SBB University Caregiving Resources | Engaging an Aging Adult with Dementia

Posted on

Nov 03, 2020

SBB University Caregiving Resources is provided courtesy of Seniors Blue Book and Kathleen Warshawsky, BSN, RN.
Benjamin Surmi, MSG, Director of Education and Culture with Koelsch Communities presents Engaging an Aging Adult with Dementia: Top Dementia-Friendly Virtual Strategies and Tools for Professionals when Consulting with Families.

This article is a quick summary with links of the content shared during a 2020online event.You may watch the event by clicking here.
Why Are Every Day Tasks and Household Chores Important?
Our loved ones have spent most of their lives maintaining their own living environments. From changing the paint color on living room walls, to washing grass stains out of their kids baseball uniform and cooking for 20 family members on holidays. They were active participants in all those things and more. So, despite cognitive or physical decline, its important that we help create situations throughout the day so our elders can feel useful and helpful and offer more moments where they can be active participants in their own worlds.
What Abilities Are We Adapting For?
In most cases, you can modify a task or household chore, or at least parts of them, to accommodate our elders specific needs despite physical or sensory challenges. For visual impairments you might focus more on tasks that you can navigate through other senses like touch. For physical limitations you might focus more on modifying tasks that can be done sitting or within that persons personal space. For elders who struggle with multi step tasks you might break a task into simpler steps, one at a time as well as using prompts and demonstrating how to do those steps.
Be Mindful of:
1) Identify the person's needs both cognitively and physically.
2) Then, assess how you can break the task into simpler steps
3) Begin planning modifications that the person can use to complete a task safely and successfully. We want to be sure as best we can, that in all situations, our loved ones are safe.
4) Encouraging our elders to engage in any activity requires time, patience and the understanding that its not about how well the task is executed, but, rather that your loved participated and feels accomplished and useful.
Outside tasks - Gardening Planting Seeds / Transplanting - You can grow almost anything in almost any container, the idea isnt for perfection but for participation and enjoyment. A raised garden, of any kind, is ideal. A person doesnt have to repeat the action of bending down to touch plants. They also minimize the risk of loosing your balance and becoming unsteady. Garden pots that are easier to move and lift can be situated closer to your back door, on table tops for the easiest access for elders using wheelchairs or folks who get easily tired from walking
Adaptive Devices / Modifications - aside from shovels, hand trowels, tools like water resistant mittens with a Velcro attachments can be worn by those who may not be able to open their hands to put on a typical garden glove. Indoor pots with heat lights, or even automatic times watering systems for small gardens. Have all our supplies ready and, depending on the need of your loved one, prompt them on where or how to start. Planting seeds and transplanting root bound plants into bigger pots - holding the root ball in their hands and using their thumbs to separate it into two parts - this action that theyve done so many times before can start to become familiar again.
Gardening Upkeep - Try verbal prompts or reminders clip off the spent flowers while pointing to the flower so they hear the words and connect it with the visual. Or, hand over hand model to get started.
Adaptive Devices / Modifications - Aprons with a pocket or even wearing a belt with a plastic bag attached - a hands free tool for collecting garden waste is useful and eliminates the need to drag around a garbage can or having to continuously bend over to pick up the scraps. Easy to squeeze garden sheers come in all kinds of sizes. Try a few things before you settle on one tool
Raking Leaves Fall Tasks - Raking leaves is similar to vacuuming though we might have broader reach through our legs, back and arms. Think about these questions regarding the environment and your loved one: Is the ground flat and easy to navigate safely? Is your loved one steady on their feet, be able to balance and bend? Or, do they need a chair to sit in? You can rake up small piles at time, or do a portion of the yard each day.
Adaptive Devices / Modifications: To avoid repeated lifting, modify a tarp by cutting one in half then fold a corner up towards the center and tape it to make a pocket. Lay the tarp down and sweep the leaf piles on top of it. Gather the edges to lift the tarp so it can be emptied into the trash can. Avoid raking on rainy days, so theres no added weight to your leaves. You can also purchase tarps with pockets and handles. Asking your neighbors to help is always fun too.
Sweeping Patios and Porches - Our elders can sit in chairs that are easy to move around. They can sweep dirt into one general area and then move to the next spot and continue. If physically, the task of sweeping the porch is too tiresome, ask your loved one to simply open the front door or the back door and sweep out seem of the door. Choose a broom that is lighter to carry and an appropriate size. Again, it doesnt have to be executed perfectly, the focus is on their engagement.
Caring for Birds Refilling birdfeeders can be modified in many ways, place the feeder on your table and ask your loved one to brush it out and then scoop birdseed to refill it. If you have a few birdfeeders, you and your loved one can wear aprons. Fill the pockets with birdseed and scoop seed as you visit each feeder. If you dont have birdfeeders, you can make your own to hang in the yard or on your balcony and, its a great activity that can be repeated all year long. Building a bird house together, whether its made out of milk carton or a premade kit, the enjoyment also comes from doing it together. When finished, you can sit back, watch the birds flutter around, and listen them sing and chirp and maybe even practice a few bird calls for fun.
