September 23rd marks not only the first day of fall but also Falls Prevention Awareness Day, a day dedicated to raising awareness of falls and how to prevent them.
While adults 65 and older are at an elevated risk for falls, these are not a natural part of aging and many falls can be prevented. It is especially important to prevent falls because they pose a significant threat to the health and independence of older adults, including causing serious injuries like a traumatic brain injury or hip fracture as well as being a major cause of unintentional death. Even if a fall does not cause an injury, it can trigger a fear of falling that can result in cutting down on everyday activities and becoming weaker.
The good news is that there are a lot of easy ways to prevent falls and cut down on the anxiety surrounding a fall. Joanie Bowes-Warren, Sr. Director of Quality and Care, notes that the first step to reduce falls is to “be proactive versus reactive.” Here are some tips on how to be proactive and reduce the chance of a fall.
Exercise for Balance and Fall Prevention
One easy way to prevent a fall is to improve balance. Balance exercises are easy to learn and practice at home and many are available on the Go4Life website. Practicing balance exercises not only helps reduce the possibility of a fall, it can also reduce anxiety by being proactive about any balance issues.
Another great option is to join or start a fall prevention program. These programs are dedicated to providing fall prevention information while also raising awareness.
Talk to Your Doctor
Doctors are a great resource to prevent falls. Bowes-Warren notes that “doctors and medical professionals should look over your medications regularly to make sure that they aren’t a contributing factor.” It’s important to pay particular attention to opioid painkillers, tranquilizers, antidepressants, and sedatives.
Doctors can also help by performing annual vision tests, checking for foot pain and proper footwear, and being a great source of knowledge on what other changes can prevent falls. If necessary, they can also assist in finding the correct walking aid.
Make Your Home Safe
Preventing falls in the home can be as easy as making sure that floor space is clear and rooms are well lit. A cluttered floor increases the possibility of tripping and falling, so be sure to clear the floor and arrange furniture so there is plenty of room for walking.
Railings and grab bars can ease movement up and down the stairs as well as making it easier to move in and out of a bathtub or shower. Good lighting makes navigation easier and is especially important on stairs and in hallways. Even when at home, it can be helpful to use a cane or walker to ensure stability. It is also important to put essential items where they are easy to reach since straining for something that is out of reach can easily tip one off balance.
Make Smart Choices
A number of falls can be prevented by taking the time to make smart choices. “Be cognizant that there are a lot of fall hazards and make sure to look at your surroundings and make sure that it is safe” says Bowes-Warren.
One of the easiest ways to prevent a fall is to take some time before standing to make sure that your feet are under you and that you are not light headed. Giving yourself the opportunity to make sure that you are ready before you stand up can both reduce anxiety and the likelihood of a fall.
If there are any tasks that require climbing a ladder or stepladder, ask for help. One resource is the Rotary Home Team, which schedules volunteers from local Rotary clubs to do minor home repairs such as changing lightbulbs, smoke alarm batteries, or other tasks.
Finally, be aware of how alcohol’s effect is different depending on age and steer away from drinking alcohol to excess.
As Bowes-Warren notes “you have to know yourself.” Being aware of personal abilities and limitations is crucial to making the right adjustments to prevent a fall. These steps are a great starting point but it is important to consider them in respect to your personal situation to decide what is relevant and will provide the most help.
Download a handout of tips and resources here.
Maintaining a healthy diet can be challenging, but Covia is making it easier for over 1,500 seniors each week across the Bay Area. Through the Market Day program, Covia Community Services provides 19 produce markets from Sonoma County to Monterey that provide seniors with fresh fruits and vegetables at wholesale prices. The markets, run primarily by senior volunteers, also offer a convivial gathering, often incorporating information, tastings and music.
Nearly 25,000 pounds of produce pass through the markets each year, 20% of it donated by local businesses and growers. More than just providing nutritious food at a reasonable price, these markets foster community by giving seniors a great reason to get together with friends. Volunteers and shoppers share conversation, enjoy coffee and pastries, and listen to music at locations ranging from senior housing communities (including Covia Affordable Communities) to senior centers and churches.
A new Market Day is opening on Thursday, May 23 at the Yu-Ai-Kai Japanese-American Community Senior Service Center, located in San Jose’s historic Japantown. The market will be open from 10:30 – 11:30 am, and will be hosted on the 4th Friday of each month.
Market Day is one of Covia’s fastest growing Community Services programs. Two new markets opened in 2018, one at Stevenson House in Palo Alto and one at the Walnut Creek Senior Center. Two more new sites are planned in 2019: Emerson Village in Pomona (the first Market Day site in Southern California), and Shires Memorial, which became a Covia Affordable Community in 2018. New sites are also being explored in Marin, Sonoma and Los Angeles counties.
