Friday, February 9, 2024

Isolation & Shelving Feeds Dementia

What if some of the "problems" of Alzheimers and other forms of Dementia were discovered to be more social rather than physical?  

Cultures other than the American system of caring for the elderly have provided evidence many behaviours and actions can be managed without drugs or "shelving" people in an institution.

Understanding which parts of the Disease are manageable and moving to ensure resources are available is critical. 

This includes activities both mental and physical are provided in Adult Day Care Centers and ESPECIALLY in Long Term Care Facilities which generally shelve or "park" people with Dementia at certain levels or stages.

Why aren't we cross applying findings in medicine and behavioural studies to benefit Dementia patients?

Touch. Many of our elderly go from day to day only experiencing the touch of another human being providing necessary medical procedures or daily life skill assistance.

These times of "touch" can be more beneficial if the procedure is done in a caring and patient centered way. Unfortunately, observations have been the usual "interplay" is one of get it done as quickly as possible, with as little time as possible and no time to interact or talk directly to the individual to prepare and to encourage.

I've seen more caring from the receptionists and cleaning/maintenance staff at Mom's SNC than I have from most of the CNA's, LPN's, the RN and the Adminisrtative Staff at the facility.

How long would a baby, infant or child survive and how greatly would they thrive if we denied this comforting human interaction?  

Remember the children adopted from foreign countries who were isolated, denied human kindness/touch? How difficult was it for adopting parents and for the children? 

WHY AREN'T WE WRITING ABOUT OUR ELDERLY and how they're being shelved and greatly ignored all in the name of "care management" designed for the benefit of the facility and not for the benefit of the individual resident.

Speech. How often does someone sit and talk or involve more than one person in a conversation -- even if the majority of the talk is done by the "caregiver"? 

Visiting A Loved One. Look around, say "Hello", stop a moment to talk. Give the gift of a moment of time so valuable to those for whom time seems to be never ending between times of human contact.

Recognize the humanity of all with whom you come in contact while visiting a loved one in a facility. Spend a moment and give someone the greatest gift -- human interaction.

Most "interaction" at Mom's facility has a purpose -- analyzing and charting. 


If someone doesn't want to participate in the group activities at Mom's center, they become more isolated. 

When I visit I see many people who barely get out of their rooms and who are becoming more and more "dependent". 

Some may have mental challenges but many of those seem to have "developed" with the systems and procedures used in the facility.

One dog and one cat live at Mom's facility.  The dog is older and very set in his ways. He used to take the elevator, go to various floors and "roam". Now, he lays around, has put on lots of weight and often moves away when people approach him or sleeps most of the time. 

The cat is "isolated" in the Activities Room so only those people who visit that room get any interaction and she, too, is a loner (typical, I realize of cats). 

Occasionally a couple of dogs are brought in to "visit" residents and you can see the joy in the Resident's eyes and in their bodies. 

They virutally light up and wait patiently hoping the dog will be brought to see them. 

A few residents have family members who bring in dogs to visit. Unfortunately, these dogs often don't see anyone but their owners and I understand they're not all "trained" to accept other people.

What's needed is more frequent interaction of residents and animals.

Humans thrive using our senses. When they're deprived or eliminated, at any age, our body functions are greatly affected along with our brains. It changes our personality, our outlook, our behaviour.

Let's find more ways to give Seniors interaction with humans and pets. Let's stimulate their brains, their positive emotions and build healthier lives for all.

1 comment:

  1. Hi Donna! Just like you I am also a believer of the power of touch, especially of hugs, to the healing and comfort of certain illnesses. The good feeling you get when you get touched by someone in a loving manner can greatly affect the patient's brain activity and thus enhancing their condition.
    I think one of the reason why caregivers and other employees in long term care facilities was unable to deliver therapeutic touch or speech is because of stress. Our caregivers are already stressed out. The current caregiver shortage that we are experiencing add more task to them that inhibits them to take more time in more personal interactions with their patients. I guess resolving the shortage can give way to implementing these ideas.

    ReplyDelete

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