Caring for Tools - Cleaning hand tools from the shed can be a task thats broken up into days, weeks or just once at the end of the season. If your garage or shed is filled to the brim and hard to navigate, bring tools onto a table. Pick tools that are lighter and safe to hold from all angles. Ask your loved one to start cleaning a hand shovel and offer them a small towel. If they are visually impaired, sometimes a sock on their hand (instead of holding a towel) can work better as they can feel and follow the shape of the tool as theyre cleaning it. When finished, simply put it into the clean pile on the table so you can safely store them away afterwards. If your loved one used to be passionate about cars, ask them to sit with you as you refill your washer fluid. They can sit safely, an arms-reach away if needed, but close enough to hand you a funnel or cloth to wipe up spills. You can encourage them to offer advice on how to fix something or what the best brand to use is. Standing or sitting, our elders can still help wash the car or at least spray the hose. And, its a great opportunity to reminisce about the first car you shared or, about the time you went on longest road trip.
Watering the Garden - On flat even ground, your loved one can sit a sturdy armed chair, and hold the hose with the nozzle pointed at the garden. Some hose attachments need a strong grip that might not be too easy for our elders use but, you can clip the handle so it stays in the on position until theyre finished. Safely move the chair to the next section of garden to continue watering, if needed. Also, some hoses are heavier and bulkier than others, so choose a hose thats lighter and easier to manage.
Watering cans are often cumbersome and the placement of the handles can aggravate our wrists and forearms more easily. Try using a plastic iced tea pitcher, theyre easier to lift and suspend in the air. If your loved one is visually impaired, and not able to clearly see where the water is hitting, use a ruler or a dowel or stick and place it in the center of the plant. Ask your loved one to hold the top of the ruler and then they can start pouring the water so they feel it on their hand this means theyre watering the center of the plant.
Sanding and Repairs - Picnic tables and benches, anything that needs to smoothed out or to remove old paint or even craft projects. Try stapling sandpaper under a small block of wood. This is a great modification as its easier to hold the block on top then to tightly grip it in your hands. Use a black sharpie to mark the area that your loved one should work on. This is a great visual cue once the marker is sanded off, that area is done. Encourage them to use their hands to feel for a rough area, this can be another physical prompt for the next step. Use larger brushes to swipe away dust or shavings, as well as, the dusting off newly sanded pieces.
Adapting Household Chores - If balance, bending or lifting are areas of concern for your loved one, they can sit in a chair beside the open dishwasher and stack clean dishware on to counter or table. If youre doing it together, they can pass you each plate and cup as you put them away in the higher cabinets. Place the utensil holder from inside the dishwasher on the table, so our elders can try to organize the spoons, forks and knives back into the slots of the utensil tray. Sometimes negotiating between the three different utensils all at once can be confusing. Try a visual prompt an outline of a fork and place it in the bottom of the organizer. You can model placing utensil to match the image Washing and Drying Dishes - You can take turns, who washes and who dries with hand towels. Try all kinds of different smelling soaps. Some of our elders they can dry dishes seated at the counter or table. Wiping down counters, tables, cabinets and the fridge all these tasks are easy to modify and can be accomplished standing or siting. Different tools can be used to match your loved ones needs, towel mittens or extended handles on swipers can help.
Organizing Pantries - Helping to organize pantries can be done with the goal of removing items that are past due or not going to be used. Or, you can ask them to simply help by turning all the jars and cans so the labels (the words and pictures) are facing out. Demonstrate this action if needed. Or by the size of jar or can, the smaller ones go in the front and maybe just by the color of the labels. Your loved one might want to focus just on stacking cans and that is okay too.
Polishing Silver Polish - Many polishes available today arent as harsh on our skin as they used to be. There are also options for homemade polish recipes online or on YouTube. Or, your loved one can wear gloves. As youre doing it, reminisce about past holidays or celebrations - the different family events that you used the good china and silverware for, talk about the old pink silver polish how strong it smelled and notice the detailed pattern of the silver tea set.
Making Simple Sandwiches - Break the meal preparation down into simple steps: perhaps the ingredients should be visible on the counter, or even set up in the order of when youre going to use them. Offer reminder prompts for each step take two pieces of bread out of the bag. Next, place them on the plate. If needed, hold the bread bag open while prompting and then point or touch the plate as you cue them where to put it. As can openers can be challenging to get started , perhaps you could do the first rotation and then pass it to your loved one. Demonstrate or model hand over hand how to hold the can while twisting the handle. As always, some things are easier than others. For some cutting celery might be easier as it stays in one place and requires less force to complete the cut where cutting carrots can be more difficult because the roll and are harder / more dense. Continue to be mindful of your loved ones needs and what tasks are appropriate for them. Seated or standing, encouraging them to use their non dominant hand if necessary, and ask your loved one to scoop out mayo and to stir the ingredients together or cut a sandwich in half to share.
