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Staying Home to Stay Safe – Using the Good, Old-Fashioned Phone Call

As “non-essential” workers conducting business from home, we are likely experiencing increased isolation. Yet we also feel sincere empathy and appreciation for those tirelessly working on the front lines of healthcare and human services, as well as those providing us with food and other essential supplies.
Others, in service industries like retail shops and restaurants, have been unavoidably laid off from their jobs. Financial hardship for them is fast becoming an unbearable worry.
Though this unexpected homebound downtime could provide a welcome opportunity to work on hobbies or complete chores around the house, it is only a very thin silver lining to an exponentially expanding ominous cloud.
Multitudes of people are suffering and dying during this global COVID-19 pandemic; we are in uncharted territory through no choice of our own.
For older, retired adults, a social lifeline may have been their local senior center; a place for visits and interactions with others. Whether it was an art class, a yoga-in-a-chair session, a Zumba class, or volunteer work they may have been doing, all of these in-person activities and gatherings have now come to a screeching halt.
Facilities that serve vulnerable populations – assisted living centers, nursing homes, and other retirement-style communities – have been faced with difficult, yet necessary decisions to deter the spread of COVID-19. Aside from MD, nursing, some home care and hospice staff, all visitors, including immediate family, have been banned. Most residents are required to stay sequestered in their respective rooms where meals are brought to them.
For those residents I have spoken with, they attempt to exercise within the confines of their room. They watch television, but intentionally limit their intake of the daily news. They read or listen to audiobooks. They try to stay connected to family and friends through phone calls. Occasionally, a resident may ask or a staff member may offer to help facilitate – at a safe distance, of course – a video call using FaceTime or a similar smartphone-based application.
Exceptional programs and services – exercise classes, lectures, informative webinars, concerts, online discussions, and support groups – are provided via remote conferencing tools like FaceTime and Zoom. These programs are facilitated by talented, compassionate, and concerned staff members from excellent agencies, organizations, and businesses. However, not all older adults are equipped to take advantage of these resources. Many do own and use computers, tablets, and smartphones. However, there is a significant number of those who do not possess or have an ability to use this modern technology.
So, what can we do about this? I propose we focus on and offer more contacts by telephone – the “good, old-fashioned phone call” – if you will. At this time of “Staying Home to Stay Safe”, the phone is a familiar, well-accepted device to the elderly. It usually does not present them with any confusion or trepidation. Again, if an older adult is savvy enough to utilize newer technology to accomplish connection and company with their family and circle of friends, well, that is great. Most importantly, though, we must recognize the technical capabilities of older individuals and then match them with the appropriate technology.
Many senior centers are having staff call each member to “check in” and many agencies are calling clients to do the same. As we know, effective counseling sessions can continue over the phone. Friends and family members of older adults are hopefully making a greater effort during these trying times to stop and take five minutes to “call in”.
In this world we live in of such advanced technology, do not underestimate the high value of the simple, good old-fashioned phone call!

Solutions to isolation

Whether you are physically challenged and/or an older adult who now finds loneliness, boredom, and/or isolation to be presenting problems, these are “solvable” or you do have options and choices.  There are community agencies, social day programs, senior centers, virtual senior centers, friendly visitor and volunteer programs that are all worth learning about.  Gathering information about resources to meet your individual needs is possible.

There are swimming sessions (accessible of course) for persons with Multiple Sclerosis.  There are day programs and groups for people with Parkinson’s Disease.  There is now a program to bring a senior center to your home (you are provided with a desk-top computer, a large touch screen monitor, a small video camera, a microphone and broadband internet service).  There are, as many know, the Able-Ride/Nice Bus Para-transit and other similar transportation options in certain communities.  The Nassau County Department For Senior Citizen Affairs/NY Connects at 516-227-8900, and The Long Island Center For Independent Living at 516-796-0144 are great resources for older adults and people with disabilities.

Care planning options

If a person has long term care insurance, it can become activated when personal care assistance is needed, usually in the home which is where most people want to stay.  If there is none, then the “rainy day” is here and the cost of care can be very expensive; people can become pauperized.  Most people would like to stay in the familiar of their own homes.  However, there are now more Assisted Living Facilities that will accept Medicaid reimbursement or are “Medicaid funded Assisted Living Programs” for those who qualify.  So, one can enter one of these as a private pay person and then pursue Medicaid.

 

For those at home in need of care, they can private pay or apply for Community Medicaid with Home Care (and a pooled-income trust if needed).  Still others may need the Chronic Care/Nursing Home Medicaid if their care needs exceed what can be provided at home and require 24×7 supervision and the skill a Nursing Home can provide.  This type of Medicaid does have a five year look back period and/or a transfer penalty period.  When planning in the event of further illness or incapacity and considering the need for either type of Medicaid, I very strongly recommend a consultation with an Elder Care Attorney. I would also make sure the lawyer or law firm is certified in Elder Law since the laws are changing.  There are some lower-cost options for those who cannot afford the fees such as the Nassau-Suffolk Law Service and Touro Senior Citizen’s Law Program.

 

If the person is very eligible for Medicaid and has little/no assets and property (would be considered a simple Medicaid application), community based case management agencies such as JASA and Catholic Charities are qualified and equipped to help.  Either way, being faced with the need for care can be a complicated and overwhelming process requiring the gathering of important documentation.  Being well-informed of the documents needed and care planning options can be provided through the counseling experience and help to alleviate normal and appropriate anxiety.

 

The Veteran’s Administration can also provide certain benefits and is worth exploring when there is a Veteran or Surviving Spouse in need of care (eg.-Aid and Attendance benefit which can help offset the cost of home care or an assisted living facility).

As we age

At a certain point or stage in life, which can be different for everyone as we all age individually, we may try to make sense of our life and hopefully achieve a sense of integrity. In doing so, life review or reminiscent therapy has many treatment strengths, especially for an older adult or anyone who is not like he or she used to be.

Talking about times when one was more “well” is very important to both the patient and therapist. Learning this information can greatly help to understand the present situation and who the person really is. Not taking the time to ask and understand in a interested and supportive way can be a disservice to the patient in the therapeutic process. For the patient, being able to tell you about him or herself is often very positive.

Even in the face of some forgetfulness or memory loss, the long-term memory can be intact. Helping someone to achieve a sense of integrity or to make sense of all that is going on up until the present, can alleviate anxiety and depression. This can also begin to help a person regain a sense of hopefulness, purposefulness, and improved self-esteem. Working with remaining strengths and finding new outlets or activities are possible.

Staying Home to Stay Safe – Using the Good, Old-Fashioned Phone Call

As “non-essential” workers conducting business from home, we are likely experiencing increased isolation. Yet we also …

Solutions to isolation

Whether you are physically challenged and/or an older adult who now finds loneliness, boredom, and/or isolation to be presenting …

Care planning options

If a person has long term care insurance, it can become activated when personal care assistance is needed, usually in the …