By Roberto Muñiz, President & CEO
As we enter the fall season, the chance of a resurgence in COVID-19 cases is top of mind for all of us, especially for health care providers. Just like we’ve seen in Britain, France, Germany and other European countries New Jersey needs to be fully prepared for a second spike. For us in long term care, it is our utmost responsibility to be ready and equipped with protocols that would limit exposure should a second wave occur.
At Parker we are implementing best practices and protocols learned in this past year to not only limit exposure but combat the psychological effects a quarantine brings. Many of our solutions center around technology. Let me explain how, with the hope that our processes may help inform others.
The use of telecommunications was critical at Parker when COVID first hit. Foreseeing the need for our Elders to have engagement early on, prompted us to purchase additional tablets to promote communication between our residents and families.
We greatly expanded technology for virtual sessions so that outside healthcare providers can provide “house calls” online with our residents. Parker care partners have also used virtual programming to bring some of the at home services we offer to those we serve, such as Health & Wellness programs and Rehab at Home.
Technology has also been used for vibrant social engagement, which we see as a critical need to reduce feelings of loneliness and give meaning and purpose to our residents. We’re providing interactive programming, such as painting classes, games and stimulating social activities via Zoom and other platforms.
Virtual Reality Technology is a unique tool we are using with our residents. We had been considering piloting the technology long before COVID, but were prompted to launch it during this pandemic to help with isolation. I’m pleased to report that it’s making a remarkable difference socially and emotionally with our Elders who are enthusiastically embracing it. You can learn more about their experience with VR here.
Additionally, we continue to evaluate all our communities to determine the best approach to help us eliminate the spread of infections. We have installed ventilation systems that moderate the air pressure to minimize the spread of viruses and continue to explore every piece of new technology available that can help our communities be much more effective with prevention and infection control. I’ll have more to come on this in the future.
I’m thankful for this day and age where we can use technology in the face of a pandemic. These enhancements not only prevent the spread of COVID-19. They are also part of updated protocols being enacted as Parker eventually moves beyond the pandemic and focuses on a healthy, nurturing environment for the next generation of residents. Constant innovation has been one of our key attractions to families; this pandemic has only furthered that commitment.
I believe that Parker is well-positioned for what may come next. But we remain vigilant, flexible and focused. We are steadfast in our commitment to provide exceptional care to our community – come a second wave or not.
By Grace Birnstengel for Next Avenue
Nearly six months into the pandemic, the biggest change to Carmen and Bernie Rollins’ lives is a lack of spontaneity.
The retired couple in San Bernadino County’s Upland, Calif., ages 71 and 66 respectively, see their two daughters less frequently, and no longer drop everything to head to the beach on a nice day. Other than that, things are just fine.
“Before March, we’d go see our daughter in Long Beach or our other daughter in [Los Angeles],” says Carmen, who used to work for the state of California in licensing for places such as foster family homes and senior care facilities. “Since then, we’ve seen our kids twice, and it’s outside in the backyard — very carefully, everybody with masks on. That’s been hard.”
The employment changes millions of Americans are facing due to the pandemic, whether it’s adjusting to working from home and balancing the demands of managing distance learning or child care — or losing employment all together — aren’t worries they have. Carmen’s parents and Bernie’s father are deceased. Bernie’s mother lives with his brother, alleviating Bernie of concerns about her. They haven’t been impacted financially, either.
“We’ve always been careful of how we spend so that we could survive layoffs from work and things like that,” Bernie, a former electrician, says.
The two have picked up new or neglected hobbies during this stretch of isolation. Bernie is making bread at home and the two are tending to a vegetable garden. Carmen “did the Marie Kondo thing,” she says, and while she used to visit the salon every six weeks for her habitual haircut, she now embraces long hair. And most importantly, they have the company of one another.
“We’re in a special situation, I think,” says Carmen.
A Pattern of Pandemic Resilience
But their situation might not be that special. New pandemic-time research suggests that despite the increased vulnerability in becoming seriously ill if they contract COVID-19, older people are managing the best out of everyone on the mental and emotional front.
In 25 days of diary data collected from 776 Americans and Canadians during March and April, a University of British Columbia study found its older participants (ages 60+) felt less stressed and threatened by the pandemic and experienced better emotional well-being than others.
“Older adults have certainty that stressful situations will not last forever and better times will come.”
Take Louise Jackson, who relocated from her condo in Missouri to independent senior housing in Tyler, Texas at the beginning of the pandemic to be closer to her ailing brother and his family — a move she planned on making, COVID-19 or not. Jackson, 83, at first felt overwhelmed by how the coronavirus outbreak changed the new living situation she expected. There’d be no communal meals, and meeting new people would be a challenge.
