elder care – The HPP Resource Center

Category: elder care

Intergenerational Activities: Using the Best Friends Approach with Children

With the Best Friends™ approach, activities are more than just what’s on the calendar. Using Best Friends, almost everything can become an extended, interesting opportunity for engagement. A simple handshake can lead to a discussion about fingernail polish, gloves, work done by hand, “lifelines,” rings on fingers, promise rings, weddings, and more. A teapot can be enjoyed for its beauty, and discussions can follow about making tea, reading tea leaves, the different flavors of tea, and the Boston Tea Party. Because the bottom line of the Best Friends approach is to focus on the person rather than the task. In…

Leading Change in Memory Care: Commitment to Ongoing Education

I like to point out to people working in senior living that change will not only benefit their residents but also their bottom line. I work with families who are beginning their search for a life-affirming environment for a loved one. On a recent call with a man who had toured four nearby places with his father, he could not answer my question about which one he preferred. “Honestly, I can’t tell them apart. They all promise wonderful things, but I didn’t see [evidence of them] as we toured.” If you can tell the stories of the people’s lives you…

Behind Locked Doors: Segregation in Memory Care

Memory care is the fastest-growing area of senior living. It is now standard for assisted living communities and nursing homes to designate an area for a secure unit, usually with a coded keypad on the door. This is where the residents living with dementia will live, segregated from the rest of the residents. Often these secured units, with their extra charges, are the most expensive areas to live. I have worked as a registered nurse long enough to remember when it was also standard to tie people in their chairs or beds “for their own good.” None of us would…

Montessori and Meaningful Engagement: Reclaiming Previous Roles

An elder or person with dementia still has the same needs as everyone else. The person wants to socialize, express desires, participate in hobbies, interact with family, be included in activities, teach and learn, and be asked for advice. The person has the same desires to contribute to the household or the community. The need to have purpose in one’s life and to be productive does not end once someone reaches a certain age, moves into a long-term care community, or receives a diagnosis of dementia. Think of all the roles you have in your everyday life. You are a…

Getting Started with Montessori Materials in Elder Care

Dr. Montessori designed an array of hands-on materials for every area of the curriculum: Practical Life, Sensorial, Language, Math, Science, Geography, Culture, Art, and Music. Some of these materials can be used—or adapted for use—with elders. Whether using traditional materials or creating your own, these manipulatives share common characteristics: progression from the concrete to the abstract, a control of error, and isolation of difficulty. Characteristics of Montessori Materials Concrete to Abstract, Simple to Complex In the classroom, Montessori materials provide concrete representations of abstract concepts. For example, the decimal system is made physical with golden beads, parts of speech are…

A Lesson in Leadership in Person-Centered Elder Care

Author and Nursing Home Administrator, Nancy Fox, shares the moment she realized the reason many older adults fear nursing homes, and the two elders who showed her why. Nancy Fox is a Nursing Home Administrator, former executive director of The Eden Alternative, and Chief Innovation Officer for Vivage Senior Living. She is also the author of Lessons in Leadership for Person-Centered Elder Care. Here, she shares a leadership lesson she learned while vacationing on Sanibel Island, after years spent transforming her organization into a person-centered care environment. “She fell and can’t get up…” In…

The 12 Essential Components of an Orientation Program

High employee turnover is one of the greatest challenges facing long-term care communities today. Without consistent staffing, care communities and their residents suffer the serious consequences of inadequate care, unnecessary expenses, and inefficient operations. Using these 12 components as the core of your orientation will form the basis of a thorough and effective program.

The Shocking Phenomenon of Senior Bullying

Bullying is not an experience limited to childhood… When thinking of bullying, most people would picture schoolyard taunts, childish games, perhaps even being pushed and shoved—but certainly nothing that goes beyond grade school. However, new research has shown that bullying is not an experience limited to childhood, but is an epidemic occurring with an alarming frequency among older adults as well. Bullying among peers in senior programs and care settings (such as nursing homes and retirement communities) results in profoundly negative effects on the elders, the staff, and the community in which it is occurring. But little is known about…

Q&A with Lydia Burdick, author of ‘The Sunshine on My Face’

10 years ago you wrote the first book in the Two-Lap® Series, The Sunshine on My Face. How did you develop the idea for such a unique book? My mother had mid- to late-stage dementia, and I was feeling frustrated during my visits with her. She would basically sit in the den, have something to eat and drink, and watch TV. Mom wasn’t speaking or smiling. We were definitely not doing anything together that brought happiness to either one of us during our visits. One visit, I casually gave my mother a magazine to look at.

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