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Posts Tagged ‘nursing home’

Photo: Cycling Without Age.

Thinking a lot about ageing these days. For one thing, hiding from Covid all the time makes me feel old, and then there are the inevitable health issues.

How does anyone make a plan? There is no way to predict exactly what will happen next. So far my husband and I do everything we always did, but I have felt a need to start looking at “Places,” to use the word of humorist Roz Chast.

Some Places boast activities that look interesting. Today’s story is about an activity that would make a good addition.

Jessica Coulon reports at Bicycling magazine on a clever nonprofit initiative. “Ole Kassow, of Copenhagen, Denmark, was riding his bike to work one morning in 2012 when he noticed an old, disabled man sitting on a bench outside a local nursing home. The man reminded him of his father, who uses a wheelchair.

“Knowing the challenges that come with limited mobility in old age, and thinking about how deeply ingrained bicycling is in Copenhagen culture, a thought occurred to him: The man likely hadn’t ridden a bike in a long time and, Kassow thought, he probably missed it.

‘I couldn’t get that thought out of my head, that I needed to get this man back on a bike,’ Kassow told Bicycling.

“Kassow acted on his idea the very next day by renting a rickshaw and offering rides to seniors at the retirement home. He ended up piloting a woman, who began telling him stories about living in Copenhagen as they rode around. When they returned, the facility’s staff were amazed at the woman’s energizing reaction to the ride.

“These volunteer rides grew into what is now the nonprofit Cycling Without Age. The organization partners with nursing homes and senior care facilities around the world to offer bike rides to the people who live there. Volunteers who sign up can pilot rickshaws, also known as trishaws, which can carry up to two passengers. There are also bikes that can accommodate wheelchairs.

“The primary goal of the program is to improve the lives of seniors by getting them outside and back into the community and bringing them joy through riding a bike. According to Kassow, the program gives its participants a greater ‘sense of belonging.’ It’s also a way for the younger generations who volunteer to connect with and learn from older generations.

“ ‘It quickly became something that the other care homes wanted to do in Copenhagen,’ Pernille Bussone, the global community captain for Cycling Without Age, told Bicycling. From there the program began to spread into neighboring countries, like Sweden and Norway. Now, the organization boasts chapters in more than 45 countries. …

“Their evidence of this was anecdotal at first. But after conducting an impact study in their Singapore chapter, they discovered that these rides have the potential to improve participants’ reported mood and outlook on life by up to 80 percent.

“While the shorter, one-day outings are perhaps the most common type of ride that volunteers offer, some of their volunteers have gotten creative. One chapter in Sweden, for example, began offering ice-fishing trips using the trishaws. …

“They’ve also introduced bike touring in certain chapters, which consist of three or four day outings in large groups, that include family members of the elderly passengers and staff from their nursing homes. They stay at hotels and often have picnics outside. Some of the bike tours have had more than 100 people take part. …

“The organization is now gaining ground in the U.S. where there are currently 418 chapters. ‘I’ve personally witnessed the joy and effects getting seniors back outside brings to their quality of life,’ Shelly Sabourin told Bicycling. Sabourin was the director of nursing at a care facility in Madison, Wisconsin, when she found out about the program in 2016.”

Andrea Morris at CBN News has more.

” ‘I see CWA as a catalyst for better lives by helping socially isolated elders and people with limited mobility gain access to their local communities,’ Kassow told CBN News. ‘We all know that exercise and fresh air is good for us, but not many people know that happiness and longevity are mainly the result of both a few close relationships and access to interact with several people in our daily lives. I see Cycling Without Age play(ing) a key role in making relationships a human right for all elders in all societies.’ “

More at Bicycling, here, and at CBN News, here. No firewalls. And be sure to check out the organization’s website, here.

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Photo: Dmitry Kostyukov for the New York Times.
The cast of “Cabaret Under the Balconies,” kept away from their theater by Covid-19, performs at a safe distance for nursing home residents in France.

