-being. ✔️Community Ambassador Programs Local-level ambassador programs, giving a personal connection to the opportunities shared in these outlets, local volunteers receive training to work in their neighborhoods, connecting them personally with people to find them the right opportunities for them. You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com We'd love to hear from you! -------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Anyone can be abused, regardless of age, gender, nationality, religion, ethnicity, or social background. Hundreds of thousands of adults over 60 years old are mistreated, neglected, or monetarily exploited every year. More than half a million reports of elder abuse are made to the police each year in the United States alone, and many more go unreported. If an older adult becomes more physically or cognitively frail, they may become less capable of self-care, resisting bullying, or defending themselves if/ when assaulted. Moreover, they may not see, hear, or understand as clearly as they once did, leaving them vulnerable to unscrupulous persons. With these conditions in mind, This Is Getting Old together with The George Washington University Center for Aging, Health and Humanities, and multiple multi-sector partners present a 10-part AARP/ Age-Friendly Social Innovation Challenge to you. Today's episode will be on Abuse, Fraud, and Neglect. Tune in to learn more about how we can help older adults victimized by abuse, fraud, or neglect. Key points covered in this episode: ✔️Coming Together For Victims of Abuse, Fraud, and Neglect. University students from the D.C. Metro area, older adults and local leaders who live in the region and work in the age-friendly space participated in a forum to develop abuse, fraud, and neglect solutions. ✔️Do You Know Any Alberta’s? Alberta is the persona developed as an example by the Abuse, Fraud, and Neglect Design Thinking team as a scenario with common circumstances in an intergenerational home. In the team's problem statement, Alberta, age 79, stays with her daughter and grandchildren, but they are rarely home. So to make the most out of her time, Alberta cleans the house and does what she can do. When she was alone one day, Alberta answered the phone call from a sales representative asking her to buy a bunch of magazines—which was a scam. After the incident, Alberta’s daughter did not want her to use the phone. ✔️What Makes Alberta So Susceptible To Scam? Understand and be familiar with the different forms of abuse, fraud, or neglect that you might not be mindful of. In Alberta's case, the roots of her susceptibility to abuse, fraud, and neglect are social isolation, not being used to working, role reversal, relationship strains, and many other things. ✔️Age-Friendly Solutions For Alberta Several locals, state, and national social service organizations can assist with emotional, legal, and financial abuse. To name one, Silver Social Connect is a single-stop service that connects peers with their wider community through multiple means to help mitigate social isolation. ✔️How Can We Help Alberta? Everyone has the right to live in peace, decency, and respect. Abuse or neglect among older adults will not go away on its own. Someone else must step up and help. Many older adults are embarrassed to report abuse. Or they're scared that if they file a complaint, the abuser will find out, and the problem will worsen. If you feel that an older adult is in danger from a negligent or burdened guardian or being monetarily exploited, you must speak out. Here are some hotlines and resources you can use to help victims of abuse, fraud or neglect. U.S. Senate Special Committee on Aging's Fraud Hotline: 855-303-9470, Eldercare Locator: 1-800-677-1116 Resources: The Fraud Book at the Special Committee for Aging -------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The legislative process is how a bill is enacted into federal law. Aside from knowing the political structure and complying with various regional and local regulations, advocates whose overarching goal is a new or revised policy should be well versed in how a bill can become law and the specific procedural rules that apply to the process. Significant issues may arise if advocates fail to implement a specific procedural norm, causing the lobbying effort to delay or be terminated. Learn the basics of the U.S. legislative process from someone who knows every nook and cranny of how it works. Tune in as Alison Hernandez, PhD, R.N., Health & Aging Policy Fellow in the U.S. House of Representatives, explains how a bill becomes a law. Key points covered in this episode: ✔️Be in the know. The number one thing is folks should know who their federal and state representatives are. You are represented in the United States Congress by one member of the House of Representatives (voted into office from a local district) and two members of the Senate, depending on where you live. Congress.gov is an excellent resource where you can search for bills by either theme, subject matter, or your representative or senator. ✔️How Laws Are Made Here's a short overview of how bills are enacted to become a law. Drafting: Laws start from an idea. Advocates can come up with a write up and connect with a Representative to draft a bill. Introduction: A representative sponsors a bill. After that, the bill is referred to a committee for review. Mark Up: Bills issued by the committee are scheduled for voting, discussion, or amendment. Voting: The bill will be sent to the Senate if it receives unanimous approval (218 out of 435 votes). A conference committee works out any discrepancies between the House and Senate editions of the bill made up of members of both chambers. The bill now goes back to the House of Representatives and the Senate for final passage. The Government Printing Office prints the updated bill in a process known as enrolling. The President has ten days to approve or veto the law that has been enrolled. ✔️The power of the Congress. The Constitution gives Congress enormous authority as one of the three coequal branches of government. Congress has exclusive legislative authority, which means it is the only branch of government that may enact new laws or amend existing ones. Regulations issued by Executive Branch agencies have full legal power but are under the legislation established by Congress. The President may veto bills passed by Congress, but a two-thirds majority in the House of Representatives and the Senate can overturn a veto. ✔️How to connect with your Representatives? It's as easy as sending an email or making a phone call to reach out to your Member of Congress. Do a multi-modal strategy where you may call and email and set up an appointment and then follow up by email or phone call or on social media. They have offices in both their home districts and in Washington, D.C. These offices should have all of their contact details readily accessible on their websites. ✔️The follow-up is golden. The more you follow up and insist, the more likely things will happen. Every email and voicemail is listened to and counted—it's just a matter of prioritizing what they are. -------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
It's easy to overlook that many of the policies we see and hear in the news aren't entirely decided by the policymakers we see every day. The actual power that initiates innovative ideas into action rests behind the spotlight, with purpose-driven civil servants and professionals. Despite the many political, logistical, and psychological obstacles these decision-makers encounter, foundations, charities, social sector organizations, and professionals—including nurses— can influence their thinking and impact policy. Thus, nurses, healthcare professionals and advocates must understand how to communicate with policymakers to contribute successfully to policymaking processes. Hear first-hand information and insider tips straight from a Health and Aging Policy Fellow in the U.S. House of Representatives, Alison Hernandez, PhD, RN, here at This Is Getting Old. Key points covered in this episode: ✔️There isn't good policy without good politics and vice versa. Understand that politics is a competitive, nonviolent process of allocating resources and power. Thus, voting for your elected officials is the most pivotal part because they will eventually exercise the collective voice on the floor. Sponsorship is excellent, but the vote is most important. ✔️Thirteen to fourteen thousand bills are introduced in Congress every year, and about 1-3% make it to law. One important deciding factor as to whether the bill goes anywhere in a committee is the person who introduced the bill. It's worth noting that co-sponsorship is a crucial way to move an issue forward—and it's the power of numbers. ✔️State employees are strapped for time. Committee staff rely on outside forces, experts who are subject matter experts, or advocacy groups working towards issues and change for a very long time Public officials have a lot on their plates. Aim for brief, straightforward proposals that focus on the central issue you would like to convey if you want people to pay attention to what you have to say. ✔️Avoid Too Much Fact-Stuffing A few numbers may be effective, but too many can sometimes be confusing and overlooked. Figures may be placed in context by comparing them to a worldwide average, or they can be made more understandable by linking them to commonplace values that policymakers can understand immediately. ✔️Spotlight on concrete outcomes and, ideally, address problems. Politics, philosophy, the times, the press—there are so many things that influence what changes get made and why. For policymakers to make things work, they need to get other people on their side. Make their lives easy. What is the most compelling evidence you can provide to demonstrate that your proposal will have a genuine impact? If possible, share solid examples of where the idea has previously worked and how to improve it. If you can't, describe the outcomes you'd like to see. -------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Nurses are often frustrated about policies and regulations governing nursing practice, mainly when they're developed by individuals who lack healthcare experience. This 3-part series provides an overview of why nurses should be involved in policy, the legislative process, and how to communicate with policymakers. A significant number of nurses are channeling these frustrations into positive initiatives as advocates. They are assuming new roles to influence the programs, rules, policies, and regulations that govern the nursing profession, the functioning of the broader health care system, and the communities we serve. Drs. Melissa Batchelor and Alison Hernandez, are both nurses who agree that any nurse can become a policy advocate at the local, statewide, or federal level by understanding how the political system works and what approaches can affect policy. Key points covered in this episode: ✔️ Nurses are innately health policy experts. Dr. Alison Hernandez is a Health and Aging Policy Fellow (2019-2020) in the U.S. House of Representatives. As a fellow passionate about health policy and helping older adults achieve the highest quality of life, Dr. Alison Hernandez stressed that nurses could be political and advocate for whatever it is that they care for ✔️Who you elect matters. Who we vote to represent makes a difference to affect change and influence policymaking. Dr. Alison Hernandez pointed out that you have to put people in power that resemble your ideologies if you want to see change. ✔️Nurses are solution-driven—we're focused on how to fix things. One can't undermine the role of nurses in shaping health policy. If you have RN behind your name, you have the power to send the email as a constituent and as a concerned citizen. ✔️It takes multiple voices to solve all the different problems that we have. Thus, nurses need to have a least cursory understanding of policy for their voice to be heard because we can't be influential influencers of policy without that. Aside from that, making connections in your community, especially if you're working and volunteering on campaigns, is an excellent way to dip your toe in the political sphere of things. -------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Artist Shimoda Emanuel rearranged her life when she had to take care of her 95-year young mom with Alzheimer's. Changing her whole way of doing things wasn't easy; she was freaking out, losing sleep, feeling like her time wasn't hers anymore. Determined to make a change, she found better ways of implementing a healthy lifestyle of art, laughter and music into caregiving. This is a 2-part series on Caring for the Person Living with Alzheimer's Disease. ---------------------------------------------------------------- ✔️ Main Point 1: Getting Out of Overwhelm - A strategy Shimoda shares is first to pick up the phone and talk to somebody. At times you need to vent even without finding solutions. Just let it out. - Release your emotions by writing it all out, making drawings or even putting on some rock music, just dancing as another way of releasing overwhelm. ---------------------------------------------------------------- ✔️ Main Point 2: Role of the Support Team - Sometimes, it's easy to become pretty isolated if you're a caregiver and feel like people have forgotten about you or that they don't care. Other people help lighten the load. The Alzheimer's Association has a 24-hour support line 1-800-272-3900. - Be sure to tap into resources and other communities across the country with support groups to help people get connected because you need help. ---------------------------------------------------------------- ✔️ Main Point 3: Getting Affairs in Order - Understand the value that it's never too early to have that talk with mom and dad. Getting their affairs in order is highly important to avoid facing problems with legalities in the future. - Having someone to help walk you through it in fulfilling major papers. It's a lot to do and will trigger overwhelm. Resource: https://cameronhuddleston.com/resources/ You can find the In Case of Emergency Organizer, a 26-page document that takes you through everything you need to have in place. ---------------------------------------------------------------- ✔️ Main Point 4: Doctors Appointments - Find a company that will have a car service ready to pick you up. Schedule that considering how long your loved one with Alzheimer's takes time to get dressed, eat, and prepare. - Make sure that medications are ready; bring a snack, a magazine, something for them to play or be occupied with while waiting. - Keep a bag packed that you could grab and go when you have to go to the emergency room. Shimoda Donna Emanuel is a mixed media artist living in Harlem, N.Y. She grew up influenced by her artistic parents. Shimoda Accessories has a range of work that includes intuitive jewelry and fiber art. Her art has been on HGTV, covers of Essence magazine and other various publications. She is honored to have her art available for purchase at The Smithsonian National Museum of African American History and Culture gift shop. As her sister's caregiver and a 96-year young mom with Alzheimer's, Shimoda decided to create 'Sacred Stitches: The Art of Caregiving. ' This colorful book offers tips for other caregivers. She found solutions that worked for her with creative exercises, rituals and more. Shimoda also published 'Sacred Stitches: Fiber Art Dolls for the Soul' and 'Sacred Stitches, an inspirational 25-piece card deck. Shimoda, husband and mom were recently filmed for an Alzheimer documentary that will air in the near future. Link to all the Care Givers Items Book & Paper — Shimoda Accessories (shimoda-accessories.com) Book Sacred Stitches: The Art of Care Giving Tips for Stitching Yourself Together When Caring for Someone with Alzheimer's Link NEW BOOK! Sacred Stitches: The Art of Care Giving - Tips for Stitching Yourself Together When Caring for Someone with Alzheimer's — Shimoda Accessories (shimoda-accessories.com) Notecards Sacred Stitches – Caregivers Need Love Also Link Sacred Stitches - Caregivers Need Love Note Cards — Shimoda Accessories (shimoda-accessories.com) 25 Card Deck Sacred Stitches – Your Intuitive Wisdom Guide Connecting You to Focus, Clarity & Peace Link Sacred Stitches: A 25-Card Deck — Shimoda Accessories (shimoda-accessories.com) -------------------------------------------------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Artist Shimoda Emanuel rearranged her life when she had to take care of her 95-year young mom with Alzheimer's. Changing her whole way of doing things wasn't easy; she was freaking out, losing sleep, feeling like her time wasn't hers anymore. Determined to make a change, she found better ways of implementing a healthy lifestyle of art, laughter and music into caregiving. This is a 2-part series on Caring for the Person Living with Alzheimer's Disease. --------------------------------------------------------------- ✔️ Main Point 1: Establish Morning Ritual and Time Management -Sacred time for yourself is so important. Shimoda would meditate for at least for five minutes to get centered, write in her journal, read a book and get up and drink some water. -As a caregiver, remember that if you're not taking care of yourself, you're not going to be able to take care of other people. ✔️ Main Point 2: The Power of Smell - Essential oils can relax or boost your energy - Being in touch with how you're feeling and what can help with that. ✔️ Main Point 3: Food Affects Mood - Being aware of what you eat and how it makes you feel - Being aware of how food affects the person your loved one. - Be mindful of the effect of sugar ✔️ Main Point 4: Sweet Sleep - Not getting enough sleep affects you and your loved one. - Tips for a restful sleep, especially if the person with Alzheimer's wakes up in the middle of the night, includes using safer alternatives like calcium & magnesium supplements, melatonin or chamomile tea. ---------------------------------------------------------------- Shimoda Donna Emanuel is a quilt, fiber, and mixed media artist and the owner of ShimodaAccessories.com. A published author, Shimoda shares her experience in her new book, Sacred Stitches: The Art of Caregiving. Link to all the Care Givers Items Book & Paper — Shimoda Accessories (shimoda-accessories.com) Book Sacred Stitches: The Art of Care Giving Tips for Stitching Yourself Together When Caring for Someone with Alzheimer's Link NEW BOOK! Sacred Stitches: The Art of Care Giving - Tips for Stitching Yourself Together When Caring for Someone with Alzheimer's — Shimoda Accessories (shimoda-accessories.com) Notecards Sacred Stitches – Caregivers Need Love Also Link Sacred Stitches - Caregivers Need Love Note Cards — Shimoda Accessories (shimoda-accessories.com) 25 Card Deck Sacred Stitches – Your Intuitive Wisdom Guide Connecting You to Focus, Clarity & Peace Link Sacred Stitches: A 25-Card Deck — Shimoda Accessories (shimoda-accessories.com) ---------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Seventy million baby boomers are still out there and will be around for another two or three decades, and happily, in this third act of life. Thought leader and American cultural historian Larry Samuel invites us to rethink our mindset about ageism and how we must work on ways to serve older 50s to mid-70s as they enter a new era in their lives, needing to be heard and supported. Key points covered in this episode: ✔️ Most marketers are ignoring older customers. It's like the Wild West when it comes to aging, where everybody's doing it differently. Larry enumerates his recommendations to effectively communicate with this generation based on the ten values. ✔️ Value 1: Youthfulness. Boomers are considered to be a permanently youthful generation. This has significant implications for marketers who speak to them as old when they are young inside (well, in fact, it's just their bodies that get older.) Larry points out, "Approaching that target market through a lens of youthfulness can be a very compelling proposition, rather than the typical way we are treated of being old and in physical or cognitive decline. That's not a good way to approach us. " ✔️ Value 2: Knowledge. BOOMERS were the most educated generation until millennials came along. Research shows that we generate new brain cells until we're dead, basically. Hence, the older generation is perfectly capable of learning new things, and that's an essential value for boomers -- whether it is taking classes at a community college, traveling, learning about a different culture or a new language, or taking music lessons. ✔️ Value 3: Reinvention. Studies have shown that regardless of age, people are extremely resilient, adaptable and can reinvent themselves. W hether through work, romance or spirituality, we are constantly reshaping and morphing into different people, so I think that's an important one for marketers who mistakenly believe that we're not going to change. ✔️ Value 4: Creativity. It's in our DNA. That was an idea embedded in us early in the 50s and 60s when we were growing up. Research shows that creativity is good for physical and mental health. It'll keep you alive longer, literally, if you're expressing your individual creativity in some way. ✔️ Value 5: Bucket List. Boomers already have the time and money to explore different avenues in pursuit. "I recommend to marketers to be an enabler of that. How can you present or develop a new product or service as a way for a baby boomer to cross something off their list and achieve a lifetime experience that they always wanted to do? " ✔️ Value 6: Self Actualization. We all remember Maslow's theory is the hierarchy; there is a lot of truth to it; you often go up through these stages for most of us. Accepting that you're a wiser person and that you should leverage that in some way and through this emotional contentment and satisfaction that also comes along and enables you to evolve as a human being. ✔️ Value 7: Community. Boomers were once the largest community globally and are now outnumbered by millennials; there were 70 million in the 50s up still alive. ✔️ Value 8: Activism. Idealism is embedded in the older generation and passed on to a great degree. They form a very powerful political bloc, a constituency that people in public and private spheres can reach out to. It would be wise for marketers to sort of tap into this innate activist spirit that boomers have. ✔️ Value 9: Purpose. They are doing things like volunteering, mentoring, coaching or teaching. These are a few of what they haven't gotten around to doing much as a younger person . ✔️ Value 10: Legacy. Boomers are thinking about their mortality for the first time. The idea that we will live longer than our physical selves is a very powerful one. So you're seeing a lot of philanthropy, charity, a lot of donating time and money in different ways. Lawrence R. Samuel is the founder of AmeriCulture, a Miami- and New York City-based consultancy dedicated to thought leadership relating to the past, present, and future of American culture. As a trailblazer in translating cultural insights and emerging trends into business opportunities for Fortune 1000 companies and their agencies, Larry is widely recognized as an expert in the economic, social, and political dynamics of consumer behavior. Larry is the author of many books, including Age Friendly: Ending Ageism in America , Aging in America: A Cultural History , and Boomers 3.0: Marketing to Baby Boomers in Their Third Act of Life . He also writes the “Psychology Yesterday,” “Boomers 3.0,” and “Future Trends” blogs for psychologytoday.com and is widely quoted in the media. Larry holds a Ph.D. in American Studies from the University of Minnesota, an MBA in Marketing from the University of Georgia, and was named a 2017 NextAvenue Influencer in Aging. Find Larry on Twitter @LarrySamuel and LinkedIn: https://www.linkedin.com/in/larry-samuel-9029a713/ ---------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The biggest surprise to a man's life is getting old. And it's true: As one ages, the person inside remains the same and what changes is the exterior. In this episode, I have a conversation with Larry Samuel, the author of Age Friendly: Ending Ageism in America, Aging in America: A Cultural History, and Boomers 3.0: Marketing to Baby Boomers in Their Third Act of Life. We discuss insights on aging in America and its cultural history and how today's generation should prevent discrimination just as when it's their turn to get older. Key points covered in this episode: ✔️ The idea of aging and ageism in America is a 200-year-old story. Larry Samuel shares, "The first native-born white Americans looked at the founding fathers' generation, the colonialists in an age, as the way they felt they were out of touch. They were fuddy-duddy, and they wanted to reinvent America in their own way. So this goes back spanning 12 or 15 generations. So this generational competition is nothing new." ✔️ 92% of diversity and equity inclusion (DEI) people do not consider age as part of their mission. Human Resources and the DEI folks should lead the way here -- it's up to them to prevent ageism as the gatekeepers to corporate America. ✔️ When it comes to age, there's still a lot of this "Us versus Them" approach; and ageism is actually the only -ism we tend to even self impose. Melissa Batchelor reminds us that "Self-imposed ageism decreases life expectancy by about seven years - so how you think about aging and if you think getting old is only going to be associated with decline affects your health and well-being." ✔️ Most Marketers are ignoring older customers or do not know how to communicate with them effectively. In his book Boomers 3.0., Larry points out how marketers are either underrepresenting or misrepresenting instead of being inclusive towards people of age, whether they be workers, citizens or consumers. ✔️ Ageism in dating apps is crazy town - a LOT of people lie about their age. People say they're younger than they are - up to ten years younger than they actually are in order to beat the dating app algorithms. ✔️ Diversity of generational perspectives is a good thing, whether in business or in life. An intergenerational workforce benefits younger persons as older, more influential people bring about a reciprocal relationship to the pure digital natives of today. ✔️ Aging is suffering from an image problem. Larry points out how the whole anti-aging industry is not helping matters at all because they're reinforcing the idea that aging is a negative experience that we should try to delay or avoid. "Let us embrace it because I believe it's a good thing. So I think it would be great to have some kind of ad campaign that aging is a good thing, like with Steve Tyler or Paul McCartney, who can endorse it that way. That's my recommendation of the day." Lawrence R. Samuel is the founder of AmeriCulture, a Miami- and New York City-based consultancy dedicated to thought leadership relating to the past, present, and future of American culture. As a trailblazer in translating cultural insights and emerging trends into business opportunities for Fortune 1000 companies and their agencies, Larry is widely recognized as an expert in the economic, social, and political dynamics of consumer behavior. Larry is the author of many books, including Age Friendly: Ending Ageism in America , Aging in America: A Cultural History , and Boomers 3.0: Marketing to Baby Boomers in Their Third Act of Life . He also writes the “ Psychology Yesterday ,” “Boomers 3.0,” and “Future Trends” blogs for psychologytoday.com and is widely quoted in the media. Larry holds a Ph.D. in American Studies from the University of Minnesota, an MBA in Marketing from the University of Georgia, and was named a 2017 NextAvenue Influencer in Aging. Find Larry on Twitter @LarrySamuel and LinkedIn: https://www.linkedin.com/in/larry-samuel-9029a713/ ---------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Welcome to This Is Getting Old with your host Melissa Batchelor. I share a recent initiative I’ve been working on called the AARP / Age-Friendly Social Innovation Challenge. This episode is Part I: Overview of a special 10-part series related to several regional events we’ve held at the George Washington University’s Center for Aging, Health and Humanities. Learn from the outcomes of our collaborative projects with five regional age-friendly municipalities and our multi sector partners. This is the first time a region has worked together to create innovative solutions. History Age-Friendly Cities and Communities’ started in 2007 by the World Health Organization (WHO). In 2012, AARP became an independent affiliate organization for the United States wherein they created the AARP Network of the Age-Friendly States and Communities. There are six principles for a livable community (listed below). These include issues like affordability, equitable access, quality and choice accessibility and the ability to age in place. Health, safety and environmental sustainability, as well as holistic policymaking. And that's where these initiatives come in. Holistic policymaking is where all communities should seek to improve the interconnectedness for issues related to health, wellness, safety, work, education, environment and social engagement. And that's really what we've been trying to do over the past couple of years with our multi-sector partners. Six Principles of Livable Communities include: Affordability Equitable Access Quality and Choice Accessibility and the ability to age in place Health, Safety, and Environmental Sustainability Holistic Policymaking - all communities should seek to improve the interconnectedness of such issues as health, wellness, safety, work, education, environment, and social engagement. Regional Movement Towards An Age-Friendly World: Main Point 1: 2021 Age-Friendly Ecosystem Summit event (launched in May 2021) Our Regional Age-Friendly Municipality Partners include Age-Friendly Alexandria Jane King Age-Friendly Arlington Rachel Coates Age-Friendly DC Gail Kohn Age-Friendly Hyattsville Marci LeFevre Age-Friendly Montgomery County Marcia Pruzan Each age-friendly municipality has up to 12 domains that they can use to create an action plan (listed below). These domains include housing, transportation, outdoor spaces and buildings, health services and community support. This work has been in progress for the past decade, and more recently other age-friendly initiatives have developed. So things like the Age-Friendly Health System, Age-Friendly Public Health, Age-Friendly Universities, Age-Friendly Businesses and Employers. And here at GW, we added Age-Friendly Arts and Creativity to our Age-Friendly Ecosystem. 12 Domains of Livability for Age-Friendly Municipalities Housing Outdoor Spaces and Buildings Transportation Communication and Information Civic Participation and Employment Respect and Social Inclusion Health Services and Community Supports Social Participation Emergency Preparedness Elder Abuse Public Safety Dementia-Friendly 5 Age-Friendly Initiatives AF Health Systems AF Public Health AF Universities AF Businesses + Employers AF Arts & Creativity Creativity in Aging: Wendy Miller, PhD Author Sky Above Clouds and widow of founding CAHH Director, Dr. Gene Cohen See Me at the Smithsonian : Robin Marquis and Amy Castine 2021 Age-Friendly Ecosystem Summit Goal: Raise Awareness of Age-Friendly Initiatives 2 Day Virtual Event Day 1: Regional Leaders Day 2: Age-Friendly Municipality Best Practices A total of 13 Podcast episodes with national age-friendly leaders will be made accessible and are publicly available on this website (and some are hyperlinked above). Age-friendly initiatives such as health systems, public health, businesses, universities, and others have not been well integrated. Social innovation will be required to build a regional Age-Friendly Ecosystem that fosters a greater sense of inclusion through intergenerational civic engagement and public service initiatives. For this particular initiative, we continue to work with our five Age-Friendly partners. But we also added another center at the George Washington Honey National Center for Civic Engagement and Public Service. We began to collaborate with George Washington University's Aging and Health Program. Main Point 2: 2021 AARP/ Age-Friendly Social Innovation Challenge (October 2021) This is made possible due to the generous support of AARP. With 3,560 Applications Nationally; 244 Funded (6.8%) Goals for the AARP Social Innovation Challenge : Bring a diverse, intergenerational group of participants together for one day to design actionable strategies for how communities can be more age-friendly and Establish a website repository of our age-friendly partners Hyperlinks to Select Media Coverage: AARP Press Release AARP DC Press Release Positive Aging Sourcebook Podcast During the 1 -Day Virtual Event, 126 Attendees filled the morning and afternoon sessions to come together for Design Thinking Process and generate Innovative Ideas. EVENT OVERVIEW Prior to Event 2021 Age-Friendly Ecosystem Summit materials 1 -Day Virtual Event: 126 Total Attendees Morning Session (Invitation Only): 76 Attendees Domain Breakout Groups led through Design Thinking Process to generate Innovative Ideas Afternoon Session (Open to the public): 92 Attendees Domain Presentations of Innovative Ideas Main Point 3: Outcomes of Domain Breakout Results will be released through podcasts as Parts 2-10 of this special series. Overview/ Process and Outcomes Abuse, Fraud, and Neglect Civic Engagement and Employment Community Support and Health Services Emergency Preparedness and Resilience Housing Lifelong Learning, Respect and Social Inclusion Long-Term Care Workforce and Caregiving Social Participation Transportation --------------------------------------------------------------- If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about my work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Typically, around 85% of people will experience swallowing problems medically known as dysphasia at the end of life. Your loved ones or the people you care for can have trouble swallowing food, liquids, or both. This is a 4-part series on Alzheimer's Care and Swallowing Problems, and this episode is focused on Maximizing Independence In Eating. In Part 1, I talked about The Basics of Swallowing Problems. In Part 2, Modifying Textures + Flavor Building and Part 3, Adaptive Equipment. If you missed an episode, you can check them out where you found this one – or on my YouTube Channel, MelissaBPhD. ✔️ Main Point 1: Basics of Offering Feeding Assistance Sit with the person during meals Eat together if possible Make eye contact Offer verbal, visual, and sensorimotor cues Offer small amounts of food at a slow, consistent rate ✔️ Main Point 2: Maximize independence for Self-Feeding Verbal and Visual Cues NOSH adds Sensorimotor Cue with Handfeeding Techniques Use of finger foods if utensils are hard to manage: – Best for Regular and Mechanical Soft Diets Sandwiches Ice Cream Frozen yogurts Chicken nuggets ✔️ Main Point 3: Handfeeding Techniques: Developed for persons living with Alzheimer's Disease, but can be used for other difficulties Limited range of motion in upper arm, elbows, shoulder Tremors Limited dexterity of hands, fingers Arm weakness Lack of endurance to self-feed for an entire meal Main Point 4: General Guidelines for How and When To Use Each Handfeeding Technique Sit on the dominant side of the person you are assisting Tailor amount of support to their ability in the moment Promote self-feeding as much as possible To assist: – Start with Over Hand, – then Under Hand, – And Save Direct Hand for those who are totally dependent Many people in my studies had not fed themselves for a year or two. When we started using the handfeeding techniques with them -- many started feeding themselves again. Visit https://melissabphd.com/nosh__courses/ for videos demonstrating the different handfeeding techniques. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Typically, around 85% of people will experience swallowing problems medically known as dysphasia at the end of life. Your loved ones or the people you care for can have trouble swallowing food, liquids, or both. This is a 4-part series on Alzheimer's Care and Swallowing Problems, and this episode is focused on Adaptive Equipment. In Part 1, I talked about The Basics of Swallowing Problems. In Part 2, Modifying Textures + Flavor Building and Part 4, Maximizing Independence In Eating. If you missed an episode, you can check them out where you found this one – or on my YouTube Channel, MelissaBPhD. ✔️ Main Point 1: Selecting Adaptive Feeding Devices: Considerations What is the underlying issue? – Limited range of motion – Dexterity limitations – Improving ease of self-feeding – Reducing spillage – Swallowing problems ✔️ Main Point 2: Non-skid/ Non-slip mats -Nonskid and non-slip mats are really good for holding not just dishes. -You can put these on a wheelchair seat to prevent that from sliding out. -Use them on the bedside table if they need to get to a cup. -Use those sticky little square things and put them around toothbrush handles or maybe a razor so that the person has a bigger grip. ✔️ Main Point 3: Cups/ Mugs -Cups that have a weight in the base are perfect for preventing spills. - Use a cup with a wider base so that it's easier for them to set it down - A closed handle cup is also recommended - If the patient has too much of a tremor, find them a cup with an open handle -Nosey Cups are practical so that when you drink from the regular side of the cup and tip it up, there's a spot for the nose, so you don't have to hyperextend your neck. -Talking about lids, you could have a long spout type or short spout, and that also could have a straw hole that helps control the flow of the liquid and prevent splashing or spilling. ✔️ Main Point 4: Plate Guards -Partitioned plates have compartments and give an edge so that you can scoop each of those food items separately. -A scoop bowl or a dish with a high curved rim on one side is helpful so that the patient can use the utensil and it's lower on one side to get into the bowl and then scoop the other side. -You can modify plates and either buy the plate with the plate guard on it, or you can buy pieces that clip onto your existing plates. ✔️ Main Point 5: Utensils -The added weight on the end of the utensil's handle helps stabilize somebody's hand if they have a tremor or weak grip strength. -Coated spoons are not recommended for Alzheimer's patients who bite on the utensil every time you put it in their mouth. -Bendable utensils help maximize the person's ability to feed themselves if they have a limited range of motion. -Put a strap on the utensil so it might be like a Velcro hook or has a loop closure. -Utensil tubing lets you put it on the end of any handle and objects more than just utensils. You could put it on the end of a razor or a toothbrush. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Typically, around 85% of people will experience swallowing problems medically known as dysphasia at the end of life. Your loved ones or the people you care for can have trouble swallowing food, liquids, or both. This is a 4-part series on Alzheimer’s Care and Swallowing Problems, and this episode is focused on Modifying Textures + Flavor Building. In Part 1, I talked about The Basics of Swallowing Problems. In Part 3, I will review what Adaptive Equipment is and how to use it; and In Part 4, I will talk about how to maximize independence in eating. If you missed an episode, you can check them out where you found this one – or on my YouTube Channel, MelissaBPhD. Main Point #1 - How to choose recipes that can be adapted for a variety of textures Intergenerational considerations Ease of recipe Modifiable textures Main Point #2 - Kitchen Items to Help Prepare Foods Blender The Magic Bullet® or Nutribullet® Hand-held Blender (Immersion Blender) Food Processor Household Mesh Strainer or Sieve Baby Food Grinder Main Point #3 - Tips for Flavor building when modifying textures for meals Use Fats, Dairy, or Vegetables to build flavor. - Butter - Margarine - Sour Cream - Pureed Cottage Cheese - Cooking fats - Oils - Gravies - Whipped toppings - Heavy cream - Mashed or blended avocado - Hummus Liquids to make foods easier to swallow, such as: - Broth - Milk - Fruit Juices - Vegetable Juices - Water If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Alzheimer's Disease Care: Swallowing Problems Part I: The Basics with Melissa Batchelor Typically, around 85% of people will experience swallowing problems, medically known as dysphasia, at the end-of-life. What this means is that your loved one, or someone you care for, has trouble swallowing food, liquids, or both. This is a 4-part series on Alzheimer's Care and Swallowing Problems, and this episode is focused on The Basics. In Part 2, I will talk about how to Modify Textures + Flavor Building. In Part 3, I will review what Adaptive Equipment is and how to use it; and in In Part 4, I will talk about Maximizing Independence in Eating. If you missed an episode, you can check them out where you found this one – or on my YouTube Channel, MelissaBPhD. ✔️ MAIN POINT 1: WHAT IS A SWALLOWING PROBLEM What is Dysphagia? Some people will have trouble swallowing certain foods or liquids; others can't swallow at all Signs of dysphagia – Coughing or choking when eating or drinking – Bringing food back up, sometimes through the nose – A sensation that food is stuck in your throat or chest – Persistent drooling of saliva Complications of Dysphagia: Malnutrition Dehydration Aspiration Pneumonia Treating Dysphagia: Speech-Language Therapy to learn new swallowing techniques Change consistency of food and fluids to make them safer to swallow Alternative forms of feeding – Tube Feeding or Handfeeding ✔️ MAIN POINT 2: SWALLOWING PROBLEMS: WHO, WHAT, AND WHY ▪ Demographics ▪ Estimated that 9 million Americans experience difficulty swallowing ▪ 1 in 5 older adults; 40% of those living in nursing homes or assisted living facilities ▪ Alzheimer's Disease: 80% ▪ Parkinson's Disease: 60% ▪ Underlying Health or Chronic Conditions Nervous System ▪ Stroke, Head Injury, Parkinson's Disease or Dementia Cancer ▪ Mouth or Throat Cancer Gastroesophageal Reflux Disorder (GERD) Other Conditions: ▪ Trouble with swallowing or chewing ▪ Have trouble moving or have lost feeling in parts of your mouth, such as lips or tongue ▪ Tooth pain; Missing teeth ▪ Psychosocial Considerations ▪ Impaired social and psychological well-being ▪ Increased worry about choking in front of others ▪ Caregiver fear/ anxiety ▪ Caregiver burnout in managing the needs of unfamiliar disease ▪ Lack of comprehensive guidelines for the management of dysphagia in older adults. ✔️ MAIN POINT 3: LEARNING THE LINGO TO ADAPT FOOD AND FLUIDS Diet Consistencies: Regular Diet Mechanical Soft Diet – These foods require less chewing than foods on a regular diet. – Foods may require different textures and thicknesses, such as chopped, ground, or pureed foods Pureed Diet – Minced, Pureed, or Liquidized Foods don't require chewing, such as mashed potatoes or pudding Can also blend or stain other foods to make them smoother Liquids, such as broth, milk, juice or water, may be added to foods to make them easier to swallow. Liquid Consistencies: Pudding Thick (Extremely thick) Honey Thick (Moderately thick) Nectar Thick (Mildly Thick) Thin (Slightly thin) If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"More than 40% of people over 65 years old misperceive that Medicare covers long-term care." -Marc A. Cohen, PhD Long-term care is care across a range of settings and can include medical and non-medical services that assist individuals who cannot care for themselves for extended periods. Also, long-term care is often provided at a person's home, largely by family and friends. Thus, it's a challenge to discern whether you even need long-term care insurance coverage. If you can afford this type of policy, it's even harder to know if the insurer and the policy will still be there with adequate coverage whenever you need it. In this episode of This Is Getting Old, Marc A. Cohen, PhD., will talk about the basics of how long-term care is paid for now - and discuss future trends for the long-term care insurance industry. Part One of “Do I Need Long-Term Care Insurance? And Future Trends” How Is Long-term Care Currently Financed? Long Term Services and Supports (LTSS) are services designed to help people with functional incapacities, limitations, or cognitive issues. These circumstances limit a person’s ability to perform basic activities of daily living like bathing, dressing, toileting; all the things that one would need to be able to do in order to live independently. Unlike acute medical care, with services like hospital care, physician care tends to focus on curing people of specific ailments; long-term services and supports are designed to help people living with chronic illnesses maintain their function or reduce the decline in functioning over time. In today’s market, long-term care is financed in three major ways: ✅ Out-of-pocket: Disabled older adults and their families pay out-of-pocket for care. ✅ Medicaid: A federal-state social safety net program. Older adults must qualify for Medicaid by meeting very low income and asset thresholds. ✅ and private long-term care insurance. Is Private Long-term Care Insurance Still And/Or Going To Continue A Valuable Product For Consumers? The long-term care financing problem in the United States is enormous. People over age 65 today, around twenty-five million of them will require long-term care services and supports projected to cost trillions of dollars; including family support provided care, which is not often evaluated. When we look at the dollars spent and put a dollar value to the care provided by families, it's more than seven times what our public program, Medicaid, pays. So given that the bulk of care is provided by families, we have these situations now, where the caring family network is stretched. We used to talk about the “Sandwich Generation” - where you had an older adult caring for an elderly parent and a school-aged child— Dr. Cohen now calls this the “Panini Generation”. In other words, paying for and providing long-term care can create a situation that crushes families. Given these circumstances, we need to have more financial resources flowing into this system. The problem is so big that no one sector can handle it on its own. That means that we can't fully publicly finance long-term care —and we've already proven that it can't be a privately owned, privately funded solution. Therefore, we need roles for the public and private sector in order to find a viable solution. Part Two of “Do I Need Long-Term Care Insurance? And Future Trends.” Can Long-term Care Insurance Still Play A Meaningful Role In Addressing The Challenges Of Long-term Care Financing? And What Public Policies Need To Change For Long-term Care Insurance To Remain A Viable Product? We've seen in the private market that private insurance companies can no longer handle that “catastrophic risk” that is called “long-tail risk” or “long-term risk”. Another one is that the private insurance industry is much better at handling folks who need care for one, two, three, four, maybe five years, but they get in trouble with rating agencies who think that they're taking on uncapped liabilities. With that, the private sector has stopped providing coverage. So the long and the short of it is that each financial option has a clearly defined role. The private insurance sector has to worry about developing insurance products that will work based on their terms. The public sector takes on the predominant part of the risk—the catastrophic. The idea is that by doing that, older adults can put together a package of comprehensive insurance that starts with the private sector and moves to the public sector. "It's no longer an accident that we live long lives —we expect to live long lives, but that brings functional impairment and cognitive impairment levels that we haven't seen. And because the long-term care financing problem necessitates bold action, it's going to require bold action." -Marc A. Cohen, Ph.D A Catastrophic Public LTSS Insurance Program Can Significantly Help The Market Thrive And Meet America's LTSS Financing Challenge. The notion of “catastrophic public long-term services and support” is an idea that proposes financial help would be variable, depending on your economic circumstance. For example: ✅ If you're lower middle class, the public program would pay after you need care for one year. ✅ If you are a little bit wealthier, you would pay for the first two years with your savings or insurance, and then the public program would kick in. ✅ And if you're wealthy, then potentially you have to worry about the first four years of care, and then the public program provides coverage. What's nice is there are a couple of good things about this scenario: ✅ First of all, when you have a well-defined public role, it will help people understand, "Oh, I've got some personal accountability or responsibility for worrying about whether it's one year, two years, or three." ✅ Number two is about how the middle-income folks accessed Medicaid because they spent down their income and assets. Well, if you have an insurance solution for those folks, that means you have fewer claims on the social safety net. This further means that states will have some pretty significant savings to their Medicaid programs. So it'll be relatively attractive to states and the people accessing Medicaid—people for whom there are no insurance alternatives and no savings alternatives. ✅ The third thing that it does is that it will stream new money into the system. All of us know what happened during the pandemic, especially in the beginning when the pandemic ravaged elders in nursing homes in particular. Part of the issue is that we have underfunded the entire long-term care system. So there has not been enough money to support levels of wages that we need to attract and keep people working, develop career ladders, pay for high-quality care and safety. A public insurance program with private insurance filling in the gaps and savings will stream more money into the system and will have everyone benefit from a better system. Congress.gov will have information on The WISH Act proposed by Rep. Tom Suozzi (D-NY-3) shortly! About Marc A. Cohen PhD Marc A. Cohen, Ph.D. is a Professor of Gerontology at UMass Boston and the Co-Director of the LeadingAge LTSS Center @UMass Boston. He is also a Research Director at the Center for Consumer Engagement in Health Innovation at Community Catalyst. Before joining UMass in 2016, Dr. Cohen founded and led LifePlans, Inc., a long-term services and support (LTSS) research and risk management company. Over his 30 year career, Dr. Cohen had conducted extensive research on LTSS financing and delivery issues, testified before Congress, served on an appointed Massachusetts' LTSS financing task force, and chaired a study panel on designing state-based LTSS social insurance programs. He has been quoted extensively by major news outlets and is viewed as a thought-leader on issues affecting eldercare financing. He received his Ph.D. from the Heller School at Brandeis University and his Master's Degree from the Kennedy School of Government at Harvard University. Connect With Dr. Marc A. Cohen through the following social media platforms: Twitter: @UMassBoston @LeadingAge @CCEHI @CommCatHealth Facebook: @UMassBoston @communitycatalyst @LeadingAge Instagram: @UMassBoston @LeadingAge For more valuable resources, check out the episode of Elder Care: Past and Future with Joanne Lynn, MD, MA, MS, and Carrie Graham, PhD, MGS. Watch the full episode here: https://youtu.be/4S8ongyzMco About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as an FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Bladder Infections: To Treat or Not to Treat in Older Adults? “Asymptomatic bacteriuria in long-term care is more common than actual Urinary Tract Infections. About 35 to 40% of men and about 50% of women in long-term care have it—that's even higher for women with urinary incontinence.” -Jamie Smith, MSN, FNP ____________________________________________________________________ When someone is aged and frail, the risk of a bladder infection is higher, raising the chances of delirium, hospital admission, or even death. In this episode of This Is Getting Old: Moving Towards An Age-Friendly World, Jamie Smith, a Family Nurse Practitioner in geriatrics and nursing home care, describes bladder infections and things you and healthcare professionals should know about helping the older adults decide whether or not to treat with antibiotics. Part One of 'Bladder Infections: To Treat or Not to Treat in Older Adults?' What Is A Bladder Infection? A Urinary Tract Infection (UTI) a bacterial infection within the bladder. It's an acute illness that affects the genitourinary system and is commonly known as a “bladder infection” - and means you have an infection of your genitourinary system, so your bladder, kidneys, ureters or urethra with a “positive urine” with a urine sample. The typical symptoms include: burning sensation with urination, abnormal urgency and frequency in urination. In addition, you may have severe pubic pain or “gross hematuria” (where your pee turns different colors like pinkish or reddish). Asymptomatic Bacteriuria (ASB), also known as a colonized state. ASB is where you have a positive urine sample, but lack the typical genitourinary symptoms that go along with a UTI. The presence of bacteria in ASB is in quantitative counts of ≥ 100,000 colony-forming units/milliliter (CFU/mL) or ≥ 100 CFU/mL in a catheterized specimen. Thus, in the absence of urinary tract symptoms, asymptomatic bacteriuria is determined by white blood cells in the urine. "It's critical to differentiate between UTI and colonized state because when you give antibiotics to older adults, that increases their risk of antibiotic resistance, drug to drug interaction, and increased health care cost." - Jamie Smith, MSN, FNP. To Treat or Not To Treat? Telling the difference between a UTI and ASB is tricky in older adults, especially those in long-term care facilities because localized genitourinary symptoms are far less pervasive in them. Consequently, there have been differences in treatment protocols from place to place regarding a bladder infection. ✔️ Differences in Protocols For Treatment at ER/ Hospital vs Long-term care settings Whenever a family member requests a patient to go out because they're confused about whether it's a UTI or ASB, one of the first things the ER does is check a Complete Blood Count (CBC) and a Basic Metabolic Panel (BMP). Even if the urine has trace amounts of bacteria, let's say the patient is confused that they can't tell if there are any genitourinary symptoms, the ER will typically go ahead and prescribe an antibiotic. ✔️ Protocols for Treatment at Skilled Nursing Facilities or at Home Bladder infection treatments are different in long term care facilities or at home because the staff or family members can tell if the older adult is having symptoms. If the older adult is not having any symptoms associated with the urinary tract, that's classified as colonized. We don't treat colonized states because we look at Loeb's or McGreer's Criteria, and if they don't qualify, we don't treat them because of the risk of harm by giving them an antibiotic. Risks of Harm in Older Adults It's imperative to differentiate between UTI and ASB (colonized state). Because when you give antibiotics to older adults, that increases their risk of Clostridium difficile (C. diff), antibiotic resistance, a drug to drug interaction, and increased health care cost. Part Two of 'Bladder Infections: To Treat or Not to Treat in Older Adults?' Role of Cognition in Treating Asymptomatic Bacteriuria Remember that treating ASB is not always straightforward. Long term care patients sometimes will have a cognitive impairment, and they can't always tell you if the symptoms are there. There are several tools that you can use. The AMDA Watchlist, for instance, is a urinary tract infection flip manual. This one-pager watchlist can be used by staff or family members, and it helps care providers figure out if it's a UTI or colonized state. Read the full article at www.MelissaBPhD.com/podcast-blog…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"Atypical Presentation of Illness when an older adult has an illness or condition that doesn’t show up in the typical textbook definition/ ways." - Jamie Smith, MSN, FNP “Mrs. Jones just isn’t ‘right’ today”. Subtle, non-specific changes in an older adult may be the first sign that family members and caregivers see when an older adult is developing an illness. In today’s episode, we will talk about how changes in mental status (hypo- and hyperactive delirium) can be the first sign of an infection, how some infections are show up differently for younger and older adults (e.g., bladder infections), and how depression shows up differently for younger and older adults. Jamie Smith MSN, FNP, in this episode of This Is Getting Old: Moving Towards an Age-Friendly World, highlights some salient points on how to recognize atypical presentations of illness among older adults. Part One Of 'Atypical Presentation Of Illness In Older Adults'. What Is Atypical Presentation Of Illness? Conventional healthcare education teaches the typical symptoms of common illnesses. However, for older adults, these common illnesses do not show up in the same way. The symptoms are usually subtler and less specific than in younger adults and often are first noticed as a change in mental status, energy level or function (such as a fall or a new onset of losing control of their bladder (incontinence)). Atypical Presentation of Illness means that an older adult will have little or no typical signs and symptoms that usually indicate a specific illness or diagnosis. Failure to investigate atypical presentations in older patients, and identify the true medical problem, may result in undesirable outcomes, inaccurate diagnoses, and the wrong treatment for the illness. Delirium is one way an illness may show up (or “present”) and has been attributed to adverse health outcomes. The Seriousness Of Deliriousness: Delirium In Older Adults What is Delirium? Delirium usually develops quickly in a matter of hours or days. Thus, healthcare providers should be well aware of the signs and symptoms of delirium. Doing so may help them recognize atypical presentations of illness and at best help curtail severe medical conditions. Delirium is characterized by a sudden change in attention, awareness, and cognition. Delirium may be hypoactive (meaning the person may be more tired or sleepy than usual but the changes in behavior are subtler) or hyperactive (meaning the person is trying to crawl out of bed or some other active, agitated behavior). Accurately diagnosing delirium in a patient population prone to dementia, depression, fatigue, and other conditions whose symptoms can mirror those of delirium can be challenging. It is estimated that between 32-66% of delirium cases are missed by healthcare professionals. This failure to diagnose delirium has two significant consequences for patients. ✅ First, the patient is presumed to have a condition, often dementia, that they do not have, which leads to false assumptions about prognosis and the possible ordering of inappropriate treatments. ✅ Second, and of equal importance, missing the diagnosis of delirium may cause clinicians to fail to investigate its underlying medical causes. Delirium may indicate a life-threatening condition. It carries an increased risk of functional decline and falls, cognitive decline, recurrent hospitalizations, and mortality. In addition, it can take months to clear, and some older adults may never regain their prior functional level. What does Hypoactive Delirium look like? Symptoms Of Hypoactive Delirium Hypoactive delirium is often missed because it doesn’t create a problem for others - basically, this type of delirium is characterized by reduced motor activity, sluggishness, seeming to be in a daze, lack of interest in anything, and reduced alertness. Symptoms in older adults include: ✅ The person "isn't right" – a sudden change in thinking/ mental status, tired (lethargic), staying in bed. ✅ May or may not have a fever ✅ Change in baseline vital signs (heart rate, weight loss, change in appetite) Things that can cause hypoactive delirium include: ✅ Constipation ✅ or an underlying infection Symptoms Of Hyperactive Delirium Hyperactive delirium gets attention! This type of delirium is characterized by increased motor activity, wandering hyper alertness, rapid speech, irritability, and combativeness. Among older adults, common symptoms include: ✅ Behaviors are trying to get out of bed, fighting, fluctuating mental status. Read the full article at www.MelissaBPhD.com/podcast-blog…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
