December 2021

So now you’ve gone from agitated to angry, and you have a resident with dementia in crisis mode. What do you do?

Let’s start with what you don’t do. How many times have you calmed down when you were upset just because someone told you to. Never, right? Us either. When my great grandmother was trying to flee the home because she felt like someone was after her, she certainly didn’t calm down when the nurses told her to.

Seniors with dementia are more likely to show agitated and aggressive behaviour. This we know. They may swear, scream, or even hit and bite others. These behaviours may be triggered by various factors, such as pain, changes in the environment, and being ignored. The key is knowing these triggers (enter CareStory ;)).

People with dementia may not understand how they can express their needs, and aggressive behaviour is one way to release frustration.

Here are some methods we have found to calm aggression in older adults with dementia:

Music!

A nice piece of music can help seniors calm down and activate more positive memories! Research from the Alzheimer’s Association also shows that music helps people release dopamine and ultimately triggers happiness :).

Aromatherapy!

We aren’t joking! It is scientifically proven. According to a study published by Cambridge University Press, using scents like lavender and lemon can significantly decrease behavioural issues in patients with dementia. These pleasant scents can help seniors become more focused and reduce their anxiety and hallucinations.

Touch and hold their hands!

As one of the most effective methods to increase trust, touch can build a warm relationship between the caregiver and the senior. With just a gentle hand pat, seniors suffering from dementia can perceive your kindness, slowly calm down and reduce their agitation. Moreover, holding hands can help seniors relax and feel more comfortable. You can either take their hand in a natural manner or offer your hands for them to hold.

Remember, be patient, and smile :). Try these methods; they will definitely aid your efforts to comfort seniors with dementia.

Here is also a fantabulous video we would like to share with you. Let’s check how Teepa Snow successfully de-escalates a dementia care crisis in a positive and empathetic way

REFERENCES:
Alzheimer’s Society
Five Star Senior Living
Alzheimer’s Association
Holmes, C. & Ballard C. (2018)
DailyCaring

It’s not surprising that professionals in the caregiving industry care. And when we care, we can also face heavy emotions and a lot of stress.

According to studies conducted by the Ontario Caregiver Organization, more than half of our colleagues are stressed with overall caregiving management (57%), emotional control (55%), and work-life balance (55%). 65% of caregivers mentioned that they need emotional support, however, only 28% of them actually received any resources.

We have to do more, and provide more to all of our caregivers! Here are some small tasks each institution can do to improve the mental health of everyone involved:

Organize social activities regularly!

Work-life balance is salient, especially in the caregiving field. Social activities not only promote better interactions and communication between caregivers but also improve mental health and reduce stress. For example, comedy shows, balls, and more…whatever it takes to have some fun in your daily/weekly routines!

Provide resilience training!

Caregivers often find it difficult to manage their negative emotions and feelings, and experience depression, burnout, etc., therefore learning how to adapt to stressors is critical for mental wellness. This type of training is used in the military to resolve mental issues like stress, and it should be applied in the medical field as well.

Schedule meditation workshops!

One research done at Stanford University School of Medicine found that people who practice mindfulness meditation show fewer stress-related symptoms and declare that they have a greater sense of control over their health and emotions. So just arrange 15 minutes a day for all employees to meditate, and the return will be impressive!

CareStory is always here, supporting you on your caregiving journey. We hope to continue to deliver empathy, promote workplace wellbeing, and raise mental health awareness in the caregiving industry. Stay with us, we won’t let you down.

REFERENCES:
Well-Being Index
Arizona State University

Happy Wednesday caregivers! We are accustomed to taking care of others, however, we often put our health on the back burner. Caring for yourself is one of the most important things, but caregivers often forget about it. Start from now, and spend more time on your own fitness, nutrition and other needs! Let’s check some fun wellness activities for caregivers together XD!

Walking Meetings

Make sure you’re not all sitting in a chair during the day. Get up from your chair, take a walk outside and move throughout the day! Some fresh air can help you stimulate your creativity. Set aside 10-15 minutes a day to go for a walk. Trust me, exercise is always helpful.