Sweeping, Vacuuming or Dusting - Take notice - is the floor level, will the rug or carpet buckle or catch on the cord? Is the vacuum to big or heavy to maneuver? Can your loved one balance while pushing the vacuum? Or, do they need a chair to sit in? Even seated, your loved one can vacuum or push a light weight broom to help. For some elders, extending their arms while holding the broom, reaching past the scraps of paper on the floor and then dragging the broom back towards them is easier and less strenuous. Some elders enjoy sweeping , and are comforted by the repetitive motions, the back and forth actions. A vacuum could be the last step after sweeping to quickly use the hose to clean up the small piles scraps instead of bending over to sweep them into a pan.
Sorting and folding laundry - Can be done almost anywhere, on your lap, couch or table. You might need more than a verbal command or prompt. You might stand or sit beside them and model how to do each step, one at a time. Saying cue clearly, what your doing, as your doing it fold the towel in half. When that step is done, say the next prompt out loud while modeling the action. And always keep in mind that loved one is far less likely to become overwhelmed if you give small clear steps. One at a time. Also, consider that the towels dont have to be folded perfectly, as its more about your loved one participating and helping. Sorting laundry by color instead of by article of clothing can be easier as you are just focusing on color instead of action steps. Try matching and pairing socks by color or pattern and rolling them.
Go Through Old Telephone Books Old Recipe Books - As you turn the pages, talk about old friends from past neighborhoods, or how phone numbers have changed and what party lines were. Look at the handwriting and the different shades of ink used. Planning your holiday card list and practice signing your name. When you go through old recipes books, its the same idea; talk about family recipes, and who made the best stuffed cabbage and where each recipe originated from. Compare groceries stores to butcher shops and who had the best selection for the best prices. Maybe make a plan to prepare one of your favorite recipes together
Organizing Fashion - Pairing winter gloves by color or size, mens or womens, and rolling scarfs in a drawer or folding scarves to use as headbands. Encourage your loved one to tie your tie. Prompt when needed and laugh when you both make mistakes. Pulling out a jewelry box and untangling necklaces from earrings and bracelets from watches is often a easier task to complete. Although a necklace may have a knot in it, you can loosen it up more and more as you continue to play with it. Rolling costume jewelry on the table surface can help loosen knots as well.
Caring for Shoes - Both men and women can Polish shoes, even if your loved one is doing it for another family member. Demonstrate by using the rag wrapped around your finger, spreading on the polish and working it into the leather using a circle motion. These actions, often times, come right back to our elders, even if they havent done it in a long time. Using the brush, buffing the marks of polish out, the rhythm of the back and forth motion, this can also be self soothing for your loved one. Replacing a broken shoelace can be challenging for anyone, try a yarning needle with a larger eye and thread the needle with the shoelace. Or wrap tape around the end of it so its sturdier and wont fray. If needed, you can lace the show while explain to you the steps.
Coupons - Every Sunday, you can go through the circulars with your loved one and cut coupons out. As youre both flipping through the pages, encourage reminiscing by announcing the current price of milk! Compare it to a time when it was much much cheaper! Or the price of a new television compared to what they used to be. Plan what meal youll make for dinner and make a list of ingredient s you need. Encourage your loved one to write it out if they can, and you can read it no matter what it looks like. Then, ask your loved one to look for coupons for few items that youll be shopping for later when they find one, prompt them to cut it out Or fold and rip it out the best they can. Ask things like how much is the ice cream in the ad you have there and then announce the cost of the ice cream you see in your section. Yup, Waldbaums IS cheaper! When youre finished, sort our your coupons either by dry good from produce, or store or maybe your elder wants to sort by size or color, and that works too. You can even donate them.
Key Take Aways - Despite cognitive or physical decline, always be mindful of:
1) Identify the person's needs both cognitively and physically.
2) Then, assess how you can break the task into simpler steps
3) Begin planning modifications that the person can use to complete a task safely and successfully. We want to be sure as best we can, that in all situations, our loved ones are safe.
4) Encouraging our elders to engage in any activity requires time, patience and the understanding that its not about how well the task is executed, but, rather that your loved participated and feels accomplished and useful. Be aware of their needs and that their needs will change. And to always have fun.
Links for Top 10 Dementia Friendly Online Activities (virtual resources): https://www.notion.so/Top-10-Dementia-Friendly-Online-Activities-f16e0ecee09f44c6a794eee082051222

