Poem About Loneliness in Older Adults/ Seniors

                                         
She waited, grasping like a New Year's resolution...

Festive holidays have brought cherished opportunities for many older adults to enjoy some visitors they seldom see during most of the year. Whether at home or in institutions, loneliness can be both difficult and dangerous for their overall health. Too many of them endure the negative impact of loneliness daily.

“Missing” is one of sixteen original poems at the end of each chapter in Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes. A hospice volunteer, I wrote it after witnessing the sadness of lonely nursing home residents who were missing the missing. They coped with ongoing loneliness that could easily have been avoided with gifts of time. But some relatives and friends kept putting off visiting them until it was too late.

As this new year begins with resolutions for change, consider making every effort to visit those who are ill or alone. Don’t sentence them to another year of missing you.

Missing

She waited,

hoping her years of caring

endured in grown-up minds,

rested in distant hearts,

conveyed how much she missed them.

She waited,

living real-time movies

of restless nights, anxious days

with inhaled hopes of fellowship,

exhaled sighs of deep despair.

She waited,

wishing nostalgic winds

flowed through cotton curtains,

brought relatives and friends

she cherished through the years.

She waited,

grasping like a New Year's resolution,

like a second suspended in time

until her clock stopped ticking

for visitors who never came.

© Frances Shani Parker

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers and in e-book form at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog

Older Adults Make Safe Sex Video (2:22)

You know what’s frightening? Nearly one-third of all people living with HIV/AIDS are aged 50 and older. According to the Centers for Disease Control, 115,000 of the 475,000 people living with HIV/AIDS in the United States are 50+. That’s nearly double the number in 2001. The real numbers are likely higher because many people with HIV/AIDS remain undiagnosed.

Undiagnosed and infected people are estimated to cause two-thirds of infections.  Because many senior women are postmenopausal, they may not use condoms with the vigilance they would for preventing pregnancy. More sexual experimentation among seniors, including some increased by drugs like Viagra, also promote the likelihood of unprotected sex. 

You know what’s great? More seniors and others are paying attention to these statistics. They are understanding that rising rates of HIV/AIDS in their population require diligently using condoms, no sharing of needles, testing for HIV, and discussing HIV/AIDS with their doctors and others. They can make good use of resources available such as the National Institute on Aging.

But so much more can and should be done to get the message out about safe sex for seniors. Like any change, people can begin wherever they are to become part of the solution.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes

Hospice and Nursing Homes Blog

Healthcare Urban Legends Test-- Nursing Homes, Health, Senior Citizens

If you have opened forwarded e-mails or “chain letters,” you’ve probably read false information that you thought was true. Believing what you read may have caused you to panic. Wanting to help others, you couldn’t wait to forward the warning, protection prayer, or request for a donation to family and friends. But there’s a more constructive way to deal with this phenomenon. Today’s post offers a brief mental workout to help keep you informed about nursing homes, health issues, and seniors while squashing rumors.

Can you guess which of the following health-related stories are true or false? The correct answers are at the end.

1) While being transported from a nursing home to a doctor’s office for an appointment, an elderly patient died when the gurney to which he was strapped rolled away with him, overturned, and caused a head injury.

2) The artificial sweetener aspartame has been proved responsible for an epidemic of cancer, brain tumors, and multiple sclerosis. This story gives a detailed description of the health dangers of diet drinks.

3) Some senior citizens are choosing to live their retirement years on cruise ships where the amenities are much better and the average costs per day are cheaper than living in nursing homes.

Fortunately, there is a website that can help you decipher what’s true and what isn’t. Many of you are probably aware of snopes.com, which has been around for years. This website is the Internet reference source for urban legends, folklore, myths, rumors, and misinformation. If you haven’t already, you might want to bookmark this site and check out information you receive. You can delete the hoaxes and end the spreading of false information. 

