REGIONAL DIRECTOR OF CLINICAL SERVICES- INDIANA
HELLENIC SENIOR LIVING is currently seeking a Regional Director of Clinical Services for our licensed affordable assisted living communities located in Indiana. Please forward resumes to LaChele Henkle Weaver via email@example.com
ANALYSIS: 51% OF U.S. SENIOR LIVING FACILITIES EXPERIENCED NO COVID-19 DEATHS
Mortality Corresponded With Average Acuity Level of Residents and Complexity of Caregiving
ANNAPOLIS, Md. and CHICAGO, Ill. (EMBARGOED until June 3, 2021 at 5 a.m. ET)—Fifty-one percent of senior housing properties experienced no COVID-19 deaths in 2020, according to an analysis by NORC at the University of Chicago (NORC) with a grant provided by the National Investment Center for Seniors Housing & Care (NIC). Researchers analyzed data for four facility types in more than 100 counties across five states.
About two-thirds (67%) of independent living properties, 64 percent of assisted living properties, and 61 percent of memory care properties studied experienced no COVID-19-related deaths. Thirty-nine percent (39%) of skilled nursing facilities (also known as nursing homes) experienced no COVID-19-related deaths during the same period.
“While COVID-19 has been devastating for older adults, a majority of properties avoided any resident deaths,” said Caroline Pearson, senior vice president of health care strategy and lead researcher at NORC. “Death rates in senior housing increased in settings of care that serve the most vulnerable residents, based on age, health status, and caregiving needs. Healthier, more active residents in independent living had comparable mortality to those living in private homes.”
The analysis found COVID-19 deaths across senior housing properties rose in tandem with the acuity, or severity of the illness of the average resident, and the complexity of caregiving needed. The highest mortality by percentage occurred in memory care and skilled nursing facilities. In contrast, the average mortality rate for adults in independent living properties was statistically the same as the mortality rate of
the age 75 and over population in corresponding counties, suggesting residents in this type of group setting were not at higher risk of death from COVID-19 than those living in private homes.
“Ultimately every COVID death in any community designed for older adults is tragic, and lessons were learned regarding health and safety protocols and where improvements are most needed,” said Brian Jurutka, NIC’s president and CEO. “The facts include that COVID-19 transmission is more likely with close person-to-person contact and mortality increases with age and co-morbidities. This study shows senior housing isn’t homogeneous, and mortality was higher in property types whose residents, on average, are sicker and require higher levels of care.”
Experts say COVID-19 may have accelerated or replaced other common causes of death in 2020. However, data show that residents in senior housing properties are older and more vulnerable than people who live in private homes. Prior to COVID-19, almost one-third of all skilled nursing residents died annually, with skilled nursing facilities often being the final residence prior to death.
“These findings are critical to informing the public’s understanding of safety within various senior housing options,” said Terry Fulmer, president of The John A. Hartford Foundation. “As older adults consider their living arrangements, this information can empower informed decisions.”
The analysis included data from 3,817 senior housing properties across 113 counties in five states: Colorado, Connecticut, Florida, Georgia, and Pennsylvania. A complete report and data methodology are available here.
Advisors to the NORC study say further research is urgently needed to better understand the role that health, age, and demographic characteristics play in mortality rates by different residential care setting. NIC plans to support a second phase of research building on these findings to be completed later this year.
NIC’s research grant to NORC was supported by an Advisory Committee, including:
• Terry Fulmer, Ph.D., RN, FAAN, President of The John A. Hartford Foundation;
• Ardeshir Hashmi, MD, Chair for Geriatric Innovation and Director of the Center for Geriatric Medicine at Cleveland Clinic;
• Bob Kramer, Co-Founder and Strategic Advisor to NIC, Founder and Fellow of Nexus Insights;
• David Nash, MD, Founding Dean Emeritus at Jefferson College of Population Health;
• Arif Nazir, MD, Chief Medical Officer of Signature HealthCARE and past President of AMDA, the Society for Post-Acute and Long-Term Care Medicine;
• Kevin O’Neil, MD, Chief Medical Officer of ALG Senior; and
• Anne Tumlinson, Chief Executive Officer of ATI Advisory and Founder of Daughterhood.