What hath Zoom wrought? Despite its glitches, Zoom has solved a lot of problems in the coronavirus era and has even introduced new ideas for future activities. Yesterday, for example, one brother and I watched another brother give a lecture on immunology research to a conference — a thing we could never before have imagined doing. Although we hardly understood a word, we both found the experience of watching our kid brother explain obscure transformations of molecules — and gracefully answer all sorts of technical questions — completely delightful.

In today’s story, a theater group in France tapped Zoom to conduct remote rehearsals before performing in front of a live audience.

Laura Cappelle reports at the New York Times, “When circumstances close theaters’ doors, you can count on some performers to find a window to open. Last week in [a] city in eastern France, the residents and staff of a nursing home watched from a safe distance — some from windows and balconies — as five actors appeared in the building’s courtyard in front of a makeshift red curtain. ‘It feels like it’s been such a long time,’ they sang, in a cover of Joe Dassin’s wistful chanson ‘Salut.’ ‘Far from home, I’ve been thinking about you.’

“ ‘Cabaret Under the Balconies’ [was] the first professional theater performance in France since lockdown was imposed on March 17. …

“The relief of the cast was palpable as they performed at the facility, the Ehpad Bois de Menuse. … The 45-minute show was designed to respect social distancing among the cast members as well as between them and the audience, Bréban explained in an introduction.

“Except for one real-life couple, who were allowed to kiss, none of the performers touched. … Bréban, who also performed in the show, capitalized on the actors’ individual strengths, from Antonin Maurel’s clownish energy to Cléo Sénia’s burlesque background.

“Their approach appeared to resonate with the audience, limited to 40 people. (The show was performed twice so that most of the 90 residents could see it.) Many of them were in wheelchairs, yet could be seen nodding or tapping their feet to the beat. In the courtyard, one woman got up, swung her arms and danced with a masked worker from the home. Another teared up as Léa Lopez, a young performer with a lush voice, sang ‘Somewhere Over the Rainbow.’

“Valérie Gonthier, a nursing assistant who stayed by the woman’s side as she cried, said in an interview afterward that music often stirred up emotions for residents who experienced memory loss. The Ehpad has a choir, but French nursing homes don’t typically have the funds to bring in professional performances; Gonthier couldn’t remember anything like last week’s show in the 26 years she has been with the institution. …

“Nicolas Royer, the theater’s director since January, said he disagreed with many French arts administrators who had interpreted government regulations to mean that performances were impossible. He didn’t furlough any employees, instead asking the costume department to make surgical-style masks, welcoming doctors from a nearby hospital in the theater’s guest apartments and hosting training sessions for city workers dealing with the crisis.

“In April, Royer got a call from Bréban, an experienced actress and emerging director who was going stir crazy in her Paris home: She told Royer she was down for anything he dreamed up. …

“The cast of ‘Cabaret Under the Balconies’ rehearsed over Zoom for seven days and, after the relaxing of lockdown in France in May, met in Chalon-sur-Saône for one week of in-person rehearsals — with strict rules. Bréban booked cast members with no health conditions. Daily temperature checks and frequent use of sanitizing gel were mandated, and everyone was offered a coronavirus test.

“By far the most onerous directive for the performers was to maintain a distance from one another of roughly one meter at all times. … ‘We were confident that we were within labor regulations, with an audience that was already confined and highly protected,’ Royer said. …

“The last time I went to the theater, two and a half months ago, Isabelle Huppert headlined Ivo van Hove’s staging of ‘The Glass Menagerie.’ For all the star appeal of that night at the Théâtre de l’Odéon, ‘Cabaret Under the Balconies’ was the more memorable event — a sincere attempt to go back to basics, in the right place, at the right time.”

More at the New York Times, here.

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According to Josh Planos at the Atlantic, the forward-looking Dutch are at it again. Not only are they on the cutting edge in matters such as energy use and floating forests, they have anticipated the increase in Alzheimer’s diagnoses, creating a village where patients can feel normal.

“The isolated village of Hogewey lies on the outskirts of Amsterdam in the small town of Wheesp. Dubbed ‘Dementia Village’ by CNN, Hogewey is a cutting-edge elderly-care facility — roughly the size of 10 football fields — where residents are given the chance to live seemingly normal lives.