Answers:     1. True    2. False     3. True

Frances Shani Parker, Author

"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”

“Hospice and Nursing Homes Blog”

Intergenerational Partnerships Change Negative Stereotypes About Older Adults (Research)

Frances Shani Parker accepts flowers from Yvonne Butler-Woods at the Revelation Lutheran Church Senior Celebration. Keynote speaker, Ms. Parker spoke about intergenerational partnerships and the impact of negative stereotypes about older adults on children.

 
(Note: This is not her speech.)                                 

A former school principal, I encourage intergenerational experiences between students and older adults. I feel so strongly about them that I include a chapter on school-nursing home partnerships in my book "Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”

At my school, we had students complete pre and post surveys as part of their nursing home visits. We asked them what their expectations were about nursing homes and the residents who lived there. Fourth graders told us they thought residents would be boring, slow, and nosy, trying to get into their "business." These were only a few of the negative stereotypes they had already developed about older adults. Students also participated in several classes on aging and eldercare before their visits. They learned how to perform, analyze, record, and disseminate scientific research. The lessons we created were integrated into the regular school curriculum supporting academic standards. This teaching approach is called service-learning.

Of course, students were amazed at how their opinions changed when they took the same surveys after returning to school from their visits. In addition, they witnessed dementia firsthand and developed a healthier understanding of aging, illness, caregiving, and acceptance of others' differences.

A research summary reported in “Medical News Today,” Source: Jamie Hanlon, confirms that negative stereotypes about the elderly can be present in children as young as three. The study reported that children with fewer contacts with seniors had more negative stereotypes about them. While children also learn negative stereotypes from the media and from observing how others treat seniors, they can learn many positive lessons about older adults through their early personal interactions with them.

The negative biases children embrace can impact them through the years in ways that are damaging in how they treat older adults, perceive themselves, and in how they perceive aging. Perhaps you have noticed some young people exhibit a strong lack of tolerance or empathy for seniors. I certainly have. Unfortunately, these youngsters may grow up to become the negative stereotypes they believe. Positive intergenerational experiences involving young people and older adults are wonderful win-win opportunities. 

Frances Shani Parker, Author

"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”

“Hospice and Nursing Homes Blog”

Stereotypes About the Elderly and Effects (Research and Video 2:27 mins.)

Like many of you, I belong to several social media networks. However, there is one I seldom use, due to the immaturity I have encountered there, particularly regarding the elderly. Below is a brief summary discussion on a life-threatening topic that I initiated there about seniors and the prevention of HIV/AIDS:

“According to the U.S. Centers for Disease Control, one-quarter of the one million HIV-positive people in the U.S. are older than age 50. Half are expected to be older than 50 by 2015. People tend not to think of HIV/AIDS as an illness of senior citizens, but it is. Seniors must be committed to not taking sexual risks.”

I received over a dozen responses, some too vulgar to print here, from various people, along with degrading, so-called funny photos of old people. None took this matter seriously. These are a few examples:

1) “You just made me throw-up in my mouth a little.”

2) “CUT IT OUT OR I WILL REPORT YOU!!!”

3) “What's considered a sexual risk for an old person? Not wearing a   diaper?”

4) “Sex also puts them at risk for hip fractures. That would seriously suck. A hip fracture and aids. Double whammy.”

5) “How about old people just stop having sex?”

So much for intelligent discussion. I am open to constructive, controversial debate, but that group “discussion” took blatant prejudice to another level. Truthfully, it is yet another example of negative stereotypes embedded in our society about the elderly. They are all over the media.

These and other stereotypes affect those who are victimized by them, and impact the elderly in detrimental ways. Research reported in Aging & Mental Health explains that negative aging stereotypes impact how the elderly see themselves and how they function. They become more dependent on others, have lower levels of risk taking, subjective health and extraversion, and higher feelings of loneliness. These are concerns we should keep in mind as we continue to advocate for eldercare improvements.

In this video titled “See the Person, Not the Age,” a young actress transforms herself into a senior and compares people’s reactions toward her. This experiment is part of the Scottish government campaign against ageism, an international problem.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many online and offline booksellers and in e-book form at Amazon and Barnes and Noble online stores.

Hospice and Nursing Homes Blog

Depression, Suicide in the Elderly (Video 2:52 mins.)