#10 - Engage the Senses
Finding ways to connect different senses - beyond listening to words - is the pillar of powerful engagement. One step in that direction is to use technology to connect with the senses in new ways.
Favorite Sensory Apps

Dropophone - create unique melodies through touching drops of water.
Fluid and Fluid 2 - responds to touch with interactive liquid visualizations.
Wa Kingyo Goldfish Pond - watch and interact with gold fish.


Get Inspiration for Hands-on Kits
Instead of connecting online, use internet resources to find inspiration to make physical sensory kits. Search Pinterest, Google, and Instagram for sensory kits, reminiscing kits, memory boxes, sensory boxes, and theme hands-on kits.
#9 - Volunteer
One of our most important needs is to matter to other people. We need to have a sense of meaning and purpose.
Even though we cannot always get out to volunteer and serve, there are so many things we can do right from our home or apartment!
#8 - Experience the Opera
What: Watch HD opera from the Metropolitan Opera.
Why: A team in the UK has shown surprising responses to opera among people living with dementia. The unique vocal arrangements and brilliant compositions connect even with people who never listened to dementia earlier in life.

Home
#7 - Watch & Discuss
Too often, we turn on the TV or a movie. Yet, it's much more effective to watch 6-8 minutes of a very familiar clip or musical number. Stop. Discuss and reminisce. Then, watch another clip.
Meet Me at the Movies is an exceptional program in various cities. And, we can all do this at home!
Example Format

#6 - Play Games
One of my favorite games to play with ladies and gentlemen living with dementia is a modified trivia game. Instead of asking them to guess or remember names, I prompt with lots of clues and tell them the answer. I don't ask them, "Do you remember who sang this?"
We have lots of fun because the visuals and audio bring back so many memories.
The Media for Elders YouTube channel has all sort of playlists to inspire.
Musicals
Play 30 seconds - 1 minute of famous songs from musicals.
Tell parts of the story in between each snippet. If you each remember the words to the chorus, sing the whole song.
Animals
Who doesn't love animals? Using YouTube or Spotify, play animal sounds. Using Google, show photos of certain animals. Then, remind them of the name and discuss facts about the animal.

Jingles and More
Old commercials, sounds of cars and nature, classic TV theme songs, historic places, singers, artists, and household items in detail - all deserve a spin at your house! Just use Spotify, YouTube, or Google.

MemoryCo.org
[Free Trial / $9 per month]
Try Family Feud, Matching, WordPeck, Wheel of Fortune and all kinds of personalized games with family photos. www.memoryco.org

#5 - Ask Beautiful Questions
It's easy to get in a rut when we talk to someone we've known for years.Try asking Beautiful Questions from TimeSlips. Go beyond the hear-and-now to questions that bring out the unexpected in those you love.

#4 - Talk with Old Friends
You can find almost anyone through Facebook, Skype, Google, or the college or church you used to attend. Video chat makes it possible to re-connect with people you haven't seen in years.
Skype, WhatsApp, Facebook Messenger, and FaceTime are popular apps for computer or smartphone. Skype is likely the most versatile as it permits screen sharing, multiple callers at the same time, and works on all devices.

#3 - Create Stories Together
Dr. Anne Bastings designed a method of inspiring anyone - but especially those with dementia - to tell stories about unique, expressive photos. Print a photo and ask open ended questions with no right or wrong answers. Write down what each of you say.
Learn more at www.timeslips.com

#2 - Explore the World
Google Arts and Culture
Time Explorer
Select different dates from far into the past up through the present; discover art and artifacts from each unique time period.

Collections
Collections from museums, galleries, and historical sites around the world are at your fingertips. Search by name or by map.
For reminiscing:

The Time Life Collection
Getty Images


Google Street View
Visit iconic monuments, behind-the-scenes sporting events, museums, cathedrals, opera houses, libraries, heritage sites, science labs, and recreations from the past.

Explore in 360
Short videos that let you see 360 degrees while watching the video. Get close to a dinosaur, go on stage with at Carnegie Hall with the Philadelphia Orchestra, visit the bedchamber of Marie Antionette, and visit the Hubble Telescope.