The NORC study was directed by Caroline Pearson, senior vice president, health care strategy. Mairin Mancino served as the project manager. David Rein, PhD, program area director of public health analytics, lead the quantitative analysis. Beth Burnham Mace, chief economist, and Ryan Brooks, senior principal, healthcare, oversaw the project for NIC.
About the National Investment Center for Senior Housing & Care
The National Investment Center for Seniors Housing & Care (NIC) is a 501(c)3 organization established in 1991 whose mission is to enable access and choice by providing data, analytics, and connections that bring together investors and providers in independent living, assisted living, memory care, skilled nursing and post-acute care. Through its industry-leading annual conferences and research, analytics, and sector outreach, NIC serves as an indispensable resource for the senior housing and care sector. For more information, visit www.nic.org and follow NIC
Twitter, LinkedIn, and Facebook.
About NORC at the University of Chicago—NORC at the University of Chicago is an objective, non-partisan research institution that delivers reliable data and rigorous analysis to guide critical programmatic, business, and policy decisions. Since 1941, NORC has conducted groundbreaking studies, created and applied innovative methods and tools, and advanced principles of scientific integrity and collaboration. Today, government, corporate, and nonprofit clients around the world partner with NORC to transform increasingly complex information into useful knowledge. www.norc.org
New Technologies Could Save More Lives
During #CancerSurvivorMonth, we celebrate every #CancerSurvivor. New technologies called multi-cancer #earlydetection screenings could save even more lives by finding dozens more deadly cancers earlier when they are easier to treat. That is why we’re supporting must-pass legislation that would make multi-cancer early detection technologies available to seniors. https://www.finance.senate.gov/ranking-members-news/crapo-bennet-introduce-bipartisan-bill-to-ensure-medicare-beneficiaries-receive-coverage-for-cancer-detection-technologies
Division of Aging Follow Up to Settings Rule Meeting on 8/3/20
A message and update from
Darcy Tower, MSW
Provider Relations Director
Division of Aging – FSSA
We appreciate your willingness to participate in the Settings Rule discussion on Monday, 8/3/2020. The Division of Aging recognizes facilities are inundated working to care for residents during COVID, and we want to be as supportive and helpful to you as we’re able with regard to Settings Rule remediation.
In order to keep our momentum moving forward with Settings Rule remediation, the Division of Aging has compiled the attached questions from CMS to help us better understand how your assisted living facility is separate from your nursing facility. The intent of these questions is to help the Division of Aging assist each facility in overcoming a presumed institutional designation. Our goal is to assist providers in showing CMS how our co-located facilities render quality, person centered, home and community based services. These 17 questions will inform the division about each facility’s practices so we are able to best represent the good work you do. Your responses to the attached questions will assist the division in informing CMS. Please submit your responses to Patti.Bailey@fssa.in.gov no later than December 31, 2020.
Once the division receives your responses, we will summarize your answers to post for public comment per CMS guidance. Prior to submitting these summaries for public comment, we will share the summary with each individual facility to ensure it represents the facility’s work. As we mentioned during the 8/3/2020 meeting, CMS has required States to post information about presumed institutional facilities for public comment. As opposed to submitting detailed packets about each facility for public viewing, CMS is allowing States to summarize the work of facilities to demonstrate how assisted living is separate from the nursing facility.
As you review the attached document, you will see that CMS requests documentation from each facility, this documentation is not yet needed by the Division of Aging, but the Division does expect to eventually need this information, so please feel free to include now if the information is easily available.
As you review the attached document, there may be some concern about submitting “financial documentation” to CMS. As outlined in questions 4, 5, & 6 from the CMS guidance link below, all speak to interconnectedness including financial. The division’s interpretation is that these CMS questions are not individually deterministic, but instead will likely be a totality review. Therefore, if a co-located facility is separated by means other than physical, such as operating as a separate legal entity, or the facility retains separate accounting, or has different personnel, etc., then that would likely be a positive for a potential CMS review. However, any one of these factors by themselves would be unlikely to either gain an approval or a denial from CMS.
If you have questions about the intent of any of the attached questions, please feel free to reach out to myself or Jesse Wyatt for additional clarification. We are here to help you through this process!
We appreciate your collaboration!