Meditation Breaks

We know that caregiving is challenging and sometimes, overwhelming, therefore, stress management is crucial for caregivers. Whenever you feel stressed, take a deep breath and then take a ten-minute break for meditation. You can also just close your eyes and implement “no-talk times” during the day. Try it, it can help you de-stress and refocus your energy so that you can become more productive afterwards.

Healthy Recipe Sharing

Healthy eating is just as essential as fitness for maintaining your wellness. But for caregivers, we probably do not have enough time to prepare fancy nutritious meals for ourselves. Find healthy meal recipes that take 10 minutes to prepare. During the lunch break, chat with your colleagues and share your recipes! Could be an avocado egg sandwich, tuna, kale and spinach salad, etc. Discover your creative side and generate some easy healthy meal ideas!

Have more ideas? Share with us! Please comment below with the caregivers’ wellness activities you have attended or you would like to try! CareStory wants to hear from you!

REFERENCES:
The Atlanta Journal-Constitution
Rise People
Walder Wellness

Morning administrators! Have you ever found that your colleagues don’t have enough motivation for their work and are less connected to each other, especially during the pandemic? Today, CareStory is going to provide some engagement strategies for your colleagues and caregivers:

Firstly, involve caregivers in decision-making!

As the administrator, your proposed changes will directly impact your caregivers, which may have positive or negative influences. So before you actually implement these changes, please, listen to your colleagues — What feedback do they have? Any better ideas? Give them a voice in how plans are implemented, and make them feel deeply involved! Trust me, they may surprise you with incredible suggestions!

Besides, ask for feedback and improvements!

Regularly send out surveys to your employees; anonymous ones are recommended. Find out what resources they need, what resources you don’t currently provide but would help them develop their competence and confidence, their motivation, and their job satisfaction. You can also schedule one-on-one interviews and connect with your team members. Sample questions can be:

What are your recent goals?
What is going well so far?
Any obstacles or challenges are you currently facing?
What else do you expect from the company?
How can I better support you?

Keep doing that and show that you really care about them!

Moreover, launch wellness and fitness programs and promote staff well-being!

We all know that caregivers are more likely to experience stress, and the admin staff should help them stay healthy and positive! For instance, providing information about mental health, hosting workshops and webinars on how to regulate negative emotions, offering meditation training, creating peer support groups, etc. But trust me, this will gradually build a positive work culture!

To fuel motivation, one of the most effective ways is to show caregivers they are supported by their CEOs, executive directors, and administrators. Let’s work together! So if you have thoughts or ideas of strategies that can keep caregivers engaged, feel free to share with CareStory below in the comment section!

REFERENCES:
https://www.celltrak.com/blog/10-ways-to-help-home-health-caregivers-feel-connected-as-an-agency-team
https://www.relias.com/blog/refuel-your-caregivers-with-these-engaging-strategies

“Never pick a fight with the ocean. The ocean will always win.”

Doug Hughes loved to cook; his dream was to be a chef in the Navy. When he turned 18, young Doug waited in line for what seemed like hours to apply to be a chef at the Navy Recruit Centre. But when he got to the front, he realized it was a line for deep-sea divers. Doug looked to his right and saw the line for chefs. It was even longer. So—this is the story of Doug Hughes, a deep-sea diver for over 35 years.

In 1971, Doug left Nova Scotia and moved to Toronto, starting work with the Toronto Bomb Squad Explosive Ordinance Disposal (EOD) and becoming a member of the Experimental Diving Unit. This is where he developed and worked with the hyperbaric chamber to provide treatments for gangrene and diving ailments such as decompression sickness, or in other words, the bends. Yes, he was, for lack of a better word, a guinea pig who voluntarily got the bends hundreds of times to ensure that the hyperbaric chamber provided adequate oxygen therapy treatment.

As the years went on, Doug felt that although he was friends with the sea, he wanted to be acquainted with the sky, too. He went in for a physical, one of the requirements before becoming a pilot, and they found a large tumor behind his heart. If it wasn’t for his physical, he would have been dead in six months. After open-heart surgery and three months of recovery, Doug was back at sea with a clean bill of health.