In Marin, the Community Services team is piloting a program at Market Day in Novato, helping low-income seniors sign up for and use Cal Fresh, a benefit that helps stretch grocery dollars. Covia Community Services is exploring plans to expand this service to other locations.
Each Market Day is unique, operated by local volunteers and offering a variety of services or activities. Some offer recipes while highlighting the health benefits of certain vegetables. Others provide music from local musicians, seasonal produce tastings or an informal lunch.
Stoneman Village, an affordable senior housing community in Pittsburg, wanted to provide fresh produce to all its residents, including those who are homebound. All it took was a plan and Gail Kellough, an outstanding volunteer. Volunteers shop for and deliver bags of produce from Market Day to their neighbors who are unable to get out and shop on their own.
Says Colleen Chavez, Covia Market Day Program Director:“I never tire of seeing the positive effect of each Market Day: the joy of seniors coming together, helping one another, having access to such great produce, and being part of the community.”
This story was originally printed in Community Matters.
This is our second year hosting the Creative Aging Symposium, Power to Change. This online symposium is a place for us to gather around a really profound notion: that aging is a journey ripe with opportunities for creative exploration. This may seem radical. It’s contrary to society’s story that aging is all about loss, but this view of aging as creative growth has been an emerging thread for quite some time, and I’m so appreciative that it’s now reaching our collective conscious. I’ve never been so excited to become an older adult myself.
I recently read this quote in The Creative Age by Gene Cohen, whose work laid the foundation for the current movement that we call creative aging. “When we talk about creativity, I’m not referring simply to the paint on canvas type of artistic creativity, nor do I mean those visionary thinkers whose imaginative ideas and inventions have shaped or shaken civilizations. Creativity is built into our species, innate in every one of us, whether we are plumbers, professors, short order cooks or investment bankers. It is ours, whether we are career oriented or home centered. It is the flame that heats the human spirit and kindles our desires for inner growth and self-expression. Our creativity may emerge in many different ways, from the realm of art, science, politics, to the pursuit of an advanced college degree, a new hobby, or a public spirited community activism.”
So today, for the symposium, I invite you to think about your own creativity and how it relates to growing older. What is it about being older that puts you in a unique position for creative growth?
Click here to read the full transcript of the 2019 Creative Aging Symposium.
World Elder Abuse Awareness Day is June 15. The National Center on Elder Abuse created this information as a downloadable document.
Our communities are like buildings that support people’s wellbeing. Sturdy buildings ensure that people are safe and thriving at every age. We all have a part to play in this construction project. Here are 12 things everyone can do to build community supports and prevent elder abuse.
- Learn the signs of elder abuse and neglect and how we can collectively solve the issue.
- Talk to friends and family members about how we can all age well and reduce abuse with programs and services like improved law enforcement, community centers, and public transportation.
- Prevent isolation. Call or visit our older loved ones and ask how they are doing regularly.
- Send a letter to a local paper, radio or TV station suggesting that they cover World Elder Abuse Awareness Day (June 15) or Grandparents Day in September.
- Join Ageless Alliance, an organization that connects people of all ages, nationwide, who stand united for the dignity of older people and for the elimination of elder abuse. Visit agelessalliance.org.
- Provide respite breaks for caregivers.
- Encourage our bank managers to train tellers on how to detect elder financial abuse.
- Ask our doctors to ask all older patients about possible family violence in their lives.
- Contact a local Adult Protective Services or Long-Term Care Ombudsman to learn how to support their work helping older people and adults with disabilities who may be more at-risk.
- Organize an “Aging with Dignity” essay or poster contest in a local school.
- Ask religious congregation leaders to give a talk about elder abuse at a service or to put a message about elder abuse in the bulletin.
- Volunteer to be a friendly visitor to a nursing home resident or to a homebound older person in our communities.
It is up to all of us to prevent and address elder abuse! For more information on elder abuse prevention, please visit ncea.acl.gov.
May 30, 2018 marked the 25th anniversary of National Senior Health and Fitness Day, which is observed annually on the last Wednesday in May. We interviewed Esteban Sahade, Wellness Coordinator for St. Paul’s Towers, for his insights on senior health and fitness.
How did you get involved in senior health and fitness?
When I was in grad school I took an internship to work in health and fitness with seniors. It was an opportunity to learn something I was little familiar with. As I started I discovered a new, fascinating world. I felt that all my previous training, experience and even my personality came together and preparing me for that. Soon afterwards I knew it was what I wanted to do from that moment on.
What (if anything) is different about senior health and fitness from being a fitness trainer for other populations?