#1 - Cue Familiar Memories
Use the endless resources online to trigger memories.
Media for Elders YouTube Channel
Check out these playlists curated by a Master's level Art Therapist and Special Needs Educator, Lisa Klich.

Dementia-Friendly Sing-a-longs with words on the screen
Life in the '50's, Life in the 60's, etc.
Music Quiz
Videos and live cams that inspire the senses

Sing-a-long
Start with the music from the decades in which your friend was 18 - 28 years old. Play songs with words on the screen and sing-a-long.

Show Images for Reminiscing
Nestle
Nestle has created a packet of downloadable vintage images for recalling foods and beverages many elders remember well.

Automatic Slide Show
Just enter a few key words and slideshow.net creates a slideshow using Google Images immediately.
You can try animals, travel, antiques, trains, quilts, or any other topic that has interested your friend. You might also try specific places, workplaces, organizations, and hobbies.

Google Maps and Street View
Take your friend to the home they grew up or the first home they purchased. Move through their town to the parks, libraries, and shops using Google Street View.
Find a Home

Walk through the Park

BBC Remark
The BBC has curated images, audio, and video from its vast archive. Choose a theme or decade. While many images are UK-specific, the look-and-feel will likely stir memories.
https://remarc.bbcrewind.co.uk/


WRITTEN BY



Benjamin Surmi




Listening to stories of elders in my neighborhood inspired me to take the journey I am on now designing fresh ways for elders living with dementia to thrive.
Learn more about Koelsch Communities:
Arbor Hills Memory Care Community |Saddle Brook Memory Care Community
Meadowbrook Memory Care Community |Riverside Inn at Fossil Creek


Watch the presentation video

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Medication Services in Senior Living: Support Options and What To Know

Are you wondering about the different medication services senior living has to offer? Medications become increasingly important as people age, given the higher likelihood of health problems. Seniors may end up with chronic conditions that require multiple medications and complex medication schedules. Taking the proper medication at the right time can be tricky, especially for seniors with poor memory or dementia symptoms. Fortunately, most senior living options provide different levels of medication services. What this looks like depends on state regulations and the type of senior living environment. In this article, we will explain the different types of medication services available and how they may vary depending on the level of senior care.Types of medication services in senior livingTo look at medication services, we first need to consder what the different terms. This is where things get complicated, as there is little consistency between the terms from state to state. Each state may use varying terminology for the levels of medication services. Were going to review the common terms for types of medication services here, so you can have an understanding of what to expect. If you need medication services at the senior living community youre interested in moving to or already live in, its important that you talk through the options with someone at that facility. Medication managementMedication management often refers to the overall system for organizing and managing residents' medications. It can include the areas discussed next, along with planning, storing, monitoring, reviewing, and organizing medications. Each community will have its own specific processes, some of which are more complex than others.Medication reminders Medication reminders are the simplest type of medication support found in senior living. This type of service could be as simple as verbal reminders for residents that its time to take their medication, or an alarm that plays a reminder when the resident should take medication. Because reminders dont involve direct contact with the medication, theyre generally considered a nonmedical service, and as such can be offered by staff without medical licenses. Senior living communities differ in what type of staff member can provide this reminder. The minimum rule is often set by the state in which the facility is located, so while one community might allow certain staff members to provide verbal reminders, another might notThis type of medication service may be offered as an add-on for an additional fee. Be sure to talk with a community representative about any costs that could be associated with medication reminders.Assistance with self-administrationThis type of service supports a resident who administers their own medications. 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For example, medication administration is often as described in this article, but sometimes includes different additional tasks: For example, providing medication reminders in Iowa and reading labels aloud to residents in Maine.There is also variation in training requirements. Staff who administer medication typically need to be medically licensed, while those assisting with self-administration may only need to be trained. However, some states and facilities may require higher levels of training or even medical licensing for medication assistance.Levels of medication services by care typeNow lets take a look at how medication services can vary based on the care type you or a loved one lives in.Independent livingBy definition, people in independent living communities dont need much extra support. 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However, the exact processes will vary depending on the residents needs and where the memory care is provided. Why medication services matterMedication assistance can be crucial to making sure seniors take the right medications at the right times. This is highly significant because: - Seniors might be taking several different medications each day, which can quickly become confusing.- Missed doses, doubled doses, or taking incorrect medications can lead to serious health issues.- Memory issues or dementia symptoms reduce a persons ability to take medications independently.- Taking medications correctly and consistently promotes better health and reduces the risk of complications.Questions to ask a community about medication servicesVariations in regulations, procedures, and facility types mean that medication services can differ considerably from one facility to the next. 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Must-Pack Items When Moving to Independent Living