I’ve taken care of thousands of older adults living with Alzheimer’s disease and ultimately dying either with or from this devastating disease. I hope the information in this podcast will help you to be prepared as your loved one moves through each stage of the disease. There is some variation in what different people think are the Stages of Dementia. I am of the mindset (pun totally intended) to keep things simple – so I think of this disease in 4 stages: Early-, Middle-, Late- and End-Stage; or Mild, Moderate, Severe and ultimately the dying process. Late-stage Alzheimer’s – or Severe At this stage, the person is going to have severe symptoms and rely on others for all care. They lose the ability to carry on a conversation, respond to their environment, and eventually lose the ability to control movement. Common symptoms or difficulties in this stage include: ✔️ Difficulty communicating with words; which leaves their behavior to tell us what they might need. ✔️ Requiring around-the-clock assistance ✔️ Lose the ability to walk, sit and eventually they will have a hard time swallowing. In fact, nearly 80% of people in late-stage dementia will develop some form of an eating problem. ✔️ And because of the swallowing problems, they are at a higher risk for aspiration or bladder infections In the late-stage of this disease, the person will likely have trouble initiating engagement with you or their loved ones, but they still benefit from interacting in ways like listening to music together, singing, or receiving assurance through gentle touch. This is the time for caregivers to explore community services and supports like palliative and/or hospice care. If/when the time comes and your loved one is having trouble swallowing, I recommend working with a Speech Therapist to determine the best type of diet. This may range from mechanical soft foods to pureed and some level of thickened liquids to minimize the risk of aspiration. You should also seek the support of a local palliative care provider to help guide you through the end-of-life that is inevitable with this disease. No one has ever survived Alzheimer’s disease. That means it is terminal illness – and you will either die with Alzheimer’s disease - or from it. It is a highly emotional time for loved ones, but when you die from Alzheimer’s disease, your loved one will not starve to death – they will die from Alzheimer’s disease. Think about how nature handles death. Many forms of life stop eating and drinking when death is near, and this is not a painful process. Feeding tubes are not recommended in Alzheimer’s disease because it is a terminal disease. Evidence has shown that feeding tubes don’t do the things that most families wish they would: They do not decrease a person’s risk for aspiration or infection; they don’t improve quality of life, in fact, they are often pulled out which results in a trip to the emergency room or being hospitalized. It’s not natural to have a tube hanging out of your body and when your brain has failed, you don’t understand what it’s doing there and it’s natural to try to pull it out. If you find yourself in the situation of having to make a decision about a feeding tube, I’d like for you to learn more about handfeeding. Handfeeding is recommended over tube feeding until death. Offering supportive handfeeding using three different handfeeding techniques allows you to connect with your loved one - and offer food and fluids in the safest way. You can learn more about the handfeeding techniques by checking out my video titled “How to Help a Person with Dementia to Eat”. End-Stage Alzheimer’s Disease – The Dying Process At a certain point, your loved one will enter the dying process. In this final phase of life, you will want to have a palliative care or hospice provider guiding the care of your loved one. Here are criteria that are generally used to mark End-stage Alzheimer’s disease. At this point, your providers should be asked if they would be surprised if your loved one passed away in the next six months. A life expectancy of six months or less, along with these other key symptoms typically mean the person has transitioned to dying. ✔️ They are bedridden, meaning they are no longer able to walk or sit upright ✔️ Total loss of control of both their bowels and bladder ✔️ Difficulty swallowing or choking on food or fluid ✔️ Weight loss or dehydration due to the challenges of swallowing when eating/ drinking ✔️ Not able to speak more than six words per day ✔️ Another chronic condition such as congestive heart failure, cancer or COPD. ✔️ An increase in trips to the emergency room or hospitalizations ✔️ A diagnosis of pneumonia or sepsis Alzheimer’s disease is one that makes us all take one day at the time and live in the present. It can be a very long process, so I hope this information and recommendations for finding support have been helpful.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Welcome to This is Getting Old: Moving Towards an Age-Friendly World, I’m your host Melissa Batchelor, and today I’ll be talking about What are the Stages of Alzheimer’s Disease? I’ve taken care of thousands of older adults living with Alzheimer’s disease and ultimately dying either with or from this devastating disease. I hope the information in this podcast will help you to be prepared as your loved one moves through each stage of the disease. There is some variation in what different people think are the Stages of Dementia. I am of the mindset (pun totally intended) to keep things simple – so I think of this disease in 4 stages: Early-, Middle-, Late- and End-Stage; or Mild, Moderate, Severe and ultimately the dying process. The stages are helpful for understanding the overall picture of what to expect with a person’s ability and should be used as a general guide. I see people all the time trying to peg a loved one into one of the 7 stages and wants to know if the person is leaving Stage 4 and entering Stage 5. At the end of the day, you are going to have to adapt the care provided to the moment and the person in front of you, regardless of stage or progression. There’s often a lot of overlap and I recommend you don’t get caught up in the specific stages – even if you’re using these three. Here’s what we know about Alzheimer’s disease – it’s a progressive, neurodegenerative disease, meaning your brain fails over time. When your brain fails, that means your ability to do anything for yourself is going to fail by time you get to the Late-Stage. How quickly a person deteriorates varies – and can range from 4-8 years, and up to 20, depending on how healthy the person is otherwise. Early-Stage Alzheimer’s – or Mild In the early stages, a person may be able to function pretty independently. They may be able to drive familiar routes, work, and participate in social activities. The symptoms may not be very apparent at this stage, but family and close friends may notice some changes such as forgetting familiar words – See my Podcast on the Ten Warning Signs – or where they put things. Common symptoms or difficulties in this stage include: ✔️ Trouble remembering names when introduced to new people ✔️ Coming up with the right name or word – particularly nouns ✔️ Losing or misplacing valuable or commonly used items ✔️ Have trouble with planning or organizing ✔️ Have difficulty performing tasks at work Middle-stage Alzheimer’s – or Moderate The middle stage is the longest stage and can last for many years. During this stage, the symptoms are going to be much more apparent, and the person is going to need a greater level of care. The person may get confused or angry or act in unexpected ways – like refusing to bathe. The person is going to have more trouble expressing thoughts, may confuse words or have trouble performing routine tasks without assistance. Common symptoms or difficulties in this stage include: ✔️ Being moody, think mood swings; especially in mentally or socially challenges situations ✔️ Will have much easier time recalling information from long ago and have more difficulty with short-term memory - meaning they can remember childhood or young adulthood memories but can’t recall what they had for breakfast. ✔️ They may be more confused about what day it is – or where they are. We lost our orientation to time first, then place, then person; meaning they will know who they are for longer than they know where they are or what year/ season they are in. ✔️ They may need help choosing clothes that are appropriate for the season or the occasion ✔️ Trouble with bowel or bladder; or may get their days and nights mixed up. ✔️ May wander more and get lost easier. ✔️ May have personality or behavioral changes – such as delusions, compulsiveness or suspiciousness or they may have more repetitive behaviors like wringing their hands or shredding tissues In the middle stages, the person can still participate in activities of daily living, like bathing, grooming or getting dressed, but they will need assistance. You should adjust the amount of care you provide based on what the person can do in the moment and simplify tasks if you can. Care will get more intense over time, so know what resources you have in your community like Adult Day Care or Respite Care so you can get a temporary break from caregiving while your loved one is in a safe place. Alzheimer’s disease is one that makes us all take one day at the time and live in the present. It can be a very long process, so I hope this information and recommendations for finding support have been helpful. Thank you for watching this video and/or listening to the podcast today.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Alzheimer’s Disease and Living Alone: Four Signs Someone May Not Be Safe at Home Alone Welcome to This is Getting Old: Moving Towards an Age-Friendly World, I’m your host Melissa Batchelor, and today I’ll be sharing Alzheimer’s Disease and Living Alone: Four Signs Someone May Not Be Safe at Home Alone – and what you can do about it. A lot of people have asked me what some of the signs are that a loved one may be experiencing memory loss, when the person lives alone or you don’t live close by to see them every day. When someone lives alone, it’s easier for them to cover up memory problems. You may have to get a trusted friend or neighbor to check on your loved one if you can’t be there in person. If you are concerned about someone living alone and whether or not they are in need of help, here are 4 changes you can consider and questions to think about: #1: Changes in Phone Calls: When you talk on the phone, does the person ramble or repeat information? Does the person forget what they were saying, and are unable to pick back up on the train of thought when you provide a few details of what they were saying? Do they repeat the same story each time you call, as if it were new? Are you getting fewer phone calls from a person who usually calls you regularly? Or too many calls? Or maybe calls that are late at night or early in the morning? #2: Changes in Emailing or Writing: If a person was on social media or emailed you before, have they stopped doing that? When they write something, does it appear to be rambling that’s uncharacteristic of the person? If they send you a handwritten note, has their handwriting changed? #3: Changes in Personality or Habits: Has your loved one started to become uncharacteristically negative or pessimistic? Have they stopped going to social or family events, when they used to be out and about? Do they seem withdrawn or sad? More isolated? Are they neglecting themselves – so not showering or getting dressed? Not brushing their teeth or hair? #4: Changes with Meals or Medications: Maybe the person is missing medications or taking medications wrong. As a clinician, unplanned weight loss was often the first sign that a person was experiencing memory problems. They have been forgetting to eat or missing meals. When offered a hot meal, would they rather eat sweets? Do they forget to turn the oven or stove off when cooking? What Can You Do? If you’re loved one is experiencing one or more problems in these 4 areas, it would be wise to consult with your primary care provider. They are likely not safe, or becoming not safe, to live alone. These signs may be indicative of a major safety issue, so better to address them sooner rather than later, to avoid severe or even fatal accidents. You can also contact the Alzheimer’s Association Chapter in your community or your local Area Agency on Aging. These two organizations will typically know who can help families who are providing care at a distance and can give you valuable information and connect you to services. Thank you for watching this video or listening to the podcast today. I hope these 4 Signs, questions, and recommendations have been helpful to you.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Alzheimer’s Disease and Driving: Five Signs that It’s Time to Take the Keys Welcome to This is Getting Old: Moving Towards an Age-Friendly World, I’m your host Melissa Batchelor, and today I’ll be talking to you about Alzheimer’s Disease and Driving: Five Signs that It’s Time to Take the Keys. There may come a time when you realize that your parent, or spouse, or loved one isn’t able to drive safely anymore. The tricky part is this delicate balance between allowing them to keep driving and knowing when to take the keys. In the early phase of Alzheimer’s disease, or dementia, many people may be able to continue driving familiar routes, say back and forth to the grocery store or the bank. For most “experienced drivers”, driving is a skill so well learned that it is partly “automatic”. The problem is going to come in when the driver needs to make a quick decision to avoid an unexpected hazard or situation. In fact, a common sign that a person is experiencing a problem with their thinking or memory is indeed a car accident. Some people will recognize that they are having more difficulty and give their keys up. Other people may fight you to keep the keys. If that’s the situation you find yourself, as a caregiver in, here are some things to have evaluated that can help you make an informed decision, rather than feeling like you’re being the “bad guy”. Here are the seven things you need to have evaluated. These things can be checked out by working with your primary care provider, seeing if there’s an occupational therapist in your area who evaluates driving skills, and/or your local DMV. #1: Good vision: Not only will the person need to have good vision, even if corrected by glasses. This includes not only short- and long-distance vision, but also peripheral vision. If you’ve listened to my podcasts before, you’ve heard me say that by the time a person is in their 70’s or 80’s, they will normally lose 20-30 degrees of peripheral vision. Being aware of this means you’ll need to be turning your head to check both ways when driving – even if you don’t have Alzheimer’s disease. #2: Good hearing: Hearing is also another critical aspect of driving – being able to hear car horns, approaching cars, and warning signals. Wearing your hearing aids while driving, if you need them, is going to be important; or having your hearing evaluated to see if you need hearing aids. #3: Alertness to what’s going on around them: All drivers have to be alert to what’s going on around them, from multiple directions. Problems with memory or thinking may get upset or confused and/ or miss things in their surroundings if they are having to put all of their mental energy into looking at the road ahead. #4: Quick reaction time: Drivers need to be able to react quickly, to brake and/or avoid accidents. If you notice that your loved one is slow to react, slowed down, or seems to react to sudden changes inappropriately, it could also interfere with their ability to drive. #5: Ability to make quick decisions: Drivers need to be able to make quick – and appropriate – decisions quickly and calmly. Making a correct decision when confronted with a sudden change, and doing so without panicking or getting upset may be another sign it’s close to time to take the keys. I’d recommend that if you are seeing a problem with any of these 5 things, to get the help of a provider, driving safety school or your local DMV. Rather than getting into a fight with your loved one, let one of these other people take on the role of the “bad guy”. This will take the pressure off of you, and they may listen better to a person in a position of authority – rather than thinking you are being mean or antagonistic. At the end of the day, the main job of anyone in a caregiving role for a loved one living with Alzheimer’s disease is to maintain the relationship and not get into a pattern of “resistance being met with resistance”. Thanks for listening to this podcast or watching the video – I hope these 5 things will help you know when it’s time to get help and take the keys to keep your loved one safe – and others on the road.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Nursing Homes During COVID "There are published checklists for how to determine the quality of care a facility can deliver. But most of that's gone out the window because COVID has changed everything." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN ____________________________________________________________________ As of February 2021, 35% of COVID-19 deaths in the United States have occurred among the nursing home population - and these deaths include residents and staff. For over a year now, family caregivers, volunteers, and/ or paid companions have not been allowed to enter nursing homes. The pandemic highlighted many problems that already existed in our nation’s nursing homes, particularly related to staffing. Many facilities struggled with short-staffing prior to COVID - but COVID has amplified staffing shortages and residents are suffering; and some have died as a result. Providing a paid Companion has always been one option for ensuring 1:1 care in a facility for your loved one. Although families do have to pay for this out-of-pocket, some facilities are still not allowing companions into the facility - over a year into the pandemic. In this episode of This Is Getting Old: Moving Towards an Age-Friendly World, Kenya Beard, Associate Provost for Social Mission and Academic Excellence at Chamberlain University, will share her experience of losing her Mom due to COVID while in a nursing facility. Part One of 'Nursing Homes During COVID'. It's difficult to lose someone you love while still dealing with the horrors and uncertainties of the COVID-19 pandemic. Kenya and her family went through then when their mom was infected with COVID during what was supposed to be a short-stay rehabilitation experience. Instead, she ended up dehydrated and hospitalized from her stay; and ultimately, died. The Story Of Kenya's Mom: A Tale of How COVID Impacted Nursing Homes COVID took the whole world by surprise. We were not prepared, and it exposed a lot of leaks in the healthcare system and exaggerated other leaks that were already there. The nursing home facility that Kenya's mom was in did not allow companions that the family was willing to pay for in order to get 1:1 care for their mother - they essentially tied their hands behind their backs. It all started when Kenya's mom fractured her ankle. She had this injury treated and was ok for several years. However, she woke up one morning in early 2021 with horrific pain, crying. Kenya and her sister hesitated to bring her to the hospital because of the pandemic. But the pain was so excruciating that they were left with no other options and she was taken to the emergency room. Unfortunately, from being in bed for so many days, Kenya's mom declined and deconditioned. Since her sister wasn't comfortable having a physical therapist come into the home (because she had a bubble that she wanted to protect and keep everyone else safe, too), they decided to allow their mom to go into a nursing home. While in the nursing home, January this year, Kenya's mom tested positive for COVID. Kenya was very upset - because they assured her in the beginning that they had guidelines in place to protect individuals from getting COVID. Here comes the sad part of the story, Kenya knew her mother needed assistance, and she felt that if the facility put her into isolation because of COVID, that would not get the care that she needed. So she asked the nursing home Administrator if they (the family) could hire a companion. The nursing homes’s Director of Nursing said, “Oh, I don't think we can. If you can find a facility for me that's doing it, let me know." "The nurse (in the hospital) held the phone for half an hour so we could see my mother. She never said, ‘I have to go. You guys have to wrap this up’ - she stayed with us on the phone all that time." —Kenya Beard, EdD, AGACNP-BC, CNE, ANEF, FAAN Kenya made phone calls over the weekend and asked several facilities about whether or not they allowed companions. She even reached out to the Department of Health (DOH) to verify the guidelines regarding companions for older adults in nursing homes. Although the DOH responded that they don't have some guidelines and it's up to the facility, they still refused to have a companion for Kenya's mom. Instead, they assured her that everything would be handled. The next couple of days, Kenya received a call from the nursing home supervisor asking for permission to start an IV because her mother is dehydrated. When she got off the phone, Kenya called the Department of Health and filed a complaint. A few days later, they received a call that the facility was going to have to send her mom to the emergency room. Her sodium had come back at 167 and her mental status had declined. Three days later, Kenya's mom died. Part Two of 'Nursing Homes During COVID'. Nursing Homes During COVID: Where Do They Need Help? The pandemic has put further pressure on the primarily frail nursing home facilities, which have long struggled with staff turnover, persistent personnel shortages, and elevated burnout. To safeguard nursing home residents from the pandemic's long-term effects, we must first consider how COVID-19 has impacted employees' day-to-day jobs and the areas where they need help. Staffing Issues While the effect of COVID-19 on older adults has received a lot of coverage, there has been even less reflection on how the pandemic has affected long-term care workers' careers and responsibilities. Short-staffed facilities resulted in poor resident outcomes, even death. COVID has put such stress on the staff. Even people that have worked on a long-term care corporation for 30 years are like, “I'm out of here. I can't do it anymore.” Transparency For Allowing Companions Guidelines for allowing companions for older adults in nursing homes has not been required to be transparent for older adults and their families during the COVID outbreak. Who suffers the most with these decisions to prohibit companions? The older adults. State To State Variation On Guidelines And Protocols Nursing home administrators have spoken about the difficulties in handling variations in implementing COVID health safety protocols on top of adhering to the regulated rules and guidelines. Many administrators complained that policies from state authorities were ambiguous and inconsistent at times. "If you are a skilled nursing facility, you are required to have one registered nurse on duty, 24/7." —Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Corporation To Corporation Variation Corporations primarily own nursing homes, and while they have to follow federal and state guidelines, the important thing to know is how each individual facility is implementing policies and procedures related to companions and visitation. Individual Leadership Within A Nursing Home Nursing home administrators and directors of nursing have been faced with incredibly trying times for the nursing home industry. They have had to be flexible and try to balance the priorities of families, residents, and all the layers of regulation (federal, state, corporate office). Some individual leadership decisions have resulted in adverse patient care outcomes. What To Learn From The Nursing Home During COVID Experience? COVID has taught us many lessons. The most important of which is to cherish the ones we loved more than anything else. COVID won't be the last pandemic or infectious disease that we're going to have to deal with in this country. So what lessons should we learn so the same situations won't happen again? Know Your Rights, Know The Rules The number one thing people need to know before they put a loved one in a facility is you have the right to ask if you can have a companion. Put your loved one in a facility that allows for companions if you cannot be there. The pandemic has been going on for 14 months - it’s time to create better road maps for taking care of our older, most vulnerable loved ones. Now; and in the future. About Kenya V. Beard, EdD, AGACNP-BC, CNE, ANEF, FAAN: Kenya V. Beard, EdD, AGACNP-BC, CNE, ANEF, FAAN, is the Associate Provost for Social Mission and Academic Excellence at Chamberlain University. As a 2012 Macy Faculty Scholar, she propagated research and best practices that advanced the needle on diversity, inclusion, and health equity. She supported schools in the development of a multicultural curriculum that empowers all learners. In her former role as Senior Fellow at the Center for Health Policy and Media Engagement at George Washington University School of Nursing, she wrote blogs and co-produced health care disparity segments for the Center's radio program, HealthCetera, on WBAI-FM for an audience of over 400,000 diverse listeners. Her webinars, blogs, workshops, research, and publications speak to the critical need for authentic race-related discourse. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Have you ever had a conversation with your healthcare provider about how the food you eat impacts your overall health? Historically, healthcare providers have not received training to have this conversation but Culinary Medicine is poised to change that. As the world’s most comprehensive curriculum for physicians, healthcare professionals, patients and community members, Health meets Food is changing that. Join us to learn more about how Health meets Food and the Culinary Medicine program from my guest, Dr. Timothy S. Harlan, MD, FACP. He's a Professor of Medicine in the Division of General Internal Medicine and Director of George Washington University's Culinary Medicine Program. Part One of 'Health Meets Food: Culinary Medicine. Food as a wellness tool isn't a novel concept. As a model of education, Culinary Medicine encourages people of all ages and backgrounds to transcend traditional obstacles to healthy eating and is a new take on medication. What Is Culinary Medicine? Culinary Medicine is a modern evidence-based discipline that combines the principles of medication with the creativity of food preparation. Culinary Medicine is a novel instructional and nutritional solution to changing dietary habits that focus on food shopping, food preparation, preservation, and meal planning. Why Is Culinary Medicine Necessary? What we ingest affects our health and wellbeing. The origins and variety of food you've eaten influence any of this. Numerous findings show that home-cooked meals and higher consumption of fruits and vegetables are linked to a healthy lifestyle. However, new research suggests that Americans are dining out more (at a 42% rate of increase) and cooking less at home (at a 25% rate of decrease). "Programs at Culinary Medicine teach medical students, practicing physicians, nursing students how to cook, how to eat healthily, and how to have the conversation of healthy eating with their patient." Dr. Tim Harlan, MD, FACP How Has Culinary Medicine Came To Be? The Health Meets Food program was created with the help of George Washington University to transform the way healthcare practitioners and their patients talk about food and health. About 50 medical schools and hospital-based internship programs in the United States utilize the program. Good outcomes in diet and lifestyle therapies have been identified among student nurses, nurse practitioners, patients, and practicing healthcare professionals. " The bold pie in the sky for the future of Culinary Medicine is that we will see an environment where every medical school and probably almost every hospital has a Culinary Medicine program. They have a teaching kitchen, and are teaching patients, community members, their staff, their faculty, their physicians, their nurses, teaching them how to cook great food, " says Dr. Tim Harlan, MD, FACP Part Two of 'Health Meets Food: Culinary Medicine. The Culinary Medicine Conference 2021 (June 4 – June 6, 2021) | Virtual Event The 2021 Culinary Medicine Conference – June 4-6, 2021 (7th Annual) – virtual this year – target audience is healthcare professionals and is targeted towards chefs and food services, lay public – open to anyone. The big theme this year is culture change. How, especially in health care, health professionals change the cultural environment that helps deliver culinary Medicine and nutrition type programing for patients? The keynote speaker is a New York Times best-selling author, Dr. Marion Nestle, who's going to talk about the food industry. The Saturday program includes another rock star, Dr. Robert Lustig, an expert, and a pediatric endocrinologist at the University of California, San Francisco. He has done a lot of work about the tremendous impact of sugar, especially high fructose corn syrup, on the obesity epidemic in America. Moreover, there will be more professionals from the industry coming to speak about how they're changing the culture of their companies—how hospitals are changing their culture. But then there are also hands-on cooking classes and Skills Building Sessions that will all be done via Zoom. I will be part of this conference on June 4, 2021. Along with Chef and Registered Dietician, Jodi Balis, we will co-moderate one of the skills-building sessions to optimally help patients who need different textures, say kids and/ or older adults who might need foods of different textures to help them eat. "Health professionals need to know a lot about food to help their patients be their best." Dr. Tim Harlan, MD, FACP Additional Resources: Here are some resources if you're interested to learn more about Culinary Medicine. Sign up for your newsletter at culinarymedicine.org (Zest newsletter) The Certified Culinary Medicine Specialist (CCMS) Certification Program Free Culinary Medicine CME Partner Sites for a local/ regional program from the culinarymedicine.org About Dr. Timothy S. Harlan, MD, FACP: Timothy S. Harlan, MD, FACP, is a Professor of Medicine in the Division of General Internal Medicine and Director, GWU Culinary Medicine Program. Dr. Harlan practiced Internal Medicine in New Orleans. His love of food began as a teenager working in the restaurant business. Starting as a dishwasher, he worked his way up to managing his first restaurant by eighteen and owning his first restaurant at twenty-two. After operating Le Petit Café as a chef/owner, he closed the restaurant to return to school. Dr. Harlan originally intended to pursue a degree in hotel and restaurant management, but events led him toward Medicine and the decision to become a physician. In medical school, Dr. Harlan wrote “It's Heartly Fare”, a food manual for patients with cardiovascular disease. Since then, he has published numerous books focusing on translating evidence-based diet and nutrition information for the lay public. He is the publisher of the popular Web site DrGourmet.com where information from the Mediterranean diet literature is summarized in a practical way for the American kitchen. He served as Associate Dean for Clinical Services at Tulane University School of Medicine is the Executive Director of the Goldring Center for Culinary Medicine, the first of its kind teaching kitchen operated by a medical school. The center offers an innovative program teaching medical students about diet and lifestyle that bridges the gap between the basic sciences, clinical medicine, the community, and culinary education. Medical students work side-by-side in the kitchen with culinary students to teach each other and, most importantly, teach the community and patients how to return to their kitchens and transform their health. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Welcome to This is Getting Old: Moving Towards an Age-Friendly World, I’m your host Melissa Batchelor, and today I’ll be talking about Five Things “The Father” Teaches Us About Alzheimer’s Disease A friend of mine recently reached out and asked me if I’d seen “The Father” yet with Anthony Hopkins and Olivia Coleman - Anthony Hopkins won the Oscar for Actor in a Leading Role. I have to say, I agree with this win. The movie plot is a daughter trying to provide care for her father who is living with progressive memory loss – so some form of dementia. Here are some things about what this film can teach us about providing care to a person living with Alzheimer’s disease or a related dementia and you can learn more by checking out my podcast “What are the Stages of Alzheimer’s Disease; Part I” where I talk about the common symptoms or difficulties you will see in the Early- and Middle-Stages of the disease. #1: Misplacing or Hiding Valuable or Commonly Used Items The father has several places around the house where he hides his watch and other valuable items. The caregivers know his hiding places and are able to redirect him to finding his watch that he accuses others of stealing. He’s suspicious and is fixated on his watch. You never know what someone will fixate on or why that object becomes so important to them, but rather than getting upset about it, you’re better off to address the underlying emotion being shared at the time – whether it anxiety or worry – rather than getting into a fight with them about how they are wrong. #2: Mood swings when confronted with a mentally or socially challenging situation The father has angry, explosive outbursts with his caregivers – in fact, he’s run 3 of them off in the film before the 4th one arrives. I’d recommend reviewing my podcast, Seven Tips for Managing Behaviors in Alzheimer’s Disease; How to Manage Anger and Aggression, and How to Manage Repetitive Behaviors. His behavior is driven by trying to control the situation and having trouble communicating with his caregivers. He is frustrated when words don’t work and you're experiencing brain failure, angry and aggressive non-verbal behavior to try to get his way. #3: Loss of orientation to time, then place, and eventually person I think it was a great play to have this character fixated on his watch. He is obviously already disoriented to time and place, in that he believes he is in his own flat when he hasn’t lived there for years. Before the end of the film, he’s not sure who he is anymore and his caregiver has to tell him what his name is. By this point, he is institutionalized and is progressing in the disease. The film doesn’t show his character with the functional losses that go with this disease – meaning, he can still walk and is getting around. In real life, the cognitive and functional losses will be in tandem – although they will occur at different rates of decline for different people. #4: Personality and Behavioral Changes I’ve mentioned before that you may see delusions, hallucinations and suspiciousness in prior podcasts, but this film plays them out in a way that’s much easier to understand than these labels. First let’s talk about his delusions – a delusion is a firmly held false belief. Throughout the movie, the father insists he is living in his own home, insists that nothing is wrong and that he can care for himself. Essentially, the underlying emotion here is feeling a loss of control and that deep rooted part of all of us that wants to be independent and autonomous. No matter what evidence is presented, he doesn’t change his belief, so his caregivers keep trying to have a logical conversation with an illogical person – due to brain failure. So as a caregiver, I don’t recommend frustrating yourself with presenting evidence over and over. Secondly, his hallucinations. These appear to be both visual and auditory hallucinations for the Father in this film. Hallucinations are hearing, seeing, smelling or feeling things that are not really there. For example, he hears a voice and follows it. #5: Personality and Sexuality I will tell you, that while this is an excellent depiction of what happens with brain failure, if you’ve seen one person with dementia, you’ve seen one person. So many aspects of this man’s personality shine through – the essence of who he was as a human being without the filter he may have had as a younger person. From idealizing his younger daughter, making cutting remarks to the older one, becoming very amorous with a caregiver who reminds him of someone he once knew…all of these things make up who he was as a person. So overall, I think the film is an accurate portrayal for this one man’s journey down the slippery slope of Alzheimer’s Disease. I have other thoughts about the caregiver interactions with him – but will save those for another podcast. Several interactions could have been handled differently to prevent and modulate his behavior….but that’s a beef for another day. Congratulations to Florian Zeller and Christopher Hampton for an amazing Screenplay and to Sir Anthony Hopkins on his Oscar nab! It was also great to see Olivia Williams again – still love her from Rushmore back in the day – and Olivia Coleman portrayed the very real emotional toll this disease takes on family caregivers and their lives. Leave me a comment below if you have other thoughts about this film’s portrayal of dementia – and thanks for tuning in!…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Welcome to This is Getting Old: Moving Towards an Age-Friendly World, I’m your host Melissa Batchelor, and today I’ll be talking about Six Tips for Managing Behaviors in Alzheimer’s Disease. In Alzheimer’s disease, a person may do things that are very distressing to you as a caregiver. These are often categorized as behavioral and emotional behaviors and may range from being irritable; having major mood swings of being angry or sad; or being agitated. Alzheimer’s disease is in a nutshell, brain failure. When your brain fails, it means you can’t think clearly or interpret information from the world around you correctly. This can be frightening and confusing to the person living with the disease. These feelings of anxiety or being scared may cause the person to behave in ways that are challenging to you as a caregiver, but please understand that it’s not personal. The person living with Alzheimer’s disease is doing the best they can, and we need to adjust to them. Behaviors may include repetitive verbalizations – like saying “I want to go home” or “Help me! Help me!”. They may lash out in anger or resist care, like not wanting to take a shower or bath. They may accuse you of stealing from them or trying to poison them. These are just a few examples, but there are many other behaviors that you may see. The six tips I’m going to give you can serve as a problem-solving framework, because you’re going to have to be a detective and be reflective – as the person with the “big brain” – in order to manage these behaviors in an effective way. So let’s get to it. Here are the Six Tips for Managing Behaviors in Alzheimer’s disease” #1: Restrict: This one is important if the behavior has the potential to harm the person living with dementia or others. Things that come to mind include access to firearms, managing their finances, or driving. Understand that restricting some things may be met with resistance by the person living with dementia, so involve other family or friends if they are. The main thing here is to maintain safety for everyone. #2: Reassess: Think back to when the person wasn’t demonstrating a particular behavior? Has a medication recently been changed? Anytime there’s a sudden change in behavior, work with your healthcare providers to see if a new underlying health condition, like a bladder infection or constipation, could be driving the behavior. If a different approach was used, might that result in a different – less challenging – interaction? If they have trouble with hearing or their vision, could they be misinterpreting what’s going on? #3: Reconsider: Try to see the situation from the perspective of the person with dementia. Remember that Alzheimer’s disease causes a person to lose the ability to use and understand language, but they will pick up on your nonverbal behavior. If a person doesn’t understand what you are trying to do, they may become upset with you. Try using the Under Hand technique to provide a sensorimotor (or movement) cue when providing care, so you are doing with – instead of doing to – the person living with dementia. #4: Rechannel: Look at what behavior the person is doing and see if you can channel it into something constructive, rather than destructive. Does it have meaning for that person? For example, I cared for a resident who had been a mail carrier for the post office his entire life. He spent most of his day trying to deliver mail to all of the residents in our nursing home. Rather than making him sit in a chair or medicating him, we gave him a mail bag with “letters” so he could “deliver the mail”. #5: Reassure: When someone is upset, anxious or scared, they need reassurance – even with a normal brain! Reassure the person that they are safe, being taken care of, and that things are all right. Also, remember to reassure yourself. This is a HUGE job that is difficult and demanding. You are also doing the best you can, so give yourself a pat on the back for getting through one more challenge. #6: Review: It takes two to tango, and two to tangle….if you experience a less than ideal interaction with your loved one, reflect on the event. Talk the situation over with a trusted friend or family member. Was there a trigger? At what point could you have intervened to minimize the conflict? Is there something you could have done differently? What could you try next time? And also be mindful that you may need more help – or more rest. Look into Adult Day Care options and Respite Care to allow an opportunity for you to get some rest. If you don’t take care of yourself, you can’t take care of anyone else. Unfortunately, there isn’t a rule book that says there’s one right way to respond to any behavior. I encourage you to be creative and engage other family members or friends to help to come up with ideas for how to best manage any behavior you find challenging. Multiple “big brains” are best for helping a person with a failing brain. You can also check out my podcast titled “How to Manage Repetitive Behaviors” to also learn about the C3P Problem-solving Framework. I also share more strategies for dealing with challenging behaviors. Thank you for listening to this podcast and/ or watching this video. I hope these six tips are helpful to you in managing behaviors in Alzheimer’s disease.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"The Age-Friendly Employers Program is the antidote to ageism. It gets people back into life, re-engaging, socializing, getting off the couch, not depressed, and contributing to society." -Tim Driver, Founder & CEO of Age-Friendly Ventures "The wisdom and experience of older people is a resource of inestimable worth. Recognizing and treasuring the contributions of older people is essential to the long-term flourishing of any society." These words from Daisaku Ikeda, a peacebuilder and Buddhist philosopher, validate the role of older adults as part of a nation's workforce. Employing and retaining older adults isn't "doing a good deed thing"; instead, it's more of "do what's expedient." Businesses, agencies, and companies struggle to recruit workers and keep those they have due to the 3.6% national unemployment rate. As this is combined with an increasingly aging population and changing demographics of young adults, "there would be no recourse but to consider the importance of older workers," This week on This Is Getting Old: Moving Towards an Age-Friendly World, we will be talking about Age-Friendly Employers with Tim Driver, Founder & CEO of Age-Friendly Ventures. Tim will shed some light on not only what an Age-Friendly Employer is, but also how to become one. Tune in to the episode, and together let's make the change towards a more age-friendly world. Part One of 'Age-Friendly Employers' What is an Age-Friendly Employer? The Certified Age Friendly Employer (CAFE) program of the Age-Friendly Foundation aims to recognize organizations dedicated to being the safest places to work for workers aged 50 and up and assist 50+ career seekers. The typical retirement is unlikely to occur in the future due to demographic changes arising from increased life expectancy. Extended employment, progressively staggered unemployment, part-time or shortened hours, and other changed employment opportunities would be the norm, allowing workers to stay in the workforce longer. Age-friendly employers cater to the needs of aging employees and profit not only themselves but the whole economy. Why Would A Business Want To Complete The Certified Age Friendly Employer (Café) Certification Program? The Age-Friendly Employer Certification program's purpose is to encourage work seekers in their 50s and 60s by recognizing employers who are dedicated to fairly evaluating them for suitable jobs, free of age stigma of ageism, which is one of older adult's primary concerns. Businesses should complete the Certified Age Friendly Employers Certification program to recognize that the organization realizes and understands that older adult's experience, maturity, dependability, and competitiveness are respected. "Age is, or can be, an impediment for older adults when they're seeking jobs." -Tim Driver, Founder & CEO of Age-Friendly Ventures. What Does An Age-Friendly Employer Certification Entail? The Foundation grants the recognition of Certified Age Friendly Employer following the satisfactory completion of the Certification assessment by the Age-Friendly Foundation personnel. Employers certified are recognized on the RetirementJobs.com website, related authorized sites, and promotional materials. Certified employers are often encouraged to use the recognition stamp on their business websites, on job listings on other online platforms, and in relevant branding content. Part Two of 'Age-Friendly Employers.' The Standards For Certification The Age-Friendly Foundation's analysis and review of recognized Age-Friendly employers' recruitment, employment, and human resources initiatives, processes, and services have resulted in a blueprint of validated best practice guidelines. The Certification assessment program is based on the twelve types of best practices standards. Twelve Categories for Best Practice Standards: General Commitment and Workforce Policies Organization Culture and Employee Relations Workforce Planning and Composition Employee Retention Candidate Recruiting Management Style and Practices Training and Development Job Content and Process Accommodations Work Schedules, Arrangements, and Time Off Compensation Programs Healthcare Benefits Savings and Retirement Benefits To find the Certification Evaluation Process/ Steps, visit https://www.agefriendlyfoundation.org/employers to learn more. "Everybody who's in this Age-Friendly Employer Program is committed; because it's part of their diversity, equity, and inclusion plan." -Tim Driver, Founder & CEO of Age-Friendly Ventures Additional Resources: The Age-Friendly Foundation is an organization working to fuel innovation that supports healthy, active, and productive aging for all through advocacy, education, and promoting collaboration among thought leaders in aging services. On October 14, 2021, The Age-Friendly Foundation will celebrate 15 years of the Certified Age Friendly Employer (CAFÉ) Program with a unique convening of national policymakers, researchers, and senior representatives from certified employers. In May 2022, a second global conference called "Revolutionize" will be held at the Boston Seaport Hotel to explore ways to revolutionize aging by fueling innovations that make aging easier. Learn more about the inaugural conference here: View the photos from our inaugural Revolutionize Conference here . View presentations from Bright Horizons' Marc Bernicia , Lasell Village's Anne Doyle , 4Gen Ventures' Dominic Endicott , The Age-Friendly Foundation's Amanda Henson , Aging2.0 Co-founder Stephen Johnston , Global Alliance of International Longevity Centres' Dr. Alexandre Kalache , and 2Life Communities' Amy Schectman . View a full write-up of Dr. Kalache's visit and the conference here . About Tim Driver: Tim Driver has a successful track record starting and building digital businesses that make a social contribution. He's the founder and CEO of Age-Friendly Ventures, the parent organization of RetirementJobs.com, Mature Caregivers, and Age-Friendly Advisor. Tim was a Board Member and SVP at Salary.com held senior positions at AOL and Accenture, and co-chaired the Employment Committee for Massachusetts Governor Charlie Baker's Council to Address Aging. More notably, he was named an Influencer in Aging by PBS NextAvenue. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Age-Friendly Ecosystems "It's a blessing to be an older adult." - Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN For decades, advocates have called for communities, neighborhoods, and organizations like hospitals to become more "age-friendly." Although the idea of an age-friendly society has been promoted both locally and internationally, adoption remains more aspirational than an organized practice. In this week's episode of This Is Getting Old, Dr. Terry Fulmer and Amy Berman walk us through an overview of what it means to have created an Age-Friendly Ecosystem. Part One of 'The Age-friendly Ecosystems'. The John A. Hartford Foundation has been working with the Age-Friendly Foundation to convene leaders of these age-friendly movements. The goal is to help make the "age-friendly" moniker clear to all stakeholders in terms of what it means. At the George Washington University’s Center for Aging, Health and Humanities , we have adapted the Age-Friendly Ecosystem to include Arts & Creativity.’ What Exactly Is an Age-friendly Ecosystem? An Age-Friendly Ecosystem refers to the collective of all efforts to adapt society to meet older adults' needs. In simpler terms, Age-Friendly Ecosystems are the comprehensive, collectively built, and ever-expanding platform whose goal is to improve older adults' quality of life through enhanced, collective impact. Moreover, understanding the Age-Friendly Ecosystem draws on the social-ecological model that acknowledges the connections and interplay between older adults and their environments or contexts. Proponents of the Age-friendly Ecosystem Movement The Age-Friendly Ecosystem is a movement to create age-friendly cities and communities started by the World Health Organization and carried forward by AARP (American Association of Retired Persons). The John A. Hartford Foundation (JAHF) launched the Age-Friendly Health Systems movement with the Institute for Healthcare Improvement in 2017 to ensure the specific needs of older adults are met in health care. JAHF in 2018 then collaborated with the Trust for America's Health (TFAH) to involve public health agencies to expand the implementation of the age-friendly guidelines to the public health domain, acknowledging that these programs, notwithstanding their goals, have remained constrained and siloed. Many other organizations are advancing initiatives to make universities and businesses age-friendly. The Goals and Objectives of Age-Friendly Ecosystems The goal of Age-Friendly Ecosystems has been to help make the "age-friendly" moniker clear to all stakeholders regarding what it means and how it should be adapted. The work is leading to developing a common language and shared metrics so that anyone can recognize it and know what should be expected when we say "age-friendly." By working together across silos, different age-friendly initiatives can maximize their collective impact. "An Age-Friendly Ecosystem refers to the collective efforts to adapt society to meet older adults' needs worldwide." -Terry Fulmer, PhD, RN, FAAN Guiding Principles and Frameworks of Age-friendly Ecosystems Each of the age-friendly initiatives has its guiding principles and frameworks. A big part of our effort is to help us understand those frameworks and what the shared characteristics are across them. The 4Ms Framework An Age-Friendly Health System reliably delivers evidence-based care that reduces harm and focuses on What Matters most to older adults and their families. It is based on what we call the 4Ms Framework – essential elements of care that need to be addressed for all older adults – What Matters, Medication, Mentation, and Mobility. The 5Cs Framework The Age-Friendly Public Health Systems movement uses the 5Cs Framework: Connecting and convening sectors and professions Coordinating existing supports and services Collecting data to assess community health status Conducting, communicating, and disseminating research findings and best practices Complementing and supplementing existing supports and services, These frameworks are specific to the sector, clinical or public health in these examples but undergirding all of these frameworks are commonalities that lead us to the characteristics of an Age-Friendly Ecosystem. Part Two of 'The Age-friendly Ecosystems'. Characteristics of Age-friendly Ecosystems The convenings of leaders in the Age-Friendly Ecosystem, in addition to surveys of older adults, literature reviews, and expert interviews, have led to an understanding that several characteristics represent an age-friendly ecosystem. Understanding these characteristics helps us get to common language and metrics. A forthcoming journal article will explain these characteristics and their definitions. Age-Friendly Ecosystems: Current Standing in Terms of the Needed Common Language and Metrics Since the fall of 2020, the Age-Friendly Foundation has been drafting a measurement taxonomy. They did that by identifying six outcome measurement domains that represent dimensions of age-friendliness. The domains are groups of similar outcomes, while the outcomes are explanatory concepts that can be inferred from measured or observed data. The Foundation is also looking at indicators or ways of measuring desired outcomes. They've looked at all the different frameworks outcomes and indicators – the Age-Friendly Health Systems , the Age-Friendly Public Health , WHO Age-Friendly Cities , AARP Livable Communities , Age-Friendly CAFÉ (Employers), and Age-Friendly Universities Principles— to supplement work in the health and public health frameworks. Furthermore, the Foundation reviewed CDCs Healthy People 2030 indicators for Healthy Aging and Access to Care and the Association of State and Territorial Health Officials Policy Statement on Aging to expand and quantify outcomes related to health well-being. They've started with specific outcomes, such as Mobility, Walkability, Access to Jobs, and Labor Force Engagement. For each outcome, they identified indicators (or measures) recommended by IHI, CDC, WHO, and so on. In some cases, they've added indicators where there were gaps based on a review of the literature. All of these are still in draft stages, and there is more to come. "Everyone has a role to play in eradicating ageism." -Terry Fulmer, PhD, RN, FAAN. How To Do Your Part In Building The Age-friendly Ecosystem? Everyone is encouraged to implement age-friendly programs, which will also help us counter ageism and help all of us age with dignity and respect. In whatever sector you are in, reach out across to other partners. Start by checking out the blog on MelissaBPhD.com. You can find linked additional resources for age-friendly initiatives such as the Age-friendly Health Systems, Age-friendly Universities, and many more. You can also join in the existing age-friendly initiatives, for example, the Age-Friendly Health Systems movement, by going to ihi.org/agefriendly. Or visit Trust for America's Health or our johnahartford.org website for more information on how to join the Age-Friendly Public Health Systems initiative, which has a new website: https://afphs.org/ . " We've seen great success in this with public health working with aging services, working with health systems. This all connects to a crucial issue and call to action - everyone has a role in eradicating ageism, which is discrimination based on age. This means calling it out when you see and hear it. It requires you to make sure you aren't contributing to ageist perceptions of older adults. " says Dr. Terry Fulmer, a nationally and internationally recognized leading expert in geriatrics. “Older adults rightfully want and deserve dignity and respect.” Amy Berman, RN, LHD, FAAN About Terry Fulmer, PhD, RN, FAAN: Terry Fulmer, PhD, RN, FAAN, is the President of The John A. Hartford Foundation in New York City, a foundation dedicated to improving older adults' care. She serves as the chief strategist for the Foundation, and her vision for better care of older adults is catalyzing the Age-Friendly Health Systems social movement. Dr. Fulmer is an elected member of the National Academy of Medicine and recently served on the independent Coronavirus Commission for Safety and Quality in Nursing Homes to advise the Centers for Medicare and Medicaid Services. She completed a Brookdale National Fellowship, and she is the first nurse to have served on the American Geriatrics Society board. The first nurse to have served as President of the Gerontological Society of America, which awarded her the 2019 Donald P. Kent Award for exemplifying the highest standards for professional leadership in the field of aging. About Amy Berman, RN, LHD, FAAN: Amy Berman is a Senior Program Officer with The John A. Hartford Foundation. She works on the Foundation's development and dissemination of innovative, cost-effective care models that improve health outcomes for older adults. Among these efforts, Dr. Berman is responsible for the Foundation's work to advance Age-Friendly Health Systems, led by the Institute for Healthcare Improvement, in partnership with the American Hospital Association and the Catholic Health Association. She also leads many of the Foundation's efforts focused on Serious Illness and End of Life, including efforts to support Diane Meier's palliative care and the Center to Advance Palliative Care.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