Darcy Tower, MSW
Provider Relations Director
Division of Aging – FSSA
402 W. Washington St. RM W454
Indianapolis, IN 46204-7083
INALA 2020 Award Recipients
Outstanding Activity Director
Woodland Terrace of New Palestine
Lindsey has been fostering the enthusiasm of residents and the local community for nearly two years as Life Enrichment Director at Woodland Terrace, New Palestine.
As her Executive Chef commented:
“Lindsay is always thinking big picture and no picture is too big for her ability to pull off the impossible.”
One of her “impossible” events occurred this past May. With the shutdown of the Indy 500, Lindsey organized a Race Weekend complete with a parade of 100+ vintage cars, Corvettes, pace cars, firetrucks, and police vehicles…. Followed up with a flyover of an F-16!
Another co-worker commented “Lindsey always has a smile, throws in a little silliness and makes the residents really feel involved and loved. They have come to count on her and get excited about what’s coming up next!
To get an idea of her creativeness, you just need to check out her YouTube videos, one of which recently received over 4,000 likes!
CONTRATULATIONS TO LINDSAY WATTS,
LIFE ENRICHMENT DIRECTOR
WOODLAND TERRACE OF NEW PALESTINE
2020 RECIPIENT OF INALA’S OUTSTANDING ACTIVITY DIRECTOR!
Leader Under 40
Woodland Terrace of Carmel
Alegra is a board-certified music therapist and Neurologic Music Therapist. She has earned a bachelor’s degree in performing arts and a master’s degree in Piano and Performance.
As part of the Justus Regional team, she is more than a talented music therapist. She is a confident, empathetic, and passionate leader.
As Patrick Singleton, Executive Director at Woodland Terrace Carmel commented:
“You could look out your window and see Allegra pushing her piano on to the next performance for hours on end just to bring a little music and happiness to our residents while they were quarantined at home…
And…For those residents that were looking to engage even further, she helped coordinate a program with the University of Indianapolis that allowed residents to interact with local college students studying music”
The key to happiness is making the music louder than the chaos…and no matter how much chaos occurred during this pandemic, this quiet leader kept making sure that her music was louder than it all.
CONGRATULATIONS TO ALLEGRA HEIN
REGIONAL MUSIC THERAPIST
WOODLAND TERRACE OF CARMEL
2020 RECIPIENT OF INALA’S LEADER UNDER 40 AWARDS!
Caregiver of the Year
Woodland Terrace of New Palestine
Mike has been a Certified Nurse Aid for 15 years and is also Woodland Terrace of New Palestine’s first ever restorative aide.
The COVID-19 Crisis brought new challenges to both staff and leadership. One of those challenges was the need to organize a dedicated team of “Designated Caregivers”, which meant in the event there was a COVID positive resident, one caregiver would take care of them, thereby limiting exposure to others. Mike was one of the first ones to volunteer, putting himself at greater risk of contracting the virus by doing so.
A colleague of Mike says: “Mike jumps in wherever he is needed, he just gets it done. He is genuine. He is selfless. We are privileged to have him amongst our ranks.”
CONGRATULATIONS TO Michael Tate
Certified Nursing Assistant
WOODLAND TERRACE OF NEW PALESTINE
2020 RECIPIENT OF INALA’S CAREGIVER OF THE YEAR AWARD!
Outstanding Community Director
Silver Birch at Cook Road
Angela has been Executive Director at Silver Birch for two years. She began with Solver Birch opening their first community in Fort Wayne and after achieving 100% occupancy within 8 months. Angela was then given the opportunity to open a second location in Fort Wayne and has been able to maintain high standards of care while hitting her goals even during the pandemic.
Angela is described as “sincere, passionate, compassionate, selfless, and hardworking. She leads with a servant’s heart and is always looking for how she and her team can improve and do things better.
Some of the ways Angela shows the residents they are most important include bringing residents to her family home for fishing trips. And, some residents have enjoyed a Thanksgiving meal at her home.
As one of her teammates noted, “She is the kind of leader who is not afraid to come from behind her desk and get her hands dirty.”
CONGRATULATIONS TO ANGELA OTIS
Silver Birch at Cook Road
2020 RECIPIENT OF INALA’S OUTSTANDING COMMUNITY DIRECTOR AWARD!
Outstanding Food Service Director
Woodland Terrace of New Palestine
Bryan has been creating special dishes for Woodland Terrace and the greater public for four years. Of course, in March the dining room had to be closed and all outside visitors restricted.