Discussions about suicide usually don’t focus on the elderly, even though their rates of suicide are proportionately high. Depression, which is too often ignored and considered part of aging, often accompanies suicidal tendencies. The following are symptoms of depression which may be helped through diagnosis ruling out medications, counseling, and drug therapy:

1)   Persistent Sadness

2)   Feelings of Worthlessness

3)   Tearfulness

4)   Pacing and Fidgeting

5)   Excessive Worry

A study at the Medical College of Wisconsin, Milwaukee focused on risk factors for elderly suicide. An analysis in Caucasians found that “compared to married individuals, those widowed, divorced, or never married had a 2.5 to nearly 5-fold increase in risk of suicide death. Males aged 65-74 had almost a 7-fold increased risk compared to females of that age, and the risk increased for males as they aged, compared to females 65-74 years old.” Being single, male, and a male advancing in age are suicide risk factors. The most common method of suicide was firearm use (66.9%).

Knowing risk factors for elderly suicide can assist healthcare workers, caregivers, and others in recognizing early signs and providing approporiate intervention. You can read more here about the Wisconsin research.

This "NBC New York Nightly News" video titled “Segment on Elderly Depression”  highlights the relationship between elderly depression and suicide.

Frances Shani Parker, Author

"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”

“Hospice and Nursing Homes Blog”

Homophobia in Nursing Homes, Long-Term Care, Assisted Living, and Home Care (LGBT Video 4:01 mins.)

Life can be horrendous living in a community where you are excluded and harassed. This is the experience of many elderly lesbian, gay, bisexual, or transgender (LGBT) people living in nursing homes, long-term care, assisted living, and even those receiving home care from healthcare workers. Consider how you would feel being dependent daily on bigoted caregivers who resent your presence. Imagine being isolated socially by fellow residents regularly or only being included because you hide a major part of your identity. Either way, damage to your emotional and physical health can be devastating.

The “Michigan Daily” reports that LGBT elderly increasingly have been “disrespected, shunned, or mistreated in ways that range from hurtful to deadly, even leading some to commit suicide.” Important solutions to this problem include a national drive to train long-term care providers in equitable and compassionate care, and a move for separate, but equal care.

Implementation of culture change in senior institutions requires sensitivity and commitment to the creation of person-centered environments that welcome LGBT residents. As this award-winning LGBT documentary titled  “Gen Silent” explains so well, no one should have to live in fear in order to survive. What kind of quality of life is that?

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.

Hospice and Nursing Homes Blog

Friendship, Marriage, Dementia: A Love Story (Video 4:41 mins.)

A great love story should be shared. This true story started 87 years ago, but its significance reigns eternal. George and Adriana Cuevas met as children with trillions of dreams and no certainties about their futures. Distance sat between them for 15 long years. But they continued as pen pals until love brought them back together like inseparable magnets. Marriage and children followed with lots of reasons for George and Adriana to cherish their mutual joy while stringing memories together. Then dementia came with many challenges. Some parts of love are too magnificent to explain, especially “When The Mind Says Goodbye.” 

Frances Shani Parker, Author

"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”

“Hospice and Nursing Homes Blog”

Cane-Fu: Martial Arts for the Elderly (Video 1:59 mins.)

Although the U.S. Justice Department states that the elderly are the least likely to be targeted by violent crimes, it doesn’t hurt for them to be prepared and in better physical shape if they are attacked. And a cane is one weapon that can be carried anywhere. Sure, everybody jokes about using the everyday walking cane as a weapon, but at a retirement home in Maryland and at about 100 locations around the country, they aren’t joking. Cane-fu classes have been going on about ten years.

The goal, of course, is confidence building, a trait that can help anyone feel stronger and more in control. Seniors learn specific skills to help defend themselves and incorporate physical exercise during the learning process. Just knowing that the cane can do more than help them walk is empowering. Many of the class participants say they don’t walk the streets alone anyway.