"See Me at the Smithsonian" “See Me at the Smithsonian is a program for adults with dementia and their care partners.” - Robin Lynne MarquisCommunity Outreach Coordinator "Beautiful, young people are accidents of nature, but beautiful old people are works of art." —Eleanor Roosevelt. Artists understood that an art piece helps both the artist and the viewers. Access Smithsonian is a catalyst for a consistent, integrated, and inclusive design that provides meaningful access to the Smithsonian Institution Museums and content for visitors with disabilities - of all ages. Today's episode of This Is Getting Old is part of the University Seminar Series and the Age-Friendly Ecosystem work we're doing at the George Washington University Center for Aging, Health and Humanities , and today we are focusing on the role of Arts and Creativity in aging. I've invited two guests to share the See Me at the Smithsonian initiative - Robin Lynne Marquis, Community Outreach Coordinator for Access Smithsonian and the See Me Program; and Amy Castine, is Lead Educator for these programs. Join us for another age-friendly discussion on making life easier, happier, safer, and meaningful for older adults. Part One of 'See Me at the Smithsonian'. Access Smithsonian: What Is It All About? The Smithsonian , founded in 1991, is the central office for all of the 19 museums, National Zoo, and research centers for the Smithsonian units. On the internal museum-facing side, they advise museums on policies, practices, and procedures for the staff, including training and advising the exhibition teams on inclusive design. Externally, they provide the best experience for visitors with disabilities. They also host internships for students with intellectual disabilities and engage with communities in the local area and nationwide to join or visit museums and meet their needs. Mission Access Smithsonian is a catalyst for a consistent, integrated, and inclusive design that provides meaningful access to the Smithsonian Institution Museums and content for visitors with disabilities. Vision To be recognized for excellence as an Institutional and international resource for inclusive museum facilities, programs, and services. People with disabilities who visit will view the Smithsonian Institution as relevant, accessible, and valuable. Responsibilities Policy, Practices, and Procedures Training and Education Programming Community Engagement Inclusive Design Access Services Internships “Morning at the Museum is a sensory-friendly program for families with children and adults with autism spectrum.” -Robin Lynne Marquis, Community Outreach Coordinator Inclusive Programs Morning at the Museum Morning at the Museum is a free, sensory-friendly service for families of children, teens, and young adults who have developmental disabilities, autism, sensory processing problems, or other cognitive deficiencies. Project SEARCH Smithsonian Institution Project SEARCH Smithsonian Institution is a ten-month internship program that encourages young adults with intellectual and cognitive disabilities to learn employable and marketable career skills. User Expert Advisory Group The User Expert Advisory Group of the Smithsonian Institution is a partnership between Access Smithsonian and the Institute for Human-Centered Design. User Experts are Persons with disabilities who have gained skills from their lived experience of coping with environmental issues attributable to a bodily, sensory, or cognitive functional disability. At Smithsonian Institution museums, user experts assess the usability and functionality of physical spaces, museum exhibitions, public facilities, technology, and facilities. Besides, user experts educate Smithsonian employees, interns, and volunteers on inclusion, diversity, and usability. See Me at the Smithsonian See Me at the Smithsonian is a hands-on program for dementia patients and their caregivers. Pre-registered members (8-10 persons) discover some of the Smithsonian's most precious artifacts through small group interactions and multi-sensory exercises on scheduled weekdays. See Me provides intellectual stimulation, socialization experiences, and the opportunity for loved ones to share quality time in a comfortable atmosphere. Since May 2020, to adapt amid COVID, the program has been thoroughly transitioning to virtual See Me programs. Five museums have hosted virtual programs through Zoom to date and intend to do so in the future. National Portrait Gallery Smithsonian American Art Museum National Museum of Asian Art: Freer and Sackler National Museum of African American History and Culture National Museum of American History Programs are conducted from 2:00 to 3:00 p.m. on the first and third Wednesdays of each month. On request, virtual programming for wider audiences in neighborhood locations is possible. “If you’re older and frail, you don't have much energy even physically and cognitively; going virtual does eliminate a lot of these hurdles.” Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN You can check on this website link: https://access.si.edu/program/see-me-smithsonian to learn more about the See Me at the Smithsonian Program. Part Two of 'See Me at the Smithsonian'. More About See Me at The Smithsonian The History of the Program See me at the Smithsonian was an idea that began in 2016. An advisory committee was formed at that time, and folks who are experts in the field or have contact with people living with dementia formulated best practices and the ideas of how they wanted it to go forward. Staff training began in September 2017, and the goal was to establish the accommodations and responsibilities as a museum and people working with the elder and disabled population. They had their pilot program with the National Portrait Gallery in October 2017, and from then on, it's been onward and upward. What The See Me at the Smithsonian Program is Today? The See Me at the Smithsonian program was able to expand to include the Smithsonian American Art Museum, the National Museum of African Art, and the National Museum of Asian Art: Freer and Sackler. From there, they start providing programming in a range of different subject matter areas so that folks can choose what is most interesting to them. In the last two years, even before COVID happened, the brains behind the program recognized the need to expand the relationships to working within the community. These communities include senior residences, senior centers, villages, any social space where older adults are coming together and letting these folks know that they have a program for them. The goal is to prevent people from absent-mindedly wandering into a museum and letting them know that they could come to the free program. Shifting to the Virtual Space Due to the generous support of the Andrew W. Mellon Foundation and the Smithsonian's New York Regional Council, they're able to continue to expand even as they move into the virtual space through COVID. It's a meaningful, joyful experience for the organization to offer a better and broader range of topics for older adults and their caregivers to enjoy. Since COVID, they've been offering programs to older adults within their actual residences or through their networks because they know that some of the most isolated people right now are in these places. See Me en Español Launched in March In March of this year, they started the program in Spanish—that's been a big dream of the organization for many years now. Carmen Pastore, the lead educator, leads the team, and they're now providing the program in Spanish. “There's an intellectual and creative stimulation that comes with the See Me at the Smithsonian program.” -Amy Castine, Lead Educator What Will You Experience at The See Me at the Smithsonian Program? The experience was much like what anyone would experience when they came into a museum where they would meet at a central location and then move toward art pieces. The most significant difference for older adults is that we're slowing down and looking at fewer objects. Below are some of the examples of the activities you’ll experience at the See Me at the Smithsonian Program. Close Looking "A typical tour would be 8-10 objects in an hour. But for our older adults, we recognize that processing times are different, and the ability to move from one place to another is a little different. We want to make sure that the program meets their needs exactly as they are. We would look at two or maybe three objects in the gallery and spend our time doing "close looking." Instead of just glancing at an object, we would sit and take a deep breath and relax for a moment and spend a minute just looking, without speaking, without any interpretation, and then move to ask, "What do you see in the object?" , " What is the mood of this piece?, What is it bringing up for you?" These are meaning-making that we participate in when we look at the objects," says Lead Educator Amy Castine. Collaboration with Arts for the Aging The organization also partnered with Arts for the Aging , a local Washington, D.C. organization. One of the things that they add to the programing is participating with artists; they may be visual artists, musicians, poets, or storytellers. In the process of looking at an artwork, say, looking at a screen at Asian Art of the Tales of Genji, a storyteller will tell a little story that's not just about the object itself but take the ideas that the participants generate and weave those into a tale of their own. If you're interested in reaching out to Arts for the Aging, you can connect with them at: Arts for the Aging Twitter: @ artsfortheaging or Arts for the Aging Facebook https://www.facebook.com/ArtsfortheAging/ Hands-on Creative Stimulation Activities One instance shared by Amy Castine is looking at the Big Egg at the National Museum of African-American History and Culture. Working with a teaching artist, the materials that older adults and their caregivers happen to have on hand, whether that's wrapping paper or tissue paper or pens of different colors, highlighters, are used to create their big egg. So there's intellectual stimulation that comes with this, but there's also creative stimulation. How To Connect With Access Smithsonian? Connect with educators or learn more about Access Smithsonian by following this link to their You can email them at access@si.org and they will route your email to the right place! 💻 Website: https://access.si.edu/ Access Smithsonian account at Access Office Twitter: @access_si or @smithsonian The Smithsonian Facebook page: https://www.facebook.com/Smithsonian The Smithsonian Instagram Account: https://www.instagram.com/smithsonian/ The smithsonian Youtube Channels: https://www.youtube.com/channel/UCcBeQ2q6YyOpOaUREG-Z3pg https://www.youtube.com/channel/UCi1Yd0I01shhy-uknz-SQBQ https://www.youtube.com/channel/UC_66nY81jHx8OsvfjhFydZw https://www.youtube.com/channel/UCZW0jH_nivSuvSmFHppURyg https://www.youtube.com/channel/UCKgRzail9_28oDRHbMKLPRg https://www.youtube.com/channel/UCYm9MWccmz9n2yyMx9vRrXg About Robin Lynne Marquis, Community Outreach Coordinator: Robin Lynne Marquis has over a decade of experience leading initiatives, programming, and community collaborations with institutions of all sizes and people of all ages. She currently serves as the Community Outreach Coordinator for See Me at the Smithsonian and as the Accessibility Coordinator for The Peale Center. As an artist with a disability, Marquis is part of a national network of thought leaders shaping the conversation about accessibility in the arts while contributing to local efforts that combine creativity, education, and activism to achieve positive social change. About Amy Castine, Lead Educator: Amy Castine is an art historian and visual artist. She engages with people living with dementia and their care partners using visual arts and historical objects to facilitate conversation and encourage cognitive stimulation. As the lead educator for the See Me at the Smithsonian program since 2017, Amy collaborates with the staff of several Smithsonian museums to coordinate, plan, and deliver programs for individuals with dementia who are aging in place in the greater Washington DC area. She has also developed and implemented a training program for museum docents interested in facilitating dementia-friendly programs. Amy contributes to the Just Us program at the National Gallery of Art in Washington DC, focusing on individuals with dementia and their care partners. In her free time, Amy enjoys painting, creating one-of-a-kind beaded jewelry pieces, and teaching various art techniques to students of all ages. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Age-Friendly Universities Colleges and universities are preparing future leaders, who will interact with older adults; yet we don't give them the essential skill set for interacting with that population and how to tailor to their needs -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN ______________________________________________ Higher education in the United States has historically centered on delivering programs for younger people. By 2025, students aged 25 years old and above will make up 42% of the United States' college and university student populations. Evidence has established that universities can not only significantly impact older adults' later-life advancement, but content on aging is critical in higher education to prepare younger generations for the workforce. Age-Friendly Universities are gaining traction. There are currently over 70 state colleges and universities worldwide that are members of the Age-Friendly University Global Network with schools in Australia, Canada, Asia, Europe, and the United States. In today's episode, we will be talking about Age-Friendly Universities. I am joined by Dr. Joann Montepare, Professor of Psychology from Lasell University and the Convener of the AFU Research Interest Group with the Gerontological Society of America. Part One of 'Age-Friendly Universities ' The Administration on Aging of the Department of Health and Human Services has reported that the United State's population of older adults is expected to more than double by 2060. 7 out of 10 Americans who will shortly "retire" claim they intend to work after retirement. Many older adults will have not just one, but up to three, occupations during their lives. Consequently, the current parameters in education, employment, industrialization, healthcare, and other areas will change globally. The overarching goal of the Age-Friendly Universities Initiative, more than just looking at older adults' welfare, is to pave the way for these imminent transitions. "Age-Friendly Universities appreciate the need to provide younger students with education about aging." - Joann M. Montepare, PhD What Does It Mean To Be An Age-Friendly University? "Age-Friendly University" is a distinction that acknowledges a tradition of active learning and age-inclusiveness in higher education systems and activities. Age-Friendly Universities are committed to: Provide educational and research resources and innovations that cater to the expectations and aspirations of an aging population. Acknowledge aging and demographic shift among students, staff, and workers in the field of education. Increasing access for age-diverse learners for personal and professional development. Broaden the access to aging education. Decreasing age segregation and enhancing intergenerational opportunities, especially for older adults. Part Two of 'Age-Friendly Universities ' The Pillars And Principles of Age-Friendly Universities In an effort to embrace intergenerational education in college and universities, Six Pillars of Age-Friendly Universities and the Ten Age-Friendly Principles were established to create Age-Friendly Universities. The Six Age-friendly Universities Pillars of Activity (Core Areas of Higher Education) To extend age-friendly awareness and expertise, universities that support age diversity and age-friendly initiatives should be anchored on these six pillars of activity in higher education: Teaching & Learning Lifelong Learning Research & Innovation Intergenerational Learning Encore Careers & Enterprise Civic Engagement "The ten principles of Age-Friendly Universities are a framework to help universities to become more age-friendly." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN The Ten Age-Friendly Universities Principles The 10 Age-Friendly Universities principles include an idealistic and systematic model that enables higher education organizations to commit more attention to aging and education. Institutions from all around the world are welcome to embrace the following 10 Age-Friendly Universities principles: To encourage the participation of older adults in all the university's core activities, including educational and research programs. To promote personal and career development in the second half of life and support those who wish to pursue second careers. To recognize the range of educational needs of older adults (from early school-leavers to those who wish to pursue master's - or doctoral-level qualifications. To promote intergenerational learning to facilitate the reciprocal sharing of expertise between learners of all ages. To widen access to online educational opportunities for older adults to ensure a diversity of routes to participation. To ensure that the university's research agenda is informed by an aging society's needs and to promote public discourse on how higher education can better respond to the varied interests and needs of older adults. To increase students' understanding of the longevity dividend and the increasing complexity and richness that aging brings to our society. To enhance access for older adults to the university's range of health and wellness programs and its arts and cultural activities. To engage actively with the university's retired community. To ensure regular dialogue with organizations representing the interests of the aging population. How To Become an Age-friendly University Partner? Join the Age-Friendly University Network to build more age-friendly institutions of higher education. Send a confirmation letter of your institution's endorsement to Christine O'Kelly, Age-Friendly University Global Network Coordinator at DCU (christine.okelly@dcu.ie, website: www.dcu.ie/agefriendly ) and AGHE (aghe@aghe.org). Include the AFU contact(s) at your institution, a link to your institution's website, and a copy of your institutional logo to be used on the DCU AFU webpages. It is also helpful to state what you wish to achieve by participating in the AFU initiative. About c : Joann M. Montepare is Professor of Psychology and Director of the RoseMary B. Fuss Center for Research on Aging and Intergenerational Studies at Lasell University. She earned her PhD in lifespan social-developmental psychology from Brandeis University and conducts research exploring social and personal perceptions of age. An advocate of intergenerational teaching and learning, she has developed innovative educational programs such as Talk of Ages which bring older and younger learners together across the curriculum and provide resources for educators to integrate intergenerational exchange and aging content in their classrooms. A champion of the Age-Friendly University (AFU) initiative, she has been involved in various efforts to advance age inclusivity in higher education and the AFU global network. She is the convener of the GSA AFU interest group, AGHE (Vice) Chair, and President (elect) of APA’s Division 20 (Adult Development and Aging). An active member of the Boston aging network, she is past president of the Massachusetts Gerontology Association (MGA) and serves on boards and councils of diverse community organizations. Her most recent collaboration is the RRF-funded study with UMass Boston colleagues, Taking the Pulse of Age-Friendliness in Higher Education in the US Today . She is an AGHE, GSA, APA, and SESP Fellow. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and joined the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ . To learn more, please visit: Dublin City University – Global Network – Toolkits (DCU Age-Friendly) – new website is coming DCU AFU https://www.dcu.ie/agefriendly GSA AGHE AFU https://www.geron.org/programs-services/education-center/age-friendly-university-afu-global-network Tools for Advancing Age Inclusivity in Higher Education The Lasell university Fuss Center at https://www.lasell.edu/fusscenter and the Lasell University Fuss Center, Talk of Ages at https://www.lasell.edu/talkofage GSA Newsletter Advancing Age Inclusivity in Higher Education. Comments and suggestions are welcomed from readers. Please send correspondence or subscription requests to ageinclusive@geron.org.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
As part of the 2020: YEAR OF THE NURSE series, we are highlighting the work of Tracey L Yap, PhD, RN, WCC, CNE, FGSA, FAAN. Dr. Yap is an Associate Professor at Duke University School of Nursing and a Senior Fellow in the Duke University Center for the Study of Aging and Human Development. In 2019 she was the recipient of the Presidential Early Career Award for Scientists and Engineers (PECASE). The PECASE is the highest honor bestowed by the United States Government to outstanding scientists and engineers who are beginning their independent research careers and who show exceptional promise for leadership in science and technology. She was nominated for this prestigious award by the National Institute of Nursing Research (NINR). Only a handful of nurse scientists have ever been awarded. In this week’ episode, you’ll learn more about: Pressure injuries which are a serious health concern for older adults living in nursing homes Part One of ‘2020: Year of the Nurse - An Interview with Tracey Yap’ The overarching goal of Dr. Yap’s research is to improve the quality of care delivered by nursing staff regardless of setting. She aims to advance nursing’s ability to improve healthcare outcomes by increasing the mobility and movement of all nursing home residents through cueing approaches for staff, such as reminder messages and behavioral alerts. More specifically, she aims to understand and improve the processes that facilitate nursing staff implementation of evidence-based mobility/movement best practices that target common, yet seemingly intractable geriatric conditions, such as facility-acquired pressure injuries/ulcers. She has had research grant funding by Robert Wood Johnson Foundation, National Institute of Nursing Research, National Institute of Safety and Health, and The John A. Hartford Foundation. Dr. Yap teaches in the Doctorate of Nursing Practice program. In recognition of her accomplishments, she was inducted into the American Academy of Nursing as a Fellow in 2015 and into the Gerontological Society of America as a Fellow in 2018. “Believe in yourself because there are people that will [need you].” — Tracey L Yap, PhD, RN, WCC, CNE, FGSA, FAAN (20:35-20:38) After graduating from high school, she was advised to pick nursing as a career and was told, “If you do nursing, there are many ways to grow.” That was the best advice she’s ever heard, and it has been a fabulous career. Admittedly, she didn’t know what nurses could do until she was in nursing school. Tracey’s husband is an MD with a family practice, and at the time of her graduation with a PhD, he was the medical director of a nursing home that had a big problem with pressure ulcers (also known as pressure sores or bedsores). He asked her to write a grant proposal and came up with an idea to literally play music to remind the nursing staff to move people. This study demonstrated a 45% protective effect against pressure ulcers for ALL residents - not just preventing pressure injuries in high-risk residents. Tracey stated that it was fascinating to watch the whole thing unfold. Residents were encouraged to share their unique stories and memories associated with the chosen music - and all of the nursing home employees participated when the music played, not just the nursing staff. Part Two of ‘2020: Year of the Nurse - An Interview with Tracey Yap’ Music has the power to connect generations. Over 60% of nursing home residents have some form of cognitive impairment, but even in very advanced Alzhiemer’s disease, music and rhythm are retained. So, if the resident hears their favorite song from young adulthood, they may be able to sing all the words when they can't talk to you anymore. Music is a great way to build a relationship with them. One of the challenges in preventing pressure injuries is the nursing staff coming in every two hours to position you. This 2-hour interval was established by one study conducted in 1964. Since that time, we have made significant advances with pressure-relieving mattresses. Her current clinical trial, funded by the NINR combines cueing approaches with these new mattress to determine if resident turning should be at 2-, 3-, or 4-hour intervals if they are bedridden. “Most people that work in nursing homes are there because they truly care and love those residents.” — Melissa Batchelor, PhD, RN, FNP, FAAN (20:55-21:01) Here's good advice from Dr. Yap, who's currently helping develop the new standard of care for pressure injury prevention: "Keep believing in yourself, because there are people that will. Naysayers think there's a specific path that you need to be on. I would advocate that you run with whatever it is that interests you." How to Connect More with Tracey Yap LinkedIn: https://www.linkedin.com/in/tracey-l-yap-b0966660/ About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
2020: Year of the Nurse an Interview with Ellen Kurtzman “When you're ready for something, life opens the door for you.” — Melissa Batchelor, PhD, RN, FNP, FAAN (09:29-09:35) Ellen T. Kurtzman, PhD, MPH, RN, FAAN, is a health services researcher and a tenured associate professor of nursing with secondary appointments in the university’s Milken Institute School of Public Health and Trachtenberg School of Public Policy & Public Administration. In this week’s episode, let’s get to know her more. Part One of ‘2020: Year of the Nurse an Interview with Ellen Kurtzman’ Dr. Kurtzman teaches health policy, research, and statistics. Her investigator-initiated research explores the impact of federal, state, and institutional policies on health care quality and the role of the healthcare workforce in achieving higher-value care. From 2014-2016, Dr. Kurtzman served as the National Center for Health Statistics (NCHS)/Academy Health Policy Fellow, which placed her “in residence” at NCHS to collaborate with federal researchers and access NCHS restricted data assets. From 2011 to 2012, was an affiliate scholar at the Urban Institute’s Health Policy Center. Serving as both a collaborator from 2007-2010 and Visiting Nurse Scholar from 2010-2011 with the NewCourtland Center for Transitions and Health at The University of Pennsylvania, Dr. Kurtzman advanced and built policy support for a model of care for chronically ill elderly, referred to as the Transitional Care Model. “Many times, in my career, I've done projects that people have told me not to do, but I felt like they were important. And they've turned out to be the projects that had the biggest impact.” — Melissa Batchelor, PhD, RN, FNP, FAAN (33:08-33:20) Before joining academia, Dr. Kurtzman served in senior capacities for organizations such as the American Red Cross, National Quality Forum (NQF), American Health Care Association, National PACE Association, and the Partnership for Behavioral Healthcare. While at NQF, she was the architect of national consensus standards for measuring nursing’s contribution to quality. She also led NQF’s national efforts to establish a hospital and home health care quality and performance standards. Dr. Kurtzman received her PhD in public policy and Administration from GW’s Trachtenberg School, her MPH from Johns Hopkins Bloomberg School of Public Health, and her BSN from the University of Pennsylvania. In 2009, Dr. Kurtzman was inducted as a Fellow of the American Academy of Nursing. Part Two of ‘2020: Year of the Nurse an Interview with Ellen Kurtzman’ She went from being a bedside nurse to getting a degree in public health and then having the public policy. But her research program has always been on how the policy environment influences the care and delivery of health care in this country. Her most recent work explores team-based care's role in the quality of office-based physician practices and the prevalence of opioid prescribing in ambulatory care settings. She has led studies examining the quality of care and the services delivered by nurse practitioners and physician assistants, the impact of occupational restrictions on clinician practice, the effect of Medicaid expansion on community health centers, and the influence of performance-based payment programs on practitioner behavior. “If you're a health care professional, you have to do the standard gold stuff to establish your expertise.” — Melissa Batchelor, PhD, RN, FNP, FAAN (30:46-30:56) Throughout her career, Dr. Kurtzman has pursued unique extramural collaborations to advance her scholarship. From 2018-2019, she was one of only eight mid-career professionals selected to participate in the Robert Wood Johnson Foundation (RWJF) Health Policy Fellows program. During her year on Capitol Hill and in the Administration, she worked in the Office of the Speaker of the House of Representatives, The Honorable Nancy Pelosi (D-CA), and the Office of the Surgeon General, Jerome M. Adams, MD, MPH. How to Connect More with Ellen Kurtzman Twitter: https://twitter.com/EllenKurtzman LinkedIn: https://www.linkedin.com/in/ellentkurtzman/ About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
2020: Year of the Nurse - An Interview with Ashley Darcy-Mahoney “Most people think of nurses only doing bedside care in hospitals. They're in long term care, school health, home care, the policy arena, and many more places.” — Melissa Batchelor, PhD, RN, FNP, FAAN (20:58-21:10) Nurses play a very significant role, both locally and globally. Most people still think of nurses only doing bedside care in hospitals, but nurses are in-home health care, school health care, the policy arena, and many other places. In this week’s episode: You’ll discover the broad range of responsibilities that nurses have. How their highly-specialized profession continues to evolve to address the needs of society. Part One of ‘2020: Year of the Nurse - An Interview with Ashley Darcy-Mahoney’ Ashley Darcy-Mahoney, PhD, NNP, FAAN, a neonatal nurse practitioner and researcher, has worked throughout her career to advance nursing research, education, and practice, focusing on neonatology, infant health, and developmental pediatrics. Her research has led to the creation of programs that improve health and developmental outcomes for at-risk and preterm infants. As an Associate Professor of nursing and the Director of Infant Research at George Washington University’s Autism and Neurodevelopmental Disorders Institute, Dr. Darcy-Mahoney advances the body of research in infant health and developmental outcomes in high-risk infants with a focus on understanding the early brain and development trajectories in this population. In addition to her work with the institute, she conducts interdisciplinary research through “Talk with Me Baby” a multi-agency initiative using the nursing workforce to educate parents in the importance of talking and engaging with their babies in early infancy. Her research seeks to improve early-childhood outcomes for these infants, most recently through language interventions that will enhance future literacy and cognitive development. She is a fellow of the American Academy of Nurses, a 2017 Josiah Macy Scholar, was named among the Top 25 Pediatric Nursing Professors by nursepractitionerschools.com and has earned numerous awards, including the 2014 March of Dimes Nurse of the Year, Florida Association of Neonatal Nurses President’s Award and the Lillian Sholtis Brunner Award for Innovation from her alma mater, the University of Pennsylvania. “There are so many different things that you can do as a nurse.” — Melissa Batchelor, PhD, RN, FNP, FAAN (21:19-21:22) Dr. Darcy-Mahoney and I met each other through the Robert Wood Johnson Nurse Faculty Scholars program in 2014. Let’s start with this question: why would a nurse be invited to the National Academy of Medicine (NAM)? Here’s what she has to say about it. First, the National Academy of Sciences is the overarching bucket of where the National Academy of Medicine (NAM) sits. The National Academy of Sciences, Engineering and Medicine (NASEM), a private, nonprofit organization of the country's leading researchers, was given the charge and the Constitution signed by Abraham Lincoln to provide a scientific opinion to any government department. It's a place for scientists to be non-partisan and provide data to the government to make policies grounded in science. She also thinks that it's one of the most exciting opportunities for data scientists, clinicians, and researchers to inform our policymakers on what and how to be making decisions based on evidence. And so, that's what the National Academy of Sciences does. Part Two of ‘2020: Year of the Nurse - An Interview with Ashley Darcy-Mahoney’ To give you an idea of how she started her career path, she remembers Dr. Beverly Malone, who talks about a career path as a series of zigzags rather than a winding road. She had the opportunity to be indoctrinated, or be with professors of nursing, very early on in her career. She went to Georgetown on a soccer scholarship as a Division One athlete playing in the Big East Conference. A lot of times, she would hear athlete students ask, “Can I be a health science pre-med or pre-health professional of any capacity and still be a nursing major?” Her answer is wholehearted YES. Many excellent universities have led the way on this. It takes commitment from the student-athlete and involvement from the faculty to ensure that every student-athlete has the opportunity to be part of whatever learning experience they want. As a sophomore, she started as a research assistant, wherein she focused on topics about men who have sex with men and HIV/ AIDS, which is pretty different than the work she’s doing now. Her perspective is — your past projects don’t have to be your last, nor does it have to be your life’s work. It just has to be something that keeps you engaged and teaches you about the process. “We need the next generation of nurses and scientists to be really strong thinkers and keen listeners.” — Ashley Darcy-Mahoney PhD, NNP, FAAN (27:33-27:43) Dr. Darcy-Mahoney is a Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholar. With her most recent grant from the RWJF Macy Scholar, she is pursuing outcomes research in preterm infants by comparing developmental trajectories of children raised in a bilingual environment against those raised in a monolingual environment. According to her research regarding early childhood experiences and educational outcomes, early childhood education is crucial for many people in the United States. From a science perspective, if we provide a well-regulated and responsive environment where children can benefit from early support to build resilience, mitigate adversity and learn, it’s the best amount of money we can spend as a country. We all know what happens in that early childhood affects the leader’s health and all other things we see in older populations right now. We are in a time where decisions for children have been challenged. So, it’s very timely that we consider what public health nursing looks like and how healthcare professionals should be educating on social determinants of health. We need the next generation of nurses and scientists to be really strong thinkers and keen listeners. If this is something that resonates with you, talkwithmebaby.org is a good place to start. There are available resources for families, parents, and people in general who want to learn how the number of words a baby hears in the first three years of life makes a big difference. According to Dr. Darcy, they’ve partnered with juvenile justice systems and early educators, and it's taken off in ways that I don't think any of us anticipated or imagined! How to Connect More with Ashley Darcy-Mahoney LinkedIn: https://www.linkedin.com/in/adarcymahoney/ Twitter: https://twitter.com/ADarcyMahoney Instagram: https://www.instagram.com/guhoya6/ About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Three Tips For Managing Being Sick At Home “You need a system for documenting what medication you're taking and when you're taking it.” — Melissa Batchelor, PhD, RN, FNP, FAAN (00:36-00:42) Are you feeling under the weather lately? No matter how busy life gets, it's crucial to know what steps you need to take good care of yourself. In this week's episode, you'll learn about: Three tips to manage your illness at home, whether it's COVID-19 or not. Part One of ‘Three Tips For Managing Being Sick At Home’ Tip #1: Write Things Down The first tip is that you need to have some system for documenting what medication you're taking and when you're taking it. If you're taking multiple medications, you need to keep track of the date and time you have a bowel movement (particularly if you're on pain medication, because that can make you constipated). “Have a plan BEFORE you get sick.” — Melissa Batchelor, PhD, RN, FNP, FAAN (05:01-05:03) If you're an older adult (or maybe even not so old), remember that having bowel movements is pretty essential for your brain and your ability to think. But usually, when you're sick, you don't remember what you did, and you tend to forget the last time you took pain medication. If you haven't had a bowel movement in three days, you need to let your healthcare provider know about it. Part Two of ‘Three Tips For Managing Being Sick At Home’ Tip #2: Things to know about taking your temperature The second thing I want to talk to you about is taking your temperature. You may be saying to yourself, "We all know how to take our temperature." And that's probably true. But you do need to know where your thermometer is. Before you use it, you need to be sure that you use alcohol with cotton pads. Make sure it's clean before using it. “If you're eating or drinking, you want to wait about 15 minutes before you take your oral temperature.” — Melissa Batchelor, PhD, RN, FNP, FAAN (07:05-07:15) Take your temperature before you eat or drink or wait at least 15 minutes before taking your temperature by mouth if you do. If you forget or don’t have time to wait, you can do an axillary (armpit) temperature. Write down if you take your temperature by mouth or axillary because there are slight differences (like a half degree to a full degree) between an oral temperature and your axillary temperature. Your provider may need this information later. Tip #3: Efficient Bed Making The third tip is how to prepare your bed so you can rest well. When you have a high fever, and you're taking care of yourself with no one around you, you don't have a lot of energy to spend. Simply fold your blanket halfway, so it's easy to pull it back up (demonstration in a video version of the podcast at 7:25 min mark). This energy saver is totally worth it and a simple little trick to do when you aren’t feeling well - or anytime! About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
3 Things to Know if You Get Sick During COVID “If you have a fever, don't jump to the conclusion that you have COVID.” — Melissa Batchelor, PhD, RN, FNP, FAAN (16:53-16:58) With more and more cases of COVID being diagnosed every day, our healthcare systems are adapting by using more telehealth and virtual office visits for primary care, and you can go get a COVID test on your own if you have any symptoms that are related to COVID - such as a fever, chills, and/or muscle aches. But there are some potential pitfalls and perils to this system, making it hard to navigate and can lead to you ending up being sicker than you needed to be if we still lived in a pre-pandemic world. In this week's episode, you'll learn about: 3 Things to Know if You Get Sick (with anything else!) during COVID Part One of ‘3 Things to Know if You Get Sick During COVID’ About two weeks ago, I decided to take a little vacation, as many of us are doing now that it’s summer and we’ve all been in quarantine for months. So, I rented an AirBnB and was riding a jet ski, going about twenty-five miles an hour when I fell off and ended up hurting my back. A week after I retired from vacation, my back was doing better and I thought I was going to be ok. On Day 8 after the jet ski tumble, I did a webinar for something related to work and by the time I was done, I felt terrible. I checked my temperature and discovered I now had a new symptom: A fever. Fevers lead to chills, followed by aching all over (including my back hurting again)...and then the story takes a turn for the worse, and there are some lessons I learned the hard way - and wanted to share them with you in hopes of preventing you from experiencing what I did. “Stay healthy. It's the best strategy of all.” — Melissa Batchelor, PhD, RN, FNP, FAAN (18:58-19:03) When my fevers started, as a nurse, I began self-management of my fever, chills, and aches by taking Tylenol, alternating with Motrin and waiting to see what would happen by the next day. In the meantime, I decided to call my primary care provider. I tried to call them (no answer) and their website wasn’t helpful either at the time. I couldn't figure out how to make an appointment and wasn’t able to talk to anyone there. So, I found another provider online and was able to get a virtual appointment the next day (Friday). But because I had the fever and the muscle aches and all the other stuff, I thought maybe I had COVID because I recently traveled, I decided to be proactive and go on and get a COVID test, so that would be in the works while I waited for my virtual appointment on Friday. By Saturday, my fevers were up to 103.3; called the same place back on Monday morning and was given another virtual appointment for Tuesday at 4pm - and ended up visiting two Urgent Cares and spending 6 hours on a hospital gurney in the ER for antibiotics. At the end of the day, if I had been able to go in and see someone Friday, a urinalysis and basic bloodwork would have been done to determine why I had a fever - but that didn’ happen because of my virtual visit. Part Two of ‘3 Things to Know if You Get Sick During COVID’ Long story short: Here are the top three things you should know if you get sick during the COVID pandemic: Tip #1: Know how to get in touch with your primary care provider, make an appointment, and access primary health care before you get sick. Tip #2: Know which urgent cares will see you for non-respiratory symptoms and/or respiratory symptoms before you get sick. Tip #3: Think twice before you take it upon yourself to be proactive and get a COVID test before you’ve talked to your provider. It just complicates things at the end of the day (in my opinion). “Wear your face mask when going out, because this COVID-19 thing is real.” — Melissa Batchelor, PhD, RN, FNP, FAAN (19:04-19:07) So at the end of the day, try not to jump to the conclusion that you have COVID if you get a fever. If you feel like you have the possible symptoms, talk to a provider first to try to figure out the best way to get any lab work or tests done in your local area. Stay tuned for the next episode and I’ll give you three tips (and a bonus tip!) for how you can take care of yourself when you're sick at home and managing being sick. Keep safe and stay healthy! About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Rethinking Nursing Homes and Care of Older Adults "Communities should create solutions that aren't just involving geriatricians of the world or the geriatric nurses and social workers. It's going to take everybody pulling together." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN ____________________________________________________________________ " Grow old along with me. The best is yet to be. The last of life for which the first was made ." In 1864, as Robert Browning wrote those words, growing old was not regarded the same as it is today. Before nursing homes and assisted living facilities, older adults aged at home alongside their families. Today, most people still age in their communities; but for the aging population that becomes frail, they may need the support from these long-term care institutions. However, the current nursing homes and care parameters for older adults often stigmatize aging and overlooked what people want when they get older. To counter this, we need a shift in mindset, one that sees older adults as persons with diverse needs, dreams, and aspirations about their future rather than just patients in need of care. In this episode of This Is Getting Old, join Dr. Stuart Butler and me in rethinking nursing homes and care for older adults. Part One of 'Rethinking Nursing Homes and Care of Older Adults'. The Convergence Report on Rethinking Care for Older Adults History and Background The Convergence Report on Rethinking Care for Older Adults is released at the end of November 2020. It was supported by the John A. Hartford Foundation, which funds a lot of work in the long-term care area on aging. The convergence conversation aimed to bring together about 50 people from very different backgrounds and different points of view to see if there are common ground areas. They were asked to brainstorm about the issues impacting today’s nursing homes, what's going on there, and what could be done differently. They were also asked to explore other ways that people can age outside of nursing homes. A crucial part of the conversation revolved around the workforce and the caregiving field, the workforce's nature and how to think about it differently in the future, and the financing of aging in American care and nursing homes. The Findings Of The Convergence Report On Rethinking Care For Older Adults The resulting main areas revolved around living outside nursing homes, the payment system, and the caregiving workforce. Today's nursing home system is increasingly out of date and the product of the payment system. The majority of older adults need not stay in nursing homes. There are ways of enabling them to live more successfully in their own homes and their communities. People and institutions can help older adults stay in their own homes, avoid isolation, and be safer. Today, the caregiving workforce is predominantly low-paid, very heavily immigrant—It's a low-skilled, low-paid workforce. "Only 5% of people over 65 ever end up in a nursing home, but they account for 50% of the state's budget." - Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Reimaging Nursing Homes and Other Care Institutions Alternative Business Models & Payment Systems The current payment system for long-term care forces many older adults to go into a care setting, which may not be the right one for them. It may not be ideal and indeed may not make them happy and may cut them off from their family. If a family asks, ' What's the next best thing for mom ?' The first response right now will be, ' We need to talk about your finances to figure that answer out .' Exploring The Financing And Workforce Elements Medicare + Medicare There's a lot of interest in revamping the rules and the regulations associated with, particularly Medicare and Medicaid, as to what they would cover. Medicare and Medicaid alternative services should be more open to covering home- and community-based services. However, exploring these options has the potential to save government spending on Medicaid and Medicare in the long term. Role Of Private Health Insurance One possible solution for people who do have some savings but are afraid of them being exhausted and then ending up on Medicaid, is providing a so-called “catastrophic backup” to long-term care insurance. The idea is to have legislation that would set this up to stabilize the long-term care insurance industry to make it more viable in the future. When this happens, then far fewer people would fall into this trap of being unable to pay. Role Of Long-term Care Insurance The long-term care insurance industry has declined very sharply in the last several years, in part because younger people don't think of having long-term care insurance. The other thing is people are living longer, and they live longer with sometimes costly illnesses that impact their ability to be independent. So long-term care insurers face these enormous potential costs; so this approach is not working. Part Two of 'Rethinking Nursing Homes and Care of Older Adults'. Expanding the range of older adult-friendly housing and communities 95% of older adults do stay and age in their own homes. Below are some ideas to help people age at home. Design and Collaboration Architects involved in the convergence conversation think about how to design housing that is safer and more open. These perspectives include looking at group housing, in various forms, and thinking about how multifamily units can be designed so that an older person can have that privacy, and so on. But more than these essential design features, we also look at how to build social capital that helps an older adult live in their own home and community, but not be isolated and cut-off from the rest of society. Role of Technology There are also a lot of improvements in technology. For instance, monitoring older adults, a doctor, or a nurse in the area can know if that person is getting unsafe in some way like a potential fall, etc. Technology connects health care providers and older adults so that their needs can be addressed. “We’re on the cusp of thinking differently about nursing homes in the future.” -Stuart M. Butler, Senior Fellow, Economics Studies Thinking About The Caregiving Workforce Differently Workforce Issues: Other Resources to Learn More LeadingAge Report: Making Care Work Pay LeadingAge released a new report, Making Care Work Pay . The report highlights health care professionals as an essential part of the United States' healthcare infrastructure and accounts for a significant portion of its workforce. Every day, nearly 3.5 million direct care staff operate in residential care centers and private homes to offer care for some of society's most needy members—the elderly, the disadvantaged, and the mentally impaired. Given the value of health care staff to our country's health and economy, health care professionals continue to be undervalued and underpaid. Poor wages and stressful working conditions exacerbate persistent workforce problems. As a consequence, efficiency and care delivery aren't as good as they should or could be. Milken Institute Center for the Future of Aging Report (Recommendations to Build a Dementia-Capable Workforce and System amid COVID-19 ) The recommendation aims to endorse the GWEP program's recent sanction, which authorizes almost $39 million in funding to expand geriatric expertise across the healthcare system over five years. Such action is anchored because, despite the reality that the number of individuals living with Alzheimer's disease is predicted to increase by 2050, a lack of geriatricians, nurses, and social workers with advanced expertise in geriatrics and complex dementia treatment is on the horizon.· Mathematica Report COVID-19 Intensifies Nursing Home Workforce Issues (Full report available as a downloadable PDF) Mathematica Report studies show that workforce shortages and turnover also strained nursing homes during the pandemic's climax. Many nurses and licensed nursing assistants have recently quit the industry due to low wages, inadequate working conditions, and the high risk of COVID-19 contamination at a period when their skills and experience are in high demand. Thinking About The Healthcare Workforce In Different Ways Improving Training Improve training for healthcare providers. At the moment, there's minimal federal training and federal requirements on states that need to be expanded enormously to raise the skill level. Want to know how your state is doing in terms of long-term care support and services (LTSS)? Find out from the AARP Foundation Long-Term Services and Supports State Scorecard 2020 Edition About Stuart M. Butler, Senior Fellow: Stuart Butler is a Senior Fellow at Brookings. Before Brookings, he spent 35 years at The Heritage Foundation as the Director for the Center of Policy Innovation and, earlier, as VP of Domestic and Economic Policy. He has recently played a prominent role in the debate over health care reform and addressing social determinants of health. Butler is a member of the Health Affairs editorial board, an advisory board member of the National Academy of Medicine's Culture of Health Program, and the Board President for Mary's Center, a group of community health clinics. About The Brookings Institution: The Brookings Institution is a nonprofit public policy organization based in Washington, DC, whose mission is to conduct in-depth research that leads to new ideas for solving problems facing society at the local and national level and globally. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN]: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and joined the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Integrative Medicine and Healthy Aging "People can stay healthy when their head, heart, and spirit are aligned." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Polypharmacy is a significant concern in geriatric treatment, presenting a chance of adverse effects and medication reactions. Although older adults under the age of 60 take 2–3 prescription medicines every day, those above 80 consume over 4–5 prescriptions per day. With that, many older adults in the United States are shifting to integrative medicine to boost their Quality of Life (QOL) significantly. The shift is a result of health issues and as a support for their beliefs and underlying theories about health and lifestyle. However, despite its increasing popularity, integrative medicine's impact on an older adult's quality of life and preventive medicine is too well understood. To fill in the gap, I am joined today by two guests, Dr. Leigh Frame and Dr. Mikhail Kogan, both from the George Washington University's Center for Integrative Medicine. We will be having meaningful discussions about The role of Integrative Medicine in Healthy Aging. Part One of 'Integrative Medicine and Healthy Aging.' What is Integrative Medicine? Integrative medicine is a pyramid of treatment that starts with non-invasive, non-surgical, non-pharmacological methods, especially for chronic conditions that often don't have a curative pharmacologic approach. Moreover, integrative medicine focuses on the whole person and their entire lifestyle. It looks at all aspects of their life, support system, mind, body, and soul. It's an all-inclusive systems approach to health and wellness that uses any evidence-based therapeutic available. “Among people over 65 years old, prescriptions are the third cause of death, killing approximately a quarter of millions of Americans every year.” -Mikhail Kogan, MD, AM How is Integrative Medicine Similar or Different to Traditional Primary Care? Integrative medicine is known in other terms as alternative medicine, traditional medicine, complementary and integrative medicine (CAM), or non-mainstream medicine. Furthermore, as described by the National Institutes of Health, integrative medicine is a non-mainstream treatment used outside traditional primary care. As a result, integrative medicine is by far uncommon in the United States. On the other hand, traditional primary care is what the majority of people are familiar with. Primary care has been described in a variety of ways. Basically, it includes healthcare professionals' treatment— Primary care areas of expertise include general internal medicine, family medicine, general pediatrics, and obstetrics and gynecology. Moreover, its scope extends to health care activities that characterize the range of primary care, including treating or relieving common diseases and disabilities. Traditional primary care can also be defined as a level of treatment or program that integrates secondary care (provided by community hospitals) and tertiary care (by medical centers ) Examples of integrative medicine approaches are; Acupuncture Hypnotherapy Massage Meditation Psychotherapy Holistic Primary Care Reiki Yoga Part Two of 'Integrative Medicine and Healthy Aging.' The Role of Integrative Medicine in Aging Well There is this famous thing in geriatrics, " Don't look for zebras. Look for cows that look like zebras " because the common conditions that are often present in older age are extremely unusual, but they're still prevalent. So if you don't think in that framework and if you don't ask, " Could this be that it just looks like this kind of zebra, but it's not actually a zebra? " It means that specific to primary care and to integrative, most healthcare professionals are looking for zebras because they're kind of cool. They always look for some more fascinating diagnosis—but in geriatrics, that's not the case. “Look at the bigger picture rather than just the symptoms.” -Leigh A. Frame, PhD, MHS To understand some of the older age's illnesses and chronicity, you need to understand how it occurs in the younger age. Most of the diseases can be traced to middle age or even younger age. It is understanding how to advocate for specific steps and care and, more importantly, what questions to ask when somebody comes to you regarding their chronicity. Furthermore, with integrative medicine, the physician role stops being a physician role. You're becoming a mirror for a patient, and you're suddenly becoming a reflection to help them to see what they're doing right and wrong, and then select the choices to move forward. A lot of what's done in integrative medicine is not rocket science: eating well, sleeping well, exercising, staying positive, and staying balanced in terms of the nervous system - it's not all that complicated, but achieving these can be quite challenging at times. About Mikhail (Misha) Kogan, MD, ABIOM, RCST Dr. Kogan received his medical degree from Drexel University, College of Medicine. He completed the Social Internal Medicine Resident program at Montefiore, Albert Einstein School of Medicine and Geriatric Fellowship at George Washington University. Currently he serves as medical director of the GW Center for Integrative Medicine, associate stant professor of medicine in division of Geriatrics and Palliative Care, associate director of the Geriatrics Fellowship Program and director of Integrative Medicine Track program at the George Washington University School of Medicine. Dr. Kogan is founder and executive director of AIM Health Institute, a 501(c)(3) non-profit organization in the Washington, D.C. metropolitan area that provides integrative medicine services to low-income and terminally ill patients regardless of their ability to pay. About Leigh A. Frame, PhD, MHS Dr. Leigh Frame brings nutrition and immunity together through clinical, translational research. Dr. Frame’s T-shaped expertise in health, wellness, science, and medicine were developed through her wide-ranging experience in biomedical research (from wet bench to clinical research) and overseeing research and education programs. Dr. Frame is working to build a GW Integrative Medicine research program while directing the graduate education programs and the Office of Integrative Medicine and Health. Her interests include the role of the microbiome and nutrition in health, the consequences of malnutrition in obesity, vitamin D as an immune modulatory hormone, research ethics, and social media. While working at the Johns Hopkins Center for Bariatric Surgery, Dr. Frame earned her PhD in Human Nutrition from the Johns Hopkins Bloomberg School of Public Health and also received a Master of Health Science in Molecular Microbiology and Immunology from the same school. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