Bryan met this challenge head on. He and his staff continued serving a full menu to residents in their apartments anytime between the hours of 7:00 A.M. and 7 P.M. Seven days a week. Chef Bryan did not stop there. He then went on to implement an additional menu that revolved around foods that boost the immune system. With the fear of a spread of Corona virous on everyone’s mind this not only added some great food to an already robust menu but also helped ease the resident’s minds.
When guidance from the Department of Health was released allowing residents to return to the dining room with special precautions in place, Chef Bryan went all out providing special deserts and menus along with live music.
His colleagues say that Chef Bryan’s passion shows on a daily basis. The residents and staff at Woodland Terrace New Palestine are anxious for what he will come up with next….. So are we, Bryan. Keep serving it up!
CONGRATULATIONS TO BRYAN FRIEDRICH
Woodland Terrace of New Palestine
2020 RECIPIENT OF INALA’S OUTSTANDING FOOD SERVICE DIRECTOR AWARD!
Outstanding Marketing Director
Silver Birch Muncie
For the past two years, Susan has been living out the Silver Birch Mission Statement of “Inspiring Purposeful Lives for All”.
One example of living this mission came when Susan was contacted by a hospice company regarding an individual who needed to move to Silver Birch Muncie but who would not leave her cats….. Not several cats but several DOZEN cats! Susan worked diligently with the Hospice Agency, Animal Control, and animal shelter in Muncie to capture and place all of the cats somewhere safe. Susan, herself purchased live traps and spent many hours carefully capturing the cats and giving them to the animal rescue for safe placement.
The cat story is not the only example. Susan has worn her rain boots into homes infested with bedbugs, packed entire homes of personal belongings, and bought linens to make sure that any new resident’s first experience is extraordinary. Susan goes above and beyond for all inquiries, regardless if they move into her community or not. This type of assistance may seem above and beyond the call of duty but to Susan it is just “the right thing to do to help people.” As Susan’s VP of Sales put it, “It is Susan’s willingness to do the right thing that has her hitting her goals every single time.”
CONGRATULATIONS TO Susan Buckingham
Silver Birch of Muncie
2020 RECIPIENT OF INALA’S OUTSTANDING Marketing DIRECTOR AWARD!
Outstanding Nurse Leader
Regional Health Services Director
Woodland Terrace of New Palestine
For the past 5 years Diane has accomplished remarkable outcomes for the Justus Companies Team. She has helped open several new communities, written policy, and procedures, educated staff, and provided much needed support to the Health Service Directors in her charge. Under Diane’s leadership all of her community’s medical records were fully integrated into Electronic Medical Records or EMR, 6 months ahead of schedule!
Every leader accomplishes difficult goals and faces moments of crises. However, it is safe to say that the ongoing COVID-19 crisis continues to top the list. During this crisis Diane has remained steady… Writing, and implementing policies that change sometimes weekly and many times daily. Not only was she implementing new policies to keep her residents safe, but she was also, somehow finding Personal Protective Equipment when there was none to be found through traditional channels. As one of her colleagues stated “a small part of me thinks she was waiting at the docks in a hazmat suit, pointing a temperature gun at them and demanding PPE!!!
When things get difficult, her peers advise to just breath and channel Diane and somehow when they channel Dianne, the cloud disappears, the sun shines and all is well again.
CONGRATULATIONS TO Diane Kohan
Regional Health Services Director
Woodland Terrace of New Palestine
2020 RECIPIENT OF INALA’S OUTSTANDING Nurse Leader AWARD!
Assisted Living Community of the Year
THE LELAND LEGACY
The Leland Legacy is located in a restored hotel that was built in1928. As an Assisted Living Community, it has come to be the home for 100 residents and 62 staff members bringing both together as family. Atop the 7 story building, in the heart of downtown, passersby are greeted with messages. Currently the large banner simply shows a giant smiley face with the word “SMILE” to help lift the spirits of all.
Here are some quotes from people who know the Leland Legacy first hand:
“Folks at the Leland feel protected and loved and the families are often invited to these functions so that they stay connected”.