Are you wondering about what you can and can't bring with you to independent living? Your move-in date is approaching, and you're excited to begin a new chapter in the independent living community you've carefully chosen. Between all the anticipation, you might also be feeling a bit overwhelmed with your growing to-do list. Packing and planning for a move is a stressful task at any age, but as you begin to downsize, you might be wondering what to include in your moving boxes and what to leave out. In this article, we will provide some helpful tips for what to bring when moving to your new home, as well as what to leave behind.Furniture to maximize your new spaceIndependent living apartments typically come unfurnished, which means that you can bring your style with you by choosing furniture that matches your aesthetic. However, your new home might be smaller than what you're used to, so thoughtful planning is key to maximizing your new space. 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Use rug tape or nonslip backings, especially in bathrooms and hallways, to keep rug edges flat and secure.Daily living essentialsIt can be easy to overlook the small, everyday items that make daily life comfortable and familiar. Having these essential items on hand will make your first few days after moving into independent living feel settled and stress-free.Don't forget to pack:- Chargers (for your phone, tablet, hearing aids, etc.).- Toiletries (toothbrush, lotion, shampoo, skin care items, etc.).- Everyday comfort items (slippers, robe, a favorite mug).- Snacks and drinks for moving day and your first week.- A personal digital assistant, like Alexa or Google Home, if you use it regularly.Helpful tip: Pack these items in a box labeled "OPEN FIRST". Include everything you'd want for your first night and morning - like coffee, medication, toothbrush, and pajamas - so you won't have to search through boxes.Personal comforts and hobbiesSome people may overlook this category in favor of just the essentials. While it's easy to only focus on the basics, personal touches can make your new space feel like home, especially during the early days after having first moved in.Items to being: - Photos of loved ones (framed or in albums).- Favorite books.- Craft of hobby supplies (such as knitting materials, puzzles, or art kits).- A small radio or speaker for music or audiobooks.- Keepsakes that fit in small display spaces, like a grandchild's drawing or travel souvenir.Helpful tip: Ask loved ones for something new to brighten your space, like a framed family photo collage to hang on move-in day.Art and decorationsUpdate your new home even more by adding pieces of art and other decorations that express who you are without cluttering the space.Here are some ideas for what to bring: - A few favorite pieces of art, like canvas prints, framed paintings, or handmade crafts.- Small, meaningful decorative objects like figurines, vases, or items from your travels.- A curated bin of holiday decorations that includes your favorite seasonal items or family heirlooms.- Indoor plants to brighten up the living space throughout the year.Helpful tip: Before hanging anything on the walls, check with your community about guidelines for nails, hooks, or adhesive strips. Many independent living apartments have specific rules to protect walls, and using the right hardware can help you decorate safely and stress-free.Important documents and safety itemsOrganization and peace of mind go hand in hand when moving to independent living. Be sure to pack your essential paperwork and safeguard your valuables.What to bring: - Photo ID, insurance cards, and medical documents.- Power of attorney and advance directive paperwork.- A list of emergency contacts.- A small, fireproof safe for your passport, legal documents, and small valuables.Helpful tip: Make copies of your important documents and share them wth a trusted family member before your move.Clothing that suits your lifestyleYour daily routine may shift in independent living, bringing with it more casual social events and community activities close to home. Comfortable, versatile clothing will help you feel more confident and prepared for whatever might come with each day.Pack a wardrobe that includes: - Comfortable everyday clothes for lounging, walking, and dining.- A few dressy outfits for community events or special occasions.- Comfortable shoes with nonslip soles.- Season essentials, like a raincoat, winter coats, sweaters, and scarves.Helpful tip: Use under-bed storage bins or hanging organizers to maximize your closest space if it's smaller than you're used to.Nonessentials to leave behind when moving into independent livingMoving into an independent living community means you'll soon have access to a wide variety of amenities and services designed to make life more convenient. This all-inclusive lifestyle means that you can leave behind certain items. You may choose to either donate them, give them to a family member, or sell them.Here are a few things you can leave behind as you start packing: - Too many kitchen supplies. You'll likely have access to meals in either a dining room or a restaurant-style setting. Bring only what you'll use, such as a coffeemaker, a few plates and cups, one or two pots or small appliances (like a microwave), and basic utensils. Leave behind items for larger meals and duplicates of everyday tools. With the smaller space, think about downsizing the number of place settings if you want to invite guests. Consider also that, if the community doesnt offer full meal services, you have the option of eating out with other residents.- Cleaning supplies. While you'll want to tidy up, you won't necessarily need all the cleaning supplies, thanks to regular housekeeping visits to your apartment. Leave behind a large vacuum cleaner, and instead opt to bring a smaller one. Similar, keep a small bin of cleaning essentials, but leave behind extras. Your housekeeping staff will be happy to take care of the serious cleaning now.- Excess furniture. Moving in a smaller space means being selective. Avoid cluttering your new home with oversized or impractical items. Donate or sell larger items, like large china cabinets or hutches, big sectional sofas, and large dining tables.Helpful tip: Not sure if you should bring an item? Contact your new community. They can provide a list of what's included, as well as guidance on what current residents typically bring with them.Making your move into independent living a smooth transitionMoving to an independent living community is a significant transition that brings with it both change and opportunity. With thoughtful planning and support, the process of downsizing and packing can feel more manageable.Focus on bringing items that add comfort, function, and meaning to your new space. Leave behind what no longer serves you, and trust that your new home will offer the amenities and support to simplify daily life. If you find you need something that you decided not to pack, you can always purchase it. Take your time, ask for help when you need it, and allow yourself space to settle in at your own pace.If you have any more questions about what you can bring with you to independent living, Oasis Senior Advisors Carrollton-Frisco can help you. Contact your local advisor, Holly DeLisi, at (682) 375-9604 for assistance.The rules and requirements of senior care facilities vary based on company policies and state regulations. The contents of this article represent common guidelines, but may differ from a particular facility's policies or requirements. Oasis can help you learn about the regulations in your state.

