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.
Throughout the country, National Night Out on the first Tuesday in August is a chance for neighbors to meet one another and to connect with local emergency responders. At St. Paul’s Towers, National Night Out does that and more.
With food, music, face painting, balloon hats, games, fresh produce, and information tables, the National Night Out event co-sponsored by Covia Senior Resources, St. Paul’s Towers, and St. Paul’s Episcopal Church is a block party like no other.
“About 7 years ago, [Alameda County Senior Resource Director] Carolyn Bolton presented the idea,” says Connie Yuen, Life Enrichment Director at St. Paul’s Towers. “The idea was for St. Paul’s Towers, St. Paul’s Church, Oak Center Towers and Market Day to come together and throw a block party for our neighborhood. Every year we invite local businesses to participate by setting up informational tables and sharing their resources with guests. Each year our National Night Out party has gotten better and better with the attendance rapidly growing.”
“National Night Out is also a great way for us to meet and personally thank our local law enforcement and first responders,” says Yuen.
“It’s a way to bring community,” says Carolyn Bolton. As a high rise senior living building, St. Paul’s Towers can appear cut off from the rest of the neighborhood. The National Night Out block party helps neighbors see that “they don’t need to think the people living there are snob-nosed. It gets everybody on the same page.”
St. Paul’s Towers Executive Director Mary Linde says, “For St. Paul’s Towers, it allows us to serve our neighbors and get to know our community outside our walls. It’s about being kindness, love, and community to our neighbors.”
Yuen says, “We look forward to National Night Out every year because it’s our way of giving back and showing love to our greater community. I love seeing our residents bonding and laughing with neighbors they are meeting for the very first time.”
And the connections don’t end with meeting for the first time. Yuen says, “It’s a great feeling to see familiar faces and the same families come each year and seeing the children grow!”
“We’ve been told that many times that we host the biggest block party in Oakland. It’s truly a great place to be so I hope to see many new faces this year,” Yuen says. Linde adds, “Anyone may come. It’s really fun!”
National Night Out 2018 takes place on Tuesday, August 7. The event in front of St. Paul’s Towers, 100 Bay Place in Oakland, takes place from 6:00-8:00 pm.
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.
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!”