“It was a quick and easy decision to have my mother come to The Leland. Having worked with them in various ways, I knew the best place for mom was here”
“I write this letter in continued support of the contribution The Leland makes not only to the preservation of health within our community, but also in appreciation of community outreach efforts that benefit Richmond and Wayne County…. The Leland has a storied and colorful history of partnership with this community and the city of Richmond looks forward to many more years of working together”. Sincerely- David M. Snow Mayor, City of Richmond.
CONGRATULATIONS TO Amanda Marquis, Executive Director and the entire staff of The Leland Legacy!
As the 2020 RECIPIENT OF INALA’S Assisted Living Community of the Year AWARD!
Industry Partner of the Year
Best Choice Home Care
Although each resident has a choice in providers, the Justus Companies work with trusted partners to provide essential resources to residents.
One of their Care Network Partners is Best Choice Home Care. Since medical homecare is a vital part of the continuum of care model, The Justus Companies offer nursing services, physical therapy, occupational therapy and speech therapy services through Best Choice. Especially during this pandemic, they have been wonderful to work with. Best Choice keeps the needs of the residents first. The communication between the teams makes integrated care seamless. Best Choice Home Care’s willingness to entertain new ideas helped Crestwood South start a Restorative Nursing program and their physical therapist, Alix Walker works closely with the program to ensure the Crestwood team is well trained.
CONGRATULATIONS TO Best Choice Home Care
2020 RECIPIENT OF INALA’S Industry Partner of the Year!
Innovation of the Year
Crestwood Village South
During the restrictions imposed by COVID-19, the Justus Companies realized that some residents needed extra support to continue to progress or at least maintain their therapy goals. An idea for a Restorative Nursing program grew out of the desire to help residents maintain and not decline in their mobility. The designated Restorative Aide is trained by Best Choice and HTS to supplement their services. A documentation system fosters communication between the Restorative Aide and the service provider. The Restorative Aide helps to motivate the resident to complete the home exercises or escorts the resident while walking. Activities of daily living are used by the Restorative Aide to work with the resident to maintain mobility and the program is individualized to best meet the needs of the resident.
CONGRATULATIONS TO Crestwood Village South
2020 RECIPIENT OF INALA’S Innovation of the Year!
INALA BOARD MEMBER OPPORTUNITIES
Board Member Opportunities
INALA is in the process of selecting several new members to our Board of Directors.
We are looking for board members who believe in the INALA mission and are willing to be active in their governance roles. We believe our work has never been more important than it is today. If you have a passion for senior care and are committed to a thriving assisted living industry in Indiana, please complete the INALA Board of Directors Application and submit it along with a short bio to Dan Kenyon firstname.lastname@example.org so we can add your name on the ballot.
To participate in the development of policy and engage in major decision-making regarding the operation of INALA.
To promote INALA with non-members and encourage non-member communities to become part of INALA.
Board members serve a three-year term. The board meets every two months. The meetings last at a maximum about 2 ½ hours. Currently, due to COVID-19, we are holding our meetings via conference call or Zoom. Under normal circumstances Board members are welcome to host meetings. If no one hosts the meeting, we meet at the LeadingAge office in Northwest Indianapolis. If unexpected circumstances prevent in-person attendance, telephone participation is possible.
Board members may serve, from time to time, on ad hoc committees depending on their interests.
Additional Resource for Provider Liability From Argentum
As discussed during the past two State Partner calls, Argentum is continuing efforts to protect senior living staff and communities from liability as a result of COVID-19.
In addition to the template executive order and background memo we’ve provided, we are now also offering all state partners access to legal experts in provider liability through Willis Towers Watson and Wyatt Tarrant & Combs. Over the next several weeks, we will be reaching out to state partners to discuss the current status of actions in the state and to help with strategy and identifying executive and legislative actions that can be taken to provide protections. We appreciate your flexibility in scheduling these calls.