Back at sea

He returned to the Maritimes in 1975, and was coxswain of the HMCS Cormorant from 1981-1986. One day, while the McKay Bridge was being built, Doug and several other divers were using a large vacuum to remove boulders from the ocean floor. Tragically, before his own eyes, one of his friends got caught in the current and was killed after the strength of the vacuum disfigured and dismantled his body. From then, also battling extensive arthritis, he became chief instructor at the Fleet Diving Unit training school and remained in the FDU(A) until his retirement.

Doug spent his remaining years with his wife Vi on a lake in Lower Sackville, Nova Scotia where they raised their five children. Water, as he said, a friend and foe, surrounded him always.

Leaving you with his favorite saying;

“See you on the bottom!”

We are in the caregiving industry, and we know that, at times, negative emotions and feelings can surround us. Burnout, depression, and anxiety—yes, we are experiencing them. When does it end? It’s always a good idea to make hay while the sun shines. Start promoting mental health today and prevent long-term mental illness, with a few small changes.

Do some self-care activities every day!

Lots of people only have self-care activities during weekends. For example, going to the spa, getting a massage, acupuncture, etc. These activities often consume a whole day and sometimes even cost half a paycheck. However, it’s better to actually have daily self-care activities instead of waiting for a day off to “treat yourself.” You can take a 5-minute daily meditation, you can have a daily 15-20 minute video call with your close friends, you can read books and take bubble baths, etc. You can also do any activity you really enjoy! Give yourself at least a few minutes every day to regulate emotions and revel in something restorative :)!

Commit to healthy eating habits!

An article published at Harvard Health Publishing mentioned that eating high-quality foods that contain lots of vitamins, minerals and antioxidants can protect our brains from oxidative stress. We understand that sometimes you are too busy to prepare a healthy meal from scratch for yourself and consume junk food. Try meal-prepping! You can cook several healthy meals with fresh veggies, whole grains and lean protein and store them in your refrigerator. So next time you’re in a pinch, you can just take out a meal, microwave it, and off you go!

Take breaks when you’re exhausted!

Breaks are crucial to preventing burnout. We know that when you’re so busy working on your tasks, stepping outside for a fifteen-minute break and getting some fresh air seems impossible, but you have to do it! Trust us, you need to release your accrued tension when you feel too overwhelmed since breaks can help you become more focused and energized. But if you continue to work when you are exhausted, you will only become less efficient, and that will take you even longer to finish your tasks. If you work with your team, please ensure that everyone can take breaks every 3-4 hours. Cover for each other while they’re on break.

Ignoring your stress is the least effective way to cope with your health issues! Let’s face mental health issues proactively together! Take our advice—we care about you a lot, and we want you to care about yourself as well!

REFERENCES:
RNnetwork
Gebaur Company
Harvard Health Publishing

The New Normal

Since the pandemic, we have been relying more and more on technology, therefore changing our day-to-day routines. Change, while scary, can also be good, and as a result, be exactly what we need.

When introducing new technology into any long-term care community, certainly, there are going to be some challenges. On the other hand, once you get the hang of it, there is no going back. In many ways, incorporating technology in senior living has become the new normal. Let’s take a look at four popular trends we have seen in caregiving technology since early 2020.

Interactive Platforms

Firstly, let’s discuss Interactive Platforms.

As professionals in senior living, we collect a lot of data. This data can consist of seniors’ personal information, health records, medications, and physical examination reports, for instance. Interactive platforms store and organize data for you, and as a result, can improve care management efficiency!

Voice-Enabled Interfaces

Let’s move on to Voice-Enabled Interfaces.

“Hi, Siri!” “OK, Google!” Sound familiar? These devices can comprehend, interpret, and even anticipate our needs. Yes, we said anticipate. Creepy? Definitely. Convenient? Definitely. Seniors need the convenience of speech recognition technology just as much as we do. According to a report published by Orlov’s Aging and Health Technology Industry in 2019, speech recognition technology will continue to be be everywhere in senior living because voice-enabled interfaces help seniors and caregivers have a better understanding of the seniors’ health conditions.

