Tuesday, January 25, 2022

When one door closes

1. When one door closes and another door opens, you are probably in prison.

2. To me, "drink responsibly" means don't spill it.
3. Age 60 might be the new 40, but 9:00 pm is the new midnight.
4. It's the start of a brand new day, and I'm off like a herd of turtles.
5. The older I get, the earlier it gets late.
6. When I say, "The other day," I could be referring to any time between yesterday and 15 years ago.
7. I remember being able to get up without making sound effects.
8. I had my patience tested. I'm negative.
9. Remember, if you lose a sock in the dryer, it comes back as a Tupperware lid that doesn't fit any of your containers.
10. If you're sitting in public and a stranger takes the seat next to you, just stare straight ahead and say, "Did you bring the money?"
11. When you ask me what I am doing today, and I say "nothing," it does not mean I am free. It means I am doing nothing.
12. I finally got eight hours of sleep. It took me three days, but whatever.
13. I run like the winded.
14. I hate when a couple argues in public, and I missed the beginning and don't know whose side I'm on.
15. When someone asks what I did over the weekend, I squint and ask, "Why, what did you hear?"
16. When you do squats, are your knees supposed to sound like a goat chewing on an aluminum can stuffed with celery?
17. I don't mean to interrupt people. I just randomly remember things and get really excited.
18. When I ask for directions, please don't use words like "east."
19. Don't bother walking a mile in my shoes. That would be boring. Spend 30 seconds in my head. That'll freak you right out.
20. Sometimes, someone unexpected comes into your life out of nowhere, makes your heart race, and changes you forever. We call those people cops.
21. My luck is like a bald guy who just won a comb

Monday, January 24, 2022

Picking a successor

 After Quasimodo's death, the bishop of the cathedral of Notre Dame sent word through the streets of Paris that a new bell ringer was needed. The bishop decided that he would conduct the interviews personally and went up into the belfry to begin the screening process.

After observing several applicants demonstrate their skills, he decided to call it a day when a lone, armless man approached him and announced that he was there to apply for the bell ringers job. The bishop was incredulous, "You have no arms!"

"No matter," said the man, "Observe!"

He then began striking the bells with his face, producing a beautiful melody on the carillon. The bishop listened in astonishment, convinced that he had finally found a suitable replacement for Quasimodo.

Suddenly, rushing forward to strike a bell, the armless man tripped, and plunged headlong out of the belfry window to his death onto the street below.

The stunned bishop rushed to his side. When he reached the street, a crowd had gathered around the fallen figure, drawn by the beautiful music they had heard only moments before. As they silently parted to let the bishop through, one of them asked, "Bishop, who was this man?"

"I don't know his name," the bishop sadly replied, "but his face rings a bell...”

The following day, despite the sadness that weighed heavily on his heart due to the unfortunate death of the armless campanologist, the bishop continued his interviews for the bell ringer of Notre Dame.

The first man to approach him said, "Your excellency, I am the brother of the poor, armless wretch that fell to his death from this very belfry yesterday. I pray that you honour his life by allowing me to replace him in this duty."

The bishop agreed to give the man an audition, and as the armless man's brother stooped to pick up a mallet to strike the first bell, he groaned, clutched at his chest and died on the spot.

Two monks, hearing the bishop's cries of grief at this second tragedy, rushed up the stairs to his side.

"What has happened?" the first breathlessly asked, "Who is this man?" "I don't know his name," sighed the distraught bishop, "but he's a dead ringer for his brother.”

Sunday, January 23, 2022

Quality of life for seniors is missing

 I am a bit upset over the issue of visit restrictions for long-term care and assisted living seniors. In November 2020, the Office of the Seniors Advocate (OSA) issued the report Staying Apart to Stay Safe: The Impact of Visit Restrictions on Long-Term Care and Assisted Living Survey, which highlighted the impact of visitor restrictions on residents and their family members. In this report, OSA identified that 52% of requests made by residents to designate an essential visitor were denied. The Seniors Advocate issued the recommendation in this report that all residents be provided with the opportunity to designate an essential visitor. However, the reality is that most are not receiving any visitors.

The Press has been, over the last few days, focussing its attention on the issue of students going back to school and ignoring the cruel and unusual punishment against seniors who are being held in isolation. There is plenty of research that shows isolation is dangerous to seniors' health and wellness, yet the problem is being ignored by the media. This is a form of institutional ageism that exists in our country.

