To observe National Assisted Living Week, Laura Darling, Senior Director of Communications, talked to some of our staff to explain more about this misunderstood part of community life.
LD: What do you wish people knew about Assisted Living?
Barb Fischer, Director of Resident Health Services, St. Paul’s Towers: Many people think that Assisted Living refers to a nursing home. I want people to realize that Assisted Living communities are just like Independent Living communities, except assistance of different levels can be provided in their apartment and staff are available 24/7.
Lucy L. Ascalon, RN, Assistant Director of Resident Health Services & Assisted Living Manager, San Francisco Towers: I wish people knew more about Assisted Living, how we take care of people and what other services we provide as a whole.
Charmaine Verador, Director of Resident Health Services, Los Gatos Meadows: One question that always comes up is “Do I have to share a room?” Our assisted living residents, just like independent living residents have their own apartments that they enjoy privately.
Our assisted living residents mingle and socialize with independent living residents because really, there is not much difference. They have the same apartment settings, go to the same dining room and activities as they can tolerate. Residents in assisted living are only getting assistance so that they can continue with their daily lives.
In Assisted Living we do not take over everything. We personalize our care according to what they need. For example if the resident is still able to shower but will need medication management, then we encourage their independence on the shower task and assist with their medications.
LD: My sense is a lot of people are afraid of moving from Independent Living to Assisted Living. What would you like people who feel that way to know about Assisted Living?
Barb Fischer: This is totally true! I always joke about our independent living residents hiding when they see me coming down the hall as they are fearful I want to move them. I really don’t have that desire at all! I want the residents to stay in their apartments as long as possible and have help there if they need it. That is the great thing about the whole community being licensed, which allows residents to receive care or assistance in their Independent Living apartment just like Assisted Living. It gives us the ability to provide assistance in their apartment for longer periods of time.
Lucy L. Ascalon: I think the reason basically that they are afraid of moving to Assisted Living is that they believe they will give up being independent. But I would like the residents to know that we also can extend their being independent by assisting them and keeping them safe and sound, by having somebody 24/7 that checks with them all shift.
Charmaine Verador: Residents feel like they are losing their independence when they move to Assisted Living. But when a resident needs assistance, it is because they have a hard time safely completing some but not all of their activities of daily living. Most of the time, it takes all their energy and effort to accomplish one task that in the end they are no longer able to do anything else for the day because they are too tired. For example, I have a resident that took 2 hour showers because he had a hard time reaching over, getting in and out of the shower, and picking his clothes from the closet. When he moved to Assisted Living, it seems that he had more energy walking to the dining room for meals, and he gets his shower done faster and more efficiently. He is able to go to activities and has thrived well in Assisted Living – better than when he was in Independent Living. He now also appears worry free and is enjoying more activities.
LD: How do you support people who make the move from Independent Living to Assisted Living?
Barb Fischer: In the event the move to Assisted Living is necessary, we always look at the pros and what the benefits are to living on a floor with staffing 24 hours a day. Sometimes it makes more sense for the resident to reside in an Assisted Living apartment based on their needs.
Lucy L. Ascalon: We give them our 100% support in any way we can.
Charmaine Verador: Although it is not required by licensing, we have a nurse 24 hours that checks on the residents when needed. Once they move to Assisted Living, the nurse would visit them more frequently in the beginning just to make sure that their needs are met and that they are settling well. I also visit them during the first day or first few days to see how they settled in.
We have continuity of care meeting every week and we talk about the care of the resident that has just moved to Assisted Living (i.e. are they adjusting well, etc.). During monthly meetings, the staff contribute their feedback and observation about new resident in Assisted Living and we come up with an action plan if there is a need. If needed, we follow up with a care conference. We also check in with the family and see if there is anything else we can do.
LD: What else would you like to share about your work or about Assisted Living in your community?
Barb Fischer: I believe the key to creating a happy assisted living community is letting the residents be involved in their care, keep them as independent as we can for as long as possible, and consistent communication with families. For the families, it’s all about the details. As long as we get the details right and our resident feels safe and secure, we are good!
Lucy L. Ascalon: For me I love what I do, I love serving people and I feel productive every day knowing that I am able to help the staff and the residents.
Originally published in Community News, San Francisco Towers’ resident newsletter.
Part of the charm of San Francisco Towers are the exquisite floral displays in the public areas of the building, created by the Flower Committee.
Of its thirty members, the Flower Committee has four members (plus a weekly flower carrier) who specialize in purchasing and arranging the flowers: Joan Tayler, Marilyn Jacobson, Sophie Lee, and Fukan Yen.
Joan and Marilyn spend Thursday mornings at the San Francisco Flower Mart, which was founded by Japanese flower-grower immigrants around the turn of the century. It is one of the oldest and most successful Japanese-American corporations in the U.S. There are more than 60 vendors using Mart space. The flowers used to be strictly local but now include imports from as far away as Israel.
