Elderly Hurricane Katrina Evacuee (Video 1:27 mins.)

What happens when you’re ninety-two years old and a Hurricane Katrina evacuee? For many of the elderly, the hardships of evacuating and relocating have been overwhelming. The loss of family, friends, possessions, and a way of life, along with chronic insecurity about the future, have taken a serious toll on them physically, mentally, and emotionally. While not listed in the official hurricane death count, it’s common knowledge that significant numbers of the elderly who have died during the two years after the hurricane were victims whose deaths were escalated by hurricane related causes.

Many of the elderly have survived with battered spirits and bodies. One elderly man’s story is told in this video titled “St. Bernard Project Rebuilding New Orleans Post-Katrina.”

Frances Shani Parker, Author
"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”
Hospice and Nursing Homes Blog

Nursing Home Neglect and Abuse

What causes a staff person in a nursing home to neglect or abuse a patient? There could be several reasons. But there is still no excuse for neglect or abuse. I once saw a patient slap a nurse aide so hard, I thought she would fall to the floor. To the nurse aide’s credit, she stopped, took a deep breath, and walked away. Another nurse aide took over. The patient, who had dementia, probably didn’t remember the incident later. I bring up this case to illustrate the kind of stress under which many staff members operate. Working in some nursing homes is not an easy job, especially when staff shortages and increased workloads are often the norm. But stress is not the only reason for neglect and abuse.

All staff members need ongoing training in patient care, as well as ongoing strategies for coping with the kinds of problems that are inherent to their positions. I know nursing home staff members who love their jobs and genuinely care about their patients’ well being. But working in a nursing home requires a special kind of person. Employees who have demonstrated an inability or unwillingness to perform their duties correctly should be held accountable and not allowed to continue working. The same goes for nursing homes that continue to get cited for violations.

Nursing home abuse includes behaviors such as residents being verbally degraded and physically punched, slapped, and even kicked by staff. Sexual abuse has also been reported. Nursing home residents are very vulnerable and sometimes cannot or will not report abuses. That’s why it is so important for caregivers and others to be to be watchful, protective advocates for patients, particularly those with dementia. They should look for signs of abuse, ask patients and other staff members questions, and vary the times of frequent visits.

Most of all, patient advocates should follow through until they get satisfactory results when abuse or neglect takes place. This can be accomplished by reporting what happened to appropriate authorities such as the nursing home administration, the state ombudsman, and the state health department that investigates complaints. Private legal action can be taken against the nursing home. Staff should be aware that certain forms of patient abuse are felonies that will result in prison time.

For more information, contact the Nursing Home Abuse and Neglect Resource Center.

Frances Shani Parker, Author
"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”
Hospice and Nursing Homes Blog

Dementia and Jewish Holocaust Survivors (Audio)

Dementia refers to a group of conditions that gradually destroy brain cells and lead to mental decline. Many conditions can cause dementia, but Alzheimer’s (Ahlz-high-merz) disease is the leading cause. Most people who have the disease are over sixty-five, with eighty being the average age of diagnosis. There is no cure for patients with dementia, and they need complete care eventually.

Survivors of the Holocaust, in which six million Jews were killed, experience special challenges with dementia. At eighty-two years old, Fred Festinger is one of sixty-five Holocaust survivors at the Los Angeles Jewish Home for the Aging. He can still recall being brought to a Nazi concentration camp at the age of sixteen. His main goal in life then was to reach the age of twenty. Two months after he turned twenty, he was liberated.

Like numerous survivors, Fred’s liberation was only a physical one. Because many of the survivors’ trauma was never treated through therapy or medication, they still suffer with flashbacks and nightmares. Dementia has resulted in even less control for them over anxiety symptoms caused by blurred realties of the past and present. You can listen to more about Fred’s life in this podcast at the NPR Web site.

Frances Shani Parker, Author
"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”
Hospice and Nursing Homes Blog

Elderly Healthcare Almost Two Years After Hurricane Katrina (Audio)

This is an update on healthcare of the elderly and others in New Orleans, my hometown, almost two years after Hurricane Katrina. What New Orleans needs most in the area of healthcare is a workforce. There is a severe shortage in medical doctors. In one Mid-City neighborhood, five doctors remain of the 120 practicing there before the hurricane.

While the general population is still far below previous numbers, it is much higher than the number of healthcare workers available. The few remaining hospitals are overcrowded. Large numbers of medical records were destroyed in the floods. Before the hurricane, 2,269 beds existed for acute care patients in Orleans Parish. Only 635 remain today. Many chronic mental patients who need hospital care have few services available. Besides depression, patients are suffering with post-traumatic stress disorder and substance abuse. The suicide rate has tripled.

New walk-in patients often show up with no medical records, no memory of prescriptions they had been taking, and no insurance. A significant number are elderly and on Medicaid. Chronic coughing, related to particles inhaled during cleanup and home renovation, is common. Treating patients is a stressful challenge to doctors, many whose own homes and private practices were destroyed.

As an incentive to increase the number of healthcare professionals, Louisiana is slated to receive a federal grant of $15 million dollars to provide up to $110,000 in payments to primary care doctors and other healthcare workers who move to New Orleans or surrounding areas. The government has a record of being extremely slow in disbursing financial aid in New Orleans.

Dr. Robert Travis Kenny, one of the five remaining Mid-City doctors, states, "I question why people with medical problems would return. Until you have enough hospital beds and the system gets up and running, it's a dangerous place to live for unhealthy people." Unfortunately, many unhealthy, elderly people have no other choice.

Most of the above information about healthcare in New Orleans came from an April 30, 2007 “Los Angeles Times” news article titled “A Post-Katrina Doctor Drought” by Ann M. Simmons.

You can listen to a more detailed account about the treatment of mental health patients in New Orleans at this June 11, 2007 interview titled “New Orleans Mental Health Crisis” at NPR.com

Frances Shani Parker, Author
"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”
Hospice and Nursing Homes Blog

Nursing Home Technology: Wii Video Game (Video 58 secs.)

During the past year, something unexpected has enhanced the culture change in some senior citizen communities. That phenomenon is the playing of Wii (pronounced “we”), a Nintendo video game that leads the nation in sales. Why unexpected? Most of the players have never used a video game before.

This popular cross-generational game is played with a handheld remote control (cutely called a “Wiimote”) that is mounted to the wrist and includes a motion sensor. Players press buttons and move to translate their actions onto a television screen. As complicated as that sounds, the game is very user friendly. Unlike most video and computer games, Wii involves a pleasing combination of mental and physical exercise, along with positive social interaction. There are several digital versions such as bowling, tennis, golf, and baseball. The best way to understand how Wii works is to watch people play. Click here to see a
Wii bowling game in progress.

Frances Shani Parker, Author
"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”
Hospice and Nursing Homes Blog