“With only 152 inhabitants, it’s run like a more benevolent version of The Truman Show, if The Truman Show were about dementia and Alzheimer’s patients. Like most small villages, it has its own town square, theater, garden, and post office. Unlike typical villages, however, this one has cameras monitoring residents every hour of every day, caretakers posing in street clothes, and only one door in and out of town, all part of a security system designed to keep the community safe. Friends and family are encouraged to visit. Some come every day.

“Last year, CNN reported that residents at Hogewey require fewer medications, eat better, live longer, and appear more joyful than those in standard elderly-care facilities. …

“Residents are only admitted if they’re categorized as having ‘severe cases of dementia or Alzheimer’s disease.’ Vacancies are rare, given that a spot only opens when a current resident passes away, and the village has operated virtually at full capacity since it opened in 2009.

“Hogewey was primarily funded by the Dutch government and cost slightly more than $25 million to build. The cost of care is nearly $8,000 per month, but the Dutch government subsidizes the residents—all of whom receive private rooms—to varying degrees; the amount each family pays is based on income, but never exceeds $3,600.”

More at the Atlantic.

Where did I just hear about someone with Alzheimer’s? Oh, right. A detective series on TV. So moving. Boy, I hope that detective’s daughter knows about this village.

Photo: Gabriel Rocha/Flickr

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Kathy was telling me on the commuter train about an article on Littleton’s Life Care Center, which uses llamas and other critters to engage the residents.

I said, “Send me a link!”

Today I received the article in the Lowell Sun. Samantha Allen writes, “At the Life Care Center of Nashoba Valley, it’s not uncommon to see patients asleep in their wheelchairs by the saltwater-fish tank, or out for a stroll around a pasture filled with grass-grazing animals like goats and llamas.

“Director Ellen Levinson said while the merits of ‘pet therapy’ have been adopted and used at various skilled nursing facilities across the country, it’s rare to find chickens and alpacas at a site.

“At the 120-bed nursing home, which houses a specialized memory-support unit for those with severe dementia and other conditions that affect the memory, staff members make time to ensure their patients interact with the animals whenever possible.

” ‘This is my philosophy: A lot of places say, “We have pet therapy,” and what they have is someone who brings a dog in on a leash once a week,’ she said. ‘If I were living here, that would make me more miserable. It’s not like real life. It’s not like having a dog, and then you’re just tempted with what you could have all the time.’ …

“This spring, the Life Care Center of Nashoba Valley was awarded a perfect score by the [Massachusetts] Department of Public Health in a survey of nursing homes and senior-care providers.” According to Kathy, the Center is also friendly to outsiders, welcoming the public in for the llama shearing and other events.

Read more about the approach Levinson devised, here.

Photo: Life Care Center of Nashoba Valley 

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Being in the aging-happily business, Erik is always on the lookout for stories about how seniors are putting their own stamp on their later years, after they have given up skydiving.

He sent me an article about a gentleman called Martin Bayne, who has become a bit of an expert on assisted living, having tried one facility that literally drove him crazy and having eventually found one he loves.

Writes Judith Graham in the NY Times, “Sometimes Martin Bayne speaks in little more than a whisper, like many people with advanced Parkinson’s disease. But his voice has a way of carrying.

“Many consider him the nation’s foremost advocate for people in assisted living. … Dr. William Thomas, a geriatrician and nursing home reformer, wrote in an e-mail, ‘He has been able to do what very few others have done — he has told the story of life on the inside of long-term care.’

After his first assisted-living experience, says Graham, “Mr. Bayne relocated to a facility in northeastern Pennsylvania, where he has a single room and receives several hours of help from aides every day. From this perch, Mr. Bayne blogs about assisted living at thevoiceofagingboomers.com  …

Bayne tells Graham how critical he believes it is to reach out to the others around you when they feel down, “Sometimes just a hand on someone’s shoulder is all it takes. Sometimes picking up a fork that someone drops in the dining room on the floor. Sometimes, just sitting with someone. Trying to make people more comfortable. The simplest things in the world can lead to what I call incremental victories. That’s what I go for in my life.

“I sneak in touches whenever I can. I call them sneak attacks. I just go over and touch someone’s hand or some other part of them. Men are in need of it the most. Men are never touched, at least in this culture.”