The Flower Committee shoppers wander down the aisles of flowers displayed in giant buckets, fishing out a stem that looks interesting: a branch with berries, a particularly beautiful rose, or some palm leaves that would make a good background. Usually five or six stems are tied together and priced as a group, anywhere from $6.50 to over $32.
Joan and Marilyn base their selections on what will go well with what is still usable from the previous week, and any upcoming holiday. Independence Day next month? Their choices will be red, white, and blue. The total Towers bill can be as much as $150, which the Towers staff will later pay.
A grocery cart in the garage awaits the returning buyers. It is loaded with the bunches and taken to Craft Room 3, where Fukan and Sophie unwrap the flowers. They set aside the pieces they want for the arrangements that are developing in their heads. Fukan says she has to see the flowers before she can decide what she will design, and Sophie agrees. They begin work on their signature still-life arrangements and soon are joined by Joan and Marilyn, who seem to specialize in large bouquets for the lobby and other public spaces. Although questions are freely answered, the room is largely silent as the women focus on what they are doing with the flowers.
Flower arrangers have the showiest jobs, but a lot of Flower Committee work goes on behind the scenes. There are the carriers and the vase washers and someone who arranges the memorials to departed residents.
There is also a small team that works on Wednesday night after dinner collecting all the arrangements from the first floor, and the small vases from dining tables in Assisted Living and the Staff Lounge. They bring these to Craft Room #3, where the vases are washed and the flowers edited (“This daisy looks like it will survive another week, but throw away that tulip”). There are carriers who take weekly turns driving the buyers to the SF Flower Mart, helping carry the selected flower bunches, and delivering arrangements to their spots.
Flower Committee Chair Joan Tayler says she is not worried about the relocation in a few months of the Flower Mart to temporary space on Potrero Hill, while a multistory office and condo building is being erected on the longtime Brannan Street site. The Flower Mart is guaranteed a space in the new building. At present, it can take as much as 45 minutes to drive from San Francisco Towers to 540 Brannan; Joan thinks getting to Potrero Hill won’t be any harder.
Back in the old days, flowers were arranged and delivered from Whole Foods, which cost something like $48,000 to $60,000 a year. When Flower Committee volunteers took charge, the cost went down to $10,000 to $12,000 a year. This is one of the many reasons why we should be grateful to the Flower Committee.
Sophie seemed to sum up the spirit of the Flower Committee members: She does the work because she always has loved flowers and always will. All Towers residents owe the Flower Committee a giant thank you for making our home so beautiful.
written by Anne Turner
January 21-27 is Activity Professionals week. But what is an activity professional? And what do they do?
“From an outsider’s perspective, one assumes that we play bingo every day. This is not the case,” says Connie Yuen, Program Coordinator for St. Paul’s Towers in Oakland. “Our activities aim to stimulate the mind and body, awaken your senses, enrich lives and make an impact to the culture of our community.”
Executive Director Mary Linde agrees. “What is amazing about activities/life enrichment at St. Paul’s is that it truly is Life Enrichment. The kinds of activities are broad and so engaging. We bring residents across all levels of care together so no one feels marginalized.”
The activities at each community vary depending on the interest of the residents. Megan Sullivan from San Francisco Towers says, “The majority of programs provided at SFT are based on resident input; they help support the unique culture here. As Life Enrichment Director, I work directly with the [Resident] Program Committee to schedule all special concerts and lectures. I also add my own programming, based on resident interests, such as online talks from the Harvard Institute of Politics.”
Activities are also designed with the eight aspects of wellness in mind: Emotional, Environmental, Financial, Intellectual, Occupational, Physical, Social and Spiritual.
“Activity professionals create programs to be beneficial and therapeutic to increase overall well-being and quality of life in individuals, by determining their interests and finding what activities provided can best suit them,” says Alexis Kendrix, Director of Activities at Webster House Health Center in Palo Alto.
“I wish that people knew more about the benefits of participating in wellness activities. People should want to participate in activities because of the enjoyment and fulfillment, instead of just to keep busy. Providing activities that are of people’s leisure interests is meaningful to their overall well-being,” Kendrix adds.
Mary Lou Kelpe, Director of Wellness for Canterbury Woods in Pacific Grove, explains, “When we go to Point Lobos State Reserve with multiple docents and have a picnic, it’s much more than a walk and lunch. It’s Emotional, Environmental, Intellectual, Physical, Social and Spiritual Wellness. I believe that’s why we feel so great, after spending time engaging in nature.”
“The active imaginations and energy of our professionals working in tandem with the residents lead to extraordinary events and activities,” says Norma Brambilla, Executive Director of Canterbury Woods. “Truly the trick is finding some one thing to entice each person. Variation is key. The challenge to these professionals is never-ending and their caring and ideas are boundless. It would be so boring without them!”