Housekeeping, Laundry, and Maintenance Services in Senior Living

Are you wondering about the housekeeping services different senior living communities offer? Housekeeping, laundry, and maintenance services in senior living are helpful and convenient, and even help seniors remain independent. These services take care of routine chores so residents can enjoy a safer, simpler, and more relaxed lifestyle.It's important to know that services vary among independent living, assisted living, skilled nursing, and memory care - not to mention from one community to the next. In this article, we'll look at those differences and what you can expect from these senior living services.Housekeeping services in senior livingIn senior living, housekeeping services largely focus on cleaning-related tasks, like: - Vacuuming.- Dusting.- Emptying trash.- Wiping surfaces.- Spot cleaning.- Cleaning bathrooms and kitchens.- Occasional deep cleaning for carpets and upholstery, floor scrubbing, and other specialty tasks.However, housekeeping often doesn't include some other tasks you might associate with it, like tidying.Variations: - Some communities may offer light tidy-ups or cleaning each day.- In some states, residents might be able to do their own cleaning if they wish to and are capable.- Residents may be able to request extra cleaning when needed, such as after an illness or when they have visitors.Independent livingIn independent living communities, housekeeping services are designed for convenience and comfort, rather than medical necessity. Weekly or biweekly light cleaning is commonly included in the base rent, and covers such tasks as dusting, vacuuming, bathroom cleaning, and linen changes.Residents who prefer more frequent or specialized cleaning, such as deep cleans, window washing, or tidying personal items, may be able to request these for an additional fee. Because independent living emphasizes autonomy, residents also choose to handle some of the cleaning themselves, or hire outside help if the community allows it.If you need or desire more housekeeping services than the community will provide, bringing in home care is always an option. Many independent living communities have onsite home care services that can be utilized at lower costs, since they are already onsite and thus require less minimum time. Your local Oasis Senior Advisor can help you determine your options.Assisted livingStandard assisted living fees often include basic housekeeping, like weekly cleans and occasional deep cleans. More frequent or intense cleaning generally costs extra.However, the services and their frequency can vary considerably. This is due in part to differences between facilities, and also because assisted living is regulated at state level.Skilled nursingCleaning services tend to be more comprehensive in skilled nursing due to federal requirements, a greater need for infection control, and the abilities and needs of residents. The frequency of cleaning typically increases, with residents sometimes receiving it daily instead of just weekly.Such cleaning is a fundamental part of a nursing home, so it should be included in the standard fee.Memory careMemory care is an interesting case when it comes to housekeeping, as it can be provided in various settings, like stand-alone memory care facilities, assisted living, and skilled nursing. However, housekeeping in memory care tends to be more comprehensive there than for other residents, as those in memory care are often less able to keep things clean and tidy themselves.As such, memory care in assisted living may offer multiple cleans per week instead of just one, and any accidents will be quickly addressed. When memory care takes place in a nursing home, there is another increase in, especially for those residents who have middle or late stage dementia, or are incontinent.Basic cleaning will be provided in the base fee, but there may be extra costs if the amount of work increases dramatically.Laundry services in senior livingThere are generally two distinct laundry services:- Linen services, which includes the washing of bedding, towels, and related items.- Clothing laundry services.Linens are often laundered at least once a week, and more so if they're soiled. The frequency of clothing laundry services is usually quite regular, so residents may need to plan ahead to ensure they have enough clean clothes each week.Variations: - Frequency: Once a week is common, but some facilities may offer more frequent services.- Personal laundry: Residents might be limited by the number of loads, number of items, or weight per week.- Shared laundry rooms: Many assisted living facilities have laundry rooms where the residents or their families can do their own laundry if they so wish.- No laundry service: Some affordable facilities focus on shared laundry rooms and offer assistance to residents, rather than having a separate laundry service.