Please contact your state policymakers. This background memo and current executive order text can be adapted as part of your outreach. Tara Clayton and Doug McSwain are assisting in our efforts. Please see their bios below:
- Tara Clayton, Senior Claim Consultant, Willis Towers Watson
Tara has extensive experience dealing with senior living general liability, professional liability, and medical malpractice claims. Prior to joining Willis Towers Watson, Tara served as Vice President of Operations Legal Counsel for a multi-state senior living provider. In that role, she managed long-term care litigation for over one hundred senior living campuses located in multiple states, as well as pharmacy and therapy litigation in more than a dozen states. In addition, she managed employment matters and assisted with all legal matters across the company including corporate transactions, contract review, regulatory compliance, privacy and security compliance, employee relations and risk management. She also provided senior management with strategic and operational assistance. Before moving into the role of operations counsel in 2013, Tara was a health care and commercial litigation attorney, where she represented several senior living providers, hospitals, physicians and other health care providers and health care companies by defending medical malpractice and long-term care claims. Tara also advised on regulatory matters, including health care privacy, licensure and long-term care discharge proceedings.
- Doug McSwain, Partner, Wyatt Tarrant & Combs LLP
Douglas McSwain is a member of the Firm’s Litigation & Dispute Resolution Service Team. He has been a litigator, legal advisor, speaker, and writer for more than 30 years. He concentrates his practice in constitutional law, business, professional, employment, civil rights, data privacy & security, and trade law. Mr. McSwain also has experience in health care, administrative and equine law. Mr. McSwain has handled numerous multi-party wage and hour cases both administratively and in litigation. He has conducted auditing and investigative cases involving the U.S. Department of Labor and the Kentucky Labor Cabinet, as well as multi-Plaintiff cases individually suing or class and collective actions.
Director of Government Relations
ARGENTUM | Expanding Senior Living
Coronavirus Resource Page
INALA has compiled the following resource directory to provide information from CMS, ISDH, CDC and the EPA in one location. This is not, and should not, be considered an all-inclusive resource. Please check ISDH, CMS and CDC websites frequently, as information and/or directives are being released almost daily.
Resources, links, and suggested best practices for a thoughtful approach to coronavirus (COVID-19) preparation and response in senior living communities.
- Argentum’s What You Can Do Now – checklist
- Review infection prevention and control policies and procedures from the CDC
- Review emergency preparedness plan with staff and expect ISDH survey’s to be more narrowly focused on infection preparedness. Read more from CMS.
- Have a Communication Plan for all stakeholders. Download The World Health Organization Communications Package
EPA Releases List of Disinfectants to Use Against COVID-19
EPA’s Emerging Viral Pathogen Guidance was developed and finalized in 2016 to allow for a rapid response in the event of an emerging viral pathogen outbreak. It was triggered for the first time ever for SARS-CoV-2 on January 29, 2020. The guidance outlines a voluntary, pre-approval process for making emerging viral pathogens claims. In the event of an outbreak, companies with pre-approved products can make off-label claims (for example in technical literature, non-label-related websites, and social media) for use against the outbreak virus.
CMS Guidance for Nursing Homes VIEW HERE
ISDH Long Term Care Newsletter / Special Issue: COVID-19 / Coronavirus
The Indiana State Department of Health (ISDH) Division of Long Term Care is providing facilities with information related to COVID-19. It is recommended that facilities review this information and use it to educate staff and visitors.
CMS Announces Actions to Address Spread of Coronovirus
CMS calls on all health care providers to activate infection control practices and issues guidance to inspectors as they inspect facilities affected by Coronavirus. READ MORE
Video Chatting with Grandma
Study finds video chatting is the best technology to prevent loneliness in seniors reports US News and World Report.
Study says Tai Chi most effect exercise to combat dementia.
A meta-analysis of 20 studies on tai chi and cognition determined tai chi appears to improve executive function without any cognitive decline, reports Newsmax.
2018 INALA Award Winners
Check out this year’s winners!
INALA Conversations: Dementia and Guns – Part Two
If an individual’s dementia has progressed to the point that conversation is not possible due to the disease or lack of judgment, than it is important that family members take action to safeguard the individual and others in the home.
In this situation, here are some tips for dealing with firearms in the home:
The best option is removal of firearms before there is a major safety concern. But if that cannot happen then consider:
- Store all guns separately from ammunition in a secured and locked case or firearm vault.
- Remove ammunition from the house.
- Do not allow the person with disease to have unsupervised access.
- If guns are in the home, other adults in the home should make it a priority to learn proper and safe handling of the guns.
- Consider having an adult child, neighbor or friend “borrow” or “store” the guns permanently. Make sure you follow the laws on how to legally transfer gun ownership.
- Have the guns leave the house for “professional cleaning.”