“You can either deal with change or it can overwhelm you, and I’m not planning to be overwhelmed,” Jackson says. “I’m sometimes a bit lonely, but I’m adjusting.”
Another study, this one from think tank AgeWave and investment company Edward Jones, surveyed 9,000 people in the U.S. and Canada across five generations and also found that older adults are faring better in the pandemic than younger generations.
When asked how well they were coping with the impacts of COVID-19, 39% of the Silent Generation (ages 75+) and 33% of boomers (56-74) surveyed said “very well,” which decreased to 29% for Generation X (40-55), 26% for millennials (24-39) and 31% for Gen Z (18-23). Twenty four percent of the millennials and Gen Zers answered “not well,” compared to 15% of Gen X, 12% of the boomers and just 5% of the Silent Generation surveyed.
This, in some part, could be due to the types of stressors that arise during particular points in our lives and COVID-19’s effect on certain age-associated circumstances over others.
“If you’re in your twenties, thirties or forties, you might have disruption to your predictability and expectations,” says Ken Dychtwald, CEO and president of AgeWave. “’I may not have a job. What am I going to do?’ At the same time, you’re still paying down college loans, raising your kids who are having a rough time not getting out of the house.”
Traditional retirees are worrying less about losing jobs and caring for small children (although many grandparents are guardians for grandchildren). They also often have Social Security and Medicare benefits to lean on in times of uncertainty.
“You’re got those safety nets that give you some degree of protection against this difficult time,” Dychtwald says. “Younger people, for the most part, don’t have those.”
The University of British Columbia study’s younger (18-39 years old) and middle-aged (40-59 years old) participants reported more interpersonal conflicts, work and family-related stressors than older ones.
“I think retired people are in a better position than younger people who have children or have their parents to take care of,” says Carmen Rollins.
With Age Comes Strength
Life circumstances aside, older people tend to be positioned exceptionally well to handle life’s challenges.
Older adults tailor their strategies to reduce stress, according to Patrick Klaiber, a Ph.D student in psychology at the University of British Columbia, one of several researchers behind the diary-based study. “This is something that has been found in a lot of past research.”
He says older people tend to recognize which stressful situations are ones that can be changed, and which are ones that can’t. And they use different approaches depending on the answer.
Trying to make things different might be a good approach for situations that have the potential to change. For example: concerned about contracting COVID-19? Cope by taking seriously social distancing, wearing a mask and all other public health recommendations.
Given what you can’t change, you might instead change how you think about the situation. Or you might focus on seeking out positive feelings and experiences to offset the stress, rather than eliminate it. This is something, Klaiber’s research says, older people excel at. Dealing with stress is a skill that can be improved and developed over the course of a lifetime.
For younger people with less lived experience, the COVID-19 pandemic might be the first major crisis they’ve encountered.
“Older adults have certainty that stressful situations will not last forever and better times will come, which makes sense because they’ve lived longer,” says Klaiber.
Jackson spent her career as a university professor, instructing future teachers on how to teach children reading and writing. With her move, she planned to make her skills available to the area libraries and schools, but now with the pandemic, she’s too at-risk to do so.
“I’m recognizing that I may not be able to do the kinds of things I have always done, and that’s the way life is going to be, and I can live with that,” she says.
For younger people with less lived experience, the COVID-19 pandemic might be the first major crisis they’ve encountered.
“I think I may be more willing to accept what we’re having to deal with now than I might have earlier. I might have been more impatient. With age, you have to learn with what comes down the pipe,” Jackson says.
Contrary to stereotypical ideas about older people, the AgeWave/Edward Jones study found that while self-rated physical health declines with age, self-rated mental health actually tends to improve over the lifespan.
“Often, younger people are afraid of getting older, lonely and sad, but psychological well-being is maintained often in very high age,” Klaiber says. “These benefits might be due to life experience and give people an advantage in dealing with stress.”
Much to Learn
Researchers say younger generations could stand to learn much from their older counterparts in how to deal with stress, have positive experiences in the face of adversity and embrace gratitude.
“Younger people could benefit from the emotional intelligence of older people,” says Dychtwald. “And there’s lots of older people who could be helping young people who are frightened and struggling to calm down, see the silver lining or grow closer to family.”
Both the Rollinses and Jackson commend their parents and elders before them for modeling resilience in the face of hardship — the same attitudes they employ today.
Editor’s note: An earlier version of this article incorrectly said older people have increased vulnerability in contracting COVID-19. The story has been amended to clarify that older people are at increased risk of becoming seriously ill if they contract the coronavirus.
By Grace Birnstengel
Grace Birnstengel is a reporter, writer and editor for Next Avenue where she focuses on America's diverse experiences of aging. She recently concluded an in-depth series on America's first generation aging with HIV/AIDS.