Hopefully, most seniors will never have to defend themselves with canes, and it’s certainly not encouraged for the weak. I have observed how many seniors enjoy exercises using the Wii games and doing Zumba dance aerobics to Latin rhythms. Cane-fu fighting is another sign of the times, particularly in terms of senior exercise.

In this video, seniors participate in a Cane-fu class.

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

Nursing Home Smoking: A Hospice Volunteer’s View (Video 1:16 mins.)

According to MI law relating to nursing homes, smoking is either not allowed or restricted to certain areas of nursing homes. This whole idea of smoking in “restricted” areas reminds me of a restaurant I visited where smokers and non-smokers were separated by five feet of aisle space down the center of a small room. I could actually see a cloud of smoke hanging over the non-smoking section. Where was the “restricted” area?

A nursing home is a healthcare institution. Considering the fragile mental and physical conditions of many residents, I question the safety of some of the restricted areas. Several of my hospice patients who smoked had oxygen tanks stationed near their beds. As if the fire hazard of smoking is not enough, the issue of healthcare should certainly be more of a priority.

All the nursing homes where I volunteered had indoor smoking areas to accommodate patients and staff who wanted to smoke. I held my breath to avoid second-hand smoke every time I briefly entered a smoking room to get a chair when they were not available in the halls. Smoke, which was both seen and smelled, floated into the halls every time the doors to smoking rooms opened. Whether they smoked or not, everybody’s nostrils were assaulted with sucker punches of first or second-hand smoke.

In this video, an elderly woman who uses an oxygen tank sparked a fire at an apartment complex for the elderly. While she was not in a nursing home smoking area, the resulting fire and crisis in having to protect, console, and evacuate all the other residents to buses taking them to a shelter could easily have happened at a nursing home.

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

HIV/AIDS and Senior Citizens (Video 2:36 mins.)

Did you know that, according to the Centers for Disease Control, one-quarter of the one million HIV-positive people in the U.S. are older than age 50? Half are expected to be older than 50 by 2015. People tend not to think of HIV/AIDS as an illness of senior citizens, but it is. Compared to HIV negative seniors their age, this population is more likely to experience far more health challenges, including memory problems, depression, liver and kidney problems, and a bone disease linked to medications they take.

Any discussion of HIV/AIDS and seniors must include the importance of their using safe sex practices. Because many senior women are postmenopausal, they may not use condoms with the vigilance they would for preventing pregnancy. More sexual experimentation among seniors, including some increased by drugs like Viagra, also promote the likelihood of unprotected sex. Seniors must be committed to not taking sexual risks.

This video titled “Senior with HIV/AIDS” presents more information and insights on this critical topic.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many online and offline booksellers and in e-book form at Amazon and Barnes and Noble online stores.

Hospice and Nursing Homes Blog

Service-Learning, Schools, and Nursing Homes: Intergenerational Partnerships (Video 3:30 mins.)

This excerpt is from my book Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes, which includes a chapter titled “School-Nursing Home Partnership:"

“The most effective learning usually does not come from classroom lectures or always translate on standardized tests. I witnessed academic and affective growth by students as a direct result of their interactions with the elderly. Growth occurred when the two groups became involved in meaningful projects such as letter writing, storytelling, biography writing, arts and crafts, and performing arts. This excellent educational approach to teaching and learning that connects classroom learning with meeting community needs is called service-learning. Research shows that students derive many benefits in areas of academic achievement, enthusiasm for learning, caring for others, and greater civic and political engagement through involvement in service learning."

When I was a teacher, I took students on service-learning field trips to nursing homes. Students practiced educational skills, showcased their talents, and provided entertainment and companionship to residents. Residents also benefited from these exchanges. Our trips came about after extensive preparation between the intergenerational partners and included ongoing reflection and evaluation.

I encouraged schoolwide service learning with all staff and students. We became a national model for research-based, schoolwide service-learning. You can read research our fourth graders did in partnership with nursing home residents on ageism stereotypes here: https://www.linkedin.com/pulse/intergenerational-service-learning-student-nursing-home-parker?trk=mp-author-card

What is service-learning in practice? This Better TV video defines service-learning and explains how it is used by schools and community groups to improve communities and promote positive development in young people.