Current public health orders (January 2022) allow essential visitors to continue to visit if an outbreak is declared at a facility while social visitors’ access is suspended for the duration of the outbreak. Prior to visiting, all visitors to the long-term care facility must be fully vaccinated and rapid antigen tests are administered. It is now 2022 and to date, no changes have been made to the process for determining if a resident meets the criteria to be designated an essential visitor. The determination is made by the administrator of the care facility on a case-by-case basis. Essentials visits can include, but are not limited to:

        Visits for compassionate care, including critical illness, palliative care, hospice care, end of life, and Medical Assistance in Dying

        Visits paramount to the patient/client’s physical care and mental well-being, including assistance with feeding, mobility, and personal care

        Communication assistance for persons with hearing, visual, speech, cognitive, intellectual or memory impairments

        Assistance by designated representatives for persons with disabilities

        Visits for supported decision making

“The Senior Advocate is receiving phone calls and emails from family members, including spouses, who were advised they could no longer visit their loved one, even though they offer vital support and care. They help to feed their loved ones, get them dressed, take them for walks, and keep them engaged. For many residents, these visitors are the only people who can motivate them to engage in any activities, and yet they are not formally recognized as essential,” stated Mackenzie.

The measure to protect seniors from COVID is at the expense of a positive lifestyle and I fear for many seniors it will mean a shortened life expectancy. It is unfair and discriminatory to say the least, and will not change well we focus on protecting seniors with no regard for what that means to their quality of life.

Saturday, January 22, 2022

Hidden & Invisible: Seniors Abuse in BC

We care about our seniors, or on the surface, we appear to care deeply about the older adults in our community. The depth of this commitment was on full display during the COVID-19 pandemic as we saw tens of thousands of people step forward to ensure seniors received their medications, groceries and remained connected through friendly phone calls and wellness checks. Public concern about the dignity and safety of frail seniors who live in long-term care were heard by governments at all levels and commitments to improve were quickly promised.

While we appear to care, those who track abuse and neglect of seniors have tracked a five-year pattern of significantly increasing reports of seniors’ abuse and neglect. In the past three to five years, according to the senior advocate we have  experienced:

        49% increase in reports of abuse, neglect and self-neglect to Designated Agencies

        69% increase in reports of victims of violent crime to the RCMP

        87% increase in reports of physical abuse and 49% increase of financial abuse to the Vancouver Police Force

        30% increase in reports of abuse to bc211

        5% increase in reports to the Seniors Abuse and Information Line

There is a concern that the reporting and tracking system in BC is fragmented and incomplete leaving many to believe there is significant under-reporting of abuse and neglect among older adults. Supporting this assumption of under-reporting is the number of suspected reports of child abuse reported each year compared to reported cases of suspected seniors’ abuse. While both population groups are of similar size, there is an average of 60,000 such reports made for children and youth each year compared to less than 10,000 reports of suspected abuse and neglect of seniors.

In a survey, when asked if they have ever witnessed a senior subjected to abuse and neglect, 28% of British Columbians reported they have and although over 90% believe they would report abuse if they witnessed it, less than half actually do. There are a number of systemic challenges in our current adult abuse and neglect system that are limiting the potential for British Columbians to effectively identify and report suspected abuse and neglect of seniors.

While there are a number of resources to identify and report seniors’ abuse and neglect, there is no cohesive provincial approach to support the public in their desire to identify and report seniors’ abuse and neglect. A review in 2021 by the Senior Advocate found a lack of standardization in defining seniors’ abuse and neglect, no current plan to raise public awareness and a fragmented reporting system that does not produce the reliable data needed to assess patterns, identify gaps, make improvements and measure progress. There was also clear evidence, however, that our current system can be effective and many of the basic tenants are sound. The challenge is that the system is not reliably effective, and many vulnerable seniors may be falling through the cracks.

The review examined the protections that exist for BC seniors, the prevalence of seniors’ abuse and neglect, the method of reporting abuse and neglect, and the response to reports of seniors’ abuse and neglect. The report examined current legislative protections, assesses reporting practices, reviews five years of existing data, consults with 144 stakeholders in 25 communities throughout BC, and surveys over 1500 British Columbians.

The report includes five recommendations:

1.     Establish provincial standards of practice, policies, and front-line training to respond to seniors’ abuse and neglect

2.     Create province-wide public awareness initiatives and training on seniors’ abuse and neglect

3.     Develop a central, single point of contact to report calls of concern of seniors’ abuse and neglect

4.     Ensure consistent data collection, methods, and definitions to record, track and monitor abuse and neglect cases

5.     Undertake a full comprehensive review of the Adult Guardianship Act