How to Manage Anger and Aggression in Alzheimer's Disease? “When older adults are acting badly, that is a sign of an unmet need.” -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Older adults with Alzheimer's disease can get angry or be aggressive. These types of behaviors, when associated with Alzheimer's disease, can be a challenge for care providers and family members alike. These behaviors should not be overlooked and should be taken into consideration of the context in which the behaviors occur to try to find a solution. Join me for this episode of This Is Getting Old: Moving Towards an Age-Friendly World , where we'll talk about How To Manage Anger and Aggression in Alzheimer's Disease. Part One of 'How To Manage Anger and Aggression in Alzheimer's Disease.' Anger and aggression generally happen in response to some underlying trigger, resulting in the behavior(s) observed. Below are some of the underlying causes of anger and aggression for an older adult living with Alzheimer's disease and the best ways to respond as a caregiver. Understanding The Underlying Cause(s) Or Trigger Possible Cause 1: Brain Changes As caregivers or family members, you need to understand what cognitive abilities remain intact versus what deteriorates. Alzheimer's disease is essentially “brain failure” - meaning memory ability is lost over time, and thinking and problem-solving become much more difficult. At a certain point, the person also loses the ability to use and understand language. However, one part of the brain that remains intact is the basic responses of Fight, Fright, or Flight. The Fight, Flight or Fright response may be what’s coming out as angry or aggressive behavior in the person with Alzhiemer’s disease, so we need to be mindful of this when interacting with a person. To make sure that they hear us and see us, before we touch them. Possible Cause 2: A General Health Problem or Physical Discomfort Another trigger for angry and/or aggressive behaviors are a general health problem or physical discomfort. You need to understand that when a person with Alzheimer's disease is experiencing pain or discomfort, they aren't going to be able to tell you what's hurting. They may hurt in their elbow or their hip, but they can't tell you exactly where they're hurting because they can’t localize pain (what this means is that when they feel pain all over - rather than in one specific spot). To figure out if or where they are hurting, you will have to look at nonverbal behavior, such as facial grimaces or holding a specific part of their body. Look for any nonverbal behavior as the way the person will communicate with you - rather than just straight out telling you what's wrong when they can no longer use or understand words. Possible Cause 3: Environmental Factors The environment does have an impact on someone with Alzheimer's disease. If your home is generally quiet or you live by yourself when you have a little bit of cognitive impairment, if the whole family shows up and there are twenty-five people in the room, that is a totally different level of activity. The sudden change of environmental noise may be too much stimulation and this can create anxiety, which might drive angry and/ or aggressive behavior(s). Possible Cause 4: Poor Communication When a person living with Alzheimer's disease loses the ability to use and understand words, their only option is to use behavior to communicate with you. When you see someone acting badly, that is usually a sign of an “unmet need” - so trying to figure out what they may need will be the better strategy for managing the behavior. Part Two of 'How To Manage Anger and Aggression in Alzheimer's Disease.' Best Ways to Respond? Response 1: Safety First If you're dealing with someone that's very angry and they are being very aggressive, the first thing to do is to make sure to maintain their safety. Once you know they are safe, it would also be best if you back off and give them space to calm down. You may need to remove yourself from the room if the anger or aggression is directed towards you. Give them the time and the space they need to calm themselves down in a safe place. Response 2: Become A Detective After making sure the person is safe, the next best response is to become a detective. I usually teach what I call the 3CP Model. The 3C’s are: Change the person, Change the people, or Change the place. This is a simple way to think through identifying behavioral triggers and preventing or resolving problematic behaviors. CHANGE THE PERSON When thinking about something that may need to Change the Person - this means the Person living with Alzheimer’s disease. As caregivers, when we look at the person, we need to think about what their behavior is trying to tell us. There is some “unmet need” driving the behavior: Are they hot? Are they cold? Are they hungry? Are they tired? Or are they in pain? Starting with seeing if there’s anything that needs to be addressed for the Person is the first place to start. CHANGE THE PEOPLE The second level to think through that may need to Change is the People - this means us as caregivers. Think through if there may have been something that you did when interacting with the person that accidentally sets the behavior off. Always give people warnings that you're coming, by making sure that they see you and hear you first. Startling someone can sometimes set off aggressive behaviors. CHANGE THE PLACE The third thing to consider is Change the Place - this means the environment. Is there too much noise? Do you need to move the patient into a different environment with less distractions? Too much background activity can sometimes cause stress, which can trigger anger and aggressive behavior. Response 3: Don't Push Your Agenda. Sometimes as caregivers or staff members, we have things that we need to get done - such as helping the person get dressed or get a bath - and we're very focused on getting these things done within a certain time frame. In the well-meaning spirit of helping the person with Alzheimer’s disease, we try to push our agenda on the person. During our time frame, the person we are helping may or may not feel like doing the things. When you first sense a change in behavior from cooperation to resistance, remember that resistance is met with resistance. If the person gets agitated and you get agitated back, it becomes a tug of war between the two of you - which doesn’t help either one of you. When this happens, as the people with the “big brain”, you need to back off and wait for a different time. If the person you’re trying to help becomes aggressive, try to shift the focus to another activity - and come back to whatever it was that you're trying to get them to do. Response 4: Reflect and Regroup If you get into the “resistance is met with resistance” dynamic, take time to think through that interaction, reflect on how the situation could have been handled differently, and regroup. There is a way to pick up on someone's nonverbal cues earlier, as soon as they start to become agitated in order to prevent it from getting into a full-blown fight. And if you’ve tried several times and you can't figure out what's going on, ask another person, someone you trust, to come in and watch. Let someone else observe the interaction(s) can help you see if there's something that you may be missing - doing this can also be helpful. Furthermore, getting into a support group of finding family/ friends you can share your experience with can also help. A person living with Alzheimer’s disease is doing the best they can, so try not to take it personally. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN]: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The 5Cs Framework of the Age-Friendly Public Health Systems "TFAH wanted to provide an opportunity to explore and expand public health's role in aging. Our goal is that state and local public health departments across the country become age-friendly public health systems. This means they recognize aging as a core public health issue and then leverage all their skills and capacity to dive in and improve older adults' health and well-being." -Megan Wolfe, JD (03:08-03:35) Americans are living longer and more productive lives than ever before and we’re going to see a rise in both the number and proportion of older adults – to nearly a quarter of the population by 2060. That’s 98 million people…and means if you were born in 1995 or earlier, we are talking about you and what you’re going to need as you get older. This will not only be the largest number of older adults in our history, but they will also be the most racially and ethnically diverse older population we’ve ever seen. In line with that, in today's episode of This Is Getting Old, we will be talking about Age-Friendly Public Health Systems as part of our Age-Friendly Ecosystem Series. In five previous podcasts, we talked about the history of the Age-Friendly Health Systems initiative and the 4M's. Today I am joined by Megan Wolfe, who is with Trust for America's Health – a non-partisan public health policy, research, and advocacy organization that envisions a nation that values health and well-being for all. The good news in talking about an Age-Friendly Public Health system today is that the COVID pandemic has illustrated the critical role public health plays in our daily lives, both as American and global citizens. Public health’s mission to improve the health and safety of our nation has not been in the forefront for as long as it has during the pandemic. Every public health department should be age-friendly - and while we have a lot of work to do, a lot of great work is already being done and today’s episode highlights that. Part One of 'The Age-Friendly Public Health Systems.' America's public health sector has very few specialized programs that emphasize older adults' safety and well-being. It has always been an afterthought as public health struggled with the concerns of older people. Building and embracing Age-Friendly Public Health Systems and communities is an important way of promoting public health, vitality, and aging. Thus, research, experience, and policy on aging projects began to transform this promising concept into concrete actions that could be encouraged and supported by the government. These efforts answer concerns about the forms in which societies can impact healthier aging, age-friendly neighborhood programs, and outlines historical and future actions to promote community improvement mechanisms on behalf of our increasingly aging population. Two questions drove the conversation when thinking about Age-Friendly Public Health Systems: Does public health have a role to play in aging? Would the aging services sector welcome public health being engaged in this work? "To become age-friendly is to understand the principles for age-friendly initiatives, but then taking principles and determining how to tailor it to where we live; to the needs of that particular aging population." Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN The Importance of Creating an Age-Friendly Public Health Initiative The reasons that public health hasn’t included older adults and aging has been two-fold: Many of the policies designed to support older adults, like Medicare, Medicaid, and the Older American's Act, did not explicitly include a role for public health. There has always been a lack of funding for general public health agencies for dedicated initiatives for those 65 years and older Public health has contributed to Americans' longevity, so it only made sense to explore and expand its role in healthy aging, in partnership with the aging services sector that already does so much to serve this population. The Birth of Age-Friendly Public Health Systems Initiative In place of this state of public health, in 2017, a group of leaders came together to develop a public health framework to support older adults' health and well-being. A year later, under the leadership of TFAH, the John A. Hartford Foundation, the Florida Departments of Health and Elder Affairs, the AFPHS initiative started as a pilot in Florida and included. 37 of the states’ 67 county health departments. The Florida pilot demonstrated the value of aligning and coordinating approaches for older adults to identify and provide needed programs and services. Thus, AFPHS offers a framework that allows priorities to be established based on geographic region/ communities. It gives public health practitioners a place to start. Part Two of 'The Age-Friendly Public Health Systems.' What's the Framework For an Age-Friendly Public Health System All about? The Framework for an Age-Friendly Public Health System includes five key potential roles for public health. The 5C's of an Age-Friendly Public Health System s are; Connecting and Convening with multiple sectors and professions to provide support, services, and infrastructure to promote healthy aging. Coordinating existing supports and services to avoid duplication of efforts, identify gaps, and increase access to services and supports. Collecting and Disseminating Data to assess community health status (including inequities) and the aging population needs to inform interventions. Communicating and disseminating research findings and best practices to support healthy aging. Complementing and supplementing existing support and services, particularly in integrating clinical and population health approaches. "Public Health System Recognition Program is designed to incentivize state and local public health departments to become age-friendly and take those steps needed to transform their health departments to be age-friendly ones." -Megan Wolfe, JD Want To Know More? If you want to learn more, the Public Health Accreditation Board will be considering healthy aging recommendations and has developed a Tip Sheet on how to get started to align healthy aging with the PHAB Standards and Measures. TFAH offers an informational webinar on the Age-Friendly Public Health System Recognition Program . All state, territorial, local and tribal public health departments are eligible to enroll and participate in the Recognition program. You may also visit the Age-Friendly Public Health Systems website , and Megan Wolfe can be reached at mwolfe@tfah.org COMING SOON is a stand-alone website for Age-Friendly Public Health Programs . So stay in touch and get connected! About Megan Wolfe Megan Wolfe is a Senior Policy Development Management at Trust for America's Health (TFAH), where she works with the Policy Development team to advance a modernized, accountable public health system. Her current work at TFAH focuses on advancing Age-Friendly Public Health Systems. Megan has been engaged in public policy and advocacy for over 20 years and has represented Fortune 500 and non-profit organizations. Before joining TFAH, she served as Government Relations Manager for ASCD, an international education association comprising teachers, principals, superintendents, and higher education professionals. Her work experience also includes serving as Government Relations Manager for the National Association for Sport and Physical Education and as a staff member for the Senate Judiciary Committee working on the federal judgeship confirmation process. Megan received her undergraduate degree in Government from the University of Texas at Austin and earned a JD from the Antonin Scalia Law School. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Helping a Person With Alzheimer's Disease to Eat "Handfeeding is recommended over tube feeding in Alzheimer's disease. The handfeeding techniques offer an additional sensorimotor cue." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN In the late stages of Alzheimer's disease, it's not unusual for older adults to have trouble eating. Before the end of life, 85% of people living with Alzheimer’s disease will have trouble eating. There are many reasons for this, but many stem from the sensory changes that happen with the disease such as changes with smell, taste, vision, and hearing. Other contributing factors may involve chewing their food, swallowing, or they simply lose interest in food. Ensuring that anyone with Alzheimer's eats a healthy meal or eats sufficiently turns into a real practical and emotional challenge for the caregiver. In today's episode of This Is Getting Old, we'll talk about Alzheimer's Care: Making Mealtimes Easier. I'll share strategies that can help you help an older adult to eat more food. Part One of 'Helping a Person With Alzheimer's Disease to Eat. ' The first step in understanding is the sensory changes that impact an older adult's ability to feed themselves. These sensory changes are briefly described below; Smell. Smell is diminished with Alzheimer's disease. As this disease progresses, people lose their sense of smell. They can't smell their body odor, they can't smell if there's smoke in the house, so they certainly have a hard time smelling food. This change also increases their risk for food poisoning. Taste. Have you ever wondered why an older adult with Alzheimer's disease loves sweet food? Sugar fires up a part of your brain that remains intact throughout the disease. So if we need to put a little bit of sugar on somebody's food (and adjust their medical regimen accordingly if they have diabetes), to get them to eat more food, we should do that. "For an older adult with Alzheimer's disease, adding a little bit of sugar to their food could be a good thing because sugar fires up a part of the brain that remains intact throughout the disease." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Hearing. If you only have Alzheimer's disease, you can still hear, but what happens is you lose the ability to use and understand language. It might seem like they can't hear us sometimes, but the reality is they can't understand us. Vision. A person with Alzheimer’s disease will lose peripheral vision. With Alzheimer's disease, vision diminishes from scuba vision, to binocular vision, down to monocular vision. Touch. The Palmer Reflex returns with late Alzehimer’s disease. The Palmar Reflex is similar to when you put your finger in the palm of a baby's hand, and they grab it. That reflex comes back very late in this disease, making it difficult for older adults to use utensils, handle cups, and all the things that it takes to feed themselves. Verbal and Visual Cues To Facilitate Ease in Feeding When providing care to a person living with Alzheimer's disease, we already know to give people verbal and visual cues. However, late in the disease, they will have a hard time using and understanding language so what they pick up on is your nonverbal behavior. So if you sit down and you're smiling, or you mimic chewing or whatever it is that you want them to do, that part of the brain remains intact even late in the disease (it’s called “Mirroring”). By using nonverbal cues, you're a lot more likely to get them to do what you want without using words. Part Two of 'Helping a Person With Alzheimer's Disease to Eat.' Modified Hand-feeding Techniques In helping the older adult eat, the three hand-feeding techniques are Over Hand, Under Hand, and Direct Hand. You should start with the least amount of assistance you need to provide and save using the Direct Handfeeding technique until last. Unfortunately, what we often see in practice is that people start and stay with Direct Hand. This can create unnecessary debility and dependence on others, rather than supporting self-feeding. The first thing you need to know is if the person has“skill finger” ability (your thumb, first and second finger are your “skill fingers” and are needed to manipulate utensils when eating). Based on this information, you can tailor the level of assistance provided and which technique to use. Over Hand Let's say we have an older adult who's pretty much able to feed themselves that they have skill finger ability and need a little help getting the food from the plate to their mouths; start by offering overhand assistance. Place your hand over the person's and gently guide their hand with the utensil towards their mouth. Be careful when you're doing this to make sure that you don't hurt their wrist or grab their hand too tight and always help them through the middle of their body. "Hand-feeding techniques are helpful for other caregiving activities that you may be doing. You can help older adults brush their teeth, comb their hair, and even get dressed; because with the Under Hand technique, we're doing all the fine motor stuff that they can no longer do because of Alzheimer's disease." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Under Hand The Under Hand technique works the best for someone who's lost skill finger ability or doesn't seem to understand what to do with their utensils. At this point, we can use the Under Hand technique. Start by getting into the Under Hand Shake position; what this technique does is it frees up is your skill fingers. The Under Hand technique provides a new, additional sensorimotor cue to maximize the signals that we're providing. Modifications based on Range of Motion Ability One of the first modifications we can do with the underhand technique is if the person has a partial range of motion. In this case, we need to load the fork or the spoon for them because that's the part that they can no longer do. So if a person has very little range of motion, you may need to put their food item into a different container and get very close to them so that they don't have to move as far to participate in the act of eating. Even with a minimal range of motion, the underhand still provides the cues that might help them to understand that it's time to eat Direct Hand The third technique is the Direct Hand technique. You want to save this handfeeding technique for people who aren't able to participate in the act of eating. It is best practice to put your hand on their shoulder; because they've lost peripheral vision and they may not see you sitting there. Even with this technique, you need to make sure that they see the food before it comes towards their mouth. Lifting it into their visual field helps them to know that food is coming, and usually results in them opening their mouth. This often allows meal intake to go more quickly. Want to Know More? If you found this video helpful and would like to learn more strategies to improve meal intake, please visit my website at MelissaBPhD.com/shop . I’ve created an online course titled, “Optimizing Nutrition in Dementia Using Supportive Handfeeding”. I’ve adapted this course from my research teaching nursing home staff for family/ friend caregivers to teach you these skills. This course teaches you the most recent evidence-based information we have for managing mealtimes in dementia – and you may even find it helpful for doing other care activities like combing someone's hair, brushing their teeth, or helping them to get dressed. You can use the Coupon Code TIGO20 to get 20% off the course! You can also find other videos related to Alzheimer's disease on my YouTube Channel ( MelissaBPhD ) and this website under podcasts + blogs. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The 4M's Framework: MENTATION with Tahira I. Lodhi MD "Mentation is about preventing, identifying, treating, and appropriately managing the 3Ds in geriatrics: dementia, delirium, and depression." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN “She’s just not right today”. When referring to an older adult, this simple phrase should be a signal to family and formal caregivers alike to begin to find out why. If a child “wasn’t right” one day, no one would ignore it - and we cannot ignore it in an older adult. An altered mental state is a broad term for geriatric patients having issues with their cognitive level. Essentially, for older adults with altered mental states, early detection and diagnosis are essential, as the source could be life-threatening. In line with that, today's episode of This Is Getting Old, will focus on continuing our special series on the Health Systems Initiative and the 4Ms Framework, explicitly talking about MENTATION. Dr. Tahira I. Lodhi joins us, and we'll talk more about providing health care services to older adults with the limelight on the spheres of Mentation. Also check out these related podcasts: Ten Warning Signs of Dementia Six Tips for Talking to Someone You Think Has a Memory Problem How Dementia is Diagnosed Ten Tips for Preventing Alzheimer’s Disease How to Manage Repetitive Behaviors in Alzheimer’s Disease Part One of 'The 4M's Framework: MENTATION'. THE SPHERES OF MENTATION Mentation is about preventing, identifying, treating, and appropriately managing what is referred to as the 3D's in geriatrics; dementia, delirium, and depression. The 3D's are a cornerstone of geriatrics, and it can be challenging to tease these three apart when providing care to an older adult. There are several characteristics in common with depression, dementia, and delirium. Apathy, detachment, and tearfulness can be present in both depression and delirium, especially hypoactive delirium. However, a reliable indicator lies with the onset and duration. The onset of dementia is slow and insidious. However, deterioration is progressive over time. Delirium develops unexpectedly (for hours or days), and manifestations appear to fluctuate during the day. While a change in mood persisting for at least two weeks characterizes the onset of depression. The duration may coincide with life changes and can last for months or years. DELVING DEEPER INTO MENTATION DEPRESSION It is necessary to remember that depression is not an unavoidable aspect of becoming older, nor is it an indication of failure or character defects. Regardless of your history or past successes in life, it can happen to everyone, at any age. While life changes when you age, retirement, loved ones' demise, deteriorating health may also induce depression. TOOLS FOR ASSESSING DEPRESSION For health care providers, it's essential to recognize depression. You can use several instruments, like PHQ-2, PHQ-9, and other Geriatric Depression Scales, to assess depression in older adults. PHQ-2 (Patient Health Questionnaire-2) uses a valid and reliable depression screening tool for all ages. In comparison, a PHQ-9 is a screening test that can also be used to follow-up on a promising PHQ-2 outcome and to track response to therapy. "You may find that a person who was once active in the long-term care setting is now just sitting on the sidelines, not talking to anybody and say that they just feel down. That's the time to evaluate the person and make sure it's not depression." -Tahira I. Lodhi, MD SIGNS AND SYMPTOMS OF DEPRESSION IN OLDER ADULTS Recognizing depression starts with getting familiar with the signs and symptoms. Red flags for depression include: Sadness or feelings of hopelessness. Unexplained aches and aggravated pains Lack of interest in hobbies or socializing. Loss of weight or appetite. Feelings of desperation or helplessness. Lack of encouragement and energy. Sleep disruptions Slowed movement or discourse. Fixation on death; suicidal thoughts. Problems with memory. Neglecting personal treatment WHAT TO DO: PREVENTIVE MEASURES AS FAMILY MEMBERS OR CAREGIVERS To help older adults suffering from depression, you can evaluate psychological evaluation with or without starting SSRIs. Selective serotonin reuptake inhibitors (SSRIs) are prescribed for patients with mild to severe depression who initiate psychiatric treatment with an antidepressant. Among the countless antidepressants, SSRIs provide as much value in terms of efficacy and mitigating health risks. Besides, SSRIs are the most commonly used antidepressants. Daily exercise can even help avoid depression and lift an older adult’s mood. Let them do everything that they want to do. Also, being physically healthy and consuming a healthy diet will help reduce ailments that may contribute to depression among older adults. Moreover, Psychotherapy, often referred to as "talk therapy," can help those with depression. Talk therapy is used to mitigate depression, and it works by assisting older adults to do away with harmful thoughts and any habits that could exacerbate depression. Part Two of 'The 4M's Framework: MENTATION'. DELIRIUM Delirium can be a medical urgency/emergency and can present as either hyperactive or hypoactive. Any sudden change in mental status should be considered delirium. The hallmark is in-attention. It can get tricky when a person already has a diagnosis of dementia - we refer to this as delirium superimposed on dementia. However, once we fix the delirium's underlying cause, the person will typically return to the baseline mental status. If you or a loved one are planning an elective surgery, be sure to review these considerations and discuss them with your provider and surgeon, in hopes of preventing postoperative delirium. Page 24 has a checklist of things that you and your provider should look for and many of the Confusion Assessment Methods (CAM), such as the CAM-ICU (p. 47). RECOGNIZING HYPOACTIVE DELIRIUM AND HYPERACTIVE DELIRIUM Delirium progresses gradually, and the effects fluctuate throughout the day and worsen at night. Hyperactive delirium is distinguished by Increased muscle movement, restlessness, anxiety, hostility, roaming, hyper-alertness, hallucinations, delusions, and inappropriate behavior. On the other hand, Hypoactive delirium is characterized by reduced muscle movement, lethargy, withdrawal, drowsiness, and sleeping too much. SCREENING TOOLS THAT CAN BE USED TO ASSESS DELIRIUM Whether you're a family or caregiver of older adults at risk of or healing from delirium, you should take precautions to enhance the well-being of the individual better. Assessment tools that may be used to test instances of delirium. Confusion Assessment Method (CAM) CAM-ICU for intensive care units 3D-CAM for medical-surgical units bCAM for emergency departments WHAT TO DO AS FAMILY MEMBERS The best thing you can do as a family member is to provide encouragement and orientation. Remind the individual where they are, who they are, and also what time it is. It would also help if you alerted providers whenever delirium signs and symptoms are noticed in the patient. A matter of saying, " Mama just isn't right today. " can make a difference. WHAT TO DO AS PROVIDERS: PREVENTION STRATEGIES As a healthcare provider, you will play a critical part in having a positive and comforting presence during an older person's delirium. Here are several straightforward steps to alleviate delirium and how you can help as a caregiver : Convey and resolve sensory disability. Use simple sentences to ask individual questions, and use interpreters where available. Minimizing the confusion of the patient. Place a large-font clock, calendars, and signs. Promote cognitive enhancement, such as learning about news or recalling. Discourage napping throughout the day to help the patient relax at night. Foster mobility and self-care Promote autonomy in everyday life tasks and minimize the possibility of crashes. Encourage patients to reduce the possibility of constipation, dehydration, and under-nutrition by eating and drinking. Consider calming, music, or massage therapies (this may also help with sleep). Stop using indwelling catheters because they can cause contamination. It is advised to minimize, stop or prevent the usage of psychoactive medications as they can aggravate delirium. Document the indications in the psychiatric background of the patient for the usage and stopping use of antipsychotic treatment Ensure that pain control is available and that a protocol for pain treatment is in effect. Keep the room silent, such as utilizing vibrating pagers instead of calling bells. "Recognizing delirium is the biggest thing. In some of the studies that I've seen, up to 60 to 75 % of health care providers don't recognize delirium." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN DEMENTIA RECOGNIZING DEMENTIA Dementia is not a particular illness; it's a broad concept that encompasses a wide variety of serious medical issues, including Alzheimer's disease. Abnormal brain shifts are triggered by diseases clustered under the general word "dementia." These transitions cause a reduction in reasoning skills, which are incredibly severe to affect everyday life and autonomous functioning. They also influence actions, thoughts, and relationships. Check out these related podcasts to learn more: Ten Warning Signs of Dementia Six Tips for Talking to Someone You Think Has a Memory Problem How Dementia is Diagnosed Ten Tips for Preventing Alzheimer’s Disease How to Manage Repetitive Behaviors in Alzheimer’s Disease SCREENING TOOLS USED TO ASSESS DEMENTIA A clinical evaluation, experimental testing, and the observation of the irregular shifts in thought, day-to-day function, and patient actions are needed by physicians to identify Alzheimer's and other forms of dementia. But the precise form of dementia is more difficult to ascertain since the signs and brain alterations of multiple dementias may overlap. For health care providers, some of the screening tools that are commonly used are MMSE (Mini-Mental State Exam), MoCA (Montreal Cognitive Assessment for Dementia, and the SLUMS Test. WHAT TO DO AS FAMILY MEMBERS AND HEALTHCARE PROVIDERS You can take measures to improve cognitive health and reduce your loved one or patient's risk of dementia. Please encourage them to maintain an active mind by playing word puzzles, memory games, and reading. Being physically active, exercising at least once a week, and making other positive lifestyle improvements will also lower the risk. Lifestyle and dietary improvements include avoiding smoking and consuming a diet high in, Fatty Acids omega-3, Fruit, Vegetable, and whole grains. About Tahira I. Lodhi MD Tahira I. Lodhi, MD, is an assistant professor at the University of George Washington for Geriatrics and Palliative Care. In 1999, she graduated from medical school and received her Family Medicine training at Virginia Commonwealth University and her Geriatrics Fellowship Training at George Washington University. Dr. Lodhi's expertise is in the training and practice of primary care geriatrics. She's often involved in developing workflows in healthcare systems and supporting her patients to receive streamlined, patient-centered services. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN]: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The 4M's Framework: MOBILITY with Tahira I. Lodhi MD "MOBILITY is a critical aspect of the 4M's framework because you have to safely move every day to maintain your function - in order to do WHAT MATTERS." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Strength and mobility are vital facets of life, but they are often taken for granted. When you experience a mobility restriction, that’s when people become more mindful of its value. For older adults, mobility issues are strongly linked to falls, social isolation, feelings of loneliness, stress, chronic disease, weight deterioration, and loss of bone mass. Mobility restrictions are also known predictors of mortality. Older adults prefer to be independent, but this may be difficult if they are experiencing mobility problems. In today's episode, we will discuss MOBILITY as a continuation of our special series on the 4M's Framework of the Age-friendly Health Care Systems. With me is Dr. Tahira I. Lodhi, and we're inviting you to join us and discover how to implement MOBILITY in your care plan for older adults properly. Part One of 'The 4M's Framework: MOBILITY'. About Tahira I. Lodhi MD Tahira I. Lodhi, MD, is an assistant professor at the University of George Washington for Geriatrics and Palliative Care. In 1999, she graduated from medical school and received her Family Medicine training at Virginia Commonwealth University and her Geriatrics Fellowship Training at George Washington University. Dr. Lodhi's expertise is in the training and practice of primary care geriatrics. She’s often involved in developing workflows in healthcare systems and aims to support her patients to receive streamlined, patient-centered services. What MOBILITY is All About? When we say MOBILITY, we're talking about the movement of patients in their environment. It is an indicator of how well your patient can live independently in the community and their own homes. Moreover, MOBILITY for older adults is about moving naturally. It's not like training for marathons. But the movement is essential. It has to do with how well they walk and their balance and strength—how well older adults can get around matters. "For every day that an older adult spends in bed, it takes them about three weeks to recover. So daily movement is essential." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN. How to Maintain MOBILITY: What To Do and Things To Look Out For Awareness of Your Patient's Life Space Your patient's living space tells you how mobile or interactive they are with their surroundings. Care providers must know whether the patient is traveling in the community, taking public transport, going places, or confined to the home to assisted living or nursing home. That life space concept is essential to determine how functional your patients are. A clear understanding of your patient's life space minimizes the onset of disability in the future and has been associated with a decline in certain medical conditions like COPD (Chronic Obstructive Pulmonary Disease). Looking Out for Elements that may Cause Falls The primary goal of incorporating MOBILITY into older adults’ health care plans is for them to be independent and have ease in moving around. As their care providers, make sure the environment they are in is safe enough and there are not, for example, area rugs that could cause potential falls. See to it that your patients have spaces where they can move around in their environment. Likewise, consider your patient's engagement with the broader community, their neighborhood, and also within their own home. These are built environments that need safety assessments. Like how safe are the sidewalks? Do they need adaptive equipment? Encourage Daily Movement Another way to maintain MOBILITY among older adults is by encouraging them to move daily. Any increased activity level from baseline is best, but the goals and targets for older adults are 30 minutes of regular to moderate level physical activity, five days a week. That could be something as simple as walking on a level surface for 30 minutes a day. "What I tell my patients is if they aren't doing that level of activity, they can start with as low as five minutes a day and build it up slowly," says Dr. Tahira I. Lodhi Take Advantage of Technology to Monitor the MOBILITY In helping your patients reach the goal of walking at least 30 minutes continuously, some technologies can help. An Apple Watch, for instance, will tell you when it's time for them to get up and do something. Both the Apple watch and FitBits, when worn on the wrist, monitor the number of steps taken, prompts the user to walk, documents sleep, and in some versions analyzes heart rates. Managing Impairments that Reduces MOBILITY Some medications may have side effects that reduce MOBILITY. This goes true with patients who are on blood pressure medications. It would be best if you check on your patient and ensure they're not getting dizzy when they get up from a seated position. Because of all the risks, secure the lighting for them to see clearly if they're using glasses, and they can walk around easily. Furthermore, teach and educate your patients about mobility devices if they're using one: these devices are their friends. Part Two of 'The 4M's Framework: MOBILITY'. Assessment Care Providers Can Use to Gauge MOBILITY There are several assessments that care providers can use to gauge an older adult’s mobility. Three of the commonly used tools are the Timed Get Up and Go, Fall Risk Assessment, and Home Safety Assessment. Timed Get Up and Go The Timed Get Up and Go (TUG) assessment is a practical mobility performance-based test primarily used in older adults to diagnose mobility and balance impediments. The test allows the patient to rise from a chair, move 3 meters to a target set on the floor at a comfortable rate, turn around the 3-meter marker, walk back to the starting position, and return to sitting in the chair. The test score is the duration it takes for the patient to complete the test. Fall Risk Assessment The American Geriatrics Society and British Geriatrics Society issued guidance for clinical practice on fall risk screening, evaluation, and treatment. The guidelines advise that all individuals 65 years of age and older be tested regularly for fall risk(s). This assessment involves asking patients if they have collapsed two or more times over the past year, have pursued medical treatment after a fall; or if they appear unsteady while moving if they have not fallen. There is an elevated likelihood of declines among patients who react positively to these concerns and may undergo more evaluation. People who have fallen previously without damage must have their posture and gait assessed. Also, providers should do a further assessment of those with gait or balance abnormalities. Home Safety Assessment As healthcare providers, your patient's home needs to be safe for them to move around. To do that, it would be best for family members or caregivers to implement the following suggestions: Be sure that hallways, staircases, and ramps are well illuminated. Some rails and banisters can be used when moving up and down the stairs. Never put scattered rugs at the base or top of the stairs. Secure rugs and carpets to the floor such that they do not move as you step on them. Use double-sided tapes to fasten area rugs. Rearrange furniture to make way for unobstructed walking pathways. Make light switches accessible by positioning them not so high. Enhance overall home illumination. Wherever possible, add work lights and night lights. Use levered handles to replace doorknobs or install doorknob grips. In a high-contrast color, label differences in floor area with paint or tapes. Remove any electronic wire and extension cables passing across or around walkways. Place electrical cords behind the furniture, if possible. To enable shifting from sit-to-stand smoother, swap precarious chairs with chairs that have strong sides. "Movement is important; it has something to do with how well you walk and your balance and strength. How well you can get around matters." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Intervene Effectively After completing mobility assessment procedures, follow up with patient-specific interventions to help older adults address modifiable risk factors and stay safe. Here’s what you can do to intervene effectively; Refer your Patients to Physical Therapy Physical therapy helps preserve the flexibility of older adults, whether treating long-term conditions or maintaining fitness and mobility. The aim of physical therapy is always to regain and strengthen functionality, minimize discomfort and enhance mobility. Suggests Personal Adaptive Equipment to Promote MOBILITY Assistive devices cover aids like canes and walkers and sophisticated structures like computer applications and motorized wheelchairs. It's beneficial to consider this broad range of assistive technologies and choose what best fits your patient's needs. Mobility devices that assist patients in moving or walking include: canes crutches tricycles walkers walking frames Also, having a medical alert system in operation can ease any burden on caregivers and families. This system immediately alerts family members or caregivers whenever something's wrong with the patient. Most medical alert systems provide functions such as an instant update if a fall is detected. Recommend the HELP (Hospital Older Elder Program) Mobility Change Package and Toolkit The Mobility Change Package and Toolkit was developed in collaboration with The Hospital Elder Life Program(HELP) and Health and Aging Policy Fellowship. It is a structure, blueprint, and step-by-step guide for executing a mobility initiative. The program contains a comprehensive toolkit, including mobility guidelines, instructions for monitoring and documenting mobility results, model patient brochures, target indicators, and accounts from platforms with valuable Mobility Programs. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN]: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The 4M's Framework: WHAT MATTERS with Tahira I. Lodhi MD "WHAT MATTERS means knowing what's important to an older adult, so that we can align care to specific health outcomes and the care preferences that are including but not limited to end of life care and across all care settings." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Everyone involved in healthcare has their hands full most of the time—especially with COVID-19. Health care providers in an Age-Friendly Health System should ask older adults WHAT MATTERS to them - regardless of the care setting. Today we are continuing the special series on the Age-Friendly Health Systems initiative and the 4M's Framework, explicitly discussing WHAT MATTERS. Dr. Tahira Lodhi joins me, and she'll be expounding more about WHAT MATTERS as a vital component of an Age-Friendly Health System. Part One of ‘The 4M's Framework: WHAT MATTERS'. About Tahira I. Lodhi MD Tahira I. Lodhi, MD, is an assistant professor in Geriatrics and Palliative Care at George Washington University. She graduated from medical school in 1999 and received her Family Medicine training at Virginia Commonwealth University and Geriatrics Fellowship Training at George Washington University. Dr. Lodhi's interest is in geriatric primary care practice and teaching. Since graduating from Fellowship in Geriatrics in 2011, she has had medical students, residents, and fellows join her in traditional and non-traditional settings. These include hospitals, clinics, classrooms, assisted living, and post-acute long-term care settings. Aside from that, she's also interested in workflow improvement in healthcare systems by deploying available technology. Her goal is to help her patients get simplified, patient-centered care while collaborating with an interdisciplinary team. A Closer Look at WHAT MATTERS of the 4M's Framework WHAT MATTERS means to know and align care with the older adult's specific health outcome goals and care preferences, including, but not limited to, end-of-life care and across care settings. Why WHAT MATTERS is an Integral Aspect of Care? When asked about this question, Dr. Tahira Lodhi explained that without WHAT MATTERS of the 4M's Framework, health care providers often lose sight of their patient's priorities. She said, "I can sit here and prescribe whatever I want, but if my patient is not taking it, then I don't change anything. The outcomes do not change." Creating that partnership with your patient is imperative to know what's essential for them as providers. If you don't ask your patients what matters to them, you won't answer that question of their health. All of these play a role in WHAT MATTERS for your patients. "Having conversations at a human level with your patient is very important. Keep in mind that your patient is not the labs or the diseases or diagnosis they have. They're a human being who wants to have a conversation with another human being." —Tahira Lodhi, MD How to Initiate Conversation? As a healthcare provider, in initiating conversations with your patients, keep in mind that this may not be one conversation that you can complete in one visit or one sitting. The critical piece is to start having those discussions. Your patients will appreciate it if you’re more open to communicating with them. Start having conversations as simple as; What is most important to you? What can I do for you as a provider? What do you want me to do to help you make your quality of life better? Ask them if they miss a medication dose. What do you want to focus on while you are in the nursing home so that you can visit your grandchildren more often? What are your most important goals in case your health situation worsens? Part Two of 'The 4M's Framework: WHAT MATTERS'. The Essence of Documenting WHAT MATTERS to your Patients It's crucial to document WHAT MATTERS to your patient, especially in your EHR (electronic health record). Also, when you organize your care plan around the 4M's, it easier for other providers to know which part to go to when they sift through the medical records. Putting it in a place where other providers can see it quickly would be very important. Places, where you can put it, could be on a whiteboard for your patient in assisted living or a nursing home setting. What to Include in the Documentation? Preferred name Preferred Pronouns Favorite Foods Favorite Activities Things that comfort the older adult Assistive Devices needed (glasses, dentures, hearing aids) Names and phone numbers of family members/ caregivers "Care providers sometimes put our agenda aside. Our agenda doesn't matter so much if the person is unwilling or not ready to talk to us (about What Matters)." - Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN What may Matter to an Older Adult and their Family? It's essential to have information about WHAT MATTERS to an older adult and their family so that in cases of emergency, responders who don't know the patient can access that information and avoid an adverse outcome. Examples of usual events or activities that may matter to an older adult and their family are; Babysitting a grandchild Walking/ exercising/ socializing with friends/ family Continuing to work or volunteer Life milestones (births, graduations, annual family celebrations) Travel Plans Birthdays Holidays Anniversaries The Role of the Family Geriatrics and palliative care are always interdisciplinary, and there's always a team that is taking care of your patient. That team includes not only your patient but their family members and their caregivers. Please make sure they are a part of the conversation. While it's okay to include family members, be sure that the older adult is also asked WHAT MATTERS to them. Implementing WHAT MATTERS to Older Adults with Cognitive Impairment or Alzheimer's Disease In instances where the patient or an older adult cannot communicate for themselves, their advocates can. As healthcare providers, you should be advocates for your patients in all different settings. For your patients who are not cognitively intact for any reason, maybe acute change, possibly chronic memory deficits, then their next of kin or power of attorneys should be aware of WHAT MATTERS to their patient. That way, they can make appropriate decisions for your patient according to what your patient wants and not what everyone dictates. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN]: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor, where I am also the Director of the GW Center for Aging, Health, and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The 4M's Framework: MEDICATION with Ayo Bankole PhD, RN and Tahira I. Lodhi MD "Do the Brown Bag with your pharmacist too; because there are drug-drug interactions, drug-food interactions, and drug-supplement interactions to be aware of. Make sure that you're very clear about everything you are taking" — Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN _________________________________________________________________________________________________ We all hear about the increasing rates of health care services and how costly prescription medications can be, especially for older adults. But these costs can grow higher if you don't take the prescription correctly. The figures are especially troubling for older adults. Roughly 23% of nursing home admissions are attributed to an older individual's failure to self-manage their prescribed drugs at home. About 21% of drug-related health problems are induced by patients, whether by mistake or failing to stick to their prescription regimens. Also, while having their medicines, up to 58 % of older adults commit some fundamental mistake, with 26% committing errors. These statistics are alarming, and that is the primary reason why Medication is such a critical part of the 4M's Framework and part the Age-Friendly Systems are highly encouraged in nursing homes and health care systems. In today's episode, we are joined by Drs. Ayo Bankole PhD, RN, and Tahira I. Lodhi, MD. Join us as we engage in meaningful discussions about one component of the 4M's Framework: Medication and learn how to make sure that your medications are age-friendly. Part One of 'The 4M's Framework: MEDICATION'. Overview of Medication as an Essential Component of the 4M's Framework In implementing the 4M's Framework to achieve an age-friendly healthcare system, we want to ensure that Medication does not interfere with the other M's, which are: What Matters, Mentation and Mobility across care settings. To do that, we should have a clear definition of the terms associated with the medication. Two of these terms are polypharmacy and medication reconciliation. What is Polypharmacy? Tahira I. Lodhi MD explained that polypharmacy is too many medications in simple terms. She also said that when you see a patient with a medication that does not have a corresponding diagnosis documented, that's also polypharmacy by one definition. "Whichever situation you are in, whether you are by the bedside in the hospital, in outpatient or long-term care settings, be very aware of the definitions of polypharmacy and be ready to address them." -Tahira I. Lodhi, MD (03:21-03:35) What is Medication Reconciliation? Ayo Bankole, PhD, RN, expounded that medication reconciliation involves reviewing the medications a patient is taking and comparing them to the medicines on file. Medication reconciliation ensures no discrepancies, such as medication duplication, missing prescriptions, and inappropriate medications. Patient Education: Things to Look for or to Report to a Provider Use a Medication Administration Sheet When you get that medication list from the hospital or your provider, it often comes in a list. This can be overwhelming, so using a “real time” document can help reduce medication errors - particularly if there is more than one person trying to help the older adult. Write down your medications in the order you would need to take them in a day, rather than trying to use the list in the format typically given to patients. And write [Can we link this form? https://drive.google.com/drive/u/1/folders/11CoEC6kj3bRw7k4yFHdjgTxIS8WqqYVD ] Crystal - we created this document for EP21, but doesn’t seem to be included in the brand article? Keep a Medication List With that, Ayo Bankole PhD, RN suggests keeping a medication list. Your medication list should include the following; Any medications you're taking, and this includes vitamins and supplements or herbal supplements. The medication list is not only the medicines that are prescribed by a physician or a nurse practitioner. It also includes other medications that might be over-the-counter supplements that your patient might be taking. Include the name of the medications you are taking, the dose, and where the medicine is used. Include the name of the prescribing doctor Have phone numbers of your pharmacist or your doctors on the list as well. Teach the “Brown Bag” Review Aside from keeping medication lists, Tahira I. Lodhi MD also suggests teaching patients the Brown Bag review. She pointed out that doing the Brown Bag Review leads your patient to gather all the medications, put them in the bag, and bring them on every visit. Once they are in the clinic, either your medical assistant or you take out those medications, put them on a table where the patient can see them. The review brings you and your patient on the same page about what medications they are taking, what supplements they are taking, etc. This is an excellent opportunity to know whether your patient is aware of why they're taking this medicine, what doses they're taking. Furthermore, Brown Bag Review is a unique tool a provider can use to avoid polypharmacy in their patients. What To Look For Or Report To Providers? For patients experiencing polypharmacy, monitoring for any side effects and signs and symptoms is essential. The following are the signs to look out for and should be reported to providers ASAP; Loss of appetite Diarrhea Fatigue Weakness Change in mental status Confusion Hallucinations Changing mood and behavior Part Two of 'The 4M's Framework: MEDICATION'. Medication Assessment For the second part of the interview, Drs. Lodhi and Bankole mentioned Medication Assessments. They shared that there are assessments or tools students or practicing providers can use when prescribing medications to older adults. These criteria are validated tools and are widely used. Two of them are Beer's criteria and the STOPP and START criteria. Beer's Criteria Beer's Criteria for medications is a medication list that is put out by the American Geriatric Society. This is a list of potentially inappropriate medications for older adults. These medications carry different side effects, potential complications, and medication interactions, which account for many adverse drug reactions in the more aging adult population. "I would tell students to be careful about Beer's criteria. The list of medications doesn't mean they are contraindicated. It means they are to be used very carefully, to be prescribed very carefully."