Note: Winner of the National Service-Learning Partnership Trailblazer Award, Frances Shani Parker, a national consultant and former school principal, has been instrumental in implementing service-learning in school districts across the country. Her book includes a chapter on intergenerational partnerships between schools and nursing homes.

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

Eden Alternative for Nursing Homes (Video 6:52 mins.)

The following includes an excerpt from my book, "Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes.” The chapter titled “Baby Boomer Haven” takes readers on a tour through an imaginary nursing home based on best practices of some, but not nearly enough, nursing homes that exist today. Animals and children are important additions to culture change of many nursing homes that are moving away from the stereotypical, traditional model.

“Watch out for Diva Dog over there, one of several resident pets. She’s just looking you over to make sure you look her over. In her spare time, she’s a certified psychologist. Other indoor animals on the site are located in our aviaries of brightly colored birds and in our aquariums with fish that mesmerize us with their antics. We have more animals outdoors such as horses and rabbits. It’s fascinating watching how all of our animals relate. They’re a lot like people, you know, and have much more sense than we think they do.

Employees seem to love working here as much as we love living here. Most have years of seniority, and hardly anybody is ever absent. Low staff turnover saves considerable money in overtime and in hiring temporary help. Two things all employees like are our flexible scheduling and childcare on the premises. This allows them to personalize their time and accomplish more at home and at work with fewer worries. If you look to your left through the window of the childcare center, you can see two employees having lunch with their children. The older gentleman is a resident reading to a small group. I love spending time with the little ones. I jokingly call them my little “ankle biters” when they aren’t around. Some of them call me, “Grandma,” and a few like to say “Big Mama,” which really tickles me because that’s what I called my grandmother.”

© Frances Shani Parker

There are several models of culture change for nursing homes. This video examines an approach known as the Eden Alternative.

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

Brain Atrophy of Elderly in Nursing Homes: Racism, Social Inappropriateness, Depression, and Problem Gambling

An African American, I have experienced racism my entire life. A child raised in the Jim Crow South, I was reminded every day of my unimportance. Up North in Michigan, I live in one of the most segregated states in America. The continuing documentation of racial-ethnic healthcare disparities in America speaks for itself.

I wasn’t surprised at all when several African American nursing assistants (CNA’s) I spoke to at nursing homes in both Michigan and Massachusetts complained about being targets of racist comments by their elderly white patients. What was interesting in a few instances was that the comments were overheard by the patients’ relatives who said they were shocked after hearing them. Some relatives even apologized to the nursing assistants for the behavior of the patients. According to these relatives, they had never heard the patients make racist statements during all the years they had known them.

These incidents came to mind when I read this research from “Current Directions in Psychological Science” about brain atrophy, which is a gradual shrinking of the brain that includes significant atrophy in the frontal lobes where executive functioning occurs. The study reports that the results of this atrophy include decreased inhibitory ability in late adulthood that can lead to unintended prejudice, social inappropriateness (such as publicly asking personal questions), depression, and problem gambling. University of Queensland psychologist Bill von Hippel explains that older white adults showed greater stereotyping toward African Americans than younger white adults did. Despite being more motivated to control their prejudices, older whites’ attempts to inhibit their prejudices failed.

The study proposes that some of the negative social behaviors attributed to the elderly may be resulting from their loss of inhibition. You can read more about this research on brain atrophy in the elderly at the “Medical News Today” website.

Note: A study from the Buehler Center on Aging at Northwestern University’s Feinberg School of Medicine states that nearly 75 percent of nursing assistants (CNA’s) working in nursing homes experience racism on the job. This research showed that racism is expressed by nursing home residents as well as residents' families and nursing home co-workers.

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

Spirituality and Elderly, Black, Hurricane Katrina Survivors

Since the publication of my book, "Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes,” I have spoken to a cross-section of groups from healthcare, academic, and general public arenas. Clergy members have often been in attendance. As a hospice volunteer, I am careful not to impose any religious views on my patients, but patients do request counseling from clergy members about religion and spirituality.

