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.
The Village People, Spring Lake Village’s entrant in the Sonoma County Wine Country Games (commonly known as the Senior Games), won their first medal on May 31, 2019, taking third place in the bocce tournament. The team included Capt. Sue Guerra, Don Allison, Brenda and Butch Dippel, Pete Guerra, and Barbara Ware, all residents of Spring Lake Village, a Covia Life Plan Community in Santa Rosa.
The Sonoma County Wine Country Games, a program benefiting the Council on Aging, encourages healthy activity and social engagement for anyone 50+ through education, connections, and the spirited competition of sport, inspiring all to take an active role in determining the quality of their aging experience. Along with bocce, events include basketball, cycling, pickleball, tennis, volleyball and more.
In the bocce tournament, teams competed with each team playing three 50-minute games. If teams did not finish in 50 minutes, the existing score at the time was used. At the end of the three games, four teams were eliminated from competition based on number of games won and point count. The two remaining teams with the highest point count played each other for first and second place. The two other remaining teams played for third place.
In the first round, The Village People beat a team from Oakmont called Varenna #2, lost to Fountaingrove (another Oakmont Team), and beat the Collectiballs, a Santa Rosa league team, giving them enough points and wins to progress to the second round. After defeating Varenna #2 a second time, the Village People squared off against the Go Getters for their chance to win the bronze medal.
Congratulations to the Village People for their third place win!
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.
Spiritual Care expands far beyond providing Bible studies or religious services. Spiritual wellness – one of the eight dimensions of wellness – is an important part of Covia’s mission to support well-being for the whole person.
The goal of Covia’s spiritual care programs is to enhance the quality of life of every person by building and deepening community, encouraging meaningful connections, supporting people through the grieving process, and providing resources for a purposeful life at any age or stage.
Each Covia Life Plan and Multi-level community has a chaplain who is available to support those of all faiths or none. Rabbi Meredith Cahn, Chaplain at St. Paul’s Towers, explains, “My job as a chaplain is to help people in their spiritual work—dealing with the emotional and spiritual aspects of aging and loss, dealing with relationship that might be challenging, with forgiveness, or even coping with the way the world is right now. I am there to be present at moments of joy and sorrow and in between.”
Covia strives to provide an environment that fosters spiritual well-being for residents, their families and for Covia’s staff. Covia’s guiding principles are deeply informed by basic values of spiritual well-being, including the concepts of welcome, inclusion, social justice and grace; treating one another with respect, civility and dignity; embracing individuality and diversity; and serving with integrity.
Spiritual Care programs and services at Covia do not seek to proselytize or convert, but to support and respect all in their beliefs or traditions. Chaplain Jacquie Robb at Spring Lake Village says, “Most residents have no idea what a chaplain does, so there is usually some hesitation to seeing me. I want them to acclimate to my presence and assure them I’m not ‘selling’ anything. In my mind I hold the idea of a village vicar who is most often a friend but with the added benefit of being able to share matters in confidence, free from judgment.”
The Chaplains work closely with their Life Enrichment department to provide a wide range of programs meeting a variety of spiritual needs. For example, at St. Paul’s Towers, “We have non-denominational ‘sacred time’ on Monday mornings, integrating residents from all floors as well as staff; we have a weekly meeting to discuss the events of the world—to be able to mourn or celebrate or holler or vent about Charlottesville (and the racism and antisemitism it spotlighted), #MeToo, climate change, et cetera. We have just started a widow and widower’s grief group to help residents who have lost their partner. And we have groups on spiritually healthy aging.” Other communities have had programs such as a group discussion on Handel’s Messiah, the Blessing of the Animals on the Feast of St. Francis, a celebration of the Solstice, meditation groups, and much more – including, yes, Bible study! In addition, religious services are available for those from a range of traditions.
It’s not only the communities that offer Spiritual Care programs. Well Connected also offers many opportunities for participants from around the country to meet for support, reflection, meditation, a daily gratitude group, and other spiritual care programs through their phone- or online-based programs. Once each session, Laura Darling, Senior Director of Communication and Spiritual Care, offers a memorial service so that participants can commemorate Well Connected members who have died – an event that is powerful, even for those who have never met. “I’m consistently moved by the way community is built through Well Connected,” says Darling. “It doesn’t matter that they have never met face to face. The relationships among the participants are strong and real, and it’s important that they get a chance to remember and celebrate their friends.”
Above all, Spiritual Care is grounded in kindness and compassion. “Spiritual care provides individual support to people going through their own challenges feeling the love and care they need,” says Rabbi Meredith.
“Spiritual care encompasses so much more than religion and religious services. It encompasses people’s hopes and dreams, their desire for good connections and for a life of meaning. It can help people deal with the real challenges of aging and loss, in a language that meets people where they are.”