- Tahira I. Lodhi MD(14:02-14:19) STOPP and START Criteria STOPP (Screening Tool of Older Persons' Prescriptions) and START (Screening Tool to Alert to Right Treatment) are more commonly used in Europe and was developed by the European Consensus Group. Still, it could also be used by providers and practitioners in the United States. The STOPP criteria are similar to the specifications of medications that could be stopped or suggest medicines for discontinuation. On the other hand, the START part is the right treatment. Those are the recommended treatments for older adults, including the pneumonia vaccine and those recommended treatments for the more aging adult population. Interventions and Best Practices After you've done a medication reconciliation and reviewed the Beers Criteria, Dr. Lodhi shared some of the best practices that providers can use. Deprescribing (both dose reduction and medication discontinuation) First, she advised that you should look at the medications the patient is taking. Make sure there is no polypharmacy. Then, be ready to adjust the dose on every visit. Assess how they are doing in terms of the medication. For example, with antihypertensive, look at the patient's self-monitoring of blood pressure. If it's consistently on the low side or there are signs of orthostatic hypotension, decrease the dose and at the same time have a plan of how you're going to follow in the future. Pharmacy Consult Secondly, Dr. Lodhi stressed out that your pharmacist is your friend and never hesitate to call them. She says, "Your pharmacists oversee your patient's prescriptions. They regularly make their recommendations because it's regular monitoring and quality control in long-term care settings." So make sure you reach out to your pharmacist frequently. Re-evaluate on each visit with every provider Lastly, Dr. Lodhi emphasized that every provider should guarantee that the medications are used as prescribed. Moreover, providers should also ensure that they'll go back to the patient's chart whenever they're asked to refill a prescription. They should always double-check for schedules and indications when to continue medications. About Tahira I. Lodhi MD I graduated from medical school in 1999. My Family Medicine training was at Virginia Commonwealth University and Geriatrics fellowship training at George Washington University. My interest is Geriatrics primary care practice and teaching. Since graduating from Fellowship in Geriatrics in 2011, I have had medical students, residents and fellows join me in traditional and non-traditional settings, including hospital, clinic and classrooms but also assisted living, post-acute and long term care settings. I am also interested in workflow improvement through deploying available technology. My goal is to help my patients get simplified, patient-centered care, while collaborating with an interdisciplinary team. About Ayo Okanlawon Bankole Ph.D, RN Ayo Okanlawon Bankole Ph.D, RN is a clinical assistant professor at GW Nursing. She is also one of the faculty members affiliated with the George Washington University/Medstar Washington Hospital Center academic partnership and scholarship program, W-squared. Dr. Bankole has practiced as a nurse in multiple areas within the acute care and community care setting. She is also committed to nursing education and she has been teaching nursing students since 2013 (in both part-time adjunct and full time appointments). Dr. Bankole's overall research goal is to contribute to research that improves health outcomes and wellbeing for older adults with complex healthcare needs. Her specific research interest are: aging, chronic disease self-management, theoretical approaches to chronic disease self-management and multi-morbidity. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor, where I am also the Director of the GW Center for Aging, Health, and Humanities. Find out more about her work at https://melissabphd.com/ . References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3234383/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573668/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Age-Friendly Health Systems: History and Overview "Age-friendly Health Systems create a system of care where there's good communication, good leadership, and information systems that track across (care settings). " — Alice Bonner, PhD, RN With nine years to go before the last Baby Boomers reach age 65, our nation is on a short timeline to develop the infrastructure needed to provide quality care for older adults in our hospitals and health care systems. With that vision in mind, a system of "age-friendly environments" is emerging from the collaborative efforts between the John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA). The first podcast interview for This is Getting Old: Moving Towards an Age-Friendly World was with Dr. Terry Fulmer who has led development of the Age-Friendly Health Systems initiative (Episode 3). Building on that interview, in this episode, Dr. Alice Bonner shares the history and an overview of the Age-Friendly Health Systems. The goal of the age-friendly health system is to guide development of an infastructure required for hospitals and health systems to deliver evidence-based care for all - not just for older adults. Discover how the system empowers all health care settings to implement the 4M’s Framework to facilitate care for older adults. Part One of 'Age-Friendly Health Systems: Evidence-Based Care for All Older Adults' Age-Friendly Health Systems: A History And Overview The Age-Friendly Health Systems: Evidence-Based Care for All Older Adults offers healthcare systems opportunities to help older adults residing within them. The model further emphasizes that societies must strive to counter age-based stigma, referred to as ageism, towards elderlies. This is to encourage independence for older people and to implement strategies that promote healthy aging. The idea came about from several organizations and individuals who look at the current health system, the current system of communities and public health, and how healthcare facilities are run. They brought together expert clinicians, researchers, and people who spent their lives working with older adults. They started doing a big review of the literature and combed through several references. They've found that there are 90 elements of care guided explicitly toward older people's best care. They did lots of brainstorming, had meetings, and repeatedly went over the literature until they got down from 90 elements to 13 elements. Then everybody said, " 13 things are just too many things to ask nurses and doctors and social workers to do ". So they got together in a room and didn't come out until they had called it down to four elements, and those four elements all start with the letter M. What Matters? Medications, Mobility, and Mentation. "Age-friendly health systems allow people to customize; it promotes leadership; it requires leadership. And not just a medical director, but nursing leadership, social work, leadership, pharmacy leadership. It's about the interprofessional team."- Alice Bonner, PhD, RN Age-Friendly Care – 4Ms Framework The 4M's are the core practices that clinicians believed to make a difference in administering care. Alice emphasized that health systems should implement these 4Ms accurately. According to her, " By addressing these 4Ms, we're talking about assessing people and then acting on those assessments. It isn't enough to do an assessment and put a piece of paper in the chart. What you want to do is say, "Okay, how can we act on this ?" The Age-Friendly Care Systems 4Ms frameworks evolve on the following concepts: What Matters Know and align care with each older adult's specific health outcome goals and care preferences, including end-of-life care and across settings of care. Medication If medication is necessary, use age-friendly medication that does not interfere with What Matters to the older adult, mobility, or mentation across the setting of care. Mentation Prevent, identify, treat, and manage dementia, depression, and delirium across care settings. Mobility Ensure that older adults move safely every day to maintain function and do What Matters. Part Two of ''Age-Friendly Health Systems: Evidence-Based Care for All Older Adults’ The Principles Behind Age-Friendly Health System Alice further stressed that most people are not thinking about ageism and includes stereotyped beliefs that discriminate against older adults. It’s not widely recognized, until it happens to you or someone you love. Age-friendly systems look at how workers at health systems speak, the language they use, the references they make, and how they handle ageism and get rid of it. The Frameworks Institute has several resources and reports to help you learn more about how to effectively counter ageism. That is the primary reason why the forerunners of the 4Ms framework of the age-friendly systems anchored the system on the following principles. The 4Ms are set to be integrated into care for every adult ages 65 and older during every inpatient stay for over a year in a primary care setting. Age-Friendly Health Systems and the 4Ms are a framework to organize the efficient, reliable delivery of effective care with older adults. The framework is intended to be an infrastructure that builds on the care you provide today. Age-Friendly Health Systems are designed to close the gap between the evidence-based care that we know works and the reliable practice of that care with every older adult in every interaction. "We started with five health systems. We're now at over a thousand health systems across the country, which is pretty miraculous for a three or four-year project. And the goal is to make it not just a project but to make it sustainable in the way we deliver care everywhere, all the time, every day." — Alice Bonner, PhD, RN Why Should Health Systems Implement The 4Ms Framework? As of December 2020, over 1,000 hospitals, outpatient practices, retail-clinics, and post-acute long-term care communities have been recognized as working to become Age-Friendly Health Systems. Having described a detailed 4Ms approach in their setting, 178 of these have been identified as Committed to Care Excellence as exemplar sites working toward the 4Ms reliable practice. What Are Participants Saying? There's always measurement involved in being recognized as an age-friendly health system. You or your organization can participate by signing up and joining an active community. Here are what some of the participants are saying about 4M's Framework of the Age-friendly System. "My hospital joined the movement and was recognized as an Age-Friendly Health System Participant after sharing with IHI how we are putting the 4Ms into practice. I'm going to encourage my doctor's office to join, too. " "IHI recognized us as leaders in the movement, and as an Age-Friendly Health System Committed to Care Excellence when we shared three months of data on the number of older adults, we cared for with the 4Ms." About Melissa Batchelor, PhD, RN, FNP, FAAN: I earned my Bachelor of Science in Nursing ('96'96) and Master of Science in Nursing ('00'00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11'11) and then joined the Duke University School of Nursing faculty as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Introducing the AHRQ ECHO National Nursing Home COVID-19 Action Network "The goal of the COVID-19 Action Network is to collaboratively advance improvements in COVID-19 prevention and infection management.” — Alice Bonner, Ph.D., RN Covid-19 exacerbated nursing homes' conditions; everyone was taken aback and did not anticipate the virus's overwhelming spread. It brought unprecedented challenges to nursing homes, considering older adults and immunocompromised patients are more vulnerable to the virus. With that, the call for nursing homes to adapt changes in administering care amidst the pandemic is necessary and urgent. In this episode, Alice Bonner will share with you what the Covid-19 Action Network is doing to advance improvements in COVID-19 prevention and infection management in nursing homes during this pandemic. Discover how they are actively recruiting training centers (health systems) and nursing homes worldwide to join in on promoting health and well-being of residents and staff. Part One of 'National Nursing Home COVID-19 Action Network’ What Is Covid-19 Action Network All About? Alice Bonner is a senior adviser for the aging at the Institute for Health Care Improvement (IHI) in Boston, Massachusetts, and is also an adjunct faculty at Johns Hopkins University. With her expertise in the field, Alice Bonner in collaboration with IHI and Project ECHO and with the support from the CARES Act Provider Relief Fund for Nursing Homes , and the Agency for Healthcare Research and Quality (AHRQ) launched the COVID-19 Action Network. “Supported by the federal Agency for Healthcare Research and Quality (AHRQ) and in collaboration with the Institute for Healthcare Improvement (IHI), Project ECHO is launching a National Nursing Home COVID-19 Action Network.” -Alice Bonner, Ph.D., RN What Are The Goals Of the Covid-19 Action Network? The Covid-19 Action Network program aims to promote the health and well-being of nursing home residents and staff. Towards that end, they've been recruiting Training Centers to provide interactive training to nursing home staff. The primary goal of which is to advance improvements in COVID-19 prevention and infection control. Specifically, the program implement evidence-based best practices to help nursing homes; Keep the Coronavirus out. Identify residents and staff who have been infected with the virus early. Prevent the spread of the virus among staff, residents, and visitors. Provide safe, appropriate care to residents with mild and asymptomatic cases. Ensure staff practice safety measures to protect residents and themselves. Reduce social isolation for residents, families, and staff. Part Two of 'National Nursing Home COVID-19 Action Network’ How Are The Covid-19 Action Network Goals Achieved? Alice highlighted that Covid-19 Action Network is not a model where a bunch of experts swoop in and say, "We're going to do all these webinars and give you all this important information." Instead, it's an all teach and all learn style of interacting among nursing homes. Thus, to achieve their goals, the collaborators walked the extra mile to; Provide no-cost training and mentorship to thousands of nursing homes nationwide. Create a virtual learning community where nursing home staff can learn from experts and each other to expand the use of proven best practices. The COVID-19 Action Network's Approach The team comes up with a COVID-19 Action Network's Approach, which includes weekly sessions over 16 weeks. The virtual sessions are in concise presentation coupled with case-based learning and discussion. Essentially, these sessions are facilitated by small interprofessional teams of subject matter and quality improvement experts. On top of that, there will be a sharing of best practices that nursing home staff can implement immediately. Furthermore, the sessions follow a standardized curriculum updated regularly to reflect new evidence and best practices. The highlights of the curriculum are; PPE current practices Infection management practices COVID-19 testing Clinical management of asymptomatic and mild cases Minimizing the spread of COVID-19 Managing social isolation "What nursing home staff need is the skill set of how to talk with families, how to think about the questions to ask, and how actually to improve systems of care and workflow." — Alice Bonner, Ph.D., RN Why Should Nursing Homes Participate? Alice believes that nursing home staff are stretched and strained because of the pandemic. Project ECHO and Covid-19 Action Network inspires and motivates people who work in long-term care to take charge and be the champions and be the leaders. They're encouraged to participate so they can gain practical information, skills, and resources to deal with the prevention and management of the Coronavirus. In joining the program, they'll be a part of a virtual learning community of specialists and peers. Plus, the good thing about it is that participation is free and voluntary. Moreover, nursing homes that participate will receive $6,000 to compensate for staff time. Nursing homes can join through their local training center or by using The Project Echo form through January 2021. If you have enrolled with a training center, there is no need to fill out our form. Nursing homes, sign up here if you haven’t already enrolled with a Training Center: https://hsc.unm.edu/echo/institute-programs/nursing-home/pages/ Questions? Email Alice Bonner: abonner@ihi.org Resources Mentioned In Podcast: CDC Long-Term Care Facility Toolkit AHCA/NCAL's #GetVaccinated Campaign Leading Age Vaccination Toolkit About Melissa Batchelor, Ph.D., RN, FNP, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor, where I am also the Director of the GW Center for Aging, Health, and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Getting Organized: Managing Your To-Do List "Make one year, three year, and five-year goals." — Melissa Batchelor, Ph.D, RN, FNP, FAAN The New Year is almost upon us; this means it’s time to start out new and fresh and make some New Year's resolutions. One resolution that many people make is to get organized - to minimize the chaos in their work lives. In this episode, I’ll walk you through how I think about time and how you could apply it to managing your master, weekly, and daily to-do lists (all while making it fun) ! Steps To Getting Organized: Managing Your To-Do List When I was a doctoral student, I had to create professional development plans for several fellowships. This is a good idea because it helps you to get your thoughts organized by academic year. If you are also an academic or student, you have to create a plan and usually by semesters for the academic year: Fall, Winter, Spring, Summer. Or, if you are in the business world, you might think of time in quarters for business planning. Annual + Semester Planning. Make one year, three years, and five-year goals and map out steps needed to get there. You will need to plan out the goals that you want to achieve on a daily, weekly, monthly, and quarterly time frame - but also plan out the activities that you need to do. Be thinking ahead about the things you need to be doing a year in advance so that you’re ready when it's time to start the work to meet that goal. Create a Master To-Do List. I organize my Master To-Do List by project and category - as an academic, we have three main areas for our work: Research/ Scholarship, Teaching and Service. I track each project and all the different tasks that I need to complete with the due dates on this Master Plan. I’ve tried both electronic-based and paper-based organizers. Ultimately, I’ve ended up using a hybrid model. My electronic calendar keeps up with my meetings and schedule but I like to use paper to track my To Do List. The act of writing things down helps me to remember what projects I have going on for any given semester. Weekly To-Do List. Usually, at the beginning of the week, I will create a Weekly To-Do list. This list will include all of my meetings (for work) but will also include any errands (for home) . I like to reference my calendar for weekly meetings. Daily To-Do List + Incoming. It’s so important to keep track of what you need to do each day as well. In the Daily To-Do list, I add my top 3 priorities for the day and also write down any New Tasks as they come in. I love to use sticky notes for the Daily To-Do lists. Keep it Fun: Creativity in Aging. #NerdAlert!! I am a HUGE fan of school supplies (pens, pencils, post-its, etc). Use whatever makes it fun for you whether that be color-coded paper or pens. If you have any tips or tricks that you'd like to share about how you manage your To-Do list or how you get things done again, drop them into the comment box below the YouTube video or send me a message: https://melissabphd.com/contact/ . If you enjoyed this episode, please let me know, and maybe I will do more podcasts on How to Get Organized and manage your time to increase productivity! About Melissa Batchelor, PhD, RN, FNP, FAAN : I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
How to Manage Repetitive Behaviors in Alzheimer's Disease “Look for a reason behind the repetition.” — Melissa Batchelor, PhD, RN, FNP, FAAN Are you wondering why a person with dementia develops repetitive behaviors like asking you the same question, telling you the same story, or doing the same thing over and over again? Knowledge is power. In this episode, I’ll walk you through brain development, what’s lost and retained in Alzhiemer’s disease, and help you problem-solve how to manage repetitive behaviors in a person with dementia using the C3P Problem-Solving Framework to explain. Part One of ‘How to Manage Repetitive Behaviors in Alzheimer's Disease’ To put it simply, your brain develops from the back to the front. The back part of your brain is where your feelings and emotions are (the amygdala). The amygdala controls our emotional responses when we encounter anything threatening, and activates the sympathetic nervous system with the fight, fright, or flight response. The front part of your brain is called your frontal lobe, and it doesn't fully develop until you're about twenty-five years old. This part of your brain is basically the “stop sign” - meaning when something comes to mind that you want to say, your frontal lobe might say, "No, don't say that quite yet (or don't say it at all)." What happens with Alzheimer's disease is the brain loses its ability from the front to the back. So you lose your ability to control impulses, use and understand language but your emotions remain intact throughout the disease process. “Focus on the emotion, not the behavior.” — Melissa Batchelor, PhD, RN, FNP, FAAN To give you a visual image of what happens to the brain in Alzheimers. Imagine a grape, that's what a healthy brain looks like. When your brain is healthy, all of the messages can get back and forth without a problem. But what happens with Alzheimer's disease is the brain begins to shrink and shrivel. Alzheimer’s disease basically turns your brain into a raisin. Imagine a raisin. There are deep crevices, and those crevices make it hard for the messages to get back and forth. This is why people lose their memory, decision-making ability, and the hardest thing is that they lose their ability to use and understand language. So our words basically end up sounding like Charlie Brown’s teacher - So words don’t work anymore; but the person does pick up on our emotions and our non-verbal behavior. They will “mirror” us. Part Two of ‘How to Manage Repetitive Behaviors in Alzheimer's Disease’ Let’s talk about the C3P Problem-solving Framework focused on Changing the Person, Changing the People, or Changing the Place. The reason this is important is because there isn’t one thing that will work for any specific behavior. You will have to try different things for behaviors because what works today, may not work tomorrow. You need a “bag of tricks” and a way to think through the three levels that will help you find a solution. Change the Person (with Dementia): Look for a reason behind the repetition. Does the repetition occur around certain people or surroundings, or at a certain time of day? Is the person trying to communicate something? Is the person trying to do something? Trying to understand what the underlying reason is can be helpful. Focus on the emotion, not the behavior. Rather than reacting to what the person is doing, think about how he or she is feeling. Try to figure out the root cause of his or her anxiety can help them manage their anxiety and maybe resolve it. For example, if an older adult said something fifty times already, rather than saying “you’ve already told me that 50 times!” [in a frustrated voice], say something like, “It sounds like you’re anxious.” [in a calm voice]. Turn the action or behavior into an activity. Give them something to do and focus on, something meaningful. If they are picking at their skin or fiddling with their clothes, give them a laundry basket of things to clothes. Ask the person to help you get this “work” done. Change the People (Caregiver Approach) Stay calm, and be patient. One of the gifts that Alzheimer's gives people is that they live in the present moment. On the other hand, it's hard for caregivers to do that because they're living in the future thinking about all the things that they need to do. Be aware of the impact of your own emotions in the moment. Caregivers may get very upset that this person can't do today what they could do yesterday. Patience is essential because while that person's feelings remain intact, their ability to pick up on your feelings also remains intact. If you express feelings of being frustrated or mad, that energy is in the room and they are also going to pick up on that. Demonstrate what you want them to do. Another part of the brain that remains intact is the ability to “mirror” us; meaning whatever emotional state we come into a room with, the person will mirror it back to us. This is also why mimicking a behavior you want the person to do works - they understand our non-verbal communication better than when we use words. Reassure the person with a calm voice and gentle touch. Don’t use so many words. Don't argue or try to use logic; Alzheimer's affects memory, and the person may not remember he/she asked the question already. Provide an answer. Give the person the answer that he or she is looking for, even if you have to repeat it several times. If the person with dementia is still able to read and comprehend, it may help to write it down and post it in a prominent location. Accept the behavior, and work with it. If it isn't harmful, don't worry about it. Find ways to work with it. Go with what the person can or wants to do in the moment. Resistance is usually met with resistance. As caregivers, we often have our own agenda. Things we want and feel like we need to get done. Pushing our agenda on someone else is likely to be met with resistance. If we push harder, they resist harder. So if this happens in an interaction, stop pushing and it’s very likely the person with Alzheimer’s disease will stop resisting. Wait until another time and come back and try again. Flexibility is key for this one. Share your experience with others. Find your own support group, a group of people that you can talk to and share your experiences with. Learning from other people is going to be helpful. What worked today may not work tomorrow and this can be frustrating. Be sure you have the emotional support that you need. “Turn the action or behavior into an activity.” — Melissa Batchelor, PhD, RN, FNP, FAAN Change the Place (Environment) Use memory aids. If the person is calling you every day asking the same questions over and over again, try to use visual cues to offer reminders. Using notes, clocks, calendars or photographs, if these items are still meaningful. None of us can remember everything, so that might be another strategy that could help with a repetitive question. Manage Noise. Too much noise or activity can also raise a person’s level of anxiety. Sensory overload can increase their anxiety and end up with a behavior that they didn't really mean to get. Some behaviors do have the same solution though. One patient that I cared for a long time ago had daily repetitive verbalizations. He would get started up in the afternoon and you could hear him all over the building. When he did this, all of the staff knew it was time to take him out for a cigarette. He calmed right down after he smoked, until the next time he wanted one. And while I don’t think smoking is a great idea, in this case, it was the lesser evil than giving him a medication that would have likely caused greater harm. If you’d like me to talk about another topic related to Alzheimer’s disease, send me a question on the “Contact Melissa” section of this website and I’ll get to it as soon as I can. Thanks for listening ~ and reading! About Melissa: I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Bringing the Washington, DC Healthcare Policy Experience to Quinnipiac University “A critical part of that has to be understanding how policies develop and the implications that both national and state policies have on the ability to deliver high-quality care.” — Dr. Matthew O’Connor, Dean & Professor of Finance According to statistics, all Boomers will turn 65 by 2030. This will be about 20% of the American population, approximately 70 million Americans. It's estimated that we will need at least 3.5 million additional health care professionals and triple the number of direct care workers. It's going to create a crisis in staffing and health care. Part One of ‘Bringing the Washington, DC Healthcare Policy Experience to Quinnipiac University’ The Institute of Medicine Landmark report for an aging America on building the healthcare workforce stated that unless action is taken immediately, the healthcare workforce will lack the capacity in both size and ability to meet the needs of older patients in the future. NAS calls it a crisis. This is why the training of healthcare leaders, particularly in aging policy, is critical to developing good leadership and strategies that can help them understand how the organization needs to function in a very high-quality environment. Another component is that they must understand what goes on in D.C. and how it impacts the delivery system. Such as how providers are reimbursed, how quality is measured, how money is appropriated for NIH research programs. And, it’s important to show appreciation towards the medical professionals and social workers who are “in the trenches”. They have a practical perspective on how things are being done. “There has to be an appreciation of the medical professionals, what the social workers bring to the table, and how they think that we need to work more as a team.” — Angela S. Mattie, Esq., MPH Therefore, given the aging demographic and the lack of providers to take care of these people, there is a need to train graduate students and practitioners on health policy and how things impact their business. As well as to show appreciation towards what the social workers are bringing to the table. When you think about health care organizations, there are two critical areas. There's the clinical care that's provided. That's the front and center. All clinical care is provided within an organizational framework. And those organizations have to function well. They have to be able to execute on tasks. And, then there is the management vs leadership. They have to be able to have good management policies and good quality control. Part Two of ‘Bringing the Washington, DC Healthcare Policy Experience to Quinnipiac University’ According to Professor Mattie, there are four pillars of training: First: We need an interdisciplinary approach to health care. We have a med school, a law school, a school of nursing, a health science program with multiple disciplines, the health care coverage in our school of communication, healthcare analytics, coverage in our College of Arts and Sciences, and an engineering school that's also interested in how they can contribute broadly in the area of health care. Second: Healthcare leaders need business skills and business students need a deep understanding of healthcare specific to each discipline. Third: COVID has shown us that we need to train healthcare providers to have crisis management skills. How to set up field hospitals, train staff and take care of patients and plan. This won’t be our own …leadership skills and soft skills like emotional intelligence. Fourth: And to teach students how federal and state policies impact our communities and our health. And how to partner with those in the field to have access to the expertise in the field in order to do this. “Universities can contribute to training the next generation of healthcare leaders with an interdisciplinary focus.” — Angela S. Mattie, Esq., MPH For any students interested, Quinnipiac University has an MBA program that allows a concentration in health care management, and they have a degree in organizational leadership that has a concentration in health care. Quinnipiac has a business analytics program that has health care analytics courses as well. We are experiencing phenomenal and very rapid changes in everything from artificial intelligence, machine learning, data analytics, and even wearable technologies that will impact healthcare. — Dr. Matthew O’Connor, Dean and Professor of Finance The role and future of technology are also critical areas that healthcare leaders will need to understand when they get out into practice. Professor Mattie was a Robert Wood Johnson Health Policy Fellow for the US Senate Health, Education, Labor and Pension Committee in 2000-2001. So, what was different in this Fellowship with a placement in the House, and how did the pandemic impact the fellowship? Angela completed her RWJF Health Policy Fellowship during the 9/11 terrorist attacks - and during her Health and Aging Policy Fellowship, we have experienced our first pandemic. One of the key things that she worked on as a Fellow was patient safety legislation for good reasons. Professor Mattie’s father was a victim of a patient safety event. She remained silent about her story despite many years of working with the health care community, thinking it might impact her relationships with others. And the moment she decided to step up and shared it recently, she saw the difference it made to many people’s lives to share her story. The importance of advocacy and telling your story can’t be underscored enough. As a result, she met a lot of constituents over ground funding for various diseases. Angela remembers one particular group that came in from cystic fibrosis with the lobbyists and various people from the advocacy organizations. They also came in with two moms with the same case. One of the mothers brought a Russian stacking doll with her. Each one of the dolls were episodes that her poor daughter had gone through such as the cost of the episodes. Including hospital admission, 10 day stay, her ventilator, and medicine costs. This was a powerful visual to see. On another note, The Health and Aging Policy Fellowship has greatly impacted Professor Mattie’s next career steps. She is truly honored and privileged to be a Quinnipiac University (QU) Albert Schweitzer Fellowship recipient this year, which allows her to continue her work. The institute was established to introduce Schweitzer's philosophy, a preference for life to a broader audience. What better way to do that than help bring policy and aging policy to our Quinnipiac community! Together with Dr. O’Connor, they’re going to establish this health care policy immersion program with a focus on an interdisciplinary team of students and also looking toward individuals who have the ability to make a positive impact on health policy development. So, paying it forward and also developing those that might have an interest in engaging policy or policy in general. Again, for any students interested, Quinnipiac University has an MBA program that allows a concentration in health care management, and they have a degree in organizational leadership that has a concentration in health care. Quinnipiac has a business analytics program that has health care analytics courses as well. About Dr. Matthew O’Connor Dr. Matthew O’Connor is Dean and Professor of Finance in the School of Business at Quinnipiac University. He has been with Quinnipiac since 1999, when he was appointed Assistant Professor of Finance. From 2005 to 2008, he served as Chair of the Finance Department. In 2008, he was appointed Interim Dean of the School of Business, and in 2009 he was appointed Dean. As Dean, Dr. O’Connor led the school’s efforts to expand its graduate programs, including launching the online MBA and online Masters programs in Business Analytics and Organizational Leadership. Under his leadership, the business school stewarded the successful design, development, and launch of the School of Engineering. Conscious of the need to provide value to students, Dr. O’Connor also led efforts to develop accelerated dual-degree undergraduate to graduate programs, significantly reducing the time and cost of comprehensive higher education. Dr. O’Connor is committed to the university’s teacher-scholar model. He launched and continues to teach the Finance program’s student managed portfolio course, which now has $3.0 million of assets under management. Additional teaching areas include undergraduate and graduate courses in Corporate Finance, Financial Modeling, Investments, and Portfolio Management. In 2005, Dr. O’Connor was honored with a Quinnipiac University Excellence in Teaching Award. In 2010, Dr. O’Connor was honored with the SIFE Most Supportive Dean of the Year Award. Dr. O’Connor has published in prestigious journals such as the Journal of Banking and Finance, the Journal of Financial and Quantitative Analysis, Corporate Finance, the Journal of Applied Business and Economics, the Financial Services Review, and the Financial Review. Highly committed to professional service, Dr. O’Connor served two terms on the Initial Accreditation Committee for AACSB, the Association to Advance Collegiate Schools of Business, International. He also serves on the boards of United Methodist Homes, the Greater New Haven Chamber of Commerce, and Junior Achievement of Southwest New England. He is a Corporator for Ion Bank and a former Director at CEU.com, the Technology Investment Fund, and ReSET, the Social Enterprise Trust. Prior to joining Quinnipiac University, Dr. O’Connor worked as a Treasury Analyst for Rogers Corporation and an Actuarial Analyst for MassMutual Life Insurance, Co. Angela S. Mattie, Esq., MPH Angela Mattie, a professor of management in the School of Business and director of the long-term care and compliance certificate program. She also holds an appointment at the medical school at Quinnipiac University (QU). At Quinnipiac, she created a corporate compliance certificate program, the first program accredited by the national association. Ms. Mattie and her colleagues received the International Compliance Award for their contributions to healthcare compliance. Angela completed the 2017 Bruce Bradley, Leapfrog fellowship designed for corporate professionals who want to take an active role in steering employees and their families to safer, higher-quality hospitals and health care systems. In 2019-2020, she was named a Health & Aging Policy Fellow with a placement in Representative DeLauro’s Washington, DC office. Prof. Mattie serves on several boards, including Trinity Health of New England, where she chairs the Board’s quality & safety committee. She is also a member of St. Mary’s Hospital’s Quality Committee, Board Member of the CT Chapter of the American College of Healthcare Executives (ACHE) and serves as the faculty director/advisor for the Quinnipiac University ACHE student chapter. She is the 2012 recipient of the Distinguished Faculty/Advisor Award from CT ACHE and the 2013 Center of Excellence in Teaching Award from Quinnipiac University. Prior to joining Quinnipiac, Angela was Vice-President, Performance Improvement for Sisters of Providence Health Care System (SPHS). As a member of the executive team, she had oversight responsibilities for legal, quality, risk management, worker’s compensation, infection control, HIPAA privacy implementation, and corporate compliance. In 2000-2001, Angela was selected for the competitive Robert Wood Johnson Health Policy Fellowship. She served as a health policy fellow for the U.S. Senate Health, Education, Labor, and Pensions Committee. During her Fellowship, she was on leave from Anthem, Inc. in the corporate office of medical policy. In her role with Anthem, Inc., Ms. Mattie was responsible for designing risk-reduction strategies and project implementation for uniform medical policy for the corporation. Before joining Anthem, Inc., Ms. Mattie was Assistant Vice-President, Quality Improvement Services with The Connecticut Hospital Association (CHA). She had responsibility for a clinical research program that received state and national recognition. She is frequently called upon by the media for views on healthcare issues and has numerous healthcare management publications and presentations at national conferences. Ms. Mattie received her Master’s Degree in Public Health (M.P.H.) with distinction from Yale University School of Medicine, Department of Epidemiology and Public Health, a Juris Doctorate (J.D.) at the University of Connecticut School Of Law, and an undergraduate degree, summa cum laude from Quinnipiac University. She is the proud mother of a MSW and still likes rock-n-roll music. About Melissa Batchelor, PhD, RN, FNP, FAAN I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Role of Place in Healthy Aging with Ryan Frederick “This pandemic has been a great reminder that place matters a lot.” — Ryan Frederick, CEO of SmartLiving 360 Have you ever wondered why the long-term care housing industry segregated itself when there's so much benefit to having intergenerational housing? Have you ever thought about our older loved ones living in a better community to make their aging experience more comfortable? Here are the important points covered in this episode: Ryan's focus on the intersection of place, including housing, and healthy aging. How SmartLiving 360 , a strategy consulting and a residential development company, is shifting the field of housing for older adults and long-term effects. Ryan's focus on creating inspired homes in walkable, intergenerational mixed-use urban and suburban areas. Mind shifting: aging as a solo sport to aging as a team sport. Part One of ‘Role of Place in Healthy Aging with Ryan Frederick’ America's solution to not living in a skilled nursing home is to move into an assisted living facility, but assisted living is segregated housing in most communities. Having been an operator of senior housing communities, some of the largest companies in the country, then also as an investor and a real estate developer, Ryan witnessed the impact that housing has on people in general. We're now seeing situations where different states aren't prepared, which shows that having a safe and comfortable place where older adults can stay is crucial. Some of the common questions people ask are: “Can we create jobs and better housing that doesn't have the same institutional feel of what we've done historically?” “Can we create environments where we don't necessarily have to have all the services bundled in, but instead bring things in when people need them?” “There's more that we can do now in non-medical settings to keep people healthy.” — Ryan Frederick, CEO of SmartLiving 360 Here's a simple way to look at things differently: if there's a way to create a better community for older adults, it's essential to recognize those things as a valuable antidote to loneliness and social isolation. They deserve a place where they can enjoy being socially and physically active. Part Two of ‘Role of Place in Healthy Aging with Ryan Frederick’ The more we can create a place where older adults can have greater options to choose from, we can have them thrive over a longer period of time because it’s not inevitable for them to live in a nursing home for ten years. Having choices that suit someone’s lifestyle makes it easier for them to remain socially active. It’s like investing in their overall well-being. “Becoming disabled is not a normal part of aging. It's common because people become socially isolated.” — Melissa Batchelor, PhD, RN-BC, FNP-BC, FGSA, FAAN What if we start changing things for the better? Why do we have so much age restriction, where older adults are taken away from their community? How can they find ways to have that intergenerational connection? This is where the vision of SmartLiving 360 becomes a game-changer for everybody, which is another way to maximize the use of advanced technology in our generation. Universal design benefits people of all ages. There may be multiple small changes, but they all add up. Also having a sense of community and connection matters too. Activities should be resident-driven - and in this sense of the term, those who live in intergenerational housing. Place can create surrogate relationships between the generations that are mutually beneficial. Aging alone isn’t likely to be a successful venture. Ryan says we all need ot have an A-Team . We all need to have a team of people to support us, and ideally that will be reciprocal. Sense of purpose matters, getting out and moving, connecting with others socially, all of these things matter. Your built environment can make it easier to do all of these things, so it’s critical that we think through age-friendly, walkable housing options for people of all ages - so we can all thrive. Ryan’s new book is due for publication in the fall of 2021 - Home is Where the Health Is: A Guide to Choosing Place in the Age of Longevity. Ryan Frederick, Founder & CEO, SmartLiving 360 Ryan is focused on the intersection of healthy aging and the role of place, including housing. SmartLiving 360 helps institutions and individuals thrive in the Age of Longevity by providing consulting services, real estate development services, and consumer content. Ryan publishes a monthly consumer blog at www.smartliving360.com and will release a consumer book, Home is Where the Health Is: A Guide to Place in the Age of Longevity , with Johns Hopkins University Press next fall. Ryan is recognized as a national thought leader and innovator in the real estate development and healthcare services industries and is a keynote speaker, instructor, author, and blogger. His work and insights have been cited in Forbes, The Washington Post, and Environments for Aging, among other outlets. His real estate development in Rockville, MD, The Stories at Congressional Plaza, is an age-friendly apartment community that has attracted national attention. Mr. Frederick is a member of the National Advisory Board for the School of Nursing at Johns Hopkins University, a member of the AgingWell Hub, a collaborative of leading innovative providers in the field of aging led by Phillips, and has been appointed to the Advisory Council of the Bipartisan Policy Center Health and Housing Task Force. He is a 2018-2019 Encore Public Voices Fellow. Mr. Frederick is a graduate of Princeton University and the Stanford Graduate School of Business. Mr. Frederick is a recent transplant to Austin with his wife and three kids, after living significant life chapters in Baltimore and San Francisco. Linkedin: https://www.linkedin.com/in/ryanefrederick/ About Melissa Batchelor, PhD, RN, FNP, FAAN I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Towards an Age-Friendly World with Wendy Miller “As we get older, we use both sides of our brain, not in a compensatory way, but in a synthetic way.” — Wendy Miller, Ph.D. ATR-BC, LCPAT, REAT, LPC, BCPC Thank you for joining us for This is Getting Old: Moving Towards an Age-Friendly World podcast . This special series is sponsored by a 2020 George Washington (GW) University’s University Seminar Series award, Towards Age-Friendly, and i s brought to you by MelissaBPhD in collaboration with GW’s Center for Aging, Health, and Humanities. It’s been proven that when people challenge their minds, have a sense of mastery and control, when their social engagement is increased, they not only do better, they feel better. In this episode, we are joined by Dr. Wendy Miller, author of Sky Above Clouds: Finding Our Way Through Creativity, Aging, and Illness. The key areas we covered in this episode: Understanding the work of Wendy’s late husband, Dr. Gene Cohen. Understanding the term “creative aging.” How the arts and art-making are like “chocolate to the brain." The “Four S’s in Age-Friendly Creative Aging” and their importance. Part One of ‘Towards an Age-Friendly World with Dr. Wendy Miller’ An important piece of creativity, particularly as we get older, is legacy work, what we do with the memories and the archives of people we love. She felt a strong responsibility because Gene Cohen had many unpublished works, considering both of them are into creativity, health, and aging. When does a creative aging start, and how do we come to understand creativity? The thing is, the word creativity stirs up everything. Some people would say, "Well, you're creative because you're an artist, but what about me?" Our understanding of creativity with aging has been limited. As a result of the heavy legacy of negative myths and stereotypes about aging (ageism), all of which have denied or trivialized our creative capacity and the accomplishments that we have in the second half of our life. “Aging is not just about surviving. It's about growing in the face of diversity.” — Wendy Miller, Ph.D. ATR-BC, LCPAT, REAT, LPC, BCPC In 2001, Dr. Gene wrote the book: The Creative Age: Awakening Human Potential in the Second Half of Life . It was the first book to articulate this new paradigm about looking not just at the problems of aging, but at this emerging field of creative aging. C=ME2 is Creativity = Mass of Knowledge + Experience2 His book documents discoveries in neuroscience that radically challenge these conventional assumptions about aging, and aging is really the best example of how the whole is greater than the sum of its parts. There are built-in developmental drives that push us toward creative expression, and they push us towards psychological growth throughout our life cycle. His research doesn't just respond to aging. It's trying to shape aging. Part Two of ‘Towards an Age-Friendly World with Wendy Miller’ Our brain is continually sculpting itself. The aging brain isn't running out of gas, it’s moving into all-wheel-drive. This post-formal thinking transforms our life. It transforms our life experience into what we commonly call wisdom. The arts are like “chocolate to the brain”. Creativity is built into the human species. The arts can be singing, dancing, cooking, gardening and also giving back to the community and volunteering. But creativity can also be designing a new lecture, a new way to teach someone how to do something, or learning a new skill that lets you do either of those things in an innovative way. What it boils down to is that as we get older, we use both sides of our brain not in a compensatory way but in a synthetic way. The more you use it, the more you are protected against Alzheimer's disease. COVID has challenged everyone to be creative with how we connect with each other using technology. “Creativity encourages these evolving strengths. They don't just happen on their own.” — Wendy Miller, Ph.D. ATR-BC, LCPAT, REAT, LPC, BCPC How would you feel if more older adults get involved in creative artworks? Aging is not just about surviving. It’s about growing meaning in the face of adversity. Creativity optimizes problem-solving and affects interpersonal connections that leads us into our strengths. What makes This Is Getting Old podcast exciting is that it includes a focus on the humanities. This is a case for qualitative medicine - use of narrative, listening, writing, case histories, keen observation, and empathy, and imagination - to look at strength and satisfactions because they are the essence of human strength and resilience. Many people in the world do not have the right image of aging. Intergenerational creative activities and interactions have the ability to change that. As a society, if we only look at the S igns and S ymptoms of aging, we will miss the S trengths and S atisfaction with aging. It matters because creativity encourages these strengths that lead to increased satisfaction with our lives as we age. Older adults have life stories that benefit younger adults, stories of resilience and overcoming hardship. Media outlets have reported many older adults are actually weathering COVID better than younger generations . Many older adults also are still experiencing higher levels of emotional well-being than younger adults. We can all learn from this group of Americans that are often age-segregated, and we need to find intergenerational ways to do just that - to benefit both older AND younger adults. Being age-friendly means things are friendly for everyone. Wendy ends the interview with these words: "The creative faculty is what draws us to life, calls forth our love, our resilience, our strength, and our capacity to choose not only life itself but to choose what enlivens us. Sky above clouds opens us not only to potential, but to the essential.” Wendy Miller Bio: Wendy Miller, Ph.D. ATR-BC, LCPAT, REAT, LPC, BCPC is a writer, sculptor, educator, and mental health provider in expressive arts therapy. She taught for over fifteen years in various universities throughout the country, including John F Kennedy University, San Francisco State University, Southwestern College, Lesley College, California Institute of Integral Studies, and The George Washington University. She is the co-founder of Create Therapy Institute in Kensington, MD, which offers clinical services in arts-based psychotherapy and training in the expressive arts. She is a founding member, and first elected (past) executive co-chair of the International Expressive Arts Therapy Association, where she continues to be on their Advisory Council. She is also an Advisory Board Member of the Peter Alfond Prevention & Healthy Living Center at MaineGeneral Health. She continues the legacy of her late husband’s work, pioneer of creative aging, Gene Cohen, and his Washington DC Center on Aging, where she works on projects in intergenerational communication. Miller’s skills take her into the worlds of fine art, writing, psychology, expressive arts therapy and mind-body medicine. She has published on medical illness and the arts as complementary medicine, the use of sand tray therapy with internationally adopted children, experiential approaches to supervision in expressive arts therapy, and on the cultural responsibility of the arts in therapy. She continues to research the relationships among the arts, creativity and health, particularly in her book which draws from the writing she and her late husband, Gene Cohen did together, entitled: Sky Above Clouds: Finding our way through creativity, aging and illness (Oxford University Press, 2016). Purchase the Sky Above Clouds: Finding Our Way through Creativity, Aging, and Illness Book: https://amzn.to/3l0tCvC or visit https://www.sky-above-clouds.com/ The Creative Age is https://www.amazon.com/Creative-Age-Awakening-Potential-Second/dp/0380800713 or https://www.amazon.com/Creative-Age-Awakening-Potential-Second/dp/0380800713/ref=sr_1_2?dchild=1&keywords=The+Creative+age&qid=1606244088&sr=8-2 The finding key for Gene Cohen’s archived works at U Mass Special Collections and University Archives is:is: http://findingaids.library.umass.edu/ead/mums1079 GET IN TOUCH WITH WENDY MILLER: Facebook: https://www.facebook.com/profile.php?id=708580027 Instagram: @WendMiller11 FB page: https://www.facebook.com/SkyAboveClouds Oxford Academic Page: https://www.facebook.com/OUPAcademic/ Professional Organizations: IEATA https://www.facebook.com/IEATA.non.profit/ AATA https://www.facebook.com/TheAmericanArtTherapyAssociation/ PATA: https://www.facebook.com/potomacarttherapy/ About Melissa Batchelor, PhD, RN, FNP, FAAN I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Ten Tips for Preventing Alzheimer's Disease “Your biggest risk factors are your lifestyle choices.” — Melissa Batchelor, PhD, RN, FNP, FAAN Alzheimer's disease is the sixth leading cause of death for people over the age of sixty-five. We can't slow it down once you are diagnosed, and we haven't cured it. Therefore, there have been no survivors of anyone ever diagnosed with Alzheimer's until we have a major medical breakthrough. In this week's episode, you'll learn about the top ten tips for preventing Alzheimer's Disease Part One of ‘Ten Tips for Preventing Alzheimer's Disease’ While getting older is the biggest risk factor, including your gender and your genetics, those are things that you can't really control. But your biggest risk factors are your lifestyle choices. Those are called modifiable risk factors, so that we can do something about those. Tip 1: Stay Active Move Naturally. I heard this tip several years ago at a conference at a presentation on the Blue Zones . I was relieved to know that I didn’t need to start training for a marathon or spend hours in the gym every day. It's about the small things - like making sure that you're getting 10,000 steps in a day and doing some type of strength and flexibility exercise in your daily life. You should have or maintain an active lifestyle - whether it's moving around your house, walking around the block, or volunteering - all those things can help because there have been several studies that have associated the amount of physical activity that you have in a day. It does reduce your risk of getting Alzheimer's disease. Tip 2. Stay Connected The second tip is to stay connected. In the middle of a pandemic, this has been a little bit more challenging for all of us. But making sure that you're staying connected to your family, friends, and community is important because if you're not doing that, you are socially isolated. Social isolation is the equivalent of smoking a pack of cigarettes a day. You can check out my podcast about the Well Connected program as a resource for online and landline social connection opportunities. Tip 3: Learn New Things You can do this by taking formal classes or just learning a new hobby. You can sign up to take a class at a community college or take online courses about topics that you are interested in. You can also pick up a new hobby. Maybe there's something that you've always wanted to learn how to do. YouTube teaches me new things every day - from learning to paint and spackle my own walls to changing out my toilet flapper. Who knew?! You can check out my YouTube channel to learn more about healthy aging and things we need to think about (and do) to become an age-friendly world. “It is important to challenge and activate your mind.” — Melissa Batchelor, PhD, RN, FNP, FAAN Tip 4: Get Enough Sleep Do you have good sleep habits? You can find out how if you do here . If you didn't get enough sleep, that's going to impact your ability to think, and it's going to cause trouble with your memory. There are common sleep changes , but also thinking about is there an underlying reason for why you're not getting as much sleep? If you're having trouble getting to sleep or falling asleep, those could be signs of depression, anxiety, or you're experiencing sleep apnea, a potentially serious sleep disorder in which