From a fitness perspective I think it’s a most rewarding experience. You can positively impact so many lives. With a relatively small investment of time and energy you can see fast and profound functional changes. You’re directly helping them improving their quality of life, independence, and dignity. Besides that, older adults recognize and are grateful for any effort, little or big, in helping them improve, and the time you put into it.
What do you think would surprise people about senior fitness?
One thing that surprises many people is to know that the rate of improvement in some fitness components, like muscular strength, is similar for people in their 90s and people in their 20s. There are challenges, but with good care, the right stimulus, and in the absence of disease and injuries/accidents, the aging human body is capable of outstanding physical achievements, as shown by the performance of senior athletes who train and compete in many sports and age categories, including 100+.
What do you recommend for someone who wants to stay fit and healthy as a senior?
Find activities you like and enjoy. Exercise is not really necessary if you have a diverse physically active lifestyle. The movement involved in regular activities such as grocery shopping, gardening, domestic chores, visiting friends or family, playing with your grandchildren, walking your dog, dancing, travelling, etc., may be all the stimulus your body needs to stay fit and healthy. Add movement throughout your day; for example, stand more times, walk more when you have the opportunity (or create some), and use the stairs if you can.
Why is it important to recognize senior health and fitness?
Because it’s not about exercise, it’s about life and dignity. Failing to recognize its importance creates a negative social conditioning. Even if times have changed, many people, including family members, still think that their elders are too old or too frail to move or to exercise. This results in lost opportunities and motivation for seniors to get more fit and be healthier, creating an environment that leads them to an accelerated decline and functional loss.
What have you learned from working with seniors on health and fitness?
It doesn’t matter how active (or little active) you’ve been all your life. It’s never too late to start moving more, or different, and increase your body functional capacity which will result in positive changes in your life, improved wellbeing (not only physical, but also psychological, emotional, and even social), and better quality of life.
It’s easy to see the communities that Covia creates through its housing. What’s less known is the community created through its services. Covia provides Resident Service Coordination to 21 senior affordable housing communities throughout California, a service that’s largely invisible despite its impact on people’s lives.
Service coordination is about connecting residents with the public benefits, services and programs that can improve their lives and makes it more likely they will be able to stay longer in their homes.
“A lot of seniors have a lack of resources so we bring them community resources. We play the role of a bridge, connecting our seniors to local community resources,” says Bonnie Chang, Resident Services Coordinator for Lytton Gardens in Palo Alto. These can range from help with insurance or other paperwork to finding a way to pay for an electric scooter to registering residents with a local PACE [Programs of All-Inclusive Care for the Elderly], and much more.
Service Coordinators are also on-site resident advocates, says Ericka Battaglia, Lead Resident Services Coordinator at Good Shepherd Homes in Inglewood. “When I say advocate, I mean we support them through whatever they’re going through whether it’s physical, emotional, psychological, or spiritual. If we see a resident is not doing well, we provide resources for them so that they’re able to get better and age in place successfully.”
Katherine Smith, Senior Director of Social Services, explains that one of the most important things RSCs do is provide wellness education programs on site. Giving residents information on managing chronic diseases such as diabetes or high blood pressure, or providing fall prevention programs makes it more likely that residents will be able to live at home as long as possible, and prevent the need for invasive and costly medical interventions.
Service Coordinators come from a range of backgrounds, though many have degrees in gerontology and social work; most have Masters Degrees. Most of the Covia RSCs are bilingual or trilingual; among them, they can offer services in Korean, Spanish, Mandarin, Cantonese, and ASL and help to bridge the gap between cultural and language barriers.
The advanced degrees in social work also help Service Coordinators speak the same language as community service providers, says Battaglia. “If you’re finding a resource for behavioral health, the process moves a lot swifter if you speak the same professional language.”
Battaglia explains that she works as a liaison between building managers and residents. While the property manager’s job is to maintain the facility and fulfill HUD guidelines, the RSC’s job is to see that the resident is doing well. “For instance,” she says, “my property manager will come to me and say, ‘We have a resident that is not going to pass this inspection because they’re hoarding.’ “Instead of just going to residents with paperwork, notices and warnings, I can go and say, ‘Let’s figure this out together.’” It’s a win-win situation.
Residents win when they receive the services they need. Mary Avina, Resident Service Coordinator at Jennings Court in Santa Rosa, tells the story of a resident who needed significant dental work but couldn’t afford it. “He also desperately needed other medical procedures, but due to the infection in his mouth, he wasn’t able to get the other medical procedures done,” Avina explains. “So I assisted him in find the resources to be able to finance his most needed dental work to be done, and he was able to get that done and then able to get the medical procedure that he desperately needed. He’s very happy now and doing a lot better.”
