Interview with Ron Bruno, Executive Director of Morningside Retirement and Health Services, on Feb. 24th, 9AM pst.

On February 24th, 9AM pst, I will be interviewing the executive director of Morningside Retirement and Health Services, Inc. (MRHS) which serves elderly residents of Morningside Gardens, a 982 unit, multi-racial, middle income housing development in West Harlem. It consists of six high-rise buildings and approximately 1,700 residents. More than 50% of the households include a resident over the age of 60. Many of the older residents have lived in the Gardens since it opened for occupancy in 1957 and have “aged in place.” As a result, the complex has become what is known as a “NORC”–a Naturally Occurring Retirement Community–with a large population of elderly people with special needs. The mission of MRHS is twofold. We aim to: * HELP frail and at-risk elderly residents of Morningside Gardens remain in their own homes comfortably, safely, and with as much independence as possible for as long as they can. * PROVIDE programs which promote health and provide opportunities for education, socialization and recreation for all older residents of Morningside Gardens, with particular attention to the special needs of the infirm, homebound, and isolated.

The mission of MRHS is twofold. They aim to:
• HELP frail and at-risk elderly residents of Morningside Gardens remain in their own homes comfortably, safely, and with as much independence as possible for as long as they can.
• PROVIDE programs which promote health and provide opportunities for education, socialization and recreation for all older residents of Morningside Gardens, with particular attention to the special needs of the infirm, homebound, and isolated.

Services
MRHS now serves about 300 residents a year with an on-site staff consisting of three social workers, a full-time geriatric nurse, two part-time home health aides, a consulting psychiatrist, and approximately 150 volunteers, most of whom are elderly themselves. The professional staff provides an array of health care and social work services, which include case management, nursing care, psychiatric consultations, doctors ‘house calls’ for the homebound, entitlements counseling, home evaluations, home care and hospital discharge planning, liaison with families, lawyers, physicians, and financial planners.
MRHS’ Doctors Home Visiting Program is staffed by geriatric fellows who provide medical care to the homebound elderly under the supervision of the Division of Geriatric Medicine of St. Luke’s/Roosevelt Hospital Center. In collaboration with the health care team, MRHS’ consulting psychiatrist provides psychiatric evaluations, therapeutic counseling, and medication monitoring.
In addition, educational, recreational, and social activities are offered — almost all of them planned and led by elderly volunteers. Volunteers also provide direct, concrete assistance to their neighbors, such as shopping, escorting, visiting, bill-paying, and reading correspondence.

http://mrhsny.org
Phone:
(212) 666-4000

Thomas Gressman, “Assistive Technology for those with Disabilities” on Sept. 24th, 9AM pacific

Thomas Gressman, “Assistive Technology for those with Disabilities” on Sept. 24th, 9AM pacific. blogtalkradio.com/kindethics

Thomas Gressman is an Assistive Technology Specialist from the Three Rivers Center for Independent Living. Thomas is part of the Assistive Technology Department. The Three Rivers Center is one of many Centers for Independent Living in the US. TRCIL is a not-for-profit organization which provides services to people with disabilities in SW PA. Assistive Technology is one of those services. AT is defined as any device, or system of devices which helps a person with a disability accomplish a task. These can be very low-tech to very high-tech.

Their goal is to help people with disabilities live independently in the community setting of their choice by providing consumer controlled supports and services. Their services include Advocacy, Assistive Technology, Waiver programs, Housing, Deaf and Hard of Hearing services, Nursing Home Transition, Peer Support, Skills Training, Personal Assistance and Transitioning. The website is www.trcil.org

Other resources include:

Harris Communications www.harriscomm.com A good starting point for assistive devices for the Deaf/Hard of Hearing.

ASL Expo www.aslexpo.com

http://en.wikipedia.org/wiki/Deaf_culture A good starting point for information on Deaf Culture
Hearing Loss Association of America http://www.hearingloss.org/

http://www.virtualcil.net/cils/ This site will direct people to a Center for Independent Living near them.

The Pennsylvania Initiative for Assistive Technology (PIAT) http://disabilities.temple.edu/programs/assistive/piat/

PIAT Assistive Technology Lending Library http://disabilities.temple.edu/news/newsletterAT/
Pennsylvania Telecommunications Device Distribution Program (TDDP) http://disabilities.temple.edu/programs/assistive/tddp/

Pennsylvania Assistive Technology Foundation (PATF) www.patf.us

Have a kind and respectful day.