- Extras: Residents will often be able to pay for extra services, like faster turnaround of dry cleaning.While laundry services fold residents' clothes and linen, they may not put them away, depending on the care level. These are also somewhat commercial services, so they may not treat items with the same level of care and attention they would get at home.Independent livingIn independent living, laundry services tend to be more flexible and optional. Many communities provide either in-unit washer and dryers or at least hookups, and/or on-site laundry rooms for residents to use at their own convenience, while others offer pick-up and drop-off laundry services, which might come at an additional cost.Some communities include weekly linen changes or laundry service as part of the rent, particularly in higher-end or all-inclusive communities. Residents who prefer full independence can continue doing their own laundry, or hire outside services if allowed.As with housekeeping, onsite care is always an option when it comes to laundry in independent living. Your local Oasis Senior Advisor can help you determine your options.Assisted livingAssisted living should always provide some level of laundry service or assistance as part of the basic fee, as this service is needed to keep residents safe and healthy. However, it may be as simple as a shared laundry room, where staff can assist residents as needed. Most assisted living communities will not offer in-unit hook ups. Skilled nursingAs with housekeeping services, nursing homes tend to offer more comprehensive laundry services, and must meet stricter requirements than assisted living facilities. Complete laundry services should be provided as part of the basic fee, especially as many residents won't be able to use self-service options.Memory careMemory care residents also tend to receive more frequent laundry services than those in assisted living. Crucially, linens and clothing must be changed whenever they become soiled or wet.Maintenance services in senior livingMaintenance services focus on upkeep and repairs. This includes maintenance throughout the facility and in individual apartments. Groundskeeping is a part of this service as well, including lawn care and snow removal when required.Tasks include:- Preventive maintenance: Scheduled regularly to avoid any issues.- On-request maintenance: Maintenance staff respond to issues within a day or two.- Emergency maintenance: Larger and more upscale communities may have 24/7 emergency maintenance, while other communities may have a slightly delayed response time.- Modifications: Maintenance services sometimes help with personal changes, such as adding grab bars.Maintenance services should be similar across independent living, assisted living, skilled nursing, and memory care, as there's always a need to keep the environment safe and functional.However, maintenance will vary depending on the size of the senior's residence and the amount of equipment they rely on.Benefits of housekeeping, laundry, and maintenance services in senior livingHousekeeping, laundry, and maintenance are all essential for keeping people healthy and safe, and ensuring that senior living facilities function well. A lack of these practices can lead to poor hygiene, increased risk of infection, decreased safety, and poorer mental health.Many residents in assisted living, memory care, or skilled nursing won't be able to reliably perform these tasks on their own, so facilities must offer services to fill the gaps.Some benefits of these services include: - Increased safety: There are no heavy laundry hampers to lift and no strain in maintaining a home.- Improved independence: These services allow residents to focus on other parts of their lives, which fosters a sense of independence.- Health and infection control: Keeping the home, clothes, and linen clean are crucial for decreasing infection risk, minimizing skin irritation, and keeping people healthy.- Better mental health: People tend to feel and do better when their living situation runs smoothly, and when things are kept clean and tidy. Housekeeping, laundry, and maintenance services in senior living ensure that everything is in order, regardless of the resident's abilities.- Less stress: These services can dramatically decrease stress for residents and their families, which can then improve quality of life and overall well-being.Because approaches vary so much, it's important to inquire directly with any organization you're using or considering. This will allow you to ask questions and determine which services are provided, how they work, and whether there are any extra fees for them.If services like housekeeping, laundry, and maintenance are important to your loved one's daily comfort and independence, Oasis Senior Advisors Carrollton-Frisco can help you compare communities and understand what's included at each one. They work with families to evaluate options, ask the right questions during tours, and find communities that align both with care needs and with lifestyle preferences. Contact your local advisor, Holly DeLisi, at (682) 375-9604 to start exploring your options.The rules and requirements of senior care facilities vary based on company policies and state regulations. The contents of this article represent common guidelines, but may differ from a particular facility's policies or requirements. Oasis can help you learn about the regulations in your state.