Remote Monitoring/Telehealth

Next, let’s discuss Remote Monitoring and Telehealth.

As you know, it’s the remote work era. How many Zoom meetings have you attended wearing pyjama pants? The correct answer is “all of them”. Currently, Telehealth technologies can monitor and manage health records at a distance, so caregivers can not only provide diagnoses remotely. Furthermore, care staff can also quickly access resources and documents they need, such as video conferencing, virtual reality training programs, and online chatting and booking systems.

Assistive Technologies

Finally, let’s review Assistive Technologies.

Research at the National Academies of Sciences, Engineering, and Medicine mentioned that assistive technologies have a great effect on those involved in senior living, especially in the care of people with disabilities. This technology can support people with vision, hearing, and mobility limitations. Common devices include smart glasses, which provides navigation for people with vision impairments, and smart hearing devices, which adjusts the sound of the environment around the user.

Now What?

Have we missed any?

In short, technology is currently shaping our experiences of living, ageing, and caregiving, and consequently, will help to change the narrative and perception of long-term care. CareStory believes that senior living will continue to evolve with emerging technologies, and therefore update outdated policies and procedures.

REFERENCES:
https://academic.oup.com/gerontologist/article/60/Supplement_1/S41/5735605#198949062
https://betterhealthwhileaging.net/tools-for-caregivers-keeping-organizing-medical-information/
https://pubmed.ncbi.nlm.nih.gov/31107599/
http://www.seniorhelpers.ca/blog/new-technology-making-seniors-safer-at-home

Let’s Talk Mental Health

It’s time to put stigmas to bed and start the conversation on Mental Health. In particular, let’s talk about mental health challenges involved in caregiving. Feelings of isolation, panic, frustration, and depression, for example, are very common. If you’re feeling overwhelmed with your caregiving responsibilities, there is always help. Together, we are strong, so let’s take a look at some resources you can use when you need a little TLC for the mind.

Helplines

To start, if ever things get too heavy or too overwhelming, helplines are available 24/7, and can often specialize in exactly what you’re going through. For instance, The Ontario Caregiver Helpline is designed for caregivers in Ontario, where caregivers can find mental health support services and information for themselves and even the people they care caring for. Furthermore, The Ontario Caregiver Helpline can help refer other caregivers to the support they need. The service is free and confidential, therefore you are not asked to provide your name and can be as open and honest as you like. There are two ways to access the helpline. You can either call 1-833-416-2273 (CARE) where you will speak with Community Resource Specialists who are available 24/7, or you can use the Live Chat feature on https://home-c11.incontact.com/inContact/ChatClient/index.html. The chat is available Monday to Friday 7am-9pm EST.

Webinars

Next, webinars are a great way to educate yourself and also meet new people. If you want to deepen your understanding of caregiver roles, find more practical skills to manage negative emotions, and learn more effective methods to overcome them, for instance, you cannot miss the webinars put on by The Caregiving Association! The webinars are led by Nurse psychotherapists and Registered Social Workers. Check them out here:

Peer Support

Finally, perhaps one of the most important resources to over come mental health challenges, is peer support. Negative emotions, such as anxiety, depression and guilt, happens to caregivers all the time. As a result, you can always find someone who has walked a mile in your shoes, and understands what you are going through. We all face challenges in our caregiving journeys, therefore connecting with other caregivers and sharing feelings and experiences with other caregivers can relieve some of the stress. Some available peer support resources are listed below:

Ontario Caregiver Organization Online Caregiver Support Group https://www.eventbrite.ca/e/online-caregiver-support-group-tickets-100295998030
Young Caregivers Online Support Group https://www.eventbrite.ca/e/young-caregivers-online-support-group-tickets-101926424680

If you have any additional sources of support, please comment below! CareStory would love to share your voice!

REFERENCES:
https://ontariocaregiver.ca/resources-education/mental-health-resources/
https://ontariocaregiver.ca/peer-support/
https://ontariocaregiver.ca/resources-education/
https://ontariocaregiver.ca/resources-education/caregiver-resources/#caring-for-yourself

Good morning care staff! Did you get enough sleep last night? Did you eat a hearty breakfast? (No, coffee is not an adequate breakfast). We know that you have designed plenty of tailored care plans and activities for seniors, but what are yours? What are your self-care techniques?

