October 2020 | A Total Brain Health Interview  

Maintaining social engagement in the time of COVID remains a challenge for senior living communities, and especially for memory care facilities serving clients with dementia. Thankfully, industry leaders are staying smart when it comes to finding solutions for maintaining population wellbeing during the current physical distancing restrictions.
Total Brain Health’s Dr. Cynthia Green recently interviewed administrators at three leading senior living communities to learn how the pandemic has changed the ways they care for residents living with memory loss. In this interview series, learn how industry leaders are focusing on positive paths to social engagement in memory care during this time. She spoke with:
• James Harvey, VP of Marketing and Communications, and Chuck Jennings, Senior VP of Clinical Services, both with ALG Senior, which serves 160 communities throughout the Southeast;
• Ashlea Smalley, Corporate Director of Life Enrichment at Tutera Senior Living & Health Care, with 38 communities in the South and Midwest; and
• Laura Ellen Christian, Senior Vice President of Engagement and Dementia Training for the Arbor Company, with more than 40 communities in 11 states.

New Solutions
Memory care centers have stepped up to adapt to the changes and restrictions brought by the pandemic. “We’ve done additional training to help our frontline staff understand how to engage with memory care residents in the smaller groups needed to maintain social distancing,” says Chuck Jennings of ALG Senior. “These neighborhoods typically have a select group of staff members dedicated to providing ADL [activities of daily living] care, and others who are focused on activities. Today, in our new normal, all the team members must be focused on activities and able to capitalize on them.

“Let’s say three or four residents in a memory care community are typically wanderers,” he continues. “We turn that small group into a ‘walking club’ and assign a caregiver to create a path and guide them. Before, wandering was just their way to navigate the neighborhood as independently as they could, but now we need to put more energy into keeping them safe, physically active, and engaged.”

Ashlea Smalley says that part of Tutera’s approach is to control the environment rather than the resident. “We created social distancing by removing communal seating like couches, so residents aren’t cozied up next to each other. We do meals in shifts, one resident per table and lots of sanitizing in between. And we try to proceed as normally as possible, without creating any more anxiety and confusion on top of what’s already there.”

Old-Fashioned Approaches
While technology offers many solutions these days, it’s not the only way. “We’ve started a pen pal program to connect residents of one community in our organization with another,” says Jennings. “Even our residents with cognitive decline can still engage in making a card and sharing it with someone.”

Facilities are also working to join up individuals of like interests in small groups. “For each new ALG Senior resident we make a history we call My Life’s Journey,” says Jennings. “Now we’re using those to find which residents have similar histories and interests, putting three or four of them together to engage in activities that may trigger memories related to their history.”

Family and Peer Socialization
Some families are afraid their loved ones won’t remember family members when they finally visit again. “Our strategy is making a lot of FaceTime calls to keep families connected,” says Smalley. “And for Mother’s Day, one of our memory care facilities did a virtual tea party. The staff seated three residents at each table and used iPads to connect them with their families via Zoom. Each resident had her own teapot, and everyone looked really nice.” While Smalley acknowledges that it’s not the same as being able to hug and kiss their loved ones, she says, “Our team is doing a great job at making safe but meaningful connections.”

Value in Slowing Down
The Arbor Company’s Laura Ellen Christian believes that success for people living with dementia depends on their environment. “It’s up to us to create the right environment,” she says. “Having to shut down socializing and family visits is detrimental, but we’ve seen a very positive effect since we paused the busy-ness in our memory care neighborhoods.”

Christian has always known that small groups meet a need for those living with dementia. “Now we’re more thoughtful about who we gather together and what we do with them,” she says. “And when we transition them, they can have some downtime in their rooms or take a nap without huge physical risk. Since we slowed things down, we’re really seeing that happen.”

Dr. Green notes that Total Brain Health’s memory care programs also help residents engage with one other in meaningful ways. “Moving outside the hubbub creates a more focused environment that frees people to really benefit,” she says.

Forming a planning committee with residents from several communities had long been on Christian’s to-do list. “I’m a huge advocate for people living with dementia,” she says, “and it’s important for me, and for our company, that we’re not speaking for them. With this new committee we’re not just engaging the most independent and vocal people, we’re tapping into folks across the board—and giving a voice to those living with dementia.”

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Total Brain Health provides TBH FLEX and TBH CARE Toolkits small group and one-to-one social-based brain wellness programs for those living with mild to moderate memory loss. These cognitive stimulation programs build cognitive skills, promote well-being and foster social connections. For additional small group programs see:  totalbrainhealth.com. For one-to-one programs see: tbhtoolbox365.com. And, for free COVID resources see: anytime.totalbrainhealth.com

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October 2020 | A Total Brain Health Interview  

Social engagement, intellectual stimulation, and physical fitness are key to staying brain healthy – and hallmark wellness offerings of many senior living communities. When the pandemic forced communities to restrict visitors and set physical distancing rules, the opportunities to socialize and stay active were dramatically reduced.

Take heart! While new restrictions may challenge old ways of programming activities, they have spurred a slew of creative, “out of the box” solutions that highlight the strong commitment of senior living administrators and staff to keeping residents healthy, happy and engaged. And many of these recent adaptations are here to stay.