breathing repeatedly stops and starts. If you are having any trouble with your sleep or not waking up rested and refreshed, that would be worth having a conversation with your primary care provider. Part Two of ‘Ten Tips for Preventing Alzheimer's Disease’ Tip 5: Eat and Drink Well Obesity is a risk factor for developing Alzheimer's disease. You want to be sure that you're maintaining a healthy weight. This means eating heart healthy and non-processed foods and limiting your sugar intake. Eating natural foods that you can recognize (e.g., an apple or banana) is better than eating processed foods that you’re not sure what’s in them. Adopt strategies from the Mediterranean-DASH diet (Dietary Approaches to Stop Hypertension) for brain and heart health. Avoiding soda and limiting your alcohol intake is also recommended. And if you don't really like water, there are a lot of water flavoring that you can add to your water or even just switching to carbonated sparkling water. Your heart and brain are 73% water , so staying hydrated is important for brain health. When limit alcohol, here are common amounts to keep in mind: Moderate drinking , defined as 1 drink/ day for women; 2 drinks for men may reduce risk of Alzheimer’s (but do not start drinking if you do not already). Also keep in mind that Heavy Drinking, defined as 3-5 drinks per day, increases your risk for memory problems, accidents with injury, and damage to the brain, liver, kidneys and other vital organs. Tip 6: Safety First If you have a traumatic brain injury that increases your risk of developing Alzheimer's disease, it is essential to do things like wearing your seatbelt. If you're going to get involved in sports and you want to avoid a significant form of traumatic brain injury, the other thing is learning how to prevent falls. One in four Americans fall every year, and they're the leading cause of death for both fatal and non-fatal injuries for sixty-five and older people. Learn more about how to prevent falls . “Beware of your medications and talk to your primary care provider or your pharmacist before you add anything or abruptly stop anything.” — Melissa Batchelor, PhD, RN, FNP, FAAN Tip 7: Stop Smoking Cigarette smoking increases your risk of developing Alzheimer’s disease , It doesn't matter how old you are, it is important to stop smoking. In fact, after a year or two of not smoking, your risk factor goes right back to the same level that's comparable to people who never smoked. The process can be difficult if you're a lifelong smoker; it is beneficial to stop no matter what age you are. If you are having trouble smoking, your primary care provider may help you with that as well. Tip 8: See Your Primary Care Provider You should see a primary care provider at least once a year. When you turn 65, you are entitled to a Welcome to Medicare Preventive Visit and Yearly Wellness Visits every year after. Be aware of the Ten Signs of Alzheimer’s Disease so you know if you should get a Memory Screening . Tip 9: Know Your Numbers There are many risk factors for developing Alzheimer’s disease such as obesity, high blood pressure, diabetes, and heart disease. So be sure you know what your lab value (levels) are for your: Cholesterol, Blood Pressure, Blood Sugar, and your Body Mass Index Tip 10: Mind Your Medications Follow the Brown Bag Review (approach). This will help your primary care provider do a Medication Reconciliation . Know what prescription medications you are taking, what dose you should be taking, and why - what they the Discuss deprescribing with your PCP Use caution with Over-the-Counter vitamins and supplements that may cause interactions – talk with your primary care provider and/or pharmacist before adding anything or stopping abruptly About Melissa Batchelor, PhD, RN, FNP, FAAN I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Learning from What We've Lost: Protecting LTC Residents & Staff “My passion for human rights and elder justice was rekindled.” — Cinnamon St. John, MPA, MA Over the past year, COVID-19 has swept through our nation, ruthlessly claiming lives and nowhere has its toll been felt more than in our nation’s nursing homes. While only accounting for 8% of total cases in the United States, almost 40 percent of all COVID-related deaths in the United States were nursing home staff and residents. Lawmakers are looking for policy solutions to help stop the destruction within the walls of our nation’s nursing facilities. In this episode, we’ll talk with Health and Aging Policy Fellow Cinnamon St. John and one of the nation’s leading nursing home advocates, Toby S. Edelman, about the complexities of this issue, along with potential solutions. Part One: ‘Learning from What We've Lost: Protecting LTC Residents & Staff’ with Cinnamon St. John and Toby Edelman In February 2020, the nation saw the first appearance of COVID-19 in a nursing home in Washington state. Nine months later, the coronavirus has spread across the country and over 87,000 nursing home residents and staff have died. Older adults living in nursing homes have been more likely to die from COVID due to being our oldest, frailest, and sick citizens. Addressing the issues in nursing homes is complicated because the challenges are wide-ranging -- spanning federal, state, and local levels -- and cross-cutting sectors, all the while being interconnected. Additionally, COVID-19 potentially exacerbated cracks in the foundations of many nursing homes that existed before the pandemic. Those range from a myriad of staffing issues, such as not having enough nurses on staff and underpaid nursing home direct care workers, to racial inequalities -- where facilities with more racial and ethnic minorities had more confirmed cases and deaths -- to infection prevention and control issues. According to the Centers for Disease Control and Prevention (CDC), 8 out of 10 COVID-related deaths in the United States have been in adults 65 and older. “There are serious consequences for residents if facilities don’t follow infection control rules.” — Toby Edelman, Ed. M., JD Recently, a nursing home in Kansas reported that all 62 of its residents had tested positive for COVID-19 and 10 had already died. That facility was cited with the most serious level of infection control problems in May 2020, but there is no record of any penalty. If the facility had corrected its infection control problems, it’s likely that the virus would not have swept through as it did. That's why the rules have to be enforced. If violations don't lead to a real penalty and a fundamental change in practices, then they're just words on paper, and that is not enough. Part Two: ‘Learning from What We've Lost: Protecting LTC Residents & Staff’ with Cinnamon St. John and Toby Edelman Infection control experts are currently warning that the surge in COVID-19 cases in parts of the nation is expected to get worse over the coming weeks and months. Nursing homes are in a position where they need to learn from one another’s collective coronavirus experiences to ensure lives are not needlessly lost. Research has shown that there are a number of best practices that nursing facilities can implement. The trick is pulling the levers simultaneously, which requires a great amount of planning, action, and accountability. “A great society should do great things for its older adult population.” — Cinnamon St. John, MPA, MA One crucial lever is increasing staffing levels. LeadingAge recently released a report arguing that paying workers a living wage (not minimum wage or just above minimum wage) would reduce staffing shortages, reduce turnover, improve quality of care for residents, and reduce workers’ reliance on public benefit programs based on need, such as Medicaid. Numerous studies (including this one by previous podcast guest Charlene Harrington) appear to show that understaffing of registered nurses may increase the risk of larger outbreaks. We need to use this increased attention on nursing homes to get to other major changes. About Cinnamon St. John, MPA, MA 2019-2020 Health and Aging Policy Fellow through the American Political Science Association (APSA) Cinnamon is the Associate Director of the Hartford Institute for Geriatric Nursing (HIGN) at NYU Rory Meyers College of Nursing. She designs and manages programs that focus on ensuring optimal health and quality of life for older adults through interprofessional and patient education. Her work at HIGN has helped train over 2,000 Bronx seniors on wellness and disease self-management has strengthened collaboration between a major NYC health system and community-based organizations, and has driven the national and international dissemination of elder care training modules. She has also led the development of a strategic partnership between HIGN and a New York-based long-term care provider as part of the state’s “Workforce Investment Organization” (WIO) initiative. This program is helping to build and support a robust training infrastructure that will enhance the skills and advancement opportunities of long-term care workers in the region. Prior to this placement, she was with the U.S. Senate Special Committee on Aging in the office of Chairman Susan Collins (R-Maine). For the Committee, Cinnamon helped inform policy and drive the oversight of legislation focused on improving the support infrastructure for older Americans, with a particular focus on Alzheimer’s Disease. As a former journalist, Cinnamon is passionate about increasing public awareness of the needs of older adults, the challenges that our society is facing in addressing those needs, and the opportunities we have to improve how we care for our aging population. Cinnamon has received a Master’s of Public Administration from the NYU Wagner Graduate School of Public Service and an MA in International Peace and Security from King’s College London. Toby S. Edelman, Ed. M., JD Senior Policy Attorney, Center for Medicare Advocacy Toby S. Edelman has been representing older people in long-term care facilities since 1977. As a Senior Policy Attorney with the Center for Medicare Advocacy since January 2000, Ms. Edelman provides training, research, policy analysis, consultation, and litigation support relating to nursing homes and other long-term care facilities. Under two grants from the Commonwealth Fund, she evaluated the federal nursing home survey and enforcement system and its impact on state activities and provided technical assistance to states on effective enforcement practices. In cooperation with the Centers for Medicare & Medicaid Services, she recently completed a Commonwealth Fund project to evaluate seven states' deficiency citations for misuse of antipsychotic drugs. Since September 1999, she has written a monthly newsletter on nursing home enforcement issues. Ms. Edelman was the lead attorney for a statewide class of nursing facility residents who successfully challenged the state of California's refusal to implement the federal Nursing Home Reform Law (Valdivia v. California Department of Health Services, Civ. No. S-90-1226 EJG (E.D. Calif. 1993). As a beneficiary representative, Ms. Edelman has testified before Congress and served on federal task forces, technical expert panels, and working groups on nursing home issues. Ms. Edelman received a B.A., Magna cum Laude, from Barnard College (1968), an Ed.M. from the Harvard Graduate School of Education (1969), and a J.D. from the Georgetown University Law Center (1974). Ms. Edelman is a member of the Washington, DC Bar. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Policy Lessons from COVID “Nursing home residents need access to technology to speak to their loved ones.” — Lieke van Heumen, PhD 2019-2020 Health and Aging Policy Fellow Responding to COVID-10 required the Aging Services Network to become even more creative in responding to the constraints the pandemic put on service delivery. They now feel much more prepared to deal with the challenges that a pandemic brings. Even if there are new lockdowns, they can use the experiences 2020 required to continue to serve seniors. In this week’s episode, we are joined by Lieke van Heumen and Samantha Koehler. We'll learn about: Challenges for the Aging Services Network Nutrition and Social Isolation Policy Solutions Lieke’s Next Steps in her Career after completing the Health and Aging Policy Fellowship Part One of ‘Policy Lessons from COVID with Lieke van Heumen and Samantha Koehler’ The Aging Services Network consists of the agencies, programs, and activities supported by the Older Americans Act that help older adults who live in the community be healthy and have the social engagement they need. Some states only have a state unit on aging; they don't have an Area Agency on Aging in each county. If you are unsure if your county has an Area Agency on Aging (AAA), use the Eldercare Locator website to connect with the nearest be available AAA in your area. In this week’s episode, we discuss the challenges COVID posed for The Aging Services Network and how they responded. At the start of the pandemic, along with the rest of the country, seniors were asked to stay home to protect themselves and others from the virus. You can imagine how difficult it became for them to access nutritional resources, home and community-based services, and stay socially connected without being able to leave their homes. During the spring of 2020, Senator Bob Casey (D-PA) held a series of roundtables with 52 of the Area Agencies on Aging in Pennsylvania to hear directly from them about their concerns, as they tried to ensure the health and well-being of the seniors they serve. Senator Casey also spoke with the Pennsylvania Council on Aging , an organization of older adults across Pennsylvania designated to inform the Pennsylvania Department of Aging on issues that impact them. Several different challenges were revealed during these insightful conversations, including the lack of: (1) sufficient COVID testing; (2) Personal Protective Equipment (PPE); (3) sufficient staffing of the long-term care workforce; (4) technology for nursing home residents to stay in touch with their family members; and (4) concerns about Ombudsmen not being able to access seniors in congregate settings. These conversations with the AAA’s also revealed the need for flexibility with program funding; flexibility that would allow distribution of funds based on the specific needs of each county. Some expressed concern about older adults’ ability to enroll in Medicare because of the closure of some of the Social Security offices, and about delays in receiving care due to the stay at home orders. Many AAA’s shared concerns about older adults’ increased mental health needs due to increased loneliness, social isolation, and anxiety. And finally, they shared that many more older adults were requesting home-delivered meals than before the pandemic. “We saw a boom in older Americans requiring nutrition assistance.” — Samantha Koehler, U.S. Senate Special Committee on Aging COVID has impacted access to nutrition for many older adults in this country. How has the aging services network responded? Prior to COVID, seniors have long relied on a patchwork of federally funded nutrition programs to meet their needs. And yet food security has long persisted, even with this patchwork of programs administered out of the Administration for Community Living and the U.S. Department of Agriculture. Due to the pandemic, even small changes in access to and availability of nutritious meals can put the health and well-being of older adults in jeopardy. Millions of seniors across the country are served each year by senior nutrition programs, particularly the home-delivered meal program. Many of us know this program as Meals on Wheels America. The home-delivered meal program and the congregate meal program are authorized by the Older Americans Act. Many seniors are also served by the Supplemental Nutrition Assistance Program (SNAP) and the Commodity Supplemental Food Program (senior food box program). These are all authorized programs under the Farm Bill and administered by the U.S. Department of Agriculture. In March, when COVID-19 hit, there was a boom in older Americans requiring nutrition assistance. As part of both the Families First Coronavirus Response Act and the CARES Act which were passed in March, Senator Casey championed over a billion dollars in funding for programs authorized under the Older Americans Act, including a significant increase in funding for home-delivered meals and congregate meal programs. The Area Agencies on Aging have used that funding to serve increasing numbers of seniors in need of nutritious foods. But most importantly, that legislation also included flexibility for Area Agencies on Aging to designate individuals who usually attended senior centers for congregate meals as eligible for home-delivered meals. Senator Casey has also been advocating for expansion of the Supplemental Nutrition Assistance Program or SNAP. When the pandemic started, we began hearing from older Pennsylvanians who are SNAP recipients that although they had SNAP benefits, they were not able to use them because they were afraid and unable to leave their homes to go to the grocery store. Many people relied on grocery delivery during the initial phases of the pandemic. Yet, for low-income seniors who utilize SNAP there were limited options to have their groceries delivered. Throughout the pandemic's summer months, there was an expansion of the SNAP online purchasing program that Senator Casey had been pushing for. This allowed some individuals to receive grocery deliveries using their SNAP card. But additional barriers remain. Senator Casey has continued to call on the U.S. Department of Agriculture to increase access to SNAP grocery delivery by including additional retailers and purchasing options. We have come a long way in the past seven months. However, we have a long way to go to make sure that seniors continue to have access to nutrition and that the Area Agencies on Aging and the SNAP program can continue to serve seniors as the pandemic unfortunately continues. Part Two of ‘Policy Lessons from COVID with Lieke van Heumen and Samantha Koehler’ Social isolation and loneliness are something that is experienced at very high rates in the older population and has worsened because of the pandemic. This has caused a lot of concern for the mental and physical health of older adults, and will probably have a long-term impact. Senator Casey co-sponsored the ACCESS Act with Senator Klobuchar (S. 3517), the purpose of this Act is to facilitate virtual visits for those who live in nursing homes. This fall, Senator Casey also published a report: ‘Reimagining Aging in America: Blueprint to Create Health and Economic Security for Older Adults . This report explores how the pandemic has impacted seniors and offers policy solutions to address the inequities of aging in America. Preventing social isolation and loneliness is an important focus in the report. Some policy solutions that need to be enacted to alleviate social isolation and loneliness in seniors include giving Area Agencies on Aging and senior centers the tools and the funding that they need to implement virtual programming and support seniors to participate in small group activities. Another priority is expanding Internet access and increasing access to phones and tablets, which can partly be accomplished through passing the Act. “Millions of seniors across the country are served each year by senior nutrition programs, particularly the home-delivered meal program.” — Samantha Koehler, U.S. Senate Special Committee on Aging Moving forward, what are some of the policy solutions that will be required to alleviate the problems older American’s are facing? Access to nutritious foods and social isolation are issues during this pandemic, but those are just two of the many issues seniors are facing at this time. There are also issues related to seniors in terms of keeping economic security during this pandemic, issues related to job loss. We continue to hear from seniors in Pennsylvania and from our Aging Network in Pennsylvania that these issues persist. While they are certainly grateful for the funding and the flexibility they have received so far, this is just a step in the right direction, and we cannot go backward. We need to continue supporting the Aging Network because they are in need, and seniors are in need. What can the general public do to help? Or, how can individuals volunteer? At the beginning of the pandemic there were some concerns about having less volunteers available since many are older adults themselves. However the influx of volunteers has been overwhelming, particularly from younger individuals like college-age students who were home and physically unable to be on their college campuses. If you are a local business or individual, and you want to donate or volunteer, just giving a call to your local organization that serves seniors is the best thing that you could be doing. It is good to realize that there are ways of volunteering without leaving your home. Samantha highlights the importance of researchers knowing how to speak policy. She says, "I don't think that policy professionals always know how to speak about research. The more researchers that can translate their research into short, easy to consume pieces of information for policy professionals, the more likely we will consume that research. By having Lieke as a fellow, and the other fellows that we've had on the committee, just spreading the word of how to better communicate with policy with individuals in the policy sphere is so important." About Dr. Lieke van Heumen, PhD Dr. Lieke van Heumen is a Clinical Assistant Professor in the Department of Disability and Human Development at the University of Illinois at Chicago. Her research expertise is aging of adults with lifelong disabilities, specifically intellectual and developmental disabilities. She holds a PhD in Disability Studies from the University of Illinois at Chicago. She received both her undergraduate and master's degrees in psychology with a specialization in gerontology from the Radboud University in the Netherlands. Before moving to Chicago, she worked as a direct support professional and later as a psychologist in several Dutch group homes for older individuals with intellectual disabilities. She is a 2019-2020 American Political Science Association Congressional Fellow and 2019-2020 Health and Aging Policy Fellow. About Samantha Koehler, MSW, MPH Samantha Koehler is a Senior Policy Aide for Ranking Member Bob Casey of the U.S. Senate Special Committee of Aging. Her current work focuses on the intersection of aging and health policy, including the Older Americans Act, rural health, and Medicare access and affordability. Previously, Samantha served as a direct practice social worker. As a Care Manager for older adults, she focused on long-term care planning and access to health care and social services. Samantha has her MSW and MPH from the University of Michigan. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
United States Senate Special Committee on Aging: An Interview with Senator Bob Casey One of the most substantial contributions that I've made to policy development amid the COVID-19 crisis is two bills focused on seniors and people with disabilities." — Senator Bob Casey (D-PA) Minority Leader, U.S. Senate Special Committee on Aging Policy is the key to making positive changes in our communities. We need policies that secure the health and economic well-being of older adults and people with disabilities. In this week’s episode, we are joined by Senator Bob Casey (D-PA), Ranking Member of the U.S. Senate Special Committee on Aging and two 2019-2020 Health and Aging Policy Fellows who served in his office. Part One of ‘ Senate Special Committee on Aging: An Interview with Senator Bob Casey ’ "Policy is the key to making positive changes in our community. We need policies that secure the health and economic well-being of older adults and people with disabilities." - Lieke van Heumen, PhD Melissa starts the conversation with an interesting question. “What has been the impact of your placement with Senator Casey’s office and the U.S. Senate Special Committee on Aging on your career?” Lieke van Heumen shares, “This year has been very impactful on me, both personally and professionally. First, it has been a privilege to experience Senator Casey's leadership and to get to work with and learn from such an incredible group of disability and aging policy experts who are so passionate about improving the lives of older adults and people with disabilities. It's that same passion that has led me to where I am in my life and my career. I started as a gerontologist, working with older adults with intellectual and developmental disabilities, and then pursued a doctorate in disability studies, and research on aging and disability. I realized that I needed to gain experience and exposure to policymaking to contribute to that and to see those improvements in our communities.” “During my training that I received this year, it allowed me to improve my knowledge and skills in aging and disability policy. I learned how to translate an idea into a policy context, how to brainstorm policy solutions. What steps are involved in writing a good policy? How to solicit the experiences of stakeholders directly impacted by the policy, the complexities of that process, and how it can be better navigated. I now understand better what policymakers need from researchers, what effective advocacy looks like, and how I can be more effective in utilizing my expertise to impact policy. I believe that because of the opportunity to work in Senator Casey's office my future work will be more meaningful and more impactful. I'm very grateful for that.” Lieke added. Thomas says, "It inspired me to see their hard work and understand the small steps that we take in the long game that is policymaking. The office was so great and fully immersed us into the operations. I learned that I love the work. I love the public service aspect, speaking to the constituents, hearing what their concerns are, how that comes to and through the office, and drives the policy. That all comes from Senator Casey himself and his passions. That's what I realized is my calling as well. And I'm going to do my best to stick around and try to stay on the Hill. Then, we'll see what happens.” Part Two of ‘ Senate Special Committee on Aging: An Interview with Senator Bob Casey ’ Melissa asks Senator Casey, “Your office has a long history of placing fellows. From your perspective, what value do Fellows bring to your office and to your work?" “Our Health and Aging Policy Fellows became integral to the operations of the committee work that we do.” — Senator Bob Casey (D-PA) “Fellows are of great value to any Senate office, regardless of the subject matter, regardless of the issues or the policy work that you are doing. With Lieke and Thomas, their contributions have been in the context of the Special Committee on Aging. We have to do all that we can; we have an obligation to protect seniors and people with disabilities. And you have to have a team to do that. Senators are only as good as their staff. That may be a well-kept secret, but I think it is the truth. We are only as effective as the team we build around us. And we have so many challenges right now, especially with the onset of the virus and the destruction that came from that as well as the conflicts in Washington, which make policy development and the advancement of policy much more difficult. So, the environment is, in one sense, policy starved, but in another sense, it is politically more difficult to achieve policy gains. The core of that is not simply having a strategy to pass a bill. You have to get the policy right. You need the subject matter expertise that surrounds you. And in this case, our Health and Aging Policy Fellows became integral to the operations of the committee work that we do. These Fellows bring both knowledge and skills, and they have the opportunity to learn how to implement the depths of their policy knowledge into the reality of legislating and moving legislation through the United States Senate.” “People with disabilities have huge challenges that we have got to be responsive to.” — Senator Bob Casey (D-PA) The challenges probably have never been more significant, but it is particularly difficult for certain Americans, depending on where you are in life. Certainly if you are a senior, it has been particularly challenging and even deadly. We know that from the numbers of people who have contracted the virus and have had problems just surviving. People with disabilities also have huge challenges that we have got to be responsive to. I often remind our team it has never been more difficult in some sense, or at least in one sense, to be in government, in the federal government. But it's also never been more stimulating; more challenging. And therefore, the policy gains that you make are much more consequential. I think that when you consider the work that both Thomas and Lieke have done, you can see the benefit of that work, in several different contexts; and legislation is essential.” One of the singular or the most substantial contributions that Senator Bob Casey made to policy development amid the COVID-19 crisis are two bills that focus on seniors and people with disabilities. S.3544 - Coronavirus Relief for Seniors and People with Disabilities Act S.3740 - COVID-19 Recovery for Seniors and People with Disabilities Act Lieke, Thomas, or Samantha: Please clarify that parts of these two bills were rolled into the CARES Act that was signed into law? Senator Casey adds, “But we have a lot more to do. We have a lot more progress to make, especially when it comes to advancing funding for, and having a policy focus on issues that relate to people with disabilities, especially for example, with regard to home and community-based services. There is a preference for that kind of care setting - to be at home or in a community-based setting. We have a waiting list that exceeds more than eight hundred thousand Americans still waiting for those kinds of services. We need them now more than ever because of the concern about folks being in congregate settings, as opposed to a home or community-based setting. But we have got a lot more work to do - even absent the virus and now evermore so. I was blessed to have a great Health and Aging team, a full-time staff, and particularly blessed to have the expertise, the dedication and the passion that both Thomas and Lieke have brought to their work.” About Senator Bob Casey (D-PA) U.S. Senator Bob Casey fights every day for Pennsylvania families. He is a strong advocate for policies that improve the health care and early learning of children and policies that will raise wages for the middle class. Senator Casey serves on four committees including the Senate Finance Committee and Senate HELP Committee. He is also the highest ranking Democrat on the Special Committee on Aging, where his agenda is focused on policies that support seniors and individuals with disabilities. Senator Casey and his wife Terese live in Scranton and have four adult daughters. About Lieke van Heumen, PhD Dr. Lieke van Heumen is a Clinical Assistant Professor in the Department of Disability and Human Development at the University of Illinois at Chicago. Her research expertise is aging of adults with lifelong disabilities, specifically intellectual and developmental disabilities. She holds a PhD in Disability Studies from the University of Illinois at Chicago. She received both her undergraduate and master degrees in psychology with a specialization in gerontology from the Radboud University in the Netherlands. Before moving to Chicago she worked as a direct support professional and later as a psychologist in several Dutch group homes for older individuals with intellectual disabilities. She is a 2019-2020 American Political Science Association Congressional Fellow and 2019-2020 Health and Aging Policy Fellow. About Thomas Eagen, PhD, MPH Dr. Thomas Eagen is a 2019-2020 American Political Science Association Congressional Fellow and 2019-2020 Health and Aging Policy Fellow. He received his PhD in Rehabilitation Science and MPH in Health systems and Policy at the University of Washington in Seattle. His research expertise is the intersection between aging and disability, with a focus on older adults aging with physical disabilities. He previously worked as a personal trainer, specializing in exercise modifications for older adults and people with disabilities. About Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
What Matters to Nursing Home Residents with Anne Montgomery from Altarum “The presence of family and treasured people in a nursing home resident's life is incredibly important.” — Anne Montgomery COVID-19 has turned the whole world upside down, including the lives of nursing home residents. While nursing home residents only account for 8% of total COVID cases in the United States, they account for more than 40% of all deaths. The response to this nationally was to lock down all 15,600 nursing homes for over six months. While mainstream media has commented on their plight from an outsider-in viewpoint, in this episode, Anne Montgomery shares a new special report by Altarum released in October 2020 with insights into what matters to nursing home residents. Part One of ‘What Matters to Nursing Home Residents with Anne Montgomery from Altarum’ Social isolation and loneliness are not new phenomena for nursing home residents, but COVID-19 has amplified the distress and harm residents have ensured since the beginning of the pandemic. In mid-March of 2020, the federal government, the Centers for Medicare and Medicaid Services, issued a prohibition on visitation in nursing homes of family members, immediate relatives to keep residents safer. To check the extent of social isolation and loneliness, a survey has been conducted from July until the end of August, although nursing home residents are not easy to survey. Residents were asked “key questions about their daily life before Covid-19 restrictions were imposed and afterward, including how often they had visitors, left their nursing home for routine activities, went outside to enjoy fresh air, where they ate their meals, and much more. The findings are stark, showing a drastic reduction in social activities and a steep increase in reported feelings of loneliness.” Part Two of ‘What Matters to Nursing Home Residents with Anne Montgomery from Altarum’ Here are some of the comments from the residents living in nursing homes during COVID: I have depression—why keep living? It's not living, and it's barely existing. I feel like I'm living in prison literally! I feel like I am in prison. The prospect of weeks or months more of isolation makes me feel like giving up on life. This is not living at all. Workers keep bringing the virus into the building, so tell me why my family can't visit me in my room? I have become more anxious and depressed due to the separation from my loved ones. I have little appetite and am losing weight. I feel worthless, and most days, I feel like giving up, and I'm usually an upbeat, positive person. The facility needs to create a safe way to see my spouse and not keep me locked up in my tiny room. Hopefully, I won't die from the way I'm now being treated. I miss hugs and touch, especially from my family members! I am very lonely. I miss socializing with other residents. I miss getting out into the community and having visitors. We can't even come out of our rooms for activities or meals. This is awful. “You can't help people remain safe, keep them closed off from the world, and expect them to thrive.” — Anne Montgomery The hardest part for families and residents with the social distancing piece is the inability to touch or hug someone. CMS did finally lift this restriction on September 17, 2020. Now each state, nursing home corporation, and nursing home is moving towards finding ways for families to connect to their loved ones with safety precautions in place. But we can do better. The report points out that “under current CMS guidance featured in the State Operations Manual, social isolation is identified as a possible risk for some residents in the context of falls, PTSD, urinary and fecal incontinence, mental disorders, placement of a feeding tube, side effects of certain medications (i.e. antipsychotics)”. Some of the recommendations to identify and reduce risks associated with social isolation and loneliness from the report include ( see full report for all recommendations starting on page 17): Assess each resident for loneliness and social isolation, and create practical approaches to reduce this in their care plan. Make isolation and loneliness a focus of QAPI Performance Improvement Projects. Create visiting plans for residents who want to see family and friends, and document this in resident care plans. Assign a specific staff member to be responsible for arrangements for visits that comport with CMS guidelines on visitation, most recently updated on September 17, 2020. Weather permitting, allow residents to leave their room every day and go outside if they wish. “Nursing homes are encouraged to apply for funding to provide residents with tablets to keep them connected.” — Anne Montgomery Nursing homes are encouraged to apply for funding to provide residents with tablets if they don't have a smartphone or laptop to keep them connected with their families. Congress is now paying attention again to nursing homes' difficulties and providing opportunities for improvement. There are a lot of online, virtual tours that residents can access - virtual tours of museums, natural parks, etc. Even if a resident only has access to a phone, one program I recommend is Well Connected . It’s free and open to anyone in the US aged 60 and older. Resources for Nursing Homes and Families *From the Altarum Report pages 20-24 Recommendations to Allow Nursing Home Residents to Have Increased In-Person Contact with Family and Friends During the Covid-19 Pandemic. The National Consumer Voice for Quality Long-Term Care. September 4, 2020 . Offers CMS recommendations for nursing home visitation requirements during Covid-19 that will promote and protect resident welfare. https://theconsumervoice.org/uploads/files/general/FINAL_Visitation_Recommendations_to_ CMS_9.4.20_w_Collaborators.pdf VDH Nursing Home Guidance for Phased Reopening. Virginia Department of Health. September 8, 2020 . Virginia specific guidance aimed at providing practical strategies for nursing homes to implement phased and safe reopening plans. https://www.vdh.virginia.gov/content/uploads/sites/182/2020/06/VDH-Nursing-Home-Guidance- for-Phased-Reopening-6.18.2020.pdf Coronavirus in Long-Term Care Facilities: Information for Residents and Families. The National Consumer Voice for Quality Long-Term Care. September 2020 . Consumer Voice has created a special COVID-19 resource page including the latest information about its impact, changes to facility requirements, and recommendations for advocating for yourself or your loved one. https://theconsumervoice.org/issues/other-issues-and-resources/covid-19/residents-families They’ve also set up a webpage for you or your loved one to share experiences with your long-term care facility during this pandemic. Other News Related to Improving Quality and Safety in Nursing Homes In 1986, the Institute of Medicine released the seminal report Improving the Quality of Care in Nursing Homes that led to the 1987 Omnibus Reconciliation Act (OBRA ‘87). Despite three decades of efforts to improve the quality of care in nursing homes, significant challenges still remain and COVID-19 has amplified a myriad of long-standing issues that still need better solutions for aging Americans. Announced in October 2020, a new Committee on the Quality of Care in Nursing Homes will examine how our nation delivers, regulates, finances and measures quality of nursing home care. The primary sponsor for the new study is The John A Hartford Foundation with additional support provided by the Commonwealth Fund. About Anne Montgomery Anne Montgomery has in-depth experience analyzing and developing policy and research projects focused on aging issues, community issues, long-term care, Medicaid, Medicare, and family caregiver support. Ms. Montgomery served as a senior health policy associate with the Alliance for Health Reform in Washington, D.C., as a senior analyst at the U.S. Government Accountability Office, and as a health care legislative aide for the Ways & Means Health Subcommittee. In 2001-2002, Ms. Montgomery was an Atlantic Fellow in Public Policy based in London, where she analyzed family caregivers' role in developing long-term care policies in the United Kingdom. During the 1990s, Ms. Montgomery worked as a health and science journalist covering the National Institutes of Health and Congress. A member of the National Academy of Social Insurance and Academy Health, Ms. Montgomery has an M.S. in journalism from Columbia University and a B.A. in English literature from the University of Virginia and has taken gerontology coursework at Johns Hopkins University. Concerning awards and civic activities, Ms. Montgomery is a member of the National Academy of Social Insurance, Academy Health, and the American Society on Aging. She serves on the selection committee of the Congressional Fellowship Program, Health, and Aging Policy Fellows, American Political Science Association. Ms. Montgomery was awarded a research fellowship by the British Council as an Atlantic International Public Policy Fellow in 2001-2002 and has received awards for outstanding public policy service from the National Adult Protective Services Association, National Consumer Voice for Quality Long-Term Care Public Policy Award, and the National Association of State Long-Term Care Ombudsman Programs. About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Voting with Alzheimer's Disease “Just because you have a cognitive impairment doesn't automatically disqualify your right to vote.” — Melissa Batchelor, PhD, RN, FNP, FAAN (01:44-01:49) Should a person with Alzheimer’s disease be allowed to vote? The majority of people living with Alzheimer's disease live at home with family or have friends who help provide care. These family and friends may need to help the person living with dementia to vote, so in this week’s episode, we will review some things to think about when helping someone to vote. Part One of ‘Voting with Alzheimer's Disease’ In a previous episode when I was talking to my mom regarding visitation in nursing homes, she mentioned that the leadership team was also trying to figure out how to get people into the nursing home to help the residents there to vote (those that could). Shortly after that, I got an email from a colleague asking me if a resident with Alzheimer’s disease should be allowed to vote, and the question was posed as an ethical dilemma. These two things and more recent news led me to do this podcast. Less than four percent of older adults will ever end up living in a skilled nursing home. If for those who do, around sixty-percent of those residents do have some form of cognitive impairment. The right to vote is a fundamental right and privilege, and just because you have a medical diagnosis of Alzheimer’s disease doesn't automatically disqualify your right to vote. Decision-Making Capacity vs. Competency “When we're providing care to a person with Alzheimer's disease, they may have decision-making capacity, but not necessarily have competency.” — Melissa Batchelor, PhD, RN, FNP, FAAN (02:09-02:17) Part Two of ‘Voting with Alzheimer's Disease’ When we're providing care to a person with Alzheimer's disease, they still may have decision-making capacity, but they may not necessarily have competency. Decision-making capacity is the ability to decide. What are you ready to eat? Are you ready to take a shower? Is there something you'd like to do today? Those are easy decisions that people with early symptoms of Alzheimer's disease can still make. As this disease progresses, competency may become an issue, and whether or not a person is competent is determined by a judge based on individual state law. If you are the legal guardian of someone who's already been deemed incompetent. In that instance, the person living with Alzheimer's disease may or may not be able to vote - it just depends on where they are in the disease trajectory. The person may or may not have the competency to vote because people with Alzheimer's disease takes away a persons’ ability to execute the multiple steps required in many activities, such as voting. If you think about all the different steps that it takes to vote, you have to register to vote. If you've recently moved into an assisted living facility or a skilled nursing facility, you do need to change your address because we need you to be able to verify your instate residency. The other things you have to be able to do to vote is to know who the candidates are, their backgrounds, and their positions on issues. Other issues include being able to either go through all the steps that it takes to request an absentee ballot if that's allowed in your state; being able to arrange to get to a polling station or participate in a mobile ballot program? I think that's what my mom was talking about with my grandmother’s nursing home. They were trying to figure out how to bring the mobile ballot program and make it accessible to the nursing home residents who still have the capacity and competency to vote. If you have mild to moderate Alzheimer's disease and need help completing your ballot, you (and the person helping you) need to be aware that there is potential for coercion and how to avoid it. “Every facility has an ombudsman that's dedicated to helping to advocate for each of the residents and their rights.” — Melissa Batchelor, PhD, RN, FNP, FAAN (08:09-08:16) Considerations for a person living with Alzheimer’s disease and voting Person must be able to tell you they want to vote If you are asked to help someone to vote or if you're the one that's asked them to help your loved one to vote, the first question is asking the person if they want to vote. If they do say yes, they need to be allowed to vote. What if the person can’t mark their own ballot? If the person living with dementia cannot mark their own ballot, it's not necessarily a reason that they should not be allowed to vote. If they can't mark their ballot, you have to ask them who they would vote for. The person needs to communicate that to you verbally because if you're the one assisting that person, it's not your opinion, thoughts, ideas, or beliefs that need to be marked on that ballot. What if they ask you who to vote for? If they ask you questions about the different ballots and their positions, that's something that person should have been able to obtain on their own (and it's not your place). You're there as a proxy to fill out on their behalf. Maybe they want to vote for someone that's not on the ballot. If they can tell you the name of whoever they want to vote for, you can write that for them. What if the person with dementia can’t remember if they voted? Another issue could be — the person that you're asking if they want to vote, they may say, "Well, I don't know if I already voted. I can't remember if I voted already or if I did an absentee ballot." But again, you may be able to have people in the assisted living or skilled nursing facility. They may know if the person requested an absentee ballot or the person's family member may know. We only get one vote. So, that's going to be a little bit more of a trickier situation. Who can help me or my loved one living in a skilled nursing home? Every facility has an ombudsman dedicated to helping advocate for each of the residents and their rights. If you witness a situation where you're not sure if the person with Alzheimer's disease has another person trying to control their ability to access the vote or their ability to vote, ombudsmen are a good neutral party to help you work through some of that. You can find more information on how to find your local ombudsman program here . Find out what the state rules are and how voting is executed in each state. We do need to allow people with Alzheimer's disease the autonomy to vote if they have the decision-making capacity and they are competent to do so. About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Nursing Homes and Families During COVID “If the nursing home would allow one advocate, one compassionate care person, and let them visit their family members, that would be very helpful to them.” — Nettie Batchelor Skilled nursing homes are currently facing unique challenges with coronavirus. Previously, we talked about the role of social workers in nursing homes and mental health. In this week's episode, we're going to have a heart-to-heart conversation with my Mom, Nettie Batchelor. We're going to share her story about the impact of the visitation restrictions she’s faced with my grandmother, Grandma Trudie, who lives in a nursing home. Part One of ‘Nursing Homes and Families During COVID’ When Grandma Trudie went to the nursing facility, it was hard for her to leave her home and accept the fact that she needed 24/7 care; care that had to be provided in a skilled nursing home. Thankfully, the staff who work in her facility treat her very well. She began to even think of it as home. My Mom used to see her two or three times a week. The last time my Mom saw her face-t0-face was March 4th, 2020 - that was the last time she was able to sit beside her for a visit or give her a hug. Visitation guidelines issued by CMS and its federal partners have issued directives and guidance regarding visitation during the pandemic in multiple documents that have made it challenging for nursing homes to meet (and CMS to enforce) federal expectations or leverage evolving flexibility with states re-opening at different paces. “The longer this pandemic takes, the more bad outcomes we're going to see.” — Melissa Batchelor, PhD, RN, FNP, FAAN Visitation Restrictions may have partially helped protect resident’s physical health, residents are experiencing loneliness, anxiety, and depression because they have been separated from family and friends longer than any other group of people in the United States during COVID. My Mom appreciates everyone in the facility doing their best to help her remain socially connected through video calls, but honestly, when you’re 91 years old, time is even important than it’s ever been. In September of 2020, the Governor of North Carolina moved the state to Phase 2.5 - allowing outdoor visitation with nursing home residents. So after 202 days, my mother’s brother was allowed to visit my grandmother two and a half weeks after that Phase 2.5 announcement. It did not go well. Grandma Trudi completely lost it; because of the social distancing rules, she wasn’t allowed to hug or even touch my Uncle so she started crying and begging to go home. She kept saying, "That's my son, that's my son!" She got so upset, the staff had to ask my Uncle and his wife to leave. You can imagine how hard it is to finally be able to see each other again, but you can’t hug or even touch the other person after SEVEN MONTHS. Part Two of ‘Nursing Homes and Families During COVID’ If you're curious about what else is going on with older adults inside the nursing homes, all of their activities have been shut down and she’s in her room alone for the majority of the day. Unable to even move around in her wheelchair led her to become very deconditioned. Through her Medicare benefit, they finally allowed physical therapists back in the facility to work with the residents. She will get two months of physical therapy to get her moving again. “There definitely needs to be answers and solutions for family members to be able to go in to visit.” — Melissa Batchelor, PhD, RN, FNP, FAAN Some residents quit eating; others started to eat more. My grandmother is eating more. She's gained 10 pounds. You think she's doing fine, but the reality is she's eating out of loneliness and unhappiness. She's not the kind of person who cries a lot or easily gets upset about her situation. She tries to make the best of it. My Mom is doing the best she can to keep in touch through FaceTime and is always encouraging my Grandma Trudie that this will be over soon. While better than no contact at all, FaceTime or other types of virtual visits are not a sufficient substitute to meet resident or family needs and are often harder when residents have a hard time hearing or have memory problems. COVID protocols for in-person visitation need to be adjusted to include family members as Essential Care Partners. CMS needs to allow nursing homes to reinstate the resident’s rights to visitation. This can be done with weekly testing of Essential Care Partners that follow the same guidelines in place now for nursing home staff and many other industries. Residents rely on visits with loved ones for care and critical emotional support. Family caregivers also provide outside support for the nursing home staff, who have been under-prioritized during COVID. Nursing home staff have faced increased pressure to meet the needs of residents - without adequate training or equipment – and nursing home workforce shortages have been amplified during this public health crisis. Even if nursing homes allowed at least one family member to visit, that would be very helpful. They should allow some type of visitation that doesn't require having to be six feet apart. I hope this little story of ours somehow made you feel that we're all in this together; you're not alone….but we don’t have time to waste. We need to fix this now and figure out a way to allow these residents the ability to visit their families. The staff come and go every day and are not quarantined in their homes after work. Finally, the staff have been provided the resources to have weekly COVID testing. These protocols should be extended to include Essential Care Partners - to allow visitation for residents, provide support for the staff, and give 1.4 million Americans the dignity and quality of life they deserve. About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Mental Health and Older Adults: Important Concerns and Future Directions “Both older adults and younger folks die by suicide, which is why mental health is a big public health issue that is often underfunded.” — Luming Li, M.D. One of the top leading causes of death in America is suicide - making mental health a critical topic. In this week's episode, we are joined by Luming Li, M.D., and Michael Schoenbaum, Ph.D., who are helping to advance the work of prevention of mental health conditions. Part One of ‘Mental Health and Older Adults: Important Concerns and Future Directions’ Luming Li, M.D. is an Assistant Professor at the Yale School of Medicine, Department of Psychiatry, and currently serves as the Associate Medical Director of Quality Improvement of the Yale New Haven Psychiatric Hospital. Her clinical focus is on patients with severe psychiatric conditions that require complex systems of care. She works clinically as an inpatient psychiatrist at the transitional age, dual-diagnosis psychiatric/substance disorder units at the Yale New Haven Psychiatric Hospital, and serves as a consultant psychiatrist in the Nathan Smith Clinic for patients with HIV. She has research and educational interests in healthcare policy, hospital management, clinical redesign, leadership development, operational efficiency, and quality improvement. Dr. Li completed a 7-year B.A./M.D. program at Rutgers/Robert Wood Johnson Medical School and residency training at the Yale School of Medicine, Department of Psychiatry. She has also served on national committees within the American Psychiatric Association (APA), including the Health Systems and Financing Committee (2017-2018), and was an APA Public Psychiatry Fellowship recipient. She is a 2019-2020 Health and Aging Policy Fellow and American Political Science Association Congressional Fellow. Michael Schoenbaum (PhD in Economics, University of Michigan, 1995) is Senior Advisor for Mental Health Services, Epidemiology, and Economics in the NIMH's Division of Services and Intervention Research . He conducts analyses of public health and mental health service issues in support of Institute decision-making. He works to strengthen NIMH's relationships with public and private stakeholders to increase the public health impact of NIMH-supported research. He has worked extensively on expanding and improving identification and treatment of suicide risk; on improving treatment for behavioral health issues in general medical settings, and on broader implementation of the evidence-based Collaborative Care model to do so, and on facilitating the adoption of coordinated specialty care for early psychosis. Before joining NIMH in 2006, Dr. Schoenbaum was a Robert Wood Johnson Scholar in health policy at the University of California, Berkeley, from 1995-1997, and an economist at the RAND Corporation from 1997-2014 (adjunct 2006-2014). Part Two of ‘Mental Health and Older Adults: Important Concerns and Future Directions’ Many suicides are associated with mental health and/or substance use conditions; we might all wish for better treatments. But for now, from public health or a clinical care perspective, we have to work with the treatments that exist. There's a national conversation about the need for better mental health and substance use care because everybody is concerned that the pandemic might be increasing risk. However, the conversation may also represent an opportunity to do better in ways that we could or should have pursued before the pandemic. There are different steps and components to zero suicide, but how do we measure that it's being implemented? Everything must be aligned with the evidence. Due to science development, there are now many ways to find people with suicide risk, which is essential because we can't help them if we can't find them. There are approaches to use evidence-based tools to accomplish what the goals are for the different steps. For example, one of the things that can be used is the Columbia Suicide Severity Rating Scale or C-SSRS. It's a suicidal ideation and behavior screening scale created by researchers at Columbia University, University of Pennsylvania, University of Pittsburgh, and New York University to evaluate suicide risk. The Collaborative Care Model is “one approach to integration in which primary care providers, care managers, and psychiatric consultants work together to provide care and monitor patients’ progress. These programs have been shown to be both clinically-effective and cost-effective for a variety of mental health conditions, in a variety of settings, using several different payment mechanisms” (UnützerJ, et al., 2013). “National Suicide Prevention Lifeline is a useful resource not just for people who are struggling, but also if you know someone who is struggling, you can call the lifeline to get advice about how to help other people.” — Michael Schoenbaum, Ph.D. The good news is that our science has identified many specific practices that would let us do better if we moved from current practice to broader use of better evidence-based practices. According to recent data, more people are reaching out and connecting well with telehealth services. Therefore, more needs to be done in terms of adequately communicating about the available services. How to Find Resources to Help with Suicide The National Suicide Prevention Lifeline , a United States-based suicide prevention network of over 160 crisis centers that provides 24/7 service via a toll-free hotline with the number 1-800-273-8255, available to anyone in suicidal crisis or emotional distress, is an excellent place to start to know what the current status is on services. It's essential to try to reach out proactively to people whom you worry might be isolated and see how they're doing. How to Find Resources to Help with Substance Abuse or Misuse SAMHSA’s National Helpline , 1-800-662-HELP (4357), (also known as the Treatment Referral Routing Service) or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations. Callers can also order free publications and other information. Also visit the online treatment locators . And here’s info on How 2-1-1 works ! Types of Referrals Offered by 211 Basic Human Needs Resources – including food and clothing banks, shelters, rent assistance, and utility assistance. Physical and Mental Health Resources – including health insurance programs, Medicaid and Medicare, maternal health resources, health insurance programs for children, medical information lines, crisis intervention services, support groups, counseling, and drug and alcohol intervention and rehabilitation. Work Support – including financial assistance, job training, transportation assistance and education programs. Access to Services in Non-English Languages - including language translation and interpretation services to help non-English-speaking people find public resources (Foreign language services vary by location.) Support for Older Americans and Persons with Disabilities – including adult day care, community meals, respite care, home health care, transportation and homemaker services. Children, Youth and Family Support – including child care, after-school programs, educational programs for low-income families, family resource centers, summer camps and recreation programs, mentoring, tutoring and protective services. Suicide Prevention – referral to suicide prevention help organizations. How to Connect More with Luming Li, M.D. and Michael Schoenbaum: Luming Li: https://www.linkedin.com/in/luming-li/ Michael Schoenbaum: https://www.linkedin.com/in/michael-schoenbaum-aa23a7b/ Connection of the NIMH to the Center for Aging, Health and Humanities Dr. Cohen served as the first Chief of the Center on Aging of the National Institute of Mental Health (NIMH) -- the first federal center on mental health and aging established in any country. During his tenure with the federal government, he received the Public Health Service's highest honor, the Distinguished Service Medal. The late Gene D. Cohen, MD, PhD, founded The George Washington University (GW) Center for Aging, Health and Humanities (CAHH) in 1994 and served as director until his death in 2010. In addition to founding the CAHH, Dr. Cohen served as founding Director of The Washington, DC Center on Aging, a Think Tank. He was president of the Gerontological Society of America from 1996-1997 and served as Acting Director of the National Institute on Aging (NIA) at the National Institutes of Health from 1991-1993. At GW, he also held professorial positions in Health Care Sciences and Psychiatry and Behavioral Sciences. In addition, he also coordinated the Department of Health and Human Services' planning and programs on Alzheimer's disease, through the efforts of the Department's Council and Panel on Alzheimer's Disease. In 2019, Dr. Cohen’s work was archived as a Special Collection and University Archive at the University of Massachusetts Amherst . About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