Spring Lake Village in Santa Rosa is hosting its 4th annual Wellness Games the week of September 24-28.
Held during International Active Aging Week, the Wellness Games celebrate all dimensions of wellness, including social, emotional, intellectual, physical, occupational, environmental, spiritual, and financial wellness.
According to Spring Lake Village Director of Wellness Diane Waltz, “Wellness is an expanded idea of health and means more than the absence of disease. It is much more than being in good physical health, exercising regularly, and eating right. True wellness is determined by the decisions one makes about how to live life with vitality and meaning.”
Each year’s Wellness Games include a wide array of activities such as a walk-a-thon, treasure hunt, table tennis tournament, sing-a-long, bird walk, brain fitness challenges, poetry readings, and the ever-popular SLV’s Got Talent Show. Participants can win points for an activity in any of the eight dimensions of wellness. For example, they can get physical wellness points for going for a walk; earn emotional wellness points by smiling five times a day; collect intellectual wellness points by reading the newspaper or doing a crossword puzzle; gain social wellness points by playing bridge with a friend; or add environmental points by recycling.
The games are open to residents and staff across the community. Residents and staff are randomly assigned to one of six color teams. Participants are notified of their color team assignment the week before the games begin and given a team color button or bracelet to wear throughout the week. The team getting the most points receives a team photo and color team recognition on the Wellness Games Plaque displayed in the Montgomery Center for a year.
But everyone benefits from Wellness Week as it builds relationships and community throughout Spring Lake Village. And it’s fun. Waltz says, “I love that it brings residents across all levels of care and employees across all departments together for a week of fun activities that promote all dimensions of wellness.”
When Pat Lau, Activities Coordinator for Webster House in Palo Alto, first created the Healthy Connections program in 2016, she had no idea the kind of impact it would eventually have.
“I thought, ‘Oh, I’ll just have a little volunteer program. They can work with the residents, meet them, talk to them,’” she says. “But it evolved into so much more.”
Now in its third year, Healthy Connections partners with Stanford University’s Office of Undergraduate Advising to provide pre-med students with a setting to gain clinical experience as well as giving residents in the Health Center the personal connections that studies continue to show are beneficial to people’s health and well-being.
Webster House and its affiliated Health Center are located just a mile away from Stanford University. With physicians from Stanford and the Palo Alto Medical Foundation making rounds at the Health Center daily, the program offers valuable experience for students interested in exploring the medical field.
In addition, the program exposes pre-med students to the need for, and importance of, geriatrics as a medical specialty. According to the American Geriatric Society, 20,000 geriatricians are required to keep up with the need right now, and that need will only grow as the population ages. There are currently fewer than 7,300 certified geriatricians practicing nationwide.
Volunteers for the Healthy Connection program must spend a minimum of three hours each week with the residents and at least 100 clinical hours at the Health Center. “Most of the students, though, work well beyond the hundred hours and some have gone on to two hundred hours,” according to Lau.
Students must be 18 years old, pass a criminal background check, be screened for tuberculosis, and attend an in-depth orientation. “There’s a number of regulations and things they need to know about if they’re going to be in a health care setting and working with a vulnerable population such as older adults,” Lau explains, including the Health Information Portability and Accountability Act (HIPAA), patient rights, elder abuse, infection control, and safety procedures.
So far, 12 students have participated in the program. Four of the 12 students who have been through the program have been accepted to medical school.
“Everyone seemed to benefit,” Lau says. “The student was exposed to a clinical environment, but most of all, there was a very strong, caring, and reliable relationship.”
Healthy Connections recently received a Sereno Group 1% For Good grant from the Palo Alto office. 1% for Good provides grants to local organizations that are active in improving our communities. Sereno Group Palo Alto will be supporting Healthy Connections from July through September 2018.
Brian Chancellor from the Sereno Group says, ““We were intrigued and touched by the inter-generational experience between the students and the residents. It’s exciting to support them all in their care and cultivation of such a relationship when it is so greatly needed and appreciated.”
As the new school year begins at Stanford, students can anticipate another benefit of participating in the Healthy Connections program: Dr. Peter Pompei, a professor at the Stanford Medical School, general internist and geriatrician with 20 years of clinical experience, will serve as the program’s medical director, providing mentorship and support for the students.
But it’s the relationships built between the residents and students that most impresses Lau. “These students really help support these older adults. They improve the quality of their lives. And for me, I can’t tell you what I feel when I see some of these individuals smile.”
For more information on the Healthy Connections program, please contact Pat Lau at firstname.lastname@example.org.
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.”
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!”