dementia care, cognitive decline

Groundhog Day --the future resurfaces regularly.  The UK media just discovered the granny pod, four years after a similar granny cottage concept appeared, And this new discovery comes three years after AARP discovered MedCottage, which AARP described as a portable alternative to nursing homes (seriously, folks?). Ditto on companion robots (including the ever-popular Paro) from the same UK article. Can you believe it? Companion robots are just around the corner, and the future is just ahead. Says the Financial Times writer: "People are living longer and the result, according to the UN, is that there will be two billion people aged over 60 worldwide by 2050."  Let’s see, doth a projection 37 years from now a market make? Even if you buy that being over 60 constitutes a candidate customer for a MedCottage or companion robot (seriously?), it must be just too hard to find a number of how many would benefit today. That’s because caregiving robots of today are still in the experimental stage (even though nurses may prefer them to people).

When the 911 call may be necessary but not sufficient.  The news about the no-CPR policy in an independent living community in California brought me back.  In the incident reported everywhere, the nurse claimed that the policy in independent living did not include providing CPR – and as a result, the elderly woman died. Years ago when my mother spent some time in an assisted living facility, 911 was invoked nine times within a single year before they ejected her to a nearby nursing home, claiming they could not provide care. Each of her ER visits involved either my sister or me – racing to the ER from work so that we could explain her history – one time we stopped a dose of Bactrim that she was allergic to – another time we interrupted her inaccurate description of her medical history cheerfully being offered to an intern who had not checked her chart and apparently did not know she had dementia.

May is Older American's Month  -- service is local, but standards of care can be national.  As the AoA puts it, unleash the power of age. And the federal government wants to help those who are aging.  A few weeks ago after ASA ended, I posted about the inverted triangle of associations and federal websites all aiming one way or another at helping older adults. As you may know, there is a Senate Committee on Aging that includes long-term care on its issues list, and a Sub-Committee on Health and Aging that includes renewal of the Older Americans Act. There is a Center for Excellence in Assisted Living (CEAL) that promotes, understandably, improving quality in assisted living. In addition to those national entities, we have the various associations of lobbying, advocacy, and concern. These include senior housing and nursing home groups, LeadingAge, ALFA, and an association of state agencies, NASUAD (home and community services). Is there a navigator tool for consumers that helps decipher the web of entities that are trying to serve? And is there a common framework, a thread that even that connects all of these, other than the words senior, older, aging?