The Role of Social Workers in Nursing Homes “The social isolation caused by COVID-19 requires an expansive workforce considering not all nursing homes have trained social workers.” — Lynn Friss Feinberg, MSW Nursing homes and COVID-19 are today's hot topics. With mounting cases of COVID-19, nursing homes have faced many challenges, especially with providing social services. On top of helping older adults adjust to their new life in a supportive care setting and advocating for their rights and needs, social workers are faced with ethical dilemmas, stress, and fears for resident safety. What can we do about it? Today, we are joined by Nancy Kusmaul, PhD, MSW, and Lynn Friss Feinberg, MSW, to discuss social workers' role in nursing homes. Part One of ‘The Role Of Social Workers In Nursing Homes’ Nancy Kusmaul, PhD, MSW, is an Associate Professor in the Baccalaureate Social Work program at UMBC. She received her PhD from the University at Buffalo School of Social Work and her MSW from the University of Michigan. Dr. Kusmaul worked in nursing homes and hospitals for more than a decade. Her research focuses on organizational culture, trauma-informed care, and the impact of trauma experienced on the workforce. She is interested in direct care workers' experience in organizations, particularly Certified Nursing Assistants in nursing homes. She is a 2019-2020 Health and Aging Policy Fellow with Senator Ron Wyden and the Centers for Medicare and Medicaid Services. She is a member of the Baltimore County Elder Abuse Coalition and the National Association of Social Workers (NASW). She co-chairs the Aging Committee for the Maryland Chapter of NASW, and she is a fellow of the Gerontological Society of America. Lynn Friss Feinberg is a Senior Strategic Policy Advisor at the AARP Public Policy Institute, responsible for family caregiving and long-term care issues. She came to AARP from the National Partnership for Women & Families, serving as the first Director of the Campaign for Better Care. Previously, she served as the Deputy Director of the National Center on Caregiving at the San Francisco-based Family Caregiver Alliance (FCA). At FCA, she directed the National Consensus Project for Caregiver Assessment and led the first 50-state study on publicly-funded caregiving programs in the U.S. She has published and lectured widely on family care policy and practice. She has held leadership positions on numerous advisory boards and committees, including the American Bar Association's Commission on Law and Aging, and the National Academies of Sciences, Engineering, and Medicine's Committee on Family Caregiving for Older Adults. Ms. Feinberg is a past Chair of the American Society on Aging (ASA) Board of Directors and a past Chair of the Public Policy Committee at the Gerontological Society of America (GSA). In 2007-2008, Ms. Feinberg served as the John Heinz Senate Fellow in Aging in the office of former U.S. Senator Barbara Boxer. She received the ASA Leadership Award in 2006, and the Paul Nathanson Distinguished Advocate Award in 2015 from Justice in Aging for her career work on family care issues. Ms. Feinberg holds a master's degree in social welfare and gerontology from the University of California at Berkeley. “Any facility with more than one hundred and twenty beds must employ a qualified social worker on a full-time basis.” — Nancy Kusmaul, PhD, MSW COVID-19 spreads easily in nursing homes and older adults living in these facilities (residents) are at the greatest risk of death if there is an outbreak. This is why a lot of attention has been focused on keeping residents safe. Not only the nursing homes experiencing a shortage of PPE, but the implementation of visitation restrictions made it challenging for them to communicate with the resident's family members. We didn't have a national strategy to deal with a pandemic, and because of all of these things, nursing homes were hit hard by COVID-19. While it's critically important to have adequate nursing certified nursing assistants, we would all agree with that if we want to improve the quality of care or people residing in nursing homes and other long-term care facilities, COVID-19 has pointed out that we need to have more social support, more emotional support, and connection to the outside world. Family and friends are critically important, particularly at the end of life. That is a key component of both health care and long-term care, particularly since long term care is someone’s home! Social workers are uniquely trained to recognize the importance of family support and the social aspects of care. We need trained social workers who are willing to get involved in national conversations to ensure that we have high-quality social work that includes emotional support at the community level. Part Two of ‘The Role Of Social Workers In Nursing Homes’ Any facility with more than one hundred and twenty beds must employ a qualified social worker on a full-time basis. However, a qualified social worker is an individual with a minimum of a bachelor's degree in social work or a bachelor's degree in a human services field, including but not limited to sociology, gerontology, special education, rehab, counseling, and psychology, and one year of supervised social work experience in a health care setting, which means that the person in the social work role may not have social work training. The broad qualifications for social workers could be because of the same struggles we have nurse staffing requirements. Nursing homes are only required to have one Registered Nurse (RN) in the building for 8 hours a day, and that could be a RN with an associate's degree, a baccalaureate degree or higher. The majority of care delivered in nursing homes, however, is delivered by Licensed Practical Nurses (LPNs) and Certified Nursing Assistants (CNAs). “Assisted livings are uniquely challenged in the pandemic because they are not federally regulated.” — Nancy Kusmaul, PhD, MSW Unlike skilled nursing homes, assisted living facilities are uniquely challenged in the pandemic because they are not federally regulated. There are no federal statutes that cover assisted living, and they're not required to have a social worker. So, they have faced some of the same challenges as nursing homes with less guidance and no social work support for residents or their families. COVID-19 resulted in millions of older adults living in both of these environments to be denied visitation by family and/or friends. This has been devastating to both the older adults and their family members - who are considered to be “visitors”. Many family members of people in nursing homes took care of them at home for years before they got to the point where they needed a nursing home. These caregivers know their family member's needs, moods, and changes in condition better than anyone else. They are the eyes and ears. They are the ones who can communicate with staff and advocate for their residents. They are care partners. And yet, when they are placed in the category of visitors, it sounds more like a luxury than an integral and essential member of the care team. They should be allowed to be in the nursing home as a care partner - not as a visitor. These are some examples of policies that impact social work practice and nursing home residents, and social workers are well positioned to advocate for changes to both. Real change happens one step at a time. We must remember that shaping good public policies is a cornerstone of social work. How to Connect More with Lynn Friss Feinberg and Nancy Kusmaul Linkedin: www.linkedin.com/in/lynn-friss-feinberg-979baa11 Twitter: https://twitter.com/nancy_kusmaul Linkedin: https://www.linkedin.com/in/nancy-kusmaul-7778a19/ Twitter: https://twitter.com/FeinbergLynn About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
How Nurses Can Influence Health Policy ( HAPF SERIES) with Alison Hernandez “Nurses and Nurse Scientists need to have the tools to INFLUENCE and understand HEALTH POLICY.” — Alison Hernandez, PhD, RN Health care policy has crucial implications for all of us who rely on our health care system. Behind this pursuit are dedicated nursing professionals who advocate for specific policies they believe will benefit us. In this week's episode, we are joined by Alison Hernandez, PhD, RN and Carla McGarvey. Part One of ‘How Nurses Can Influence Health Policy (HAPF SERIES) With Alison Hernandez’ Dr. Alison Hernandez is a bi-lingual, bi-cultural Mexican-American Registered Nurse (RN). She has her PhD in Nursing from the University of Illinois at Chicago. Currently, Alison is a Disability Policy Research Fellow at Northwestern University's Center for Education in Health Sciences. She is trained as a bio-behavioral health researcher and has a broad interest in older adult health and longevity. Her current research focuses on improving wellness programming for older adults by promoting exercise, nutrition, social engagement, and happiness. Alison's long-term goal is to inform policy through evidence-based practices that help older adults live longer, high-quality lives. Carla McGarvey is currently Congresswoman Donna Shalala's Legislative Director and deputy chief of staff. “The most successful fellowships are where we can integrate the fellow into the staff as much as possible, and essentially make them another staff member.” — Carla McGarvey Alison Hernandez has always been interested in how things like exercise and social engagement can improve the overall emotional health of older adults. So, she used that as her dissertation theme and focused on more clinical-type research. She started to get more interested in translational science and policy. Her curiosity about how policy affects everything we do has brought her to Northwestern University in Chicago, which offers a two-year integrated postdoc fellowship called the Disability Policy Research Fellowship. She took courses like health economics, health policy, and health services research methods. The second-year of the postdoc feeds into the Health and Aging Policy Fellowship in Washington, D.C, culminating in a hands-on experience to learn about government and the legislative process. She has spent her fellowship year in the office of Congresswoman Donna Shalala (FL-27), who served as Secretary of Health and Human Services in the Clinton administration. Hernandez knew that Congresswoman Shalala is a health policy expert and a long time champion of nurses.It's an exciting journey for her knowing that more nurses and scientists need to have the tools to influence policy that directly affect patients and their community. Part Two of ‘How Nurses Can Influence Health Policy (HAPF SERIES) With Alison Hernandez’ Hernandez was lucky to take charge of one bill, in particular. This legislation is H.R. 5076 the Protecting Seniors Through Immunization Act . The bill, which is relevant to older adults, reconciles the Medicare Part B vaccine side with Medicare Part D vaccine side. Vaccines covered under Medicare Part D—Tdap, shingles, new vaccines—require varying levels of out-of-pocket costs for patients that can reduce uptake of vaccines and therefore impact immunization rates. By contrast, vaccines covered under Medicare Part B—such as flu and pneumococcal—require no out of pocket costs from patients, leading to higher immunization rates. We have thousands of people every year, especially older adults, who are dying of a vaccine-preventable disease. Research has shown that even a small copay can deter older adults, living on fixed incomes, to get a vaccine that could prevent disease. These vaccine-preventable diseases are not only costly but can also cause severe illness or even death. So, the bill eliminates any cost on the Medicare Part D side. “When you look at the Caucasian and African-American population, the least number of providers are Hispanic and Native American.” — Melissa Batchelor, PhD, RN, FNP, FAAN In celebration and recognition of the International Year of the Nurse and Midwife, the National Association of Hispanic Nurses approached Dr. Hernandez. They wanted to work on introducing a resolution that would highlight and celebrate Hispanic nurses on a particular day during Hispanic Heritage Month. The resolution will hopefully name September 22nd as “ National Hispanic Nurses Day.” The idea behind having these resolutions and assigned days is to highlight the work, intelligence, and diversity that exists within nursing. Nurses from minority backgrounds represent only 19.2% of the total registered nurse (RN) workforce. Bilingual and bicultural nurses are critical as they provide culturally-competent care for the Hispanic and Spanish-speaking population. Building a more diverse nursing workforce is a key part of providing quality healthcare for a progressively diverse population. About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Senior Nutrition (HAPF SERIES) with Marie Gualtieri, PhD and Liz Albertine “For older adults in 2018, which is the most recent data that we have, approximately 5.3 million Americans, 60 and older, were food insecure.” — Marie Gualtieri, PhD (03:47-03:58) COVID-19 has elevated a lot of issues that impact older adults. So, we're going to dig into the details of the impact of aging and food insecurity. In this week's episode, I'm joined by Health and Aging Policy Fellow, Marie Gualtieri, PhD and her Discussant, Liz Albertine, Legislative Director for Representative Rosa L. DeLauro (D-CT-03). Part One of ‘Senior Nutrition (HAPF SERIES) with Marie Gualtieri, PhD’ Marie Gualtieri is a sociologist making sure vulnerable populations have the nutrition support they need. She has worked with communities and engaged with policy to increase food access and support to improve people's health outcomes across the lifespan. For the past decade, Marie has partnered with community-based organizations, health providers, and foundations, listening to the experiences and stories of food insecurity, food access, and nutrition among children, families, and older adults. And, for older adults, she learned that they face unique challenges when accessing food. Marie’s joy is to take people's lived experiences, stories of food insecurity, and translate that into meaningful change. Marie has accomplished these changes through her work in policy, research, program evaluation, and securing additional grant funding for organizations to expand their capacity. More recently, in her Health and Aging Policy Fellowship on Capitol Hill, Liz Albertine indicated that Marie was able to help advise Rep. DeLauro (CT-03) and her staff on nutrition issues across the lifespan. This work included introducing bipartisan legislation to expand nutrition support for families and working on the various emergency spending packages for COVID-19, focusing on senior nutrition and food assistance programs. Marie is committed to creating meaningful strides in addressing the hunger and food crises in the national and global sphere. Liz Albertine was promoted to Legislative Director role back in January 2018. Albertine graduated from the University of Virginia in 2008, receiving a Bachelor of Arts degree in history. She has served on Rep. DeLauro's staff since 2010, rising from Staff Assistant to her latest role. Her legislative knowledge, experience, and demonstrated passion for serving the people of Connecticut's Third Congressional District make her an excellent fit for her role. “One of the things that the pandemic has brought to light are the issues that impact older adults.” — Melissa Batchelor, PhD, RN, FNP, FAAN (13:26-13:31) Are you wondering what food insecurity means for older adults before COVID-19? First, let's find out what food insecurity is. It's the social and economic factors related to someone's household experience in terms of accessing food, which is different from hunger. The U.S. Department of Agriculture (USDA) will separate the two terms because hunger is more about a physiological feeling. But food insecurity is when you don't have some means to access food. In 2018, which is the most recent data that we have, approximately 5.3 million Americans, 60 and older, were food insecure. And that's about 7.3% of the senior population at the time, with millions more at risk for food insecurity. And when you factor in the at-risk population, that number increases to about 10 million. There are a few root causes of food insecurity. The first thing is income. We know that poverty and food insecurity rates are positively correlated, meaning that as one increases, the other increases, as well. And during the Great Recession, we saw both poverty and food insecurity at a record high. In 2011, when we saw the conditions improving, food insecurity, and poverty rates decreased among the general population, but it remained high for older adults. But why is that? That's because income isn't the sole driver of food insecurity for older adults, because they also have issues with transportation, physical mobility, and waiting lists for services. When Marie found out about the waiting lists while working on an evaluation project several years ago in Central Florida, she got hooked. “The Government Accountability Office released a report on senior nutrition programs in January this year, citing that some communities had as many as 12,000 older adults waiting for meal services.” — Marie Gualtieri, PhD (05:00-05:12) Part Two of ‘Senior Nutrition (HAPF SERIES) with Marie Gualtieri, PhD’ Because of COVID-19, there has been a massive shift in organizational efforts to address food and nutritional needs among older adults. Congregate meal programs had to revamp their services to offer things like to-go meals or even convert to home-delivered meals. Meals on Wheels America, an organization that operates in virtually every community nationwide to address senior hunger and isolation, released a pandemic-related report in May of this year. They took a snapshot of what their services were like before March 1st and afterward. They found that 89% of their programs, which is about 5,000 programs across the country, saw a substantial increase in meal requests. In fact, 79% report the number of new requests for meals has at least doubled. And the waiting list, which already existed before COVID-19, had an increase of 26%. Aside from funding, a majority of the programs find it challenging to obtain PPE so that their staff and those they're delivering to can remain safe. There have been many capacity issues as well, considering these organizations rely on volunteers for their services. But a lot of those volunteers are older adults themselves. With the pandemic, because older adults are more likely to contract the virus, the number of volunteers decreased. But food advocacy groups predict that the pandemic's impact on food insecurity will be worse than that of the Great Recession. The passing of emergency spending packages has been pivotal in giving direct support to organizations addressing senior nutrition. Marie monitored the issues of senior nutrition issues for the Families First and CARES acts, and became staff lead on senior nutrition for the House-passed HEROES Act . Big wins were made, such as $750 million for Older Americans Act Title-3 nutrition programs under Families First and CARES , with additional funding in the HEROES Act . Additionally, the HEROES Act includes a SNAP boost of 15% and raises the minimum benefit from $16 to $30, as well as blocks administration rules to reduce SNAP benefits. During her fellowship year, it has been a highlight for Marie to take the stories of constituents, advocacy groups, and older adults and translate them into policy responses and change. Throughout the process, Marie learned the different policy vehicles to move ideas forward. With this new knowledge and skill set, her fellowship experience has given her new opportunities to pursue as her next steps; opportunities that would not exist without her experience on the Hill. While the pandemic may have impacted the predictability of Marie’s experience this year, it has also illuminated the many issues that older adults face in various aspects of daily living and access to resources. Because of this, Marie believes that it is the perfect year to be a Health and Aging Policy Fellow, and is grateful for the opportunity. How to Connect More with Liz and Marie: Elizabeth Albertine: https://www.linkedin.com/in/liz-albertine-123b0314/ Marie Gualtieri: https://www.linkedin.com/in/mariegphd/ About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
National Alliance for Caregiving with Lisa O'Neill DBH, MPH (HAPF Series) “There are 50+ million family caregivers that provide $470 billion dollars of unpaid care every year.” — Lisa O'Neill (01:06-01:13) Developing policies and strategies to ensure comprehensive care for this population is challenging and complicated. Thus, it needs to be addressed from multiple angles. We need mechanisms in place to identify caregivers and resources to provide the care that they need. In this week's episode, we're going to interview Dr. Lisa O'Neill and Michael Reese Wittke to discuss how the National Alliance for Caregiving (NAC) deals with family and caregiving issues. ABOUT DR. LISA O’NEILL: Dr. O’Neill received her Doctor of Behavioral Health from Arizona State University and her Master of Public Health from the University of Arizona. Associate Director of Research and Education for the University of Arizona Center on Aging, a Board of Regents Center of Excellence dedicated to promoting healthy aging through interdisciplinary programs in research, education, clinical care and community engagement. Clinical Assistant Professor for the University of Arizona College of Medicine, Division of Geriatrics, General Internal Medicine and Palliative Medicine. She has more than 10 years’ experience in developing and implementing innovative geriatric education and training for academic and community audiences. Her interdisciplinary research has focused on hoarding disorder, models of home care medicine, Alzheimer’s disease, and optimizing resident quality of life in independent and assisted living settings. Passionate about health policy and advocacy, she is active in several statewide committees dedicated to older adults including holding several leadership positions on the Governor’s Advisory Council on Aging – including Chair, 2017-2019, and working with the Arizona Alzheimer’s Task Force to help develop the Arizona Alzheimer’s State Plan. ABOUT MICHAEL REESE WITTKE: Mike earned a Bachelor’s degree in Social Work with honors from the University of Utah and a Master’s degree in Public Administration with a concentration in nonprofit management from the American University. Leads the federal engagement strategy for the National Alliance for Caregiving (NAC) and directs the National Caregiver Advocacy Collaborative, a network of over 80 state and local advocacy organizations representing over 30 state coalitions. He works directly with policymakers on Capitol Hill, federal agencies, the White House, and participates in national coalitions advocating on behalf of caregivers across the lifespan. Mike has previously served as Chair of the National Association of Social Workers (NASW) Political Action for Candidate Election Committee and as a member of the NASW Metro Chapter Board of Directors. He came to Washington through an internship with the Hinckley Institute of Politics. Part One of ‘National Alliance for Caregiving with Lisa O'Neill DBH, MPH (HAPF Series)’ This week, we are going to talk about the National Alliance for Caregiving . Dr. O'Neill considers family caregivers as the backbone of our healthcare system. In addition to caregiving tasks, caregivers often struggle with complications that include anxiety, sleep disorders, substance abuse, nutritional issues, social isolation, and chronic physical conditions. They often lack time to attend to their medical needs. Thirty-four percent of caregivers are 65 years old or older. Older caregivers not only spend more than ten years being a caregiver, but they also spend the most hours providing care, averaging 30 to 35 hours a week. We know that roughly eighty-five percent of older adults have at least one chronic condition, and sixty percent have at least two chronic conditions. “The stress of caregiving tasks is often very overwhelming for caregivers of all ages.” — Lisa O'Neill (01:20-01:26) This means that older adult caregivers may already be struggling with loss of physical function, independence and overall well-being, yet they are still a caregiver. We need to ensure they are also a care receiver. Dr. O'Neill wants to be part of a team that ensures caregivers are also care receivers, which is why the National Alliance for Caregiving was a perfect place for her. Part Two of ‘National Caregiving Alliance with Lisa O'Neill DBH, MPH (HAPF Series)’ The National Alliance for Caregiving has been around for over twenty years, and we were founded to research the population of family caregivers across the country. The founder knew that there wasn't any national representative data that could be used to understand the number of caregivers, what they're going through and the kind of solutions that would help alleviate some of their situations. Often, they get thrown into these roles without any preparation. So, it's up to the health care system, to the social care systems, and to the private industry who is serving caregivers, to understand who they are and how to help them by making sure they're not only able to maintain their health and wellness, but also make sure that they're helping provide quality care to those who need serious long-term care. “We need a strategic public awareness campaign that focuses on the importance of caregiving, caregiver identification and the importance of self-care. ” — Lisa O'Neill (22:22-22:35) one of the projects that Dr. O’Neill worked on is called the National Caregiver Advocacy Collaborative. The Collaborative is a network of state and national interdisciplinary leaders, experts, and influencers working together to identify and address complex issues surrounding family caregiving across the lifespan, including their social, medical, physical, financial, spiritual, and emotional needs. They support families of origin and families of choice who need information, referral services, educational outreach, and advocacy. The collaborative mission is to truly build an informed and effective interdisciplinary group of people who are dedicated to sharing their experiences and expertise to improve the lives of family caregivers. Michael Wittke also confirms that they have brought together state and national level advocates, , a mixture of professionals and caregivers equipped to be the national level voice for caregivers, which is not a group formed before. In his role as a Senior Director of National Alliance for Caregiving, Mike directes NAC’s National Conference of Caregiving Advocates held in conjunction with the American Society on Aging at the annual Aging in America Conference. Under his leadership, NAC has co-hosted a national Hill briefing on Congressional Caregiving Stories with the Gerontological Society of America, AARP, and the John A. Hartford Foundation. Mike has also led national coalition efforts to support key pieces of caregiving legislation, including the R.A.I.S.E. Family Caregivers Act and proposed legislation to create a national "Caregiving Corps." After joining NAC. in the spring of 2015, Mike supported the organization's transition in leadership and laid the foundation for growth within NAC's federal policy strategy. How to Connect More with Lisa O’Neill, DBH, MPH Linkedin: https://www.linkedin.com/in/lisaoneill-dbh-mph/ How to Connect More with Michael Reese Wittke Linkedin: https://www.linkedin.com/in/michael-reese-wittke-6439ba84/ Thank you for joining us for this special series of This is Getting Old . Sponsored by the Health and Aging Policy Fellows program , Capstone Conversations is brought to you by MelissaBPhD , in collaboration with The George Washington University’s Center for Aging, Health, and Humanities . About MelissaI earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Elder Care: Past and Future with Joanne Lynn, MD, MA, MS and Carrie Graham, PhD, MGS “There needs to be a community anchor in managing eldercare.” — Joanne Lynn, MD, MS, MA (03:21-03:25) Is it right, ethical, or moral that we have put 1.3 million Americans in solitary confinement for the past six months because of COVID-19? Would we tolerate this for college students? Young adults? Children? Not likely. But we have done this to 1.3 million nursing residents in this country. Why isn’t anyone asking these residents and their families what matters to them? In this week's episode, Dr. Melissa Batchelor welcomes Drs. Joanne Lynn and Carrie Graham as her guests for this week. We will discuss nursing homes and COVID as well as long-term care financing considerations from her fellowship. Part One of ‘Elder Care: Past and Future with Joanne Lynn, MD, MA, MS’ Joanne Lynn, MD, MS, MA, is a 2019-2020 Health and Aging Policy Fellow and is the Director of the Program to Improve Eldercare at Altarum Institute. One of the first hospice physicians in the US and an early developer of palliative care, Dr. Lynn is author of 300 peer-reviewed journal articles and 80 books and chapters on geriatrics, palliative care, and end of life care. She has been a tenured professor at the George Washington School of Medicine and Dartmouth Medical School and has worked in quality improvement for CMS, IHI, and the Washington, DC, Department of Health. She has led the team that has developed the MediCaring Communities reform model for eldercare and is working to generate communities capable of improving the performance of their eldercare arrangements. Other current projects include expansion of PACE to serve elders who are not enrolled in Medicaid and enabling better conditions for paid and unpaid caregivers. You can visit her website at Medicaring.org to read her Issue Briefs and comment on What to Do About Nursing Homes. Carrie Graham, PhD, MGS, a 2018-2019 Health and Aging Policy Fellow , has been working in the field of health policy, gerontology, and evaluation research for 20 years. She holds a doctorate in Medical Sociology from UCSF and a master's degree in Gerontological Studies from the Scripps Gerontology Center at Miami University. She is currently an Associate Adjunct Professor at the UCSF Institute for Health and Aging and holds a joint faculty appointment at UC Berkeley in the School of Public Health. She is the principal investigator of several studies examining the experiences and choices of seniors and people with disabilities who are transitioning to managed care delivery systems. Most recently, she led a multi-campus evaluation of California's dual financial alignment demonstration. She also evaluates consumer-directed organizations that work to promote aging in the community, called Villages. Dr. Graham specializes in using a participatory evaluation approach that incorporates the perspectives of consumers and stakeholders in all phases of evaluation, from the evaluation design through the interpretation of results. She conducts research with hard to reach populations, including frail seniors, people with disabilities, people with chronic illnesses, and people with no or limited English proficiency. To answer complex policy questions, she often uses mixed methods, incorporating qualitative data from interviews or focus groups, and quantitative survey data. “COVID-19 showed how little policymakers and leaders know about their aging population.” — Carrie Graham, PhD, MGS (08:04-08:11) Since COVID-19 has overwhelmed most of our plans, Dr. Lynn ended up spending a great deal of effort trying to keep reporters and others attuned to what was happening to seriously disabled elders. She was initially trying to improve eldercare financing due to large numbers of older adults who, when they need help, have no resources. Communities need to know how they stand and how they're performing. She's involved in developing data for county-level descriptions of how elder care works across the country. If you think about what happens to a person when they become very disabled in old age, so much depends upon their geographic community. Is there a workforce that can help out when the person needs intimate care? Is there a transportation system? Is there housing that's all on one floor and wheelchair accessible? There is not yet a federal guideline that calls on nursing homes to know what their residents want. If you have ideas of how nursing homes can be improved, you can add your comments to Dr. Lynn’s blog here . (Medicaring.org blog What to Do about Nursing Homes? ). You can also check out Dr. Terry Fulmer’s blog here : Nursing Homes in the Time of COVID-19: We Need Urgent Action Now and a Long-Term Strategy You can also check out here Issue Briefs here on Elder Abuse; LTSS Financing; Home Care Workforce Shortage; Housing for the Elderly; and Transportation Challenges in Old Age. Part Two of ‘Elder Care: Past and Future with Joanne Lynn, MD, MA, MS’ It's getting to the point where it is so much more expensive to do nothing than break out and do some of the right things. Before COVID-19, we were already in big trouble with financing eldercare. The large numbers of boomers hit disability; they don't have enough savings. They don't have any insurance. They have relatively small families and are often separated by distance. The best idea is an insurance scheme where the government picks up the costliest long-term patients, and the individual stays responsible for the upfront costs. Forty percent of us who make it to age 80 will have some form of cognitive impairment. Some people will escape it by having something that kills them abruptly. But most people will live with chronic illness, and even substantial disability for at least a while before dying. “The most fundamental thing is to know what the patient wants.” — Joanne Lynn, MD, MS, MA (10:14-10:19) You can't know whether you're going to be the person who has a stroke tomorrow and needs 20 years of around-the-clock supportive services, or whether you're going to be somebody who lives until 86 and dies in her sleep. The hardest part is that no one can predict what you're going to need in the future. Thus, building a system that's reliable enough to trust for 50 years is crucial. We have to get the public to invest in their being, and better ways of dealing with the finances, or we are going to have one heck of a lot of older adults without housing, food, and the very basics. Thank you for joining us for this special series of This is Getting Old . Sponsored by the Health and Aging Policy Fellows program , Capstone Conversations is brought to you by MelissaBPhD , in collaboration with The George Washington University's Center for Aging, Health, and Humanities . About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Healthcare careers are rewarding and fulfilling because people get to partner with communities to find ways to solve health-related problems. In this week’s episode, let’s get to know my guest, Reginald Tucker-Seeley, MA, ScM, ScD, and see how he’s making a difference in health disparities and health equity. Part One of ‘RWJF Health Policy Fellows: An Interview with Reginald Tucker-Seely’ Reginald Tucker-Seeley, MA, ScM, ScD, is the inaugural holder of the Edward L. Schneider Chair in Gerontology and assistant professor at the USC Leonard Davis School of Gerontology. He manages the Tucker-Seeley Research Lab at the gerontology school. He completed master and doctoral degrees in public health (social and behavioral sciences) at the Harvard T.H. Chan School of Public Health (HSPH) and a postdoctoral fellowship in cancer prevention and control at HSPH and the Dana-Farber Cancer Institute. His research has focused primarily on social determinants of health across the life course, such as the association between the neighborhood environment and health behavior; and individual-level socioeconomic determinants of multimorbidity, mortality, self-rated physical, mental and oral health, and adult height. Dr. Tucker-Seeley has received funding from the National Cancer Institute for research focused on developing measures of financial well-being for cancer research. The first grant was an R21, “Development of a measure of financial well-being: Expanding our notion of SES,” The second grant was a K01 Career Development grant, “Financial well-being following a prostate cancer diagnosis." He is also interested in how the neighborhood environment is defined and measured. I recognized the demographic shift and we're going to have more older adults. We need to have policy solutions for addressing it.” — Reginald Tucker-Seeley, MA, ScM, ScD (01:46-01:59) Dr. Tucker-Seeley was a 2017-2018 Robert Wood Johnson Foundation Health Policy Fellow. We did our policy fellowships at the same time, and that's how we are connected. Reggie became involved in the aging space because he recognized the impending demographic shift in the number of older adults, which will require policy solutions for aging well. His primary interest originally was in the financial well-being of individuals. He was drawn to the health and retirement study, which is a large population study of adults over age fifty. This rich dataset had many financial-related questions and it became a way for him to marry his interest in financial well-being and the lives of older adults. He completed his doctoral training at the Harvard School of Public Health, where he did the three paper format for his dissertation using the health and retirement study. He focused on financial hardship and its association with health outcomes, in addition to looking at the association between physical activity, behavior, and perceived safety. He has a longstanding interest in the impact of health and social policy on racial/ethnic minorities and across socioeconomic groups. He has experience working on local and state-level health disparities policy and measuring and reporting health disparities at the state level. Tucker-Seeley was selected for the 2017-2018 cohort of the Robert Wood Johnson Health Policy Fellowship Program. The fellowship includes a one-year residency in Washington, D.C., working either in a federal congressional or executive office on health policy issues. “Tens of thousands of bills are introduced every year, but only one to two percent make it into law.” — Melissa Batchelor, PhD, RN, FNP, FAAN (24:14-24:20) Before joining the USC faculty, Reginald was an assistant professor of Social and Behavioral Sciences at the Harvard T.H. Chan School of Public Health and in the Center for Community Based Research at the Dana-Farber Cancer Institute. Prior to graduate study at Harvard, he received an undergraduate degree in accounting from the University of Tulsa. He worked in the accounting/auditing field for five years, most recently as an internal auditor at St. Louis University. He also completed an MA degree in human development counseling from St. Louis University and a clinical counseling internship at the Washington University Student Health and Counseling Service. Part Two of ‘2020: ‘RWJF Health Policy Fellows: An Interview with Reginald Tucker-Seely’ “I looked at the fellowship experience as a learning opportunity.” — Reginald Tucker-Seeley, MA, ScM, ScD (10:07-10:11) Reginald lived in Rhode Island, the smallest U.S. state by area and the seventh least populous, making it very easy to be active in state health policy. He was on a commission for Health Advocacy and Equity, and that commission was a legislatively mandated body that required writing a state-level health disparities report every two years. Even with public health training experience, he thought, "If I don't know how to do this, chances are most of our students don't know how to do this either." So, he ended up developing a new course at Harvard called Measuring and Reporting Health Disparities that included a three-part case study that would take students through the process of having to write a state-level health disparities report. He didn't have any federal health policy experience during his time as an assistant professor at Harvard. That's how he found the Robert Wood Johnson Health Policy Fellowship program and also the White House Fellowship Program. The Robert Wood Johnson Health Policy Fellowship program includes a three-month orientation on how federal health policy gets made. He knew it would provide him the resources to add the federal component to his teaching. How to Connect More with Reginald Tucker-Seeley Linkedin: https://bit.ly/3ha6GIf Twitter: https://twitter.com/RegTuckSee About Melissa I earned my Bachelor of Science in Nursing (‘96) and Master of Science in Nursing (‘00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I truly enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home and office visits) then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-Master’s Certificate in Nursing Education from the Medical University of South Carolina College of Nursing (’11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor where I am also the Director of the GW Center for Aging, Health and Humanities. Find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
How do you feel about becoming older? Do you see it as a rite of passage or a dreaded occurrence that you must endure? As we become older, "health" means more than simply being free of illnesses. Every older person may achieve "positive aging," also known as "healthy aging," if they strive to make better alternatives to improve their life in the long run. Dr. David Lereah, PhD, is one of the few who fully grasps this concept. Thus, don’t miss another life-changing episode of This Is Getting Old: Moving Towards An Age-Friendly World with Dr. David Lereah, PhD. Let's all take a leaf out of his book as he shares his life story, how he survived stage three esophageal cancer, and show how minor changes to your daily habits may help you enjoy your years as much as possible. Part One Of 'How to Age Well: The Power Positive Aging' The Power Positive Aging: A Potpourri Of Rich Experiences Dr. David Lereah's book, The Power Positive Aging, started from a vision of helping older adults in need combined with his cancer battle journey, his Meals on Wheels volunteering realizations, and missions from his non-profit organization United We Age. Diagnosed with stage three esophageal cancer, Dr. David Lereah went on a journey—a terrible journey. He went through intense chemotherapy, radiation, and a seven-hour surgery. That's where it all started for Dr. David Lereah. He looked at life-threatening diseases as an inconvenience. He researched how to cope with aging, and that's where he discovered the power of positive aging. One thing led to another, and he wrote the book—The Power Positive Aging. "You may experience some loss in strength as a normal part of aging, but a decline in and of itself isn't normal." Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN How To Have A Positive Experience With Aging? Personally, Dr. David Lereah discovered six building blocks for positive aging. He relates it to everyone through his book because he believes everyone is in the same boat coping with physical and mental decline as we grow old. The Six Building Blocks To Cope With Aging Tapping With Our Spirit-We all know about our spirit, we talk about it, but we don't do anything about it. Instead, we worry about wrinkles on our face. We worry about losing our mobility. We may be physically declining, but our spirit could be strengthening. Thus, tapping into your spirit while physically declining is a significant asset and helps people confront the marks of aging. Positivity-which is using affirmations and a lot of different techniques to stay positive. Mindfulness: Living in the present moment, which is the meditative practice of an optimistic age. The Four A’s Of Positive Aging Accept: Accept your mark of aging, whether mobility loss, age spots, wrinkles, or accept it. Adapt: After accepting comes adapting, which means using a walker when you've lost your mobility. Appreciate: Appreciate everything you have in life while confronting a mark of aging like mobility and loss. Attitude: You have to have the right mindset about aging. We've climbed the hill in our lives. But you know what? We're not going down the hill. We'll stay on top and look at the scenery—that's what attitude is all about with aging. Social Support-We're social animals, we're human beings, and we need support from friends and family. Such support is essential when you're aging because you may be losing your spouse at some point. You may be losing some close friends. Thus, it would be best if you expand your social network continually. Balance-When you age, you get out of balance. You're no longer bringing up a family with children. You're no longer striving in your career to get better and better at what you're doing now. You're retired, you're an empty nester, and you've got time on your hands—you're out of balance. And when you're out of balance, you experience stress, and you experience anxiety. We need to stay balanced in our twilight years, and that helps immensely. Part Two Of 'How to Age Well: The Power Positive Aging' United We Age—Social Support For older adults In Need The United We Age non-profit organization came from Dr. David Lereah's experience with Meals on Wheels, where he delivers hot meals to older adults in need. While volunteering for Meals from Wheels, he noticed that half the older adults on his route lost their zest for life. They were just like if you're in a laundry room waiting for the clothes to dry. One reason was that they did not have social interaction as they were vacant of any social interaction. They didn't have a family; no family was visiting them. It turns out that half the people in long-term care facilities don't have family visiting them for one reason or another. It might be because their children live a thousand miles away, or they don't have a relationship with their family at all—they're lonely. "The best thing is to eliminate your expectations when you're in your twilight years, have possibilities instead—that way, you won't be disappointed." David Lereah, PhD From there, Dr. David Lereah created United We Age, where they…. Assure that every person experiencing a quality of life that declines due to aging has a social support network, especially living alone. Raise Awareness and Image Building for Older Adults Assure that age is not a barrier to older adults participating in the online (internet) world. Inspire a movement where all generations of people are more aware and supportive of people aging. Assure that age is not a barrier to older adults participating in the online (internet) world Inspire a movement that affects changes in cultural beliefs and attitudes to make America a more age-friendly nation. About David Lereah, PhD: Dr. David Lereah was diagnosed with Stage 3 esophageal cancer, went on a journey, and wrote the Power of Positive Aging. He created a non-profit, United We Age, designed to support older adults in need. Other Valuable Resources From Dr. David Lereah: Amazon Alexa and Echo Dot use Speak2, a voice technology platform, provides older adults in need to reduce social isolation and is available for free. Voice-assisted way to connect to the internet, send and receive messages using voice commands. Echo Show 2 Partnering with Meals on Wheels . To purchase a copy of The Power of Positive Aging – click here How to prepare to grow old quiz: https://www.unitedweage.org/survey Connect With Dr. David Lereah, PhD: United We Age Website: https://www.unitedweage.org Twitter: @UnitedWeAge @NextAvenue @GensUnited @amazon Email: dlereah@unitedweage.org Phone: 703-843-1124 About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as an FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
If you wish to maintain health and longevity as you age, it may be helpful to include a special muscle group in your workout: your creative muscles. According to ongoing studies , creativity is essential for healthy aging. Engaging in creative activities like singing, theater, and visual art may help older people feel better. Further, creativity, linked to the personality characteristic of openness, can help people live longer. In this episode of This Is Getting Old: Moving Towards An Age-Friendly World, we're privileged to have Teresa Bonner, the Executive Director of Aroha Philanthropies. Join us as we share meaningful conversations about creative aging and how it sparks joy, connection, and purpose among older adults. Part One Of 'Creative Aging Sparks Joy, Connection, Purpose' Aroha Philanthropies And Creative Aging “Creativity is hardly the exclusive province of youth. It can blossom at any age—and in fact, it can bloom with more depth and richness in older adults because their vast stores inform it of knowledge and experience.” —Dr. Gene Cohen, Geriatric Psychiatrist These words of Dr. Gene Cohen, the founding Director of The George Washington University’s Center for Aging, Health and Humanities (for which I am the current Director), is Aroha Philanthropies' motivation in advocating creativity in aging. According to Dr. Cohen's landmark report , 85% of older adults are community-based, are aging well, can learn, be creative, and be so much more. With this visions in mind, Aroha Philanthropies are on a mission to expand creative aging programs nationally. They're engaged in funded training for organizations to learn how to make successful programs for older adults—to learn an art form over time and to get better and better as they learn from a teaching artist. Furthermore, Aroha Philanthropies has built national partnerships with the American Alliance of Museums , including botanical gardens, science museums, etc., to offer creative programs for older adults. This partnership has called on museums of all kinds around the country to develop creative aging programs and actively work against ageism in their institutions. What's even more promising is that they've tapped on The National Assembly of State Arts Agencies , where they've funded 36 state programs to develop and/or expand creative aging. Aroha Philanthropies' efforts in evangelizing about the benefits of getting involved in the arts were not in vain. What they've learned from almost 2 000 participant survey responses is that after engaging in creative aging programs, older adults; Developed relationships Learned various art forms Became cognitively and socially engaged Made meaningful social connections through art-making "Creative aging programs were highly effective at helping older adults grow artistically, mentally, and socially. 75% of 2,000 older adults reported that their mental engagement had increased because of taking creative classes." Teresa Bonner, Executive Director of Aroha Philanthropies How Do You Define Creative Aging? Creative aging is about learning an art form over time in a supportive environment. Such a supportive environment allows older adults to grow and become creative, more artistic and increase their social connections and social network. It is a broad topic that includes everything from programs designed to provide help for people suffering from diseases such as dementia to programs for caregivers who help with art therapy programs. The learning and connection, and relationship building happen through the work of the teaching artist. In part, these teaching artists know how to have conversations with people and generate conversations among them through the art form. That's the heart of successful creative aging programs. Older adults are learning over time from a teaching artist; they get better and make new friends. Examples of the classes offered in creative aging programs are: Acting Writing Drawing Dancing Sculpture Mask making Opera singing Learning graffiti Short Video Filming Drumming and beating Technical and historical aspects Choir and theatre arts performing Weaving where they also know about the history and the people What Do You Consider To Be A Supportive Environment? Supportive environments for creative aging provides opportunities for those who are 55 and better to access and benefit from arts programming designed to teach older Americans an art form over time. Aroha Philanthropies want to expand these opportunities through increased investment in creative aging programs. Part Two Of 'Creative Aging Sparks Joy, Connection, Purpose' Elements That A Thriving Creative Aging Program Have As a safe space for being creative, a successful creative aging program is: Designed To Meet The Express Needs And Interests Of Older Adults Rather than assuming that older adults don't have much capacity, they're allowed to come together and have rich stories to share. They learn new skills, get involved in new activities, and enhance their own lived experience They Are Led By Teaching Artists Teaching artists are professional, working artists who are also skilled in arts education. They create space for participants to offer feedback to one another, discuss their work, talk about memories, and talk about dreams. It's a two-way process, which is an essential aspect of community building among participants. Teaching artists are part of the secret sauce; they create that chocolate for the brain! Experiential And Sequential A successful creative aging program is experiential—they're more hands-on. At the same time, it is sequential, meaning older adults learn to create over time. They're not just learning about the great masters of the art; they're making the art themselves. Moreover, each class builds on the skills they learned in the prior classes. Essentially, these are often so interesting to older adults. Builds Social Interaction And Engagement In every creative aging, session participants are encouraged to share their experiences and memories. They discuss their work and offer feedback, which is an excellent way for people to begin building their social network. Celebrate Achievements The common theme of successful creative aging programs is the celebration of the participants' creations. The culminating activity is open to friends, family, and sometimes the public. This allows friends, family, and others in the community to see older adults in a new light. These are the kinds of things that move us from seeing an older adult as old and seeing them as a person and creative individual. “The financial burden of social isolation for older adults is at 6.7 billion dollars because social isolation produces significant negative health impacts. Creative aging programs are a societal benefit in addition to an individual and community benefit. There are all kinds of great reasons that creative aging should be going forward all over the country.” -Teresa Bonner, Executive Director of Aroha Philanthropies What Are The Benefits Of Being Part Of A Creative Community? Creative aging helps older Americans combat social isolation, an increasing problem for America's growing older population, especially throughout the pandemic. Furthermore, doing the celebrations, sharing what is created, and building connections are solid and powerful pieces of combating ageism. We see an older adult as a person—not like an older person—a person who's had a whole life of experiences. The Power Of Connecting Through Art When you're working through the art form, you are vulnerable. Creative aging is not like having a cup of coffee after choir practice. It's where you're talking about your own life, dreams, and interests, which naturally leads to relationships among people that can be important. Arts are a connecting point in a time where the connection is essential. Older artists find joy, purpose, community, and creativity in these programs. How Do You Find A Creative Art + Aging Group In Your Area? There are many resources for learning about Creative Aging. If you're interested, you can check on the following; Aroha Philanthropies Website: aroha philanthropies.org Facebook: www.facebook.com/arohaphilanthropies Twitter: www.twitter.com/ArohaPhil Instagram: @arohaphilanthropies Lifetime Arts -which provides consulting and training on how to run creative aging programs. Creative Aging Resource - a rich website devoted to creative aging, also developed by Lifetime Arts National Assembly of State Art Agencies -They offered grant programs this year and awarded funds to 36 states that are either developing creative aging programs or want to create them and wish to learn about them. The American Alliance of Museums -They had put out a significant report calling on museums to ethically and strategically prioritize developing creative aging programs that work with older adults differently. Countering Isolation with Creativity About Teresa Bonner, Executive Director, Aroha Philanthropies: Teresa Bonner brings more than thirty years of professional experience in philanthropy, foundation, and nonprofit leadership to her role as Executive Director for Aroha Philanthropies. She is a frequent presenter on philanthropy and creative aging, including sessions at the National Assembly of State Arts Agencies, Grantmakers in the Arts, Grantmakers in Aging, Americans for the Arts, Philanthropy New York, and the American Society on Aging. Teresa previously served as Director of the U.S. Bancorp Foundation. She managed $20 million in Foundation grantmaking annually. She led the company's community relations activities, the Piper Jaffray Foundation, and two nonprofit organizations, Milkweed Editions and the Library Foundation of Hennepin County. Arts and cultural programs have long been a significant focus of her professional experience and a personal passion. She is a principal in Family Philanthropy Advisors, with offices in Minneapolis and the Bay Area. Teresa graduated magna cum laude from the University of North Dakota with a degree in journalism. After completing Law School at the University of Minnesota, she clerked for the Hon. Gerald Heaney of the U.S. Court of Appeals for the Eighth Circuit and was a partner at the Minneapolis law firm of Lindquist and Vennum before moving to the nonprofit sector. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as an FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Alzheimer's Disease Care: 3 Tips for Eating and Drinking at Home I went home to help my 70-year old mother take care of my 91-year old grandmother, who'd been in a nursing home for a year and a half during COVID. Grandma Trudie was extremely debilitated, and in this episode, I share. When your loved one is as weak as my grandmother was, you may need to make some adjustments that allow her to continue to feed herself. This video is part of a 3-part series on Alzheimer's Care and the other videos can be found where you found this one. ✔️ Tip 1: Drinking with Closed Handle Cup My mom purchased an insulated cup that probably didn't weigh more than like a pound and a half - at the most - but it was too heavy for my grandmother to pick up by herself. Tip number one is to think about getting a cup with a closed handle. If the cup has two handles, one on each side, it will be easier for the person to hold the cup with two hands. ✔️ Tip 2: Mechanical Soft Diet For patients who usually don't have teeth, creating a mechanical soft diet is very important. Foods mechanically are foods altered by blending, grinding, chopping, or mashing the foods so that they are easier to chew and swallow. ✔️ Tip 3: Using an Apron My grandmother, even though she can feed herself, sometimes spills her food when eating. Instead of putting a traditional bib on her, my Mom had the idea to use an apron. This is a really unique thing caregivers can do pretty easily to maintain someone's dignity and to be respectful of them. The apron allows them to eat on their own, and still look cute and fashionable. You can check out the Part 1 & 2 episode where you found this one – in Part 1, I talked about 3 Tips for Transferring & Getting Dressed; and in Part II, I talked about 3 Tips to Shampoo Hair in Sitting in a Chair. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you as soon as possible. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