Total Brain Health’s Dr. Cynthia Green, recently spoke with senior leadership at leading companies to learn how their enrichment staff are not just handling the new restrictions, but going above and beyond to keep residents fulfilled across body, mind and spirit:

• James Harvey, VP of Marketing and Communications, and Chuck Jennings, Senior VP of Clinical Services, both with ALG Senior, which serves 160 communities throughout the Southeast;
• Ashlea Smalley, Corporate Director of Life Enrichment at Tutera Senior Living & Health Care, with 38 communities in the South and Midwest; and
• Laura Ellen Christian, Senior Vice President of Engagement and Dementia Training for the Arbor Company, with more than 40 communities in 11 states.

Taking it to the Hallways
“The pandemic put us in uncharted territory,” said ALG Senior’s James Harvey. “We’ve had to change the way we function in order to respond efficiently and effectively, putting the residents and the staff at the heart of every decision we make. To do so we’ve taken a more supportive role.”

Chuck Jennings described how ALG Senior communities adapted when the need for physical distancing suspended large gatherings in common rooms. “We organized regular hall chats,” said Jennings. “We pull two or three residents into their doorways to engage with their neighbors.” ALG Senior does the same for physical activity, bringing residents into the hall for exercises. And the group also set up a pen pal program to connect residents with those in other communities who have shared interests.

Hallways are buzzing with other activities as well. “We do silly stuff just for entertainment,” says Tutera’s Ashlea Smalley. “We’ve organized races with little remote-control cars, and one building even staged a Kentucky Derby, with staffers galloping down the hall in horse masks. We also do activity carts with extravagant themes.”

To help with the quality of hallway activities, the Arbor Company implemented Eversound, a wireless headphone system in all communities. “This technology allows residents to hear what’s happening regardless of where they are. If an engagement team member is leading exercise at one end of the hallway, residents can still hear the instructions through the headphones and follow along.” says Laura Ellen Christian. “Eversound has also been a huge help during window and outdoor family visits” she adds.

Taking It to the Outdoors
With families unable to visit in person, car parades have provided a new diversion. “Some of our communities have organized parades that involve the entire town,” says Harvey. “People drive by with signs to show support for the residents who are socially distanced out front.”

Tutera staff also started podcast listening clubs, where residents listen from a speaker set up outside, and then engage in lively discussions together.

The enrichment teams at Tutera even innovated solutions for special events. “One of our buildings did a brilliant ‘Drive-by Donuts with Dad’ for Father’s Day,” says Smalley. “We had families drive up and have their doughnuts and coffee in the car while chatting with their Dad, who was having his at a table set up outside.”

Similar things are happening at Arbor Company communities. “We know the benefits that fresh air and sunshine have for all. Helping residents take walks and enjoy time outside has been a priority for our engagement team members.” says Laura Ellen Christian.

The Zoom Boom
Not surprisingly, staff have worked tirelessly to help residents get more comfortable with video apps like Zoom and FaceTime, allowing families to see their loved ones and staff to host distance learning classes.

“People are adopting technology in ways we’ve wanted them to for so long,” says the Arbor Company’s Laura Ellen Christian. “Besides arranging family calls, we Zoom in people like art therapists, musicians and exercise trainers to the residents’ apartments.”

Smalley says her activity directors have taught family members how to use Skype. “We also use it to connect residents who’d been tablemates in the dining room. We had one lady who wouldn’t do a Skype call with a friend because the beautician hadn’t been there in weeks to do her hair! ‘I’m not getting on a screen,’ she said. ‘I’ll send a letter instead.’”

ALG Senior has really upped their game on social media, says Harvey. “We’re using Facebook to tell family members about all the heartwarming and creative ways the staff are keeping residents engaged.” These include the vast array of online resources available, such as virtual tours of national parks and museums, and free online courses. Even low-tech pastimes have gotten an upgrade: “Residents are having fun playing Bingo from their rooms by walkie-talkie!”

Looking Ahead

“At first, the pandemic was such an emergency we had to put things in place quickly,” says Smalley. “But now we’re taking the time to figure out how to do things in creative, high-quality ways that will be impactful and meaningful for all our residents.”

The Arbor Company has created a well-being survey for residents to assist teams in maintaining programs that provide a good balance of safety and resident-driven joy.  “We’re thinking about safety and joy for our staff as well,” Christian says.  “Our communities are like our homes.  If residents aren’t happy and fulfilled, that affects staff as well.  And vice versa.”

“We’re always looking for the silver lining in this dark Covid cloud,” says Harvey. “To me, it would be the augmented resident engagement, the more personalized care, and the new focus on communication—all things we’ll continue to implement going forward, even outside the realm of the pandemic.”

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Total Brain Health continues to offer a variety of free resources you can use to bring your residents better brain fitness and boost well-being anytime, anywhere.  Programs include TBH On Demand interactive training videos and hallway programs, with directions for a Memory Mobile cart and activities for those living with dementia. Find all our free resources at http://anytime.totalbrainhealth.com/.

For small group programs see: totalbrainhealth.com. For one-to-one programs see: tbhtoolbox365.com

Click to download article HERE.

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Feb 2020 | Healthy Day. A breakthrough study has identified a class of natural gene variants that may protect against Alzheimer’s disease. Click here to read the article.

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