Rescheduled: Date TBD, Interview with Peter Lichtenburg Ph.D. on blogtalkradio.com/kindethic

Peter A. Lichtenberg, Ph.D., is the Director of the IOG and Professor of Psychology, Psychiatry and Behavioral Neuroscience & Physical Medicine & Rehabilitation at Wayne State University. Dr. Lichtenberg received his Ph.D. in Clinical Psychology at Purdue University, where he also minored in aging. Dr. Lichtenberg will be discussing dementia, Alzheimer’s and the work of the Institute of Gerentology at Wayne State University, including the work of the Healthier Black Elders Center.

www.iog.wayne.edu — blog
www.dementiacoalition.org
http://www.mcuaaar.wayne.edu/events.php — Healthier Black Elders Center

Director of the IOG since 1999, Lichtenberg has led this research and education unit to record levels of funding (annual totals for the past 8 years are a 300-400% increase from previous highs), to an expansion of research focus by recruiting faculty in the area of cognitive neuroscience, and the leadership of several highly successful training and mentoring grants (See below for details on the Predoctoral and Postdoctoral Training and on the Michigan Center for Urban African American Aging Research). Dr. Lichtenberg also created the first IOG-funded development Board of Visitors which in its first 4 ½ years raised over $2.25 Million dollars.

Dr. Lichtenberg is the author of five books, including the highly acclaimed Handbook of Dementia (2003, Handbook of Assessment in Clinical Gerontology (Wiley press, 1999) and A Guide to Psychological Practice in Geriatric Long Term Care (Haworth Press 1994). In addition, Dr. Lichtenberg has edited a four volume series for the organization Medical Psychotherapy, and has published over 125 peer reviewed scientific articles. His particular areas of research include mental health in long term care, geriatric depression, geriatric psychology and
medical rehabilitation and the early detection and management of Alzheimer’s Disease.

Dr. Lichtenberg has been awarded many distinctions including the 1996 Early Career Award in Rehabilitation Psychology, Fellowship in the Gerontological Society of America and the American Psychological Association, the Outstanding Contribution Award for Psychologists in Long Term Care, and both the 2001 Distinguished Faculty Award and Outstanding Mentor Award at Wayne State University. In 2002, he was the first educator to be given the Alzheimer’s Advocate Award. In 2004, on behalf of the IOG, he accepted community honors from the Area Agency on Aging 1C and Wayne County. In 2006 he was awarded the Harry Kelly Award for outstanding leadership in Gerontology

Dr. Lichtenberg is a leader in many national and community organizations in Detroit and the State of Michigan including chair of the http://www.dementiacoalition.org/>Michigan Dementia Coalition, past-chair of the Central City Aging Services Consortium, and Board member for the Area Agency on Aging 1-B Advisory Board. Nationally, Dr. Lichtenberg was the Chair of the
Behavioral and Social Sciences Section of the Gerontological Society of America (2007), Chair of the APA Committee on Aging (2008) and a member of the APA Presidential Task Force on Integrated Care for an Aging Population.

The Institute of Gerontology at Wayne State University brings together science and service to advance the cause of aging research. Its multidisciplinary faculty, post-doctoral fellows, and pre-doctoral trainees focus on the social and behavioral aspects of lifespan health and cognitive development. Dedicated to promoting successful aging, the Institute of Gerontology is where research and outreach combine to make life better in Detroit and beyond.

“Protecting the Nursing Home Resident – The job of the ombudsman” Interview with Molly Davies, August 18th, at 10AM pacific.

“Protecting the Nursing Home Resident – The Job of the Ombudsman” Interview with Molly Davies, August 18th, at 10AM pacific. Call in to listen live at (347) 945-5152 or listen online at blogtalkradio.com/kindethics.

After serving more than two years as a regional manager for the Long-Term Care (LTC) Ombudsman Program, two years as an Ombudsman care manager, and two years as a volunteer Ombudsman, Ms. Davies was named Program Director of the LTC Ombudsman Program in October 2006. She manages the Los Angeles County and City LTC Ombudsman programs and serves as the designated LTC Ombudsman “program coordinator” per state contract requirement.

In her capacity as program director, Ms. Davies oversees all aspects of the WISE LTC Ombudsman Program, including program development, implementing LTC policy changes, monitoring budgets and promoting the program to the public. She and her staff ensure that service delivery complies with all regulatory and contract guidelines and the policies and procedures that govern the program. She is responsible for monitoring and reporting on program performance monthly, maintaining a tracking system for reports of alleged elder abuse and assessing client satisfaction. She is also responsible for recruiting, training and evaluating ombudsmen. Ms. Davies holds a bachelor’s degree in Sociology from UCLA and is currently completing a master’s degree in Social Work at California State University Long Beach.