The Facts

Research conducted by the Ontario Caregiver Organization mentioned that 77% of caregivers are dealing with challenges in their mental health, however, it’s difficult for them to find mental health support. As a result, 43% of caregivers are dealing with feelings of isolation and loneliness, which drastically increased during the pandemic. Now is the time to start taking better care of your body, soul, and mind, so we have some self-care tools you can check out to relieve some stress.

Mindfulness

First, let’s talk about the practise that seems to be one of the main focuses right now when it comes to self-care and self-awareness: mindfulness. Mindfulness can help individuals regulate negative emotions and build emotional strength, which is exactly what we need when we are taking care of others.

As an effective stress-management tool, studies at The Gerontologist, Journal of Consulting and Clinical Psychology show that mindfulness meditations can improve negative emotions experienced by caregivers all over the world. For instance, depression, stress, anxiety, isolation and sleep issues can all be improved with mindful practises.

Even if meditation isn’t your thing because you find your mind takes you too many places (yes, it is a skill), you can try simple things to get you started and self aware in the present moment. For example, have a look around and start naming everything you see, hear, and smell.

Thymus Thump

Next, let’s talk about the Thymus Thump. Have you heard of it? We haven’t up until recently. The best way to describe it would be to call it the happiness point. The happiness point can assist to release fear, neutralize negative energy, and relax mentally and physically. How? Well, simply tap the thymus point (under the collar bone, in front of the heart, behind the sternum) for about 30 seconds to receive new energy! Amazing right?

Acupuncture

Finally, let’s take a look at acupuncture. Acupuncture, is a traditional Chinese medicine practice. It inserts thin needles into specific points to stimulate nerves and muscles, which can seem daunting, but honestly, you can’t feel a thing. The pressure caused by the needles helps the body to balance and heal itself, and relieves stress, anxiety, depression and insomnia.

Have different self-care techniques? Please feel free to share your techniques with CareStory! Want to become better at caring for others? Start with caring for yourself first!

REFERENCES:
http://www.balancedhealthclinic.co.uk/articles/19-the-thymus-thump
https://ontariocaregiver.ca/about-oco/about-ontarios-caregivers/
https://ontariocaregiver.ca/wp-content/uploads/2020/12/OCO-Spotlight-report-English-Dec10.pdf
https://ontariocaregiver.ca/whats-your-self-care-plan/
https://vimeo.com/443464579

Briefing sessions. We all have them. Usually first thing in the morning. Of course, planning is an integral part of working in a long-term care community, but let’s add a little fun to your briefing sessions.

During your morning briefing sessions, staff has the opportunity to discuss issues, concerns, and expectations. Everyone can share and update information before starting the day. So, how can you make a briefing session more efficient, effective, and fun?

Are you on the edge of your seat yet? Good.

Let’s go through the CareStory approved checklist together:

Ice-Breaker! — We know time is of the essence in a long-term care community, but a quick ice-breaker will help to ground the team and get everyone focused. Maybe a quick movie recommendation or an opportunity to share a story.
Team Members and Their Roles — We have a lot of colleagues. Sometimes we are on the same team, sometimes we are not. We should always check in to see who is on the current team and what his/her specific role is.
Shared Goals — Always discuss what the team should achieve before working. All team members need to understand, agree with, and work on the same goals so that you can ensure that everyone’s contribution adds up to the maximum value!
Agreed Workload — Make sure all team members identify the tasks they need to achieve, their responsibilities for the day, and their hours of work (including shifts). Work Breakdown Structure Diagrams, Task sheets, and Gantt Charts are some great team management tools!
Team Building Exercises — End the meeting with a quick team-building exercise (for example, dance part or cheer) that gets everyone up and moving and brings high energy out on the floor.

Want to know more long-term care Teamwork and Communication tips? Keep following CareStory; we will not let you down!

REFERENCES:
https://www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
https://www.iadvanceseniorcare.com/12-steps-to-qapi-step-2-teamwork/

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