“A lot of these seniors are – you know, they’re new to aging,” says Battaglia. “We’re trained to make sure their living experience isn’t another hassle for them, isn’t another barrier they have to overcome. We chose this because this is what we love to do, and this is the population that we want to serve.”
The following is a summary of the workshop presented at the Aging in America conference by Amber Carroll and Katie Wade. Amber Carroll is Director and Katie Wade is Associate Director of Well Connected (formerly known as Senior Center Without Walls).
Setting the stage for their presentation, Well Connected Associate Director Katie Wade asked workshop participants to close their eyes and imagine someone they have a strong connection with. Around the room, she saw faces light up as people reflected on the warmth and happiness that comes from those relationships.
This simple exercise illustrated the importance of connection in people’s lives that Katie Wade and Director Amber Carroll have both seen in their work with Well Connected (formerly known as Senior Center Without Walls). “This week, would it be an exaggeration to say that you’ve heard the word ‘loneliness’ and ‘social isolation’ like a billion times?” Carroll noted. “Loneliness and social isolation have been going on since the beginning of time, but folks are starting to talk about it.”
Studies have only recently begun to calculate the health impact of loneliness and social isolation. Some studies have found that loneliness has the same negative effect on health as smoking 15 cigarettes or drinking 6 alcoholic beverages a day. Wade points out, “When I go to my yearly physical, I’m asked to fill out something about how often I drink or if I’ve ever been a smoker. But very rarely am I asked if I’m feeling lonely or if I’m feeling connected. But we know it has the same physical impact.”
Carroll notes, “This is why everyone is talking about it now. We’re seeing these real health connections to loneliness, and realizing that loneliness costs buckets of money.”
Well Connected addresses the issue of loneliness through the mutual support and reciprocal relationships provided by participants, many of whom also become group facilitators. Rather than trying to fix the problem for others, Well Connected emphasizes that participants are able to help one another. “The model of giving and receiving is what makes our program unique,” says Wade.
As an example, Wade spoke of Lynnie, whose photo is featured above. Lynnie has been a participant and facilitator for Well Connected for over a decade, facilitating at least 100 groups. After Lynnie’s recent diagnosis, she decided to facilitate a group called “Living Through Dying” for the upcoming Well Connected session, which begins April 9.
As a phone based program, Well Connected also is very accessible for people with vision loss. Along with large-print catalogs, information is available in braille and in audio form. This year, Well Connected is hosting the second National Conversation on Aging and Vision Loss, presented by the American Foundation for the Blind, on May 4th.
Well Connected helps break down barriers and bring together diverse populations. Carroll explains, “There can be somebody who’s in their SRO in the Tenderloin here in San Francisco participating with someone in New York who’s in their penthouse Central Park home, connecting around a central interest in a topic. You just don’t see that in a senior center that’s geographically bound in a particular neighborhood.”
Wade adds, “When I came to the program, it really challenged some of the biases that I had. For example, I knew Gloria, a participant, maybe for three months on the phone before she mentioned she was in a wheelchair. I had pictured her as this 20-year-old blonde. It really challenged the stereotypes that I hold.”
Unlike many other senior programs or communities, Well Connected groups take place seven days a week, giving seniors activities to participate in over the weekend. One of its long-running groups, Gratitude, has just celebrated its 10th anniversary, meeting every day at 9:00 am and expanding to a second group at noon. Wade shares, “We have developed a culture of gratitude in part because we do this every day, twice a day, seven days a week.”
“This has been an amazing job,” Wade adds. “I often think, ‘Am I getting to do this and being paid for this?’ To join the calls, to work with the volunteers, to plan the programs. But also, I don’t think a day goes by where we don’t get a positive report from someone saying, ‘Here’s how this has impacted me.’ And some of the ones that really stick with me are people who were feeling pretty serious depression and thoughts of suicide when they came to us. We’re not here as a therapeutic intervention but we know that social connection does address those issues. We’ve had people say, ‘I’d do anything for Well Connected because this program saved my life.’”
To download the most recent Well Connected catalog, click here. To register for the Spring session, which runs from April 9-July 8, call Well Connected at 877-797-7299. You can also visit their page on the Covia site.
Welcome to our blog. We know that company blogs are everywhere, and some may think them passé, but we are excited to get started.
We wanted a place to share information about the programs, activities, resources, and events we have to offer. We wanted a place to share the wisdom of so many people who work, live, and volunteer with us. And we wanted a place where we could comment on the areas that impact seniors wherever they live.
This space will provide a channel to express in the moment on what’s important to us, to reflect on our history and heritage, and to look forward to the good things we believe are to come.
We hope you’ll join in and that this blog will give you resources you can use as you navigate your own path into healthy and successful aging.