- Have a professional disable the guns. This could still present risk if law enforcement ever becomes involved. They must act with the belief a gun is operational.
- Go through a licensed firearms dealer if the guns are to be sold.
- If you want law enforcement to destroy the guns and ammunition, call first and find out what is required. Do not simply walk into the station carrying the guns you want destroyed. They may want to see a statement of diagnosis from a physician and they can give you instructions on how to bring in the guns or whether they will send someone to collect the guns.
- Indiana has a “red flag” law which allows immediate and temporary seizure of weapons from a person who poses a threat to themselves or others. Contact law enforcement anytime you think there is an imminent threat.
With appreciation to the California Central Coast Chapter of the Alzheimer’s Association for most of these tips!
Aging and Thinning Skin
- Moisturize your skin! It can make skin more flexible and less likely to break.
- Drinking enough water helps keep the skin hydrated. Dry skin can be irritated or damaged more easily and is often less flexible.
- Avoid anything that makes your skin red or sore. Protect yourself from the sun! You will burn more easily as your skin ages. Also, take care to avoid harsh chemicals that could damage your skin.
- Wear long sleeves, gloves, and long skirts or trousers to help avoid bruises or tears.
- Eat a balanced diet to help support overall health. Include plenty of fruits and vegetables, whole grains, and proteins. Vitamin E, found in foods such as almonds and avocados, can also support skin health. The fats in these foods may help to keep the skin supple.
- Using creams that contain A, also known as retinol or retinoids, may help to prevent skin from thinning further. Your doctor can prescribe this medication or there are some over the counter products you can use. As with any medication, make sure you follow the instructions and talk to your doctor if you experience problems.
INALA Conversations: Dementia and Guns
The best time to have a conversation about firearms in the house is BEFORE there is a major safety concern!
For an individual living with dementia, gun ownership may represent security, pride in a skill gained and honed over time, treasured memories of a lifetime of gun ownership and a mark of responsible adulthood.
As dementia progresses the individual affected will experience a decline in judgment skills, memory, perception and reasoning. The individual’s ability to act safely may be impaired in a variety of situations like driving, using power tools or cooking. Just as difficult conversations may have to occur around these activities, similar conversations should happen around guns.
These can be highly emotional discussions and decisions. To get you started, you should know:
- As dementia progresses, information and training in safe gun handling skills may fade.
- Some people with dementia experience changes in personality and emotions.
- Dementia affects the ability to control emotion and emotional outbursts can occur.
- People with dementia may mistake someone they know for someone else, like an intruder.
- Depression is common in those with dementia and can increase the risk of suicide if there is access to a means, like a firearm.
- In later stages of dementia, people may suffer from delusions and hallucinations, some of which can be paranoid, persecutory or hostile.
You and the person experiencing dementia can come up with a plan as to how guns should be handled as the disease progresses. You might discuss a “firearms retirement or early inheritance date.” Or the person experiencing dementia might designate someone they trust to have the authority to take away their guns when the time comes.
Whatever you and your loved one chooses to do, as the disease progresses, continual reassessment of safety issues will be needed. If dementia is creating risk, neglecting to address gun safety could result in tragedy.
National Hospice and Palliative Care Month
November is National Hospice and Palliative Care Month.
Assisted living communities must provide residents with information about flu vaccine
Licensed and non-licensed assisted living communities must provide residents with information about flu vaccine. The requirement can be met with a copy of the CDC’s vaccine information statement (VIS). Click here for the CDC VIS page.
Get your flu shot before the end of October
The CDC is recommending people get flu shots by the end of October. Learn more.
Previous and current approaches to dementia care
A New Yorker article entitled “The Comforting Fictions of Dementia Care” discusses previous and current approaches to dementia care. (Print edition of the article published October 8th is headlined “The Memory House.”)
FDA has approved sale of first self-fitting hearing aid
The FDA has approved the sale of the first self-fitting hearing aid, reports WebMD. The Bose Hearing Aid is a wireless amplifier placed in the ear canal that can be adjusted by the user through a smartphone app.
An Aspirin a Day for Older People Doesn’t Prolong Healthy Lifespan
An Aspirin a Day for Older People Doesn’t Prolong Healthy Lifespan. Read the NIH Director’s blog post.