MelissaBPhD's podcast

Melissa B PhD

In today's busy society, people aren't typically thinking about aging or elder care. By 2030, there will be more older adults than children under age 5 for the first time in human history. Here's a fantastic podcast with different topics ranging from clinical care of older adults to things that family caregivers need to know. Hosted by Dr. Melissa Batchelor (MelissaBPhD) 'This Is Getting Old' highlights all of the things we need to do to create an age-friendly world - because when things are age-friendly, they are friendly for everyone. read less

EP130: Part I: Ketones, Diet, & Beyond: Lifestyle, Healthy Brain Aging, & Alzheimer’s with Mary T. Newport, M.D.
Feb 28 2023
EP130: Part I: Ketones, Diet, & Beyond: Lifestyle, Healthy Brain Aging, & Alzheimer’s with Mary T. Newport, M.D.
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/.
EP129: The Global Longevity Economy Outlook | The Economic Contribution of People Age 50 and Older with Dr. Jean Accius
Feb 23 2023
EP129: The Global Longevity Economy Outlook | The Economic Contribution of People Age 50 and Older with Dr. Jean Accius
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/.
EP128: Nurse Innovation: Robotics with Pamela Cacchione, PhD, RN, FAAN
Feb 7 2023
EP128: Nurse Innovation: Robotics with Pamela Cacchione, PhD, RN, FAAN
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/.
EP127: Nurse Innovation: Heart Failure Socks with Pamela Cacchione, PhD, RN, FAAN
Feb 2 2023
EP127: Nurse Innovation: Heart Failure Socks with Pamela Cacchione, PhD, RN, FAAN
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/.
EP126: Nurse Innovation: NICHE with Mattia Gilmartin PhD, RN
Jan 25 2023
EP126: Nurse Innovation: NICHE with Mattia Gilmartin PhD, RN
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 resultsfavorable financial resultsimproved nursing capabilitiescommunity acceptanceincreased satisfaction of the staff, family, and patients NICHE gives hospitals access to: Modern resources, including an interactive 24/7 E-learning center, tools, and trainingSupport and coaching for NICHE-based hospital initiatives in project managementClinical procedures supported by evidence that address "never occurrences," Joint Commission compliance, and other legal requirementsInstrument 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 inSometimes there are announcements in the newspaperIf 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/.
EP125: Financial Caregiving Series: Top Conversations to Have—Scammers with Cameron Huddleston
Jan 24 2023
EP125: Financial Caregiving Series: Top Conversations to Have—Scammers with Cameron Huddleston
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 CardsPeer-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 callIf 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 AdultsHelp your senior loved one get on the national “Do Not Call” registryReporting 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-hotlineLearn 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/.
EP126: Financial Caregiving Series: Legal Authorizations
Jan 17 2023
EP126: Financial Caregiving Series: Legal Authorizations
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/.
EP124: Financial Caregiving Series: Talking to Adult Children—What They Need to Know with Cameron Huddleston
Jan 10 2023
EP124: Financial Caregiving Series: Talking to Adult Children—What They Need to Know with Cameron Huddleston
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/.
EP123: Financial Caregiving Series: Talking to Parents - Why, When, and How
Jan 3 2023
EP123: Financial Caregiving Series: Talking to Parents - Why, When, and How
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/.
EP122: Maintaining Holiday Traditions when a Loved One has Alzheimer’s Disease
Dec 22 2022
EP122: Maintaining Holiday Traditions when a Loved One has Alzheimer’s Disease
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/.
EP121: Grief and Loss During the Holidays
Dec 20 2022
EP121: Grief and Loss During the Holidays
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/.
EP120: Aging Parents During Holiday Visits: 4 Things to Check
Nov 22 2022
EP120: Aging Parents During Holiday Visits: 4 Things to Check
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/.
EP119: Ten Things Older Adults Need to Know Before Elective Surgery
Nov 15 2022
EP119: Ten Things Older Adults Need to Know Before Elective Surgery
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/.
EP118: Marketing to the New Consumer Majority
Oct 26 2022
EP118: Marketing to the New Consumer Majority
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/.
EP117: Funeral Industry
Oct 18 2022
EP117: Funeral Industry
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/.
EP116: Difference Between Hospice and Palliative Care
Oct 11 2022
EP116: Difference Between Hospice and Palliative Care
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/.
EP115: Top Car Consideration for Older Drivers: Age-Friendly Technologies/Age-Friendly Cars
Sep 27 2022
EP115: Top Car Consideration for Older Drivers: Age-Friendly Technologies/Age-Friendly Cars
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/.
EP114: Social Media in Healthcare with Dr. Mona Shattell and Rebecca Darmoc
Sep 13 2022
EP114: Social Media in Healthcare with Dr. Mona Shattell and Rebecca Darmoc
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/.
EP113: Five Symptoms of Alzheimer’s Disease
Aug 30 2022
EP113: Five Symptoms of Alzheimer’s Disease
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/.
EP112: Six Things To Do After an Alzheimer's Diagnosis
Aug 9 2022
EP112: Six Things To Do After an Alzheimer's Diagnosis
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/.