I was reminded of this when I read some research about older, black, Katrina survivors. New Orleans is my hometown, and I am particularly concerned about the slow recovery progress, which I witnessed firsthand again during a recent visit there. As I stated in previous posts, elderly residents who have remained in New Orleans or who have evacuated across the country have often experienced difficult adjustments.

The research I read explored coping strategies of these older evacuees living at a retirement apartment complex in Texas. The study states, “Without exception, the findings indicate that this population coped with Katrina and its aftermath through reliance on a Higher Power.” It explains further that the relationship with a Higher Power was not necessarily connected with church membership. This is important because many people who are spiritual are not religious in the church-going sense.

These are the spiritual coping themes that resulted from a series of interviews with these older Katrina survivors:

“1) regular communication with a supernatural power; 2) miracles of faith through this source of guidance and protection; 3) daily reading of the Bible and various spiritual and devotional materials; and 4) helping others as a consequence of faith and devotion to a supreme being.” During traumatic times, spirituality clearly promotes emotional resilience for many.

You can read more about this University of North Texas study at this website.

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

Hospice CNA/Nursing Assistant Story: “Little White Box” Video (5:13mins.)

Sometimes a nursing home patient needs someone to solve a special problem. The urgency becomes especially important when the patient is in hospice care, and death is imminent. “Little White Box” is a video story from “The Life and Times of Roger Dean Kiser.” A hospice volunteer, I was reminded of a hospice story in my own life when I read this story. In my story, I helped to locate a missing key for a beautiful music box owned by a patient who had never heard the box play before.

In “Little White Box,” Mrs. Mathers, a dying patient, keeps saying, “Before I die, my little white box, please.” But no one knows exactly what she means. To her rescue comes a caring and determined CNA/nursing assistant who successfully solves the mystery. With Celine Dion’s breathtaking singing in the background, this story will grab the handle of your heart and make you smile. Click here and enjoy "Little White Box."

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

Service-Learning Intergenerational Partnerships: Schools and Nursing Homes (Students' Research Link Included)

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes includes a chapter on service-learning intergenerational partnerships between schools and nursing homes.

What if I’m a student who needs mentoring, diverse experiences, and opportunities to share my skills with others? What if I’m a nursing home resident wishing I had some visitors, thinking I can still make positive contributions, looking forward to interacting with young people? If this sounds like a match between an itch and a scratch, you’ll understand why service-learning is so important.

Service-learning is a teaching and learning approach that connects learning with meeting community needs. It’s not the same as community service, although that’s another good service practice. Service-learning evolves from learning objectives in a school or community group setting. For example, after students learn how to write letters, service-learning would include writing letters to community people who would benefit from receiving their letters. Of course, service recipients might show their appreciation by writing students letters in response. The exchange is usually win-win.

Nursing homes are ideal places for students to visit and share what they are learning in school. Residents provide welcome audiences for students eager to perform their skits, songs, and poetry. Students can display and explain class projects and interview residents in supportive environments. Afterwards, they can mingle with residents and let the magic of intergenerational communication work to everyone’s mutual benefit. 

Because teachers prepare students well before their nursing home visits, students know what to expect. If a resident falls asleep or cries, students understand why that’s okay. The word "dementia" can be added to their vocabulary with relevance and meaning. They are open to the experience of being with the elderly and the challenged. They take pride in the roles they play in enriching lives. After they return to school, students reflect on how the nursing home visit affected them, what they learned, and ways to share that information with others.

You can view our fourth graders' ageism research at the link below. This resulted from their partnership with nursing home residents: 

https://www.linkedin.com/pulse/intergenerational-service-learning-student-nursing-home-parker?trk=mp-author-card

Note: Winner of the National Service-Learning Partnership Trailblazer Award, Frances Shani Parker, an eldercare consultant, hospice volunteer, blogger, and former schoolwide service-learning principal, has been instrumental in implementing service-learning in school districts across the country. 

Frances Shani Parker, Author
Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.
Hospice and Nursing Homes Blog