Have a kind and respectful day.

Wheelchair Etiquette and Safety aka The Day Aunt Berda Rolled Away

Dear Viki,

Why don’t people help when they can see you are in trouble? The other day I was trying to get my father in his wheelchair through a narrow doorway when some guy pushed his way through ahead of us and then let the door slam on my father’s foot.

As someone who has been pushing relatives in wheelchairs for 25 years, I know how difficult it can be when nobody will open the door or give you a hand. I also hate it when someone parks really close to the edge of the handicap parking space. I remember trying to get my mother, who could barely stand, out of the car and into her chair. Even on the best of days, it wasn’t easy. And when someone parks too close, then you can’t roll the wheelchair up, put the chair at an appropriate angle and then get the person out safely.

The other day, I saw it again, a lady trying to push her mother in a wheelchair through a heavy door. Nobody stopped to help. I did because I know that it isn’t easy to manage a heavy door with one hand and try to push a heavy wheelchair through the doorway. So please notice the next time you see someone struggling, stop and ask if they need help. Always ask first. And then respect their answer and provide help if they would like you to help.

And one more thing, don’t forget to always use the brakes on the chair. Not some of the time, all of the time. One day I forgot to and my aunt went rolling down the parking lot incline. She and I had a good laugh about it because we knew she could stop herself, but the man who came running across the parking lot to help didn’t know that and was in a panic. We felt badly that we had scared him. After that, Berda and I set the brakes to protect her and those good people that cared about her safety.

Have a kind and respectful day.

Today is National Healthcare Decision Day

If you read Monday’s blog you will know that medicine can be corrupt and the best defense you can have is to put your wishes in writing. So, what should you be doing today?

1. Talk to your loved ones about what you would want if you were going to live in a terrible condition. And talk to your loved ones about what you want if you were dying. Not just the medical choices but where and how you would want to die and what else might make it a good death for you.

2. Tell your doctors about all of these wishes as well.

3. Fill out your advance directive for healthcare decisions. Go to my resource page to download an advance directive. Print out copies for everyone you care about.

4. Give copies of your completed form to your loved ones and all of your doctors and your local hospital. Keep a note in your wallet stating the phone numbers of your decision makers and where your advance directive is kept. It should be kept on your refrigerator, in your medicine cabinet or at your bedside.

5. Be comforted in knowing that you have taken care of things so it won’t be a burden on your family. It is a gift to them to make sure they aren’t burdened by having to make these difficult decisions for you.

6. If you need help, please contact me at viki@kindethics.com.

Have a kind and respectful day.

Got a question?  Ask Viki.  <!–coldform–>

Should I take away my grandfather’s car keys? - Car Keys Part 1

Dear Viki,

My grandfather is losing his memory. The other day he got in a minor accident and couldn’t tell the police where he lived or who to call. I don’t want to be the one to do it but should I take away my grandfather’s car keys?

I understand what you are going through because I had to take away my Dad’s keys a few years ago. He was getting more and more confused and forgetful. I was lucky because I took away his keys before he hurt someone or himself. But many people aren’t that lucky. Their loved one kills someone by accident and the whole family is devastated.

So the answer to your question is now. You should take away his keys today before anything worse happens. What helped me make the decision for my dad was realizing that I was protecting him from himself. I had noticed that his behavior was getting worse but I didn’t want to face it. I wanted to believe that things weren’t that bad. But they were. Not only was he in danger in the car, but he was in danger getting around the house. He kept falling and hitting his head. After three trips to the emergency department, I realized that I had to take actions to protect him. The next time he fell would be my fault so I got him a walker to help him with his balance. And I knew that if he drove again and hurt someone, it would be my fault because now that I knew there was a problem, I would be responsible. I couldn’t live with myself if someone died because I wasn’t brave enough to do the right thing.

I am not saying this will be easy. My dad hated that I took away his keys. And I had to go through the whole house to find all the copies of the keys. I realized when I found 15 copies of the keys that he had been forgetting where he kept his keys and kept getting copies made. Another solution families choose is to disable the vehicle so the person can’t start the car even if there are more keys hidden in the house. Eventually my dad got rid of his car so he didn’t have to be reminded of his loss.

And yes it will be a loss and yes they will be angry and sad. I know that someday when my niece or nephew takes away my car keys, I am going to be so disappointed. I love the privilege and freedom of driving. It will be a terrible loss but hopefully I will remember that they are protecting me and loving me. I hope they have the courage to do the right thing even when doing the right thing is difficult to do.

Part 2, Dealing with the emotions. http://tinyurl.com/qjjpb8