I went home to help my 70-year old mother take care of my 91-year old grandmother, who'd been in a nursing home for a year and a half during COVID. Grandma Trudie was extremely debilitated and my Mom needed me to help her figure out how to provide basic care - including how to wash her hair. In this episode, which is part of a 3-part series on Alzheimer's Care, I will give you 3 Tips for how to shampoo someone’s hair while sitting in a chair. My Grandma Trudie has pretty significant seborrheic dermatitis on her scalp, which is a common skin condition that causes scaly red patches, red skin, and stubborn dandruff. Treatment for it involves using a certain type of shampoo to remove the buildup of dead skin with gentle removal of the dead skin a few times a week until it clears up. On top of not being able to recline or having the setup of a beautician's shop, she is also always cold - so we needed to wrap her up and make sure we didn't get her wet (or make a mess!) 3 Tips to Shampoo Hair in Sitting in a Chair ✔️ Tip 1: Be organized and make sure that you have all of the equipment you will need. Prepare a couple of towels and washcloths, and then have the special shampoo that you need to wash somebody's hair with. We had a brush and then a comb that had two different layers to it, which would allow us to gently brush the dry skin off of her scalp and then comb it out of her hair. ✔️ Tip 2: How to Shampoo Hair in a Chair. We didn’t need to run the water on her, because her hair is so thin that we could wet it with a washcloth. We added her medicated shampoo and used the brush to gently massage her scalp. Then we had her lean forward a little and I used my hand to guide the water into the bowl my Mom held below her while pouring water from the pitcher. Then we dried the hair and used the comb to get the dead skin off the scalp and hair. ✔️ Tip 3: Incorporating Play and Staying #Fancy. Apparently my family and I like to play “peep eyes"quite a bit. While we were working on Grandma’s hair, my Mom played “peep eyes” with my Grandma as she was finishing drying off her face after we rinsed her hair. The final product was a beautiful Grandma and Mama! Remember that even though caregiving is stressful and presents some unique challenges to deal with, it is always important to remember to build in some fun and to be playful because those are the memories you’ll have forever that are good. (You can check out the Part 1 & 3 episodes where you found this one.) Part 1: 3 Tips to Transferring & Getting Dressed https://youtu.be/XztGYUbAy7Q Part 3: 3 Tips for Eating and Drinking at Home . If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you ASAP with an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
I went home to help my 70-year old mother take care of my 91-year old grandmother, who'd been in a nursing home for a year and a half during COVID. Grandma Trudie was extremely debilitated, and could only bear her body weight when she first came home. She could not pick up her feet to even step side-to-side or pivot - which had the potential to put a lot of work on my Mom’s back until Grandma Trudie regained some of the strength in her legs.. In this episode, I share a 3-part series on Alzheimer's Care. When your loved one is as debilitated as my grandmother, you can't move her from place to place easily. 3 Tips for Transferring & Getting Dressed ✔️ Tip 1: Consolidate Movement to Minimize Risk of Injury Thinking through moves from bed to chair; with bedside commode stop in between. Lining up and minimizing the number of transitions Do as many steps in getting dressed or undressed while sitting, then moved her, Getting her into bed to lie down with one movement ✔️ Tip 2: Using a Hospital Bed: It Goes UP for a reason Lowest position when getting in or out of bed Save Your Back – Roll the bed up as high as you need it to be to provide care Use Side rails when bed is being used. ✔️ Tip 3: The Power of the Rolling Side to Side To get her brief on She could help by grabbing the siderails – doubles as good exercise! (You can check out the Part 2 & 3 episode where you found this one.) Part 2: 3 Tips to Shampoo Hair in Sitting in a Chair Part 3: 3 Tips for Eating and Drinking at Home . If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Have you ever felt like someone discriminated against you because of your age? Maybe you didn't get that promotion because you were too young, or perhaps you felt like they didn't hire you because you were too old. In either scenario, I doubt you ran down the road and told your friends because you had just been the victim of a “raging ageist”. In this episode of This is Getting Old podcast, we tackle the biggest problem with America's mindset about aging and the prejudices that today's current older adults face and generations to follow will too, unless we make some major cultural changes. Key points covered in this episode: ✔️ In the next ten years, we all know we're going to have more older adults on the planet than children for the first time in human history. And we largely attribute that to the Boomers. ✔️ Did you also know that two years ago, millennials took over as the largest generation? This year (2021), Millennials are beginning to turn 40, makingthem old enough to sue for age discrimination in the workplace. So this includes people like Justin Timberlake, Eli Manning, Alicia Keys - anyone born before 1997. ✔️ Ageism is the only form of discrimination largely absent from our national dialogue around diversity and inclusion. While the other "-isms" split us up, it is a fact that aging is something that we're all doing. ✔️ Ageism is also the only concept that we socially accept - and even project - onto ourselves. We have about 25 years to find the policies and solutions to make the world more age-friendly and eradicate ageism. If you have questions, comments, or need help, please feel free to drop one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
New Drug for Alzheimer's Disease "Don't let yourself be sucked in by all of the publicity and marketing about the new drug for Alzheimer's. Think about whether it's got any benefit, the side effects— which can be very severe, and think about where that money otherwise would go." Howard Gleckman, Senior Fellow, Consultant, and Editor, TaxVox Blog ________________________________________________ Aducanumab (brand name Aduhelm TM ) received expedited approval from the Food and Drug Administration (FDA) on June 7, 2021, making it the first Alzheimer's disease drug approved after 18 years. Since then, the FDA has changed the approval's original wording to suggest that it be used exclusively in select individuals with moderate cognitive decline or early Alzheimer's disease. Further research is now being done because of the FDA's recent approval of Aduhelm, which sparked worries about its safety, efficacy, and cost. In today's episode of This Is Getting Old: Moving Towards An Age-Friendly World, we will be talking about The New Drug for Alzheimer's Disease known as Aducanumab (marketed as Aduhelm TM ). Today, I am joined by Howard Gleckman, a Senior Fellow with the Urban Institute, who will shed some light on the newest drug available for Alzheimer's disease. Part One Of ' New Drug for Alzheimer's Disease’ Understanding Alzheimer's Disease In A Nutshell Alzheimer's disease is only one form of dementia; there are many other types, including Vascular disease, Lewy Body disease, Frontotemporal Degeneration (FTD), Parkinson's, and mixed pathologies. Alzheimer's disease is the most common form – 60-80% of all cases of dementia, but many people do have mixed pathologies, meaning they have more than one form of the disease. This is complicated because confirming what type or types of dementia a person has can only be done by autopsy (I've done a previous podcast on how Alzheimer's disease is diagnosed if you would like to learn more). You can also learn more about Alzheimer's Facts and Figures (2021) , an annual report published by the Alzheimer's Association, to learn more about the different types of dementia and associated characteristics (pages 6 and 7 of the 2021 report). Signs And Symptoms Of Alzheimer's Disease Early symptoms of Alzheimer's disease are trouble with your memory – remembering recent conversations, names, or events – or being depressed or apathetic, which means having a general lack of interest or enthusiasm about things you were formerly excited about. As the disease progresses and moves into the moderate and advanced stages, symptoms include difficulty communicating with words, being disoriented, confused, having poor judgment, behavioral changes, and ultimately, in the end stages, difficulty speaking, walking, and swallowing. "Not all people with MCI transition into Alzheimer's disease. We don't know or understand the mechanism of why that happens, why some people transition, or some people don't. So then you could be potentially giving a drug to a group of people that would have never progressed to Alzheimer's disease." Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN The Brain Changes From A Grape To A Raisin With Alzheimer's In Alzheimer's disease, the brain shrinks – can be seen on a head CT; and two proteins called beta-amyloid and tau develop and somehow become toxic to the brain. The beta-amyloid clumps into plaques, which slowly build up between neurons, and abnormal tau accumulate, eventually forming tangles inside the neurons. As the level of amyloid reaches a tipping point, there is a rapid spread of tau throughout the brain. These plaques and tangles cause the neurons to lose their ability to communicate. The NIH has a great 4-minute video that shows you this process visually. Drugs For Alzheimer's: What's On The Horizon? Acetylcholine is a neurotransmitter that also plays an essential role in cognitive function related to memory and paying attention. Acetylcholinesterase is an enzyme that breaks down acetylcholine – so cholinesterase inhibitors are oral medications that prevent the breakdown of acetylcholine. Right now, we have at least 3 Acetylcholinesterase inhibitors drugs approved by the FDA that work for a certain period but don't modify the disease course. Scientists are working on new treatments for Alzheimer's that include anti-amyloid therapy, anti neuroinflammation therapy, Anti-Tau therapy, Neuroprotection, cognitive enhancers, and medications that relieve the behavioral and psychological symptoms often seen in dementia. Part Two Of 'New Drug for Alzheimer's Disease’ Aducanumab (Brand Name AduhelmTM) The Newly Approved Alzheimer's Drug. Should You Take It? How Aducanumab (AduhelmTM) Works (Or Suppose To Work)? Aducanumab (Aduhelm) is a monoclonal antibody developed in a facility to bind to the amyloid molecule that causes plaques in Alzheimer's patient's brains. According to most experts, the plaques develop first and harm brain cells, prompting tau tangles to grow within them, eventually killing the cells. When Aducanumab binds to the plaque, the body's immune system attacks it, mistaking it for a foreign intruder and removing it. The goal is that after the plaques are eliminated, the brain cells would stop dying, and thought, cognition, function, memory, and behavior will improve. How Aducanumab (AduhelmTM) Is Administered? The newly approved Aducanumab (AduhelmTM) is a Medicare part B drug. Most of us are familiar with the Part D drugs, which are the pills that we buy in the pharmacy. Part B drugs, on the other hand, are injectables or infusion drugs. That means you generally get this drug at a physician's clinic, an infusion center, or a hospital. Simply put, to take the drug, you need an intravenous infusion every four weeks — forever. Who Qualifies For Aducanumab (AduhelmTM)? Physicians may prescribe the medication for treatment in people with early-stage Alzheimer's disease based on the clinical studies that were conducted. Early-stage Alzheimer's disease patients refer to people with Alzheimer's disease in the early stages of the disease, such as moderate cognitive impairment or mild dementia. People living with early stage Alzheimer's disease may be able to operate normally, or they may need assistance with more complex tasks such as bill payments, grocery shopping, cooking, or managing their checkbook. Those who need help with bathing, grooming, or other basic tasks are not in the early stages of the disease, and the medication is not recommended for them. However, it's best to note that Alzheimer's disease does not affect anyone with moderate cognitive impairment or mild dementia. There are a variety of additional factors that contribute to these issues. Alzheimer's can only be diagnosed by an amyloid PET scan or lumbar puncture, both of which confirm the presence of Alzheimer's amyloid plaques. Most insurance plans now cover a lumbar puncture; however, an amyloid PET scan (which costs about $5,000) is not. Furthermore, what makes Alzheimer's disease different from other chronic conditions is the blood-brain barrier. How do you get the drug through that blood-brain barrier that's meant to protect the brain? "FDA's decision is giving people false hope. It's making them believe that if they scrape together somehow all of this money, there's going to be this magic cure for this disease, and we don't have the evidence that that's true." Howard Gleckman, Senior Fellow, Consultant, and Editor, TaxVox How Much Does Aducanumab (Aduhelm) Cost? Howard Gleckman explained that Aducanumab is estimated to cost $56,000 per year by Biogen, the company that manufactures it. It is unknown if this medicine will be covered by Medicaid, Medicare, or private insurance. Biogen said they're working on a deal with the Veterans Health Administration (VA) to pay for this drug for veterans receiving VA treatment. However, VA said they would not include it in their formulary, and private insurance companies are all over the place. Similarly, the Center for Medicare and Medicaid Services (CMS) is still not sure if they will cover the drug. And if they do, AduhelmTM would be covered by Medicare Part B (because it's an infusion) rather than Medicare Part D (prescription drug coverage). And even if they do decide to cover the medication, Medicare only pays 80% of Part B costs and 20% is out-of-pocket for consumers. Annual out-of-pocket costs would be over $11,000 -these costs make the drug out of reach for many Americans. Howard asks that when considering the cost being $56 000 a year per person, what will it cost Medicare annually? When the drug has not been found to be effective, we could be investing in the Home and Community-Based Services (HCBS) that we have evidence do work. The bottom line is that geriatricians and healthcare providers are left to explain to patients why they are not eligible to take this medication, and why it's considered a "scam" by scientists and healthcare professionals alike. But, Does Aducanumab (AduhelmTM) Work? Briefly stated, there were two major clinical studies to determine the drug's efficacy, side effects, and overall safety. One of the trials returned positive, indicating that the medication helped to halt the loss in cognition, memory, and functioning that is so common in Alzheimer's disease. The results of the other extensive research were negative. The findings indicate that there's no evidence to prove whether the drug is working or not. Another element to decide is that the perceived upside — if the medication performs as much as it did in the successful trial — is next to nothing. The Role Played By The Food and Drug Administration (FDA) The FDA was established in 1906 to protect consumers from unsafe medications and unsafe substances that falsely claimed efficacy for some treatment without proof. Long-standing FDA Approval Process for all drugs built on how clinical trials are conducted to move medication from the laboratory into use by human beings. With that, FDA approval can take 12-15 years at an average cost of $2.6 billion to a manufacturer. Biogen spent about 18 billion dollars to develop this drug. Moreover, in 14 clinical trials, after significantly reducing beta-amyloid, this drug did not result in a significant change in Mini-Mental State Examination scores. In other words, there has been no convincing clinical evidence that clearing beta-amyloid from the brain results in any benefit to the patient. The FDA ignored the recommendation of an Independent Data Monitoring Committee that found zero evidence that this drug slowed down AD progression; in fact, patients given Aducanumab in the trials did worse than patients who received the placebo. The Independent Data Monitoring Committee recommended that the Phase III trial of Aducanumab be terminated. These actions made by the FDA in ignoring the recommendations of the Expert Alzheimer's Disease Panel and approving the drug for use caused three members to quit and raised several controversies. About Howard Gleckman, Senior Fellow, Consultant and Editor, TaxVox Blog Howard Gleckman is a senior fellow in the Urban-Brookings Tax Policy Center at the Urban Institute. He is also affiliated with Urban's Program on Retirement Policy and is the author of the book Caring for Our Parents. He also writes two regular columns for Forbes.com, on tax policy and eldercare. Connect with Howard by checking out his Personal Blog About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as an FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
In this episode of This is Getting Old podcast, listen if you are coping with handling an older person or loved one going through repetitive verbalizations and Alzheimer's Disease. Let me tell you a story of two residents that I used to take care of a long time ago — Walter and Miss Lucy and how we managed their behaviors. Every day, about three o'clock in the afternoon, Walter would begin to yell, "I'm a bad man!" And he would do that all the time. And the irony is, Walter used to be a pastor when he was younger. But as soon as that happened, instead of giving him some medication to manage his behavior, we knew we just needed to take him out to have a cigarette. When Miss Lucy would start calling the hogs in her wheelchair shouting "Zoe! Zoe!" in the afternoons, we knew that it's time that she needed some snuff or smokeless tobacco. We would give her some snuff, and she would take off down the hall. Key Takeaways: ✔️ If a patient with advanced Alzheimer's is a lifelong smoker, we can no longer change that behavior as carers. While smoking isn't ideal, one way to manage that behavior in a non-pharmacological way is to give them what they needed at that time, which was nicotine. ✔️ The same thing could happen with someone that you're caring for. Think about their habits before, and it could be they need caffeine, going for a walk to get some exercise in. If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Self-imposed ageism is real. I’d be interested in your thoughts about this quote - drop a comment below. In the words of Maggie Kuhn founder Gray Panthers, "The first myth is that old age is a disease, a terrible disease that you never admit you've got, so you lie about your age. Well, it's not a disease—it's a triumph because you've survived. Failure, disappointment, sickness, loss—you're still here." While I know Maggie Kuhn did great work founding the Gray Panthers and was actually a early advocate for not forcing people to retire at age 65 - and had an age-inclusive focus and advocated for college students to be taken more seriously - the thought of equating aging to mere survival of failure, disappointment, sickness and loss to only reflect one side of the coin of aging. Where is the celebration of major life milestones, her achievements, her “wins” in the third-third of her life? It’s one quote, from one moment in time, so I digress...but I hope this makes you think about how you think , and and how WE talk , about aging in 2021. Today’s episode picks up with how should we be telling the story of aging? We'll talk more about Reframing Aging to continue the 2-part series of Aging: Words Matter at This Is Getting Old: Moving Toward An Age-Friendly World. Tune in as Patricia D'Antonio, BSPharm, MS, MBA, BCGP, further elucidates why words matter, particularly regarding how they may generate and promote discrimination, fear, and misconception around aging. Part One Of 'Aging: Words Matter Part 2.' The Leaders of Aging Organizations collaborated with the FrameWorks Institute, which studied and reflected on the gap between popular views and misconceptions about aging. They discussed ways to move to more positive narratives that "progress a perspective of older age as a time of challenges and possibilities, counteracting the fatalistic notion that aging outcomes couldn't be even better." How Should We Be Telling The Story Of Aging? We all take cognitive shortcuts to interpret and understand all sorts of experiences, thoughts, and feelings about aging. We take these for granted, and they are primarily automatic assumptions. However, remember that a compelling narrative builds understanding, shifts attitudes, and generates support for policy solutions. Framing Is About Choices Frames are choices about how information is presented, what to emphasize, how to explain it, and what to leave unsaid. When a Frame "works," it shifts thinking in multiple ways— knowledge increases, attitudes improve, and policy support grows. Our goal with this project is to be able to get policies that support us as we age. - Patricia D’Antonio, BSPharm, MS, MBA, BCGP What Should We Do? In our communications, we can make choices that activate productive cues/shortcuts to advance helpful models about aging. It's Important to tell the positive story of aging, but not just any story. We can get people to talk about aging and change the discourse on what people think about it. As we start to do that, ultimately, our goal t is to be able to get policies that support us as we age so we can get that discussion going and get people to start to think about aging differently. Consider the following for a compelling narrative: Why does this narrative matter? Include tested values that we know move the needle on thinking about aging How does this narrative work? Provide explanation What can we do about it? Offer concrete systemic solutions. Incorporate the values of Justice and Ingenuity Justice – Highlight that our society should treat older people as equals and ensure meaningful opportunities to contribute Ingenuity – Provide encouragements and positive reinforcements like saying, "We are resourceful and can find new and creative solutions for the challenges that come as we age." Avoid Equating aging with decline Cuing individualism Portraying older people as other Describing the aging of the population as a crisis Talking about resources as fixed or finite Advance ✔️ That context and environment shape decisions and outcomes ✔️ The value of ingenuity ✔️ Inclusion and the use of "we." ✔️ An explanation that underlying social conditions influence health, financial security, employment ✔️ Systemic solutions Part Two of 'Aging: Words Matter Part 2.' Research Findings: Word Choice Matters! Words like "seniors" and “the elderly" drive thinking that we are less competent as we age. This terms are “othering” rather than being inclusive. Using words like “older adult” or “older people” - but realize that in using these terms, an 18 year old may think about people in their 50’s. References to “older adults” generally call to mind someone in their mid-fifties, which doesn't quite get us as advocates to the age range we want to address “Older people” evokes people aged 60 or older and at the same time brings with it the most positive, least paternalistic view of the age described in the public mind. So experts need to communicate with the public to make sure that the thinking for Americans is positive about aging because it can shorten your lifespan, and you end up with more health problems because of it. Impact Of Reframing Aging With AP/ AMA/ APA Style Guides Adopting the concepts of Reframing Aging will improve how we hear, read about aging in a way that again cues the more productive thinking about aging. The American Medical Association (AMA), the American Psychological Association (APA), and even the Associated Press (AP) have updated their style manuals to adopt language around aging. So instead of using the word "seniors" and "elderly," they refer to older people or be specific about the age group. “The first step in fixing ageism is to raise awareness.” - Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Role Of Implicit Bias Around Aging Defining Ageism and Implicit Bias? Ageism is the discrimination of any person of any age—the tendency to regard older people as debilitating. We have some subconscious thoughts about that. It starts when we're very young about taking in information about aging and older people. Consequently, it becomes thoughts and feelings that you have that you don't even realize. Such thoughts and feelings are implicit biases. We have an implicit bias about many things, but it's the internalized bias tied to how we want to process so much information. Implicit Biases Can Be Harmful Implicit biases can be harmful and challenging for all of us to think about that. Some of the things that we work on are we help people develop "well-framed messages." We ask people what they think about aging. They give us their answers which are more around those negative models that we talk about—us versus them, the fatalism, the individualism. We read them well-framed sentences about aging, and a couple of minutes later, we see the difference in how the same people respond. Conclusively, our research shows that communicating a positive understanding of the aging process mitigates sources of implicit bias. Join the cause of Moving Towards an Age-Friendly World by checking on the following helpful resources: Call out ageism when you see it or hear it - Words Matter Practice using the tips on the Quick Start Guide Learn ( Getting Started )about the Swamp of Public Opinion on Aging and other research on the Reframing Aging Initiative webpage (www.reframingaging.org) Request a workshop or presentation for your organization Associated Press (AP) , American Medical Association (AMA) and the American Psychological Association (APA) Style Guide recommendations How to access training Subscribe to the Caravan newsletter About Patricia D’Antonio, BSPharm, MS, MBA, BCGP: Patricia M. "Trish" D'Antonio, BSPharm, MS, MBA, BCGP, is GSA's vice president of professional policy affairs. In this role, she is responsible for managing the Society's relationships with other organizations in the aging arena, leading major Society programs and projects, and developing a strategy for future growth of the National Academy on an Aging Society (GSA's nonpartisan public policy institute). She is also the project director for the Reframing Aging Initiative, a long-term social change endeavor designed to improve the public's understanding of what aging means and the many ways that older people contribute to our society. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as an FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Words are powerful. They influence how we think, behave and approach things. They can produce labels, misunderstandings, misrepresentations and change our perceptions in profound and meaningful ways. In this episode of This Is Getting Old: Moving Towards an Age-Friendly World showcases GSA's work on Reframing Aging. Tune in as our guest —Patricia D'Antonio, BSPharm, MS, MBA, BCGP—offers us ways to reframe our language when talking about and thinking about aging. Part One of 'Aging: Words Matter Part 1.' What Is The Reframing Aging Initiative? Reframing Aging is a social change endeavor designed to improve the public's understanding of aging. The GSA's ongoing effort is fostering a new language in talking about getting older that leads to more substantial support for age-friendly services and policies. This initiative, in turn, plays a critical role in ensuring that the public recognizes that there is much we can do collectively to ensure well-being as we age by following the concepts of Reframing Aging. Reframing Aging is an evidence-based communications strategy led by 10 National Aging Organizations – American Federation on Aging, the American Society on Aging, the American Geriatrics Society, and Grantmakers in Aging. Ageism is often not recognized. Ageism intersects with all of the -isms and impacts all of us; no matter how old we are. What we've learned in our research is there are challenges in how the public thinks around aging. Some of that comes around the following: Cultural Models That Drive People's Thinking Cultural models are patterns of thinking or assumptions created through years of experience. People rely on cultural models to interpret, organize and make meaning out of all sorts of stimuli, including experiences, feelings, thoughts, and communications. Impact of Ideal vs. Perceived Real Views Of Aging Ideal views of aging is that older adults accumulated Wisdom, are self-sufficient, are staying active, and earned the leisure perceived Whereas the "Real" views of aging are deterioration, loss of control, and dependency We can see challenges here when many people see aging as getting older means more health issues, which means more doctor's visits and medications than, one of the advantages of getting older is you get to relax more. “Self-ageism is either delaying care or not allowing you to get the care you need because of self-imposed ageism. - Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Impact of individualism An excellent example of individualism is when somebody says something like, "If you exercise and eat right, you'll age well." Except we need to think about the systems around us that make sure that we have that opportunity to eat well and exercise. Then just saying if you only eat well doesn't get you to that systemic solution that we need to create. Another place where that's important to think about is when people talk about financial planning. So when you're retiring, if you only just put money away every month, you would have money for when you retire. Well, if I am in a system where I'm working three jobs to make ends meet, I may not be in the position right now to be able to save for retirement. It doesn't absolve people from having to take some action. So we need to ensure that there are policies in place that support all of us as we age. Impact of “Us” vs. “Them” Dichotomy Thinking about Aging When we start to tell stories that create that "us" versus "them," it does put people and make people think that we are two different models in our brains. When we start to think about this, it impedes how we think about support for aging in any way. There's this dichotomy of everybody on a cruise, that life of leisure or somebody jumping out of the air, out of an airplane, or everybody is very sick and decrepit. They need help, they're frail, they need help with whatever is going to happen. Those kinds of pictures don't help us gain support and understand what aging means and how we all contribute to society even as we age. Impact of Fatalism Fatalism is the culture that makes people think, "If this is a tsunami, I'm going to run someplace. I'm getting out of here." We learn in those fatalistic crises kind of messages, which when you work in policy, you have to make it a crisis so that anybody will take action. But honestly, what we learned through the research is people say, “There's no solution here, so I'm going to go someplace else”. So when we talk about this tsunami, as much as it does make people look at it differently, let's go someplace else where we can make a difference. But there are things we can do to collectively age well. There are solutions. We can solve problems; we have a collective responsibility to create policies that benefit all generations; and recognizing what is around us shapes us - social determinants of health matter - from age-friendly cities with adequate transportation, housing, and other age-friendly domains. Part Two of 'Aging: Words Matter Part 1.' Why Reframe Aging? Ageism Harms Us All Ageism is discrimination against a person based on age, and it shapes the way we think about ourselves and others as we age. Many people don't realize how ageism impacts our health. One area where we have seen is that one in every seven dollars spent in health care, which roughly equates to sixty-three billion dollars a year, is paid due to ageism. Experts Vs. Impressions Of The Public Related To Aging Public perceptions about older adults are incomplete and unrealistic. We see issues where people have their own biases—our own internalized biases about aging. We might hear people say, "Oh, I have this pain in my back. It must be because I'm getting old." I believe that you have a pain in your back. I think that you are getting older. You are aging, but I don't think that the sole reason that you have this pain in your back is that you're old. So you must get to your health care professional and get it checked out. Ageism Is Not Considered A Problem We hold implicit, subconscious biases as well as external and internal biases. Most people don't recognize ageism as a problem at all. It's the only "ism" that's socially accepted, and it's self-imposed of all of the "isms," and it's the only one that we're all doing together. Broader Public Pushes Aging Away Vs. Experts Who See Aging As A Possibility. People don't think about ageism because we don't think aging is just part of us. So, where experts might think that aging is something we embrace, the public tends to push aging away. Interestingly, during interviews with people, you see people in the interview asking them questions about aging; you notice the push away. So it's not just the verbal cues; it's the non-verbal cues as well about aging that we need to think about. “When you don't know what to do, you tend to do nothing, so nothing changes. Aging is not all pessimistic; there are a lot of opportunities.” -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN But It's Not All Pessimistic. The public has three significant patterns of thinking, which may be a bit more recessive cognitive patterns but we’ll learn to activate our communications when we understand them. We Have Some Opportunities As Well: Problems Can Be Solved. We all believe that the problems can be solved and that comes out in a value of ingenuity. It comes out in the way that we build momentum. In the United States, we put people on the moon —so we can solve problems. Collective Responsibility In society, we have a collective responsibility for all. We see schools now where we have older people involved in pre-K and kindergarten programs. People of all ages are attending universities. We see age-friendly movements. One of them is around university recognizing that you have an opportunity for a second, third career. That intergenerational opportunity of people interacting— that experience and knowledge that can be transferred is so important What Surrounds Us Shapes Us What's in our community helps us to recognize that we're all responsible for all of ourselves as we age. In talking about the social determinants of health, we think about do we have transportation? Do we have access to grocery stores? So those are the positive pieces that we want to cue. About Patricia D’Antonio, BSPharm, MS, MBA, BCGP: Patricia M. "Trish" D'Antonio, BSPharm, MS, MBA, BCGP, is GSA's vice president of professional policy affairs. In this role, she is responsible for managing the Society's relationships with other organizations in the aging arena, leading major Society programs and projects, and developing a strategy for future growth of the National Academy on an Aging Society (GSA's nonpartisan public policy institute). She is also the project director for the Reframing Aging Initiative, a long-term social change endeavor designed to improve the public's understanding of what aging means and the many ways that older people contribute to our society. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as an FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
We have a lot more control over aging well than most people think. Successful aging can be attributed to a wide range of habits that are modifiable - meaning if you have don’t have healthy diet or don’t exercise, you can begin to make small changes over time that will improve your overall health. It’s never too late to get started. In this episode of Dr. Melissa Batchelor's This Is Getting Old: Moving Towards An Age-Friendly World , powerhouse healthy-aging advocates, authors, and speakers Bob and Fran German share their healthy-aging journey and discoveries. They share their Top Five Strategies to be young at any age and live your best life—full of excellent health, energy, and boost your own happiness. Part One of 'Five Tips For Aging Well.' Bob and Fran’s Stories Fran's Story Bob and Fran were a typical couple until 1992, when Fran was 52 years old. She was diagnosed with a severe autoimmune disease called Myasthenia Gravis— an illness that causes severe muscle weakness. They went to 11 different neurologists to try to find a way to cure the incurable disease. Every doctor gave her that same pitch, and she'd never get better on it. But Fran was stubborn, and she wanted to find a way to get better. "I took excellent care of myself. Changed to a whole foods plant-based diet, and cut out all animal products. Within a short period, I was off all medication, and I was symptom-free. Fifteen years later, the incurable disease that was supposed to shorten my life never reared its ugly head again." shared Fran. Bob's Story Bob always tries to keep his body in good shape. He's slim and enjoys walking, running, and keeping fit. Until one day, he started to develop discomfort in his groin. Bob went to a urologist, and they found a tumor outside his left kidney. Bob and Fran traveled to the Duke University Medical Center and had the tumor removed. Post-operation, the doctor told them that it was a cancerous growth—kidney cancer, renal cell carcinoma. According to Bob, "The one thing the doctor had mentioned was even though he got the tumor, he said this type of cancer is known to return. That also was an impetus for me to change." “After we both have that devastating, life-threatening illness, we changed our lifestyle to a much more healthy one.” Bob German, Healthy-Aging Advocate, Author, and Speaker How Their Lives Got Better By Making a Few Changes Bob and Fran changed their eating and sleep habits. They also do their best to develop techniques to lower stress, which is often a precursor to illness. On top of that, they did a different type of exercise regimen and learned some strategies for building and strengthening their energy. "Now, here we are in our 80s, and honestly, we feel better than we ever have in our life. We do have endless energy. It is fun." says Fran and Bob. Bob and Fran are in their 80's but they…. Have more energy than their 22-year old granddaughter. Hike mountains in North Carolina. Authored a book, "101 Ways To Be Young At Any Age!" Lived in Thailand part-time for nine years & Fran cooks fabulous Thai dishes. Taught at the Buddhist University for six years. Founded an anti-child trafficking organization. The oldest-newest YouTubers ever in their 80's! Part Two of 'Five Tips For Aging Well.' With all those rough and rocky roads Bob and Fran have been through, not to mention the devastating, life-threatening illness, they've made it a goal in life to die young as late as possible. In line with that, their mission is to get people to come on this journey with them. For starters, here are the Five Tips for Aging Well from Bob and Fran. Five Tips For Aging Well EAT LIKE YOUR LIFE DEPENDS ON IT! Every bite of food that you take either feeds illness or fights it! Eat as your life depends on food—because it does. We believe that we should use the power of food to make the right choices. We encourage people to increase the whole foods they consume and reduce processed foods and animal products. Not only is it suitable for people, but it's ideal for the planet. KEEP MOVING! Sitting is the new smoking! People don't get out, and they watch TV way too much. Bob says that you have to get off your "butt" and your "buts." You have to change your mindset on exercise and do exercise every day, preferably in the morning. We advocate even designing a little regimen that we call "The Hour of Power." So every morning, this would include some easy stretching and aerobic exercise, like walking briskly and walking for maybe 20 to 30 minutes. Moving is so essential not only to your physical well-being but also to your emotional well-being. “Without the right mindset about ageism, you can shorten your lifespan for an average of seven years or more.” - Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN REDUCE STRESS Do anything possible to reduce stress levels that you may be experiencing. That means considering taking on some mindfulness practice. Your mind should be on the present moment; it's focused on the attention of what you are doing right now. Too many times, our mind drifts away. It glides into the past, where we think about things that have happened that aggravates us or gets us angry. Other times we think about things in the future that we worry about. That's human nature, but those are stressors: anger and worry. They immobilize you, and they stress you out—very unhealthy. Take on meditation every day. Sit quietly for 5 to 10 minutes, at least once a day, and focus on your breath. Just breathe easily. You can sit in a comfortable place. No electronics, no TVs going. Just sit in a quiet room and relax your body and clear your mind. It will do wonders for you and lower your stress. PRACTICE QIGONG FOR ENDLESS ENERGY Qigong is an ancient Chinese system of wellness. You can Google it or go to our YouTube channel—" Young At Any Age. " We have 40 different Qigong lessons that you can follow along. There's nothing to memorize, and it's effortless. Anybody could do it, and you could do it either sitting or standing, simple movements that help energize you and lower stress at the same time. MAKE SLEEP A PRIORITY It's often said that as you get older, you don't need as much sleep—that's not true. It's beneficial to get seven to eight hours of sleep each night because this is when your cells regenerate, and it helps your mood, mental sharpness, and physical well-being. Your bedroom should be used only for two things—sleep or sex. It should be dark, calm, quiet, and no TV or computers in the bedroom. It's also advisable to avoid things that would prevent you from sleeping, like caffeine or alcohol, or sugary foods before bedtime. Connect with Bob and Fran through these useful links: ❤️ Bob and Fran's Healthy-aging YouTube Channel: https://bit.ly/3c9om3T ❤️Buy Bob and Fran's book, "101 WAYS TO BE YOUNG AT ANY AGE!" at https://amzn.to/3a9g6Q0. ❤️ Visit Bob and Fran's website: https://www.bobnfran.com/. ❤️ Email Bob and Fran at bobnfran@gmail.com ❤️Visit Bob and Fran's ACT Project Website: https://bobnfran.wixsite.com/actproject. ABOUT BOB & FRAN GERMAN: Healthy-Aging Advocates, Authors, and Speakers. Bob and Fran are now both in their 80's and say that they feel Better Than Ever! They have enjoyed an incredible life together, a wonderful family, successful careers, worldwide travel, and countless adventures. And thankfully, they both overcame life-threatening diseases (kidney cancer and Myasthenia Gravis). For years they have spent most of their time inspiring others to join them in their life goal to "Die Young, As Late As Possible" by making the right lifestyle choices to get them to that goal. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as an FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Are businesses in your city going the age-friendly path? If they are not, they make up the many companies worldwide that are missing out on this crucial initiative that supports and benefits senior consumers. In this episode, I provide essential yet often forgotten things that businesses should include in their spaces to accommodate the needs and ensure the continued patronage of older adults. It makes common sense that the more comfortable an establishment is for older people, it will also be comfortable for others. An age-friendly business means it's friendly for EVERYONE. -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN Key points covered in this episode: Tip #1: Readable Receipts. Normal aging causes presbyopia - which is farsightedness caused by loss of elasticity of the lens of the eye, occurring typically in middle and old age. With things opening back up in a post-COVID world, I can't tell you the number of people my own age who get their check, and they're like, "what does that say?! So we need a better process and format for receipts! Tip #2: Adapt Service to Improve Hearing. My friends and I frequently go to The Wine House for wine tastings. Typically, the sommelier stands in the middle of the room and discusses the wines, but the people at the tables can't hear a word being said - and what happens when people can't hear you? They start talking to themselves, resulting in more chatter and background noise. In activities such as this, it is best to invest in a system with a microphone and use overhead speakers and ensure an excellent experience for your customers. Tip #3: Increase and Contrast Menu Font. Use a white background with dark, bold lettering that's at least a 12 to 14 font size (at a minimum). If you can have an iPad or any type of device where people can magnify and make the font as big as they need it to be, it is advisable. Tip #4: Use Technology to Improve Accessibility. Another way to have an age-friendly menu is if you're able to use some electronic device that has a text reader option. This would also allow for greener updates to the menu and use of multiple languages for diverse customers. Tip #5: Have a Magnifying Mirror in Your Bathroom. One of the things you need to do before you leave the restaurant is to make sure you don't have anything stuck in your teeth or that your hair/ makeup are good to go! A magnifying mirror with a light on it in the bathroom will help people see and check themselves out before they go out the door! About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Age is just a number. But in the workplace, your age can have a negative impact - maybe you were passed over for that promotion because your boss thinks you’re “too young”. Or maybe you feel that you weren’t hired for a position because the organization implied you were “too old”. Either way - this is ageism and we need to be more aware of it so we can address it. In data released by the Bureau of Labor Statistics, it is predicted that by the year 2024, workers aging 55 and older will represent 25 percent of the United States workforce. This trend will permeate many industries - and requires developing policies and protocols against stereotyping and age-related discrimination for people of all ages. In this episode of This is Getting Old podcast, I share the screen with investor, performer, media entrepreneur and "professional mom to startups" Randi Zuckerberg and engage in an insightful conversation on ageism in the workplace. Key points discussed in this episode: ✔️ The truth about aging women in tech. The culture continues that tech startups are mainly for young people. ✔️ Why starting a business late in life can be an advantage. Despite the industry being youth-centric, Randi posits that instead of feeling insecure about that, entrepreneurs should think of that as a competitive advantage with wisdom and experience to lean on. "You have such a bigger Rolodex at age 40 than you had at age 20 of contacts who you could hire or work with or partner or raise money from." ✔️ Seniors have high spending power. Women at 65 and older are the cornerstones of purchasing decisions in many households in an age where they have disposable income from their career, and they're using it. According to Randi, this age group is also driving so much tech adoption and the fastest growing demographic on social media. "I think it is a smart business decision to think about that woman as your customer. And I think more businesses are getting savvy to the fact that not only can they not ignore that customer, but they should also focus a lot of their efforts on her." Connect with Randi Zuckerberg Randi likes to call herself "a professional mom to entrepreneurs" because nothing gives her greater joy than working closely with startups and founders. Through her company, Zuckerberg Media, she has created award-winning content and experiences that educate families and bring to light digital literacy and safety issues. She is the best selling author of four books, producer of multiple television shows and theater productions, and hosts a weekly radio show on SiriusXM. Randi has been recognized with an Emmy nomination, two Tony Awards, a Drama Desk Award, and a Kidscreen Award. Before founding her own company, Randi was an early employee at Facebook, where she is best known for creating Facebook Live, now used by more than two billion people around the globe. When she's not Facebooking or actual written-word booking, she can be found at the theater, on the golf course (newly obsessed golfer,) travelling the world (physically or virtually) to speak at conferences or doing her best to unplug at home with her husband and three children. Instagram: https://www.instagram.com/randizuckerberg/ LinkedIn: https://www.linkedin.com/in/randizuckerberg Facebook: https://www.facebook.com/randizberg Twitter: https://twitter.com/randizuckerberg ______________________________________________________________________ About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
That moment comes in the life of married couples when the other half may begin to experience memory issues. Typically, this will change the dynamics of the marriage itself because the person who's experiencing Alzheimer's or dementia will not function in the way they used to. In this episode of This is Getting Old podcast, listen if you are struggling to handle a spouse or a senior loved one repeating themselves a lot, or maybe they're stuck on a specific story that they're telling. Key points covered in this episode: ✔️ When the couple still retain their cognitive ability, and the other person can still get around, splinting allows assisting a person living with a memory problem by having the partner help and do things for them. ✔️ Working through repetitive verbalization. If a spouse or someone is saying to you, "I want to go home", many times, rather than getting frustrated with them telling you the same thing repeatedly, respond with: "it seems to me that you're nervous or are you scared of something?" Asking them this question focuses on what they're truly feeling rather than what's being said. ✔️ Address the underlying emotion. After you identify the cause beyond the intent, the best way to handle that is to help them work through the feeling so that you can hug them or comfort them and meet the underlying emotional need. If you have questions, comments or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question. About Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/ .…
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This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR
Transportation Options for Older Adults: NV Rides with Jennifer Kanarek "One of the best ways to get people interested in caring for older adults is to have a positive experience—NV Rides volunteer driving program does just that." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN ______________________________________________ When you're young and you got your driver's license, driving yourself from place to place was an entirely new level of independence. Losing the ability to drive as we grow older can happen for a lot of different reasons (and is not a normal part of aging), but usually is due to disabilities that occur due to many different chronic conditions that impact vision, hearing, and movement. (See my episode on Five Signs it’s Time to Take the Keys with Alzheimer’s disease for more information on what it takes to be able to drive if you are experiencing memory problems). Whenever anyone has to give up their keys—it's an automatic loss of independence. There are options to help people get around - we will go over those and talk about a unique and innovative volunteer program called NV Rides. NV Rides fills in a major gap that public transportation, carpooling, Uber, or Lyft options can’t provide — NV Rides partners volunteer drivers with older riders to provide door-to-door OR door-through-door transportation to a wide range of activities - from medical appointments to social events. Today we're privileged to have Jennifer Kanarek, MSW, the Program Manager of NV Rides, to share this fantastic program and transportation options for the older adults and our under capacitated fellows. NV Rides partners volunteer drivers with older riders to provide door-to-door OR door-through-door transportation to a wide range of activities - from medical appointments to social events. Today we're privileged to have Jennifer Kanarek, MSW, the Program Manager of NV Rides, to share this fantastic program and transportation options for the older adults and our under capacitated fellows. Part One of 'Transportation Options for Older Adults: NV Rides with Jennifer Kanarek' According to the National Association of Area Agencies on Aging, about 600,000 older adults stop driving each year. This makes it hard for older adults to make doctor's appointments, get to the grocery store, shop for necessities, visit family members and friends, or attend social events. More importantly, not having transportation increases social isolation, which can have adverse health outcomes and impact overall well-being. Interestingly enough, transportation is one of the most significant responsibilities for family caregivers. In fact, about 40% of caregivers spend at least five hours a week providing or making transportation arrangements. I know this to be true with my children and have long driven the #MamaTaxi! Read the full blog at: https://melissabphd.com/podcast-blog/…
مرحبًا بك في مشغل أف ام!
يقوم برنامج مشغل أف أم بمسح الويب للحصول على بودكاست عالية الجودة لتستمتع بها الآن. إنه أفضل تطبيق بودكاست ويعمل على أجهزة اندرويد والأيفون والويب. قم بالتسجيل لمزامنة الاشتراكات عبر الأجهزة.