Graham asks Bayne how he would run his dream facility, and he says, “First of all, when a prospective resident came to visit, I would have him sit down with 10 other residents. And we would ask, ‘What’s your passion? What motivates you? What’s your mission in life?’ If you don’t have an answer to those questions, then we don’t accept you. Because we want a community that is alive.

“There would be a welcoming committee for every new resident. You’d be taken around and treated like royalty when you first come in. We’d show you that we care about you.

“Once you’re here, you’d get a job. No matter how seemingly insignificant, you’d have responsibilities every day. And the emphasis wouldn’t be on you, the emphasis would be on the community.” More.

Some of the article is sad, but the idea that you can keep making things work for you — over a longer period of time than you may have thought —  is something to ponder.

“Dear Sir,” below, is the first art collaboration of Rhian and Ray Ferrer. Please visit Rhian’s WordPress blog for lots more art, http://artgland.wordpress.com.

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There was a nice article in the NY Times last week about people aging in place and inadvertently creating a retirement community. My husband sent me the link.

“When the co-op conversion wave began in New York City in the 1960s,” writes Constance Rosenblum, “singles and young married couples flocked to the Upper West Side hoping to get a piece of the action. Some of those people, now in their 70s, are still there, cemented in place by apartments bought for a song or equally treasured rent-stabilized units.

“As the neighborhood’s population has grayed, some apartment houses have morphed into what social scientists call NORCs — naturally occurring retirement communities. The most recent census estimates indicate that 22 percent of Upper West Siders, or 46,000 people, are 60 or older, compared with the citywide average of 17 percent. Attracted by convenient shopping, abundant mass transit and a wealth of cultural activities, many older residents hope to remain in their apartments the rest of their lives.”

I am a huge fan of walkable communities for people of any age, and I have often wondered why retirement communities are built in the middle of nowhere. Cost of land, I suppose. But if I couldn’t walk (or wheel myself) to shops, public transportation, the library, and so on, I would be very unhappy.

Perhaps it is the generation now nearing retirement that will make so-called Smart Growth a reality at last — simply because they don’t want to be out in the middle of nowhere.

More from the Times.

Photograph: Marcus Yam for The New York Times
The walking group of Bloomingdale Aging in Place doesn’t let snow interfere with a constitutional in Central Park.

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I blogged here about the late Jane Scott, who was still reviewing rock bands into her 80s. Today I thought I might write on a couple mature gals in wheelchairs who write a political blog on WordPress. Unfortunately, their language is too salty for a blog associated with Luna & Stella. So I’m going to tell you about a jazz musician who, having been rediscovered in his 80s in a nursing home, and is back in the business.

As Dan Barry writes in the NY Times, “For years, the donated piano sat upright and unused in a corner of the nursing home’s cafeteria. Now and then someone would wheel or wobble over to pound out broken notes on the broken keys, but those out-of-tune interludes were rare. … Then came a new resident, a musician in his 80s with a touch of forgetfulness named Boyd Lee Dunlop, and he could play a little. Actually, he could play a lot, his bony fingers dancing the mad dance of improvised jazz in a way that evoked a long life’s all. …

“And so Mr. Dunlop would have remained, summoning transcendence from a damaged piano in the Delaware Nursing and Rehabilitation Center, his audience a couple of administrators, a few nurses and many patients beset with dementia, loneliness and age — were it not for a chance encounter … .

“In the spring of 2010, a freelance photographer named Brendan Bannon arrived to discuss an art project with nursing home administrators — and Mr. Dunlop greeted him at the door. … A bond quickly developed, and before long Mr. Dunlop invited his new friend to hear him play what he referred to as “that thing they call a piano.” Mr. Bannon, who knows his Mingus from his Monk, could not believe the distinctive, vital music emanating from a tapped-out piano missing a few keys.

“ ‘He was a beautiful player,’ Mr. Bannon says. ‘He was making it work even though it was out of tune.’ ” Read the whole story.

I told my kids that I used to hope I’d make a splash before I was 40. Then before I was 50. Now I’m thinking 90 is more realistic.

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